JP5468414B2 - 脳冷却装置及びこれに適した脳冷却用具 - Google Patents
脳冷却装置及びこれに適した脳冷却用具 Download PDFInfo
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- A—HUMAN NECESSITIES
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/04—Tracheal tubes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/0085—Devices for generating hot or cold treatment fluids
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/10—Cooling bags, e.g. ice-bags
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/12—Devices for heating or cooling internal body cavities
- A61F7/123—Devices for heating or cooling internal body cavities using a flexible balloon containing the thermal element
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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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/04—Tracheal tubes
- A61M16/0402—Special features for tracheal tubes not otherwise provided for
- A61M16/0409—Special features for tracheal tubes not otherwise provided for with mean for closing the oesophagus
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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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/04—Tracheal tubes
- A61M16/0434—Cuffs
- A61M16/0436—Special fillings therefor
- A61M16/0438—Liquid-filled
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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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/04—Tracheal tubes
- A61M16/0434—Cuffs
- A61M16/0445—Special cuff forms, e.g. undulated
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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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/04—Tracheal tubes
- A61M16/0434—Cuffs
- A61M16/0454—Redundant cuffs
- A61M16/0459—Redundant cuffs one cuff behind another
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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
- A61M19/00—Local anaesthesia; Hypothermia
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- 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
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
- A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F2007/0001—Body part
- A61F2007/0002—Head or parts thereof
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F2007/0054—Heating or cooling appliances for medical or therapeutic treatment of the human body with a closed fluid circuit, e.g. hot water
- A61F2007/0056—Heating or cooling appliances for medical or therapeutic treatment of the human body with a closed fluid circuit, e.g. hot water for cooling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F2007/0091—Heating or cooling appliances for medical or therapeutic treatment of the human body inflatable
- A61F2007/0092—Heating or cooling appliances for medical or therapeutic treatment of the human body inflatable with, or also with, a substance other than air
-
- 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/04—Tracheal tubes
- A61M16/0434—Cuffs
-
- 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
- A61M2016/0027—Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
-
- 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/36—General characteristics of the apparatus related to heating or cooling
- A61M2205/3606—General characteristics of the apparatus related to heating or cooling cooled
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- Health & Medical Sciences (AREA)
- Pulmonology (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Emergency Medicine (AREA)
- Vascular Medicine (AREA)
- Physics & Mathematics (AREA)
- Thermal Sciences (AREA)
- Thermotherapy And Cooling Therapy Devices (AREA)
- Surgical Instruments (AREA)
Description
1 冷却用具
2 導入部
3 導出部
4 カフ
10 圧力センサ(検出部)
20 冷却装置
25 回収チューブ(回収流路)
25a 導出側接続部
26 供給チューブ(供給流路)
26a 導入側接続部
27 充填用チューブ(充填流路)
28 バイパスチューブ(バイパス流路)
32 貯留タンク(貯留部)
41 第一ポンプ
42 第二ポンプ
43 冷却部材
44 水位センサ
48 制御装置(制御部)
51 第二弁(弁)
Claims (7)
- 内部に流体が導入されることにより膨張して生体の口腔から胃に至るまでの領域の少なくとも一部に密着可能な収容部と、この収容部内に体外から流体を導入可能な導入部と、前記収容部内の流体を体外に導出可能な導出部とを有する脳冷却用具の前記収容部との間で流体を給排するための脳冷却装置であって、
前記導入部と接続可能な導入側接続部と、
前記導出部と接続可能な導出側接続部と、
前記流体を貯留する貯留部と、
前記貯留部と前記導入側接続部とを連通する供給流路と、
前記貯留部と前記導出側接続部とを連通する回収流路と、
前記供給流路に設けられ、当該供給流路に沿って流体を流すための第一ポンプと、
前記回収流路に設けられ、当該回収流路に沿って流体を流すための第二ポンプと、
前記第一ポンプ及び第二ポンプの駆動を制御する制御部とを備え、
前記制御部は、前記貯留部から収容部に向けて流体が流れる方向に前記第一ポンプを駆動させるとともに前記収容部から貯留部に向けて流体が流れる方向に前記第二ポンプを駆動させることにより前記貯留部と前記収容部との間で流体を循環させた状態で、前記収容部内の圧力が予め設定された目標圧力となるように、前記両ポンプのうち少なくとも前記第二ポンプの駆動速度を調整することを特徴とする脳冷却装置。 - 前記脳冷却用具内の流体の圧力を検出可能な検出部が当該脳冷却用具に設けられており、前記制御部は、前記検出部により検出された収容部内の圧力に基いて、当該収容部内の圧力が前記目標圧力となるように前記両ポンプのうち少なくとも第二ポンプの駆動速度を調整することを特徴とする請求項1に記載の脳冷却装置。
- 前記制御部は、前記貯留部と前記収容部との間で流体が循環している状態において、前記第一ポンプの駆動速度を一定にし、かつ、前記収容部内の圧力が前記目標圧力となるように前記第二ポンプの駆動速度を調整することを特徴とする請求項1又は2に記載の脳冷却装置。
- 前記貯留部内の流体を冷却するための冷却部をさらに備え、
前記制御部は、前記貯留部内の流体の温度が予め設定された目標温度となるように、前記冷却部の冷却能力を調整することを特徴とする請求項1〜3の何れか1項に記載の脳冷却装置。 - 前記第一ポンプを挟んで前記貯留部と反対側の位置となる前記供給流路の途中部と、前記第二ポンプと前記貯留部との間の位置となる前記回収流路の途中部とを連通させるバイパス流路と、
このバイパス流路よりも前記導入側接続部側となる位置で前記供給流路を遮断可能な弁とをさらに備え、
前記第二ポンプは、その停止状態で前記回収流路を遮断するように構成され、
前記制御部は、前記流体の循環を開始する前の段階において、前記弁により供給流路を遮断し、前記第二ポンプを停止し、前記第一ポンプを駆動させることにより、貯留部内の流体を回収流路、バイパス流路及び供給流路を通して貯留部内に戻すことを特徴とする請求項4に記載の脳冷却装置。 - 前記流体が液体であり、
前記供給流路は、前記貯留部内の液体の水位よりも下となる位置で当該貯留部に接続されているとともに、前記回収流路は、前記貯留部内の液体の水位よりも上となる位置で当該貯留部に接続され、
前記制御部は、前記液体の循環が終了した後の段階において、前記回収流路内の液体が前記収容部側に流れる方向に前記第二ポンプを駆動させるとともに、前記供給流路内の液体が前記貯留部側に流れる方向に前記第一ポンプを駆動させることを特徴とする請求項1〜5の何れか1項に記載の脳冷却装置。 - 請求項1〜6の何れか1項に記載の脳冷却装置に接続して使用される脳冷却用具であって、
生体に経口又は経鼻挿入された状態で内部に流体が導入されることにより膨張して生体の口腔から胃に至るまでの少なくとも一部に密着可能な収容部と、
この収容部内に体外から流体を導入可能で、かつ、前記脳冷却装置の導入側接続部に接続可能な導入部と、
前記収容部内の流体を体外に導出可能で、かつ、前記脳冷却装置の導出側接続部に接続可能な導出部と、
前記導入部又は導出部内の流体の圧力を検出可能で、かつ、前記脳冷却装置の制御部に検出結果を出力可能な検出部とを備えていることを特徴とする脳冷却用具。
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Application Number | Priority Date | Filing Date | Title |
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JP2010036374A JP5468414B2 (ja) | 2010-02-22 | 2010-02-22 | 脳冷却装置及びこれに適した脳冷却用具 |
US13/580,394 US9522244B2 (en) | 2010-02-22 | 2011-02-21 | Brain cooling apparatus and brain cooling device suitable thereto |
PCT/JP2011/000947 WO2011102146A1 (ja) | 2010-02-22 | 2011-02-21 | 脳冷却装置及びこれに適した脳冷却用具 |
EP11744437.2A EP2540260B1 (en) | 2010-02-22 | 2011-02-21 | Brain cooling apparatus and brain cooling device suitable thereto |
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JP2010036374A JP5468414B2 (ja) | 2010-02-22 | 2010-02-22 | 脳冷却装置及びこれに適した脳冷却用具 |
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JP5468414B2 true JP5468414B2 (ja) | 2014-04-09 |
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EP (1) | EP2540260B1 (ja) |
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WO (1) | WO2011102146A1 (ja) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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US9320644B2 (en) | 2011-07-25 | 2016-04-26 | Neurosave, Inc. | Non-invasive systems, devices, and methods for selective brain cooling |
KR101840346B1 (ko) * | 2017-08-08 | 2018-05-04 | 주식회사 비엠텍월드와이드 | 냉각 기체 회수 장치를 갖는 극저온 치료기 및 이의 제어방법 |
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US10271889B2 (en) | 2010-06-27 | 2019-04-30 | Sunnybrook Health Sciences Centre | Apparatus and method for cooling a tissue volume during thermal therapy treatment |
US9682190B2 (en) | 2013-03-15 | 2017-06-20 | Covidien Lp | Recirculating cooling system for energy delivery device |
US9101344B2 (en) | 2013-03-15 | 2015-08-11 | Covidien Lp | Recirculating cooling system for energy delivery device |
EP2860399A1 (de) | 2013-10-14 | 2015-04-15 | ECP Entwicklungsgesellschaft mbH | Verfahren zum Betrieb einer Versorgungseinrichtung, die einen Kanal mit einer Flüssigkeit beaufschlagt, sowie Versorgungseinrichtung |
CN104288896B (zh) * | 2014-06-25 | 2017-11-14 | 首都医科大学 | 一种颅脑灌注降温便携箱 |
US10231865B2 (en) * | 2015-01-05 | 2019-03-19 | Profound Medical Inc. | Endocavity temperature control device |
US20170157366A1 (en) * | 2015-12-03 | 2017-06-08 | Benny Assif | Urinary catheters, systems and methods for use during treatment of the prostate |
US11071586B2 (en) | 2017-06-05 | 2021-07-27 | Covidien Lp | Cooling systems for energy delivery devices |
JP7481061B1 (ja) | 2024-01-09 | 2024-05-10 | 義成 濱▲崎▼ | ラリンジアルマスク及びラリンジアルマスクの装着方法 |
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US7666213B2 (en) * | 2002-07-11 | 2010-02-23 | Life Recovery Systems Hd, Llc | Apparatus for altering the body temperature of a patient |
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EP2716266B1 (en) * | 2008-01-25 | 2019-01-02 | Neurosave, Inc. | Rapid cooling of body and/or brain by irrigating aerodigestive tract with cooling liquid |
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CA2841863A1 (en) * | 2011-07-25 | 2013-01-31 | Neurosave, Inc. | Non-invasive systems, devices, and methods for selective brain cooling |
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- 2010-02-22 JP JP2010036374A patent/JP5468414B2/ja active Active
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- 2011-02-21 WO PCT/JP2011/000947 patent/WO2011102146A1/ja active Application Filing
- 2011-02-21 EP EP11744437.2A patent/EP2540260B1/en active Active
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9320644B2 (en) | 2011-07-25 | 2016-04-26 | Neurosave, Inc. | Non-invasive systems, devices, and methods for selective brain cooling |
KR101840346B1 (ko) * | 2017-08-08 | 2018-05-04 | 주식회사 비엠텍월드와이드 | 냉각 기체 회수 장치를 갖는 극저온 치료기 및 이의 제어방법 |
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US20120323296A1 (en) | 2012-12-20 |
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US9522244B2 (en) | 2016-12-20 |
WO2011102146A1 (ja) | 2011-08-25 |
JP2011167461A (ja) | 2011-09-01 |
EP2540260A1 (en) | 2013-01-02 |
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