JP2018536471A - 独立流体経路を備える一体型カテーテル - Google Patents
独立流体経路を備える一体型カテーテル Download PDFInfo
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- 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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- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0082—Catheter tip comprising a tool
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- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
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- 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
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- A61M25/0631—Devices for protecting the needle; Devices to help insertion of the needle, e.g. wings or holders having means for fully covering the needle after its withdrawal, e.g. needle being withdrawn inside the handle or a cover being advanced over the needle
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- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
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- 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
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- 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
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- A—HUMAN NECESSITIES
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- 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
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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
- A61M25/02—Holding devices, e.g. on the body
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- 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
- A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
- A61M2039/0258—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for vascular access, e.g. blood stream access
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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
- A61M39/02—Access sites
- A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
- A61M2039/027—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body having a particular valve, seal or septum
-
- 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
- A61M2039/0633—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof the seal being a passive seal made of a resilient material with or without an opening
- A61M2039/064—Slit-valve
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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
- A61M2039/1077—Adapters, e.g. couplings adapting a connector to one or several other connectors
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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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/58—Means for facilitating use, e.g. by people with impaired vision
- A61M2205/586—Ergonomic details therefor, e.g. specific ergonomics for left or right-handed users
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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
- A61M2210/00—Anatomical parts of the body
- A61M2210/12—Blood circulatory system
-
- 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
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- 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
- A61M5/329—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 characterised by features of the needle shaft
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Abstract
Description
Claims (20)
- カテーテルアダプタであって、
遠位端および近位端を含み、および前記遠位端と前記近位端との間に延びるチャンバを画定する、カテーテルハブ、
前記カテーテルハブの前記遠位端から延び、および前記チャンバと流体連通する、カテーテル、
固定プラットフォーム、
を含むカテーテルアダプタと、
針ハブであって、
前記カテーテル内にスライド可能に嵌合するように構成された針、
前記針の近位端に固定された針ハブ本体、
を含む針ハブと、
を含むカテーテルシステムであって、
挿入構成において、前記カテーテルハブの前記近位端は、前記針ハブの遠位開口部内に取り外し可能に結合されており、および
前記カテーテルの配置の後、前記針ハブは、前記カテーテルから前記針をスライド可能に取り外すため、および前記カテーテルアダプタから前記針ハブを分離するために、前記カテーテルアダプタから後退させられることを特徴とするカテーテルシステム。 - 前記針は、前記カテーテルハブの前記チャンバ内において一次的血液フラッシュバックを提供して前記針が患者の脈管構造に入ったことを示すように構成された軸チャネルを含むことを特徴とする請求項1に記載のカテーテルシステム。
- 前記針は、前記針ハブのチャンバと流体連通する開放孔を含み、および血液は、前記開放孔を通って針ハブのチャンバに流れて、前記針が患者の脈管構造に入ったことを示す二次的血液フラッシュバックを提供することを特徴とする請求項1に記載のカテーテルシステム。
- 前記固定プラットフォームは、患者の肌に対して前記カテーテルアダプタを安定に維持するための概して平面形状を含む第1の翼部をさらに含むことを特徴とする請求項1に記載のカテーテルシステム。
- 前記固定プラットフォームは、前記カテーテルアダプタを操作しおよび前進させるための把持表面を提供するように構成されたソフトプッシュタブをさらに含むことを特徴とする請求項1に記載のカテーテルシステム。
- 前記カテーテルハブは、前記カテーテルハブの前記チャンバと流体連通するYポートをさらに含むことを特徴とする請求項1に記載のカテーテルシステム。
- 前記針ハブは、前記針ハブの遠位端から延びおよび前記針ハブを操作するためのグリップ表面を提供するように構成されたパドルグリップをさらに含むことを特徴とする請求項1に記載のカテーテルシステム。
- 前記カテーテルハブは、前記針がセプタム内のスリットを取り外し可能およびスライド可能に通過することができるように構成された前記セプタムをさらに含むことを特徴とする請求項1に記載のカテーテルシステム。
- 前記カテーテルハブは、前記カテーテルハブ内に前記セプタムを固定するように構成されたセプタムキャニスタをさらに含むことを特徴とする請求項8に記載のカテーテルシステム。
- 前記針が前記カテーテルアダプタから後退させられる際に前記針の遠位突端を係合することによって針突き刺しから保護するように構成された針安全装置をさらに含むことを特徴とする請求項1に記載のカテーテルシステム。
- 遠位端と近位端との間に延びるチャンバを画定するカテーテルハブ、前記カテーテルハブの前記遠位端から延びおよび前記チャンバと流体連通するカテーテル、および固定プラットフォーム、を含むカテーテルアダプタと、前記カテーテル内にスライド可能に嵌合するように構成された針および前記針の近位端に固定された針ハブ本体を含む針ハブと、を含むカテーテルシステムを提供する工程と、
カテーテル挿入サイトにおいて前記針およびカテーテルを挿入する工程と、
前記針およびカテーテルを、カテーテル挿入サイトにおいて、一次的血液フラッシュバックが前記針上の軸チャネルを介して前記カテーテルハブの前記チャンバ内に提供されるまで前進させる工程と、
カテーテル挿入サイトにおいて前記カテーテルを固定する工程と、
前記針ハブを前記カテーテルアダプタから後退させて、前記針を前記カテーテルからスライド可能に取り外し、および前記カテーテルアダプタから前記針ハブを分離する工程と、
を含むことを特徴とするカテーテル挿入の方法。 - 二次的血液フラッシュバックが前記針ハブのチャンバ内に提供されるまで、カテーテル挿入サイトにおいて前記針およびカテーテルを前進させる工程をさらに含むことを特徴とする請求項11に記載の方法。
- 前記カテーテルを固定する工程は、前記カテーテル挿入サイトに近接する肌に対して前記固定プラットフォームを固定する工程をさらに含むことを特徴とする請求項11に記載の方法。
- 前記針が前記カテーテルアダプタから後退させられる際に針安全装置を前記針の遠位突端に係合させることをさらに含むことを特徴とする請求項11に記載の方法。
- カテーテルハブの遠位端と近位端との間に延びるチャンバを画定するカテーテルハブ、前記カテーテルハブの前記遠位端から延びおよび前記チャンバと流体連通するカテーテル、ならびに第1の翼部およびソフトプッシュタブを含む固定プラットフォーム、を含むカテーテルアダプタと、
前記カテーテル内にスライド可能に嵌合するように構成された針、および前記針の近位端に固定された針ハブ本体、を含む針ハブと、
を含むカテーテルシステムであって、
挿入構成において、前記カテーテルハブの近位延長部は、前記針ハブの遠位開口部内に取り外し可能に結合されており、および
前記カテーテルの配置の後、前記針ハブは、前記カテーテルから前記針をスライド可能に取り外すため、および前記カテーテルアダプタから前記針ハブを分離するために、前記カテーテルアダプタから後退させられることを特徴とするカテーテルシステム。 - 前記針は、前記針が血液静脈に入ったことを示すための一次的血液静脈血液フラッシュバックを提供するように構成された軸チャネルを含むことを特徴とする請求項15に記載のカテーテルシステム。
- 血液は、前記針の開放孔を通って前記針ハブのチャンバに流れて、前記針が患者の脈管構造に入ったことを示すための二次的血液フラッシュバックを提供することを特徴とする請求項15に記載のカテーテルシステム。
- 前記カテーテルハブは、スリットを備えるセプタムをさらに含み、前記スリットは、前記針がスライド可能にそれを通過することを可能にし、および前記スリットは、前記軸チャネルが前記スリットをスライド可能に通過して前記軸チャネル内の任意の流体を追い出す間、前記軸チャネルに適合するように構成されていることを特徴とする請求項16に記載のカテーテルシステム。
- 前記カテーテルハブは、前記カテーテルハブ内に前記セプタムを固定するように構成されたセプタムキャニスタをさらに含み、および前記セプタムキャニスタは、前記セプタムキャニスタを前記カテーテルハブに固定するように構成された保持稜線を含むことを特徴とする請求項18に記載のカテーテルシステム。
- 前記カテーテルハブの前記近位延長部の内部に取り外し可能に配置され、および前記針が前記カテーテルアダプタから後退させられる際に前記針の遠位突端を係合することによって針突き刺しから保護するように構成された、針安全装置、をさらに含むことを特徴とする請求項15に記載のカテーテルシステム。
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- 2016-10-06 WO PCT/US2016/055861 patent/WO2017074684A1/en active Application Filing
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JP2022522396A (ja) * | 2019-03-07 | 2022-04-19 | スミス メディカル エーエスディー インコーポレーテッド | 改良されたフラッシュバック応答を伴うカテーテル挿入デバイス |
JP7203986B2 (ja) | 2019-03-07 | 2023-01-13 | スミス メディカル エーエスディー インコーポレーテッド | 改良されたフラッシュバック応答を伴うカテーテル挿入デバイス |
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WO2017074684A1 (en) | 2017-05-04 |
AU2016344419A1 (en) | 2018-04-26 |
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CN113117216A (zh) | 2021-07-16 |
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US20170120010A1 (en) | 2017-05-04 |
CN206652049U (zh) | 2017-11-21 |
ES2821327T3 (es) | 2021-04-26 |
MX2022014545A (es) | 2023-01-11 |
MX2018004612A (es) | 2018-07-06 |
US10549072B2 (en) | 2020-02-04 |
JP2020146533A (ja) | 2020-09-17 |
CN113117216B (zh) | 2023-10-31 |
EP3368127B1 (en) | 2020-07-15 |
CN106620995B (zh) | 2021-05-04 |
EP3368127A1 (en) | 2018-09-05 |
US20200155808A1 (en) | 2020-05-21 |
MY187879A (en) | 2021-10-26 |
CA3001701A1 (en) | 2017-05-04 |
MX2022014544A (es) | 2023-01-11 |
EP3744382C0 (en) | 2024-03-27 |
CN106620995A (zh) | 2017-05-10 |
EP4342507A3 (en) | 2024-05-15 |
AU2016344419B2 (en) | 2019-07-25 |
EP4342507A2 (en) | 2024-03-27 |
EP3744382B1 (en) | 2024-03-27 |
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