WO2023176667A1 - 止血器具 - Google Patents

止血器具 Download PDF

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Publication number
WO2023176667A1
WO2023176667A1 PCT/JP2023/008988 JP2023008988W WO2023176667A1 WO 2023176667 A1 WO2023176667 A1 WO 2023176667A1 JP 2023008988 W JP2023008988 W JP 2023008988W WO 2023176667 A1 WO2023176667 A1 WO 2023176667A1
Authority
WO
WIPO (PCT)
Prior art keywords
support member
expansion
band
patient
expansion member
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/JP2023/008988
Other languages
English (en)
French (fr)
Japanese (ja)
Inventor
知哉 河村
竜也 大内
優奈 日▲高▼
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Terumo Corp
Original Assignee
Terumo Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Terumo Corp filed Critical Terumo Corp
Priority to CN202380023862.3A priority Critical patent/CN118765179A/zh
Priority to JP2024507824A priority patent/JPWO2023176667A1/ja
Priority to EP23770623.9A priority patent/EP4494575A4/en
Publication of WO2023176667A1 publication Critical patent/WO2023176667A1/ja
Priority to US18/883,306 priority patent/US20250000516A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/132—Tourniquets
    • A61B17/135—Tourniquets inflatable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/132—Tourniquets
    • A61B17/1322—Tourniquets comprising a flexible encircling member
    • A61B17/1325—Tourniquets comprising a flexible encircling member with means for applying local pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A61B2017/00544—Surgical instruments, devices or methods pneumatically or hydraulically operated pneumatically
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A61B2017/00557—Surgical instruments, devices or methods pneumatically or hydraulically operated inflatable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00862—Material properties elastic or resilient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00902—Material properties transparent or translucent
    • A61B2017/00907—Material properties transparent or translucent for light
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0807—Indication means

Definitions

  • the present invention relates to a hemostatic device.
  • Patent Document 1 discloses a hemostasis device that stops bleeding at a puncture site formed to allow access to blood vessels (including the distal radial artery) running through the hand.
  • the hemostasis device of Patent Document 1 includes a pressing member that applies pressure to a puncture site formed on a patient's hand (hereinafter also simply referred to as "puncture site"), and a press member for fixing the pressing member to the patient's hand. It includes a plurality of band parts and a support member that presses the pressing member against the patient's hand.
  • the plurality of band parts include a first band part placed between the fingers of the patient's fingers, a second band part and a third band part wrapped around a predetermined position on the forearm side of the patient's hand.
  • a band body part is a pressing member that applies pressure to a puncture site formed on a patient's hand (hereinafter also simply referred to as "puncture site"), and a press member for fixing the pressing member to the patient's hand. It includes a plurality of band parts and a support member that presses the pressing member against the patient's hand.
  • the plurality of band parts include a first band part placed between
  • the operator When forming a puncture site on the hand, the operator such as a doctor (hereinafter referred to as the "operator") places the puncture site in a predetermined position, avoiding the metacarpal bone of the index finger and the metacarpal bone of the thumb. may be set.
  • the operator By setting the puncture site at such a predetermined position, the operator can prevent a puncture instrument such as an indwelling needle from interfering with the metacarpal bones of each finger when forming the puncture site.
  • the operator places the pressing member and support member of the hemostasis device of Patent Document 1 so as to overlap the puncture site.
  • the support member may end up being placed on the metacarpal bone of the index finger and the metacarpal bone of the thumb.
  • the pressure member and the hand are connected to each other. A gap is created between them, and the second band part and the third band part do not fit along the outer periphery of the patient's hand.
  • the hemostasis device When the hemostasis device is attached to the patient's hand in this way, the operator can securely fix the pressing member and the support member to the patient's hand by tightly tightening the first band part to the inter-finger area. can. On the other hand, if the operator tightens the first band part too strongly on the interdigital area, the patient may feel pain. Therefore, when using the hemostasis device of Patent Document 1, if the patient is unable to tighten the first band portion strongly due to pain or the like, the support member moves from the fingertip side of the hand toward the forearm side. Therefore, the hand is placed in an inclined direction toward the body surface of the hand.
  • the inventors of the present invention considered adding innovation to the shape of the support member included in the hemostasis device.
  • the inventors configured the support member such that the width of the support member becomes shorter from the upper end portion disposed on the finger side of the support member toward the lower end portion disposed on the forearm side of the support member. It has been found that the support member can be placed along the metacarpal bone of the index finger and the metacarpal bone of the thumb. By including the support member formed in the above-described shape, the hemostasis device can stably place the support member on the hand.
  • the support member is configured such that the thickness becomes thinner from the upper end of the support member toward the lower end of the support member
  • the inventors have discovered that when the first band body portion extending from the upper end of the support member is It has been found that by tightening the support member between the fingers with an appropriate tightening force, the support member can be placed substantially parallel to the body surface of the hand.
  • the hemostatic device allows the pressing member to apply compressive force along a direction substantially perpendicular to the puncture site. Therefore, in the hemostasis device, the pressing member can effectively apply compressive force to the puncture site.
  • the inventors have further improved the shape of the support member to further reduce the burden placed on the patient while the pressing member is applying compressive force to the puncture site. It has been found that the pressing member can apply pressing force to the puncture site more effectively while reducing the pressure.
  • the present invention can reduce the burden on the patient while still maintaining the puncture site.
  • the purpose of the present invention is to provide a hemostasis device that can effectively apply compressive force.
  • a hemostasis device includes a cover member configured to cover a puncture site formed on a patient, and a pressing member connected to the cover member and configured to press the puncture site.
  • the cover member includes a main body portion in which the pressing member is located, a first band portion configured to be disposed between the patient's fingers, and extending in a first direction from the main body portion. , a second band part extending from the main body part in a second direction different from the first direction; and a second band part facing the second band part with the pressing member in between, extending from the main body part in the first direction and the second direction.
  • the support member includes an upper end portion located on the first band side and forming an end of the support member, and a lower end portion forming an end opposite to the upper end portion. a side surface connecting the upper end and the lower end; the support member has a width that decreases from the upper end to the lower end; and a thickness of the side surface that The support member is configured to become thinner from the upper end toward the lower end, and the lower end has a linear flat part in plan view, and the outer surface of the support member is on the second band portion side. and is curved toward the third band portion side.
  • the above hemostatic device has a support member made of a harder material than the pressing member.
  • the support member is arranged to cover the puncture site together with the pressing member when stopping bleeding at a puncture site formed at a predetermined position avoiding the metacarpal bone of the index finger of the patient's hand and the metacarpal bone of the thumb of the patient's hand. be done.
  • the support member can prevent the pressing member from lifting off from the patient's hand by pressing the pressing member against the patient's hand. Further, the width of the support member decreases from the upper end toward the lower end. Therefore, when the support member is placed on the patient's hand, the support member can be placed along the metacarpal bone of the index finger and the metacarpal bone of the thumb.
  • the second band portion and the third band portion can be tightly wrapped around the outer periphery of the patient's hand.
  • the thickness of the side surface of the support member becomes thinner from the upper end toward the lower end.
  • the first band portion configured to be placed between the patient's fingers extends from the upper end side of the support member and is configured to press the upper end side of the support member against the patient's hand. be done. Therefore, the pressing member can apply an appropriate force to the upper end side of the support member when starting hemostasis with the hemostatic device attached to the patient's hand. Further, the support member causes the upper end side of the support member to rise due to the force applied from the pressing member.
  • the hemostasis device can be arranged with the inner surface of the support member substantially parallel to the body surface of the patient's hand. Therefore, the hemostasis device can direct the compressive force of the pressing member in a direction perpendicular to the puncture site by fixing each band to the patient's hand with the pressing member and support member placed at the puncture site. can. Thereby, the hemostatic device can effectively apply compressive force to the puncture site.
  • the lower end of the support member has a linear flat portion in plan view.
  • the linear flat portion located at the lower end of the support member is designed to prevent the lower end of the support member from moving when the patient performs an action such as twisting the wrist toward the back of the patient's hand while the hemostatic device is attached to the patient's hand. This prevents the body from digging into the patient's wrists, forearms, and other body surfaces. Therefore, the above-described hemostasis device can suppress the patient from feeling pain even when the patient moves his wrist or the like while the pressing member is applying compressive force to the puncture site.
  • the outer surface of the support member is curved toward the second band portion and the third band portion. Therefore, in the above-mentioned hemostasis device, when the operator wraps the second band part and the third band part connected to the main body part of the cover member along the outer periphery of the patient's hand, the second band part and the third band part connect to the main body part of the cover member. A third band portion is wrapped around the curved outer surface of the support member. Thereby, the hemostasis device can increase the fixing force of the support member and the pressing member to the patient's hand.
  • FIG. 1 It is a figure showing the hemostasis instrument concerning an embodiment, and is a top view seen from the outside surface side of each band body part. It is a figure showing the hemostasis device concerning an embodiment, and is a top view seen from the inner surface side of each band body part. It is an enlarged view showing a part of the hemostasis device as seen from the outer surface side of the main body portion of the cover member. It is an enlarged view showing a part of the hemostasis device as seen from the inner surface side of the main body portion of the cover member. It is an enlarged view showing a part of the hemostasis device as seen from the outer surface side of the main body portion of the cover member.
  • FIG. 1 It is a figure showing the hemostasis instrument concerning an embodiment, and is a top view seen from the outside surface side of each band body part. It is a figure showing the hemostasis device concerning an embodiment, and is a top view seen from the inner surface side of each band body part. It is an enlarged view showing
  • FIG. 6 is a partial cross-sectional view of the hemostasis device along arrow 6A-6A shown in FIG. 5, showing the state when the expansion portion is expanded.
  • FIG. 6 is a partial cross-sectional view of the hemostasis device along arrow 7A-7A shown in FIG. 5, showing the state when the expansion portion is expanded.
  • It is a top view of a support member.
  • FIG. 3 is a perspective view of the support member viewed from the upper end side.
  • FIG. 3 is a perspective view of the support member viewed from the lower end side.
  • 9 is a side view of the support member viewed from the direction of arrow 11A shown in FIG. 8.
  • FIG. 9 is a front view of the support member viewed from the direction of arrow 12A shown in FIG. 8.
  • FIG. 9 is a rear view of the support member viewed from the direction of arrow 13A shown in FIG. 8.
  • FIG. It is a perspective view of a support member. It is a perspective view of a support member.
  • FIG. 2 is a diagram showing a patient's hand (right hand) on which a hemostasis device is used. It is a figure which simply shows the example of use of a hemostatic device. It is a figure which simply shows the example of use of a hemostatic device. It is a figure which simply shows the example of use of a hemostatic device. It is a figure which simply shows the example of use of a hemostatic device.
  • 20A is a partial cross-sectional view taken along arrow 20A-20A shown in FIG. 19.
  • FIG. 21A is a partial cross-sectional view taken along arrow 21A-21A shown in FIG. 19.
  • FIG. 3 is a diagram showing a patient's right hand wearing a hemostasis device. It is a partial sectional view showing a part of a hemostatic device concerning a modification. It is a partial sectional view showing a part of a hemostatic device concerning a modification.
  • FIGS. 1 to 15 are diagrams for explaining a hemostasis device 10 according to an embodiment.
  • 16 to 22 are diagrams for explaining usage examples of the hemostasis device 10 according to the embodiment.
  • the hemostasis device 10 includes a hemostat formed on the hand H located distal to the patient's forearm Ar (on the fingertip side).
  • a hemostat formed on the hand H located distal to the patient's forearm Ar (on the fingertip side).
  • a first puncture site p1 and a second puncture site p2 are exemplified.
  • the first puncture site p1 is a palmar artery that runs on the back side of the right hand H1 located distal to the patient's forearm Ar. This is a puncture site formed in the distal radial artery (hereinafter also referred to as "blood vessel V1") located on the distal side of the snuff box Sb. Further, the first puncture site p1 is located at a predetermined position between the metacarpal bone B1 of the index finger and the metacarpal bone B2 of the thumb, and avoiding the metacarpal bone B1 of the index finger and the metacarpal bone B2 of the thumb. To position. Note that the snuff box Sb is a cavity in the hand located near the radius when the patient spreads the thumb of the hand H.
  • the second puncture site p2 is a puncture site formed in the artery V2 located in the snuff box Sb of the palmar artery running on the back side of the right hand H1.
  • the second puncture site p2 is located closer to the patient's forearm Ar side (proximally) than the first puncture site p1, and includes the extensor pollicis longus tendon T1 and the pollicis brevis located on the back of the patient's right hand H1.
  • the second puncture site p2 is located at a predetermined position avoiding the position of the metacarpal bone B1 of the index finger and the position of the metacarpal bone B2 of the thumb.
  • the hemostasis device 10 has a puncture site formed in the patient's left hand at a position corresponding to the first puncture site p1 illustrated in the patient's right hand H1, and a second puncture site formed in the patient's left hand at a position corresponding to the first puncture site p1 illustrated in the patient's right hand H1. It is also possible to apply it to hemostasis at a puncture site formed at a position corresponding to p2.
  • hemostasis device 10 will be explained in detail.
  • the hemostasis device 10 includes a cover member 100 configured to cover the first puncture site p1 and a cover member 100, as shown in FIGS. 1, 2, 19, 20, 21, and 22. and a pressing member 200 configured to press the first puncture site p1.
  • the pressing member 200 can be configured with an expandable member 210 that can be expanded by injecting fluid.
  • an example in which the pressing member 200 is configured with an expansion member 210 will be described below.
  • the expansion member 210 includes a lumen 210a into which fluid can be injected.
  • the expansion member 210 is configured to expand as fluid is injected into the lumen 210a, and contract as the fluid injected into the lumen 210a is discharged.
  • the fluid used to expand the expansion member 210 is, for example, a gas such as air. 6 and 7 show cross-sectional views of the expansion member 210 in an expanded state.
  • a tube 283 (see FIGS. 1 and 2), which will be described later, is connected to the inner cavity 210a of the expansion member 210.
  • the expansion member 210 can be composed of, for example, a membrane-like member (sheet material) connected to the sheet material 120 that constitutes the main body portion 110 of the cover member 100.
  • the expansion member 210 can be arranged to form a lumen 210a between the expansion member 210 and the lower surface area 132 of the holding portion 130 formed by the sheet material 120.
  • the outer peripheral edge of the membrane-like member constitutes an edge 211 of the expansion member 210.
  • Edges 211 of expansion member 210 can be connected to sheet material 120, such as by fusing or gluing.
  • the membrane-like member that constitutes the expansion member 210 can be made of, for example, a resin material having a predetermined thickness.
  • the material of the membrane member constituting the expansion member 210 is not particularly limited, and examples thereof include polyvinyl chloride, polyethylene, polypropylene, polybutadiene, polyolefin such as ethylene-vinyl acetate copolymer (EVA), and polyethylene terephthalate (PET). ), polyesters such as polybutylene terephthalate (PBT), various thermoplastic elastomers such as polyvinylidene chloride, silicone, polyurethane, polyamide elastomer, polyurethane elastomer, polyester elastomer, nylon, nylon elastomer, or any combination of these (blends) (resin, polymer alloy, laminate, etc.) can be used.
  • PBT polybutylene terephthalate
  • various thermoplastic elastomers such as polyvinylidene chloride, silicone, polyurethane, polyamide elastomer, polyurethane elastomer, polyester elastomer, nylon,
  • the expansion member 210 included in the hemostasis device 10 is not particularly limited.
  • the expansion member 210 may be formed, for example, by joining one sheet-like member to the edge of the other sheet-like member, with the inner cavity 210a formed between the two sheet-like members. good. In such a case, the expansion member 210 connects the surface of one sheet-like member to the sheet material 120 that constitutes the main body portion 110 of the cover member 100.
  • the expansion member 210 can also be constituted by, for example, a single bag-shaped member shaped to have a lumen 210a inside. In such a case, the expansion member 210 connects a portion of the surface of the bag-like member to the sheet material 120 that constitutes the main body portion 110 of the cover member 100.
  • the expansion member 210 is arranged on the inner surface 110a side of the main body portion 110 of the cover member 100, as shown in FIGS. 6 and 7.
  • the inner surface 110a of the main body part 110 is configured with a surface that is placed on the body surface side of the hand H in the lower surface area 132 of the holding part 130 when the hemostatic device 10 is attached to the patient's hand H. (See Figures 21 and 22).
  • the outer surface 110b of the main body section 110 is formed of the surface of the upper surface region 131 of the holding section 130 that faces the outside.
  • FIG. 8 shows the positional relationship between the expansion member 210 and the support member 300 in a contracted state on a plan view. Expansion member 210 is indicated by a two-dot chain line.
  • the expansion member 210 In the contracted state of the expansion member 210, the expansion member 210 has a vertical width wa passing through the center c1 of the expansion member 210, and a horizontal width wb passing through the center c1 of the expansion member 210 while being perpendicular to the vertical width wa.
  • the vertical width wa and the horizontal width wb mentioned above are dimensions that do not include the edge 211 located on the outer periphery of the expansion member 210, and are the vertical width wa and the horizontal width in the external shape of the expansion member 210 shown in the plan view shown in FIG. It means wb.
  • the center c1 of the expansion member 210 is located at the center of the outer shape shown in plan view in FIG.
  • the center c1 is located at the intersection of the center position of the axis (long axis) along the vertical width wa and the center position of the axis (short axis) along the horizontal width wb.
  • the center position of the axis (long axis) along the vertical width wa is a line segment passing through a point on the axis along the vertical width wa that is equal in distance from both ends of the axis along the vertical width wa. be.
  • center position of the axis (minor axis) along the width wb is a line segment passing through a point on the axis along the width wb that is equal in distance from both ends of the axis along the width wb.
  • the expansion member 210 has a horizontal width wb shorter than a vertical width wa.
  • the expansion member 210 has a substantially elliptical shape that is rotationally symmetrical with respect to the center c1 in a plan view shown in FIG.
  • the expansion member 210 may be configured to have a planar shape such as a circle, an ellipse, or a rectangle, for example. Even when the expansion member 210 is configured to have a planar shape such as a circle, an ellipse, or a rectangle, the center of the expansion member 210 can be defined by the center position of the outer shape in plan view.
  • the expansion member 210 has a marker portion 260 for aligning the expansion member 210 with the first puncture site p1, as shown in FIGS. 19, 20, and 21.
  • the marker section 260 can be composed of a transparent center section surrounding the center c1 and a colored circular frame section surrounding the center section.
  • the marker portion 260 is arranged on the outer surface of the expansion member 210, as shown in FIGS. 6 and 7. Note that the marker portion 260 may be arranged on the inner surface of the expansion member 210 facing the inner cavity 210a.
  • the marker section 260 may be configured with, for example, a circular marker entirely colored, a marker composed of a transparent center and a rectangular frame, a rectangular marker entirely colored, or the like. can.
  • FIG. 5 A first band portion 410 extending in the direction, a second band portion 420 extending from the main body 110 in a second direction different from the first direction, and a second band portion 420 with the expansion member 210 in between.
  • a third band portion 430 is provided which faces each other and extends from the main body portion 110 in a third direction different from the first direction and the second direction.
  • a region of the cover member 100 where the expansion member 210 is arranged constitutes the main body portion 110.
  • the main body portion 110 includes a support member 300 made of a harder material than the expansion member 210, as shown in FIGS. 5, 6, and 7.
  • the support member 300 is arranged so as to overlap the expansion member 210 in a plan view shown in FIG. 5 . Details of the support member 300 will be described later.
  • the main body section 110 includes a holding section 130 that holds the support member 300, as shown in FIGS. 6 and 7.
  • the holding part 130 can be made of a part of the sheet material 120 that makes up the cover member 100.
  • a part of the sheet material 120 is placed on the proximal end side (the side disposed on the forearm part Ar) so that a space g is formed at a position overlapping with the main body part 110 in a plan view shown in FIG. It is folded back from the tip to the tip side (the side that will be placed on the fingertip).
  • An end portion 121 located on the tip side of the folded portion of the sheet material 120 is connected to the main body portion 110.
  • the holding portion 130 is located at an upper surface region 131, a lower surface region 132 that faces the upper surface region 131 with a space g therebetween, and a base end portion 122 of the main body portion 110.
  • a curved region 133 As shown in FIGS. 6 and 7, the holding portion 130 is located at an upper surface region 131, a lower surface region 132 that faces the upper surface region 131 with a space g therebetween, and a base end portion 122 of the main body portion 110.
  • a curved region 133 is located at an upper surface region 131, a lower surface region 132 that faces the upper surface region 131 with a space g therebetween, and a base end portion 122 of the main body portion 110.
  • the space g is closed between the end portion 121 and the base end portion 122 in the longitudinal width wa direction (see the cross section shown in FIG. 6). Further, in the width wb direction, the second band portion 420 side and the third band portion 430 side of the space g communicate with the outside (see the cross section shown in FIG. 7).
  • each of the band parts 410, 420, and 430 can be connected to any position in the area surrounding the holding part 130 in the main body part 110. Further, each of the band members 410, 420, and 430 can be connected to a surface disposed on the body surface side of the right hand H1 in the above region. Each of the band portions 410, 420, and 430 can be connected to the main body portion 110 by, for example, fusing or adhesion. In addition, each band body part 410, 420, 430 may be comprised integrally with the main body part 110.
  • the first band portion 410 has one end 411 connected to the main body 110 of the cover member 100, the other end 412 located on the opposite side to the one end 411, and one end 412 connected to the main body 110 of the cover member 100. It has a main body part 413 extending between the part 411 and the other end part 412.
  • the first band body part 410 is attached to the interfinger area fb located between the thumb and index finger of the patient's right hand H1 with the expansion member 210 disposed at the first puncture site p1. It can be placed so that it can be hung.
  • the second band portion 420 has one end portion 421 connected to the main body portion 110 of the cover member 100, the other end portion 422 located on the opposite side to the one end portion 421, and one end portion 422 connected to the main body portion 110 of the cover member 100. It has a main body part 423 extending between the part 421 and the other end part 422.
  • the second direction in which the second band portion 420 extends is not particularly limited as long as it is different from the first direction in which the first band portion 410 extends.
  • the third band portion 430 has one end 431 connected to the main body 110 of the cover member 100, the other end 432 located on the opposite side to the one end 431, and one end.
  • the main body portion 433 extends between the portion 431 and the other end portion 432.
  • the third direction in which the third band portion 430 extends is different from the first direction in which the first band portion 410 extends and the second direction in which the second band portion 420 extends. Not limited.
  • the second band portion 420 and the third band portion 430 are arranged so as to be wrapped around the outer periphery of the patient's right hand H1 when the hemostasis device 10 is attached to the patient's right hand H1. be able to.
  • the second band portion 420 and the third band portion 430 are located at opposite positions with the expansion member 210 interposed therebetween. Therefore, when wrapping the second band part 420 and the third band part 430 around the right hand H1, a tensile force is applied to the second band part 420 and the third band part 430 in the direction of separating them from each other, and the main body A tensile force in the same direction is applied to the portion 110 as well.
  • each band body part 410, 420, 430 is not particularly limited, but may be composed of, for example, vinyl chloride resin, polyurethane resin, polyester resin, etc. Further, there are no particular limitations on the shape, length, thickness, etc. of each band body portion 410, 420, 430.
  • Each band body part 410, 420, 430 has four fixing parts: a first fixing part 510, a second fixing part 520, a third fixing part 530, and a fourth fixing part 540, which enable fixing the cover member 100 to the right hand H1. Fixed areas are located.
  • a first fixing portion 510 is arranged on the outer surface of the main body portion 423 of the second band portion 420.
  • a second fixing portion 520 is arranged on the outer surface of the main body portion 433 of the third band portion 430.
  • a third fixing portion 530 is arranged on the inner surface of the main body portion 423 of the second band portion 420.
  • a fourth fixing portion 540 is arranged on the inner surface of the main body portion 413 of the first band portion 410.
  • the first fixing part 510 and the second fixing part 520 are formed on the male side of the hook and loop fastener.
  • the third fixing part 530 and the fourth fixing part 540 are formed on the female side of the hook and loop fastener.
  • the hook-and-loop fastener in this specification is a fastener that can be detached from the surface, and is, for example, Magic Tape (registered trademark) or Velcro (registered trademark).
  • the second band portion 420 and the third band portion 430 have a third fixing portion 530 located on the inner surface of the main body portion 423 of the second band portion 420 and a third fixing portion 530 located on the outer surface of the main body portion 433 of the third band portion 430. It is configured to be detachable via the second fixing portion 520.
  • the first band portion 410 and the second band portion 420 also have a fourth fixing portion 540 located on the inner surface of the main body portion 413 of the first band portion 410 and an outer surface of the main body portion 423 of the second band portion 420. It is configured to be detachable via the first fixing portion 510 located at .
  • each of the fixing parts 510, 520, 530, and 540 fixes the cover member 100 to the right hand H1 by connecting the band parts 410, 420, and 430 with each other while the hemostasis device 10 is placed on the right hand H1.
  • the specific structure is not limited as long as it is possible. For example, it is possible to omit the installation of some of the fixing parts or to change the position of the fixing parts in each of the band parts 410, 420, 430, etc. as desired.
  • each of the fixing parts 510, 520, and 530 is configured with a hook-and-loop fastener, the male side and female side of the hook-and-loop fastener may be swapped.
  • Each of the fixing parts 510, 520, 530, and 540 includes, for example, a frame part in which a snap, button, clip, or protrusion is formed, and an engaged part in which a hole part that can be engaged with the frame part is formed. It may also be configured with a connecting mechanism or the like.
  • FIGS. 8-15 A support member 300 is shown in FIGS. 8-15.
  • Arrows X1-X2 in the figure indicate the vertical direction of the support member 300 (same direction as the longitudinal width wa direction of the expansion member 210), and arrows Y1-Y2 indicate the width direction of the support member 300 (same direction as the width wb direction of the expansion member 210).
  • arrows Z1-Z2 indicate the thickness direction of the support member 300.
  • FIG. 5 As shown in FIG. 4, FIG. 5, FIG. 8, FIG. 9, and FIG. It has a lower end part 302 forming an end opposite to the part 301, and a pair of side parts 303 and 304 connecting the upper end part 301 and the lower end part 302.
  • the upper end portion 301 can be placed on the fingertip side (distal side) of the hand when the hemostatic device 10 is attached to the right hand H1.
  • the lower end portion 302 can be placed on the forearm Ar side (proximal side) in a state where the hemostatic device 10 is attached to the right hand H1.
  • the support member 300 is configured such that the width w1 of the support member 300 becomes shorter from the upper end 301 to the lower end 302, as shown in FIG.
  • the thickness t2 of the end face located on the upper end portion 301 side is formed to be thicker than the thickness t3 of the end face located on the lower end portion 302 side (see FIG. 10). Therefore, as shown in FIG. 11, the support member 300 is configured such that the thickness t1 of the side surfaces 303 and 304 connecting the upper end 301 and the lower end 302 becomes thinner from the upper end 301 to the lower end 302. . That is, in the cross-sectional view shown in FIG. 6 and the cross-sectional view shown in FIG. 20, the support member 300 is inclined so that the distance between the outer surface 300b and the inner surface 300a becomes smaller from the upper end 301 to the lower end 302.
  • the inner surface 300a of the support member 300 is a surface disposed on the lower surface region 132 side of the holding portion 130.
  • the outer surface 300b of the support member 300 is a surface disposed on the upper surface region 131 side of the holding portion 130 (see FIG. 6).
  • the lower end portion 302 of the support member 300 has a linear flat portion 302a in a plan view shown in FIG.
  • the flat portion 302a extends substantially linearly between corner portions 306a and 306b located on the lower end portion 302 side.
  • the upper end portion 301 of the support member 300 has a linear flat portion 301a in a plan view shown in FIG.
  • the flat portion 301a extends substantially linearly between the corner portions 306c and 306d located on the upper end portion 301 side.
  • the outer surface 300b of the support member 300 is curved toward the second band portion 420 and the third band portion 430, as shown in FIGS. 7, 9, 10, 12, and 13. That is, on the outer surface 300b of the support member 300, the most protruding top portion is located near the center of the support member 300 in the width direction. Further, the top of the outer surface 300b of the support member 300 is located along the longitudinal direction of the support member 300. That is, the top of the outer surface 300b of the support member 300 is located along the vertical direction passing through the intermediate portion 305.
  • the radius of curvature of the outer surface 300b of the support member 300 is approximately constant at each portion of the support member 300 in the longitudinal direction.
  • Each of the corner portions 306a, 306b, 306c, and 306d located at the four corners of the support member 300 is formed in a rounded and curved shape.
  • the support member 300 has an intermediate portion 305 located between an upper end portion 301 and a lower end portion 302 in a plan view shown in FIG.
  • the intermediate portion 305 is located in the middle in the vertical direction connecting the upper end portion 301 and the lower end portion 302.
  • the support member 300 has a shape that is symmetrical in the main body portion 110 with respect to the center line C of the first band portion 410 (the axis along the extending direction of the first band portion 410).
  • the support member 300 is formed by a line segment that is perpendicular to the axis along the width w1' of the upper end part 301 and passes through a point having the same distance from both ends of the width w1' of the upper end part 301 in a plan view of FIG. It has a symmetrical shape. Therefore, the support member 300 can be arranged on the main body part 110 so as to be symmetrical with respect to the center line C of the first band part 410 (the axis along the extending direction of the first band part 410).
  • each side surface portion 303, 304 is formed symmetrically with respect to the center line C of the first band portion 410 in the main body portion 110.
  • Each side surface portion 303, 304 extends symmetrically such that the width w1 of the support member 300 decreases at a substantially constant rate from the upper end portion 301 side to the lower end portion 302 side.
  • the support member 300 has a position that is the center of gravity G1 of the outer shape of the support member 300 in a plan view shown in FIG.
  • the support member 300 has a substantially trapezoidal shape in which the width w1' of the upper end 301 is larger than the width w1'' of the lower end 302. Therefore, the center of gravity G1 of the outer shape of the support member 300 is located at a position shifted by a predetermined distance from the middle portion 305 of the support member 300 toward the upper end portion 301 side (the lower base side of the trapezoidal shape).
  • the expansion member 210 is in a state in which the center c1 of the expansion member 210 is located closer to the lower end 302 of the support member 300 (the upper base side of the trapezoidal shape) than the center of gravity G1 of the outer shape of the support member 300 in a plan view shown in FIG. are arranged on the cover member 100.
  • the width w1' of the upper end 301 of the support member 300 is longer than the width wb of the expansion member 210. Further, in the support member 300, the width w1'' of the lower end portion 302 of the support member 300 is shorter than the width wb of the expansion member 210.
  • the width w1' of the upper end 301 of the support member 300 is defined by the dimension (maximum width) of the widest part in the region located closer to the upper end 301 than the middle part 305 of the support member 300.
  • the width w1'' of the lower end portion 302 of the support member 300 is defined by the width dimension of the flat portion 302a located at the lower end portion 302.
  • the inner surface 300a of the support member 300 is curved convexly in the direction away from the expansion member 210, as shown in FIGS. 7, 9, 14, and 15.
  • the inner surface 300a like the outer surface 300b, is curved toward the second band section 420 and the third band section 430 side.
  • the radius of curvature of the inner surface 300a of the upper end 301 of the support member 300 is smaller than the radius of curvature of the inner surface 300a of the lower end 302 of the support member 300. That is, the inner surface 300a of the support member 300 is curved more tightly at the upper end 301 than at the lower end 302.
  • the imaginary line R1 shown in FIG. 14 shows a part of the circular arc along the inner surface 300a of the upper end part 301, and the imaginary line R2 shows part of the circular arc along the inner surface 300a of the lower end part 302.
  • the radius of curvature of the inner surface 300a and the thickness t1 of the side surfaces 303 and 304 of the support member 300 can be adjusted, for example, by employing the following manufacturing method.
  • a curved plate-like member having an inner surface 300a and an outer surface 300b having substantially the same radius of curvature is prepared.
  • the inner surface 300a of the plate-like member is scraped of the constituent material of the plate-like member. administer. At this time, the amount of constituent material removed from the lower end 302 side is increased, and the amount of constituent material removed toward the upper end 301 side is gradually reduced.
  • the radius of curvature of the inner surface 300a of the lower end portion 302 can be made larger than the radius of curvature of the inner surface 300a of the upper end portion 301 (see FIG. 14). .
  • the thickness t1 of the side parts 303 and 304 can be made thinner from the upper end part 301 side toward the lower end part 302 side (see FIG. 9).
  • the outer surface 300b of the support member 300 can be configured to have substantially the same radius of curvature at each portion of the support member 300 in the longitudinal direction.
  • the hemostatic device 10 includes a portion of the expansion member 210 where the marker portion 260 is provided, a portion of the cover member 100 that overlaps with the marker portion 260 (upper surface area 131 and lower surface area 132 of the holding portion 130), and a marker portion of the support member 300. It is preferable that the portion 260 and the overlapping portion be transparent.
  • each member 100, 210, 300 is configured in this way, when the surgeon attaches the hemostasis device 10 to the patient's right hand H1 as shown in FIGS.
  • the position of the marker portion 260 disposed on the expansion member 210 and/or the first puncture site p1 can be easily visually confirmed through the portion formed in the .
  • the above-mentioned transparency includes colored transparent, colorless transparent, and semi-transparent.
  • the support member 300 is made of a harder material than the expansion member 210. Therefore, when the expansion member 210 applies compressive force to the first puncture site p1 as shown in FIGS. 20 and 21, the support member 300 pushes the expansion member 210 against the patient's right hand H1. It can be held down. Thereby, the expansion member 210 can be prevented from floating away from the patient's right hand H1.
  • examples of the material of the support member 300 include acrylic resin, polyvinyl chloride (especially hard polyvinyl chloride), polyolefin such as polyethylene, polypropylene, and polybutadiene, polystyrene, Poly-(4-methylpentene-1), polycarbonate, ABS resin, polymethyl methacrylate (PMMA), polyacetal, polyacrylate, polyacrylonitrile, polyvinylidene fluoride, ionomer, acrylonitrile-butadiene-styrene copolymer, polyethylene terephthalate (PET) ) etc.
  • acrylic resin acrylic resin
  • polyvinyl chloride especially hard polyvinyl chloride
  • polyolefin such as polyethylene, polypropylene, and polybutadiene
  • polystyrene Poly-(4-methylpentene-1
  • polycarbonate ABS resin
  • PMMA polymethyl methacrylate
  • PET polyethylene terephthalate
  • the hemostasis device 10 has an injection part 281 for injecting fluid into the expansion member 210, as shown in FIGS. 1 and 2.
  • the injection part 281 is composed of a connector incorporating a check valve (not shown).
  • a syringe (not shown) can be connected to the injection part 281.
  • a buffer member 282 having an expandable space is arranged between the injection part 281 and the expansion member 210.
  • the buffer member 282 is a flexible bag-shaped member with a space formed inside. Note that the buffer member 282 may be provided with an arrow-shaped marker indicating the insertion direction of the syringe into the injection portion 281.
  • the injection part 281 is connected to one end side of the buffer member 282.
  • the lumen of the injection part 281 communicates with the space of the buffer member 282. However, while the check valve built into the injection part 281 is closed, communication between the inner cavity of the injection part 281 and the space of the buffer member 282 is blocked.
  • a flexible tube 283 is connected to the other end of the buffer member 282.
  • the inner lumen of the tube 283 communicates with the space of the buffer member 282. Further, the tube 283 has one end connected to the buffer member 282 and the other end opposite to the other end connected to the expansion member 210.
  • the lumen of tube 283 communicates with lumen 210a of expansion member 210.
  • the operator When expanding the expansion member 210, the operator inserts the tip of a syringe (not shown) into the injection part 281 and opens the check valve. The operator injects the air in the syringe into the lumen 210a of the expansion member 210 by pushing the pusher of the syringe with the check valve of the injection part 281 open.
  • expansion member 210 When air is injected into the lumen 210a of the expansion member 210, the expansion member 210 expands. When expansion member 210 expands, buffer member 282, which communicates with lumen 210a of expansion member 210 via tube 283, expands. By visually confirming the expansion of the buffer member 282, the operator can easily understand that the expansion member 210 has expanded without air leakage.
  • the operator When contracting the expansion member 210, the operator inserts the leading end of the syringe into the injection part 281 and pulls the pusher of the syringe. By performing the above operation, the operator can discharge the air in the lumen 210a of the expansion member 210 to the syringe.
  • the injection part 281, the buffer member 282, and the tube 283 may be prepared and provided in a state connected to the expansion member 210, or may be prepared and provided in a state separated from the expansion member 210. You may also do so. Further, the injection part 281 is not particularly limited in its specific configuration as long as it can supply fluid to the lumen 210a of the expansion member 210 and discharge fluid from the lumen 210a of the expansion member 210.
  • FIG. 17 shows a state in which various procedures have been performed using the sheath tube 610 of the introducer 600 inserted into the first puncture site p1.
  • the operator When attaching the hemostatic device 10 to the patient's right hand H1, the operator places the expansion member 210 and the support member 300 so as to overlap at the first puncture site p1, as shown in FIG. 17. At this time, the operator visually confirms the position of the marker section 260 arranged on the expansion member 210 and places the marker section 260 at the first puncture site p1, thereby moving the expansion member 210 and the support member 300 to the first puncture site p1. 1 puncture site p1.
  • the operator places the support member 300 so as to overlap the metacarpal bone B1 of the index finger and the metacarpal bone B2 of the thumb.
  • the distance between the metacarpal bone B1 of the index finger and the metacarpal bone B2 of the thumb gradually narrows from the fingertip side toward the forearm Ar side.
  • the width w1 of the support member 300 becomes shorter from the upper end 301 disposed on the fingertip side toward the lower end 302 disposed on the forearm Ar side (see FIG. 8).
  • the operator places the supporting member 300 so as to overlap the metacarpal bone B1 of the index finger and the metacarpal bone B2 of the thumb from the back side of the patient's right hand H1.
  • the support member 300 can be placed along the hand bone B2.
  • the operator can connect the expansion member 210 placed on the inner surface 300a side of the support member 300 with the right hand H1. It is possible to prevent a gap from being formed in between.
  • the operator wraps the second band portion 420 and the third band portion 430 along the outer periphery of the patient's right hand H1.
  • the operator attaches the third fixation part 530 (see FIG. 2) arranged on the inner surface of the second band part 420 to the second fixation part 520 (see FIG. 1) arranged on the outer surface of the third band part 430. ), it is possible to connect the second band portion 420 and the third band portion 430 via the fixing portions 520 and 530.
  • the operator connects each band body part 420, 430 to the right hand H1 by connecting each band body part 420, 430 with the supporting member 300 superimposed on the metacarpal bone B1 of the index finger and the metacarpal bone B2 of the thumb. It can be wrapped tightly around the outer circumference of the
  • the outer surface 300b of the support member 300 is curved toward the second band portion 420 side (side surface portion 303 side) and the third band portion 430 side (side surface portion 304 side) (FIG. 5, FIG. 9, 10). Therefore, by wrapping the second band part 420 and the third band part 430 along the patient's right hand H1 as shown in FIG. 18, the support member 300 can be pressed against the right hand H1 from the outer surface 300b side. Therefore, the hemostasis device 10 can increase the fixing force of the support member 300 and the expansion member 210 to the patient's right hand H1.
  • the operator passes a part of the first band part 410 onto the patient while passing the first band part 410 through the inter-finger area fb located between the thumb and index finger of the patient's right hand H1. Place it on the palm side of the right hand H1.
  • the operator connects the first fixing part 510 (see FIG. 1) arranged on the outer surface of the second band part 420 to the fourth fixing part 540 (see FIG. 1) arranged on the inner surface of the first band part 410. 2), the first band portion 410 and the second band portion 420 can be connected via the respective fixing portions 510 and 540.
  • the support member 300 includes an upper end portion 301 and side portions 303 and 304.
  • the first band portion 410 extends from the upper end portion 301 side
  • the second band portion 420 extends from the side surface portion 303 side
  • the third band portion 430 extends from the side surface portion 304 side (Fig. ). Therefore, by interconnecting the band parts 410, 420, and 430, the hemostasis device 10 can apply uniform force to the positions corresponding to the parts 301, 303, and 304 of the support member 300, and
  • the support member 300 can be fixed to the right hand H1 of the user.
  • the width w1' of the upper end 301 of the support member 300 is longer than the width wb of the expansion member 210, and the width w1'' of the lower end 302 of the support member 300 is shorter than the width wb of the expansion member 210 (see FIG. 8).
  • the expansion member is placed on the side opposite to the side on which the first band part is tightened. The position of the member may shift toward the lower end (toward the forearm Ar side).
  • the support member 300 of the present embodiment has a width w1'' of the lower end 302 of the support member 300 that is shorter than the width wb of the expansion member 210, as described above, so that the expansion member 210 can support It is possible to suppress the member 300 from shifting toward the lower end portion 302 side.
  • the inner surface 300a of the support member 300 is curved in a convex manner toward the side away from the expansion member 210 (see FIGS. 14 and 21). Therefore, the support member 300 can press both ends of the expansion member 210 in the width direction at the positions of both ends of the inner surface 300a of the support member 300 in the width direction. Therefore, the hemostasis device 10 can effectively prevent the expansion member 210 from shifting toward the lower end 302 of the support member 300 when the expansion member 210 is expanded.
  • the support member 300 is symmetrical in the main body portion 110 with respect to the center line C of the first band portion 410 (see FIGS. 5 and 8). Therefore, the hemostasis device 10 is configured to wrap the band parts 420 and 430, which extend symmetrically with respect to the first band part 410, around the patient's right hand H1 in a direction symmetrical with respect to the support member 300. force can be applied evenly. Thereby, the hemostasis device 10 can prevent the support member 300 from being displaced in a state where the support member 300 is placed on the patient's right hand H1.
  • the inner surface 300a of the support member 300 is curved in a convex manner in the direction away from the expansion member 210 (see FIGS. 7 and 21). Slanted parts exist in each part of the patient's right hand H1 (for example, around the snuff box Sb). Further, the shape of the inclined portion of the right hand H1 depends on individual differences among patients. For example, if the inner surface of the support member is formed in a flat shape, it is difficult to arrange the support member along the inclined portion of the right hand H1.
  • the hemostasis device 10 has a shape in which the inner surface 300a of the support member 300 is curved convexly in the direction away from the expansion member 210 as described above.
  • the hemostatic device 10 can place the support member 300 overlapping the first puncture site p1, regardless of the patient's dominant hand or the operator's placement. Therefore, the hemostasis device 10 can suitably arrange the support member 300 at a desired position near the first puncture site p1 when the expansion member 210 compresses the first puncture site p1 to stop bleeding.
  • the hemostasis device 10 when the operator wraps the second band portion 420 and the third band portion 430 along the patient's right hand H1, the inner surface 300a of the support member 300 wraps along the body surface of the right hand H1. Therefore, the band portions 420 and 430 extending from the side surfaces 303 and 304 of the support member 300 can be placed close to or in close contact with the body surface of the patient's right hand H1 (see FIG. 21). ). Therefore, the hemostasis device 10 can increase the fixing force of the support member 300 and the expansion member 210 to the patient's right hand H1. Therefore, when the hemostasis device 10 is attached to the patient's right hand H1, the support member 300 and the expansion member 210 are less likely to be misaligned even when an external shock or the like is applied thereto.
  • the operator expands the expansion member 210 by injecting air into the expansion member 210 with the syringe connected to the injection part 281.
  • the expansion member 210 applies compressive force to the first puncture site p1.
  • the support member 300 presses the expansion member 210 against the patient's right hand H1. Thereby, the hemostasis device 10 can prevent the expansion member 210 from lifting off from the patient's right hand H1.
  • the operator may, for example, strongly tighten the first band portion disposed at the inter-finger region fb in order to increase the fixing force of the support member to the patient's right hand H1. can.
  • the operator can securely fix the support member to the patient's right hand H1 even if the support member is unstablely placed on the patient's right hand H1. I can do it.
  • the first band portion is strongly tightened, the patient may feel pain.
  • the hemostasis device is arranged so that the inner surface of the support member is inclined with respect to the body surface of the patient's right hand H1.
  • the upper end of the support member on which the first band member is disposed is excessively raised to a position farther from the body surface of the patient's right hand than the lower end located on the opposite side to the upper end.
  • the hemostatic device is arranged with the support member tilted so that the distance between the inner surface of the support member and the body surface of the patient's right hand H1 gradually narrows from the upper end of the support member toward the lower end.
  • the hemostasis device 10 is configured such that the thickness t1 of the side portions 303 and 304 of the support member 300 becomes thinner from the upper end 301 to the lower end 302.
  • the first band portion 410 configured to be placed in the inter-finger portion fb located between the patient's fingers extends from the upper end 301 side of the support member 300, and extends from the upper end 301 side of the support member 300.
  • the portion 301 side is configured to be pressed against the patient's right hand H1.
  • the expansion member 210 starts expanding with the support member 300 and the expansion member 210 fixed to the patient's right hand H1
  • the expansion member 210 moves to the upper end 301 of the support member 300. Apply force to nearby areas.
  • the upper end 301 side of the support member 300 is lifted by the force applied by the expansion member 210.
  • the support member 300 is arranged so that the inner surface 300a of the support member 300 is substantially parallel to the body surface of the patient's right hand H1, as shown in FIG. Therefore, when the expansion member 210 expands, the hemostasis device 10 can apply a compressive force in the vertical direction to the first puncture site p1.
  • the inner surface 300a of the support member 300 is curved in a convex manner in the direction away from the expansion member 210 (see FIGS. 7 and 21). Therefore, as shown in FIG. 21, the hemostasis device 10 is arranged such that the support member 300 is along the body surface of the patient's right hand H1 when the expansion member 210 is expanded. When the expansion member 210 expands, the hemostasis device 10 presses the expansion member 210 along the body surface of the patient's right hand H1 by the inner surface 300a of the support member 300.
  • the hemostasis device 10 is arranged such that the expansion member 210 is located at the center side in the width direction of the inner surface 300a of the support member 300 and at both ends of the inner surface 300a of the support member 300 in the width direction.
  • a compressive force is applied in the direction toward the puncture site p1. Therefore, the hemostasis device 10 effectively increases the compressive force that the expansion member 210 applies to the first puncture site p1, compared to the case where the inner surface 300a of the support member 300 is formed in a flat surface shape. be able to.
  • the outer surface 300b of the support member 300 is curved toward the second band portion 420 side (side surface portion 303 side) and the third band portion 430 side (side surface portion 304 side) (FIG. 5, FIG. 9, 10). Therefore, as shown in FIG. 21, when the hemostatic device 10 is attached to the patient's right hand H1 and the expansion member 210 is expanded, the outer surface 110b of the main body portion 110 located on the outer surface 300b side of the support member 300 is The support member 300 has a curved shape along the outer surface 300b. In the hemostasis device 10, when the expansion member 210 is expanded, the outer surface 300b of the support member 300 and the main body portion 110 have a curved shape.
  • the hemostasis device 10 can effectively prevent the support member 300 and the expansion member 210 from being displaced even if an external impact is applied while the hemostasis device 10 is attached to a patient.
  • the hemostasis device 10 is preferably arranged such that the entire expansion member 210 is housed inside the support member 300 in the planar direction as shown in FIG. 8 .
  • the entire expansion member 210 is covered with the support member 300, so that the impact applied from the outer surface 110b of the main body portion 110 is directly transmitted to the expansion member 210. This can be effectively prevented.
  • FIG. 22 shows a patient wearing the hemostasis device 10 twisting his wrist toward the back of his right hand H1.
  • the lower end 302 of the support member 300 is placed on the forearm Ar side.
  • the lower end portion 302 of the support member 300 has a linear flat portion 302a (see FIG. 8). Therefore, as shown in FIG. 22, when the patient twists the wrist toward the back of the right hand H1, the flat portion 302a located at the lower end 302 allows the support member 300 to be attached to the patient's body such as the wrist or forearm Ar. Prevents it from digging into the surface.
  • the hemostasis device 10 prevents the support member 300 from digging into the body surface when the patient performs an action such as twisting the wrist while stopping the bleeding at the first puncture site p1 formed on the patient's right hand H1. It can be prevented.
  • the support member is formed into a triangular shape in plan view and the corner (apex) is located on the forearm Ar side, when the patient twists the wrist, the support member will be located at the lower end. The corners may dig into the patient's body surface, causing pain to the patient.
  • the support member 300 has a position that is the center of gravity G1 of the outer shape of the support member 300 in a plan view shown in FIG.
  • the center of gravity G1 is located closer to the upper end portion 301 than the intermediate portion 305 located between the upper end portion 301 and the lower end portion 302 of the support member 300.
  • the expansion member 210 is arranged on the cover member 100 with the center c1 of the expansion member 210 being located closer to the lower end portion 302 of the support member 300 than the center of gravity G1 of the support member 300.
  • the hemostasis device 10 is configured such that the expansion member 210 expands with the center c1 of the expansion member 210 located closer to the lower end 302 of the support member 300 than the center of gravity G1 of the support member 300.
  • the center of gravity G1 of the support member 300 is located closer to the upper end 301 than the center c1 of the expansion member 210, when the expansion member 210 is expanded, the expansion member 300 is located closer to the upper end 301 of the support member 300.
  • a portion of 210 can be pressed against the body surface of the patient's right hand H1. Therefore, when the expansion member 210 is expanded, the hemostasis device 10 can lift the lower end 302 side of the support member 300 from the body surface of the patient's right hand H1. Therefore, the hemostatic device 10 is attached to the patient's wrist or forearm while the expanded expansion member 210 is applying compressive force to the first puncture site p1 with the hemostatic device 10 attached to the patient's right hand H1.
  • the lower end portion 302 of the support member 300 disposed on the Ar side can be effectively prevented from digging into the body surface.
  • the support member 300 has a shape in which each corner 306a, 306b, 306c, and 306d is rounded (see FIG. 8). Therefore, in the hemostasis device 10, while the expansion member 210 is expanding and applying compressive force to the first puncture site p1, each corner 306a, 306b, 306c, 306d of the support member 300 is attached to the body of the patient's right hand H1. Prevents it from digging into the surface.
  • the hemostasis device 10 has a substantially trapezoidal shape in which the width w1 of the support member 300 gradually decreases from the upper end 301 side to the lower end 302 side, and therefore has the following effects.
  • the hemostasis device 10 uses a substantially elliptical expansion member 210 as shown in FIG. In this case, the distance between the center of gravity G1 and the center of gravity of the expansion member 210 can be reduced when comparing the case where the support member 300 is formed into a trapezoid and the case where the support member 300 is formed into a triangle.
  • the distance between the center of gravity G1 of the support member 300 and the center of gravity of the expansion member 210 is small, so that when the expansion member 210 is expanded, the lower end 302 side of the support member 300 is lifted excessively. 300 can be suppressed, and a compressive force can be suitably applied to the first puncture site p1. Therefore, in the hemostasis device 10, the expansion member 210 can be firmly pressed against the right hand H1 by the support member 300, and the compression force applied by the expansion member 210 to the first puncture site p1 can be effectively increased. .
  • the center of gravity of the expansion member 210 in the above description refers to the center of gravity of the bottom side component of the expansion member 210 (the area where the expansion member 210 is projected in plan view on the inner surface 110a of the main body portion 110).
  • the center of gravity of the expansion member 210 which is formed in a substantially oval shape as in this embodiment, is located at a position that overlaps with the center c1 of the expansion member 210 in a plan view shown in FIG. 8 (see FIG. 8).
  • the entire expansion member 210 is disposed inside the support member 300 in a plan view shown in FIG.
  • the support member 300 can firmly press the expansion member 210, and the compressive force applied by the expansion member 210 to the first puncture site p1 can be effectively suppressed. can be increased.
  • the hemostasis device 10 is configured to have a substantially trapezoidal shape in which the width w1 of the support member 300 gradually decreases from the upper end 301 side to the lower end 302 side. Therefore, the entire expansion member 210 can be placed inside the support member 300, and the positional relationship between the center of gravity G1 of the support member 300 and the center c1 of the expansion member 210 described above can be maintained appropriately.
  • the hemostasis device When placed inside the member, the hemostasis device also requires the expansion member to be placed near the apex of the triangle of the support member.
  • the expansion member is formed in an elongated shape along the lengthwise and widthwise direction in plan view.
  • the width of the expansion member must be smaller than that of the expansion member 210 of this embodiment, which has a shape corresponding to the support member formed in a substantially trapezoidal shape.
  • the expansion member formed to correspond to the support member formed in a triangular shape in plan view has a small compression area where the expansion member applies compression force to the vicinity of the first puncture site p1. This makes it difficult for the hemostatic device to effectively apply compressive force to the first puncture site p1. Furthermore, when the support member is formed in a triangular shape as described above and the expansion member 210 is formed to be elongated along the vertical direction of the support member so that the width becomes narrow, the center of gravity G1 of the support member 300 and the expansion member 210 are It becomes difficult to set the positional relationship of the center c1 (see FIG. 8).
  • the expansion member cannot be placed near the apex of the triangle, it will not be possible to place the expansion member between the support member and the body surface, making it difficult for the patient to perform movements such as twisting the wrist.
  • the lower end of the support member corresponding to the apex of the triangle tends to dig into the patient's body surface.
  • the operator After expanding the expansion member 210, the operator removes the sheath tube 610 of the introducer 600 from the first puncture site p1, as shown in FIG. 19. The operator confirms that there is no bleeding from the first puncture site p1 while performing hemostasis using the hemostatic device 10. The operator can adjust the amount of air injected into the expansion member 210 when there is bleeding from the first puncture site p1.
  • the operator can use the hemostatic instrument 10 to stop the bleeding at the first puncture site p1 formed on the patient's right hand H1.
  • the operator can also use the hemostatic instrument 10 to stop the bleeding at the second puncture site p2 shown in FIG. 16, for example.
  • the operator places the support member 300 and the expansion member 210 so as to overlap the second puncture site p2, similarly to when stopping the bleeding at the first puncture site p1.
  • the radius of curvature of the inner surface 300a of the upper end 301 of the support member 300 is smaller than the radius of curvature of the inner surface 300a of the lower end 302 of the support member 300 (see FIG. 14).
  • the area around the snuff box where the support member 300 and the expansion member 210 are arranged is surrounded by the extensor pollicis longus tendon T1 and the extensor pollicis brevis tendon T2 (see FIG. 16). Further, the distance between the extensor pollicis longus tendon T1 and the extensor pollicis brevis tendon T2 becomes narrower toward the forearm Ar side.
  • the support member 300 supports the fingertip side of the extensor pollicis longus tendon T1 and the extensor pollicis brevis tendon T2 so as to correspond to the change in the distance between the extensor pollicis longus tendon T1 and the extensor pollicis brevis tendon T2.
  • the radius of curvature of the inner surface 300a of the upper end portion 301 disposed at the position is small, and the inner surface of the lower end portion 302 is disposed at a position on the forearm part Ar side of the extensor pollicis longus tendon T1 and the extensor pollicis brevis tendon T2.
  • the radius of curvature of 300a is large.
  • the hemostatic device 10 places the support member 300 on the patient's right hand H1 to stop bleeding at the second puncture site p2, the support member 300 connects the extensor pollicis longus tendon T1 and the extensor pollicis brevis tendon T2. placed along the line. Thereby, the hemostasis device 10 can firmly fix the support member 300 near the second puncture site p2 located around the snuff box Sb when stopping the bleeding at the second puncture site p2.
  • the hemostasis device 10 includes the cover member 100 configured to cover the first puncture site p1, and the cover member 100 configured to be connected to the cover member 100 and press the first puncture site p1. and a pressing member 200.
  • the cover member 100 includes a main body part 110 in which the pressing member 200 is located, a first band part 410 that is configured to be placed between the patient's fingers and extends in a first direction from the main body part 110, A second band portion 420 extends from the main body portion 110 in a second direction different from the first direction, and a second band portion 420 faces the second band portion 420 with the pressing member 200 in between, and extends from the main body portion 110 in the first direction and the second direction.
  • the main body portion 110 includes a support member 300 formed of a material harder than the pressing member 200 and configured to overlap the pressing member 200.
  • the support member 300 includes an upper end 301 that is located on the first band portion 410 side and forms an end of the support member 300, a lower end 302 that forms an end opposite to the upper end 301, and an upper end 301. and side portions 303 and 304 connecting the lower end portion 302.
  • the support member 300 is configured such that the width w1 of the support member 300 becomes shorter from the upper end 301 to the lower end 302, and the thickness t1 of the side parts 303 and 304 becomes thinner from the upper end 301 to the lower end 302. It is configured.
  • the lower end portion 302 has a linear flat portion 302a in plan view, and the outer surface 300b of the support member 300 is curved toward the second band portion 420 side and the third band portion 430 side.
  • the support member 300 made of a material harder than the pressing member 200 has the metacarpal bone B1 of the index finger of the right hand H1 and the metacarpal bone B2 of the thumb of the right hand H1.
  • the first puncture site p1 is arranged to cover the first puncture site p1 together with the pressing member 200.
  • the support member 300 can prevent the pressing member 200 from lifting off from the patient's right hand H1. Further, the width w1 of the support member 300 becomes shorter from the upper end 301 to the lower end 302.
  • the support member 300 when the support member 300 is placed on the right hand H1, the support member 300 can be placed along the metacarpal bone B1 of the index finger and the metacarpal bone B2 of the thumb. Therefore, in the hemostasis device 10 described above, the second band portion 420 and the third band portion 430 can be tightly wrapped around the outer periphery of the right hand H1. Further, in the support member 300, the thickness t1 of the side portions 303 and 304 becomes thinner from the upper end portion 301 toward the lower end portion 302.
  • the first band member 410 configured to be placed between the patient's fingers extends from the upper end 301 side of the support member 300, and extends from the upper end 301 side of the support member 300 to the right hand H1. It is configured to be pressed.
  • the pressing member 200 can apply an appropriate force to the upper end portion 301 side of the support member 300 when starting hemostasis with the hemostatic device 10 attached to the right hand H1.
  • the support member 300 causes the upper end 301 side of the support member 300 to rise due to the force applied from the pressing member 200.
  • the hemostasis device 10 can arrange the inner surface 300a of the support member 300 substantially parallel to the body surface of the right hand H1. Therefore, the hemostasis device 10 reduces the compressive force of the pressing member 200 by fixing each band body part 410, 420, 430 to the right hand H1 with the pressing member 200 and the support member 300 arranged at the first puncture site p1. It can be oriented perpendicularly to the first puncture site p1. Thereby, the hemostatic device 10 can effectively apply compressive force to the first puncture site p1.
  • the lower end portion 302 of the support member 300 has a linear flat portion 302a in plan view.
  • the linear flat portion 302a located at the lower end portion 302 of the support member 300 is configured such that when the patient performs an action such as twisting the wrist toward the back of the right hand H1 while the hemostatic device 10 is attached to the right hand H1. This prevents the lower end 302 of the support member 300 from digging into the body surface of the wrist, forearm Ar, or the like. Therefore, the above-described hemostasis device 10 can suppress the patient from feeling pain even when the patient moves his wrist or the like while pressing the first puncture site p1 with the pressing member 200 to stop the bleeding.
  • the outer surface 300b of the support member 300 is curved toward the second band portion 420 side and the third band portion 430 side. Therefore, in the hemostasis device 10, when the operator wraps the second band part 420 and the third band part 430 connected to the main body part 110 of the cover member 100 along the outer periphery of the right hand H1, The band portion 420 and the third band portion 430 are wound along the curved outer surface 300b of the support member 300. Thereby, the hemostasis device 10 can increase the fixing force of the support member 300 and the pressing member 200 to the right hand H1.
  • the support member 300 has a position that is the center of gravity G1 of the outer shape of the support member 300 in plan view.
  • the center of gravity G1 is located closer to the upper end portion 301 than the intermediate portion 305 located between the upper end portion 301 and the lower end portion 302.
  • the pressing member 200 is placed on the cover member 100 with the center c1 of the pressing member 200 located closer to the lower end portion 302 than the center of gravity G1.
  • the hemostasis device 10 configured as described above, when the expansion member 210 is expanded, the support member 300 is larger than the upper end portion 301 side where the center of gravity G1 is located as the expansion member 210 expands.
  • the lower end portion 302 side where the center c1 is located is lifted from the body surface of the patient's right hand H1. Therefore, the hemostatic device 10 is attached to the patient's wrist or forearm while the expanded expansion member 210 is applying compressive force to the first puncture site p1 with the hemostatic device 10 attached to the patient's right hand H1.
  • the lower end portion 302 of the support member 300 disposed on the Ar side can be prevented from digging into the body surface.
  • the support member 300 is symmetrical with respect to the center line C of the first band portion 410.
  • the inner surface 300a of the support member 300 is curved in a convex shape in a direction away from the pressing member 200.
  • the hemostasis device 10 since the support member 300 is symmetrical in the main body 110 with respect to the center line C of the first band portion 410, the first band portion 410 is used as a reference. By wrapping the band parts 420 and 430, which extend symmetrically, around the patient's right hand H1, force can be applied evenly to the support member 300 along the symmetrical direction. Thereby, the hemostasis device 10 can prevent the support member 300 from being displaced in a state where the support member 300 is placed on the patient's right hand H1.
  • the hemostasis device 10 since the inner surface 300a of the support member 300 is curved in a convex shape in the direction away from the pressing member 200, the inner surface 300a of the support member 300 is When placed so as to overlap the inclined portion of the right hand H1, the inner surface 300a of the support member 300 can be placed along the patient's right hand H1. Thereby, the hemostatic device 10 can place the support member 300 overlapping the first puncture site p1, regardless of the patient's dominant hand or the operator's placement. Therefore, the hemostasis device 10 can suitably arrange the support member 300 at a desired position near the first puncture site p1 when the expansion member 210 compresses the first puncture site p1 to stop bleeding.
  • the hemostasis device 10 since the inner surface 300a of the support member 300 is curved in a convex shape in the direction away from the pressing member 200, the inner surface 300a of the support member 300 is It is arranged along the body surface of the right hand H1.
  • the hemostasis device 10 presses the expansion member 210 along the body surface of the patient's right hand H1 by the inner surface 300a of the support member 300.
  • the hemostasis device 10 is arranged such that the expansion member 210 is located at the center side in the width direction of the inner surface 300a of the support member 300 and at both ends of the inner surface 300a of the support member 300 in the width direction.
  • a compressive force is applied in the direction toward the puncture site p1. Therefore, the hemostasis device 10 effectively increases the compressive force that the expansion member 210 applies to the first puncture site p1 compared to the case where the inner surface 300a of the support member 300 is formed in a flat surface shape. be able to.
  • the radius of curvature of the inner surface 300a of the upper end 301 of the support member 300 is smaller than the radius of curvature of the inner surface 300a of the lower end 302 of the support member 300.
  • the support member 300 extends the extensor pollicis longus so as to correspond to the change in the distance between the extensor pollicis longus tendon T1 and the extensor pollicis brevis tendon T2.
  • the radius of curvature of the inner surface 300a of the upper end portion 301 located on the fingertip side of the muscle tendon T1 and the extensor pollicis brevis tendon T2 is small, and the extensor pollicis longus tendon T1 and the extensor pollicis brevis tendon T2 are in the forearm.
  • the radius of curvature of the inner surface 300a of the lower end portion 302 located at the position on the Ar side is large.
  • the hemostatic device 10 places the support member 300 on the patient's right hand H1 to stop bleeding at the second puncture site p2, the support member 300 connects the extensor pollicis longus tendon T1 and the extensor pollicis brevis tendon T2. placed along the line. Thereby, the hemostasis device 10 can firmly fix the support member 300 near the second puncture site p2 located around the snuff box Sb when stopping the bleeding at the second puncture site p2.
  • the pressing member 200 is an expansion member 210 that can be expanded by injecting fluid.
  • the expansion member 210 has a vertical width wa passing through the center c1 of the expansion member 210 in a contracted state, and a horizontal width wb passing through the center c1 of the expansion member 210 while being perpendicular to the vertical width wa.
  • the horizontal width wb is shorter than the vertical width wa.
  • the width w1' of the upper end 301 is longer than the width wb of the expansion member 210
  • the width w1'' of the lower end 302 is shorter than the width wb of the expansion member 210.
  • the width w1' of the upper end 301 of the support member 300 is longer than the width wb of the expansion member 210, and the width w1'' of the lower end 302 of the support member 300 is expanded. Since it is shorter than the width wb of the member 210, when the expansion member 210 disposed at the first puncture site p1 expands, the expansion member 210 is supported by both widthwise ends of the lower end 302 of the support member 300. Therefore, the hemostasis device 10 can suppress the expansion member 210 from shifting toward the lower end 302 of the support member 300 when the expansion member 210 is expanded.
  • the hemostatic device according to the modified example is different from the hemostatic device 10 according to the embodiment described above in the structure of the pressing member 200A (expansion member 210A).
  • the expansion member 210 comprised a single sheet of material connected to the body portion 110 of the cover member 100 (see FIGS. 6 and 7).
  • the expansion member 210A is configured by connecting the edge 221 of the first sheet material 220 and the edge 231 of the second sheet material 230.
  • the thickness of the first sheet material 220 is configured to be thicker than the thickness of the second sheet material 230.
  • FIGS. 23 and 24 are partial sectional views of a hemostasis device according to a modified example.
  • FIG. 23 shows a state before the expansion member 210A is expanded
  • FIG. 24 shows a state where the expansion member 210A is expanded.
  • 23 and 24 are cross-sectional views corresponding to FIG. 7 of the embodiment described above.
  • the pressing member 200A is composed of an expansion member 210A that can be expanded by injecting fluid.
  • the expansion member 210A is formed by connecting an edge 221 located on the outer periphery of the first sheet material 220 and an edge 231 located on the outer periphery of the second sheet material 230.
  • a lumen 210a is formed between the first sheet material 220 and the second sheet material 230.
  • the edge 221 of the first sheet material 220 and the edge 231 of the second sheet material 230 can be connected, for example, by adhesive or fusion.
  • the first sheet material 220 is connected to the cover member 100 at a position overlapping the support member 300.
  • the expansion member 210A is fixed to the cover member 100 by connecting the first sheet material 220 to a portion of the cover member 100 (the surface of the holding portion 130).
  • the first sheet material 220 is fixed to the cover member 100 by connecting a part of the edge 221 of the first sheet material 220 to the holding part 130. Note that, as shown in FIG. 23, the first sheet material 220 and the holding portion 130 are connected at two opposing positions.
  • the edge 231 of the second sheet material 230 is located at the edge of the support member 300 (the end in the width wb direction located on each side surface portion 303, 304 side of the support member 300).
  • the edge 231 of the second sheet material 230 is arranged in this manner, the edge of the expansion member 210A is supported by the edge of the support member 300.
  • the edge 221 of the first sheet material 220 and the edge 231 of the second sheet material 230 are the edge of the support member 300 (width wb located on each side surface portion 303, 304 side of the support member 300). located at the end of the direction).
  • the portion made of the second sheet material 230 has a larger amount of expansion deformation than the portion made of the first sheet material 220. It is configured as follows. In this embodiment, the thickness of the second sheet material 230 is thinner than the thickness of the first sheet material 220. Therefore, when a fluid such as air is injected into the lumen 210a of the expansion member 210A, the portion made of the second sheet material 230 expands more than the portion made of the first sheet material 220. transform.
  • the position where the first sheet material 220 and the second sheet material 230 are connected in the up-down direction in the figure which is the expansion direction (each edge 221, 231 is connected) position) is set at a position that is closer to the support member 300 than the center position of the entire expansion member 210A.
  • the expansion member 210A when the expansion member 210A is expanded, the edge 231 of the second sheet material 230 (in this modification, each edge 221, 231 of each sheet material 220, 230) of the support member 300 Pressed down by the edges. Therefore, the expansion member 210A expands uniformly in the width wb direction of the support member 300. Thereby, when the expansion member 210A applies compressive force to each puncture site p1, p2, the amount of expansion in the horizontal width wb direction of the support member 300 becomes uniform. Therefore, the shape of the expansion member 210A at maximum expansion and the compressive force applied to each puncture site p1, p2 are stabilized.
  • the amount of expansion deformation of the first sheet material 220 is smaller than that of the second sheet material 230. Therefore, when the expansion member 210A is expanded, the portion of the expansion member 210A made of the first sheet material 220 can be prevented from deforming so as to excessively protrude toward the inner surface 300a of the support member 300. . Therefore, in the expansion member 210A, the area in which the inner surface 300a of the support member 300 and the first sheet material 220 are in contact becomes large in the expanded state of the expansion member 210A.
  • the support member 300 can firmly press the expansion member 210 by increasing the contact area between the inner surface 300a of the support member 300 and the expansion member 210A. Therefore, in the hemostasis device according to the modified example, the compressive force that the expansion member 210A applies to each puncture site p1, p2 is further improved.
  • hemostatic device according to the present invention has been described above through the embodiments and modified examples, the present invention is not limited to only the content described in the specification, and may be modified as appropriate based on the description of the claims. is possible.
  • each part of the hemostatic device are not particularly limited and can be changed as appropriate as long as the pressing member placed at the puncture site can compress the puncture site to stop bleeding.
  • the specific shapes (planar shape and cross-sectional shape) of the expansion member and the support member are not limited to the shapes illustrated in the embodiments.
  • the configuration of the pressing member that applies compressive force to the puncture site is not limited to the expansion member (balloon).
  • the pressing member may be, for example, a resin material such as plastic configured to be able to apply a compressive force to the puncture site, a member made of gel or the like, an elastic material such as a sponge-like substance, or a material such as cotton. It is also possible to construct it from an aggregate of fibers, metal, a member having a predetermined three-dimensional shape (spherical, ellipsoidal, triangular pyramid, etc.), an appropriate combination of these, and the like.
  • Hemostasis device 100 Cover member 110 Main body portion 110a of cover member Inner surface 110b of main body portion Outer surface 120 of main body portion Sheet material 130 Holding portion 200 Pressing member 200A Pressing member 210 Expansion member 210A Expansion member 210a Inner cavity 211 of expansion member Expansion Edge of member 220 First sheet material 221 Edge of first sheet material 230 Second sheet material 231 Edge of second sheet material 260 Marker section 281 Injection section 300 Support member 300a Inner surface of support member 300b Support External surface 301 of the member Upper end 302 Lower end 302a Flat part 303 Side part 304 Side part 305 Intermediate part 410 First band part 420 Second band part 430 Third band part 510 First fixing part 520 Second fixing part 530 Third fixation part 540 Fourth fixation part 600 Introducer C Center line c1 of first band part Center of expansion member wa Vertical width of expansion member wb Width of expansion member t1 Thickness of side part G1 Center of gravity of support member w1 Support member Width w1' Upper

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PCT/JP2023/008988 2022-03-18 2023-03-09 止血器具 Ceased WO2023176667A1 (ja)

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JP2024507824A JPWO2023176667A1 (https=) 2022-03-18 2023-03-09
EP23770623.9A EP4494575A4 (en) 2022-03-18 2023-03-09 HEMOSTATIC INSTRUMENT
US18/883,306 US20250000516A1 (en) 2022-03-18 2024-09-12 Hemostatic device

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20190133602A1 (en) 2017-11-03 2019-05-09 Merit Medical Systems, Inc. Hemostasis devices and methods of use
WO2020111184A1 (ja) * 2018-11-29 2020-06-04 テルモ株式会社 止血器具
WO2022039272A1 (ja) * 2020-08-21 2022-02-24 テルモ株式会社 止血器具
JP2022044656A (ja) 2018-04-06 2022-03-17 株式会社シマノ 人力駆動車用コンポーネント
WO2022210656A1 (ja) * 2021-03-30 2022-10-06 テルモ株式会社 止血器具

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20190133602A1 (en) 2017-11-03 2019-05-09 Merit Medical Systems, Inc. Hemostasis devices and methods of use
JP2022044656A (ja) 2018-04-06 2022-03-17 株式会社シマノ 人力駆動車用コンポーネント
WO2020111184A1 (ja) * 2018-11-29 2020-06-04 テルモ株式会社 止血器具
WO2022039272A1 (ja) * 2020-08-21 2022-02-24 テルモ株式会社 止血器具
WO2022210656A1 (ja) * 2021-03-30 2022-10-06 テルモ株式会社 止血器具

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP4494575A4

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US20250000516A1 (en) 2025-01-02
EP4494575A1 (en) 2025-01-22

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