JP2016523136A - 外部針シールドおよび内部血液制御隔壁を有するポート付きivカテーテル - Google Patents
外部針シールドおよび内部血液制御隔壁を有するポート付きivカテーテル Download PDFInfo
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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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/06—Body-piercing guide needles or the like
- A61M25/0612—Devices for protecting the needle; Devices to help insertion of the needle, e.g. wings or holders
- A61M25/0618—Devices for protecting the needle; Devices to help insertion of the needle, e.g. wings or holders having means for protecting only the distal tip of the needle, e.g. a needle guard
- A61M25/0625—Devices for protecting the needle; Devices to help insertion of the needle, e.g. wings or holders having means for protecting only the distal tip of the needle, e.g. a needle guard with a permanent connection to the needle hub, e.g. a guiding rail, a locking mechanism or a guard advancement mechanism
-
- 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
- A61M25/0009—Making of catheters or other medical or surgical tubes
-
- 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
- A61M25/0009—Making of catheters or other medical or surgical tubes
- A61M25/0014—Connecting a tube to a hub
-
- 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
- A61M25/0009—Making of catheters or other medical or surgical tubes
- A61M25/0015—Making lateral openings in a catheter tube, e.g. holes, slits, ports, piercings of guidewire ports; Methods for processing the holes, e.g. smoothing the edges
-
- 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
- A61M25/0097—Catheters; Hollow probes characterised by the hub
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/06—Body-piercing guide needles or the like
- A61M25/0606—"Over-the-needle" catheter assemblies, e.g. I.V. catheters
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/06—Body-piercing guide needles or the like
- A61M25/0612—Devices for protecting the needle; Devices to help insertion of the needle, e.g. wings or holders
- A61M25/0618—Devices for protecting the needle; Devices to help insertion of the needle, e.g. wings or holders having means for protecting only the distal tip of the needle, e.g. a needle guard
-
- 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
-
- 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
- A61M39/02—Access sites
- A61M39/06—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
- A61M39/0606—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof without means for adjusting the seal opening or pressure
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/06—Body-piercing guide needles or the like
- A61M25/0693—Flashback chambers
-
- 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
- A61M5/158—Needles for infusions; Accessories therefor, e.g. for inserting infusion needles, or for holding them on the body
-
- 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
- A61M5/162—Needle sets, i.e. connections by puncture between reservoir and tube ; Connections between reservoir and tube
- A61M5/1626—Needle protectors therefor
-
- 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
- A61M5/178—Syringes
- A61M5/31—Details
- A61M5/32—Needles; Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
- A61M5/3205—Apparatus for removing or disposing of used needles or syringes, e.g. containers; Means for protection against accidental injuries from used needles
- A61M5/321—Means for protection against accidental injuries by used needles
- A61M5/3243—Means for protection against accidental injuries by used needles being axially-extensible, e.g. protective sleeves coaxially slidable on the syringe barrel
- A61M5/3275—Means for protection against accidental injuries by used needles being axially-extensible, e.g. protective sleeves coaxially slidable on the syringe barrel being connected to the needle hub or syringe by radially deflectable members, e.g. longitudinal slats, cords or bands
-
- 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
- Y10T29/00—Metal working
- Y10T29/49—Method of mechanical manufacture
- Y10T29/49826—Assembling or joining
Abstract
Description
Claims (20)
- 患者の血管系にアクセスするための血管外システムであって、
カテーテルを支持する遠位端を有し、近位開口部をさらに備えるカテーテルアダプタであって、管腔を有する、カテーテルアダプタと、
前記カテーテルアダプタの外面に結合され、前記カテーテルアダプタの前記管腔と流体連通する内側管腔を有するアクセスポートと、
前記カテーテルアダプタの前記管腔内に配設され、前記管腔を近位流体室および遠位流体室に分割する血液制御隔壁と、
前記カテーテルアダプタの前記管腔内に配設され、前記アクセスポートの前記内側管腔と共に封止された境界面を形成する、破損可能な障壁と、
前記近位流体室内に摺動可能に位置決めされた隔壁作動装置であって、基部およびプローブ端部を有する、隔壁作動装置と、
前記カテーテルアダプタの前記近位開口部に取り外し可能に結合され、導入針の鋭敏にされた先端部を固定するように構成された安全クリップを備える、外部安全機構と
を備えることを特徴とする血管外システム。 - 前記導入針は、針ハブによって支持された基部と、前記基部と前記導入針の前記鋭敏にされた先端部との間を延びる本体とをさらに備え、前記導入針の前記本体は、前記外部安全機構、前記カテーテルアダプタの前記管腔、および前記カテーテルを通って挿入され、それにより、前記導入針の前記鋭敏にされた先端部は、前記カテーテルの先端部の外部に位置決めされ、前記針ハブは、前記カテーテルを前記患者の血管系内に挿入する前、前記外部安全機構に隣接することを特徴とする請求項1に記載のシステム。
- 前記針ハブに結合された第1の端部と、前記外部安全機構に結合された第2の端部とを有するテザーをさらに備えることを特徴とする請求項2に記載のシステム。
- 前記外部安全機構は、針シールドであることを特徴とする請求項2に記載のシステム。
- 前記導入針の前記本体は、前記外部安全機構を通過して、前記安全クリップを、前記患者の血管系内に前記カテーテルを挿入する前に第1の位置に保つことを特徴とする請求項2に記載のシステム。
- 前記患者の血管系への前記カテーテルの挿入後、前記導入針は、前記カテーテルアダプタの前記管腔から前記外部安全機構の通路を通って引き出されて、前記安全クリップを迂回し、それによって、前記安全クリップを前記第1の位置から第2の位置に解放し、前記第2の位置は、前記外部安全機構の前記通路を阻止して前記鋭敏にされた先端部がそこを通過することを防止することを特徴とする請求項5に記載のシステム。
- テザーは、前記鋭敏にされた先端部と前記導入針の前記基部との間の距離より小さい長さを備えることを特徴とする請求項6に記載のシステム。
- テザーは、前記外部安全機構からの前記鋭敏にされた先端部の取り外しを防止することを特徴とする請求項6に記載のシステム。
- 患者の血管系にアクセスするための血管外システムを製造するための方法であって、
カテーテルを支持する遠位端を有するカテーテルアダプタを提供するステップであって、前記カテーテルアダプタは、近位開口部と、前記近位開口部と前記カテーテルとの間に間置された管腔とをさらに備える、ステップと、
アクセスポートを前記カテーテルアダプタの外面に結合するステップであって、前記アクセスポートは、前記カテーテルアダプタの前記管腔と流体連通する内側管腔を有する、ステップと、
血液制御隔壁を前記カテーテルアダプタの前記管腔内に配設し、前記管腔を近位流体室および遠位流体室に分割するステップと、
破損可能な障壁を前記カテーテルアダプタの前記管腔内に配設し、前記アクセスポートの前記内側管腔と共に封止された境界面を形成するステップと、
隔壁作動装置を前記近位流体室内に摺動可能に挿入するステップであって、前記隔壁作動装置は、基部およびプローブ端部を有する、ステップと、
外部安全機構を前記カテーテルアダプタの前記近位開口部に結合するステップであって、前記外部安全機構は、導入針の鋭敏にされた先端部を固定するように構成された安全クリップを有する、ステップと
を含むことを特徴とする方法。 - 前記導入針の基部端部を支持するための針ハブを提供するためのステップであって、前記導入針は、前記基部と前記鋭敏にされた先端部との間を延びる本体をさらに備える、ステップをさらに含むことを特徴とする請求項9に記載の方法。
- 前記導入針の前記本体を前記外部安全機構、前記カテーテルアダプタの前記管腔、および前記カテーテルを通って螺入式に挿入するステップであって、それにより、前記導入針の前記鋭敏にされた先端部は、前記カテーテルの先端部の外部に位置決めされ、前記針ハブは、前記外部安全機構に隣接する、ステップをさらに含むこと特徴とする請求項10に記載の方法。
- 前記針ハブに結合された第1の端部と、前記外部安全機構に結合された第2の端部とを有するテザーを提供するためのステップをさらに含むことを特徴とする請求項10に記載の方法。
- 前記外部安全機構は、針シールドであることを特徴とする請求項10に記載の方法。
- 前記安全クリップが前記導入針の前記本体によって第1の位置に保たれるように、前記導入針の前記本体を前記外部安全機構内に位置決めするためのステップをさらに含むことを特徴とする請求項10に記載の方法。
- 前記患者の血管系内への前記カテーテルの挿入後、前記導入針は、前記カテーテルアダプタの前記管腔から前記外部安全機構の通路を通って引き出されて、前記安全クリップを迂回し、それによって、前記安全クリップを前記第1の位置から第2の位置に解放し、前記第2の位置は、前記外部安全機構の前記通路を阻止して前記鋭敏にされた先端部がそこを通過することを防止することを特徴とする請求項14に記載の方法。
- 前記鋭敏にされた先端部と前記導入針の前記基部との間の距離より小さいテザーの長さを選択するためのステップをさらに含むことを特徴とする請求項15に記載の方法。
- テザーは、前記外部安全機構からの前記鋭敏にされた先端部の取り外しを防止することを特徴とする請求項15に記載の方法。
- 前記内側管腔と前記アクセスポートとの間の封止された境界面は、流体を前記アクセスポート内に注射することによって、または二次注入デバイスを前記アクセスポート内に挿入して前記破損可能な障壁と手動で接触し前記破損可能な障壁を変位させることによって破損されることを特徴とする請求項9に記載の方法。
- 患者の血管系にアクセスするための血管外システムであって、
カテーテルを支持する遠位端を有し、近位開口部をさらに備えるカテーテルアダプタであって、管腔を有する、カテーテルアダプタと、
前記カテーテルアダプタの外面に結合され、前記カテーテルアダプタの前記管腔と流体連通する内側管腔を有するアクセスポートと、
前記カテーテルアダプタの前記管腔内に配設され、前記管腔を近位流体室および遠位流体室に分割する血液制御隔壁と、
前記カテーテルアダプタの前記管腔内に配設され、前記アクセスポートの前記内側管腔と共に封止された境界面を形成する、破損可能な障壁と、
前記近位流体室内に摺動可能に位置決めされた隔壁作動装置であって、基部およびプローブ端部を有する、隔壁作動装置と、
前記カテーテルアダプタの前記近位開口部に取り外し可能に結合され、導入針の鋭敏にされた先端部を固定するように構成された安全クリップを備える、外部安全機構であって、前記導入針は、針ハブによって支持された基部をさらに備え、前記基部と前記鋭敏にされた先端部との間を延びる本体を有し、前記導入針の前記本体は、該外部安全機構、前記カテーテルアダプタの前記管腔、および前記カテーテルを通って挿入され、それにより、前記導入針の前記鋭敏にされた先端部は、前記カテーテルを前記患者の血管系内に挿入する前、前記カテーテルの先端部の外部に位置決めされる、外部安全機構と、
前記安全クリップの一部分を形成し、前記カテーテルアダプタの近位リム内に位置決めされて前記外部安全機構と前記カテーテルアダプタとの間の相互係止された連結を維持する爪であって、前記導入針を前記外部安全機構から取り外すと、前記安全クリップは解放され、該爪は前記近位リムから係止解除され、それによって前記外部安全機構を前記カテーテルアダプタから連結解除する、爪と
を備えることを特徴とする血管外システム。 - 前記導入針の前記基部に結合された針ハブと、
前記針ハブに結合された第1の端部と前記外部安全機構に結合された第2の端部を有するテザーであって、前記基部と前記導入針の前記鋭敏にされた先端部との間の距離より小さい長さを備える、テザーと
をさらに備えることを特徴とする請求項19に記載のシステム。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201361832512P | 2013-06-07 | 2013-06-07 | |
US61/832,512 | 2013-06-07 | ||
US14/295,953 US10500376B2 (en) | 2013-06-07 | 2014-06-04 | IV catheter having external needle shield and internal blood control septum |
US14/295,953 | 2014-06-04 | ||
PCT/US2014/041010 WO2014197656A1 (en) | 2013-06-07 | 2014-06-05 | Ported iv catheter having external needle shield and internal blood control septum |
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JP2018229375A Division JP6877400B2 (ja) | 2013-06-07 | 2018-12-06 | 外部針シールドおよび内部血液制御隔壁を有するポート付きivカテーテル |
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JP2018229375A Active JP6877400B2 (ja) | 2013-06-07 | 2018-12-06 | 外部針シールドおよび内部血液制御隔壁を有するポート付きivカテーテル |
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US (3) | US10500376B2 (ja) |
EP (4) | EP3928822B1 (ja) |
JP (3) | JP2016523136A (ja) |
CN (2) | CN105705191A (ja) |
AU (3) | AU2014274933B2 (ja) |
BR (2) | BR122020008855B1 (ja) |
CA (1) | CA2914701A1 (ja) |
ES (3) | ES2891005T3 (ja) |
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