JP2014516604A - 植え込まれた医用デバイスの固定および保護 - Google Patents
植え込まれた医用デバイスの固定および保護 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0043—Catheters; Hollow probes characterised by structural features
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0043—Catheters; Hollow probes characterised by structural features
- A61M25/0054—Catheters; Hollow probes characterised by structural features with regions for increasing flexibility
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
- A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0043—Catheters; Hollow probes characterised by structural features
- A61M2025/0056—Catheters; Hollow probes characterised by structural features provided with an antibacterial agent, e.g. by coating, residing in the polymer matrix or releasing an agent out of a reservoir
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0043—Catheters; Hollow probes characterised by structural features
- A61M2025/0059—Catheters; Hollow probes characterised by structural features having means for preventing the catheter, sheath or lumens from collapsing due to outer forces, e.g. compressing forces, or caused by twisting or kinking
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
- A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
- A61M2039/025—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body through bones or teeth, e.g. through the skull
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
- A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
- A61M2039/0258—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for vascular access, e.g. blood stream access
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
- A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
- A61M2039/0261—Means for anchoring port to the body, or ports having a special shape or being made of a specific material to allow easy implantation/integration in the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
- A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
- A61M2039/0276—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for introducing or removing fluids into or out of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
- A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
- A61M2039/0291—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body method or device for implanting it in the body
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Pulmonology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Biophysics (AREA)
- Gastroenterology & Hepatology (AREA)
- Prostheses (AREA)
- Materials For Medical Uses (AREA)
Abstract
【選択図】図10
Description
[0001]本出願は、「Antimicrobial Fixation Device for an Implantable Medical Device」という名称の2011年3月24日に出願された米国仮特許出願第61/467,330号の利益を主張するものであり、この仮特許出願を、参照によりその全体を本明細書に組み込む。
Claims (24)
- 少なくとも1つの内腔を画定する細長いカテーテルチューブと、
前記カテーテルチューブの長手方向の長さの少なくとも一部分を覆うように前記カテーテルチューブの外部部分のまわりに配置された保護メッシュスリーブであって、前記カテーテルチューブの前記少なくとも1つの内腔の開通性を確保するように前記カテーテルチューブ上に圧迫荷重を分散させるように構成された保護メッシュスリーブと
を備えるカテーテル組立体。 - 前記メッシュスリーブが少なくとも最初は前記カテーテルチューブに沿って摺動可能である、請求項1に記載のカテーテル組立体。
- 前記メッシュスリーブが、前記カテーテルチューブの潜在的なピンチオフが発生する可能性がある場所で前記カテーテルチューブに固定される、請求項1に記載のカテーテル組立体。
- 前記カテーテルチューブが植込み可能なアクセスポートに動作可能に接続され、前記スリーブが、患者の鎖骨に近接する靱帯に近接して通過するまたは患者の鎖骨に近接する前記靱帯を貫通する前記カテーテルチューブの一部分を覆うように位置決めされる、請求項1に記載のカテーテル組立体。
- 前記メッシュスリーブがサテン系織物構成を含む、請求項1に記載のカテーテル組立体。
- 前記メッシュスリーブを形成する材料が、ポリプロピレンおよびパラアラミド合成繊維のうちの少なくとも1つを含む、請求項1に記載のカテーテル組立体。
- 前記メッシュスリーブが、医用デバイスが配置された組織ポケットおよび血管挿入部位から延在する皮下トンネル内に位置決めされた前記カテーテルチューブの一部分と合致するように位置決めされる、請求項1に記載のカテーテル組立体。
- 前記メッシュスリーブが組織成長促進物質を含む、請求項1に記載のカテーテル組立体。
- 前記メッシュスリーブが、前記メッシュスリーブ上の微生物の存在を阻害する抗菌物質を含む、請求項1に記載のカテーテル組立体。
- 患者内部の皮下組織ポケット内に植込み可能な医用デバイスを固着するための方法であって、
前記患者の身体内で前記皮下組織ポケットを画定するステップと、
前記ポケットの一部分および前記医用デバイスの外表面のうちの少なくとも1つに接着剤を塗布するステップと、
前記医用デバイスが前記接着剤によって前記ポケット内部の所定の位置に固着されるように、前記ポケット内に前記医用デバイスを設置するステップと
を含む方法。 - 前記接着剤が硬化するのに十分な時間にわたって前記ポケット内で設置した後で前記医用デバイスを静止するように保つステップをさらに含む、請求項10に記載の固着するための方法。
- 前記医用デバイスが植込み可能なアクセスポートを含み、前記接着剤が、吸収可能/再吸収可能な接着剤、生体適合性エポキシ、光硬化接着剤、熱硬化接着剤、および時間硬化接着剤のうちの1つを含む、請求項10に記載の固着するための方法。
- 前記接着剤を塗布するステップが、前記医用デバイスの底部表面に前記接着剤を塗布するステップをさらに含む、請求項10に記載の固着するための方法。
- 前記接着剤を塗布するステップが、創傷閉鎖接着剤、加硫シリコーン、およびシアノアクリレートのうちの少なくとも1つを含む接着剤を塗布するステップをさらに含む、請求項10に記載の固着するための方法。
- 植込み可能な医用デバイスのための固定システムであって、
植込み可能な医用デバイスと、
前記医用デバイスに固定されたメッシュシートであって、前記植込み可能な医用デバイスを患者の身体内に画定された組織ポケットの中に固着するように前記ポケット内に固定可能なメッシュシートと
を備える固定システム。 - 前記メッシュシートが可撓性であり、接着剤および機械的締め具のうちの少なくとも1つにより前記医用デバイスの外表面に取り付けられる、請求項15に記載の固定システム。
- 前記メッシュシートが、接着剤および機械的締め具のうちの少なくとも1つにより前記ポケットの中の組織に固定される、請求項15に記載の固定システム。
- 前記メッシュシートが、前記メッシュシートを通るねじ付き締め具の挿入により前記ポケットの中の組織に取り付けられる、請求項17に記載の固定システム。
- 前記ねじ付き締め具を前記メッシュシートおよび組織とねじ込み可能に係合させるために挿入器具が使用され、前記締め具が最初に前記挿入器具のシャフトから延在するピンガイド上で受け入れられる、請求項18に記載の固定システム。
- 前記挿入器具の前記シャフトが四角形断面を画定し、前記締め具の頭部部分が四角形であり、前記シャフトの遠位部分が、前記締め具を前記メッシュシートおよび組織とねじ込み可能に係合させるために用いることができる、請求項19に記載の固定システム。
- 前記メッシュシートが、前記ポケット内での植え込み後に前記メッシュシート上の微生物の存在を阻害する抗菌物質を含む、請求項15に記載の固定システム。
- 前記メッシュシートの外周の少なくとも一部分が、それを通して締め具をねじ込み可能に受け入れるのに適した実質的に中実の縁部分を含む、請求項15に記載の固定システム。
- 前記メッシュシートが、吸収可能/再吸収可能な構成要素を含む、請求項15に記載の固定システム。
- 前記メッシュシートを形成するストランド材料が約0.00254センチメートル(0.001インチ)の直径を含む、請求項15に記載の固定システム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201161467330P | 2011-03-24 | 2011-03-24 | |
US61/467,330 | 2011-03-24 | ||
PCT/US2012/030394 WO2012129516A1 (en) | 2011-03-24 | 2012-03-23 | Fixation and protection of an implanted medical device |
Publications (1)
Publication Number | Publication Date |
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JP2014516604A true JP2014516604A (ja) | 2014-07-17 |
Family
ID=46879761
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Application Number | Title | Priority Date | Filing Date |
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JP2014501283A Pending JP2014516604A (ja) | 2011-03-24 | 2012-03-23 | 植え込まれた医用デバイスの固定および保護 |
Country Status (4)
Country | Link |
---|---|
US (2) | US9295809B2 (ja) |
EP (1) | EP2688605A4 (ja) |
JP (1) | JP2014516604A (ja) |
WO (1) | WO2012129516A1 (ja) |
Families Citing this family (8)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2014516604A (ja) | 2011-03-24 | 2014-07-17 | シー・アール・バード・インコーポレーテッド | 植え込まれた医用デバイスの固定および保護 |
WO2015061778A1 (en) * | 2013-10-25 | 2015-04-30 | Arkis Biosciences | A method of device attachment to a biological surface |
US20180001007A1 (en) * | 2016-07-01 | 2018-01-04 | John Stratton | Ventricular assist device driveline protector |
US11364363B2 (en) | 2016-12-08 | 2022-06-21 | Abiomed, Inc. | Overmold technique for peel-away introducer design |
US10406274B1 (en) | 2017-06-02 | 2019-09-10 | Jose Ramirez | Accessing assembly for hemodialysis administration |
IL301505B1 (en) | 2017-11-06 | 2024-04-01 | Abiomed Inc | A bleeding stop valve is peeling off |
US11793977B2 (en) | 2018-05-16 | 2023-10-24 | Abiomed, Inc. | Peel-away sheath assembly |
EP3760273A1 (de) * | 2019-07-02 | 2021-01-06 | SeraIP AG | Implantierbare hautdurchlassvorrichtung |
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-
2012
- 2012-03-23 JP JP2014501283A patent/JP2014516604A/ja active Pending
- 2012-03-23 US US13/428,913 patent/US9295809B2/en active Active
- 2012-03-23 EP EP12760194.6A patent/EP2688605A4/en not_active Withdrawn
- 2012-03-23 WO PCT/US2012/030394 patent/WO2012129516A1/en active Application Filing
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2016
- 2016-03-25 US US15/081,777 patent/US9717894B2/en active Active
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Also Published As
Publication number | Publication date |
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US9295809B2 (en) | 2016-03-29 |
EP2688605A4 (en) | 2014-09-10 |
US20160279403A1 (en) | 2016-09-29 |
US20130072901A1 (en) | 2013-03-21 |
US9717894B2 (en) | 2017-08-01 |
WO2012129516A1 (en) | 2012-09-27 |
EP2688605A1 (en) | 2014-01-29 |
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