JP2022141784A - 医療用チューブに関連する装置及び方法 - Google Patents
医療用チューブに関連する装置及び方法 Download PDFInfo
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- JP2022141784A JP2022141784A JP2022112775A JP2022112775A JP2022141784A JP 2022141784 A JP2022141784 A JP 2022141784A JP 2022112775 A JP2022112775 A JP 2022112775A JP 2022112775 A JP2022112775 A JP 2022112775A JP 2022141784 A JP2022141784 A JP 2022141784A
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Abstract
【解決手段】スプール駆動システムは、スプールハウジングの入口を通してガイドワイヤを交互に前進及び後退させるために、内部にスプールを備えるスプールハウジングを備える手持ち式の使い捨て装置とすることができる。トラックは、スプールの周縁部から離間してスプールの周縁部の周りに延在し、スプールが回転する際にスプールをガイドワイヤに巻き取るか又はガイドワイヤから繰り出すことができる。ガイドワイヤを駆動する他の実施形態及び装置、並びにそのための方法も開示される。
【選択図】図1
Description
本願は、2017年2月16日に提出された米国仮特許出願第62/460,070号の利益を主張する。この米国仮特許出願の内容は、引用することにより本明細書の一部をなす。
Claims (20)
- 医療用チューブ内のデブリを清掃する駆動システムであって、
内部を画定し、前記医療用チューブと前記内部との間の流体連通を確立するように適合された入口を有するハウジングと、
少なくとも一部が前記内部にある細長いガイドワイヤと、
前記ガイドワイヤと摩擦係合するように前記内部に配置され、軸について回転するように構成されるローラーと、
前記ガイドワイヤを、前記ローラーとの前記摩擦係合により、前記入口を通して前進または後退させるために前記ローラーを駆動するように動作可能なモーターと、を備えている、駆動システム。 - 前記ローラーは、対向面から離間し、
前記ガイドワイヤは、前記ローラーと前記対向面との間の空間を通過し、
前記ガイドワイヤは、前記入口を通して前進または後退するときに、当接面と前記ローラーとの両方に係合する、請求項1に記載の駆動システム。 - 前記内部に少なくとも部分的に配置されるガイドワイヤチューブを、さらに備え、
前記ガイドワイヤは、前記ガイドワイヤチューブ内に少なくとも部分的に受け入れられ、前記ガイドワイヤチューブ内を並進可能である、請求項1に記載の駆動システム。 - 前記ガイドワイヤチューブの一端は、前記ハウジングの前記入口を画定する、請求項3に記載の駆動システム。
- 前記ローラーは、前記ガイドワイヤチューブにおける切欠きを介して受け入れられ、前記ガイドワイヤチューブの内壁面に対向し、
前記ガイドワイヤは、前記ローラーと前記内壁面との間を通過する、請求項3に記載の駆動システム。 - 前記ガイドワイヤチューブは、直線状構成を有する、請求項3に記載の駆動システム。
- 前記ガイドワイヤチューブは、第1部分および第2部分を有し、前記第1部分は、前記内部の外側に延び、前記第2部分は、前記内部の全体に配置される、請求項3に記載の駆動システム。
- 前記第1部分は直線状に延びており、前記第2部分はコイル状であり、前記細長いガイドワイヤは、前記ハウジングの前記内部に後退するときに、コイル状構成で前記ガイドワイヤチューブに収容される、請求項7に記載の駆動システム。
- 前記ガイドワイヤチューブの前記第2部分は、前記ハウジングと一体である、請求項7に記載の駆動システム。
- 前記モーターを前記ローラーに動作可能に連結するギア式伝動装置をさらに備える、請求項1に記載の駆動システム。
- 前記モーターに電気エネルギーを供給する、前記ハウジング内にシールされたバッテリーをさらに備える、請求項1に記載の駆動システム。
- 前記ハウジングは、使い捨て可能に構成される手持ち式アセンブリである、請求項11に記載の駆動システム。
- 前記ハウジング内に、前記モーターに動作的に接続されたコントローラーをさらに備え、前記コントローラーは、前記ガイドワイヤを前進または後退させるために前記モーターを動作させるように構成される、請求項1に記載の駆動システム。
- 前記コントローラーは、特定のプログラムに従って、および/または、前記コントローラーに通信される検知されたパラメーターに応じて、前記モーターを選択的に動作させるように構成される、請求項13に記載の駆動システム。
- 前記コントローラーは、制御システムに動作的に接続されるとともに、制御システムの一部を形成し、
前記制御システムは、1つ以上のパラメーターを検出して、検出された1つ以上のパラメーターを示す信号を前記コントローラーに送信するように構成された1つ以上のセンサーを備える、請求項13に記載の駆動システム。 - 前記1つ以上のセンサーは、前記医療用チューブの又は前記医療用チューブにおける以下の条件のうちの1つ以上、すなわち、前記医療用チューブの向き;前記医療用チューブ内での清掃部材の位置;圧力レベル、pHレベル、グルコースレベル、タンパク質レベル、又は前記医療用チューブ内の物質の酸化還元状態;前記医療用チューブ内の詰まり;前記医療用チューブにおける捩れ;前記医療用チューブにおけるフィブリン凝塊分解副産物、エンドトキシン、細菌感染副産物、活性酸素、又はヘマトクリットの量を検出するように構成されている、請求項15に記載の駆動システム。
- 前記1つ以上のセンサーは、前記医療用チューブによって治療を受ける患者の以下の条件のうちの1つ以上、すなわち、体温、心拍数及び周期、不整脈、呼吸数、炎症レベル、痛みレベル、若しくは酸素飽和レベル;患者の向き;患者の活動レベル;患者の咳嗽;1日あたりの患者の歩数;患者が行っている活動の種類;患者の居場所;又は患者が特定の場所に居た時間の長さを検出するように構成される、請求項15に記載の駆動システム。
- 医療用チューブ内のガイドワイヤを駆動する方法であって、
請求項1の駆動システムを前記医療用チューブに接続し、前記医療用チューブと前記ハウジングの入口との間に流体連通をもたらすことと、前記入口及び前記医療用チューブを通して前記ガイドワイヤを前進および後退させるように前記ローラーを動作させることとを含む、方法。 - 医療用チューブ内のデブリを清掃する駆動システムであって、該システムは、
滅菌された内部を画定し、前記医療用チューブと流体連通を確立するように適合された入口を有するハウジングと、
前記内部に少なくとも部分的に配置されたガイドワイヤチューブであって、ガイドワイヤチューブにおいて形成された切欠きを有するガイドワイヤチューブと、
前記ガイドワイヤチューブ内に配置され、前記ガイドワイヤチューブ内を並進可能である細長いガイドワイヤと、
前記内部に収容され、前記切欠きを介して前記ガイドワイヤチューブ内に部分的に受け入れられる周面を有するローラーであって、回転可能なローラーと、
前記内部に配置されるモーターであって、前記ガイドワイヤと前記ローラーの前記周面との係合を経て、前記ガイドワイヤを、前記入口を通して並進可能に前進および後退させるために前記ローラーを駆動するように動作可能なモーターと、を備えている、駆動システム。 - 前記ガイドワイヤチューブは、第1部分および第2部分を有し、前記第1部分は、前記内部から、前記ハウジングの壁を通って、前記ハウジングの外側まで直線状に延び、前記入口は、前記ハウジングの前記壁の外側の前記ガイドワイヤチューブの端部によって形成され、前記第2部分は、コイル状であり、前記細長いガイドワイヤは、前記内部に後退するときに、コイル状構成で前記ガイドワイヤチューブ内に収容される、請求項19に記載の駆動システム。
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Families Citing this family (18)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11191886B2 (en) * | 2013-06-14 | 2021-12-07 | The Cleveland Clinic Foundation | Motion-assisted systems, devices and methods for minimizing obstruction of medical devices |
US20190321595A1 (en) * | 2018-04-20 | 2019-10-24 | Becton, Dickinson And Company | Instrument delivery device having a rotary element |
CN111683706B (zh) * | 2018-05-15 | 2022-05-13 | 贝克顿·迪金森公司 | 用于高剂量精度药品输送的注射器柱塞塞子 |
US10881484B2 (en) * | 2019-01-11 | 2021-01-05 | Clearflow, Inc. | Medical tube clearance device |
CN114144373B (zh) * | 2019-04-15 | 2023-10-31 | 米克朗瑞士股份公司自动化布德利分公司 | 用于缠绕医疗管的设备 |
US10994076B1 (en) | 2019-07-25 | 2021-05-04 | Circulatech, Llc | Methods and devices to prevent obstructions in medical tubes |
CN110653227B (zh) * | 2019-10-25 | 2024-06-18 | 淮安市第一人民医院 | 气管切开金属套管的清洗装置 |
US20210213245A1 (en) * | 2020-01-09 | 2021-07-15 | Becton, Dickinson And Company | Multi-lumen extension system |
US20210290418A1 (en) * | 2020-03-20 | 2021-09-23 | Quipmen Medical Inc. | Systems and methods for implanting a gastric bypass device |
US20210290126A1 (en) * | 2020-03-23 | 2021-09-23 | Becton, Dickinson And Company | Extension set and related systems and methods |
US20210299426A1 (en) * | 2020-03-27 | 2021-09-30 | Becton, Dickinson And Company | Extension set and related systems and methods |
CN112370071B (zh) * | 2020-11-06 | 2021-07-20 | 湖南万脉医疗科技有限公司 | 一种用于呼吸音监测的柔性贴片 |
WO2022109006A1 (en) * | 2020-11-17 | 2022-05-27 | Clearflow, Inc. | Medical tube clearance device |
CN112472888B (zh) * | 2020-12-20 | 2022-11-04 | 杭州威德医疗科技有限公司 | 一种胸腹腔外科手术用主动式封闭引流机构 |
JP2024504617A (ja) * | 2021-01-13 | 2024-02-01 | ベクトン・ディキンソン・アンド・カンパニー | 血管アクセス器具の前進デバイス、システム、および方法 |
CN114246677A (zh) * | 2022-01-24 | 2022-03-29 | 微亚医疗科技(苏州)有限公司 | 用于血管介入手术机器人的导丝旋转与递送传动装置 |
CN115055455B (zh) * | 2022-06-09 | 2023-05-16 | 江阴市人民医院 | 一种外科护理用的辅助清洗设备 |
WO2024097689A1 (en) * | 2022-11-01 | 2024-05-10 | Western New England University | Apparatus and method of feeding arbitrarily thin wire with controlled tension |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2004208961A (ja) * | 2002-12-27 | 2004-07-29 | Olympus Corp | 内視鏡管路洗滌装置 |
JP2015503395A (ja) * | 2011-12-29 | 2015-02-02 | ヨンセイ ユニヴァーシティ ウォンジュ インダストリー−アカデミック コーペレーション ファウンデーション | カテーテル施術用ガイドワイヤ挿入器 |
US20150231313A1 (en) * | 2014-02-17 | 2015-08-20 | Clearflow, Inc. | Medical tube clearance device |
Family Cites Families (16)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3956011A (en) * | 1974-04-11 | 1976-05-11 | Carleton John S | Method for cleaning disposable suction catheters |
US4160451A (en) * | 1977-11-25 | 1979-07-10 | Abbott Laboratories | Unidirectional catheter placement unit |
US5961472A (en) * | 1997-09-26 | 1999-10-05 | Baxter International Inc. | Closed, one-handed blood sampling system |
EP2249911B1 (en) | 2008-01-25 | 2019-09-04 | ClearFlow, Inc. | Methods and devices to clear obstructions from medical tubes |
FR2931599A1 (fr) * | 2008-05-26 | 2009-11-27 | Univ Pasteur | Dispositif de deplacement controle en translation d'un element allonge |
EP2395924B1 (en) * | 2009-02-10 | 2021-03-24 | Vesatek, LLC | Apparatus for manipulating a surgical guidewire |
GB2475621B (en) * | 2009-11-20 | 2012-10-24 | Ali Waqar Majeed | Cleaning apparatus |
CN202665587U (zh) | 2012-03-26 | 2013-01-16 | 周星 | 一种自润滑穿刺器 |
WO2014013751A1 (ja) * | 2012-07-19 | 2014-01-23 | テルモ株式会社 | 収容具 |
CN102772833B (zh) * | 2012-08-17 | 2015-04-01 | 宁波健世生物科技有限公司 | 可有效清除阻塞物的引流系统 |
US9205229B2 (en) * | 2013-10-24 | 2015-12-08 | Avent, Inc. | Catheter advancement device |
CN116920264A (zh) | 2014-02-17 | 2023-10-24 | 科里福罗公司 | 医疗管清洁 |
WO2015138658A2 (en) * | 2014-03-11 | 2015-09-17 | Flex Technology, Inc. | Cannulated instrument flushing and cleaning instrument |
JP6774937B2 (ja) | 2014-09-29 | 2020-10-28 | センテース,インク. | 胸腔ドレナージを管理するための装置 |
US10543343B2 (en) * | 2014-12-23 | 2020-01-28 | B. Braun Melsungen Ag | Needle assemblies with flashback indicator and related methods |
CA3016065A1 (en) | 2016-03-03 | 2017-09-08 | Esculon, Llc | Devices and methods for managing chest drainage |
-
2018
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Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2004208961A (ja) * | 2002-12-27 | 2004-07-29 | Olympus Corp | 内視鏡管路洗滌装置 |
JP2015503395A (ja) * | 2011-12-29 | 2015-02-02 | ヨンセイ ユニヴァーシティ ウォンジュ インダストリー−アカデミック コーペレーション ファウンデーション | カテーテル施術用ガイドワイヤ挿入器 |
US20150231313A1 (en) * | 2014-02-17 | 2015-08-20 | Clearflow, Inc. | Medical tube clearance device |
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