JP2020036958A - 血管への密閉されたアクセス用のシース - Google Patents
血管への密閉されたアクセス用のシース 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
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
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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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/021—Measuring pressure in heart or blood vessels
- A61B5/0215—Measuring pressure in heart or blood vessels by means inserted into the body
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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
- A61M39/06—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/10—Location thereof with respect to the patient's body
- A61M60/122—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body
- A61M60/126—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel
- A61M60/13—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel by means of a catheter allowing explantation, e.g. catheter pumps temporarily introduced via the vascular system
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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
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/10—Location thereof with respect to the patient's body
- A61M60/122—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body
- A61M60/126—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel
- A61M60/148—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel in line with a blood vessel using resection or like techniques, e.g. permanent endovascular heart assist devices
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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
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/20—Type thereof
- A61M60/205—Non-positive displacement blood pumps
- A61M60/216—Non-positive displacement blood pumps including a rotating member acting on the blood, e.g. impeller
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- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/80—Constructional details other than related to driving
- A61M60/855—Constructional details other than related to driving of implantable pumps or pumping devices
- A61M60/865—Devices for guiding or inserting pumps or pumping devices into the patient's body
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- A—HUMAN NECESSITIES
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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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- 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
- A61M2039/0267—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body comprising sensors or electrical contacts
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- A—HUMAN NECESSITIES
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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
- A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
- A61M2039/0273—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for introducing catheters into the body
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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
- A61M2039/0279—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for introducing medical instruments into the body, e.g. endoscope, surgical tools
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- A—HUMAN NECESSITIES
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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
- A61M2039/0297—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body at least part of it being inflatable, e.g. for anchoring, sealing or removing
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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
- A61M2205/32—General characteristics of the apparatus with radio-opaque indicia
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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
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
- A61M2205/3344—Measuring or controlling pressure at the body treatment site
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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
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3368—Temperature
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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
- A61M2205/60—General characteristics of the apparatus with identification means
- A61M2205/6063—Optical identification systems
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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
- A61M2230/00—Measuring parameters of the user
- A61M2230/30—Blood pressure
Abstract
Description
Claims (18)
- 動物または人体の血管の内部への十分に密閉されたアクセスを作り出すためのシース(10)であって、
遠位端部(20a)および近位端部(20b)を有するチューブ状本体を有する基部シース(20)を備え、前記チューブ状本体は、前記遠位端部(20a)および前記近位端部(20b)で開口している通過チャネル(22)を規定し、前記基部シース(20)は、血管開口部を通って前記血管内に挿入されるように構成されたシース(10)において、
前記基部シース(20)と協働するように構成された拡張デバイス(26)であって、前記シース(10)が前記血管内の静止位置にあるときに、前記シース(10)の外径(d;D)を前記血管開口部の領域で増大させて、前記血管開口部を密閉して閉鎖するように構成された拡張デバイス(26)を備えることを特徴とするシース(10)。 - 請求項1に記載のシース(10)であって、前記拡張デバイス(26)は、前記血管開口部の方向(R)で前記基部シース(20)上で変位可能な拡張シース(26)として構成されることを特徴とするシース(10)。
- 請求項1に記載のシース(10)であって、前記拡張デバイス(26’)は、らせん状に前記基部シース(20)の周りに巻かれている膨張チューブとして構成されることを特徴とするシース(10)。
- 請求項1に記載のシース(10)であって、前記拡張デバイス(26a、26b、26c、26d)は、前記近位端部(20b)と前記遠位端部(20a)との間に前記基部シースの可撓性部分(26a)を備え、前記可撓性部分は、前記基部シースの遠位端部部分が引張手段(26b、26c、26d)によって前記近位端部の方向に引っ張られたときに前記シースの前記外径を増大させるように拡張するように構成されることを特徴とするシース(10)。
- 請求項1に記載のシース(10)であって、前記拡張デバイス(26”)は、前記近位端部(20b)と前記遠位端部(20a)との間に前記基部シースの伸縮性部分(26”)を備え、前記基部シースの前記近位端部部分が前記血管開口部の方向に伸びている状態から伸びていない状態へと解放されたときに前記シースの前記外径を増大させるように、前記伸縮性部分は、前記伸びている状態で第1の厚みを、前記伸びていない状態で前記第1の厚みよりも大きい第2の厚みを達成するように構成されていることを特徴とするシース(10)。
- 請求項1〜5のいずれか1項に記載のシース(10)であって、前記シース(10)が前記血管内の静止位置にあるときに、スリーブ(28)が前記血管開口部と接触するように、前記基部シース(20)および前記拡張デバイス(26、26’、26a)を包み込む前記スリーブ(28)を備えることを特徴とするシース(10)。
- 請求項2に記載のシース(10)であって、前記シース(10)が前記血管内の静止位置にあるときに、スリーブ(28)が前記血管開口部と接触するように、前記基部シース(20)および前記拡張デバイス(26)を包み込む前記スリーブ(28)を備え、前記拡張シース(26)が前記基部シース(20)と前記スリーブ(28)の間で前記基部シース(20)上で変位可能であることを特徴とするシース(10)。
- 請求項1〜7のいずれか1項に記載のシース(10)であって、前記拡張デバイス(26)は、前記血管開口部の領域において前記シース(10)の前記外径(d)を、0.33mm〜1.00mm増大させるように構成されることを特徴とするシース(10)。
- 請求項1〜7のいずれか1項に記載のシース(10)であって、前記拡張デバイス(26)は、前記血管開口部の領域において前記シース(10)の前記外径(d)を、0.33mm〜1.33mm増大させるように構成されることを特徴とするシース(10)。
- 請求項1〜7のいずれか1項に記載のシース(10)であって、前記拡張デバイス(26)は、前記血管開口部の領域において前記シース(10)の前記外径(d)を、0.33mm〜1.66mm増大させるように構成されることを特徴とするシース(10)。
- 請求項1〜10のいずれか1項に記載のシース(10)であって、前記基部シース(20)の前記チューブ状本体の壁(25)は、前記遠位端部(20a)から前記近位端部(20b)の方へ前記壁(25)の中に延在する貫通チャネル(27)を有することを特徴とするシース(10)。
- 請求項11に記載のシース(10)であって、前記貫通チャネル(27)は、前記血管から前記シース(10)の前記近位端部(20b)まで血液を導くように構成されることを特徴とするシース(10)。
- 請求項12に記載のシース(10)であって、前記チャネル(27)に接続された血圧測定デバイス(30)を備えることを特徴とするシース(10)。
- 請求項12または13に記載のシース(10)であって、前記チャネル(27)を通って挿入される温度測定要素を備えることを特徴とするシース(10)。
- 請求項9〜14のいずれか1項に記載のシース(10)であって、前記シース(10)の前記近位端部(20b)から前記チャネル(27)を通って前記血管内に導入可能なガイドワイヤ(50)を備えることを特徴とするシース(10)。
- 請求項1〜15のいずれか1項に記載のシース(10)であって、前記シース(10)を患者に固定する固定要素(60)を備え、前記固定要素(60)は、滅菌カバーを適用するために前記基部シース(20)にまたがっている領域(62)を有し、前記領域(62)は、前記基部シース(20)の両側において前記基部シースの主方向に対して横方向に、傾斜面形状で下へ傾斜していることを特徴とするシース(10)。
- 請求項16に記載のシース(10)であって、前記固定要素(60)は、滅菌カバーを適用するための止め具(64)を備え、前記止め具は、前記基部シースの主方向に対して横方向に、前記領域(62)の近位端部に延在していることを特徴とするシース(10)。
- 請求項1〜17のいずれか1項に記載のシース(10)であって、供給カテーテル(40)を有する心臓ポンプ(70)を備え、前記シース(10)は前記供給カテーテル(40)上で変位可能に配置されるように構成されることを特徴とするシース(10)。
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2021121210A JP7234306B2 (ja) | 2014-07-04 | 2021-07-26 | 血管への密閉されたアクセス用のシース |
JP2023025864A JP2023054233A (ja) | 2014-07-04 | 2023-02-22 | 血管への密閉されたアクセス用のシース |
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP14175797.1 | 2014-07-04 | ||
EP14175797.1A EP2962721B1 (en) | 2014-07-04 | 2014-07-04 | Sheath for sealed access to a vessel |
JP2017500015A JP6654619B2 (ja) | 2014-07-04 | 2015-07-06 | 血管への密閉されたアクセス用のシース |
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JP2017500015A Division JP6654619B2 (ja) | 2014-07-04 | 2015-07-06 | 血管への密閉されたアクセス用のシース |
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JP2021121210A Division JP7234306B2 (ja) | 2014-07-04 | 2021-07-26 | 血管への密閉されたアクセス用のシース |
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JP2020036958A true JP2020036958A (ja) | 2020-03-12 |
JP6920400B2 JP6920400B2 (ja) | 2021-08-18 |
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JP2017500015A Active JP6654619B2 (ja) | 2014-07-04 | 2015-07-06 | 血管への密閉されたアクセス用のシース |
JP2019210072A Active JP6920400B2 (ja) | 2014-07-04 | 2019-11-21 | 血管への密閉されたアクセス用のシース |
JP2021121210A Active JP7234306B2 (ja) | 2014-07-04 | 2021-07-26 | 血管への密閉されたアクセス用のシース |
JP2023025864A Pending JP2023054233A (ja) | 2014-07-04 | 2023-02-22 | 血管への密閉されたアクセス用のシース |
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JP2021121210A Active JP7234306B2 (ja) | 2014-07-04 | 2021-07-26 | 血管への密閉されたアクセス用のシース |
JP2023025864A Pending JP2023054233A (ja) | 2014-07-04 | 2023-02-22 | 血管への密閉されたアクセス用のシース |
Country Status (8)
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US (2) | US11730939B2 (ja) |
EP (2) | EP2962721B1 (ja) |
JP (4) | JP6654619B2 (ja) |
KR (2) | KR102464849B1 (ja) |
CN (2) | CN106659877B (ja) |
DK (1) | DK2962721T3 (ja) |
ES (1) | ES2734216T3 (ja) |
WO (1) | WO2016001439A1 (ja) |
Families Citing this family (13)
Publication number | Priority date | Publication date | Assignee | Title |
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ES2774936T3 (es) * | 2014-07-04 | 2020-07-23 | Abiomed Europe Gmbh | Vaina para el acceso estanco a un vaso |
CN212234408U (zh) * | 2017-03-21 | 2020-12-29 | 阿比奥梅德公司 | 用于测量跳动心脏的性能的系统 |
EP4233989A3 (en) | 2017-06-07 | 2023-10-11 | Shifamed Holdings, LLC | Intravascular fluid movement devices, systems, and methods of use |
KR20200055753A (ko) * | 2017-09-14 | 2020-05-21 | 아비오메드, 인크. | 의료 장치 유도자를 위한 통합된 확장 가능한 액세스 |
JP7319266B2 (ja) | 2017-11-13 | 2023-08-01 | シファメド・ホールディングス・エルエルシー | 血管内流体移動デバイス、システム、および使用方法 |
DE102018201030A1 (de) | 2018-01-24 | 2019-07-25 | Kardion Gmbh | Magnetkuppelelement mit magnetischer Lagerungsfunktion |
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CN111632263A (zh) | 2020-09-08 |
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CN106659877B (zh) | 2020-05-12 |
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US20170136225A1 (en) | 2017-05-18 |
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JP2021178194A (ja) | 2021-11-18 |
JP7234306B2 (ja) | 2023-03-07 |
KR20170032342A (ko) | 2017-03-22 |
US11730939B2 (en) | 2023-08-22 |
KR20220153680A (ko) | 2022-11-18 |
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