JP2009529388A - 患者へのアクセス、特に、体外血液処置の間の血管へのアクセス、を監視するためのデバイスおよび方法 - Google Patents
患者へのアクセス、特に、体外血液処置の間の血管へのアクセス、を監視するためのデバイスおよび方法 Download PDFInfo
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- G—PHYSICS
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- G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
- G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
- G01N33/483—Physical analysis of biological material
- G01N33/487—Physical analysis of biological material of liquid biological material
- G01N33/49—Blood
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3653—Interfaces between patient blood circulation and extra-corporal blood circuit
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3653—Interfaces between patient blood circulation and extra-corporal blood circuit
- A61M1/3655—Arterio-venous shunts or fistulae
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3653—Interfaces between patient blood circulation and extra-corporal blood circuit
- A61M1/3656—Monitoring patency or flow at connection sites; Detecting disconnections
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3653—Interfaces between patient blood circulation and extra-corporal blood circuit
- A61M1/3659—Cannulae pertaining to extracorporeal circulation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/1414—Hanging-up devices
- A61M5/1418—Clips, separators or the like for supporting tubes or leads
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/18—General characteristics of the apparatus with alarm
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T24/00—Buckles, buttons, clasps, etc.
- Y10T24/34—Combined diverse multipart fasteners
- Y10T24/3427—Clasp
- Y10T24/3439—Plural clasps
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T24/00—Buckles, buttons, clasps, etc.
- Y10T24/44—Clasp, clip, support-clamp, or required component thereof
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T24/00—Buckles, buttons, clasps, etc.
- Y10T24/44—Clasp, clip, support-clamp, or required component thereof
- Y10T24/44291—Clasp, clip, support-clamp, or required component thereof including pivoted gripping member
- Y10T24/4453—Clasp, clip, support-clamp, or required component thereof including pivoted gripping member with position locking-means for gripping members
- Y10T24/44538—Integral locking-means
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T403/00—Joints and connections
- Y10T403/22—Joints and connections with fluid pressure responsive component
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- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
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- Engineering & Computer Science (AREA)
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- External Artificial Organs (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Abstract
Description
Claims (17)
- その装置によって液体がホースライン経由で患者へ給送されて該患者から運び出されるとともに、それによって前記ホースラインの圧力が監視される装置のための、患者へのアクセスを監視する、特には、体外血液処置(患者の血液が静脈穿刺カニューレを有している静脈ホースライン経由で前記患者に給送され、動脈穿刺カニューレを有している動脈ホースライン経由で前記患者から運び出される)における血管へのアクセスを監視するデバイスにおいて、
前記ホースライン(7)のホースセグメント(7A、7B)をループ(27)の形で固定するための手段(26、41)を備え、これにより、前記ホースラインが引張荷重を受けるときに前記ループが締まることができることを特徴とする、デバイス。 - 前記ホースライン(7)のホースセグメント(7A、7B)をループ(27)の形で固定するための前記手段(26)が、
前記ホースラインの第1のホースセグメント(7A)の取外し式固定のための第1の固定要素(28)と、
前記ホースラインの第2のホースセグメント(7B)の取外し式固定のための第2の固定要素(29)と、を有し、
前記第1および第2の固定要素(28、29)が一緒に連結されていることを特徴とする、請求項1に記載のデバイス。 - 前記第1のホースセグメント(7A)の固定のための前記第1の固定要素(28)が、前記ホースセグメント(7A)が中に挿入されることが可能なクランプ(30)を有していることを特徴とする、請求項2に記載のデバイス。
- 前記クランプ(30)は、前記ホースセグメント(7A)の挿入のための間隙(33)を有していることを特徴とする、請求項3に記載のデバイス。
- 前記第2のホースセグメント(7B)の取外し式固定のための前記第2の固定要素(29)が、前記ホースセグメントが中を通されることが可能なアイレットであることを特徴とする、請求項2から4のいずれか一項に記載のデバイス。
- 前記アイレット(29)は、前記ホースラインの挿入のために開けられることが可能であることを特徴とする、請求項5に記載のデバイス。
- 前記アイレット(29)は、スナップロック(36)で閉められることが可能であることを特徴とする、請求項6に記載のデバイス。
- 前記ホースラインのホースセグメント(7A、7B)の固定のための前記手段(41)が、ホースライン(7)が連結されているかまたは連結されることが可能なカテーテルとして設けられていることを特徴とする、請求項1に記載のデバイス。
- 前記カテーテル(41)が、前記カテーテルに連結されているかまたは連結可能なホースライン(7)のホースセグメント(7B)を取外し式に固定するための固定要素(42)を有していることを特徴とする、請求項8に記載のデバイス。
- 前記カテーテル(41)がホース連結部(44)を有しており、
前記固定要素(42)が前記ホース連結部との一体部品であることを特徴とする、請求項9に記載のデバイス。 - 前記固定要素が、前記ホースライン(7)の前記ホースセグメント(7B)が中を通されることが可能なアイレット(42)として設けられていることを特徴とする、請求項9または10に記載のデバイス。
- 前記アイレット(42)は、前記ホースライン(7)の前記ホースセグメント(7B)を挿入するために離れて広がることができることを特徴とする、請求項11に記載のデバイス。
- 患者へ液体を供給するかまたは患者から液体を運び出すためのホースライン(7)を有する請求項1から12のいずれか一項に記載のデバイスにおいて、
前記ホースライン(7)は、予め定められたキンク箇所を有して設けられていることを特徴とするデバイス。 - 前記ホースライン(7)の壁が、前記予め定められたキンク箇所の領域でより薄い厚さを有していることを特徴とする、請求項13に記載のデバイス。
- 前記ホースラインは、前記予め定められたキンク箇所の領域を除いて円形の横断面を有しており、前記予め定められたキンク箇所の領域で、非円形の横断面を有していることを特徴とする、請求項13に記載のデバイス。
- ホースラインの圧力が監視されており該ホースライン経由で患者に液体を供給したり前記患者から運び出したりすることのための、前記患者へのアクセスを監視する方法において、
前記ホースラインにループが形成され、
前記ホースラインの引張荷重のために事前設定の限度の中で前記圧力の変化があった場合に、患者への不適当なアクセスがあると推断されることを特徴とする方法。 - 動脈穿刺カニューレ(5)を有する動脈ホースライン(6)、および、静脈穿刺カニューレ(8)を有する静脈ホースライン(7)を備えている体外血液回路(I)と、
前記動脈および/または静脈ホースライン(6、7)の圧力を監視するためのデバイス(22)と、を有している血液処置装置において、
請求項1から15のいずれか一項に記載のデバイスを有し、
動脈または静脈ホースライン(6、7)の圧力を監視するための前記デバイス(22)が、前記動脈および/または静脈ホースラインの引張荷重のために事前設定の限度の中で前記圧力の変化がある場合に、前記静脈および/または動脈穿刺カニューレが滑脱したと推断するように設けられている特徴とする、血液処置装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE102006011313.6 | 2006-03-11 | ||
DE102006011313A DE102006011313B3 (de) | 2006-03-11 | 2006-03-11 | Vorrichtung und Verfahren zur Überwachung eines Zuganges zu einem Patienten, insbesondere eines Gefäßzuganges bei einer extrakorporalen Blutbehandlung |
PCT/EP2006/011810 WO2007104350A1 (de) | 2006-03-11 | 2006-12-08 | Vorrichtung und verfahren zur überwachung eines zuganges zu einem patienten, insbesondere eines gefässzuganges bei einer extrakorporalen blutbehandlung |
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JP2009529388A true JP2009529388A (ja) | 2009-08-20 |
JP5066106B2 JP5066106B2 (ja) | 2012-11-07 |
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JP2008558652A Expired - Fee Related JP5066106B2 (ja) | 2006-03-11 | 2006-12-08 | 体外血液処置の間の血管へのアクセスを監視するためのアクセス監視デバイス、アクセス監視方法および血液処置装置 |
Country Status (13)
Country | Link |
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US (1) | US8177736B2 (ja) |
EP (2) | EP2377564B1 (ja) |
JP (1) | JP5066106B2 (ja) |
KR (2) | KR101334588B1 (ja) |
CN (1) | CN101400389B (ja) |
AU (1) | AU2006339875B2 (ja) |
BR (1) | BRPI0621392B8 (ja) |
CA (2) | CA2643104A1 (ja) |
DE (1) | DE102006011313B3 (ja) |
EA (1) | EA012482B1 (ja) |
ES (2) | ES2603357T3 (ja) |
PL (1) | PL1993632T3 (ja) |
WO (1) | WO2007104350A1 (ja) |
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- 2006-12-08 CA CA002643104A patent/CA2643104A1/en not_active Withdrawn
- 2006-12-08 JP JP2008558652A patent/JP5066106B2/ja not_active Expired - Fee Related
- 2006-12-08 KR KR1020137015829A patent/KR101334588B1/ko active IP Right Grant
- 2006-12-08 KR KR1020087021947A patent/KR101412042B1/ko active IP Right Grant
- 2006-12-08 EP EP11004023.5A patent/EP2377564B1/de active Active
- 2006-12-08 AU AU2006339875A patent/AU2006339875B2/en not_active Ceased
- 2006-12-08 EA EA200870350A patent/EA012482B1/ru not_active IP Right Cessation
- 2006-12-08 ES ES06829419T patent/ES2413058T3/es active Active
- 2006-12-08 CN CN2006800537829A patent/CN101400389B/zh active Active
- 2006-12-08 EP EP06829419.8A patent/EP1993632B1/de active Active
- 2006-12-08 WO PCT/EP2006/011810 patent/WO2007104350A1/de active Application Filing
- 2006-12-08 BR BRPI0621392A patent/BRPI0621392B8/pt not_active IP Right Cessation
- 2006-12-08 US US12/282,568 patent/US8177736B2/en active Active
- 2006-12-08 PL PL06829419T patent/PL1993632T3/pl unknown
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Also Published As
Publication number | Publication date |
---|---|
EA012482B1 (ru) | 2009-10-30 |
ES2413058T3 (es) | 2013-07-15 |
AU2006339875B2 (en) | 2013-03-21 |
CA2680758C (en) | 2014-02-18 |
EP2377564A2 (de) | 2011-10-19 |
AU2006339875A1 (en) | 2007-09-20 |
EP1993632B1 (de) | 2013-04-10 |
CN101400389A (zh) | 2009-04-01 |
BRPI0621392B8 (pt) | 2021-06-22 |
ES2603357T3 (es) | 2017-02-27 |
US8177736B2 (en) | 2012-05-15 |
JP5066106B2 (ja) | 2012-11-07 |
EP2377564A3 (de) | 2012-03-14 |
BRPI0621392A2 (pt) | 2011-12-06 |
US20090306574A1 (en) | 2009-12-10 |
EP2377564B1 (de) | 2016-08-17 |
EA200870350A1 (ru) | 2009-02-27 |
PL1993632T3 (pl) | 2013-09-30 |
CA2680758A1 (en) | 2007-09-20 |
BRPI0621392B1 (pt) | 2018-11-27 |
CA2643104A1 (en) | 2007-09-20 |
DE102006011313B3 (de) | 2007-05-10 |
KR101412042B1 (ko) | 2014-06-26 |
CN101400389B (zh) | 2012-08-29 |
EP1993632A1 (de) | 2008-11-26 |
KR20080100359A (ko) | 2008-11-17 |
KR101334588B1 (ko) | 2013-11-28 |
WO2007104350A1 (de) | 2007-09-20 |
KR20130080480A (ko) | 2013-07-12 |
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