JP4652810B2 - シースをベースにした血管穿刺位置決め器および深度表示器 - Google Patents
シースをベースにした血管穿刺位置決め器および深度表示器 Download PDFInfo
- Publication number
- JP4652810B2 JP4652810B2 JP2004541824A JP2004541824A JP4652810B2 JP 4652810 B2 JP4652810 B2 JP 4652810B2 JP 2004541824 A JP2004541824 A JP 2004541824A JP 2004541824 A JP2004541824 A JP 2004541824A JP 4652810 B2 JP4652810 B2 JP 4652810B2
- Authority
- JP
- Japan
- Prior art keywords
- sheath
- introducer sheath
- distal end
- blood vessel
- puncture
- 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.)
- Expired - Fee Related
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00491—Surgical glue applicators
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00637—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for sealing trocar wounds through abdominal wall
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00646—Type of implements
- A61B2017/00654—Type of implements entirely comprised between the two sides of the opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00672—Locating means therefor, e.g. bleed back lumen
-
- 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
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/062—Measuring instruments not otherwise provided for penetration depth
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Description
Sc = Sd + e (1)
ここでSdはシースの遠位端514とシース500が皮膚表面で掴まれる地点との間の距離である。当業者であれば、マーカがシース500周囲の皮膚表面に配置されてよいか、または穿刺の深さおよび場所を位置決めするために深度表示器マーカがシース500上にあらかじめマーキングされてよいことも理解できよう。
12,12A,76,112,212 水和室
14,114,214,314,414 制御先端部
16,16A,16B,116 結合器
18,118,218 シリンジ
22 ハブ
24 管状シース
26,126,226,326,430 ベントチューブ
28,128 ベントキャップ
34,134,240 遠位端
36 フランジ
40 拡大された遠位端
42,102 チューブ
44,132 近位端
48,66 固定タブ
50 翼部
52 止め具
54 シール
56 フラッパー弁
60 円筒状の遠位端
64 環状リング
70 シースハブ
72 固定環状部
74 水和室の遠位端
78 固定溝
100 ステージングチューブ
104 ハンドル
108 血管穿刺部位
109 組織
136 水和室の先細部分
220,320 サイドポート
222,322 止水弁
224 ポート
330 近位栓
332 ハブ
400 ガーゼ取扱いシステム
402 ガーゼ室
404 弁システム
406 結合システム
412 アーム
414 ブリードバックチューブ
420 室
422 シリンジ連通カニューレ
426 円筒型弁室
428 流量制御部材
429 半円筒型遮断部
434 支柱
440 ブリードバックチャネル
442 ブリードバック管
452,454 シース
500,514 シース
504,506 ガイドワイヤ
508 血管
510 ブリードバック穴
512 拡張器
516 皮膚表面
518 シースを掴む地点
520 外的指圧制御
522 外的指圧
524 制御先端部拡張器
526 拡大された遠位端
528 近位遷移端
Claims (1)
- 血管穿刺に止血促進物質を送達する装置であって、
内腔、近位端および血管穿刺部位近傍に位置される遠位端を有し、体内組織内に配置される導入シースと、
止血促進物質のガーゼを受け取り、かつ水和させるべく導入シースの近位端に対して水密的に接続される遠位端と、結合器を介してシリンジに接続されるように近位端とを有する水和室と、第1の直径を有するチューブおよび前記第1の直径よりも大きい第2の直径を有する拡大された遠位端を含む制御先端部であって、前記チューブは水和室の内部から水和室の遠位端を介し、導入シースを通って導入シースの遠位端を越えて延びる制御先端部とを備えた止血促進物質送達システムと、
前記導入シース内の内腔内に配置される拡張器と、同拡張器はシースの遠位端を越えて延びる遠位延長部を有し、前記遠位延長部は、同遠位延長部が血管穿刺を経て血管内腔に位置されると、血管内の血液が拡張器および導入シース内に進入することを許容するブリードバック穴を有することと、
前記止血促進物質送達システムから導入シース内に止血促進物質が搬送されるに先立って拡張器を導入シースから取り外す時期を知らせる血液の進入が導入シース内に発生したことを視覚的に示すべく前記導入シースに対して水密的に連通されたベントチューブと
からなることを特徴とする血管穿刺に止血促進物質を送達する装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/256,493 US7008440B2 (en) | 2001-11-08 | 2002-09-26 | System and method for delivering hemostasis promoting material to a blood vessel puncture site by fluid pressure |
US10/302,575 US7025748B2 (en) | 2001-11-08 | 2002-11-22 | Sheath based blood vessel puncture locator and depth indicator |
PCT/US2003/030656 WO2004030719A2 (en) | 2002-09-26 | 2003-09-26 | Hemostatic puncture closure with depth indicator |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2006501030A JP2006501030A (ja) | 2006-01-12 |
JP4652810B2 true JP4652810B2 (ja) | 2011-03-16 |
Family
ID=32072840
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2004541824A Expired - Fee Related JP4652810B2 (ja) | 2002-09-26 | 2003-09-26 | シースをベースにした血管穿刺位置決め器および深度表示器 |
Country Status (6)
Country | Link |
---|---|
US (1) | US7025748B2 (ja) |
EP (1) | EP1549945A4 (ja) |
JP (1) | JP4652810B2 (ja) |
AU (1) | AU2003275280A1 (ja) |
CA (1) | CA2500409C (ja) |
WO (1) | WO2004030719A2 (ja) |
Families Citing this family (37)
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- 2003-09-26 JP JP2004541824A patent/JP4652810B2/ja not_active Expired - Fee Related
- 2003-09-26 EP EP03759556A patent/EP1549945A4/en not_active Withdrawn
- 2003-09-26 AU AU2003275280A patent/AU2003275280A1/en not_active Abandoned
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US20040019330A1 (en) | 2004-01-29 |
WO2004030719A2 (en) | 2004-04-15 |
JP2006501030A (ja) | 2006-01-12 |
EP1549945A2 (en) | 2005-07-06 |
WO2004030719A3 (en) | 2004-07-08 |
CA2500409A1 (en) | 2004-04-15 |
US7025748B2 (en) | 2006-04-11 |
EP1549945A4 (en) | 2012-04-25 |
WO2004030719A8 (en) | 2005-09-01 |
AU2003275280A1 (en) | 2004-04-23 |
CA2500409C (en) | 2012-03-20 |
AU2003275280A8 (en) | 2004-04-23 |
WO2004030719A9 (en) | 2005-11-17 |
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