JPWO2020169573A5 - - Google Patents

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JPWO2020169573A5
JPWO2020169573A5 JP2021571491A JP2021571491A JPWO2020169573A5 JP WO2020169573 A5 JPWO2020169573 A5 JP WO2020169573A5 JP 2021571491 A JP2021571491 A JP 2021571491A JP 2021571491 A JP2021571491 A JP 2021571491A JP WO2020169573 A5 JPWO2020169573 A5 JP WO2020169573A5
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compression
vascular
compression device
knob
support
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JP7367070B2 (en
JP2022526039A (en
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Priority claimed from PCT/EP2020/054189 external-priority patent/WO2020169573A1/en
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要素のリスト:
1-血管圧迫装置
2-中空本体/管
20-支持体
200-支持体の支持脚
21-雄ねじ付き要素
22-中空本体の側壁
23-管状の空間
24-圧迫領域(即ち、長手方向基部の外面)
25-位置決め印
26-長手方向基部
27-案内スロット
270-阻止突起
3-圧迫制御機構
30-締付具
300-ハウジング
301-つまみ支持要素
302-案内要素
303-スタッド
304-ストラップ案内部
305-ストラップ案内部の長手方向リブ
31-つまみ
310-歯
311-ポインタ
312-雌ねじ
32-リングばね
320-突起部
321-阻止舌片
33-滑り止めインセット
4-ストラップ
40-ストラップの自由端における係止用ステッカー
41-幅の狭いストラップ部分
42-幅の広いストラップ部分
43-連結ストラップ部分
44-案内縁部
45-主圧迫インセット
5-ストラップを中空本体に固定するための接着剤
以下に、出願当初の特許請求の範囲に記載の事項を、そのまま、付記しておく。
[1] 肢用の血管圧迫装置であって、
略管状の空間(23)を画定し且つ前記略管状の空間(23)によってアクセス可能である長手方向基部(26)と実質的に環状の内表面とを有する中空本体(2)と、
前記長手方向基部(26)の外表面に位置する圧迫領域(24)と、
前記血管圧迫装置によって加えられる圧迫を調整するための圧迫制御機構(3)と、ここで、前記圧迫制御機構は、前記圧迫領域(24)及び前記長手方向基部(26)に対して遠位且つ反対側の前記中空本体(2)上に位置しており、
前記血管圧迫装置を前記肢に固定し、その上に圧迫を行うためのストラップ(4)と、ここで、前記ストラップは、前記長手方向基部(26)において前記中空本体(2)に取り付けられており、前記略管状の空間(23)を遮ることなく、前記圧迫制御機構(3)を取り外し可能に取り付け可能であり且つ前記圧迫制御機構(3)によって調節可能であり、
前記血管圧迫装置を安定させるための支持体(20)と、ここで、前記支持体は、前記長手方向基部(26)に隣接して位置し、前記長手方向基部(26)と平行な長手方向に延在するものであり、
を備える血管圧迫装置。
[2] 前記長手方向基部(26)は、前記中空本体(2)の前記実質的に環状の内表面を部分的に形成する平坦な表面である、[1]に記載の血管圧迫装置。
[3] 前記圧迫制御機構(3)は、ねじ及びナット機構である、[1]又は[2]に記載の血管圧迫装置。
[4] 前記ねじ及びナット機構は、
-前記圧迫領域(24)に垂直な回転軸を有する、ねじの形態の雄ねじ付き要素(21)と、ここで、前記雄ねじ付き要素には、前記雄ねじ付き要素(21)の前記回転軸に平行な複数のねじ切り案内スロット(27)が設けられており、
-前記雄ねじ付き要素(21)上に係合するように嵌合される、ナット状の形態のつまみ(31)と、
-前記つまみ(31)上に配置された締付具(30)と、ここで、前記締付具(30)は、ハウジング(300)と、前記ハウジング(300)から前記圧迫領域(24)の方向へ且つ前記圧迫領域(24)に垂直に突出するつまみ支持要素(301)及び案内要素(302)とを備え、ここで、前記つまみ支持要素(301)及び前記案内要素(302)は、前記雄ねじ付き要素(21)の前記案内スロット(27)によって受容されるものであり、
を備える、[3]に記載の血管圧迫装置。
[5] 前記雄ねじ付き要素(21)には、前記雄ねじ付き要素(21)上に対称的に配置された4つの前記案内スロット(27)が設けられており、前記締付具(30)には、前記つまみ支持要素(301)及び案内要素(302)の2つの対応する対が設けられており、前記つまみ支持要素(301)及び前記案内要素(302)の各対は、互いに対向して配置された1対の案内スロット(27)によって受容される、[4]に記載の血管圧迫装置。
[6] 前記支持体(20)は、波型断面の湾曲したフィンの形態であり、その自由端において脚(200)が設けられており、前記支持体(20)の前記脚(200)のみが、前記圧迫領域(24)と同一平面上にある、[1]~[5]のいずれか一項に記載の血管圧迫装置。
[7] 前記圧迫制御機構(3)は、調節時に可聴クリックを発するように構成されている、[1]~[6]のいずれか一項に記載の血管圧迫装置。
[8] クリック音生成手段が、
-締付具(30)のハウジング(300)内に固定され、且つつまみ(31)に向かって延在する少なくとも1つの突起部(320)を有するリングばね(32)と、
-前記締付具(30)の近接において前記つまみ(31)の周縁部に沿って等間隔に配置された歯(310)と、を備え
前記つまみ(31)の回転時に、前記突起部(320)は、前記歯(310)のうちの1つと係合し、それによって、クリック音を生成するものである、[1]~[7]のいずれか一項に記載の血管圧迫装置。
[9] 前記ストラップ(4)は、接着剤(5)によって前記圧迫領域(24)において前記中空本体(2)に取り付けられており、この取り付けは、前記圧迫領域(24)全体にわたって形成されている、[1]~[8]のいずれか一項に記載の血管圧迫装置。
[10] 前記圧迫領域(24)及び前記支持体(20)の脚(200)には、弾性インセットが設けられている、[1]~[9]のいずれか一項に記載の血管圧迫装置。
[11] 前記血管圧迫装置の構成要素の全てが、透明プラスチック材料から作製されている、[1]~[10]のいずれか一項に記載の装置。
[12] 出血血管の近接において他の血管を通る血流を維持しながら、患者の肢における前記血管の局所止血を達成する方法であって、
-前記中空本体(2)の前記圧迫領域(24)を出血血管部位に対して手動で押し付けることによって、[1]~[11]のいずれか一項に記載の医療装置(1)を、前記出血血管部位において適用するステップと、
-前記ストラップ(4)を前記患者の肢の周り及び前記圧迫制御機構(3)上に適用することによって、前記医療装置を前記患者の肢に固定し、従って、前記患者の肢への前記医療装置の圧迫を行うステップと、
-前記圧迫制御機構(3)によって、前記ストラップ(4)の張力を変更することによって、前記患者の肢への前記医療装置の圧迫を調節するステップと、
を備える方法。
[13] 前記ストラップ(4)の張力は、前記圧迫制御機構(3)のつまみ(31)が回転されて、前記圧迫領域(24)から離れるか又は前記圧迫領域(24)に向かうように移動するときに変更される、[12]に記載の方法。
[14] 前記患者の肢への前記医療装置の圧迫は、前記つまみ(31)が前記圧迫領域(24)から離れるように移動するにつれて増大し、前記ストラップ(4)の張力は増大する、[13]に記載の方法。
[15] 前記患者の肢への前記医療装置の圧迫は、前記つまみ(31)が前記圧迫領域(24)に向かうように移動するにつれて低減し、前記ストラップ(4)の張力は低減する、[13]に記載の方法。
[16] 前記血管は、カテーテル又はカニューレが除去される橈骨動脈である、[12]~[15]のいずれか一項に記載の方法。
[17] 前記血管は、カテーテル又はカニューレが除去される尺骨動脈である、[12]~[15]のいずれか一項に記載の方法。
List of elements:
1 - Vascular Compression Device 2 - Hollow Body/Tube 20 - Support 200 - Support Legs of Support 21 - Externally Threaded Element 22 - Side Wall of Hollow Body 23 - Tubular Space 24 - Compression Region (i.e. Outer Surface of Longitudinal Base) )
25 - positioning mark 26 - longitudinal base 27 - guide slot 270 - blocking projection 3 - compression control mechanism 30 - clamp 300 - housing 301 - knob support element 302 - guide element 303 - stud 304 - strap guide 305 - strap Longitudinal rib of guide 31 - knob 310 - tooth 311 - pointer 312 - internal thread 32 - ring spring 320 - protrusion 321 - blocking tongue 33 - anti-slip inset 4 - strap 40 - for locking at the free end of the strap Sticker 41 - narrow strap portion 42 - wide strap portion 43 - connecting strap portion 44 - guiding edge 45 - main compression inset 5 - adhesive for fixing the strap to the hollow body.
Below, the matters described in the claims as originally filed are added as they are.
[1] A blood vessel compression device for a limb, comprising:
a hollow body (2) having a longitudinal base (26) defining a generally tubular space (23) and accessible by said generally tubular space (23) and a substantially annular inner surface;
a compression region (24) located on the outer surface of said longitudinal base (26);
a compression control mechanism (3) for adjusting the compression applied by said vascular compression device, wherein said compression control mechanism is distal and relative to said compression region (24) and said longitudinal base (26); located on said hollow body (2) on the opposite side,
a strap (4) for securing said vascular compression device to said limb and providing compression thereon, wherein said strap is attached to said hollow body (2) at said longitudinal base (26); removably attachable to and adjustable by said compression control mechanism (3) without obstructing said generally tubular space (23);
a support (20) for stabilizing said vascular compression device, wherein said support is located adjacent said longitudinal base (26) and longitudinally parallel to said longitudinal base (26); extends to
A vascular compression device comprising:
[2] Vascular compression device according to [1], wherein the longitudinal base (26) is a flat surface that partially forms the substantially annular inner surface of the hollow body (2).
[3] The vascular compression device according to [1] or [2], wherein the compression control mechanism (3) is a screw and nut mechanism.
[4] The screw and nut mechanism is
- an externally threaded element (21) in the form of a thread having an axis of rotation perpendicular to said compression area (24), wherein said externally threaded element is parallel to said axis of rotation of said externally threaded element (21); a plurality of threaded guide slots (27) are provided,
- a knob (31) in the form of a nut which is fitted to engage on said externally threaded element (21);
- a clamp (30) positioned on said knob (31), wherein said clamp (30) is connected to a housing (300) and from said housing (300) to said compression area (24); a thumb support element (301) and a guide element (302) protruding toward the direction of and perpendicular to said compression area (24), wherein said thumb support element (301) and said guide element (302) project to said received by said guide slot (27) of the externally threaded element (21),
The blood vessel compression device according to [3], comprising:
[5] Said externally threaded element (21) is provided with four said guide slots (27) symmetrically arranged on said externally threaded element (21), said fastener (30) is provided with two corresponding pairs of said knob support element (301) and said guide element (302), each pair of said knob support element (301) and said guide element (302) facing each other A vascular compression device according to [4], received by a pair of arranged guide slots (27).
[6] Said support (20) is in the form of a curved fin of corrugated cross-section, provided at its free end with a leg (200), only said leg (200) of said support (20) is coplanar with said compression region (24).
[7] A vascular compression device according to any one of [1] to [6], wherein the compression control mechanism (3) is configured to emit an audible click when adjusted.
[8] The click sound generating means
- a ring spring (32) fixed in the housing (300) of the clamp (30) and having at least one projection (320) extending towards the knob (31);
- teeth (310) equally spaced along the periphery of said knob (31) in the vicinity of said fastener (30);
Upon rotation of said knob (31), said projection (320) engages one of said teeth (310), thereby producing a clicking sound [1]-[7]. A vascular compression device according to any one of the preceding claims.
[9] The strap (4) is attached to the hollow body (2) at the compression area (24) by means of an adhesive (5), the attachment being formed over the entire compression area (24). The blood vessel compression device according to any one of [1] to [8].
[10] Vascular compression according to any one of [1] to [9], wherein the compression region (24) and the legs (200) of the support (20) are provided with elastic insets. Device.
[11] The device according to any one of [1] to [10], wherein all the constituent elements of the vascular compression device are made of a transparent plastic material.
[12] A method of achieving local hemostasis of a bleeding vessel in a patient's limb while maintaining blood flow through other vessels in the vicinity of said vessel, comprising:
- the medical device (1) according to any one of [1] to [11] by manually pressing the compression region (24) of the hollow body (2) against the bleeding vessel site; applying at a bleeding vessel site;
- By applying the strap (4) around the patient's limb and over the compression control mechanism (3), the medical device is fixed to the patient's limb and thus the medical treatment to the patient's limb. compressing the device;
- adjusting the compression of the medical device on the patient's limb by varying the tension of the strap (4) by means of the compression control mechanism (3);
How to prepare.
[13] The tension in the strap (4) is moved away from or towards the compression area (24) as the knob (31) of the compression control mechanism (3) is rotated. The method of [12], modified when
[14] The compression of the medical device on the patient's limb increases as the tab (31) moves away from the compression area (24) and the tension in the strap (4) increases, [ 13].
[15] The compression of the medical device on the patient's limb decreases as the tab (31) moves toward the compression area (24) and the tension in the strap (4) decreases, [ 13].
[16] The method of any one of [12]-[15], wherein the blood vessel is the radial artery from which the catheter or cannula is removed.
[17] The method of any one of [12]-[15], wherein the blood vessel is the ulnar artery from which the catheter or cannula is removed.

Claims (10)

肢用の血管圧迫装置であって、
長手方向に延びる略管状の空間(23)を画定する長手方向基部(26)、及び実質的に環状の内表面を有する中空本体(2)と、ここで、前記長手方向基部(26)は前記略管状の空間(23)によってアクセス可能であり、
前記長手方向基部(26)の外表面に位置する圧迫領域(24)と、
前記血管圧迫装置によって加えられる圧迫を調整するための圧迫制御機構(3)と、
前記血管圧迫装置を前記肢に固定し、その上に圧迫を行うためのストラップ(4)と、ここで、前記ストラップ(4)は、前記長手方向基部(26)において前記中空本体(2)に取り付けられており、前記略管状の空間(23)を遮ることなく、前記圧迫制御機構(3)に取り外し可能に取り付け可能であり、且つ前記圧迫制御機構(3)によって調節可能であり、を備える血管圧迫装置において、
前記圧迫制御機構(3)は、前記圧迫領域(24)及び前記長手方向基部(26)に対して遠位且つ反対側の前記中空本体(2)上に位置しており、
血管圧迫装置は、さらに、前記肢上に前記血管圧迫装置を安定させるための支持体(20)を備え、前記支持体は、前記長手方向基部(26)に隣接して位置し、前記長手方向基部(26)と平行な長手方向に延在する、
血管圧迫装置。
A limb vascular compression device comprising:
a longitudinal base (26) defining a longitudinally extending substantially tubular space (23) and a hollow body (2) having a substantially annular inner surface, wherein said longitudinal base (26) is said accessible by a generally tubular space (23);
a compression region (24) located on the outer surface of said longitudinal base (26);
a compression control mechanism (3) for adjusting the compression applied by said vascular compression device;
a strap (4) for securing said vascular compression device to said limb and for applying compression thereon, wherein said strap (4) attaches to said hollow body (2) at said longitudinal base (26); attached to and removably attachable to said compression control mechanism (3) without obstructing said generally tubular space (23) and adjustable by said compression control mechanism (3); In a vascular compression device,
said compression control mechanism (3) is located on said hollow body (2) distally and opposite to said compression region (24) and said longitudinal base (26);
The vascular compression device further comprises a support (20) for stabilizing said vascular compression device on said limb , said support being located adjacent said longitudinal base (26) and extending in said longitudinal direction. extending longitudinally parallel to the base (26);
Vascular compression device.
前記長手方向基部(26)は、前記中空本体(2)の前記実質的に環状の内表面を部分的に形成する平坦な表面である、請求項1に記載の血管圧迫装置。 A vessel compression device according to claim 1, wherein said longitudinal base (26) is a flat surface partially forming said substantially annular inner surface of said hollow body (2). 前記圧迫制御機構(3)は、ねじ及びナット機構である、請求項1又は2に記載の血管圧迫装置。 Vascular compression device according to claim 1 or 2, wherein the compression control mechanism (3) is a screw and nut mechanism. 前記ねじ及びナット機構は、
-前記圧迫領域(24)に垂直な回転軸を有する、ねじの形態の雄ねじ付き要素(21)と、ここで、前記雄ねじ付き要素には、前記雄ねじ付き要素(21)の前記回転軸に平行な複数のねじ切り案内スロット(27)が設けられており、
-前記雄ねじ付き要素(21)上に係合するように嵌合される、ナット状の形態のつまみ(31)と、
-前記つまみ(31)上に配置された締付具(30)と、ここで、前記締付具(30)は、ハウジング(300)と、前記ハウジング(300)から前記圧迫領域(24)の方向へ且つ前記圧迫領域(24)に垂直に突出するつまみ支持要素(301)及び案内要素(302)とを備え、ここで、前記つまみ支持要素(301)及び前記案内要素(302)は、前記雄ねじ付き要素(21)の前記案内スロット(27)によって受容されるものであり、
を備える、請求項3に記載の血管圧迫装置。
The screw and nut mechanism is
- an externally threaded element (21) in the form of a thread having an axis of rotation perpendicular to said compression area (24), wherein said externally threaded element is parallel to said axis of rotation of said externally threaded element (21); a plurality of threaded guide slots (27) are provided,
- a knob (31) in the form of a nut which is fitted to engage on said externally threaded element (21);
- a clamp (30) positioned on said knob (31), wherein said clamp (30) is connected to a housing (300) and from said housing (300) to said compression area (24); a thumb support element (301) and a guide element (302) protruding toward the direction of and perpendicular to said compression area (24), wherein said thumb support element (301) and said guide element (302) project to said received by said guide slot (27) of the externally threaded element (21),
4. The vascular compression device of claim 3, comprising:
前記雄ねじ付き要素(21)には、前記雄ねじ付き要素(21)上に対称的に配置された4つの前記案内スロット(27)が設けられており、前記締付具(30)には、前記つまみ支持要素(301)及び案内要素(302)の2つの対応する対が設けられており、前記つまみ支持要素(301)及び前記案内要素(302)の各対は、互いに対向して配置された1対の案内スロット(27)によって受容される、請求項4に記載の血管圧迫装置。 Said externally threaded element (21) is provided with four said guide slots (27) arranged symmetrically on said externally threaded element (21) and said fastener (30) is provided with said Two corresponding pairs of knob support elements (301) and guide elements (302) are provided, each pair of said knob support elements (301) and said guide elements (302) being arranged opposite each other. 5. Vascular compression device according to claim 4, received by a pair of guide slots (27). 前記支持体(20)は、波型断面の湾曲したフィンの形態であり、その自由端において脚(200)が設けられており、前記支持体(20)の前記脚(200)のみが、前記圧迫領域(24)と同一平面上にある、請求項1~5のいずれか一項に記載の血管圧迫装置。 Said support (20) is in the form of a curved fin of corrugated cross-section and is provided at its free end with a leg (200), only said leg (200) of said support (20) Vascular compression device according to any one of the preceding claims, wherein the compression region (24) is coplanar. 前記圧迫制御機構(3)は、前記圧迫制御機構(3)の調節時に可聴クリックを発するように構成されているクリック音生成手段を備え
前記クリック音生成手段が、
-締付具(30)のハウジング(300)内に固定され、且つ、つまみ(31)に向かって延在する少なくとも1つの突起部(320)を有するリングばね(32)と、
-前記締付具(30)の近接において前記つまみ(31)の周縁部に沿って等間隔に配置された歯(310)と、を備え
前記つまみ(31)の回転時に、前記突起部(320)は、前記歯(310)のうちの1つと係合し、それによって、クリック音を生成するものである、請求項1~のいずれか一項に記載の血管圧迫装置。
said compression control mechanism (3) comprises click sound generating means configured to emit an audible click upon adjustment of said compression control mechanism (3) ;
The click sound generating means is
- a ring spring (32) fixed in the housing (300) of the clamp (30) and having at least one projection (320) extending towards the knob (31);
- teeth (310) equally spaced along the periphery of said knob (31) in the vicinity of said clamp (30), said projection (320) when rotating said knob (31); ) engages one of said teeth (310), thereby producing a clicking sound.
前記ストラップ(4)は、接着剤(5)によって前記圧迫領域(24)において前記中空本体(2)に取り付けられており、この取り付けは、前記圧迫領域(24)全体にわたって形成されている、請求項1~のいずれか一項に記載の血管圧迫装置。 Said strap (4) is attached to said hollow body (2) at said compression area (24) by means of an adhesive (5), said attachment being formed over said compression area (24). Item 8. The blood vessel compression device according to any one of items 1 to 7 . 前記圧迫領域(24)及び前記支持体(20)の脚(200)には、弾性インセットが設けられている、請求項1~のいずれか一項に記載の血管圧迫装置。 Vascular compression device according to any one of the preceding claims, wherein the compression region (24) and the legs ( 200 ) of the support (20) are provided with elastic insets. 前記血管圧迫装置の構成要素の全てが、透明プラスチック材料から作製されている、請求項1~のいずれか一項に記載の装置。 A device according to any one of claims 1 to 9 , wherein all the components of said vascular compression device are made from a transparent plastic material.
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