JP2016511054A - 患者アクセス可能患者加温装置 - Google Patents
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Abstract
Description
Claims (20)
- 患者アクセス可能患者加温装置であって、
間に液体が含まれるように、また、患者の身体部分を囲んで、且つ、前記身体部分に適合するよう構成されたラップを形成するように外側境界線の周りで封着された第1の柔軟層及び第2の柔軟層を含み、前記ラップは、
前記身体部分の表面を覆うよう寸法決めされた、概ね縦長の中央部分と、
前記中央部分の相対する辺から延びる複数のフラップであって、前記相対する辺からの1つ以上のフラップは、互いに固定し合って前記身体部分を囲み、機能的使用の間、開閉可能で、下にある患者体表面へのアクセスを提供する、複数のフラップと、
流体入口と流体出口の間の、前記第1の柔軟層と前記第2の柔軟層の間に延びる連続的流体流路であって、前記外側境界線と、前記第1の柔軟層と前記第2の柔軟層の間の複数の内部密封された接続部とによって画定される連続的流体流路と、
を含む、患者加温装置。 - 前記相対する辺からの前記複数のフラップは、面ファスナー、接着剤タブ、ボタン、スナップ、又はプレス・シール・ファスナーを含むファスナーによって固定される、請求項1に記載の患者加温装置。
- 前記液体は、水又は別の水溶液体、粘着性ゲル、ヒドロゲル、有機液体、合成潤滑油、フォーム、或いはそれらの任意の組合せを含む、請求項1又は2に記載の患者加温装置。
- 外科手術の間、正常体温を維持し、又は低体温症を治療するために、囲まれるべき前記身体部分は、患者の外表面の約5%〜約10%を含む、請求項1から3までのいずれか一項に記載の患者加温装置。
- 囲まれるべき前記身体部分は、患者の上腕、前腕、手、ふくらはぎ、すね、足、腿、又はそれらの任意の組合せのうちの1つ以上を含む、請求項1から4までのいずれか一項に記載の患者加温装置。
- 前記複数のフラップは、
外されたときに前記患者の前腕上部へのアクセスを提供する第1のフラップ対と、
外されたときに前記患者の前腕下部へのアクセスを提供する第2のフラップ対と、
外されたときに前記患者の手の上部へのアクセスを提供する第3のフラップ対と、
外されたときに前記患者の指へのアクセスを提供する第4のフラップ対と、
を含む、請求項1から5までのいずれか一項に記載の患者加温装置。 - 前記第4のフラップ対は、前記手の前記上部付近の幅広部分から、前記指の先付近の幅狭部分へと次第に細くなっている、請求項6に記載の患者加温装置。
- 前記患者加温装置は前記患者の踵にフィットするよう構成された開口をさらに含み、
前記複数のフラップは、
外されたときに前記患者のふくらはぎ又はすねの上部へのアクセスを提供する第1のフラップ対と、
外されたときに前記患者の前記ふくらはぎ又はすねの下部へのアクセスを提供する第2のフラップ対と、
外されたときに前記患者の足へのアクセスを提供する第3のフラップ対と、
を含む、請求項1から7までのいずれか一項に記載の患者加温装置。 - 前記含まれた液体は、前記第1の柔軟層と前記第2の柔軟層の間の空間をほぼ満たしている、請求項1から8までのいずれか一項に記載の患者加温装置。
- 前記第1の柔軟層は、前記身体部分に皮膚接触するよう構成され、
前記第2の柔軟層は、前記患者の皮膚から離れた方に面し、
前記第1の柔軟層は、前記第2の柔軟層の厚さの約50%の厚さを有する、
請求項1から9までのいずれか一項に記載の患者加温装置。 - 前記液体は、前記ラップ内に少なくとも約800ml/分の流体流量を達成するように、前記装置の中へ送り出される、請求項1から10までのいずれか一項に記載の患者加温装置。
- 前記流体入口は、前記中央部分の第1の辺の末端部分に配置され、前記流体流路は、前記中央部分の前記第1の辺から延びるフラップを通るように前記液体を導き、
前記流体出口は、前記中央部分の第2の辺の末端部分に配置され、前記流体流路は、前記中央部分の前記第1の辺から延びるフラップから前記中央部分の前記第2の辺から延びるフラップまで、且つ、前記流体出口を介して前記装置の外へと前記液体を導く、
請求項1から11までのいずれか一項に記載の患者加温装置。 - 患者を加温するための方法であって、
間に液体が含まれるように、外側境界線の周りで封着された第1の柔軟層と第2の柔軟層とを含む患者加温装置の中に、前記患者の付属肢を包むステップと、
前記患者加温装置の概ね縦長の中央部分を、前記付属肢の下側に沿って位置合わせするステップと、
前記付属肢の上側の周りに、前記中央部分の第1の辺から延びる第1のフラップセットを折りたたむステップと、
前記付属肢の上側の周りに、前記中央部分の前記第1の辺に相対する第2の辺から延びる第2のフラップセットを折りたたむステップと、
前記第1の柔軟層が前記付属肢と皮膚接触するように、前記第1のフラップセットと前記第2のフラップセットとを互いに固定させるステップと、
前記患者加温装置の流体入口を介して、前記第1の柔軟層と前記第2の柔軟層の間に延びる連続的流体流路の中へ前記液体を向かわせるステップであり、前記流体流路が、前記患者の正常体温を維持し、又は低体温症を治療するために、前記中央部分と、前記第1のフラップセットと、前記第2のフラップセットとを通るよう前記液体を導く、ステップと、
を含む方法。 - 前記付属肢を包むステップは、患者の上腕、前腕、手、ふくらはぎ、すね、足、腿、又はそれらの任意の組合せのうちの1つ以上を包むステップを含む、請求項13に記載の方法。
- 前記付属肢を包むステップは、前記患者の皮膚表面領域全体の約5%〜約10%を包むステップを含む、請求項13又は14に記載の方法。
- 囲まれるべき前記付属肢は、前記患者の上腕、前腕、手、ふくらはぎ、すね、足、腿、又はそれらの任意の組合せのうちの1つ以上を含む、請求項13に記載の方法。
- 前記患者の正常体温を維持し、又は低体温症を治療しながら、覆いを取って下にある前記付属肢の表面へのアクセスを提供するために第2のフラップから第1のフラップをはずすステップであって、前記第1のフラップは前記第1のフラップセットにあり、前記第2のフラップは前記第2のフラップセットにある、ステップをさらに含む、請求項13から15までのいずれか一項に記載の方法。
- 前記患者の正常体温を維持し、又は低体温症を治療しながら、静脈ライン又はパルス・オキシメータを挿入又は静脈ライン又はパルス・オキシメータにアクセスするように前記付属肢の部分にアクセスするステップをさらに含む、請求項17に記載の方法。
- 前記第1の柔軟層と前記第2の柔軟層の間に少なくとも約800ml/分の流体流量を達成するように、流体制御ポンプを用いて前記液体を前記流体流路に向かわせるステップをさらに含む、請求項13から18までのいずれか一項に記載の方法。
- 患者加温装置が、
間に液体が含まれるように、且つ、患者の付属肢を囲んで、前記付属肢に適合するよう構成されたラップを形成するように、外側境界線の周りで封着された第1の柔軟層及び第2の柔軟層を含み、
前記ラップは、
前記付属肢の表面を覆うよう寸法決めされた、概ね縦長の中央部分と、
前記中央部分の第1の辺の末端に配置された流体入口と、前記第1の辺に相対する、前記中央部分の第2の辺の末端に配置された流体出口の間の、前記第1の柔軟層と前記第2の柔軟層の間に延びる連続的流体流路であって、前記外側境界線と、前記第1の柔軟層と前記第2の柔軟層の間の複数の内部密封された接続部とによって画定される連続的流体流路と、
前記中央部分の前記第1の辺から延びる第1のフラップセットであって、前記流体流路は前記流体入口から前記第1のフラップセットに至る、第1のフラップセットと、
前記中央部分の前記第2の辺から延びる第2のフラップセットであって、前記流体流路は前記第1のフラップセットから前記第2のフラップセットを通って前記流体出口に至る、第2のフラップセットと、
前記第1のフラップセット及び前記第2のフラップセットの各々のうちの、前記末端に最も近いフラップを含む第1のフラップ対であって、前記中央部分から第1の距離まで延びる第1のフラップ対と、
前記第1のフラップセット及び前記第2のフラップセットの各々のうちの、前記中央部分の基端に最も近いフラップを含む第2のフラップ対であって、前記中央部分から、前記第1の距離よりも長い第2の距離まで延びる第2のフラップ対と、
複数の面ファスナーであって、
前記第1のフラップセットの前記第1の柔軟層にはられた面ファスナー構成要素、及び
前記第2のフラップセットの前記第2の柔軟層にはられた、対応する面ファスナー構成要素、
を含む、複数の面ファスナーと
を含む、患者加温装置。
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US13/801,512 US9439803B2 (en) | 2013-03-13 | 2013-03-13 | Patient warming device with patient access |
PCT/US2014/016956 WO2014158463A1 (en) | 2013-03-13 | 2014-02-18 | Patient warming device with patient access |
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EP (1) | EP2994082A4 (ja) |
JP (1) | JP2016511054A (ja) |
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US20140277301A1 (en) | 2014-09-18 |
US10357396B2 (en) | 2019-07-23 |
EP2994082A1 (en) | 2016-03-16 |
MX2015011935A (es) | 2016-04-15 |
US9439803B2 (en) | 2016-09-13 |
EP2994082A4 (en) | 2016-10-26 |
CA2903332A1 (en) | 2014-10-02 |
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US20160346115A1 (en) | 2016-12-01 |
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