JP2017507697A - 自己プライミングシステムおよび自己プライミング方法 - Google Patents
自己プライミングシステムおよび自己プライミング方法 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
- A61M25/0606—"Over-the-needle" catheter assemblies, e.g. I.V. catheters
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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
- A61M25/0693—Flashback chambers
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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
- A61M39/22—Valves or arrangement of valves
- A61M39/24—Check- or non-return valves
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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
- A61M25/10—Balloon catheters
- A61M2025/1043—Balloon catheters with special features or adapted for special applications
- A61M2025/1077—Balloon catheters with special features or adapted for special applications having a system for expelling the air out of the balloon before inflation and use
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Abstract
Description
本出願は、「SELF-PRIMING SYSTEMS AND METHODS」という名称で2014年2月4日に出願された米国仮特許出願第61/935,802号の便益を主張する。上記の特定された特許出願の全体の内容が、本明細書において参照により組み込まれており、本明細書の一部とされている。
4 経皮的組立体
6 血管アクセスシステム、血管アクセス組立体
8 流体抽出組立体
12 アクセス抽出組立体
14 アクセス組立体
16 流体連通組立体
18 近位方向
20 流体
22 遠位方向
24 配管組立体
40 血管アクセスシステム
44 患者
46 血液導通路
48 血管アクセス組立体
52 流体抽出組立体
56 アクセス抽出組立体
60 経皮的組立体
64 流体連通組立体
80 プランジャ
84 筒体
88 第1の容器
92 第1の流れ制御装置
96 内側部分
98 遠位先端
102 近位部分
104 プランジャ
108 穿孔部材
112 筒体
120 第2の流れ制御装置
140 血管アクセスシステム
144 血管アクセス組立体
148 流体抽出組立体
152 アクセス抽出組立体
156 キャップ
160 穿孔部材
164 カテーテル
172 プランジャハンドル
176 遠位方向
180 近位方向
200 カテーテル支持突起
204 外側筐体
208 栓
218 第1のヒンジ
220 連結器
220' 医療用連結器
220" 医療用連結器
221' 基部
224 固定歯
228 第2のヒンジ
230" 肩部
232 ネジ山
232' ネジ山
236 第1の封止部
238 周方向突出部
240 輪体
250 近位突起
260 第1の中心軸
264 第2の中心軸
268 横方向距離
272 角度
280 第2の封止部
280' 第2の封止部
280" 第2の封止部
284 案内部
290 突起方向
294 角度
296 第2の通路
300 第1の通路
304 第3の通路
304' 第3の通路
304" 第3の通路
308 出口
308' 出口
312 第1の容器
320 点線
324 点線
328 点線
350 内側筐体
368 第4の通路
378 内側導通路
382 内部導通路、内側導通路
386 角度
390 角度
400 漏斗部分
404 実質的に円筒の部分
408 遠位部分
412 漏斗角度
416 内側導通路
454 遠位部分
455 最も遠位の縁
458 近位部分
462 先細りとされた端
464 抽出組立体
470 第1の筒体
474 第1のプランジャ
480 第2の筒体
484 シャフト
490 第3の中心軸
494 第4の中心軸
504 角度
510 プランジャ組立体
514 固定装置
598 プランジャ歯
602 ラチェット組立体
606 線形ラック
608 歯
608a 第1の歯
608b 隣接する歯
612 遠位面
616 近位面
620 角度
630 第5の中心軸
650 プランジャ封止部
654 第6の中心軸
658 第7の中心軸
662 結合器
670 スロット
674 基部
690a 第1の固定歯
690b 第2の固定歯
694 旋回軸
698 遠位突起
702 レバー
706 第1の方向
710 第2の方向
720 第3の封止部
724 バネ
728 バネ保持体
730 近位突起
730' 近位突起
731 支柱
736 孔
742 スロット
743 確認開口
748 中実領域
752 通路
753 通路開口
760 第1の孔
764 第2の孔
810 開口
1110 筐体
1124 第1の留め具
1128 第2の留め具
1140 血管アクセスシステム
1142 嵌合面
1144 血管アクセス組立体
1148 流体抽出組立体
1152 アクセス抽出組立体
1156 キャップ
1158 管通路
1160 穿孔部材
1164 カテーテル
1168 遠位部分
1172 プランジャハンドル
1174 支持部
1190 管
1220 連結器
1226 円筒形外面
1230 円筒形内面
1234 隙間
1242 鍵穴
1244 第1の部分
1246 第2の部分
1256 平坦面
1260 第1の中心軸
1264 第2の中心軸
1300 第1の通路
1304 第3の通路
1310 穿孔部材抽出通路
1312 第1の容器
1314 流体抽出通路
1318 カテーテル結合通路
1326 角度
1470 第1の筒体
1474 第1のプランジャ
1476 注射器
1480 第2の筒体
1484 シャフト
1514 固定装置
1690a 第1の固定歯
1690b 第2の固定歯
2140 血管アクセスシステム
2144 血管アクセス組立体
2148 流体抽出組立体
2152 アクセス抽出組立体
2156 キャップ
2160 穿孔部材
2164 カテーテル
2170 抽出組立体筐体
2172 ハンドル
2220 連結器
2280 第2の封止部
2441 径方向突出部
2443 周方向突出部
2444 固定区域
2446 固定アーム
2470 第1の筒体
2474 第1のプランジャ
2480 第2の筒体
2484 第2のプランジャ
2485 リップ
2486 第1の部分
2487 スロット
2488 第2の部分
2489 プロング
2492 フック、連結部分
2510 プランジャ組立体
2514 固定装置
2522 第1の固定導通路
2524 第2の固定導通路
2530 第1の区域
2532 第2の連結区域
2534 第3の連結区域
2540 近位壁
2542 傾斜面
2544 近位壁
2546 傾斜部分
2548 垂直な部分
2548 部分
2570 連結器保持体
2580 内側室
2582 第1の区域
2583 先細りとされた領域
2584 第2の区域
2586 第3の区域
2590 レバーアーム
2592 固定突出部
2594 近位向き面
2596 遠位向き面
2598 近位向き面
2640 穿孔部材保持体
2641 周方向切り欠き
2642 第1の区域
2643 開口
2644 中間区域
2646 第2の区域
2649 穴
2650 プランジャ封止部
2720 第3の封止部
2724 バネ
2725 引込バネ
2722 遠位凹所
2738 遠位先端
2770 クリップ
2772 基部
2774 首部
2775 グリップ部
2780 第2の固定場所
2782 傾斜面
2784 第2の固定場所、近位面
2790 第1の固定場所
2792 斜め面、傾斜面
2870 内側室
2872 第1の区画
2876 第3の区域
2884 第2の区域
ID1 内径
ID2 内径
ID3 内径
ID4 内径
OD1 外径
OD2 外径
OD3 外径
α 幅
Claims (58)
- 患者の血管内でのカテーテルの設置のための血管アクセスシステムであって、
第1の筒体と、
第2の筒体と、
前記第1の筒体の少なくとも一部分の内部において、第1の位置と第2の位置との間で摺動可能に結合される第1のシャフト、および、前記第2の筒体の少なくとも一部分の内部において、第1の位置と第2の位置との間で摺動可能に結合される第2のシャフトを備えるプランジャと、
前記第2のシャフトに結合される穿孔部材であって、前記穿孔部材の遠位先端が前記第2の筒体の遠位部分から延びる第1の位置から、前記遠位先端が前記第2の筒体へと引き込まれる第2の位置へと移動可能である穿孔部材と、
前記第1のシャフトを前記第1の筒体に対して近位へと摺動させることによって容積が増大するように、前記第1の筒体の内部に位置付けられる第1の容器と、
を備える血管アクセスシステム。 - 前記プランジャを前記第1の筒体に対して近位へと移動させることにより、前記穿孔部材を引き込むことと、前記第1の容器の前記容積を増大することとが同時にもたらされるように、前記プランジャが構成される、請求項1に記載の血管アクセスシステム。
- 前記第1の筒体と前記第2の筒体とが互いに対して平行に配向される、請求項1に記載の血管アクセスシステム。
- 前記第1の筒体が、前記第2の筒体に対して固定される第1の位置に位置付けられ、前記第1の筒体が第1の中心軸を備え、前記第2の筒体が第2の中心軸を備え、前記第1の中心軸と前記第2の中心軸との間の角度が25度未満である、請求項1に記載の血管アクセスシステム。
- 前記第1のシャフトと前記第2のシャフトとに結合されるプランジャハンドルをさらに備え、それにより、前記プランジャハンドルを近位へと移動させることによって前記第1の容器の前記容積が増大し、前記穿孔部材が少なくとも一部引き込まれる、請求項1に記載の血管アクセスシステム。
- 前記プランジャが、前記第1の筒体と前記第2の筒体との間に位置付けられる第3のシャフトを備える、請求項5に記載の血管アクセスシステム。
- 前記第1のシャフト、前記第2のシャフト、および前記第3のシャフトが互いに対して平行に配向される、請求項6に記載の血管アクセスシステム。
- 前記第1の容器の前記容積が閾容積だけ増大されるまで、前記穿孔部材が前記第1の位置に留まり、前記第1の容器の前記容積が前記閾容積より大きい容積だけ増大されたとき、前記穿孔部材が前記第2の位置へと移動する、請求項1に記載の血管アクセスシステム。
- 前記閾容積が1立方センチメートルより大きい、請求項8に記載の血管アクセスシステム。
- 前記穿孔部材が前記第1の位置にあるとき、前記穿孔部材の前記遠位先端が、前記第2の筒体の前記遠位部分から概して一定の距離である、請求項8に記載の血管アクセスシステム。
- 前記第2の筒体が、前記穿孔部材を前記第2の筒体に対して軸方向に固定するように構成される固定位置と、前記穿孔部材が前記第2の筒体に対して軸方向に移動できる非固定位置とを有する柔軟性固定アームを備える、請求項1に記載の血管アクセスシステム。
- 付勢部材が前記穿孔部材を前記第2のシャフトに結合する、請求項11に記載の血管アクセスシステム。
- 前記穿孔部材を前記付勢部材に結合する穿孔部材保持体をさらに備える、請求項12に記載の血管アクセスシステム。
- 第1の通路を備えるカテーテルと、
前記第1の通路と同軸に配向され、前記カテーテルの前記第1の通路から滑り出すように構成される穿孔部材と、
流体容器およびプランジャを備える流体除去注射器であって、
前記流体除去注射器が、前記プランジャを近位へと摺動することにより前記流体容器が拡張するように構成され、
前記プランジャを近位へと摺動することにより、前記穿孔部材が前記カテーテルに対して近位へと引き込まれるように、前記プランジャが前記穿孔部材に結合される
流体除去注射器と、
前記第1の通路を前記流体除去注射器へと流体結合し、流体が前記第1の通路から前記流体除去注射器へと流れることができるように構成される第2の通路と、
を備える血管アクセスシステム。 - 漏斗部分と円筒部分と内側導通路とを有する案内部をさらに備え、
前記カテーテルの近位部分が前記案内部の前記円筒部分の内部に位置付けられ、前記案内部が、前記穿孔部材が前記案内部の前記内側導通路を通過するときに前記穿孔部材を前記カテーテルに向かって方向付けるように構成される、請求項14に記載の血管アクセスシステム。 - プランジャハンドルと、
前記プランジャハンドルに結合されるプランジャ、および、容積を有する流体容器を備え、前記プランジャを近位へと移動させることが前記流体容器の前記容積を増大するように構成される注射器と、
前記プランジャハンドルに結合されたシャフトに結合された穿孔部材であって、前記シャフトが前記穿孔部材と同軸であり、前記注射器が前記シャフトから横方向に離間される、穿孔部材と、
を備える血管アクセスシステム。 - カテーテルをさらに備え、
前記穿孔部材の少なくとも一部分が前記カテーテルの内部に位置付けられる、請求項16に記載の血管アクセスシステム。 - 前記穿孔部材が、遠位先端と中実近位部分とを有する針を備え、前記針が、前記遠位先端における第1の孔を、前記遠位先端に対して近位へと位置付けられると共に前記中実近位部分に対して遠位へと位置付けられる第2の孔と流体結合する通路を備える、請求項17に記載の血管アクセスシステム。
- 前記カテーテルを前記注射器に結合する筐体をさらに備え、
前記カテーテルが前記穿孔部材と同軸である、請求項16に記載の血管アクセスシステム。 - 旋回軸に対して遠位へと位置付けられる遠位部分と、前記旋回軸に対して近位へと位置付けられる近位部分とを有するレバーアームをさらに備え、
前記旋回軸が前記レバーアームを前記注射器に結合する、請求項19に記載の血管アクセスシステム。 - 前記注射器が中心軸を備え、前記レバーアームの前記遠位部分が、前記中心軸に対して垂直に延びる第1の歯を備え、前記筐体が、前記中心軸に対して垂直に延びる第2の歯を備え、前記第1の歯が、前記筐体に対する前記注射器の近位への移動を制限するために、前記第2の歯と接触するように構成される、請求項20に記載の血管アクセスシステム。
- 前記第1の歯が前記中心軸に対して径方向内側に延び、前記第2の歯が前記中心軸に対して径方向外側に延び、前記レバーアームの前記近位部分を径方向内側に押すことが、前記第1の歯が前記注射器の前記近位への移動をもはや制限しないようなやり方で前記第1の歯を径方向外側に移動させるように、前記レバーアームが構成される、請求項21に記載の血管アクセスシステム。
- 前記プランジャハンドルが、前記レバーアームの前記近位部分から径方向内側に位置付けられる摺動可能な阻止バーを備え、前記レバーアームの前記近位部分が、前記第1の歯に前記筐体に対する前記注射器の前記近位への移動をもはや制限させないだけ遠くへと径方向内側に移動するのを抑制または防止するために、前記阻止バーが遠位位置にある、請求項21に記載の血管アクセスシステム。
- 前記注射器が中心軸を備え、前記レバーアームの前記遠位部分が第1の歯を備え、前記筐体が、前記中心軸に対して75度から105度の範囲内の角度で配向される遠位向き面を備え、前記レバーアームの前記近位部分が前記第1の歯を前記遠位向き面から遠くへと移動するために径方向で移動されない場合、前記筐体に対する前記注射器の近位への運動を制限するように構成されるように、前記レバーアームの前記第1の歯が前記遠位向き面に接触する、請求項20に記載の血管アクセスシステム。
- 前記注射器が流れ制御装置を備え、前記レバーアームの前記遠位部分が、前記第1の歯に対して近位へと位置付けられる第2の歯を備え、近位突起が、開位置において前記流れ制御装置を保持する、請求項24に記載の血管アクセスシステム。
- 前記注射器が中心軸を備え、前記レバーアームの前記遠位部分が第1の歯と第2の歯とを備え、前記第2の歯が前記第1の歯に対して近位へと位置付けられ、前記筐体が、前記中心軸に対して75度から105度の範囲内の角度で配向される遠位向き面を備え、前記レバーアームの前記第2の歯が、前記筐体に対する前記注射器の近位への運動を制限するように構成されるように前記遠位向き面に取り付けられ、前記注射器が流れ制御装置を備え、前記第2の歯と前記遠位向き面との間の接触が、前記流れ制御装置を開位置に保持するために、近位突起を前記流れ制御装置に押し付ける、請求項20に記載の血管アクセスシステム。
- 前記穿孔部材と同軸に配向される筒体をさらに備え、
前記シャフトの少なくとも一部分が前記筒体の内部に位置付けられ、前記プランジャハンドルが前記筒体に対して近位へと位置付けられ、前記注射器が前記筒体の外部に位置付けられ、前記穿孔部材が前記筒体へと引き込むように構成される、請求項16に記載の血管アクセスシステム。 - 前記注射器に対する前記プランジャハンドルの近位への運動を許容するように構成され、前記注射器に対する前記プランジャハンドルの遠位への運動を阻止するように構成されるラチェット組立体をさらに備える、請求項16に記載の血管アクセスシステム。
- 前記ラチェット組立体が、前記プランジャハンドルに結合される線形ラックを備え、前記ラチェット組立体が、前記注射器に結合される歯止めを備える、請求項28に記載の血管アクセスシステム。
- 前記ラチェット組立体が、前記注射器に結合される線形ラックを備え、前記ラチェット組立体が、前記プランジャハンドルに結合される歯止めを備える、請求項28に記載の血管アクセスシステム。
- 前記線形ラックが少なくとも3つの歯を備え、前記歯止めが、前記3つの歯に向かって延びる突起を備える、請求項30に記載の血管アクセスシステム。
- 前記3つ歯の各々が、前記注射器の中心軸の遠位端に対して少なくとも115度かつ155度未満の角度で配向される遠位面を備える、請求項31に記載の血管アクセスシステム。
- 第1のプランジャおよびシャフトを備えるプランジャ組立体であって、前記シャフトが前記第1のプランジャから横方向に離間され、前記第1のプランジャおよび前記シャフトが基部によって結合され、前記第1のプランジャが前記基部から遠位へと延び、前記シャフトが前記基部から遠位へと延びる、プランジャ組立体と、
容積を有する流体容器を備える注射器であって、前記第1のプランジャの少なくとも一部分が前記注射器の内部に位置付けられ、前記注射器が、前記第1のプランジャを前記注射器に対して近位へと移動させることが前記流体容器の前記容積を増大するように構成される、注射器と、
カテーテルと、
カテーテルに位置付けられる第1の通路と、
前記カテーテルを前記注射器に結合する連結器に位置付けられ、前記流体容器と流体連通して設置されるように構成される第2の通路と、
前記第1の通路から前記流体容器への流体連通を可能にするために、前記第1の通路を前記第2の通路へと流体結合するように構成される第3の通路と、
前記プランジャ組立体の前記シャフトに結合され、前記第1の通路の内部に少なくとも一部位置付けられ、前記第1の通路から出て近位へと引き込むように構成される穿孔部材と、
を備え、
前記注射器に対して近位へと前記プランジャ組立体を移動させることが、前記穿孔部材を引き込み、流体を前記第1の通路から前記流体容器へと通じさせるように構成される血管アクセスシステム。 - 前記プランジャ組立体を近位へと移動させることが、前記穿孔部材を引き込む前に、流体を前記第1の通路から前記流体容器へと通じさせる、請求項33に記載の血管アクセスシステム。
- 前記第2の通路が前記第1の通路と平行に配向され、前記第3の通路が前記第1の通路と垂直に配向される、請求項33に記載の血管アクセスシステム。
- 前記連結器を前記カテーテルに結合する管をさらに備え、
前記第3の通路の少なくとも一部分が前記管の内部に位置付けられる、請求項33に記載の血管アクセスシステム。 - 前記連結器を前記カテーテルへと除去可能に結合する留め具をさらに備える、請求項36に記載の血管アクセスシステム。
- 前記留め具がC字形留め具である、請求項37に記載の血管アクセスシステム。
- 遠位通路と近位通路とを有する筐体をさらに備え、
前記管が、前記近位通路に位置付けられる第1の端と、前記連結器に結合される第2の端とを備え、前記カテーテルの少なくとも近位部分が前記筐体の前記遠位通路に位置付けられ、前記遠位通路と前記近位通路とが、少なくとも25度かつ70度未満の互いに対する角度で配向される、請求項37に記載の血管アクセスシステム。 - 前記連結器が、前記第2の通路の少なくとも一部分を開閉できる流れ制御装置を備える、請求項37に記載の血管アクセスシステム。
- 前記流れ制御装置が、前記第2の通路からの出口を閉鎖するように構成される封止部を備える、請求項40に記載の血管アクセスシステム。
- 流体および穿孔部材を血管アクセス組立体から除去するための方法であって、
筒体、プランジャ、および、容積を有する流体容器を備える注射器であって、穿孔部材が前記プランジャに結合され、前記筒体に対して前記プランジャを近位へと移動させることが、前記流体容器の前記容積を増大し、前記筒体に対して前記穿孔部材を近位へと移動させるように前記注射器が構成される、注射器、ならびに、
流体を前記流体容器へと通じさせるように構成される通路を備えるカテーテル、
を備える血管アクセスシステムを得るステップと、
前記流体容器と前記カテーテルの前記通路との間の導通路を、前記注射器を前記カテーテルに対して遠位へと移動させることで開けるステップと、
前記穿孔部材を前記カテーテルの遠位端から延ばすステップと、
前記穿孔部材を患者へと挿入するステップと、
前記流体を前記導通路から除去する間に、前記穿孔部材を前記カテーテルに対して近位へと引き込むステップと、
を含む方法。 - 前記患者からの血液が前記通路へと流れているかどうかを決定するステップをさらに含む、請求項42に記載の方法。
- 前記患者からの血液が前記流体容器へと流れているかどうかを決定するステップをさらに含む、請求項42に記載の方法。
- 前記導通路を開けるステップが、前記プランジャを前記カテーテルに対して遠位へと移動させることを含む、請求項42に記載の方法。
- 前記導通路を開けるステップが、流れ制御装置を開位置へと移動させることを含む、請求項42に記載の方法。
- 前記流れ制御装置が、前記導通路の出口を閉鎖するように構成される封止部を備え、前記導通路を開けるステップが、前記出口を閉鎖解除するために、前記封止部を圧縮することを含む、請求項42に記載の方法。
- 前記カテーテルの前記通路と前記流体容器との間の流体連通を可能とするために、前記導通路を開位置で固定するステップをさらに含む、請求項42に記載の方法。
- 前記流体を前記導通路から除去する間に、前記穿孔部材を前記カテーテルに対して近位へと引き込むステップが、前記筒体に対する前記プランジャの遠位への移動を阻止する一方で近位への移動を許容するように構成される一方向ラチェット組立体を作動する間に、前記プランジャを近位へと移動させるステップを含む、請求項42に記載の方法。
- 前記注射器を前記カテーテルへと結合する固定部を係合解除してから前記注射器を前記カテーテルから結合解除するステップをさらに含む、請求項42に記載の方法。
- カテーテルを患者に設置するために血管アクセスシステムを用いる方法であって、
プランジャ筐体、前記プランジャ筐体内に摺動可能に位置決めされるプランジャ組立体、前記プランジャ筐体に連結されるカテーテル筐体、前記カテーテル筐体に連結されるカテーテル、および、第1の位置において前記カテーテルを貫いて延びると共にそれ自体の遠位先端が前記カテーテルの外部にある穿孔部材を備える血管アクセスシステムを提供するステップと、
前記穿孔部材および前記カテーテルを患者の血管へと挿入するステップと、
前記穿孔部材が前記第1の位置に留まっている間に、血液を前記カテーテルへと引き入れるために、前記プランジャ組立体を前記プランジャ筐体に対して近位へと引き入れるステップと、
前記穿孔部材の前記遠位先端を前記プランジャ筐体へと引き込むために、前記プランジャ組立体を前記プランジャ筐体に対して近位へと引き入れるステップと、
前記カテーテル筐体を前記プランジャ筐体から連結解除するステップと、
を含む方法。 - 血液を前記カテーテルへと引き入れるステップが、血液を前記穿孔部材へと引き入れるステップを含む、請求項51に記載の方法。
- 前記穿孔部材の前記遠位先端を前記プランジャ筐体へと引き込むために、前記プランジャ組立体を前記プランジャ筐体に対して近位へと引き入れ続ける前に、血液が前記カテーテルへと引き入れられていることを確認するステップをさらに含む、請求項51に記載の方法。
- 前記血管アクセスシステムが、前記カテーテル筐体と前記プランジャ筐体とに連結される医療用連結器をさらに備える、請求項51に記載の方法。
- 前記医療用連結器をプライミングするために、前記プランジャ組立体を前記プランジャ筐体に対して近位へと引き入れるステップをさらに含む、請求項54に記載の方法。
- 前記医療用連結器を前記プランジャ筐体から連結解除するステップをさらに含む、請求項55に記載の方法。
- 前記穿孔部材の前記遠位先端を前記プランジャ筐体へと引き込むために前記プランジャ組立体が前記プランジャ筐体に対して近位へと引き入れられた後、前記医療用連結器をプライミングするために、前記プランジャ組立体が前記プランジャ筐体に対して近位へと引き入れられる、請求項55に記載の方法。
- 前記穿孔部材が前記第1の位置にあるとき、前記穿孔部材の前記遠位先端が前記カテーテルから第1の距離である、請求項51に記載の方法。
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US10814107B2 (en) | 2020-10-27 |
US10086170B2 (en) | 2018-10-02 |
US20240207582A1 (en) | 2024-06-27 |
JP6461174B2 (ja) | 2019-01-30 |
US11724071B2 (en) | 2023-08-15 |
AU2015214400A1 (en) | 2016-08-11 |
EP3102258A1 (en) | 2016-12-14 |
AU2015214400B2 (en) | 2019-10-03 |
EP3102258A4 (en) | 2017-12-27 |
CA2937744C (en) | 2022-08-09 |
WO2015119940A1 (en) | 2015-08-13 |
US20210093834A1 (en) | 2021-04-01 |
US20170182293A1 (en) | 2017-06-29 |
CA2937744A1 (en) | 2015-08-13 |
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