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DE3112762A1 - Double-lumen blood sampling, single-lumen infusion, subclavian catheter set - Google Patents

Double-lumen blood sampling, single-lumen infusion, subclavian catheter set

Info

Publication number
DE3112762A1
DE3112762A1 DE19813112762 DE3112762A DE3112762A1 DE 3112762 A1 DE3112762 A1 DE 3112762A1 DE 19813112762 DE19813112762 DE 19813112762 DE 3112762 A DE3112762 A DE 3112762A DE 3112762 A1 DE3112762 A1 DE 3112762A1
Authority
DE
Germany
Prior art keywords
catheter
blood
lumen
infusion
double
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.)
Granted
Application number
DE19813112762
Other languages
German (de)
Other versions
DE3112762C2 (en
Inventor
Jürgen Dr.med. 8700 Würzburg Schrezenmeir
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
SCHREZENMEIR, JUERGEN, DR.MED., 6500 MAINZ, DE
Original Assignee
Individual
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to DE19813112762 priority Critical patent/DE3112762A1/en
Publication of DE3112762A1 publication Critical patent/DE3112762A1/en
Application granted granted Critical
Publication of DE3112762C2 publication Critical patent/DE3112762C2/de
Granted legal-status Critical Current

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
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/158—Needles for infusions; Accessories therefor, e.g. for inserting infusion needles, or for holding them on the body
    • A61M5/1582—Double lumen needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/150007—Details
    • A61B5/150015—Source of blood
    • A61B5/15003—Source of blood for venous or arterial blood
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/150007—Details
    • A61B5/150755—Blood sample preparation for further analysis, e.g. by separating blood components or by mixing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/155—Devices specially adapted for continuous or multiple sampling, e.g. at predetermined intervals
    • 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
    • A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026—Multi-lumen catheters with stationary elements
    • A61M25/003—Multi-lumen catheters with stationary elements characterized by features relating to least one lumen located at the distal part of the catheter, e.g. filters, plugs or valves
    • A61M2025/0031—Multi-lumen catheters with stationary elements characterized by features relating to least one lumen located at the distal part of the catheter, e.g. filters, plugs or valves characterized by lumina for withdrawing or delivering, i.e. used for extracorporeal circuit treatment
    • 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
    • A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • A61M25/0026—Multi-lumen catheters with stationary elements
    • A61M2025/0039—Multi-lumen catheters with stationary elements characterized by lumina being arranged coaxially

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Hematology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Pathology (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Vascular Medicine (AREA)
  • Anesthesiology (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • External Artificial Organs (AREA)

Abstract

This catheter set permits continuous withdrawal of blood via a central access to a vessel and simultaneous infusion of solutions distally thereof, which is required in medicine, in particular for systems in which infusions are controlled via a computer in accordance with a current blood value, e.g. glucose. It comprises two channels which are to be tightly connected, and an axial catheter fixed to the channel by a stopper strip and a union nut. Infusion can be made through the axial catheter, an anticoagulant solution can be fed in between the catheter and the inner channel, the solution being mixed with the blood between the sleeve end of the outer and inner channels, and a mixture of blood and anticoagulant can be sucked in between the inner and outer channels.

Description

: BOscsibwury: BOscsibwury

Name : Dr. med. Jürgen Schrezenmeir Titel : i)oppe llumen-Blutentnahme-Einfachlumen-Infusions-Subclaviakatheterse t Anwendungsgebiet : Dieses Katheterset ermöglicht über einen zentralen Gefäßzugang gleichzeitig die kontinuierliche Blutentnahme und Infusion, wie dies in der Medizin insbesondere für Systeme benötigt wird, in denen entsprechend einem aktuellen Blutwert wie z.B. Glukose computergesteuert Infusionen vorgenommen werden.Name: Dr. med. Jürgen Schrezenmeir Title: i) oppe lumen blood collection single lumen infusion subclavian catheters t Field of application: This catheter set enables a central vascular access at the same time continuous blood collection and infusion, as is the case in medicine is required in particular for systems in which a current blood value like e.g. glucose infusions are carried out under computer control.

Stand der Technik : Ein System zur kontinuierlichen Blutentnahme aus einer peripheren Vene liegt in Form eines Loppellumenkatheters vor, dessen prinzipieller Aufbau aus einer Veröffentlichung von E.F. Pfeiffer et al (Horm.Met.Res.Suppl.Series 7, (1977), 95) hervorgeht. Ein System zur intermittierenden Blutentnahme und gleichzeitigen Infusion über einen axial liegenden Subclaviakatheter liegt in Form des Cordis Catheter Sheath Introducer Systems vor, das aus einem axial liegenden Katheter und einer Schleuse besteht, durch die der Katheter führt und aus der durch einen Seitenhahn Blut entnommen werden kann.State of the art: A system for continuous blood collection a peripheral vein is in the form of a double lumen catheter, its principal Structure from a publication by E.F. Pfeiffer et al (Horm.Met.Res.Suppl.Series 7, (1977), 95). A system for intermittent and simultaneous blood sampling Infusion via an axially positioned subclavian catheter is in the form of the Cordis Catheter Sheath Introducer Systems, which consists of an axially positioned catheter and a There is a sluice through which the catheter leads and from which there is a side cock Blood can be drawn.

Kritik des Standes der Technik : Für die kontinuierliche Blutentnahme bei ungünstigen peripheren Gefäßverhältnissen bzw. zentralisiertem Kreislauf ist der periphere Gefäßanschluß ungeeignet bzw. oft nicht möglich. Außerdem ist in den kleinen Gefäßen der Peripherie häufig mit mechanischen Störungen durch Anliegen des Katheters bzw. Gefäßkollaps zu rechnen.Criticism of the state of the art: For continuous blood collection in unfavorable peripheral vascular conditions or centralized circulation the peripheral vascular connection is unsuitable or often not possible. In addition, the small vessels of the periphery often with mechanical disturbances due to concerns of the catheter or vascular collapse to be expected.

Aufgabe : Mit dem vorgeschlagenen System wird ermöglicht, daß über einen zentralen Gefäßzugang infundiert und gleichzeitig kontinuierlich Blut entnommen werden kann.Task: The proposed system enables over a central vascular access is infused and blood is continuously withdrawn at the same time can be.

Lösung : Durch zwei ineinander gesteckte und miteinander verschraubte Schleusen wird ein axial liegender Katheter geführt, welcher 15 cm oder mehr über das Ende der Schleusenhülsen ragt. So kann durch den Katheter infundiert werden, zwischen Katheter und innerer Schleusenhülse Heparinlösung zugeführt werden und zwischen innerer und äußerer Schleusenhülse Blut-Heparin-Gemisch angesaugt werden, wobei die Heparin-Blut-Mischung an der Spitze der Hülsen erfolgt und kein Heparin in den Patienten gelangt.Solution: With two nested and screwed together An axially lying catheter is passed through the sheath, which is 15 cm or more across the end of the lock sleeves protrudes. So can be infused through the catheter, heparin solution is supplied between the catheter and the inner sheath and blood-heparin mixture is sucked in between the inner and outer sheath sleeve, with the heparin-blood mixture at the tip of the pods and no heparin gets into the patient.

Die Strecke, die der lnfusionskatheter über die Schleusenhiilsen hinausragt, ist mittels eines Stoppers in Enorm eines hervorstehenden Rings des Katheters und einer Überwurfmutter, die diesen Stopper an das Ansatzstück der inneren Schleuse preßt, fixiert. The distance the infusion catheter takes over the sheath sleeves protrudes, is by means of a stopper in enormous of a protruding ring of the Catheter and a union nut that attach this stopper to the end piece of the inner Lock presses, fixed.

Erzielbare Vorteile : Möglichkeit, (i) aus einem zentralen Gefäß wie der Vena Subclavia kontinuierlich Blut zu entnehmen mit dem Vorteil der geringeren Störanfälligkeit dieses Gefäßzugangs und (2) über ein und denselben Zugang gleichzeitig zu infundieren.Achievable Benefits: Ability to (i) like from a central vessel continuously withdrawing blood from the subclavian vein with the advantage of less This vascular access is susceptible to failure and (2) via one and the same access at the same time to infuse.

Beschreibung : Ein Ausführungsbeispiel dieses Systems ist in der Zeichnung dargestellt und wird im folgenden näher beschrieben.Description: An embodiment of this system is shown in the drawing and is described in more detail below.

Das Katheterset besteht aus folgenden Teilen : 1. Metallkanüle zur Subclaviapunktion mit 5 ml Spritze 2. Seldinger Draht 3. äußere Schleuse (Zeichnung) 4. Introducer passend für die äußere Schleuse 5. innere Schleuse (Zeichnung) 6. Katheter passend zur inneren Schleuse (Zeichnung) 7. bberwurfmutter (Zeichnung) Die Zeichnung zeigt das System, wie es im Gefäß zu liegen kommt. Die Hülse der äußeren Schleuse ragt 2 mm über das Hülsenende der inneren Schleuse vor und ist am Ende etwas nach axial abgerundet. Beide Schleusen sind durch einen Schraubmechanismus an ihren Ansatzstücken dicht miteinander verbunden. Um den Totraum so klein wie möglich zu halten, füllt der vordere Teil des Ansatzstückes der inneren Schleuse den Innenraum des hinteren Teils der äußeren Schleuse bis auf einen mantelförmigen Spalt fast vollständig aus. Durch die innere Schleuse kann dann der Katheter zur Infusion geführt werden, der ca. 15 cm über das Ende der Schleuse ragt, sodaß die infundierte Lösung sich nicht mit dem Blut vermischt, welches zwischen innerer und äußerer Schleuse angesaugt wird. The catheter set consists of the following parts: 1. Metal cannula for Subclavia puncture with 5 ml syringe 2. Seldinger wire 3. Outer sluice (drawing) 4. Introducer suitable for the outer lock 5. Inner lock (drawing) 6. Catheter matching the inner sheath (drawing) 7. Union nut (drawing) The drawing shows the system as it comes to rest in the vessel. The sleeve of the outer The lock protrudes 2 mm beyond the sleeve end of the inner lock and is at the end slightly rounded axially. Both locks are by a screw mechanism closely connected at their attachments. To make the dead space as small as to keep possible, the front part of the extension of the inner lock fills the interior of the rear part of the outer lock except for a jacket-shaped one Almost completely split. The catheter can then pass through the inner sheath Infusion are performed, which protrudes about 15 cm above the end of the lock, so that the infused solution does not mix with the blood flowing between the inner and the outer lock is sucked in.

Um ein Herausrutschen des Katheters zu verhindern, ist an ihm ein Stopper in Form einer ringförmigen Verdickung vorgesehen. Dieser wird mit einer Überwurfmutter an dem Ansatzstück der inneren Schleuse fixiert. To prevent the catheter from slipping out, there is a Stopper provided in the form of an annular thickening. This one comes with a Union nut fixed to the extension piece of the inner lock.

Um das entnommene Blut nicht gerinnen zu lassen, wird Heparinlösung in den Raum zwischen Katheter und innerer Schleuse gepumpt und - nach Mischung mit dem Blut an der Spitze der inneren Hülse und ohne in das Gefäßsystem des Patienten zu gelangen - Blut-Heparin-Gemisch zwischen innerer und äußerer Schleuse angesaugt. Das Mengenverhältnis zwischen Heparinlösung und Blut wird durch die Innendurchmesser des zu- und abführenden Schlauches im Bereich einer Segmentpumpe bestimmt.Heparin solution is used to prevent the blood drawn from clotting pumped into the space between the catheter and the inner sheath and - after mixing with the blood at the tip of the inner sleeve and without entering the patient's vasculature to get there - blood-heparin mixture sucked between the inner and outer lock. The quantity ratio between heparin solution and blood is determined by the inner diameter of the inlet and outlet hose determined in the area of a segment pump.

Claims (1)

Patentansprüche Oberbegriff : Doppellumen-31utentnahme-Einfachlllmen-Infusions-Subelaviakatheterset, welches erlaubt über einen GefäBzugang gleichzeitig kontinuierlich Blut zu entnehmen und beliebige Lösungen zu infundieren.Patent claims generic term: double-lumen, 31-groove removal, single-lumen, infusion, subelavian catheter set, which allows blood to be continuously withdrawn at the same time via a vascular access and infuse any solutions. Kennzeichnender Teil : Gekennzeichnet durch zwei dicht miteinander verbundene Schleusen und einen axial liegenden und mittels einer Stopperleiste und einer Überwurfmutter an die Schleusen fixierten Katheter, wobei durch den axial liegenden Katheter infundiert werden kann, zwischen Katheter und innerer Schleuse gerinnungshemmende Lösung zugeführt wird, welche sich mit dem Blut zwischen dem Hülsenende der äußeren und inneren Schleuse vermischtßund zwischen innerer und äußerer Schleuse Blut-Antikoagulanz-Gemisch angesaugt wird.Identifying part: Identified by two close together connected locks and an axially lying and by means of a stopper bar and a union nut to the locks fixed catheter, whereby through the axially lying catheter can be infused between catheter and inner sheath anticoagulant solution is supplied, which is with the blood between the Sleeve end of the outer and inner sheath mixed and between the inner and outer Lock blood-anticoagulant mixture is sucked in.
DE19813112762 1981-03-31 1981-03-31 Double-lumen blood sampling, single-lumen infusion, subclavian catheter set Granted DE3112762A1 (en)

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DE19813112762 DE3112762A1 (en) 1981-03-31 1981-03-31 Double-lumen blood sampling, single-lumen infusion, subclavian catheter set

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DE19813112762 DE3112762A1 (en) 1981-03-31 1981-03-31 Double-lumen blood sampling, single-lumen infusion, subclavian catheter set

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DE3112762A1 true DE3112762A1 (en) 1983-01-13
DE3112762C2 DE3112762C2 (en) 1988-06-09

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WO2007003431A1 (en) 2005-07-06 2007-01-11 Medizinische Universität Graz Device for and method of delivery and removal of substances in and from a tissue or vessel
US7276027B2 (en) 2001-02-06 2007-10-02 Roche Diagnostics Operations, Inc. System, for monitoring the concentration of analytes in body fluids
US8771251B2 (en) 2009-12-17 2014-07-08 Hospira, Inc. Systems and methods for managing and delivering patient therapy through electronic drug delivery systems
US8972027B2 (en) 2011-07-19 2015-03-03 Shalom MANOVA Implantable medical device including electrode element, anchoring element and elastic element
US9971871B2 (en) 2011-10-21 2018-05-15 Icu Medical, Inc. Medical device update system
US9995611B2 (en) 2012-03-30 2018-06-12 Icu Medical, Inc. Air detection system and method for detecting air in a pump of an infusion system
US10022498B2 (en) 2011-12-16 2018-07-17 Icu Medical, Inc. System for monitoring and delivering medication to a patient and method of using the same to minimize the risks associated with automated therapy
US10042986B2 (en) 2013-11-19 2018-08-07 Icu Medical, Inc. Infusion pump automation system and method
US10046112B2 (en) 2013-05-24 2018-08-14 Icu Medical, Inc. Multi-sensor infusion system for detecting air or an occlusion in the infusion system
US10166328B2 (en) 2013-05-29 2019-01-01 Icu Medical, Inc. Infusion system which utilizes one or more sensors and additional information to make an air determination regarding the infusion system
US10242060B2 (en) 2006-10-16 2019-03-26 Icu Medical, Inc. System and method for comparing and utilizing activity information and configuration information from multiple medical device management systems
US10238799B2 (en) 2014-09-15 2019-03-26 Icu Medical, Inc. Matching delayed infusion auto-programs with manually entered infusion programs
US10238801B2 (en) 2009-04-17 2019-03-26 Icu Medical, Inc. System and method for configuring a rule set for medical event management and responses
US10311972B2 (en) 2013-11-11 2019-06-04 Icu Medical, Inc. Medical device system performance index
US10314974B2 (en) 2014-06-16 2019-06-11 Icu Medical, Inc. System for monitoring and delivering medication to a patient and method of using the same to minimize the risks associated with automated therapy
US10333843B2 (en) 2013-03-06 2019-06-25 Icu Medical, Inc. Medical device communication method
US10342917B2 (en) 2014-02-28 2019-07-09 Icu Medical, Inc. Infusion system and method which utilizes dual wavelength optical air-in-line detection
US10430761B2 (en) 2011-08-19 2019-10-01 Icu Medical, Inc. Systems and methods for a graphical interface including a graphical representation of medical data
US10434246B2 (en) 2003-10-07 2019-10-08 Icu Medical, Inc. Medication management system
US10463788B2 (en) 2012-07-31 2019-11-05 Icu Medical, Inc. Patient care system for critical medications
US10596316B2 (en) 2013-05-29 2020-03-24 Icu Medical, Inc. Infusion system and method of use which prevents over-saturation of an analog-to-digital converter
US10635784B2 (en) 2007-12-18 2020-04-28 Icu Medical, Inc. User interface improvements for medical devices
US10656894B2 (en) 2017-12-27 2020-05-19 Icu Medical, Inc. Synchronized display of screen content on networked devices
US10692595B2 (en) 2018-07-26 2020-06-23 Icu Medical, Inc. Drug library dynamic version management
US10741280B2 (en) 2018-07-17 2020-08-11 Icu Medical, Inc. Tagging pump messages with identifiers that facilitate restructuring
US10765799B2 (en) 2013-09-20 2020-09-08 Icu Medical, Inc. Fail-safe drug infusion therapy system
US10850024B2 (en) 2015-03-02 2020-12-01 Icu Medical, Inc. Infusion system, device, and method having advanced infusion features
US10861592B2 (en) 2018-07-17 2020-12-08 Icu Medical, Inc. Reducing infusion pump network congestion by staggering updates
US10898641B2 (en) 2014-04-30 2021-01-26 Icu Medical, Inc. Patient care system with conditional alarm forwarding
US11135360B1 (en) 2020-12-07 2021-10-05 Icu Medical, Inc. Concurrent infusion with common line auto flush
US11235100B2 (en) 2003-11-13 2022-02-01 Icu Medical, Inc. System for maintaining drug information and communicating with medication delivery devices
US11246985B2 (en) 2016-05-13 2022-02-15 Icu Medical, Inc. Infusion pump system and method with common line auto flush
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US11605468B2 (en) 2015-05-26 2023-03-14 Icu Medical, Inc. Infusion pump system and method with multiple drug library editor source capability
US11670416B2 (en) 2018-07-17 2023-06-06 Icu Medical, Inc. Tagging pump messages with identifiers that facilitate restructuring
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US11883361B2 (en) 2020-07-21 2024-01-30 Icu Medical, Inc. Fluid transfer devices and methods of use
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US12076531B2 (en) 2016-06-10 2024-09-03 Icu Medical, Inc. Acoustic flow sensor for continuous medication flow measurements and feedback control of infusion
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US12303464B2 (en) 2020-04-03 2025-05-20 Icu Medical, Inc. Systems, methods, and components for transferring medical fluids
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