JP6821779B2 - 経肛門的洗腸療法装置 - Google Patents
経肛門的洗腸療法装置 Download PDFInfo
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Description
本出願は、2016年7月8日に出願された米国特許出願第62/360,014号明細書、及び2017年2月17日に出願された米国特許出願第62/460,502号明細書の利益及び優先権を主張し、それらの開示内容は参照により本明細書に援用される。
直腸カテーテルは、直腸内に、臨床医トレーニングによりその正しい位置まで安全に挿入される。この場合、図10に示すように、無線コントローラの保持バルーン膨張ステージボタンのみが、円とともに点灯する。ユーザが、保持バルーンをコントローラインタフェースに示されるサイズまで膨張させたい場合、ステージアイコンボタンを押下することにより、図9の電磁弁114及び116が励磁される。緑色の円が選択されたバルーンサイズ(1から5、左から右)まで徐々に点灯して、ユーザに対して、ステージが進行中であるというフィードバックを提供する。ユーザは、自身のTAI処置中の任意の時点で保持バルーンの膨張を一時停止させたい場合、単に、保持バルーン膨張ステージアイコンボタンを押下する。保持バルーンが選択されたサイズまで膨張した後、コントローラは、自動的に次のステージ(洗浄液を注入する)に進む。
ユーザに対する次のステップは、水タンクから直腸内に洗浄液を注入することである。この場合、図12に示すように、水注入ステージアイコンボタン、+ボタン及び−ボタン並びに7セグメントディスプレイのみが点灯する。7セグメントディスプレイは、挿入すべき洗浄液の容量を示し、容量は、+ボタン及び−ボタンを用いて、100mL増分で調整することができる。ここで、+ボタン及び−ボタンは、洗浄液注入ステージボタン及び7セグメントディスプレイと同じ色を有することが観察されよう。
適切な量の水が直腸内に挿入された後、ユーザは、自身の直腸から直腸カテーテルを取り除くことを望む。図14に示すように、保持バルーン収縮ステージアイコンボタンのみが、バルーンサイズに対応する数の円とともに点灯する。この場合、+ボタン又は−ボタンをユーザが選択することはできない。ユーザは、単に、ステージボタンを押下して、TAI処置のこのステージを起動する。
ユーザがTAI処置を受けている間に電源故障がある場合、ポンプと電磁弁の全てとが消磁される。これは、直腸カテーテルを患者の直腸から安全に取り除くことができるように、保持バルーンが即座に収縮することを確実にするためである。図15は、管経路順序が8−6−11−3−4−9−1であることを示す。
トラフの底壁242は、床の下方の導管と連通するアパーチャ244を有する。導管は、内部を通して流体経路を有し、後にさらに説明するように、タンク逆止弁218も受け入れる。
Claims (23)
- ポンプと、ハウジングとを有するポンプベースユニットと、
前記ポンプベースユニットに取外し可能に取り付けられると共にその中にアパーチャを有し、前記ポンプと流体連通する洗浄流体タンクと、
内部を通る主通路を有する直腸カテーテルと、
前記直腸カテーテルに取り付けられた少なくとも1つの第1液圧式操作装置と、
少なくとも2つの内腔、すなわち、前記ポンプと前記カテーテルの前記主通路との間の流体連通を提供する第1内腔、及び、前記ポンプと前記第1液圧装置との間の流体連通を提供する第2内腔を有する流体管と、
前記タンクから前記第1液圧式操作装置まで、及び、前記第1液圧式操作装置から前記タンクまで、交互に選択的に流れを向けるように配置された複数の弁を含む液圧制御回路と
を備え、
前記第1液圧式操作装置は、前記主通路を選択的に開閉する前記直腸カテーテルに関連付けられた排泄物制御弁である、経肛門的洗腸療法装置。 - 第2液圧式操作装置をさらに備え、前記流体管は、前記ポンプと前記第2液圧式操作装置との間の流体連通を提供する第3内腔を有し、
前記液圧制御回路は、前記タンクから前記第2液圧式操作装置まで、及び、前記第2液圧式操作装置から前記タンクまで、交互に選択的に流れを向けるように配置された弁を含む、請求項1に記載の経肛門的洗腸療法装置。 - 前記ポンプからの流れは一方向のみに移動し、
前記液圧制御回路の前記弁は、前記ポンプが、前記液圧式操作装置へ向けて、及び前記液圧式操作装置から、流体を圧送することができるように配置され得る、請求項1に記載の経肛門的洗腸療法装置。 - 前記ポンプは、流体を直接圧送する、請求項3に記載の経肛門的洗腸療法装置。
- 前記洗浄流体タンクは漏斗を有する、請求項1に記載の経肛門的洗腸療法装置。
- 前記漏斗は、該漏斗に接続可能な充填チューブを有し、
前記漏斗は、前記タンクに取外し可能に取り付けられる、請求項5に記載の経肛門的洗腸療法装置。 - 前記漏斗は、前記タンクを充填するための拡大容器を提供するように拡張可能である、請求項6に記載の経肛門的洗腸療法装置。
- 前記ポンプ及び液圧制御回路の動作を管理する、前記ポンプ及び液圧制御回路に動作可能に接続可能な無線コントローラをさらに備える、請求項5に記載の経肛門的洗腸療法装置。
- 前記タンクは、前記タンクの上端にカラーを含み、
前記無線コントローラは、収納のために前記カラー内に嵌まると共に、使用のために前記カラーから取外し可能である、請求項8に記載の経肛門的洗腸療法装置。 - 前記ハウジング内に形成された導管であって、外面と内部を通る内部流体経路とを有する導管と、
前記導管の前記経路と流体連通する、前記ポンプベースユニットに取り付けられたタンクと、
前記導管に該導管の外面と接触して取り付けられた温度センサと
を備える、請求項1に記載の経肛門的洗腸療法装置。 - 前記タンクは、その内部にアパーチャと、前記タンクが前記ポンプベースユニットから取り外されたときは前記アパーチャを閉鎖し、前記タンクが前記ポンプベースユニットに取り付けられると前記アパーチャを開放するように取り付けられた、逆止弁とをさらに備える、請求項10に記載の経肛門的洗腸療法装置。
- 前記導管は、前記タンクが前記ポンプベースユニットに取り付けられると前記逆止弁を開放するように前記逆止弁と係合可能であるボスを含む、請求項11に記載の経肛門的洗腸療法装置。
- 前記温度センサは、前記ボスに取り付けられている、請求項12に記載の経肛門的洗腸療法装置。
- 前記ボスは、少なくとも1つの薄壁部分を有し、
前記温度センサは、前記薄壁部分と接触して取り付けられている、請求項13に記載の経肛門的洗腸療法装置。 - 前記薄壁部分は薄壁コーナを含む、請求項14に記載の経肛門的洗腸療法装置。
- 前記薄壁部分は、ABSプラスチック製であり、0.5ミリメートルの厚さを有する、請求項14に記載の経肛門的洗腸療法装置。
- 前記ハウジングに形成された導管であって、外面と内部を通る内部流体経路とを有する導管と、
前記タンクに取り付けられ、前記タンクが前記ポンプベースユニットに取り付けられたときの開放位置と、前記タンクが前記ポンプベースユニットから取り外されたときの閉鎖位置との間で移動可能である逆止弁であって、該逆止弁は、前記閉鎖位置では前記アパーチャを閉鎖し、前記開放位置では前記アパーチャを開放し、該逆止弁は、前記開放位置では、前記アパーチャを前記導管の前記経路と流体連通させる、逆止弁と、
前記逆止弁を前記開放位置に作動させる前記導管内のボスと、
前記導管に該導管の外面と接触して取り付けられた温度センサと
を備える、請求項1に記載の経肛門的洗腸療法装置。 - 前記温度センサは、前記ボスに取り付けられている、請求項17に記載の経肛門的洗腸療法装置。
- 前記ボスは、少なくとも1つの薄壁部分を有し、
前記温度センサは、前記薄壁部分と接触して取り付けられている、請求項18に記載の経肛門的洗腸療法装置。 - 前記薄壁部分は薄壁コーナを含む、請求項19に記載の経肛門的洗腸療法装置。
- 前記薄壁部分は、ABSプラスチック製であり、0.5ミリメートルの厚さを有する、請求項19に記載の経肛門的洗腸療法装置。
- 前記導管は、リングをさらに備え、
前記逆止弁は、前記タンクが前記ポンプベースユニットに取り付けられると前記リングの内側に嵌まるブッシングを備える、請求項18に記載の経肛門的洗腸療法装置。 - 前記リングにディスクが取り付けられ、
前記ボスは、前記ディスクに取り付けられている、請求項22に記載の経肛門的洗腸療法装置。
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ES (1) | ES2808105T3 (ja) |
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2017
- 2017-07-07 DK DK19193643.4T patent/DK3593831T3/da active
- 2017-07-07 LT LTEP19193643.4T patent/LT3593831T/lt unknown
- 2017-07-07 LT LTEP17740872.1T patent/LT3481460T/lt unknown
- 2017-07-07 HU HUE17740872A patent/HUE050845T2/hu unknown
- 2017-07-07 EP EP17740872.1A patent/EP3481460B1/en active Active
- 2017-07-07 CA CA3030143A patent/CA3030143C/en active Active
- 2017-07-07 US US16/315,730 patent/US11383021B2/en active Active
- 2017-07-07 DK DK17740872.1T patent/DK3481460T3/da active
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- 2017-07-07 AU AU2017292874A patent/AU2017292874B2/en active Active
- 2017-07-07 JP JP2019500366A patent/JP6821779B2/ja active Active
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EP3481460A1 (en) | 2019-05-15 |
EP3481460B1 (en) | 2020-05-13 |
HUE050845T2 (hu) | 2021-01-28 |
DK3481460T3 (da) | 2020-06-22 |
JP2019520169A (ja) | 2019-07-18 |
EP3593831A1 (en) | 2020-01-15 |
ES2808105T3 (es) | 2021-02-25 |
WO2018009871A1 (en) | 2018-01-11 |
US20190224402A1 (en) | 2019-07-25 |
CA3030143C (en) | 2023-02-28 |
LT3593831T (lt) | 2023-09-25 |
DK3593831T3 (da) | 2023-10-16 |
AU2017292874B2 (en) | 2021-02-04 |
CA3030143A1 (en) | 2018-01-11 |
LT3481460T (lt) | 2020-07-27 |
EP3593831B1 (en) | 2023-09-06 |
US11383021B2 (en) | 2022-07-12 |
AU2017292874A1 (en) | 2019-01-24 |
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