JP2015533336A - シース移動を識別するための器具 - Google Patents
シース移動を識別するための器具 Download PDFInfo
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Abstract
Description
本願は2012年11月1日に出願された米国仮出願番号第61/721,040号の利益を主張し、この米国仮出願はその全体が引用により本明細書に援用される。
本発明は概して、患者の体内に医療装置を導入するためのシステム、器具、および方法に関する。ある局面において、本発明は、超音波ガイド下で脈管フィルタなどの脈管装置を経皮導入するのに有用な取付可能器具に関する。
脈管装置は一般に、X線透視ガイド下で経皮導入される。たとえば、大静脈フィルタはほとんどの場合、意図される植込の部位を特徴付ける大静脈造影図を提供するための造影剤の注入とともにX線透視ガイド下で配置される。そのようなX線透視処置は、X線室などの専門設備を備えた部屋で行なわれる必要がある。これによって、しばしば重病の患者をX線室に搬送することが必要になるだけでなく、処置に多大な費用が追加される。
ある局面において、本開示は、医療装置、特にアクセス装置の移動を識別するための取付可能器具、システム、および方法を提供する。本発明のある形態に従うと、そのような取付可能器具は、取付可能器具が患者の皮膚の表面の近位にある第1の位置から、取付可能器具が皮膚の表面から離れている第2の位置に動くように構成される。ある実施形態では、本開示は、患者の皮膚を通って延在する医療装置の移動を識別するための取付可能器具であって、結合面と、皮膚接触面とを含む取付可能器具本体を含み、上記結合面は、上記医療装置の表面に結合するように構成され、上記皮膚接触面は、上記患者の皮膚と接触するように構成され、上記取付可能器具本体は、上記医療装置の側方に装着可能であるように構成され、上記取付可能器具本体は、上記医療装置が移動したことをオペレータが識別できるように、上記皮膚接触面が上記患者の皮膚に隣接している第1の位置から、上記皮膚接触面が上記患者の皮膚から離れている第2の位置に上記医療装置とともに動くように構成される取付可能器具を提供する。ある場合には、上記取付可能器具本体は、協働する第1および第2の部分を含む。さらに、ある実施形態では、上記第1および第2の部分は旋回可能に互いに結合され、ある実施形態では、上記第1および第2の部分は、上記医療装置の一部を受けるように構成される凹部を規定する。
本発明の原理の理解を促進するために、図面に示される実施形態を以下に参照し、特定の用語を用いてそれらを説明する。しかし、それによる本発明の範囲の限定は意図されていないことが理解されるであろう。説明される実施形態における任意の変更およびさらなる修正、ならびに本明細書で説明される本発明の原理の任意のさらなる用途は、本発明の関連分野の当業者が普通に思い付くと考えられる。
Claims (20)
- 患者の皮膚を通って延在する医療装置の移動を識別するための取付可能器具であって、
結合面と、皮膚接触面とを含む取付可能器具本体を備え、
前記結合面は、上記医療装置の表面に結合するように構成され、
前記皮膚接触面は、上記患者の皮膚と接触するように構成され、
前記取付可能器具本体は、上記医療装置の側方に装着可能であるように構成され、
前記取付可能器具本体が上記医療装置上に装着されると、上記医療装置は、前記皮膚接触面を横切る方向に延在し、
前記取付可能器具本体は、上記医療装置が移動したことをオペレータが識別できるように、上記皮膚接触面が上記患者の皮膚に隣接している第1の位置から、上記皮膚接触面が上記患者の皮膚から離れている第2の位置に上記医療装置とともに動くように構成される、取付可能器具。 - 前記取付可能器具本体は、協働する第1および第2の部分を含む、請求項1に記載の取付可能器具。
- 前記第1および第2の部分は、旋回可能に互いに結合される、請求項2に記載の取付可能器具。
- 前記第1および第2の部分は、摺動可能に互いに結合される、請求項2に記載の取付可能器具。
- 前記第1および第2の部分によって規定され、上記医療装置の一部を受けるように構成される凹部をさらに備える、請求項2〜4のいずれか1項に記載の取付可能器具。
- 付勢部材をさらに備える、請求項1〜5のいずれか1項に記載の取付可能器具。
- 前記第1および第2の部分は閉位置に付勢される、請求項2〜6のいずれか1項に記載の取付可能器具。
- 患者の皮膚を通って延在する医療装置の移動を識別するための取付可能器具であって、
結合面と、皮膚接触面と、付着性材料とを含む取付可能器具本体を備え、
前記結合面は、上記医療装置の表面と噛合するように構成され、
前記皮膚接触面は、上記患者の皮膚と接触するように構成され、
前記付着性材料は、前記結合面の上に位置決めされ、前記結合面を上記医療装置の上記表面に付着させるように構成され、
前記取付可能器具本体は、上記医療装置が移動したことをオペレータが識別できるように、上記皮膚接触面が上記患者の皮膚に隣接している第1の位置から、上記皮膚接触面が上記患者の皮膚から離れている第2の位置に上記医療装置とともに動くように構成される、取付可能器具。 - 前記付着性材料の上に位置決めされ、上記医療装置への付着の前に前記付着性材料を保護するように構成される除去可能膜をさらに備える、請求項8に記載の取付可能器具。
- 前記取付可能器具本体は、協働する第1および第2の部分を含む、請求項8〜9のいずれか1項に記載の取付可能器具。
- 前記第1および第2の部分は、旋回可能に互いに結合される、請求項10に記載の取付可能器具。
- 前記第1および第2の部分は、摺動可能に互いに結合される、請求項10に記載の取付可能器具。
- 前記第1および第2の部分によって規定され、上記医療装置の一部を受けるように構成される凹部をさらに備える、請求項10〜12のいずれか1項に記載の取付可能器具。
- 付勢部材をさらに備える、請求項8〜13のいずれか1項に記載の取付可能器具。
- 前記第1および第2の部分は閉位置に付勢される、請求項10〜14のいずれか1項に記載の取付可能器具。
- 患者の皮膚を通って延在する医療装置の移動を識別するための取付可能器具であって、
結合面と、付着性材料と、皮膚接触面とを含む取付可能器具本体を備え、
前記結合面は、上記医療装置の表面と噛合するように構成され、
前記皮膚接触面は、上記患者の皮膚と接触するように構成され、
前記付着性材料は、前記結合面の上に位置決めされ、前記結合面を上記医療装置の上記表面に付着させるように構成され、
前記取付可能器具本体は、上記医療装置の側方に装着可能であるように構成され、
前記取付可能器具本体は、上記医療装置が移動したことをオペレータが識別できるように、上記皮膚接触面が上記患者の皮膚に隣接している第1の位置から、上記皮膚接触面が上記患者の皮膚から離れている第2の位置に上記医療装置とともに動くように構成される、取付可能器具。 - 前記付着性材料の上に位置決めされ、上記医療装置への取付の前に前記付着性材料を保護するように構成される除去可能膜をさらに備える、請求項16に記載の取付可能器具。
- 前記取付可能器具本体は、上記医療装置の一部を受けるように構成される凹部を規定する、協働する第1および第2の部分を含む、請求項16または17に記載の取付可能器具。
- 付勢部材をさらに備える、請求項16〜18のいずれか1項に記載の取付可能器具。
- 請求項1〜19のいずれか1項に記載の取付可能器具を用いて、患者の皮膚を通って埋込まれる医療装置の動きを検出するための方法であって、
上記取付可能器具を上記医療装置の一部に結合することと、
上記医療装置の動きを検出するために、上記取付可能器具の動きを監視することとを備える、方法。
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