JP2009537250A - 血管内導管およびポート洗浄方法、経血管投与方法、血液採取/試験方法並びにそれら方法を実行するための器具 - Google Patents
血管内導管およびポート洗浄方法、経血管投与方法、血液採取/試験方法並びにそれら方法を実行するための器具 Download PDFInfo
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- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/20—Closure caps or plugs for connectors or open ends of tubes
-
- 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
- A61B90/70—Cleaning devices specially adapted for surgical instruments
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- A—HUMAN NECESSITIES
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- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2/00—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
- A61L2/16—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using chemical substances
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61L2/00—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
- A61L2/16—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using chemical substances
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- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/10—Tube connectors; Tube couplings
- A61M39/16—Tube connectors; Tube couplings having provision for disinfection or sterilisation
- A61M39/162—Tube connectors; Tube couplings having provision for disinfection or sterilisation with antiseptic agent incorporated within the connector
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/10—Tube connectors; Tube couplings
- A61M39/16—Tube connectors; Tube couplings having provision for disinfection or sterilisation
- A61M39/165—Shrouds or protectors for aseptically enclosing the connector
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- A—HUMAN NECESSITIES
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- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/001—Apparatus specially adapted for cleaning or sterilising syringes or needles
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/178—Syringes
- A61M5/31—Details
- A61M5/32—Needles; Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
- A61M5/3202—Devices for protection of the needle before use, e.g. caps
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B05—SPRAYING OR ATOMISING IN GENERAL; APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
- B05C—APPARATUS FOR APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
- B05C1/00—Apparatus in which liquid or other fluent material is applied to the surface of the work by contact with a member carrying the liquid or other fluent material, e.g. a porous member loaded with a liquid to be applied as a coating
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B05—SPRAYING OR ATOMISING IN GENERAL; APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
- B05C—APPARATUS FOR APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
- B05C1/00—Apparatus in which liquid or other fluent material is applied to the surface of the work by contact with a member carrying the liquid or other fluent material, e.g. a porous member loaded with a liquid to be applied as a coating
- B05C1/02—Apparatus in which liquid or other fluent material is applied to the surface of the work by contact with a member carrying the liquid or other fluent material, e.g. a porous member loaded with a liquid to be applied as a coating for applying liquid or other fluent material to separate articles
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B05—SPRAYING OR ATOMISING IN GENERAL; APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
- B05C—APPARATUS FOR APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
- B05C1/00—Apparatus in which liquid or other fluent material is applied to the surface of the work by contact with a member carrying the liquid or other fluent material, e.g. a porous member loaded with a liquid to be applied as a coating
- B05C1/02—Apparatus in which liquid or other fluent material is applied to the surface of the work by contact with a member carrying the liquid or other fluent material, e.g. a porous member loaded with a liquid to be applied as a coating for applying liquid or other fluent material to separate articles
- B05C1/022—Apparatus in which liquid or other fluent material is applied to the surface of the work by contact with a member carrying the liquid or other fluent material, e.g. a porous member loaded with a liquid to be applied as a coating for applying liquid or other fluent material to separate articles to the outer surface of hollow articles
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2202/00—Aspects relating to methods or apparatus for disinfecting or sterilising materials or objects
- A61L2202/20—Targets to be treated
- A61L2202/24—Medical instruments, e.g. endoscopes, catheters, sharps
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/178—Syringes
- A61M5/31—Details
- A61M2005/3117—Means preventing contamination of the medicament compartment of a syringe
- A61M2005/3121—Means preventing contamination of the medicament compartment of a syringe via the proximal end of a syringe, i.e. syringe end opposite to needle cannula mounting end
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M2025/0019—Cleaning catheters or the like, e.g. for reuse of the device, for avoiding replacement
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2209/00—Ancillary equipment
- A61M2209/06—Packaging for specific medical equipment
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T29/00—Metal working
- Y10T29/49—Method of mechanical manufacture
- Y10T29/49826—Assembling or joining
- Y10T29/49861—Sizing mating parts during final positional association
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Abstract
【選択図】図15
Description
Claims (37)
- 血管内ポートアクセス器具であって、
チャンバを有し、血管内導管ポートにリバーシブルに取り付けられるように設計されている第1部材と、
前記第1部材にリバーシブルに取り付けられ、消毒剤と、ポリエチレンフェルトスポンジ、ポリエチレンフォームスポンジ、プラスチックフォームスポンジおよびシリコンフォームスポンジから選択されるアプリケータ材料とを含む第2部材と、
を含んでおり、
前記第2部材は前記血管内導管ポートの外面上でリバーシブルに受領されるように設計されていることを特徴とする血管内ポートアクセス器具。 - チャンバ容積は略3.5ml以下であることを特徴とする請求項1記載の器具。
- チャンバは洗浄剤を収容することを特徴とする請求項1記載の器具。
- チャンバは抗凝固剤を収容することを特徴とする請求項1記載の器具。
- チャンバは脂肪分解剤を収容することを特徴とする請求項1記載の器具。
- 第1部材にリバーシブルに取り付けられる第3部材をさらに含んでいることを特徴とする請求項1記載の器具。
- 第3部材は殺菌剤を収容することを特徴とする請求項6記載の器具。
- 殺菌剤はH2O2を含んでいることを特徴とする請求項7記載の器具。
- 第1部材は変形可能なチャンバハウジングを含んでいることを特徴とする請求項1記載の器具。
- 第1部材は注射器外筒チャンバハウジングを含んでいることを特徴とする請求項1記載の器具。
- 血管内導管ポートクリーナであって、
第1端と第2端とを有した注射器外筒と、
前記第2端を通過して前記外筒内に受領されているスライド式ピストンと、洗浄剤を収容する第1キャップと、
殺菌剤を収容する第2キャップと、
を含んでいることを特徴とする血管内導管ポートクリーナ。 - 注射器外筒は洗浄剤を収容することを特徴とする請求項11記載のポートクリーナ。
- 注射器外筒は抗凝固剤を収容することを特徴とする請求項11記載のポートクリーナ。
- 注射器外筒は脂肪分解剤を収容することを特徴とする請求項11記載のポートクリーナ。
- 第1キャップと第2キャップはそれぞれアプリケータ材料を収容することを特徴とする請求項11記載のポートクリーナ。
- 血管内導管ポートの洗浄方法であって、
第1洗浄剤を収容するチャンバを有した第1部材と、
第2洗浄剤を収容する第2部材と、
殺菌剤を収容し、前記第1部材にリバーシブルに取り付けられる第3部材と、を含んだポート洗浄器具を準備するステップと、
前記第2部材を前記器具から取り外すステップと、
前記ポートの外面を前記第2洗浄剤と接触させるステップと、
前記第1洗浄剤を前記チャンバから前記ポート内に注入するステップと、前記器具から前記第3部材を取り外すステップと、
前記ポートに前記第3部材を被せるステップと、
を含んでいることを特徴とする洗浄方法。 - 第2部材は取り外す前に第3部材にリバーシブルに取り付けられることを特徴とする請求項16記載の洗浄方法。
- 第1洗浄剤と殺菌剤はH2O2を含んでいることを特徴とする請求項17記載の洗浄方法。
- 第2部材は取り外す前に第1部材にリバーシブルに取り付けられることを特徴とする請求項16記載の洗浄方法。
- 第1部材は注射器であることを特徴とする請求項16記載の洗浄方法。
- 第2部材は第1色を含んでおり、第3部材は前記第1色とは異なる第2色を含んでいることを特徴とする請求項12記載の洗浄方法。
- 第2部材および第3部材はキャップであることを特徴とする請求項12記載の洗浄方法。
- 第2部材および第3部材は合成スポンジ材料を含むキャップであることを特徴とする請求項12記載の洗浄方法。
- 第2部材および第3部材はLEUR−LOK部材キャップであり、ポートはLEUR−LOKタイプのポートであることを特徴とする請求項12記載の洗浄方法。
- 血管内導管ポートに薬剤を投与する方法であって、
前記血管内導管ポートへ投与される薬剤を収容するチャンバを有する第1部材と、
洗浄剤を収容する第2部材と、
殺菌剤を収容し、前記第1部材にリバーシブルに取り付けられる第3部材と、
を含んだポートアクセス器具を準備するステップと、
前記第2部材を前記器具から取り外すステップと、
前記ポートの外面を前記第2洗浄剤と接触させるステップと、
投与される薬剤を前記チャンバから前記ポート内に注入するステップと、
前記第3部材を前記器具から取り外すステップと、
前記ポートに前記第3部材を被せるステップと、
を含んでいることを特徴とする投与方法。 - 投与される薬剤は抗凝固剤、酸性溶液、塩基性溶液、および脂肪分解剤から選択されることを特徴とする請求項25記載の方法。
- 第1部材は注射器であることを特徴とする請求項25記載の方法。
- 第1部材は変形可能なチャンバハウジングを含んでいることを特徴とする請求項25記載の方法。
- 第1部材はスライド式バルブと搬送チャンネルをさらに含んでいることを特徴とする請求項28記載の方法。
- 患者から血液サンプルを採取する方法であって、
チャンバを有する第1部材と、
洗浄剤を収容する第2部材と、
前記第1部材にリバーシブルに取り付けられ、殺菌剤を収容する第3部材と、
を含んだポートアクセス器具を準備するステップと、
前記第2部材を前記器具から取り外すステップと、
ポートの外面を前記第2洗浄剤と接触させるステップと、
患者から血液を採取し、前記ポートを介して前記第1部材の前記チャンバに収容するステップと、
前記第3部材を前記器具から取り外すステップと、
前記ポートに前記第3部材を被せるステップと、
を含んでいることを特徴とする方法。 - チャンバは抗凝固剤を含んでいることを特徴とする請求項30記載の方法。
- 第1薬剤と第1アプリケータ材料とを収容する第1ポートキャップと、
第2薬剤と第2アプリケータ材料とを収容する第2ポートキャップと、
を含んでいることを特徴とする血管内導管ポートキャップセット。 - 第1薬剤は洗浄剤であり、第2薬剤は殺菌剤であることを特徴とする請求項32記載のキャップセット。
- 第1薬剤と第2薬剤の少なくとも一方はH2O2を含んでいることを特徴とする請求項32記載のキャップセット。
- 第1キャップと第2キャップは互いに異なる色彩であることを特徴とする請求項32記載のキャップセット。
- 第1キャップと第2キャップは互いに異なるサイズであることを特徴とする請求項32記載のキャップセット。
- 第1受領ポートと第2受領ポートとを有するパッケージ部材をさらに含んでいることを特徴とする請求項32記載のキャップセット。
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Application Number | Priority Date | Filing Date | Title |
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US74760606P | 2006-05-18 | 2006-05-18 | |
US84219406P | 2006-08-31 | 2006-08-31 | |
US89562107P | 2007-03-19 | 2007-03-19 | |
US11/745,843 US8162899B2 (en) | 2006-05-18 | 2007-05-08 | Intravascular line and port cleaning methods, methods of administering an agent intravascularly, methods of obtaining/testing blood, and devices for performing such methods |
PCT/US2007/069015 WO2007137056A2 (en) | 2006-05-18 | 2007-05-16 | Intravascular line and port cleaning methods, methods of administering an agent intravascularly, methods of obtaining/ testing blood, and devices for performing such methods |
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JP2012181542A Division JP2012232182A (ja) | 2006-05-18 | 2012-08-20 | カテーテルポート洗浄システムおよび流体導入方法 |
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JP2012181542A Pending JP2012232182A (ja) | 2006-05-18 | 2012-08-20 | カテーテルポート洗浄システムおよび流体導入方法 |
JP2013256853A Active JP5771263B2 (ja) | 2006-05-18 | 2013-12-12 | 血管内導管ポートの洗浄方法、ポート洗浄器具群およびその製造方法 |
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JP2013256853A Active JP5771263B2 (ja) | 2006-05-18 | 2013-12-12 | 血管内導管ポートの洗浄方法、ポート洗浄器具群およびその製造方法 |
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US (7) | US8162899B2 (ja) |
EP (1) | EP2023975B1 (ja) |
JP (3) | JP2009537250A (ja) |
CN (1) | CN101505815B (ja) |
AU (1) | AU2007253884B2 (ja) |
CA (3) | CA3036258C (ja) |
MX (2) | MX2008014583A (ja) |
TW (3) | TWI552779B (ja) |
WO (1) | WO2007137056A2 (ja) |
Cited By (8)
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