JP2014533593A - ポートおよび表面清浄装置および技法 - Google Patents
ポートおよび表面清浄装置および技法 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/10—Tube connectors; Tube couplings
- A61M39/16—Tube connectors; Tube couplings having provision for disinfection or sterilisation
- A61M39/162—Tube connectors; Tube couplings having provision for disinfection or sterilisation with antiseptic agent incorporated within the connector
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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
- A61M11/00—Sprayers or atomisers specially adapted for therapeutic purposes
- A61M11/06—Sprayers or atomisers specially adapted for therapeutic purposes of the injector type
- A61M11/08—Pocket atomisers of the injector type
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- A—HUMAN NECESSITIES
- A01—AGRICULTURE; FORESTRY; ANIMAL HUSBANDRY; HUNTING; TRAPPING; FISHING
- A01N—PRESERVATION OF BODIES OF HUMANS OR ANIMALS OR PLANTS OR PARTS THEREOF; BIOCIDES, e.g. AS DISINFECTANTS, AS PESTICIDES OR AS HERBICIDES; PEST REPELLANTS OR ATTRACTANTS; PLANT GROWTH REGULATORS
- A01N59/00—Biocides, pest repellants or attractants, or plant growth regulators containing elements or inorganic compounds
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K33/00—Medicinal preparations containing inorganic active ingredients
- A61K33/40—Peroxides
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2/00—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
- A61L2/16—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using chemical substances
- A61L2/18—Liquid substances or solutions comprising solids or dissolved gases
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61M15/00—Inhalators
- A61M15/08—Inhaling devices inserted into the nose
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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
- A61M25/00—Catheters; Hollow probes
- A61M25/0017—Catheters; Hollow probes specially adapted for long-term hygiene care, e.g. urethral or indwelling catheters to prevent infections
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61M25/00—Catheters; Hollow probes
- A61M25/002—Packages specially adapted therefor ; catheter kit packages
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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
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/20—Closure caps or plugs for connectors or open ends of tubes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/16—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing nitrogen, e.g. nitro-, nitroso-, azo-compounds, nitriles, cyanates
- A61K47/18—Amines; Amides; Ureas; Quaternary ammonium compounds; Amino acids; Oligopeptides having up to five amino acids
- A61K47/183—Amino acids, e.g. glycine, EDTA or aspartame
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0014—Skin, i.e. galenical aspects of topical compositions
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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
- A61M25/00—Catheters; Hollow probes
- A61M2025/0019—Cleaning catheters or the like, e.g. for reuse of the device, for avoiding replacement
-
- 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
- A61M2205/58—Means for facilitating use, e.g. by people with impaired vision
- A61M2205/583—Means for facilitating use, e.g. by people with impaired vision by visual feedback
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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
- A61M2209/00—Ancillary equipment
- A61M2209/06—Packaging for specific medical equipment
-
- 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
- A61M35/00—Devices for applying media, e.g. remedies, on the human body
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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
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/10—Tube connectors; Tube couplings
- A61M39/16—Tube connectors; Tube couplings having provision for disinfection or sterilisation
- A61M39/165—Shrouds or protectors for aseptically enclosing the connector
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F04—POSITIVE - DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS FOR LIQUIDS OR ELASTIC FLUIDS
- F04C—ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT MACHINES FOR LIQUIDS; ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT PUMPS
- F04C2270/00—Control; Monitoring or safety arrangements
- F04C2270/04—Force
- F04C2270/042—Force radial
- F04C2270/0421—Controlled or regulated
-
- 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
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S604/00—Surgery
- Y10S604/905—Aseptic connectors or couplings, e.g. frangible, piercable
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Abstract
Description
本明細書は、米国特許仮出願第61/564,206号(2011年11月28日出願;表題「Medical Devices and Techniques for Antiseptic, Immunodulatory and Antineoplastic Therapies」)(この記載内容は参照により本明細書中で援用される)に対する優先権を主張する。
この出願は、感染を低減しおよび/または防止することへのアプローチを記載する。一態様において、本出願は、脈管内(IV)ラインポート、その他のIV構成成分(例えば、注射器、管腔、弁等)、注射部位、採血部位(例えば、静脈、動脈または毛細血管から)、創傷部位、切開部位、腹膜透析部位、膀胱または腎造瘻術部位、その他のドレナージ部位、あるいは感染に感受性である任意の他の部位を清浄にし、および/または消毒するために、単独で、または1つ以上の医療用具と組合せて用いられ得る抗菌組成物の例を記載する。
図1A〜5Cは、ポート清浄および保護蓋のいくつかの例の詳細を示す。蓋は各々、ポリエチレン、ポリプロピレン、コポリマー材料および/またはその混合物(これらに限定されない)のような材料から作られ得る。蓋は、貯蔵、出荷等の間に過酸化水素の完全性を保存するためにUV防御性である材料または作用物質も含み得る。蓋それ自体は、付加的または代替的には、過酸化水素の分解を抑制するためにUV防御材料を含有する包装中に収容され得る。
部位調製装置の例
上記の種々のポートおよび/または部位清浄装置のいずれかは、独立して、または種々のパッケージ中の多数の装置のキット中に包装され得る。
一実行例において、本明細書中に記載されるアプローチとともに用いられ得る抗菌組成物としては、例えば米国特許出願第12/874,188号(Tennican等;2010年9月1日出願)(この記載内容は参照により本明細書中で援用される)に記載されたものが挙げられる。その場合、抗菌組成物は、水(H2O)、強力な且つ非毒性のキレート剤、例えばEDTA(例えば、二ナトリウムEDTA、カルシウム二ナトリウムEDTA、マグネシウムEDTA、ガリウムEDTA)またはクエン酸ナトリウム(または酸、塩、誘導体またはその他の形態のEDTAまたはクエン酸ナトリウム)、短鎖一価アルコール(例えば、C2H5OHの分子式およびC2H6Oの実験式を有するエタノール)、および強力な、小分子酸化剤、例えば過酸化水素(H2O2)を包含し得る。具体的一例では、組成物は、本質的に、水、EDTA、エタノールおよび過酸化水素で構成され得る。しかしながら、他の例では、その他の抗菌組成物が、本出願に記載される装置と組み合わせて用いられ得る。
結論
Claims (25)
- 以下のものを含む蓋:
円筒空洞(前記円筒空洞は、開口部および前記開口部でのフランジを有する);
使用者につなぎ合わせるよう構成される外表面;
円筒空洞内の内表面;および
フランジ上に位置し、円筒空洞の開口部に対して垂直に伸びるエネルギー指示装置
を包含する医療用具。 - 前記蓋が、ポリプロピレン、ポリエチレン、コポリマー材料またはその混合物で構成される請求項1記載の医療用具。
- 前記フランジが、円筒空洞の周囲から放射状に伸びるよう構成される請求項1記載の医療用具。
- 少なくともエネルギー指示装置に取り付けられ、開口部の少なくとも一部を覆う保護カバーをさらに含む請求項1記載の医療用具。
- 円筒空洞内に発泡挿入物をさらに含み、前記発泡挿入物が圧縮状態で保持されるが、一方、保護カバーが取り付けられ、前記保護カバーが除去された場合、前記発泡挿入物が、円筒空洞の開口部の外側に伸びるよう構成される請求項4記載の医療用具。
- 前記円筒空洞の前記開口部の外側に伸びる前記発泡挿入物の表面が、異なる表面処理、仕上げまたは輪郭を含む請求項5記載の医療用具。
- 前記発泡挿入物内に配置される抗菌剤をさらに含む請求項1記載の医療用具。
- 前記抗菌剤が、以下の:
約5〜約50mg/mlのエチレンジアミン四酢酸(EDTA);
多くても約70容量%のエタノール;
多くても約7.5容量%の過酸化水素;および
水
を含む請求項7記載の医療用具。 - 前記蓋の前記円筒空洞の前記内表面が以下の:
先細な階段状表面;
先細な平滑表面;
階段状表面;
スナップフィット・フランジ;
1つ以上のネジ山;
1つ以上の内部スリット;または
蓋が別の対象物に取り付けられるのを助けるためのワイヤ機構
のうちの少なくとも1つをさらに含む請求項1記載の医療用具。 - 以下の:
円筒空洞および保護カバーを固着するための前記円筒空洞の開口部でのフランジを伴う内表面を有する蓋;ならびに
前記蓋の前記円筒空洞内に含入される発泡挿入物(前記発泡挿入物は、保護カバーの固着により圧縮され、保護カバーが除去された場合、前記円筒空洞の開口部を越えて伸びるよう構成される)
を包含する医療用具。 - 前記発泡挿入物が、円筒形の上部および底部で2つの外部独立気泡層を連結する内部連続気泡層を含む前記円筒形である請求項10記載の医療用具。
- 前記発泡挿入物の前記内部連続気泡層が抗菌組成物を含む請求項11記載の医療用具。
- 前記抗菌組成物が、水、低分子量アルコール、過酸化物、過酸化物生成剤またはキレート剤のうちの1つ以上を含む請求項12記載の医療用具。
- 前記発泡挿入物の前記外部独立気泡層が粗い肌理を含む請求項11記載の医療用具。
- 前記発泡挿入物が、ポリウレタン、シリコン、シリコンゴム、ポリエチレン、ポリプロピレン、熱可塑性エラストマーまたはその混合物を含む請求項10記載の医療用具。
- 前記円筒空洞の開口部での前記フランジが、除去可能な保護カバーと融合するよう構成された前記円筒空洞から遠位に伸びる隆起畝をさらに含む請求項10記載の医療用具。
- 以下の:
1つ以上の蓋(少なくとも1つの蓋が、以下の:
円筒空洞を伴う内表面および円筒空洞の開口部でのフランジ;フランジ上に位置し、円筒空洞の開口部に対して垂直に伸びるエネルギー指示装置(前記エネルギー指示装置は除去可能保護カバーに取り付けられるよう構成される)
前記蓋の円筒空洞内の発泡挿入物(前記発泡挿入物は、除去可能保護カバーの取付けにより圧縮され、保護カバーが除去された場合、円筒空洞の開口部を越えて伸びるよう設計される)
を有する)
1つ以上の蓋を収容するためのパッケージ(前記パッケージは、1つ以上の蓋が別々に且つ連続して収容されるよう構成される)
を含む清浄および消毒アセンブリ。 - 前記蓋の前記円筒空洞の開口部でのフランジが、前記円筒空洞の周囲から放射線状に伸びるよう構成される請求項17記載の装置。
- 前記発泡挿入物が抗菌組成物を含み、前記抗菌組成物が、界面活性剤、水、低分子量アルコール、過酸化物、過酸化物生成剤またはキレート剤のうちの1つ以上を含む請求項17記載の装置。
- 前記発泡挿入物が粗い肌理を含む請求項17記載の装置。
- 前記蓋が、ポリプロピレン、ポリエチレン、コポリマー材料またはその混合物で構成される請求項17記載の装置。
- 感染性作因の蔓延を防止する方法であって、以下の:
清浄にされ、衛生的にされ、または消毒されるべき表面を同定すること;および
前記表面に医療用アプリケータを適用して、それにより前記表面を清浄にし、衛生的にし、または消毒すること(この場合、前記医療用アプリケータは、以下の:
円筒空洞および円筒空洞の開口部でのフランジを伴う内表面を有する蓋;
蓋の円筒空洞内の発泡挿入物(ここで、前記発泡挿入物は、保護カバーが除去された場合、前記円筒空洞の開口部を越えて伸びるよう構成される);および
前記発泡挿入物内に配置される清浄、抗菌または滅菌剤
を含む)
を包含する方法。 - 清浄にされ、衛生的にされ、または消毒されるべき前記表面が、ヒト組織の一区域または医療用具上の一区域である請求項22記載の方法。
- 前記清浄、抗菌または滅菌剤が、界面活性剤、水、低分子量アルコール、過酸化物、過酸化物生成剤またはキレート剤のうちの少なくとも1つを含む請求項22記載の方法。
- 前記蓋が、前記フランジ上に配置され、前記円筒空洞の開口部に対して垂直に伸びるエネルギー指示装置を包含する請求項22記載の方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201161564206P | 2011-11-28 | 2011-11-28 | |
US61/564,206 | 2011-11-28 | ||
PCT/US2012/066886 WO2013082180A1 (en) | 2011-11-28 | 2012-11-28 | Port and surface cleaning devices and techniques |
Publications (2)
Publication Number | Publication Date |
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JP2014533593A true JP2014533593A (ja) | 2014-12-15 |
JP6559955B2 JP6559955B2 (ja) | 2019-08-14 |
Family
ID=48467095
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2014543627A Pending JP2015501704A (ja) | 2011-11-28 | 2012-11-28 | カテーテル装置および技術 |
JP2014543631A Active JP6117231B2 (ja) | 2011-11-28 | 2012-11-28 | 残留バリア皮膜を含む抗菌組成物 |
JP2014543628A Active JP6559955B2 (ja) | 2011-11-28 | 2012-11-28 | ポートおよび表面清浄装置および技法 |
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JP2014543627A Pending JP2015501704A (ja) | 2011-11-28 | 2012-11-28 | カテーテル装置および技術 |
JP2014543631A Active JP6117231B2 (ja) | 2011-11-28 | 2012-11-28 | 残留バリア皮膜を含む抗菌組成物 |
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US (4) | US10207098B2 (ja) |
EP (3) | EP2785389A4 (ja) |
JP (3) | JP2015501704A (ja) |
KR (3) | KR102104600B1 (ja) |
CN (4) | CN103957955A (ja) |
AU (3) | AU2012346036B2 (ja) |
BR (3) | BR112014012707B1 (ja) |
CA (3) | CA2856539C (ja) |
HK (1) | HK1252731A1 (ja) |
MX (3) | MX371341B (ja) |
SG (5) | SG11201402522QA (ja) |
WO (3) | WO2013082174A1 (ja) |
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