JP6199866B2 - 連結部を有する血管アクセスシステム - Google Patents
連結部を有する血管アクセスシステム Download PDFInfo
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- JP6199866B2 JP6199866B2 JP2014528705A JP2014528705A JP6199866B2 JP 6199866 B2 JP6199866 B2 JP 6199866B2 JP 2014528705 A JP2014528705 A JP 2014528705A JP 2014528705 A JP2014528705 A JP 2014528705A JP 6199866 B2 JP6199866 B2 JP 6199866B2
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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
- A61M39/1011—Locking means for securing connection; Additional tamper safeties
-
- 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
-
- 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3653—Interfaces between patient blood circulation and extra-corporal blood circuit
- A61M1/3655—Arterio-venous shunts or fistulae
-
- 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
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/10—Tube connectors; Tube couplings
- A61M39/12—Tube connectors; Tube couplings for joining a flexible tube to a rigid attachment
-
- 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
- A61M39/20—Closure caps or plugs for connectors or open ends of tubes
-
- 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
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/10—Location thereof with respect to the patient's body
- A61M60/122—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body
- A61M60/126—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel
- A61M60/13—Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel by means of a catheter allowing explantation, e.g. catheter pumps temporarily introduced via the vascular system
-
- 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
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/30—Medical purposes thereof other than the enhancement of the cardiac output
- A61M60/36—Medical purposes thereof other than the enhancement of the cardiac output for specific blood treatment; for specific therapy
- A61M60/37—Haemodialysis, haemofiltration or diafiltration
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B2017/1132—End-to-end connections
-
- 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
- A61M2205/32—General characteristics of the apparatus with radio-opaque indicia
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Mechanical Engineering (AREA)
- Pulmonology (AREA)
- Urology & Nephrology (AREA)
- Surgery (AREA)
- Emergency Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- External Artificial Organs (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Prostheses (AREA)
Description
本願は、2011年9月6日に出願された米国仮特許出願第61/531,303号明細書および2012年4月23日に出願された米国仮特許出願第61/636,851号明細書の利益を主張し、これらの特許の正規版であり、これらの特許は共に、参照により本明細書に援用するものとする。
Claims (18)
- 血管システムを留置するための連結器であって、
遠位の管状本体と、
近位の管状本体と、
前記近位および遠位の管状本体間に配置されたフランジと、
連結装置と、
を含み、前記連結装置は、
一つの回転軸を有するヒンジ式機構により前記フランジに回動可能に連結された第1の端部と、前記第1の端部から離れて配置された第2の端部と、前記第2の端部に隣接する面に形成された複数のノッチとを有する第1の部材と、
前記第1の部材の第1の端部に接続され、前記ヒンジ式機構により前記フランジに回動可能に連結された第1の端部と、前記第1の端部から離れて配置された第2の端部と、前記第2の端部の面に形成され、流入側構成要素を前記近位の管状本体に固定するために、前記第1の部材の前記複数のノッチの少なくとも1つのノッチと係合するように構成された第2の複数のノッチとを有する第2の部材と、
を含む、連結器。 - 前記連結装置は、開いた構成と、様々な大きさの流入側構成要素を前記近位の管状本体に固定するように構成された複数の閉じた構成とをさらに含む、請求項1に記載の連結器。
- 前記連結装置は、前記第2の部材の前記第2の端部が第1の範囲のノッチ群と係合する第1の閉じた構成を有し、前記連結装置はまた、前記第2の部材の前記第2の端部が、前記第1の範囲のノッチ群と前記第1の部材の前記第1の端部との間の少なくとも1つのノッチを含む第2の範囲のノッチ群と係合する第2の閉じた構成を含む、請求項1に記載の連結器。
- 前記第1および第2の部材と連動する、前記ヒンジ式機構のまわりに配置されたばねであって、(i)前記連結器を開いた構成に維持し、かつ/または、(ii)閉じた構成にある場合に、前記第1の部材の前記複数のノッチの少なくとも1つのノッチと、前記第2の部材の前記複数のノッチの少なくとも1つのノッチとの間に力を加えるように構成されたばねをさらに含む、請求項1に記載の連結器。
- 前記遠位の管状本体の外側面に配置された複数の係合形状部をさらに含む、請求項1に記載の連結器。
- 前記近位の管状本体の外側面に配置された複数の係合形状部をさらに含む、請求項1に記載の連結器。
- 各前記第1および第2の部材の一部分から外側に延びる囲い板をさらに含む、請求項1に記載の連結器。
- 前記囲い板の内側面に配置された複数の係合形状部をさらに含む、請求項7に記載の連結器。
- 前記第1の部材の前記第2の端部に隣接して配置された第1のスロットをさらに含み、前記第1のスロットは、前記第1の部材の前記第2の端部が、前記第2の部材の前記第2の端部から離れる方向に十分な量だけ撓むのを可能にして、そのように撓んだ場合に、前記第1の複数のノッチがスライドして前記第2の複数のノッチを通り過ぎることができるように構成される、請求項1に記載の連結器。
- 前記第2の部材の前記第2の端部に隣接して配置された第2のスロットをさらに含み、前記第2のスロットは、前記第2の部材の前記第2の端部が、前記第1の部材の前記第2の端部から離れる方向に十分な量だけ撓むのを可能にして、そのように撓んだ場合に、前記第2の複数のノッチがスライドして前記第1の複数のノッチを通り過ぎることができるように構成される、請求項1に記載の連結器。
- 前記流入側構成要素の歪みを軽減するために、前記流入側構成要素と滑り嵌めを形成するように前記連結器の端部と連結するように構成された歪み軽減構造体をさらに含む、請求項1に記載の連結器。
- 前記歪み軽減構造体は、前記連結装置と前記近位の管状本体との間に固定されるように構成された前記流入側構成要素の遠位端のまわりに配置された内側スリーブを含む、請求項11に記載の連結器。
- 前記歪み軽減構造体は、エラストマー遠位部分および弾性近位部分を含み、前記エラストマー遠位部分は、前記連結装置の少なくとも一部分を受け入れるために弾性的に拡張するように構成され、前記弾性近位部分は、少なくとも管状部材に隣接する前記流入側構成要素の過剰な狭窄を軽減する、または最小限にするように構成される、請求項11に記載の連結器。
- 患者の血管系の2つの位置間に血液の連続流れをもたらすシステムであって、
遠位部分および近位部分を有する血液導管であって、前記遠位部分は、挿入部位で血管に挿入され、前記挿入部位から前記挿入部位とは離れた位置に進められるように構成される、血液導管と、
請求項1〜13のいずれかに記載の連結器と、を含む、システム。 - 血管系において管状セグメントを連結するためのキットであって、
請求項1〜13のいずれかに記載の連結器と、
流入側構成要素の端部を半径方向に拡張させるように構成された組織グラフト拡張器と、を含むキット。 - 前記流入側構成要素の歪みを軽減するために、前記流入側構成要素と滑り嵌めを形成するように前記連結器の端部と連結するように構成された歪み軽減構造体をさらに含む、請求項15に記載のキット。
- 前記歪み軽減構造体内に配置され、前記流入構成要素のまわりに配置されるように構成されたシリコーンスリーブをさらに含む、請求項16に記載のキット。
- 1つまたは複数の流入側構成要素および/または流出側構成要素をさらに含む、請求項16に記載のキット。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201161531303P | 2011-09-06 | 2011-09-06 | |
US61/531,303 | 2011-09-06 | ||
US201261636851P | 2012-04-23 | 2012-04-23 | |
US61/636,851 | 2012-04-23 | ||
PCT/US2012/053967 WO2013036643A2 (en) | 2011-09-06 | 2012-09-06 | Vascular access system with connector |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2014529474A JP2014529474A (ja) | 2014-11-13 |
JP2014529474A5 JP2014529474A5 (ja) | 2015-10-01 |
JP6199866B2 true JP6199866B2 (ja) | 2017-09-20 |
Family
ID=46924546
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2014528705A Active JP6199866B2 (ja) | 2011-09-06 | 2012-09-06 | 連結部を有する血管アクセスシステム |
Country Status (11)
Country | Link |
---|---|
US (4) | US9278172B2 (ja) |
EP (1) | EP2753376B1 (ja) |
JP (1) | JP6199866B2 (ja) |
KR (1) | KR102112260B1 (ja) |
CN (1) | CN103813817A (ja) |
AU (1) | AU2012304589B2 (ja) |
BR (1) | BR112014005094A2 (ja) |
CA (1) | CA2845635C (ja) |
MX (1) | MX346966B (ja) |
WO (1) | WO2013036643A2 (ja) |
ZA (1) | ZA201402030B (ja) |
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AU2012304589A1 (en) | 2014-03-06 |
KR102112260B1 (ko) | 2020-05-18 |
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US11185676B2 (en) | 2021-11-30 |
CA2845635C (en) | 2016-06-07 |
US20130060268A1 (en) | 2013-03-07 |
CN103813817A (zh) | 2014-05-21 |
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US20180161489A1 (en) | 2018-06-14 |
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