JPH10305103A - Catheter fixing tool - Google Patents
Catheter fixing toolInfo
- Publication number
- JPH10305103A JPH10305103A JP9117700A JP11770097A JPH10305103A JP H10305103 A JPH10305103 A JP H10305103A JP 9117700 A JP9117700 A JP 9117700A JP 11770097 A JP11770097 A JP 11770097A JP H10305103 A JPH10305103 A JP H10305103A
- Authority
- JP
- Japan
- Prior art keywords
- catheter
- abrasive grains
- insertion hole
- main body
- fixed
- 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.)
- Withdrawn
Links
Classifications
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/02—Holding devices, e.g. on 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/02—Holding devices, e.g. on the body
- A61M2025/028—Holding devices, e.g. on the body having a mainly rigid support structure
Abstract
Description
【０００１】[0001]
【発明の属する技術分野】本発明はカテーテル固定具に
係り、さらに詳しくは、経皮的に体内に留置されたカテ
ーテルを体表面に固定および保持するカテーテル固定具
に関するものである。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a catheter fixing device, and more particularly to a catheter fixing device for fixing and holding a catheter percutaneously placed in a body on a body surface.
【０００２】[0002]
【従来の技術】経皮的に体内に留置されるカテーテルの
うち、特に中心静脈（以下、ＣＶと記す）カテーテルお
よび緊急時透析用（以下、ＢＡと記す）カテーテルなど
血管内に留置されるカテーテルは、留置後体表面にしっ
かりと位置固定する必要がある。例えばＣＶカテーテル
は高カロリー輸液に使用されるものであり、その多くは
プラスチック留置針を通して血管内に挿入されるか、あ
るいは、セルジンガー法によりガイドワイヤーに沿わせ
て血管内に挿入されて、鎖骨下近辺を穿刺しこの部位か
らＣＶカテーテルを鎖骨下静脈を経由させ、心臓近くの
中心静脈と言われる血管に至らしめ、この部位にＣＶカ
テーテル先端が達した後、体外のカテーテル基端部から
高カロリーを体内に投与する。このようなＣＶカテーテ
ルは、体内に少なくとも数時間、長期においては数週間
留置されることが多いため、このような場合に備えてＣ
Ｖカテーテルが体内に没入している位置近傍の体表面
に、ＣＶカテーテルが抜け落ちないようにカテーテル固
定具等を用いて固定し、さらにこのカテーテル固定具を
体表面の皮膚に縫合糸で縫いつけて固定するようにして
いる。2. Description of the Related Art Among catheters indwelled percutaneously in the body, catheters indwelled in blood vessels such as central vein (hereinafter, referred to as CV) catheters and emergency dialysis (hereinafter, referred to as BA) catheters Must be firmly fixed on the body surface after placement. For example, CV catheters are used for high-calorie infusion, and most of them are inserted into blood vessels through plastic indwelling needles, or inserted into blood vessels along a guide wire by the Seldinger method to obtain clavicles. After puncturing the lower area, the CV catheter was passed through the subclavian vein from this site to reach a blood vessel called the central vein near the heart. After the distal end of the CV catheter reached this site, the catheter was elevated from the catheter's proximal end outside the body. Administer calories into the body. Such CV catheters are often left in the body for at least several hours, and in the long term for several weeks.
Fix the CV catheter to the body surface near the position where the V catheter is immersed in the body using a catheter fixing tool or the like so that the CV catheter does not fall off, and further sew the catheter fixing tool to the skin on the body surface with a suture to fix it. I am trying to do it.
【０００３】これはＢＡカテーテルも同様であるが、Ｃ
Ｖカテーテルは、カテーテル先端が完全に中心静脈に位
置していることが重要であり、カテーテル先端がこの位
置にないと、血管に対して重篤な合併症を引き起こし、
治療の効果の全くないものとしてしまう。したがって、
体内留置したカテーテルがずれ動くことのないように、
カテーテル固定具には僅かな引き締めでもある程度の固
定力が発揮されることが要求される。[0003] This is the same for the BA catheter,
It is important for the V-catheter that the catheter tip is completely located in the central vein, and if the catheter tip is not in this position, it causes severe complications to the blood vessels,
The effect of treatment is completely lost. Therefore,
To prevent the catheter placed in the body from shifting and moving,
The catheter fixture is required to exert a certain fixing force even with a slight tightening.
【０００４】このように、経皮的に体内に留置されたカ
テーテルを体表面に固定および保持するカテーテル固定
具の一例として、例えば特開昭６２−２８１９６５号公
報、特開平１−３０８５７２号公報および特許第２５７
５２７７号公報に開示された発明がある。[0004] As an example of a catheter fixing device for fixing and holding a catheter percutaneously placed in the body on the body surface, for example, Japanese Patent Application Laid-Open Nos. 62-281965 and 1-308572, and Patent No. 257
There is an invention disclosed in Japanese Patent No. 5277.
【０００５】特開昭６２−２８１９６５号公報（従来例
１）に開示されたカテーテルおよびカテーテル用固定部
材は、カテーテル本体と、カテーテル本体の挿通部を有
し、かつカテーテル本体の軸方向に移動可能であるカテ
ーテル本体を皮膚に固定するための固定部材とからな
り、この固定部材を、カテーテル本体外径より小さな内
径を有し、軸方向に延びるスリットが設けられた筒状体
によって構成したものである。A catheter and a fixing member for a catheter disclosed in Japanese Patent Application Laid-Open No. 62-281965 (conventional example 1) have a catheter body, an insertion portion for the catheter body, and are movable in the axial direction of the catheter body. A fixing member for fixing the catheter body to the skin, the fixing member having an inner diameter smaller than the outer diameter of the catheter body, and constituted by a cylindrical body provided with a slit extending in the axial direction. is there.
【０００６】そして、例えばホローニードル法によりカ
テーテル本体の先端部を血管内に挿入し、その後固定部
材を固定する位置の皮膚上まで移動して、カテーテルを
固定部材部分にて結紮糸により皮膚に縫合し固定する。
固定後、カテーテル本体後端より高カロリー輸液剤を流
入する。Then, the distal end of the catheter body is inserted into the blood vessel by, for example, the hollow needle method, and then moved to a position where the fixing member is fixed on the skin, and the catheter is sutured to the skin with a ligature at the fixing member. And fix it.
After the fixation, a high-calorie infusion solution flows from the rear end of the catheter body.
【０００７】また、特開平１−３０８５７２号公報（従
来例２）に開示されたカテーテル固定具は、断面が割り
環状で、全長に渡って直線状に分割された間隙を有する
カテーテル固定具であって、環状の部分の内径の一部が
カテーテルの外径より小さくされており、固定具がゴム
状弾性体で作られている。The catheter fixing device disclosed in Japanese Patent Application Laid-Open No. 1-308572 (Prior Art 2) is a catheter fixing device having a cross section having a ring-shaped cross section and a gap linearly divided over the entire length. Thus, a part of the inner diameter of the annular portion is smaller than the outer diameter of the catheter, and the fixing member is made of a rubber-like elastic body.
【０００８】そして、カテーテル固定具を装着したカテ
ーテルを例えばセルジンガー法で血管内に挿入して留置
し、カテーテル固定具をカテーテルの刺入部に近い皮膚
の固定位置に移動して、皮膚縫合により体表面に固定す
る。Then, the catheter equipped with the catheter fixing device is inserted into the blood vessel by, for example, the Seldinger method, and is left in place. The catheter fixing device is moved to a position where the skin is fixed near the insertion portion of the catheter, and the skin is sutured. Fix to body surface.
【０００９】さらに、特許第２５７５２７７号公報（従
来例３）に開示された位置調節可能なカテーテル固定器
具は、二つの張出し部を備え、これらの張出し部の各々
は、溝材およびタブからなり、少なくとも一つの溝材の
内面にはチューブ（カテーテル）を特に把持し得るよう
にした例えば突起物、内面のくねり、あるいはライナー
などからなる把持手段が設けられ、二つの張出し部を互
いに接触させ、タブが互いに接触するようにしたとき
に、チューブ（カテーテル）が二つの溝材の間に把持さ
れるように構成したものであり、把持手段で把持したチ
ューブ（カテーテル）を血管内に挿入留置し、固定器具
を固定位置に移動して張出し部にて皮膚と接合する。[0009] The position-adjustable catheter fixing device disclosed in Japanese Patent No. 2575277 (conventional example 3) has two overhangs, each of which comprises a groove and a tab. The inner surface of at least one groove member is provided with a gripping means, for example, a projection, a bend on the inner surface, or a liner, which can particularly grip a tube (catheter). When they are brought into contact with each other, the tube (catheter) is configured to be gripped between the two groove members, and the tube (catheter) gripped by the gripping means is inserted and placed in a blood vessel, The fixation device is moved to the fixation position and joined to the skin at the overhang.
【００１０】[0010]
【発明が解決しようとする課題】血管内に長期留置する
カテーテルにあっては、カテーテルの材質が硬いものよ
りも軟らかいもののほうが血管壁への物理的刺激が少な
く、血栓形成を誘発することが少ないとされている。血
栓が生じることは、ＣＶカテーテルの場合、血管が塞栓
されたり、生じた血栓に菌が繁殖する温床となること
で、敗血症やカテーテル熱等の合併症が起こる直接的な
原因となる。また、ＢＡカテーテルの場合もＣＶカテー
テルと同じであり、血管が塞栓されたり、生じた血栓に
菌が繁殖する温床となるとともに、カテーテル内腔が閉
塞されて血液の脱送血が行えなくなるなど、ＢＡカテー
テルにおいては大きな問題である。In a catheter which is to be placed in a blood vessel for a long period of time, a catheter made of a soft material is softer than a hard one, and causes less physical irritation to the blood vessel wall and less induces thrombus formation. It has been. In the case of a CV catheter, the formation of a thrombus is a direct cause of complications such as sepsis and catheter fever due to the embolization of blood vessels and a breeding ground for bacteria to propagate in the formed thrombus. In addition, in the case of a BA catheter, the same as a CV catheter, the blood vessel is clogged, and a breeding ground for bacteria to proliferate in the resulting thrombus, and the catheter lumen is closed, so that blood cannot be removed and transmitted. This is a major problem for BA catheters.
【００１１】そこで、血栓によるカテーテルの不具合を
解決するために、例えばカテーテルの表面に潤滑性を持
たせることが考えられ、親水性の物質をカテーテルの表
面ににコートしたり、カテーテルの材質にあらかじめ親
水性物質を練り込みこれを使用することで得られる。こ
のようなカテーテルは数多く開示されている。Therefore, in order to solve the problem of the catheter caused by thrombus, for example, it is conceivable to impart lubricity to the surface of the catheter. For example, a hydrophilic substance is coated on the surface of the catheter, It can be obtained by kneading a hydrophilic substance and using it. Many such catheters have been disclosed.
【００１２】しかしながら、上記のようなカテーテルの
材質が軟らかいカテーテル、流量を得るために肉厚をで
きるだけ薄くしたカテーテル、あるいは表面に潤滑性が
付与されたカテーテルなどは、使用時の効果を上げるま
たは課題を解決するために構成されたものであるもの
の、カテーテル固定具を使用して体表面に固定しようと
すると、カテーテルがカテーテル固定具から抜けやすい
傾向にあり、特に表面に潤滑性が付与されたカテーテル
は顕著である。また、一般的にカテーテルは、カテーテ
ルの軸方向に荷重をかけると、軟らかい材質のものまた
は肉厚の薄いものは軸方向に伸びやすく、カテーテル外
径が収縮してカテーテル固定具から抜けやすくなってし
まう。そこで、カテーテル固定具からの抜けを防止する
目的で、所定の引き抜き抵抗を得るためにカテーテル固
定具に圧締力をかけると、軟らかい材質のものまたは肉
厚の薄いものは変形したり、カテーテル内腔が減縮また
は閉塞してしまうという問題があった。However, such a catheter having a soft material, a catheter whose wall thickness is made as thin as possible to obtain a flow rate, or a catheter having a lubricated surface is used to increase the effect at the time of use. Although it is configured to solve the problem, when trying to fix to the body surface using a catheter fixture, the catheter tends to easily fall out of the catheter fixture, particularly a catheter with a lubricity imparted to the surface Is remarkable. In general, when a catheter is loaded in the axial direction of the catheter, a soft material or a thin material tends to expand in the axial direction, and the outer diameter of the catheter shrinks so that the catheter can easily come off from the catheter fixture. I will. Therefore, when a pressing force is applied to the catheter fixture to obtain a predetermined withdrawal resistance for the purpose of preventing the catheter fixture from coming off, a soft material or a thin material may be deformed or the inside of the catheter may be deformed. There is a problem that the cavity is reduced or closed.
【００１３】上記のような従来例１，２のカテーテル固
定具は、いずれの場合もカテーテルを強固に把持するこ
とが難しく、把持力を上げるためには圧締力を大きくす
る必要がある。そこで、例えば縫合糸により締め付け力
を大きくし把持力を強固にしようとすると、上述したよ
うに軟質のカテーテルまたは肉厚の薄いカテーテルは、
締め付けた部分に負荷がかかって折れ曲がったりするこ
とがあり、その内腔が減縮または閉塞してしまって、輸
液の投与などに支障を来すという問題があった。In each of the catheter fixing devices of the prior art examples 1 and 2 described above, it is difficult to firmly grip the catheter in any case, and it is necessary to increase the pressing force in order to increase the gripping force. Therefore, for example, when trying to increase the clamping force with a suture to increase the gripping force, as described above, a soft catheter or a thin-walled catheter is used.
There is a problem that a load may be applied to the tightened portion and the portion may be bent, and the lumen may be reduced or closed, which may hinder administration of an infusion solution.
【００１４】また、従来例３のカテーテル固定具におい
ては、軟質のカテーテルまたは肉厚の薄いカテーテルを
固定しようとすると、カテーテルが軟らかいために把持
手段である突起物等が効果的にカテーテルに接触せず逃
げられてしまうため、カテーテルを強固に把持すること
が困難であり、特に表面に潤滑性が付与されたカテーテ
ルはそれが顕著である。In the catheter fixing device of the third conventional example, when trying to fix a soft catheter or a thin-walled catheter, since the catheter is soft, a projection or the like serving as a gripping means effectively contacts the catheter. Therefore, it is difficult to firmly grip the catheter, particularly in a catheter having a lubricated surface.
【００１５】さらに、従来例１〜３のいずれのカテーテ
ル固定具の場合も、皮膚刺入部近傍に固定され、カテー
テルが当接するカテーテル固定具の内面（挿通部の内面
等）において消毒が困難であるため、カテーテルの留置
中にカテーテル固定具の内面に細菌が増殖して逆行感染
を招き、敗血症などの合併症を引き起こしてしまうとい
う問題もあった。Further, in any of the catheter fixing devices of the prior art examples 1 to 3, it is fixed near the skin piercing portion, and it is difficult to disinfect the inner surface (the inner surface of the insertion portion or the like) of the catheter fixing device with which the catheter comes into contact. For this reason, there is also a problem that bacteria grow on the inner surface of the catheter fixture during indwelling of the catheter, causing retrograde infection and causing complications such as sepsis.
【００１６】本発明は、上記のような課題を解決するた
めになされたもので、経皮的に体内に留置されるカテー
テルで、特に軟質のカテーテル、肉厚の薄いカテーテル
あるいは表面に潤滑性が付与され表面の摩擦抵抗が低い
カテーテルであっても、カテーテル内腔の減縮および閉
塞を防止しながら僅かな圧締力で強固に把持しかつその
固定位置で保持できるとともに、カテーテル当接面にお
ける細菌増殖を抑制して衛生的に長時間使用可能である
カテーテル固定具を提供することを目的としたものであ
る。The present invention has been made in order to solve the above-mentioned problems, and relates to a catheter which is percutaneously indwelled in a body, and in particular, a soft catheter, a thin catheter, or a surface having lubricity. Even if the catheter has a low frictional resistance on the surface, it can be firmly grasped with a slight pressing force and held at the fixed position while preventing reduction and occlusion of the catheter lumen, and bacteria on the catheter contact surface It is an object of the present invention to provide a catheter fixture that can be used for a long time in a sanitary manner by suppressing proliferation.
【００１７】[0017]
【課題を解決するための手段】本発明に係るカテーテル
固定具は、カテーテルが挿通される挿通孔および軸方向
に延びたスリットを有する筒状の本体により構成され、
本体の挿通孔の内表面の一部または全面に、砥粒を固定
したものである。A catheter fixing device according to the present invention comprises a cylindrical main body having an insertion hole through which a catheter is inserted and a slit extending in an axial direction.
Abrasive grains are fixed to part or all of the inner surface of the insertion hole of the main body.
【００１８】本発明に係るカテーテル固定具は、カテー
テルが挿通される挿通孔および軸方向に延びたスリット
を有し、スリットに対向する側に水平方向に突出した翼
片が一体に形成された筒状の本体により構成され、本体
の挿通孔の内表面の一部または全面に、砥粒を固定した
ものである。A catheter fixing device according to the present invention has a through hole through which a catheter is inserted and a slit extending in an axial direction, and a wing piece projecting in a horizontal direction integrally formed on a side facing the slit. Abrasive grains are fixed to a part or the whole of the inner surface of the insertion hole of the main body.
【００１９】本発明に係るカテーテル固定具は、本体の
挿通孔の内表面の一部または全面に、バインダーにより
砥粒を固定したものである。In the catheter fixing device according to the present invention, abrasive grains are fixed to a part or the entire inner surface of the insertion hole of the main body by a binder.
【００２０】本発明に係るカテーテル固定具は、本体の
挿通孔の内表面の一部または全面に、一方の面にバイン
ダーにより砥粒を固定したフィルム状の基材を、この砥
粒が中心方向に向くように固定したものである。In the catheter fixing device according to the present invention, a film-like base material having abrasive particles fixed on one surface with a binder is provided on a part or the entire inner surface of the insertion hole of the main body. It is fixed so as to face.
【００２１】本発明に係るカテーテル固定具は、本体の
挿通孔の内表面に固定された砥粒の表面を、抗菌剤を混
合した塗膜により被覆したものである。[0021] In the catheter fixture according to the present invention, the surface of the abrasive grains fixed to the inner surface of the insertion hole of the main body is coated with a coating film mixed with an antibacterial agent.
【００２２】また、本発明に係るカテーテル固定具は、
バインダーに抗菌剤を配合したものである。Further, the catheter fixture according to the present invention comprises:
An antibacterial agent is added to the binder.
【００２３】さらに、本発明に係るカテーテル固定具
は、砥粒の一部または全部に抗菌性金属を担持した無機
化合物粒子を混合したものである。Further, the catheter fixture according to the present invention is obtained by mixing inorganic compound particles carrying an antibacterial metal on a part or all of the abrasive grains.
【００２４】また、本発明に係るカテーテル固定具は、
砥粒の一部または全部を抗菌性金属を担持した無機化合
物粒子としたものである。Further, the catheter fixing device according to the present invention comprises:
Part or all of the abrasive grains are made of inorganic compound particles carrying an antibacterial metal.
【００２５】本発明に係るカテーテル固定具は、砥粒の
粒度を＃１０００〜＃６０とし、好ましくは＃６００〜
＃１５０としたものである。In the catheter fixing device according to the present invention, the particle size of the abrasive grains is set to # 1000 to # 60, preferably to # 600 to # 60.
# 150.
【００２６】また、本発明に係るカテーテル固定具は、
本体の外周の軸方向に直交する方向に少なくとも１つ縫
合糸係止用の溝部を設けたものである。Further, the catheter fixture according to the present invention comprises:
At least one suture locking groove is provided in a direction perpendicular to the axial direction of the outer periphery of the main body.
【００２７】[0027]
実施の形態１．図１は本発明の実施の形態１の斜視図お
よびそのＡ部分の拡大図、図２は本発明の実施の形態１
の作用説明図である。図において、１はカテーテル固定
具で、カテーテル１０が挿通されカテーテル１０の外径
と等しいかあるいは僅かに小さい内径の挿通孔２ａを有
する円筒状の本体２を備え、本体２の軸方向に延び広げ
ることにより挿通されたカテーテル１０を軸方向に移動
可能とするスリット３が設けられ、本体２の外周に軸方
向に直交し縫合糸が係止され縫合糸の移動を防止する係
止溝部４が設けられている。また、本体２は、例えばポ
リ塩化ビニル、ポリウレタンまたはシリコーンなど、後
述する接着剤（バインダー）との接着性の良いプラスチ
ック材料によって構成されている。Embodiment 1 FIG. FIG. 1 is a perspective view of a first embodiment of the present invention and an enlarged view of a portion A thereof, and FIG. 2 is a first embodiment of the present invention.
FIG. In the figure, reference numeral 1 denotes a catheter fixture, which has a cylindrical main body 2 having a through hole 2a having an inner diameter equal to or slightly smaller than the outer diameter of the catheter 10 and is extended in the axial direction of the main body 2. Accordingly, a slit 3 is provided to allow the inserted catheter 10 to move in the axial direction, and a locking groove 4 is provided on the outer periphery of the main body 2 to lock the suture perpendicular to the axial direction and prevent the movement of the suture. Have been. The main body 2 is made of a plastic material having good adhesiveness with an adhesive (binder) described later, such as polyvinyl chloride, polyurethane, or silicone.
【００２８】そして、カテーテル固定具１の本体２の挿
通孔２ａに挿通されたカテーテル１０と挿通孔２ａとが
当接する面、つまり本体２の挿通孔２ａの内表面２ｂの
一部または全面に、図１（ｂ）に示すように、内表面２
ｂに塗布されたバインダー５を介して緊密に付着した砥
粒６が固定されており、さらにその表面は抗菌剤が混合
された塗膜７によって被覆されている。そして、砥粒６
は例えば酸化アルミ、炭化ケイ素またはジルコニアなど
であり、その粒度は＃１０００〜＃６０、好ましくは＃
６００〜＃１５０のものがよい。これは、砥粒６の粒度
が＃６０より小さくなると砥粒６の粒径は大きくなるの
で、内表面２ｂに塗布したバインダー５に接触して固定
される部分が少なくなって接着性が悪くなり、粒度が＃
１０００より大きくなると砥粒６の粒径は小さくなるの
で、内表面２ｂに固定された砥粒６はバインダー５およ
び塗膜７等によって埋もれてしまって表面に形成される
凹凸が無くなり、凹凸による摩擦力が小さくなってカテ
ーテル１０に対する固定力（把持力）も小さくなってし
まうからである。また、バインダー５ならびに塗膜７は
例えば接着剤、またはレジンを溶剤に溶かしたものなど
であり、場合によっては無機の銀系抗菌剤または有機系
抗菌剤などを、接着剤、またはレジンを溶剤に溶かした
ものに混合したものである。なお、この実施の形態で用
いられるカテーテル１０は、例えば軟性ポリウレタンな
どの軟らかいプラスチック材料によって構成されてい
る。Then, the surface where the catheter 10 inserted into the insertion hole 2a of the main body 2 of the catheter fixture 1 and the insertion hole 2a abut, that is, a part or the whole of the inner surface 2b of the insertion hole 2a of the main body 2, As shown in FIG.
Abrasive grains 6 adhered tightly via a binder 5 applied to b are fixed, and the surface thereof is further covered with a coating film 7 mixed with an antibacterial agent. And abrasive grains 6
Is, for example, aluminum oxide, silicon carbide or zirconia, and the particle size thereof is # 1000 to # 60, preferably
Those of 600 to # 150 are preferred. This is because if the grain size of the abrasive grains 6 is smaller than # 60, the grain size of the abrasive grains 6 becomes large, so that the portion fixed in contact with the binder 5 applied to the inner surface 2b is reduced and the adhesiveness is deteriorated. , The granularity is #
When the particle size is larger than 1000, the particle size of the abrasive particles 6 becomes smaller, so that the abrasive particles 6 fixed on the inner surface 2b are buried by the binder 5 and the coating film 7 and the like, and the unevenness formed on the surface disappears, and the friction due to the unevenness is reduced. This is because the force decreases and the fixing force (gripping force) on the catheter 10 also decreases. The binder 5 and the coating film 7 are, for example, an adhesive or a resin obtained by dissolving a resin in a solvent. In some cases, an inorganic silver-based antibacterial agent or an organic antibacterial agent is added to the adhesive or the resin in a solvent. It is mixed with the melted one. Note that the catheter 10 used in this embodiment is made of a soft plastic material such as soft polyurethane.
【００２９】このように構成されたこの実施の形態１に
おいては、例えばセルジンガー法でカテーテル１０を経
皮的に血管内に挿入して留置し、皮膚外に導出されたカ
テーテル１０をその後端部からカテーテル固定具１の挿
通孔２ａに挿通させるか、あるいは、カテーテル固定具
１のスリット３を広げてカテーテル１０を挿通孔２ａに
挿入させ、図２に示すように、カテーテル固定具１をカ
テーテル１０に装着させる。ついで、皮膚外に導出され
たカテーテル１０の例えば刺入部に近い部分にカテーテ
ル固定具１をそのスリット３を広げながら移動させ、ス
リット３を元の状態に戻した後、カテーテル固定具１の
係止溝部４に縫合糸を係止させつつ皮膚縫合し、カテー
テル固定具１を皮膚に固定する。この時、カテーテル固
定具１の挿通孔２ａの内表面２ｂにはバインダー５なら
びに塗膜７により砥粒６が緊密に付着し固定されている
ので、この砥粒６によって内表面２ｂに凹凸が形成さ
れ、この凹凸の摩擦力によってカテーテル１０を僅かな
圧締力で強固に把持しその位置に保持している。そし
て、カテーテル１０を介して輸液の投与などを行う。治
療中、カテーテル固定具１の挿通孔２ａの内表面２ｂに
被覆された抗菌剤が混合された塗膜７によって、カテー
テル１０と内表面２ｂとの間における細菌の発生が防止
され、細菌が発生した場合の細菌の増殖を抑制する。In the first embodiment configured as described above, the catheter 10 is percutaneously inserted into the blood vessel by, for example, Seldinger method, and is left in place. 2 or the slit 3 of the catheter fixture 1 is widened and the catheter 10 is inserted into the insertion hole 2a, and the catheter fixture 1 is inserted into the catheter 10 as shown in FIG. Attach to. Next, the catheter fixture 1 is moved to a portion near the puncture portion of the catheter 10 led out of the skin, for example, while the slit 3 is widened, and the slit 3 is returned to the original state. The skin is sutured while the suture is locked in the stop groove 4, and the catheter fixture 1 is fixed to the skin. At this time, since the abrasive particles 6 are tightly adhered and fixed to the inner surface 2b of the insertion hole 2a of the catheter fixture 1 by the binder 5 and the coating film 7, irregularities are formed on the inner surface 2b by the abrasive particles 6. The catheter 10 is firmly gripped and held at that position by a slight pressing force due to the uneven frictional force. Then, administration of an infusion solution or the like is performed via the catheter 10. During treatment, the coating film 7 mixed with the antibacterial agent coated on the inner surface 2b of the insertion hole 2a of the catheter fixture 1 prevents the generation of bacteria between the catheter 10 and the inner surface 2b, and generates bacteria. Inhibits the growth of bacteria in the case of.
【００３０】また、皮膚縫合されたカテーテル１０の固
定を外す場合は、縫合糸を抜糸して固定を解除する。ま
た、カテーテル固定具１の固定位置を変更する場合は、
縫合糸を抜糸した後、カテーテル固定具１のスリット３
を広げて任意の位置に移動させ、スリット３を元の状態
に戻して縫合糸により皮膚縫合し固定する。In order to release the fixation of the catheter 10 to which the skin is sutured, the fixing is released by removing the suture. When changing the fixing position of the catheter fixing device 1,
After removing the suture, slit 3 of catheter fixture 1
The slit 3 is returned to its original state, and the skin is sutured and fixed with a suture.
【００３１】このように、カテーテル固定具１の挿通孔
２ａの内表面に２ｂに、バインダー５により砥粒６を固
定し、さらにその表面を抗菌剤が混合された塗膜７によ
って被覆したので、縫合糸等で強固に締め付けることな
く砥粒６によって内表面２ｂに形成された凹凸の摩擦力
により僅かな圧締力で強固にカテーテル１０を把持する
ことができ、皮膚表面での回転や抜けを防止して確実に
その位置を保持し、カテーテル１０の移動を阻止するこ
とができる。これにより、軟質のカテーテル１０でも把
持することができ、長時間使用した場合でもカテーテル
１０の内腔の減縮および閉塞を防止して、輸液の投与等
を確実に行うことができる。また、塗膜７により消毒等
を行わなくてもカテーテル１０と内表面２ｂとの間にお
ける細菌増殖を抑制することができ、逆行感染を阻止し
て敗血症などの合併症を防止することができる。さら
に、カテーテル固定具１の固定位置を変更する場合は、
縫合糸を解いたり抜糸したりするだけで簡単に行うこと
ができ、使い勝手の良いカテーテル固定具１を得ること
ができる。As described above, the abrasive grains 6 are fixed to the inner surface 2b of the insertion hole 2a of the catheter fixture 1 by the binder 5 on the inner surface 2b, and the surface is covered with the coating film 7 mixed with the antibacterial agent. The catheter 10 can be firmly gripped with a slight pressing force due to the frictional force of the unevenness formed on the inner surface 2b by the abrasive grains 6 without being strongly tightened with a suture or the like, and rotation or detachment on the skin surface can be prevented. Thus, the position of the catheter 10 can be surely held and the movement of the catheter 10 can be prevented. Thereby, even the soft catheter 10 can be grasped, and even if the catheter 10 is used for a long time, the lumen of the catheter 10 can be prevented from being reduced and blocked, and the administration of the infusion can be reliably performed. In addition, the bacteria growth between the catheter 10 and the inner surface 2b can be suppressed without disinfection or the like by the coating film 7, and retrograde infection can be prevented to prevent complications such as sepsis. Furthermore, when changing the fixing position of the catheter fixing device 1,
This can be easily performed only by unraveling or unthreading the suture, and the user-friendly catheter fixture 1 can be obtained.
【００３２】実施の形態２．図３は本発明の実施の形態
２の斜視図で、この実施の形態は、実施の形態１に係る
カテーテル固定具１の本体２の下面、つまりスリット３
が設けられた側に対向する側に、水平方向に突出した翼
片８ａ，８ｂを本体２と一体に形成したものであり、皮
膚縫合による固定だけでなく粘着テープによる皮膚表面
の固定も可能としたものである。なお、翼片８ａ，８ｂ
の先端には４５度の傾斜が設けられており、粘着テープ
で皮膚表面に固定するときに、この傾斜を利用して粘着
テープを直角に折り曲げられるようになっている。Embodiment 2 FIG. FIG. 3 is a perspective view of a second embodiment of the present invention. In this embodiment, a lower surface of a main body 2 of a catheter fixture 1 according to the first embodiment, that is, a slit 3 is shown.
The wing pieces 8a and 8b protruding in the horizontal direction are formed integrally with the main body 2 on the side opposite to the side provided with the main body 2 so that the skin surface can be fixed not only by skin suturing but also by an adhesive tape. It was done. The wing pieces 8a, 8b
Is provided with a 45-degree inclination at the tip thereof, so that the adhesive tape can be bent at a right angle by using this inclination when fixing to the skin surface with an adhesive tape.
【００３３】このように構成したこの実施の形態におい
ても、実施の形態１で説明した場合と同様に、例えばセ
ルジンガー法でカテーテル１０を経皮的に血管内に挿入
して留置し、皮膚外に導出されたカテーテル１０をその
後端部からカテーテル固定具１の挿通孔２ａに挿通させ
るか、あるいは、カテーテル固定具１のスリット３を広
げてカテーテル１０を挿通孔２ａに挿入させて、カテー
テル固定具１をカテーテル１０に装着させる。ついで、
皮膚外に導出されたカテーテル１０の例えば刺入部に近
い部分にカテーテル固定具１をそのスリット３を広げな
がら移動させ、スリット３を元の状態に戻した後、カテ
ーテル固定具１の係止溝部４に縫合糸を係止させつつ皮
膚縫合し、また翼片８ａ，８ｂとともに皮膚に粘着テー
プを貼り付けてカテーテル固定具１を皮膚表面に固定す
る。この時、カテーテル固定具１の挿通孔２ａの内表面
２ｂには、バインダー５ならびに塗膜７により固定され
た砥粒６によって凹凸か形成され、その凹凸の摩擦力で
カテーテル１０を僅かな圧締力で強固に把持し保持す
る。そして、カテーテル１０を介して輸液の投与などを
行う。治療中、カテーテル固定具１の挿通孔２ａの内表
面２ｂを被覆した抗菌剤が混合された塗膜７によって、
カテーテル１０と内表面２ｂとの間での細菌増殖を抑制
する。In this embodiment thus constructed, similarly to the case described in the first embodiment, the catheter 10 is percutaneously inserted into a blood vessel by, for example, the Seldinger method, and is left in place. The catheter 10 is inserted into the insertion hole 2a of the catheter fixture 1 from its rear end, or the slit 3 of the catheter fixture 1 is widened and the catheter 10 is inserted into the insertion hole 2a. 1 is attached to the catheter 10. Then
After moving the catheter fixture 1 to the portion near the puncture portion of the catheter 10 led out of the skin while widening the slit 3, the slit 3 is returned to the original state, and the locking groove of the catheter fixture 1 is returned. The skin is sutured while the suture is locked at 4, and an adhesive tape is attached to the skin together with the wing pieces 8a and 8b to fix the catheter fixture 1 to the skin surface. At this time, irregularities are formed on the inner surface 2b of the insertion hole 2a of the catheter fixture 1 by the abrasive grains 6 fixed by the binder 5 and the coating film 7, and the catheter 10 is slightly pressed by the frictional force of the irregularities. Hold and hold firmly with force. Then, administration of an infusion solution or the like is performed via the catheter 10. During the treatment, the coating film 7 mixed with the antibacterial agent coated on the inner surface 2b of the insertion hole 2a of the catheter fixture 1
Bacterial growth between the catheter 10 and the inner surface 2b is suppressed.
【００３４】また、粘着テープにより皮膚表面に固定さ
れかつ皮膚縫合されたカテーテル１０の固定を外す場合
は、粘着テープを皮膚およびカテーテル固定具１の翼片
８ａ，８ｂから剥がすとともに、縫合糸を抜糸して固定
を解除する。また、カテーテル固定具１の固定位置を変
更する場合は、粘着テープを剥がし縫合糸を抜糸した
後、カテーテル固定具１のスリット３を広げて任意の位
置に移動させ、スリット３を元の状態に戻して縫合糸に
より皮膚縫合しかつ粘着テープで貼り付け固定する。When the catheter 10 fixed to the skin surface by the adhesive tape and sewn to the skin is released, the adhesive tape is peeled off from the skin and the wing pieces 8a and 8b of the catheter fixture 1, and the suture is removed. And release the fixation. When the fixing position of the catheter fixing device 1 is changed, the adhesive tape is peeled off and the suture is removed, and then the slit 3 of the catheter fixing device 1 is expanded and moved to an arbitrary position, and the slit 3 is returned to the original state. Return and suture the skin with a suture and stick and secure with adhesive tape.
【００３５】このように、カテーテル固定具１の挿通孔
２ａの内表面に２ｂに、バインダー５により砥粒６を緊
密に固定し、その表面を抗菌剤が混合された塗膜７によ
って被覆するとともに、カテーテル固定具１の本体２に
翼片８ａ，８ｂを設けこれを用いて粘着テープにより皮
膚表面に固定するようにしたので、砥粒６によって内表
面２ｂに形成された凹凸の摩擦力により僅かな圧締力で
強固にカテーテル１０を把持し、皮膚表面でのカテーテ
ル１０の回転を防止して固定された位置を保持すること
ができるとともに、翼片８ａ，８ｂによりカテーテル固
定具１の皮膚接触面積を広くして粘着テープでの皮膚固
定を確実化させ、皮膚表面でのカテーテル１０の軸方向
の移動を防ぐことができる。これにより、軟質のカテー
テル１０でもその内腔の減縮および閉塞を防止し、輸液
の投与等を確実に行うことができる長時間使用可能なカ
テーテル固定具１を得ることができる。また、塗膜７の
抗菌剤によりカテーテル１０と内表面２ｂとの間におけ
る細菌増殖を抑制することのできるので、治療中および
非治療中においてカテーテル固定具１を衛生的に保ち逆
行感染を阻止して敗血症などの合併症を防止することが
できる。As described above, the abrasive grains 6 are tightly fixed to the inner surface 2b of the insertion hole 2a of the catheter fixture 1 with the binder 5 by the binder 5, and the surface is coated with the coating film 7 mixed with the antibacterial agent. Since the wing pieces 8a and 8b are provided on the main body 2 of the catheter fixing device 1 and are fixed to the skin surface with an adhesive tape using the wing pieces 8a and 8b, the frictional force of the unevenness formed on the inner surface 2b by the abrasive grains 6 causes a slight The catheter 10 can be firmly gripped by a small pressing force, the rotation of the catheter 10 on the skin surface can be prevented and the fixed position can be maintained, and the skin contact of the catheter fixture 1 with the wing pieces 8a and 8b. By increasing the area, the skin can be securely fixed with the adhesive tape, and the axial movement of the catheter 10 on the skin surface can be prevented. Thus, the catheter fixture 1 which can be used for a long time, which can prevent the lumen of the soft catheter 10 from being reduced and occluded and can surely administer an infusion solution or the like can be obtained. In addition, since the antibacterial agent of the coating film 7 can suppress bacterial growth between the catheter 10 and the inner surface 2b, the catheter fixture 1 is kept hygienic during treatment and during non-treatment to prevent retrograde infection. Thus, complications such as sepsis can be prevented.
【００３６】実施の形態３．実施の形態３は、実施の形
態１に係るカテーテル固定具１において、本体２の挿通
孔２ａの内表面２ｂに、バインダー５により固定した砥
粒６に代えて、フィルム状の基材の一方の面にバインダ
ー５により砥粒６を緊密に固定し、この砥粒付き基材
を、本体２の挿通孔２ａの内表面２ｂの一部または全面
に固定したものである。なお、基材に固定された砥粒６
の表面は抗菌剤が混合された塗膜７によって被覆されて
いる。Embodiment 3 In the third embodiment, in the catheter fixture 1 according to the first embodiment, instead of the abrasive grains 6 fixed to the inner surface 2b of the insertion hole 2a of the main body 2 by the binder 5, one of the film-shaped base materials is used. The abrasive grains 6 are tightly fixed to the surface with a binder 5, and the base material with the abrasive grains is fixed to a part or the entire inner surface 2 b of the insertion hole 2 a of the main body 2. The abrasive 6 fixed to the base material
Is covered with a coating film 7 mixed with an antibacterial agent.
【００３７】このように構成したことにより、実施の形
態１とほぼ同じ作用および効果が得られ、砥粒付き基材
の砥粒６によって内表面２ｂに凹凸を形成し、この凹凸
の摩擦力によりカテーテル１０を僅かな圧締力で強固に
把持することができるとともに、塗膜７によりカテーテ
ル１０と内表面２ｂとの間における細菌増殖を抑制する
ことができる。これにより、軟質のカテーテル１０でも
その内腔の減縮および閉塞を防止し、かつ逆行感染を阻
止することができる長時間使用可能なカテーテル固定具
１を得ることができる。また、カテーテル固定具１の製
造において、本体２の挿通孔２ａの内表面２ｂにバイン
ダー５により砥粒６が固定されたフィルム状の基材を固
定させるので、円弧状に形成された内表面２ｂでも砥粒
６の固定が容易でかつ確実に固定させることができ、砥
粒６の効果を十分に引き出すことができる信頼性の高い
カテーテル固定具１を得ることができる。With this configuration, substantially the same operation and effect as those of the first embodiment can be obtained, and irregularities are formed on the inner surface 2b by the abrasive grains 6 of the substrate with abrasive grains. The catheter 10 can be firmly gripped with a slight pressing force, and the coating film 7 can suppress bacterial growth between the catheter 10 and the inner surface 2b. Thus, it is possible to obtain the catheter fixture 1 that can be used for a long time, which can prevent the lumen of the soft catheter 10 from being reduced and blocked and prevent retrograde infection. In the manufacture of the catheter fixture 1, a film-shaped base material on which the abrasive grains 6 are fixed by the binder 5 is fixed to the inner surface 2b of the insertion hole 2a of the main body 2, so that the inner surface 2b formed in an arc shape is formed. However, the abrasive grains 6 can be easily and reliably fixed, and the highly reliable catheter fixture 1 that can sufficiently bring out the effects of the abrasive grains 6 can be obtained.
【００３８】なお、上述の実施の形態３では実施の形態
１に本発明を実施した場合を示したが、実施の形態２に
もこの発明を実施することができ、この場合も同様の効
果を奏する。Although the third embodiment has described the case where the present invention is applied to the first embodiment, the present invention can also be applied to the second embodiment. Play.
【００３９】また、実施の形態１，２では塗膜７に抗菌
剤を配合し、この塗膜７により砥粒６を内表面２ｂに固
定するようにした場合を示したが、砥粒６の一部または
全部に例えばセラミックに抗菌性金属である銀、銅また
は亜鉛などを担持させた無機化合物粒子つまり無機抗菌
剤粒子を配合してもよい。あるいは、実施の形態３に係
る基材に固定される砥粒６においても無機抗菌剤粒子を
用いてもよい。これらの場合も同様の効果を奏する。Further, in the first and second embodiments, the case where an antibacterial agent is blended into the coating film 7 and the abrasive grains 6 are fixed to the inner surface 2b by the coating film 7 has been described. For example, inorganic compound particles in which ceramics, such as silver, copper, or zinc, which is an antibacterial metal, are supported on a part or all of the particles, that is, inorganic antibacterial agent particles may be blended. Alternatively, inorganic antibacterial agent particles may be used in abrasive grains 6 fixed to the base material according to the third embodiment. In these cases, a similar effect is obtained.
【００４０】さらに、上述の実施形態では本体２の挿通
孔２ａの内径をカテーテル１０の外径と等しいかあるい
は僅かに小さく形成した場合を示したが、例えば縫合糸
などでカテーテル固定具１の本体２を締め付けたときに
カテーテル１０を把持することができる挿通孔２ａの内
径であれば、カテーテル１０の外径より多くてもよい。
また、本体２を円筒状に形成した場合を示したが、例え
ば角筒状でもよく、カテーテル１０が挿通される筒状で
あれば適宜変更することができる。Further, in the above-described embodiment, the case where the inner diameter of the insertion hole 2a of the main body 2 is formed to be equal to or slightly smaller than the outer diameter of the catheter 10 is shown. As long as the inside diameter of the insertion hole 2a which can hold the catheter 10 when the 2 is tightened, it may be larger than the outside diameter of the catheter 10.
Further, although the case where the main body 2 is formed in a cylindrical shape is shown, for example, the main body 2 may be formed in a rectangular tube shape, and may be appropriately changed as long as the main body 2 has a cylindrical shape through which the catheter 10 is inserted.
【００４１】[0041]
【実施例】次に、上述したカテーテル固定具１の効果に
ついて、以下に実施例を用いて具体的に説明する。Next, the effects of the above-mentioned catheter fixture 1 will be specifically described with reference to the following examples.
【００４２】実施例１．実施例１は実施の形態２に係る
カテーテル固定具１の具体例であり、医療用ポリウレタ
ンを用いて成形された翼片８ａ，８ｂを有する本体２
は、その挿通孔２ａの内径が２．２ｍｍで、軸方向の長
さが２０ｍｍである。そして、この本体２の挿通孔２ａ
の内表面２ｂにポリウレタンを１０％溶かしたポリウレ
タンを溶かす溶剤、ＴＨＦ溶液（バインダー５）を脱脂
綿で湿らし、内表面２ｂが乾かないうちに本体２を斜め
４５度に傾け、酸化アルミの砥粒６（ホワイトアルミ
ナ、粒度＃１５０）を、外径２．３ｍｍのステンレスパ
イプをゆっくり回転させながら内表面２ｂの全面に付着
させ、５０℃で２時間加熱する。加熱後、ポリウレタン
接着剤を酢酸エチルで５０％希釈したもの（塗膜７）
を、砥粒６が接着された内表面２ｂにピペットで十分浸
み渡るように塗布し、５０℃で１時間乾燥して、カテー
テル固定具１を完成させる。Embodiment 1 Example 1 is a specific example of the catheter fixture 1 according to Embodiment 2, and includes a main body 2 having wing pieces 8a and 8b molded using medical polyurethane.
Has an inner diameter of 2.2 mm and an axial length of 20 mm. The insertion hole 2a of the main body 2
A solvent for dissolving polyurethane in which 10% of polyurethane is dissolved in the inner surface 2b, a THF solution (binder 5) is moistened with absorbent cotton, and the body 2 is inclined at an oblique angle of 45 degrees before the inner surface 2b is dried. 6 (white alumina, particle size # 150) is attached to the entire inner surface 2b while slowly rotating a stainless steel pipe having an outer diameter of 2.3 mm, and heated at 50 ° C. for 2 hours. After heating, polyurethane adhesive diluted 50% with ethyl acetate (coating 7)
Is applied to the inner surface 2b to which the abrasive grains 6 are adhered so as to sufficiently penetrate with a pipette, and dried at 50 ° C. for 1 hour to complete the catheter fixture 1.
【００４３】次に、上記のように作成したカテーテル固
定具１に、メチルビニルエーテルマレイン酸共重合体を
用いてカテーテル表面に親水性処理を固定処理した１６
ゲージのポリウレタンカテーテルを装着し、カテーテル
固定具１の本体２をＰＰポリプロピレン縫合糸で２周巻
いて圧締し固定した。Next, the catheter fixture 1 prepared as described above was subjected to a hydrophilic treatment on the catheter surface using a methyl vinyl ether maleic acid copolymer.
A polyurethane catheter having a gauge was attached, and the main body 2 of the catheter fixture 1 was wrapped around a PP polypropylene suture two times and pressed and fixed.
【００４４】その結果、実施例１に係るカテーテル固定
具１は、圧締する前はカテーテルが可動したが、圧締後
はカテーテルの軸方向に１００ｇ以上の荷重をかけても
カテーテルが可動せず、また、目視でカテーテルの形状
を観察したが、何等圧迫を受けているところはなかっ
た。したがって、カテーテル固定具１の挿通孔２ａの内
表面に２ｂに、バインダー５により砥粒６を固定したも
のが、僅かな圧締力で強固にカテーテルを把持すること
ができ、確実にその位置を保持してカテーテルの移動を
阻止できることがわかる。As a result, in the catheter fixture 1 according to the first embodiment, the catheter was movable before the clamping, but the catheter was not movable even after a load of 100 g or more was applied in the axial direction of the catheter after the clamping. In addition, the shape of the catheter was visually observed, but no pressure was applied. Therefore, the one in which the abrasive grains 6 are fixed to the inner surface 2b of the insertion hole 2a of the catheter fixture 1 by the binder 5 with the binder 5 can firmly hold the catheter with a slight pressing force, and securely position the catheter. It can be seen that the catheter can be held to prevent the movement of the catheter.
【００４５】実施例２．実施例２は実施の形態３に係る
カテーテル固定具１の変形例であり、医療用ポリウレタ
ンを用いて成形された翼片８ａ，８ｂを有する本体２
は、その挿通孔２ａの内径が２．４ｍｍで、軸方向の長
さが２０ｍｍである。また、市販品のポリウレタンフィ
ルム（厚さ０．１ｍｍ、５０×５０ｍｍ、台紙付き）で
ある基材の一方の面上に、ポリウレタン接着剤の酢酸エ
チル溶液に０．５ｗｔ％の無機銀系抗菌剤（セラミック
に銀を担持させたもの）を配合したもの（バインダー
５）を、脱脂綿で延ばすようにして下塗りし、接着剤が
半乾きの状態のうちに基材を水平に保持し、この上に酸
化アルミの砥粒６（ホワイトアルミナ、粒度＃１５０）
を高さ３０ｃｍから均一に分散するように散布して、基
材に接着されなかった余分な砥粒６を軽く叩いて振り落
とした後、５０℃で１時間熱処理して接着剤を硬化させ
る。ついで、バインダー５（無機銀系抗菌剤を配合した
もの）と同じものを、砥粒６が接着された基板上にピペ
ットで十分浸み渡るように塗布して上塗りし、５０℃で
１時間乾燥して塗膜７を形成し砥粒付きフィルムを完成
させる。次に、本体２の挿通孔２ａの内表面２ｂの全面
に、短冊状に裁断した砥粒付きフィルムを砥粒６が中心
方向に向くようにＴＨＦ溶液で接着し、カテーテル固定
具１を完成させる。Embodiment 2 FIG. Example 2 is a modification of the catheter fixture 1 according to Embodiment 3, and includes a main body 2 having wing pieces 8a and 8b molded using medical polyurethane.
Has an inner diameter of the insertion hole 2a of 2.4 mm and an axial length of 20 mm. Also, 0.5 wt% of an inorganic silver-based antibacterial agent in an ethyl acetate solution of a polyurethane adhesive was coated on one surface of a substrate which is a commercially available polyurethane film (0.1 mm thick, 50 × 50 mm, with a mount). (Binder 5) prepared by blending (silver supported on ceramic) is undercoated so as to be spread with absorbent cotton, and while the adhesive is in a semi-dry state, the base material is held horizontally, and Aluminum oxide abrasive grains 6 (white alumina, grain size # 150)
Is sprayed so as to be uniformly dispersed from a height of 30 cm, and the excess abrasive particles 6 not adhered to the base material are lightly beaten and shaken off, and then heat-treated at 50 ° C. for 1 hour to cure the adhesive. Then, the same binder 5 (containing an inorganic silver-based antibacterial agent) is applied to the substrate to which the abrasive grains 6 are adhered so as to be sufficiently immersed with a pipette, overcoated, and dried at 50 ° C. for 1 hour. To form a coating film 7 to complete a film with abrasive grains. Next, a film with abrasive grains cut in a strip shape is adhered to the entire surface of the inner surface 2b of the insertion hole 2a of the main body 2 with a THF solution so that the abrasive grains 6 face the center direction, thereby completing the catheter fixture 1. .
【００４６】上記のように作成したカテーテル固定具１
に、メチルビニルエーテルマレイン酸共重合体を用いて
カテーテル表面に親水性処理を固定処理した１６ゲージ
のポリウレタンカテーテルを装着し、カテーテル固定具
１の本体２をＰＰポリプロピレン縫合糸で２周巻いて圧
締し固定した。The catheter fixture 1 prepared as described above
Then, a 16-gauge polyurethane catheter having a hydrophilic treatment fixed on the catheter surface using a methyl vinyl ether maleic acid copolymer is attached thereto, and the main body 2 of the catheter fixture 1 is wrapped twice with a PP polypropylene suture and pressed. And fixed.
【００４７】その結果、実施例２に係るカテーテル固定
具１は、圧締する前はカテーテルが可動したが、圧締後
はカテーテルの軸方向に１００ｇ以上の荷重をかけても
カテーテルが可動せず、また、目視でカテーテルの形状
を観察したが、何等圧迫を受けているところはなかっ
た。したがって、カテーテル固定具１の挿通孔２ａの内
表面２ｂに、抗菌剤を配合したバインダー５により砥粒
６を固定した砥粒付きフィルムを固定させたものが、僅
かな圧締力で強固にカテーテルを把持でき、確実にその
位置を保持してカテーテルの移動を阻止できるととも
に、円弧状に形成された内表面２ｂに砥粒６を容易にか
つ確実に固定させ、砥粒６の効果を十分に引き出せるこ
とがわかる。As a result, in the catheter fixture 1 according to the second embodiment, the catheter was movable before the clamping, but after the clamping, the catheter did not move even when a load of 100 g or more was applied in the axial direction of the catheter. In addition, the shape of the catheter was visually observed, but no pressure was applied. Therefore, a film in which the abrasive grains 6 are fixed to the inner surface 2b of the insertion hole 2a of the catheter fixture 1 by the binder 5 containing the antibacterial agent is fixed, and the catheter is firmly fixed with a slight pressing force. Can be held, the position can be reliably held, and the movement of the catheter can be prevented, and the abrasive grains 6 can be easily and reliably fixed to the inner surface 2b formed in an arc shape, and the effect of the abrasive grains 6 can be sufficiently achieved. You can see that it can be pulled out.
【００４８】実施例３．実施例３も実施の形態３に係る
カテーテル固定具１の変形例であり、医療用ポリウレタ
ンを用いて成形された翼片８ａ，８ｂを有する本体２
は、その挿通孔２ａの内径が２．４ｍｍで、軸方向の長
さが２０ｍｍである。また、市販品のポリウレタンフィ
ルム（厚さ０．１ｍｍ、５０×５０ｍｍ、台紙付き）で
ある基材の一方の面上に、ポリウレタン接着剤を酢酸エ
チルで５０％に希釈したもの（バインダー５）を、脱脂
綿で延ばすようにして下塗りし、接着剤が半乾きの状態
のうちに基材を水平に保持し、この上に酸化アルミの砥
粒６（ホワイトアルミナ、粒度＃１５０）を高さ３０ｃ
ｍから均一に分散するように散布して、基材に接着され
なかった余分な砥粒６を軽く叩いて振り落とした後、５
０℃で１時間熱処理して接着剤を硬化させる。ついで、
下塗りした接着剤と同じものを、砥粒６が接着された基
材上にピペットで十分浸み渡るように塗布して上塗り
し、５０℃で１時間乾燥して砥粒付きフィルムを完成さ
せる。次に、本体２の挿通孔２ｂの内表面２ｂの全面
に、短冊状に裁断した砥粒付きフィルムを砥粒６が中心
方向に向くようにＴＨＦ溶液で接着し、カテーテル固定
具１を完成させる。なお、挿通孔２ｂの内径が１．５ｍ
ｍで、軸方向の長さが２０ｍｍである医療用ポリウレタ
ンにより成形された翼片８ａ，８ｂを有する本体２の挿
通孔２ａの内表面２ｂに、砥粒付きフィルムを固定させ
ないものを、比較例とした。Embodiment 3 FIG. Example 3 is also a modification of the catheter fixture 1 according to Embodiment 3, and includes a main body 2 having wing pieces 8a and 8b molded using medical polyurethane.
Has an inner diameter of the insertion hole 2a of 2.4 mm and an axial length of 20 mm. Also, a polyurethane adhesive (binder 5) diluted with 50% of ethyl acetate with ethyl acetate was placed on one surface of a substrate which is a commercially available polyurethane film (thickness: 0.1 mm, 50 × 50 mm, with mount). The base material is held horizontally while the adhesive is semi-dried, and abrasive grains 6 of aluminum oxide (white alumina, particle size # 150) are placed on the base material while the adhesive is half-dried.
m, and gently tap the excess abrasive particles 6 not adhered to the base material to shake off.
Heat treatment at 0 ° C. for 1 hour to cure the adhesive. Then
The same adhesive as the undercoated adhesive is applied to the substrate to which the abrasive grains 6 are adhered so as to sufficiently penetrate with a pipette, overcoated, and dried at 50 ° C. for 1 hour to complete a film with abrasive grains. Next, a film with abrasive grains cut into strips is adhered to the entire surface of the inner surface 2b of the insertion hole 2b of the main body 2 with a THF solution so that the abrasive grains 6 face the center direction, thereby completing the catheter fixture 1. . The inner diameter of the insertion hole 2b is 1.5 m.
Comparative Example, in which the film with abrasive grains was not fixed to the inner surface 2b of the insertion hole 2a of the main body 2 having the wing pieces 8a and 8b formed of medical polyurethane having an axial length of 20 mm and a length of 20 mm. And
【００４９】上記のように作成したカテーテル固定具１
に、メチルビニルエーテルマレイン酸共重合体を用いて
カテーテル表面に親水性処理を固定処理した１６ゲージ
のポリウレタンカテーテルを装着し、カテーテル固定具
１の本体２をＰＰポリプロピレン縫合糸で２周巻いて圧
締し固定した。また、比較例も同様にカテーテルに装着
し、ＰＰポリプロピレン縫合糸で２周巻いて圧締し固定
した。The catheter fixture 1 prepared as described above
Then, a 16-gauge polyurethane catheter having a hydrophilic treatment fixed on the catheter surface using a methyl vinyl ether maleic acid copolymer is attached thereto, and the main body 2 of the catheter fixture 1 is wrapped twice with a PP polypropylene suture and pressed. And fixed. The comparative example was similarly attached to a catheter, wound twice around with a PP polypropylene suture, and pressed and fixed.
【００５０】その結果、実施例３に係るカテーテル固定
具１は、圧締する前はカテーテルが可動したが、圧締後
はカテーテルの軸方向に１００ｇ以上の荷重をかけても
カテーテルが可動せず、また、目視でカテーテルの形状
を観察したが、何等圧迫を受けているところはなかっ
た。一方、比較例のカテーテル固定具は、圧締後カテー
テルの軸方向に１００ｇの荷重をかけようとしたとこ
ろ、１００ｇに達する以前にカテーテルは容易に可動し
てしまった。したがって、カテーテル固定具１の挿通孔
２ａの内表面２ｂに、バインダー５により砥粒６を固定
した砥粒付きフィルムを固定させたものが、僅かな圧締
力で強固にカテーテルを把持でき、確実にその位置を保
持してカテーテルの移動を阻止できるとともに、円弧状
に形成された内表面２ｂに砥粒６を容易にかつ確実に固
定させ、砥粒６の効果を十分に引き出せることがわか
る。As a result, in the catheter fixture 1 according to the third embodiment, the catheter was movable before the clamping, but the catheter was not movable after the clamping even when a load of 100 g or more was applied in the axial direction of the catheter. In addition, the shape of the catheter was visually observed, but no pressure was applied. On the other hand, when the catheter fixture of the comparative example tried to apply a load of 100 g in the axial direction of the catheter after pressing, the catheter was easily movable before reaching 100 g. Therefore, the film having the abrasive grains 6 to which the abrasive grains 6 are fixed by the binder 5 fixed to the inner surface 2b of the insertion hole 2a of the catheter fixture 1 can firmly grip the catheter with a small pressing force, and can surely secure the catheter. It can be seen that the movement of the catheter can be prevented while maintaining its position, and the abrasive grains 6 can be easily and reliably fixed to the inner surface 2b formed in an arc shape, so that the effect of the abrasive grains 6 can be sufficiently brought out.
【００５１】[0051]
【発明の効果】以上のように本発明に係るカテーテル固
定具は、カテーテルが挿通される挿通孔および軸方向に
延びたスリットを有する筒状の本体、またはスリットに
対向する側に水平方向に突出した翼片が一体に形成され
た筒状の本体により構成され、本体の挿通孔の内表面の
一部または全面に、砥粒を固定したので、縫合糸等で強
固に締め付けることなく砥粒によって内表面に形成され
た凹凸の摩擦力により、軟質のカテーテル、肉厚の薄い
カテーテルあるいは表面に潤滑性が付与され表面の摩擦
抵抗が低いカテーテルであっても僅かな圧締力で強固に
把持することができ、皮膚表面での回転を防止して確実
に固定された位置を保持することができる。これによ
り、長時間の使用においてもカテーテル内腔の減縮およ
び閉塞を防止し、輸液の投与等を確実に行うことができ
るカテーテル固定具を得ることができる。また、翼片に
よりカテーテル固定具の皮膚接触面積を広くして粘着テ
ープでの皮膚固定を確実化させることができる。As described above, the catheter fixing device according to the present invention has a cylindrical main body having an insertion hole through which a catheter is inserted and a slit extending in the axial direction, or projects horizontally in a side facing the slit. Wing piece is constituted by a cylindrical main body integrally formed, and abrasive grains are fixed to a part or the entire inner surface of the insertion hole of the main body, so that the abrasive grains are not strongly tightened with sutures etc. Even soft catheters, thin-walled catheters, or catheters with lubricity on the surface and low frictional resistance on the surface are firmly gripped with a slight pressing force due to the uneven frictional force formed on the inner surface. Thus, rotation on the skin surface can be prevented, and the fixed position can be reliably maintained. Accordingly, it is possible to obtain a catheter fixing device that can prevent reduction and occlusion of the catheter lumen even when used for a long time, and can reliably perform administration of an infusion solution and the like. In addition, the skin contact area of the catheter fixture can be widened by the wing pieces, and the skin can be reliably fixed with the adhesive tape.
【００５２】本発明に係るカテーテル固定具は、本体の
挿通孔の内表面の一部または全面に、バインダーにより
砥粒を固定した、または、一方の面にバインダーにより
砥粒を固定したフィルム状の基材を砥粒が中心方向に向
くように固定したので、砥粒により内表面に形成された
凹凸の摩擦力により僅かな圧締力で強固にカテーテルを
把持し、皮膚表面での回転を防止して確実に固定された
位置を保持することができる。また、砥粒が固定された
フィルム状の基材を用いることにより円弧状に形成され
た内表面でも砥粒を容易にかつ確実に固定させることが
でき、砥粒の効果を十分に引き出すことができる信頼性
の高いカテーテル固定具を得ることができる。The catheter fixing device according to the present invention has a film-like shape in which abrasive grains are fixed to a part or entire inner surface of the insertion hole of the main body with a binder, or abrasive grains are fixed to one surface with a binder. Since the base material is fixed so that the abrasive grains face the center direction, the friction force of the unevenness formed on the inner surface by the abrasive grains firmly grips the catheter with a slight pressing force and prevents rotation on the skin surface Thus, the fixed position can be reliably held. In addition, by using a film-shaped substrate to which the abrasive grains are fixed, the abrasive grains can be easily and reliably fixed even on the inner surface formed in an arc shape, and the effect of the abrasive grains can be sufficiently brought out. A highly reliable catheter fixture that can be obtained can be obtained.
【００５３】本発明に係るカテーテル固定具は、本体の
挿通孔の内表面に固定された砥粒の表面を、抗菌剤を混
合した塗膜により被覆したので、カテーテルが当接する
挿通孔の内表面における細菌増殖を抑制することがで
き、逆行感染を阻止して敗血症などの合併症を防止する
ことができる衛生的なカテーテル固定具を得ることがで
きる。In the catheter fixing device according to the present invention, the surface of the abrasive grains fixed to the inner surface of the insertion hole of the main body is coated with a coating film mixed with an antibacterial agent, so that the inner surface of the insertion hole with which the catheter comes into contact. And a hygienic catheter fixture capable of preventing retrograde infection and preventing complications such as sepsis.
【００５４】また、本発明に係るカテーテル固定具は、
バインダーに抗菌剤を配合した、または、砥粒の一部ま
たは全部に抗菌性金属を担持した無機化合物粒子を混合
した、あるいは、砥粒の一部または全部を抗菌性金属を
担持した無機化合物粒子としたので、カテーテルに対す
る強固な把持力と細菌増殖の抑制とを容易にかつ確実に
得ることができる。Further, the catheter fixing device according to the present invention
An antibacterial agent is blended in a binder, or an inorganic compound particle carrying an antibacterial metal on a part or all of abrasive grains, or an inorganic compound particle carrying a part or all of an abrasive grain on an antibacterial metal Therefore, a strong gripping force on the catheter and suppression of bacterial growth can be obtained easily and reliably.
【００５５】本発明に係るカテーテル固定具は、砥粒の
粒度を＃１０００〜＃６０とし、好ましくは＃６００〜
＃１５０としたので、本体の挿通孔の内表面への接着性
が良く、かつカテーテルに対する把持力および保持力の
大きいカテーテル固定具を得ることができる。In the catheter fixture according to the present invention, the particle size of the abrasive grains is set to # 1000 to # 60, preferably to # 600 to # 60.
Since it is # 150, it is possible to obtain a catheter fixture that has good adhesion to the inner surface of the insertion hole of the main body, and has a large gripping force and holding force for the catheter.
【００５６】また、本発明に係るカテーテル固定具は、
本体の外周の軸方向に直交する方向に少なくとも１つ縫
合糸係止用の溝部を設けたので、回転が防止されたカテ
ーテル固定具を皮膚に確実に縫合固定することができ
る。The catheter fixture according to the present invention comprises:
Since at least one groove for locking a suture is provided in a direction orthogonal to the axial direction of the outer periphery of the main body, the catheter fixing device whose rotation has been prevented can be securely sewn to the skin.
【図１】本発明の実施の形態１の斜視図およびそのＡ部
分の拡大図である。FIG. 1 is a perspective view of a first embodiment of the present invention and an enlarged view of a portion A thereof.
【図２】本発明の実施の形態１の作用説明図である。FIG. 2 is an operation explanatory diagram of the first embodiment of the present invention.
【図３】本発明の実施の形態２の斜視図である。FIG. 3 is a perspective view of a second embodiment of the present invention.
１ カテーテル固定具 ２ 本体 ２ａ 挿通孔 ２ｂ 内表面 ３ スリット ４ 係止溝部 ５ バインダー ６ 砥粒 ７ 塗膜 ８ａ，８ｂ 翼片 １０ カテーテル DESCRIPTION OF SYMBOLS 1 Catheter fixture 2 Main body 2a Inserting hole 2b Inner surface 3 Slit 4 Locking groove 5 Binder 6 Abrasive grain 7 Coating film 8a, 8b Wing piece 10 Catheter
Claims (10)
方向に延びたスリットを有する筒状の本体により構成さ
れ、 該本体の挿通孔の内表面の一部または全面に、砥粒を固
定したことを特徴とするカテーテル固定具。1. A cylindrical body having an insertion hole through which a catheter is inserted and a slit extending in an axial direction, wherein abrasive grains are fixed to a part or the entire inner surface of the insertion hole of the main body. A catheter fixing device, characterized in that:
向に突出した翼片を一体に形成したことを特徴とする請
求項１記載のカテーテル固定具。2. The catheter fixture according to claim 1, wherein a wing piece protruding in the horizontal direction is integrally formed on a side of the main body facing the slit.
に、バインダーにより前記砥粒を固定したことを特徴と
する請求項１または２記載のカテーテル固定具。3. The catheter fixture according to claim 1, wherein the abrasive grains are fixed to a part or the entire inner surface of the insertion hole of the main body with a binder.
に、一方の面にバインダーにより前記砥粒を固定したフ
ィルム状の基材を、該砥粒が中心方向に向くように固定
したことを特徴とする請求項１または２記載のカテーテ
ル固定具。4. A film-like base material having the abrasive grains fixed on one side thereof with a binder to one or all of the inner surfaces of the insertion holes of the main body is fixed such that the abrasive grains face the center. The catheter fixture according to claim 1 or 2, wherein
の表面を、抗菌剤を混合した塗膜により被覆したことを
特徴とする請求項１，２，３または４記載のカテーテル
固定具。5. The catheter fixation according to claim 1, wherein the surface of the abrasive grains fixed to the inner surface of the insertion hole of the main body is coated with a coating film mixed with an antibacterial agent. Utensils.
徴とする請求項３または４記載のカテーテル固定具。6. The catheter fixture according to claim 3, wherein an antibacterial agent is blended in the binder.
持した無機化合物粒子を混合したことを特徴とする請求
項１，２，３，４，５または６記載のカテーテル固定
具。7. The catheter fixture according to claim 1, wherein an inorganic compound particle carrying an antibacterial metal is mixed in part or all of the abrasive grains.
持した無機化合物粒子としたことを特徴とする請求項
１，２，３，４，５または６記載のカテーテル固定具。8. The catheter fixture according to claim 1, wherein part or all of the abrasive grains are inorganic compound particles carrying an antibacterial metal.
好ましくは＃６００〜＃１５０としたことを特徴とする
請求項１，２，３，４，５，６，７または８記載のカテ
ーテル固定具。9. The abrasive grains have a particle size of # 1000 to # 60,
The catheter fixture according to claim 1, 2, 3, 4, 5, 6, 7, or 8, wherein the catheter fixture is preferably # 600 to # 150.
少なくとも１つ縫合糸係止用の溝部を設けたことを特徴
とする請求項１，２，３，４，５，６，７，８または９
記載のカテーテル固定具。10. The device according to claim 1, wherein at least one groove for locking a suture is provided in a direction perpendicular to the axial direction of the outer periphery of the main body. 8 or 9
The catheter fixture according to any one of the preceding claims.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP9117700A JPH10305103A (en) | 1997-05-08 | 1997-05-08 | Catheter fixing tool |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP9117700A JPH10305103A (en) | 1997-05-08 | 1997-05-08 | Catheter fixing tool |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| JPH10305103A true JPH10305103A (en) | 1998-11-17 |
Family
ID=14718149
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP9117700A Withdrawn JPH10305103A (en) | 1997-05-08 | 1997-05-08 | Catheter fixing tool |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JPH10305103A (en) |
Cited By (25)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2009018210A (en) * | 1999-02-19 | 2009-01-29 | Alsius Corp | Central venous line catheter |
| US8888832B2 (en) | 2011-09-28 | 2014-11-18 | Zoll Circulation, Inc. | System and method for doubled use of patient temperature control catheter |
| US9241827B2 (en) | 2012-09-28 | 2016-01-26 | Zoll Circulation, Inc. | Intravascular heat exchange catheter with multiple spaced apart discrete coolant loops |
| US9259348B2 (en) | 2011-09-28 | 2016-02-16 | Zoll Circulation, Inc. | Transatrial patient temperature control catheter |
| US9283112B2 (en) | 2011-09-20 | 2016-03-15 | Zoll Circulation, Inc. | Patient temperature control catheter with outer sleeve cooled by inner sleeve |
| US9314370B2 (en) | 2011-09-28 | 2016-04-19 | Zoll Circulation, Inc. | Self-centering patient temperature control catheter |
| US9433528B2 (en) | 2012-09-28 | 2016-09-06 | Zoll Circulation, Inc. | Intravascular heat exchange catheter with rib cage-like coolant path |
| US9474644B2 (en) | 2014-02-07 | 2016-10-25 | Zoll Circulation, Inc. | Heat exchange system for patient temperature control with multiple coolant chambers for multiple heat exchange modalities |
| US9615966B2 (en) | 2005-07-14 | 2017-04-11 | Zoll Circulation, Inc. | System and method for leak detection in external cooling pad |
| US9717625B2 (en) | 2012-09-28 | 2017-08-01 | Zoll Circulation, Inc. | Intravascular heat exchange catheter with non-round coiled coolant path |
| US9784263B2 (en) | 2014-11-06 | 2017-10-10 | Zoll Circulation, Inc. | Heat exchange system for patient temperature control with easy loading high performance peristaltic pump |
| US9801756B2 (en) | 2012-09-28 | 2017-10-31 | Zoll Circulation, Inc. | Intravascular heat exchange catheter and system with RFID coupling |
| US10022265B2 (en) | 2015-04-01 | 2018-07-17 | Zoll Circulation, Inc. | Working fluid cassette with hinged plenum or enclosure for interfacing heat exchanger with intravascular temperature management catheter |
| US10045881B2 (en) | 2011-09-28 | 2018-08-14 | Zoll Circulation, Inc. | Patient temperature control catheter with helical heat exchange paths |
| JP2019519348A (en) * | 2016-05-20 | 2019-07-11 | エスエムハーズ | Medical tube holder |
| US10500088B2 (en) | 2014-02-14 | 2019-12-10 | Zoll Circulation, Inc. | Patient heat exchange system with two and only two fluid loops |
| US10537465B2 (en) | 2015-03-31 | 2020-01-21 | Zoll Circulation, Inc. | Cold plate design in heat exchanger for intravascular temperature management catheter and/or heat exchange pad |
| US10792185B2 (en) | 2014-02-14 | 2020-10-06 | Zoll Circulation, Inc. | Fluid cassette with polymeric membranes and integral inlet and outlet tubes for patient heat exchange system |
| US11033424B2 (en) | 2014-02-14 | 2021-06-15 | Zoll Circulation, Inc. | Fluid cassette with tensioned polymeric membranes for patient heat exchange system |
| US11116657B2 (en) | 2017-02-02 | 2021-09-14 | Zoll Circulation, Inc. | Devices, systems and methods for endovascular temperature control |
| US11185440B2 (en) | 2017-02-02 | 2021-11-30 | Zoll Circulation, Inc. | Devices, systems and methods for endovascular temperature control |
| US11213423B2 (en) | 2015-03-31 | 2022-01-04 | Zoll Circulation, Inc. | Proximal mounting of temperature sensor in intravascular temperature management catheter |
| US11337851B2 (en) | 2017-02-02 | 2022-05-24 | Zoll Circulation, Inc. | Devices, systems and methods for endovascular temperature control |
| US11359620B2 (en) | 2015-04-01 | 2022-06-14 | Zoll Circulation, Inc. | Heat exchange system for patient temperature control with easy loading high performance peristaltic pump |
| CN116211424A (en) * | 2023-03-17 | 2023-06-06 | 株洲茂物医疗科技有限公司 | Uterine cavity saccule dilating catheter pusher and use method thereof |
-
1997
- 1997-05-08 JP JP9117700A patent/JPH10305103A/en not_active Withdrawn
Cited By (37)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2009018210A (en) * | 1999-02-19 | 2009-01-29 | Alsius Corp | Central venous line catheter |
| US9615966B2 (en) | 2005-07-14 | 2017-04-11 | Zoll Circulation, Inc. | System and method for leak detection in external cooling pad |
| US9283112B2 (en) | 2011-09-20 | 2016-03-15 | Zoll Circulation, Inc. | Patient temperature control catheter with outer sleeve cooled by inner sleeve |
| US9283110B2 (en) | 2011-09-20 | 2016-03-15 | Zoll Circulation, Inc. | Patient temperature control catheter with outer sleeve cooled by inner sleeve |
| US8888832B2 (en) | 2011-09-28 | 2014-11-18 | Zoll Circulation, Inc. | System and method for doubled use of patient temperature control catheter |
| US10561526B2 (en) | 2011-09-28 | 2020-02-18 | Zoll Circulation, Inc. | Transatrial patient temperature control catheter |
| US9259348B2 (en) | 2011-09-28 | 2016-02-16 | Zoll Circulation, Inc. | Transatrial patient temperature control catheter |
| US9314370B2 (en) | 2011-09-28 | 2016-04-19 | Zoll Circulation, Inc. | Self-centering patient temperature control catheter |
| US9402764B2 (en) | 2011-09-28 | 2016-08-02 | Zoll Circulation, Inc. | Self-centering patient temperature control catheter |
| US10045881B2 (en) | 2011-09-28 | 2018-08-14 | Zoll Circulation, Inc. | Patient temperature control catheter with helical heat exchange paths |
| US9433528B2 (en) | 2012-09-28 | 2016-09-06 | Zoll Circulation, Inc. | Intravascular heat exchange catheter with rib cage-like coolant path |
| US9717625B2 (en) | 2012-09-28 | 2017-08-01 | Zoll Circulation, Inc. | Intravascular heat exchange catheter with non-round coiled coolant path |
| US11571332B2 (en) | 2012-09-28 | 2023-02-07 | Zoll Circulation, Inc. | Intravascular heat exchange catheter and system with RFID coupling |
| US9801756B2 (en) | 2012-09-28 | 2017-10-31 | Zoll Circulation, Inc. | Intravascular heat exchange catheter and system with RFID coupling |
| US10596029B2 (en) | 2012-09-28 | 2020-03-24 | Zoll Circulation, Inc. | Intravascular heat exchange catheter with rib cage-like coolant path |
| US9241827B2 (en) | 2012-09-28 | 2016-01-26 | Zoll Circulation, Inc. | Intravascular heat exchange catheter with multiple spaced apart discrete coolant loops |
| US10828189B2 (en) | 2014-02-07 | 2020-11-10 | Zoll Circulation Inc. | Heat exchange system for patient temperature control with multiple coolant chambers for multiple heat exchange modalities |
| US9474644B2 (en) | 2014-02-07 | 2016-10-25 | Zoll Circulation, Inc. | Heat exchange system for patient temperature control with multiple coolant chambers for multiple heat exchange modalities |
| US10500088B2 (en) | 2014-02-14 | 2019-12-10 | Zoll Circulation, Inc. | Patient heat exchange system with two and only two fluid loops |
| US11033424B2 (en) | 2014-02-14 | 2021-06-15 | Zoll Circulation, Inc. | Fluid cassette with tensioned polymeric membranes for patient heat exchange system |
| US10792185B2 (en) | 2014-02-14 | 2020-10-06 | Zoll Circulation, Inc. | Fluid cassette with polymeric membranes and integral inlet and outlet tubes for patient heat exchange system |
| US10502200B2 (en) | 2014-11-06 | 2019-12-10 | Zoll Circulation, Inc. | Heat exchanges system for patient temperature control with easy loading high performance peristaltic pump |
| US9784263B2 (en) | 2014-11-06 | 2017-10-10 | Zoll Circulation, Inc. | Heat exchange system for patient temperature control with easy loading high performance peristaltic pump |
| US11353016B2 (en) | 2014-11-06 | 2022-06-07 | Zoll Circulation, Inc. | Heat exchange system for patient temperature control with easy loading high performance peristaltic pump |
| US11213423B2 (en) | 2015-03-31 | 2022-01-04 | Zoll Circulation, Inc. | Proximal mounting of temperature sensor in intravascular temperature management catheter |
| US10537465B2 (en) | 2015-03-31 | 2020-01-21 | Zoll Circulation, Inc. | Cold plate design in heat exchanger for intravascular temperature management catheter and/or heat exchange pad |
| US10022265B2 (en) | 2015-04-01 | 2018-07-17 | Zoll Circulation, Inc. | Working fluid cassette with hinged plenum or enclosure for interfacing heat exchanger with intravascular temperature management catheter |
| US11359620B2 (en) | 2015-04-01 | 2022-06-14 | Zoll Circulation, Inc. | Heat exchange system for patient temperature control with easy loading high performance peristaltic pump |
| US11759354B2 (en) | 2015-04-01 | 2023-09-19 | Zoll Circulation, Inc. | Working fluid cassette with hinged plenum or enclosure for interfacing heat exchanger with intravascular temperature management catheter |
| JP2019519348A (en) * | 2016-05-20 | 2019-07-11 | エスエムハーズ | Medical tube holder |
| US11116657B2 (en) | 2017-02-02 | 2021-09-14 | Zoll Circulation, Inc. | Devices, systems and methods for endovascular temperature control |
| US11185440B2 (en) | 2017-02-02 | 2021-11-30 | Zoll Circulation, Inc. | Devices, systems and methods for endovascular temperature control |
| US11337851B2 (en) | 2017-02-02 | 2022-05-24 | Zoll Circulation, Inc. | Devices, systems and methods for endovascular temperature control |
| US11883323B2 (en) | 2017-02-02 | 2024-01-30 | Zoll Circulation, Inc. | Devices, systems and methods for endovascular temperature control |
| US11951035B2 (en) | 2017-02-02 | 2024-04-09 | Zoll Circulation, Inc. | Devices, systems and methods for endovascular temperature control |
| CN116211424A (en) * | 2023-03-17 | 2023-06-06 | 株洲茂物医疗科技有限公司 | Uterine cavity saccule dilating catheter pusher and use method thereof |
| CN116211424B (en) * | 2023-03-17 | 2023-12-12 | 株洲茂物医疗科技有限公司 | Uterine cavity saccule dilating catheter pusher and use method thereof |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| JPH10305103A (en) | Catheter fixing tool | |
| US10232145B2 (en) | Medical device securement system and method | |
| JPS62281965A (en) | Catheter and catheter fixing member | |
| US5215532A (en) | Catheter device with easily deployed retainer | |
| EP0923400B1 (en) | Grommet positioning device | |
| US4915694A (en) | Antimicrobial wound dressing and skin fixator for percutaneous conduits | |
| EP0389247B1 (en) | Suture tab | |
| JP4575168B2 (en) | Closing device | |
| US8945062B2 (en) | Barrier system to reduce the rates of line-related infections | |
| US9067013B2 (en) | Medical article securement device | |
| US20080243082A1 (en) | System for surgical drain fixation | |
| JP2004174280A (en) | Anchor pad for catheter insertion system | |
| US4962757A (en) | Suture loop for catheters | |
| JPS63246148A (en) | Hemostatic apparatus and method | |
| WO2002068024A1 (en) | Anchoring device for medical apparatus | |
| US6165156A (en) | Device and method for fastening a catheter | |
| CA2671433A1 (en) | Combination therapy hemostatic clip | |
| JPH01308572A (en) | Catheter fixing jig | |
| JP2004121485A (en) | Ligature apparatus of animate tissue | |
| JP2002523153A (en) | Fixation systems such as catheters | |
| JP2001137351A (en) | Catheter assembly | |
| JP2002360705A (en) | Fixing instrument of tubular member | |
| JP2001095925A (en) | Catheter fixing tool | |
| US20150265808A1 (en) | Medical device securement system and method | |
| US8993829B2 (en) | Device and method for securing sutures and the like |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| A300 | Application deemed to be withdrawn because no request for examination was validly filed |
Free format text: JAPANESE INTERMEDIATE CODE: A300 Effective date: 20040803 |