JP2021521941A - 回転要素を有する器具送達デバイス - Google Patents
回転要素を有する器具送達デバイス Download PDFInfo
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- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
- A61M25/09041—Mechanisms for insertion of guide wires
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- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/15—Devices for taking samples of blood
- A61B5/150992—Blood sampling from a fluid line external to a patient, such as a catheter line, combined with an infusion line; blood sampling from indwelling needle sets, e.g. sealable ports, luer couplings, valves
-
- 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
- A61M25/00—Catheters; Hollow probes
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
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- A61M25/0026—Multi-lumen catheters with stationary elements
- A61M25/003—Multi-lumen catheters with stationary elements characterized by features relating to least one lumen located at the distal part of the catheter, e.g. filters, plugs or valves
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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
- 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
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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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/06—Body-piercing guide needles or the like
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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
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
- A61M25/0026—Multi-lumen catheters with stationary elements
- A61M25/003—Multi-lumen catheters with stationary elements characterized by features relating to least one lumen located at the distal part of the catheter, e.g. filters, plugs or valves
- A61M2025/0031—Multi-lumen catheters with stationary elements characterized by features relating to least one lumen located at the distal part of the catheter, e.g. filters, plugs or valves characterized by lumina for withdrawing or delivering, i.e. used for extracorporeal circuit treatment
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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
- A61M25/00—Catheters; Hollow probes
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
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- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
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- A61M25/00—Catheters; Hollow probes
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- A61M25/00—Catheters; Hollow probes
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0082—Catheter tip comprising a tool
- A61M25/0084—Catheter tip comprising a tool being one or more injection needles
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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
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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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0113—Mechanical advancing means, e.g. catheter dispensers
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- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
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- Pathology (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Physics & Mathematics (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Surgical Instruments (AREA)
Abstract
Description
本開示は、一般に、静脈内カテーテルを通して器具を送達するための送達デバイス及び関連システム、並びに当該送達するための方法に関する。幾つかの実施形態では、器具は、ガイドワイヤ、プローブ、採血チューブ、ライトチューブ(light tube)又は他の適切な器具を含みうる。幾つかの実施形態では、送達デバイスは、出口を含みうるハウジングを含みうる。幾つかの実施形態では、送達デバイスは、回転要素を含み、これはハウジング内に配置されうる。幾つかの実施形態では、回転要素は、回転要素の周囲の少なくとも一部の回りに伸びる溝を含むことができる。幾つかの実施形態では、送達デバイスは器具を含み、この器具は、溝の中に及び/又は回転要素とハウジングの間に配置されうる。幾つかの実施形態では、ハウジングに関して回転要素が回転するのに応じて、器具は出口を通って先に進むことができる。
図1を参照すると、従来技術の採血デバイス10が例示される。このデバイス10は、留置型末梢静脈内カテーテル(「PIVC」)14の伸長セットに結合され、デバイス10のチューブ16はPIVC14を通して押され、これはPIVC14の留置時間を延長しうる。更に詳細には、PIVC14のカテーテルチューブ18が、例えば、最大でカテーテルチューブ18の先端まで蓄積されたデブリ、又はカテーテルチューブ18のつぶれによって、もはや機能し得ないとき、デバイス10は、使用者に、PIVC14を通して患者の血管系から血液試料を採取することを可能にしうる。従って、デバイス10は、患者が受ける針刺しの回数を減じることができる。
Claims (23)
- 器具を、静脈内カテーテルを通して送達するための送達デバイスであって、
出口を有するハウジング、
前記ハウジング内に配置された回転要素であって、前記回転要素の周囲の少なくとも一部の周りに伸びる溝を有する回転要素、
前記溝内、且つ前記回転要素と前記ハウジングの間に配置された器具
を含み、
前記ハウジングに対する前記回転要素の回転に応じて、前記器具が出口を通して遠位に前進する、送達デバイス。 - 前記器具がガイドワイヤーを含む、請求項1に記載の送達デバイス。
- 前記ガイドワイヤーの近位末端が前記送達デバイス内に固定される、請求項2に記載の送達デバイス。
- 前記器具がプローブを含む、請求項1に記載の送達デバイス。
- 前記器具がチューブを含む、請求項1に記載の送達デバイス。
- 前記器具がライトチューブを含む、請求項1に記載の送達デバイス。
- 前記チューブの近位末端が、血液収集デバイスに結合されるように構成される、請求項5に記載の送達デバイス。
- 前記回転要素の上部又は底部に結合されるコネクタ、及び前記コネクタに結合される追加のチューブを更に含む、請求項7に記載の送達デバイス。
- 前記追加のチューブが、前記回転要素の回転の中心軸で回転要素の上部又は底部から伸びる、請求項8に記載の送達デバイス。
- 前記溝が、前記回転要素の回転の中心軸に向けて周囲から内側に伸びる、請求項1に記載の送達デバイス。
- カテーテルシステムであり、
カテーテルアダプタ、及び
遠位末端を有するカテーテルであって、前記カテーテルが前記カテーテルアダプタから遠位に伸びるもの
を含むカテーテルアセンブリと、
ハウジング、
前記ハウジング内に配置された回転要素であって、前記回転要素の周囲の少なくとも一部の周りに伸びる溝を有する回転要素、及び
前記溝内、且つ前記回転要素と前記ハウジングの間に配置された器具
を含む、前記カテーテルアセンブリに結合された送達デバイスと
を含み、
前記ハウジングに対する前記回転要素の第1の方向での回転に応じて、前記器具の遠位末端が前記カテーテルの遠位末端を越えて第1の分量で配置され、前記ハウジングに対する前記回転要素の第1の方向での更なる回転に応じて、前記器具の遠位末端が前記カテーテルの遠位末端を越えて第2の分量で配置され、前記第2の分量が前記第1の分量よりも多い、カテーテルシステム。 - 前記器具がガイドワイヤーを含む、請求項11に記載のカテーテルシステム。
- 前記ガイドワイヤーの近位末端が前記送達デバイス内に固定される、請求項12に記載のカテーテルシステム。
- 前記器具はプローブを含む、請求項11に記載のカテーテルシステム。
- 前記器具がチューブを含む、請求項11に記載のカテーテルシステム。
- 前記器具がライトチューブを含む、請求項11に記載のカテーテルシステム。
- 前記チューブの近位末端が血液収集デバイスに結合されるように構成される、請求項15に記載のカテーテルシステム。
- 前記回転要素の上部又は底部から伸びる追加のチューブを更に含む、請求項15に記載のカテーテルシステム。
- 前記追加のチューブが、前記回転要素の回転の中心軸で、前記回転要素の上部又は底部から伸びる、請求項18に記載のカテーテルシステム。
- 前記溝が前記周囲から内側に伸びる、請求項11に記載のカテーテルシステム。
- ハウジングに対して回転要素を第1の方向で回転するステップであって、前記回転要素がハウジング内に配置され、前記回転要素が前記回転要素の周囲の少なくとも一部の周りに伸びる溝を含み、前記回転要素を、前記ハウジングに対して第1の方向で回転するのに応じて、カテーテルの遠位末端を越えて器具の遠位末端が先に進み、前記器具が溝内に配置される、ステップを含む方法。
- 前記器具が採血チューブを含み、前記採血チューブを通して血液を採取するステップを更に含む、請求項21に記載の方法。
- 前記ハウジングに対して前記回転要素を、前記第1の方向とは逆の第2の方向に回転する工程であって、前記第1の方向とは逆の第2の方向で前記ハウジングに対して前記回転要素を回転するのに応じて、前記器具の遠位末端が引き込まれる工程を更に含む、請求項21に記載の方法。
Applications Claiming Priority (5)
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US201862660661P | 2018-04-20 | 2018-04-20 | |
US62/660,661 | 2018-04-20 | ||
US16/388,650 | 2019-04-18 | ||
US16/388,650 US20190321595A1 (en) | 2018-04-20 | 2019-04-18 | Instrument delivery device having a rotary element |
PCT/US2019/028278 WO2019204701A1 (en) | 2018-04-20 | 2019-04-19 | Instrument delivery device having a rotary element |
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JP2021521941A true JP2021521941A (ja) | 2021-08-30 |
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JP2020558471A Pending JP2021521941A (ja) | 2018-04-20 | 2019-04-19 | 回転要素を有する器具送達デバイス |
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US (1) | US20190321595A1 (ja) |
EP (1) | EP3781250A1 (ja) |
JP (1) | JP2021521941A (ja) |
KR (1) | KR102664621B1 (ja) |
CN (1) | CN112203711B (ja) |
AU (1) | AU2019256615A1 (ja) |
BR (1) | BR112020021405A2 (ja) |
CA (1) | CA3096487A1 (ja) |
MX (1) | MX2020010680A (ja) |
SG (1) | SG11202009893SA (ja) |
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BR112022003098A2 (pt) | 2019-08-20 | 2022-05-17 | Velano Vascular Inc | Dispositivos de transferência de fluido com cateteres de comprimento estendido e métodos de uso do mesmo |
US20210128037A1 (en) * | 2019-10-30 | 2021-05-06 | Becton, Dickinson And Company | Blood collection system with user-adjusted pressure management and related methods |
US11992644B2 (en) * | 2020-01-09 | 2024-05-28 | Becton, Dickinson And Company | Flush instrument with blood exposure protection and related methods |
US20210220605A1 (en) * | 2020-01-21 | 2021-07-22 | Becton, Dickinson And Company | Tubular instrument and related devices and methods |
US20210290905A1 (en) * | 2020-03-23 | 2021-09-23 | Becton, Dickinson And Company | Probe delivery device to facilitate the advancement and retraction of a probe within an intravenous catheter |
CA3203378A1 (en) * | 2021-01-08 | 2022-07-14 | Weston F. Harding | Probe delivery device to facilitate advancement of a probe within an intravenous catheter |
WO2023133195A1 (en) * | 2022-01-06 | 2023-07-13 | Becton, Dickinson And Company | Integrated catheter system for blood draw at the time of placement and with enabling feature for blood draw during indwell |
WO2023205108A1 (en) * | 2022-04-19 | 2023-10-26 | Becton, Dickinson And Company | Method of providing stops and detents for the rotation of a wheel in a medical device |
Citations (9)
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BR112020021405A2 (pt) | 2021-01-19 |
WO2019204701A1 (en) | 2019-10-24 |
CA3096487A1 (en) | 2019-10-24 |
KR20210003101A (ko) | 2021-01-11 |
CN112203711A (zh) | 2021-01-08 |
MX2020010680A (es) | 2020-11-06 |
KR102664621B1 (ko) | 2024-05-14 |
EP3781250A1 (en) | 2021-02-24 |
SG11202009893SA (en) | 2020-11-27 |
AU2019256615A1 (en) | 2020-11-12 |
CN112203711B (zh) | 2023-03-28 |
US20190321595A1 (en) | 2019-10-24 |
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