JP6800146B2 - 真空補助の経皮的器具 - Google Patents
真空補助の経皮的器具 Download PDFInfo
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- JP6800146B2 JP6800146B2 JP2017514398A JP2017514398A JP6800146B2 JP 6800146 B2 JP6800146 B2 JP 6800146B2 JP 2017514398 A JP2017514398 A JP 2017514398A JP 2017514398 A JP2017514398 A JP 2017514398A JP 6800146 B2 JP6800146 B2 JP 6800146B2
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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
-
- 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/28—Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
-
- 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
-
- 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
- A61M2025/0293—Catheter, guide wire or the like with means for holding, centering, anchoring or frictionally engaging the device within an artificial lumen, e.g. tube
-
- 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
- A61M2039/025—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body through bones or teeth, e.g. through the skull
-
- 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
- A61M2039/0255—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for access to the gastric or digestive 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
- 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
-
- 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
- A61M39/0247—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
-
- 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
- A61M2039/0276—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for introducing or removing fluids into or out of the body
-
- 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
- A61M2039/0288—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body protectors, caps or covers therefor
-
- 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
- A61M2210/06—Head
- A61M2210/0693—Brain, cerebrum
-
- 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
- A61M2210/10—Trunk
- A61M2210/1078—Urinary tract
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- Hematology (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Biophysics (AREA)
- Pulmonology (AREA)
- Emergency Medicine (AREA)
- Urology & Nephrology (AREA)
- Gastroenterology & Hepatology (AREA)
- Vascular Medicine (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Prostheses (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Materials For Medical Uses (AREA)
Description
本出願は、2014年5月23日に出願された米国仮出願第62/002,322号の優先権の利益を主張するものであり;その内容は、参照により本明細書に援用される。
本発明は、概して経皮的アクセスに関し、具体的には、経皮的アクセスの部位における感染を防止するためのプロセスおよびデバイスに関する。より具体的には、本発明は、細菌、他の感染因子、または他の所望しない物質の内部移行が、管腔内デバイスに関するアクセスポイントに入るのを防止するためのプロセスおよびデバイスを提供する。
Claims (10)
- 管腔アクセスデバイスであって:
経皮的アクセスデバイス(PAD)を備え、ここで、
管腔グラフトの第一端部が前記PADに連結され、かつ、前記管腔グラフトが前記PADを通過するように構成され、前記PADはそれによって前記管腔グラフトを安定化するように構成されており;
前記管腔グラフトの第二端部は単一のチャネル血管アクセスを形成するために縫合を介して患者内腔に取り付けられるように構成され、前記管腔グラフトはそれによって前記管腔グラフトの第一端部と前記患者内腔との間の流体連通を提供するように構成されており;
前記PADおよび前記管腔グラフトの大部分は、患者内部に埋め込まれるように構成され、前記PADのマイナー部は、前記患者に対して外部であるように構成されており;
前記PADは、前記管腔グラフトの第一端部の周りをシールするように構成されたキャップを有しており;
前記キャップは、貫通した開口部を有しており;
外部医療機器が、前記キャップにおける前記開口部を通って、前記管腔グラフトを介して患者内腔へ挿入されるように適合される
管腔アクセスデバイス。 - 請求項1の管腔アクセスデバイスであって、
前記PADは、第二の単一のチャネル血管アクセスを形成するために縫合を介して患者内腔に取り付けられる第二の管腔グラフトに連結されるようにさらに構成されており、
前記PADは、前記の外部医療機器に流体連通した前記第二の管腔グラフトを安定化するように適合され、前記第二の管腔グラフトの周りを前記キャップでシールするように適合される、
管腔アクセスデバイス。 - 請求項1の管腔アクセスデバイスであって、
前記PADは、患者の皮下層内で前記PADを安定化するフランジをさらに備える、
管腔アクセスデバイス。 - 請求項1から3のいずれか一項の管腔アクセスデバイスであって、
前記患者内腔へ挿入されるのに適合されたデバイスは、前記管腔グラフトを通じて前記患者内腔へ挿入されるのに適合された腹膜デバイスであり、
前記患者内腔は、前記管腔グラフトを介して前記外部医療機器に流体連通される腹腔である、
管腔アクセスデバイス。 - 請求項1の管腔アクセスデバイスであって、
前記患者内腔へ挿入されるのに適合されたデバイスは、前記管腔グラフトを通じて前記患者内腔へ挿入されるのに適合された血管内デバイスであり、
前記患者内腔は、前記管腔グラフトを介して前記外部医療機器に流体連通される血管である、
管腔アクセスデバイス。 - 請求項1の管腔アクセスデバイスであって、
前記患者内腔へ挿入されるのに適合されたデバイスは、前記管腔グラフトを通じて患者の脳内の患者内腔へ挿入されるのに適合された、前記管腔グラフトを介して前記外部医療機器に流体連通される、神経インプラントデバイスである、
管腔アクセスデバイス。 - 請求項1の管腔アクセスデバイスであって、
前記患者内腔へ挿入されるのに適合されたデバイスは、前記管腔グラフトを通じて前記患者内腔へ挿入されるのに適合された骨インプラントデバイスであり、
前記患者内腔は、前記管腔グラフトを介して前記外部医療機器に流体連通される骨髄腔である、管腔アクセスデバイス。 - 請求項1の管腔アクセスデバイスであって、
前記患者内腔へ挿入されるのに適合されたデバイスは、前記管腔グラフトを通じて前記患者内腔へ挿入されるのに適合された人工肛門形成デバイスであり、
前記患者内腔は、前記管腔グラフトを介して前記外部医療機器に流体連通される結腸である、
管腔アクセスデバイス。 - 請求項1の管腔アクセスデバイスであって、
前記患者内腔へ挿入されるのに適合されたデバイスは、前記管腔グラフトを通じて前記患者内腔へ挿入されるのに適合された尿路変更デバイスであり、
前記患者内腔は、前記管腔グラフトを介して前記外部医療機器に流体連通される尿管である、
管腔アクセスデバイス。 - 請求項2の管腔アクセスデバイスであって、
前記PADは、前記第一の管腔グラフトを介して前記外部医療機器に流体連通される静脈血管に縫合を介して取り付けられる前記第一の管腔グラフトに連結されるように構成されており、
前記PADは、前記第二の管腔グラフトを介して前記外部医療機器に流体連通される動脈血管に前記第二のチャネル血管アクセスを形成するために縫合を介して取り付けられる前記第二の管腔グラフトに連結されるようにさらに構成されている、
管腔アクセスデバイス。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201462002322P | 2014-05-23 | 2014-05-23 | |
US62/002,322 | 2014-05-23 | ||
PCT/US2015/032434 WO2015179862A1 (en) | 2014-05-23 | 2015-05-26 | Vacuum assisted percutaneous appliance |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2020140666A Division JP2020195790A (ja) | 2014-05-23 | 2020-08-24 | 真空補助の経皮的器具 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2017516621A JP2017516621A (ja) | 2017-06-22 |
JP6800146B2 true JP6800146B2 (ja) | 2020-12-16 |
Family
ID=54554892
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2017514398A Active JP6800146B2 (ja) | 2014-05-23 | 2015-05-26 | 真空補助の経皮的器具 |
JP2020140666A Pending JP2020195790A (ja) | 2014-05-23 | 2020-08-24 | 真空補助の経皮的器具 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
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JP2020140666A Pending JP2020195790A (ja) | 2014-05-23 | 2020-08-24 | 真空補助の経皮的器具 |
Country Status (4)
Country | Link |
---|---|
US (1) | US10625066B2 (ja) |
EP (1) | EP3169394A4 (ja) |
JP (2) | JP6800146B2 (ja) |
WO (1) | WO2015179862A1 (ja) |
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US11464960B2 (en) | 2013-01-23 | 2022-10-11 | C. R. Bard, Inc. | Low-profile single and dual vascular access device |
US11420033B2 (en) | 2013-01-23 | 2022-08-23 | C. R. Bard, Inc. | Low-profile single and dual vascular access device |
EP2948121B1 (en) | 2013-01-23 | 2017-11-29 | C.R. Bard Inc. | Low-profile access port |
US10413441B2 (en) * | 2015-11-18 | 2019-09-17 | Incontinent Control Devices, Inc. | Colostomy balloon plug |
USD870264S1 (en) | 2017-09-06 | 2019-12-17 | C. R. Bard, Inc. | Implantable apheresis port |
US10888643B2 (en) * | 2017-10-07 | 2021-01-12 | Thomas Zink | Negative pressure interbody device, system, and method |
CA3082568A1 (en) * | 2017-11-15 | 2019-05-23 | Alcyone Lifesciences, Inc. | Therapy specific, pre-programmed auto injection device |
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-
2015
- 2015-05-26 US US15/312,791 patent/US10625066B2/en active Active
- 2015-05-26 JP JP2017514398A patent/JP6800146B2/ja active Active
- 2015-05-26 WO PCT/US2015/032434 patent/WO2015179862A1/en active Application Filing
- 2015-05-26 EP EP15795827.3A patent/EP3169394A4/en active Pending
-
2020
- 2020-08-24 JP JP2020140666A patent/JP2020195790A/ja active Pending
Also Published As
Publication number | Publication date |
---|---|
US20170189663A1 (en) | 2017-07-06 |
JP2017516621A (ja) | 2017-06-22 |
JP2020195790A (ja) | 2020-12-10 |
US10625066B2 (en) | 2020-04-21 |
WO2015179862A1 (en) | 2015-11-26 |
EP3169394A4 (en) | 2018-04-25 |
EP3169394A1 (en) | 2017-05-24 |
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