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WO2011156875A1 - Récepteur pour cathéter - Google Patents

Récepteur pour cathéter Download PDF

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Publication number
WO2011156875A1
WO2011156875A1 PCT/BE2011/000034 BE2011000034W WO2011156875A1 WO 2011156875 A1 WO2011156875 A1 WO 2011156875A1 BE 2011000034 W BE2011000034 W BE 2011000034W WO 2011156875 A1 WO2011156875 A1 WO 2011156875A1
Authority
WO
WIPO (PCT)
Prior art keywords
receiver
catheters
catheter
receiver according
guiding
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.)
Ceased
Application number
PCT/BE2011/000034
Other languages
English (en)
Inventor
Walter Van Damme
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.)
Agfa HealthCare NV
Original Assignee
Agfa HealthCare NV
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 Agfa HealthCare NV filed Critical Agfa HealthCare NV
Publication of WO2011156875A1 publication Critical patent/WO2011156875A1/fr
Anticipated expiration legal-status Critical
Ceased 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/002—Packages specially adapted therefor ; catheter kit packages
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00—Surgical drapes
    • A61B46/20—Surgical drapes specially adapted for patients
    • A61B46/23—Surgical drapes specially adapted for patients with means to retain or hold surgical implements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00—Surgical drapes
    • A61B46/20—Surgical drapes specially adapted for patients
    • A61B46/23—Surgical drapes specially adapted for patients with means to retain or hold surgical implements
    • A61B2046/234—Surgical drapes specially adapted for patients with means to retain or hold surgical implements with means for retaining a catheter

Definitions

  • the present invention relates to the use of receivers in combination with surgical drapes. More in particular, the invention relates to receivers that are used in combination with surgical drapes during medical procedures, whereby a catheter is introduced in a vein or artery.
  • Angiography is an examination whereby a contrastmedium is introduced in the veins.
  • a catheter is inserted in the artery of the groin.
  • the radiologist administers the contrast medium.
  • the blood vessels can be visualised on a monitor by means of medical imaging techniques.
  • An angiographic examination requires the use of guiding threads and catheters.
  • the catheters that are used during such examinations sometimes are removed temporarily out of the body of the patient by the physician so as to be reintroduced in the patient's body in a later phase of the examination.
  • the catheters that are removed out of the patient's body by the physician are put by an assistant or by the physician in a receiver containing a physiological solution containing heparin. In such a way the receiver remains moist.
  • the catheter can also be washed through with the solution to remove the blood remaining in the lumen of the catheter.
  • a bowl is used as receiver. Examples of such bowls are described in a.o. WO
  • drapes are used to shield an environment in a sterile way.
  • a patient is covered with a surgical drape wherein at the position of the groin two openings are made. At the position of these openings, a physician introduces guiding threads and/or catheters in a vein or artery of a patient.
  • a technique often used during such angiographic procedures is the so-called technique of Seldinger.
  • the Seldinger-technique comprises the following basic steps :
  • the selected blood vessel is lanced by means of a hollow needle
  • US 5074316 a basic pouch for instruments is described that during an angiographic examination can be attached to a surgical drape at or around the place where a catheter is inserted in the body of a patient.
  • the instrument pouch is made from a transparant material and can be positioned over the catheter line to ease the manipulation of catheters.
  • the instrument pouch is not used to store the catheters or to temporarily hold same.
  • EP 1113970 describes a method to temporarily store guiding threads.
  • the storage takes place in a flexible hollow tube that is closed at one end with a mouthpiece wherein more than one opening is made.
  • the flexible hollow tube can be attached to the surgical drape whereby the end that comprises the mouthpiece with the openings, can be positioned in the immediate vicinity of an opening in the surgical drape at or around the groin area of the patient.
  • More than one guiding thread can be stored simultaneously.
  • the ends of the various guiding threads differ in shape. This simplifies the selection of the appropriate guiding thread by the physician for re-insertion in the patient.
  • the method described in EP 1113970 is directed to guiding threads. In practice guiding threads are fine metal threads. Catheters have a larger diameter compared to guiding threads.
  • catheters are manufactured from plastics and comprise a special coating.
  • a coating can be foreseen that prevents the quick clotting of blood.
  • the coating at the surface of the catheters could be damaged.
  • US 6802323 describes a construction to temporarily store guiding threads and catheters. It deals with a rather voluminous and stiff construction that comprises a drainage system. The construction can be attached to the pending side of a surgical drape. This construction fills the space between the physician and the table supporting the patient.
  • the method provides the temporary storage of guiding threads and catheters by locking the guiding threads and catheters parallel one to the other.
  • the stored guiding threads and catheters can be moistened with a saline solution containing heparin. By frequently locking of a catheter the coating of the catheter can be damaged.
  • US 2005/0279366 Al published December 22, 2005, describes a receiver for the storage of a.o. catheters, as used during surgical procedures such as a heart-catherisation.
  • the receiver or envelope comprises an open upper side and closed side parts and bottom parts.
  • a catheter can indeed be stored, as illustrated on figure 5 of this patent application. From this figure and description it is apparant that the catheter in this envelope can only be stored in a folded manner. This causes problems as well during the introduction of the catheter in the envelope, as well as by the removal out of the catheter from the envelope. On top hereof, in case more that one guiding thread and/or catheter should be stored in such envelope concomitantly, these are in contact with each other frequently, leading to damage, en causing further difficulty for manipulation.
  • WO2004/060184 A 1 published July 22, 2004, describes a receiver for the storage of surgical instruments.
  • the receiver can be attached to the surgical drape, and can even be permanently affixed to it. From the description and the drawings it is clear that such a receiver is not suitable for the storage of guiding threads and/or catheters.
  • the complete upper side of the receiver is open, and the dimensions of the receiver do not allow to hold a guiding thread and/or catheter, unless in a quite folded position. In view of the stiffness of such elements, this is excluded in practise.
  • the likelihood that a guiding thread or catheter placed in such a receiver puts out or juts out is quite high. As a result the guiding thread/catheter should loose its sterile character and so become unsuitable for further use.
  • WO201 1/025439 Al published on March 3, 201 1, describes also a receiver for the storage of guiding threads and/or catheters.
  • the dimensions of this receiver are so large that these elements can be stored therein in non-folded or partly folded position.
  • the disadvantage of this type of receiver is on the one hand that its dimensions render its use in practice quite difficult.
  • this receiver comprises a very large opening at its upper side, as a result whereof it is difficult to include a solution hererin, such as e.g. a saline solution comprising heparin, without such solution 'leaking' from the receiver, and at the same time moisturing the stored guiding thread and/or catheter over its entire length.
  • the present invention relates to an elongated synthetic receiver that is open or can be opened only at the elongated upper side.
  • the synthetic receiver comprises at the elongated side a sticky strip enabling the attachment of the synthetic receiver to the surgical drape. Guiding threads and catheters that are removed out of the body of a patient during an, angiographic examination can be stored quickly and easily in the synthetic receiver.
  • a fluid can be included in the synthetic receiver so as to moisten the guiding threads and catheters.
  • the invention comprises the products and methods as set forth in the enclosed claims.
  • Figure 1 is a front view of a receiver.
  • Figure 2 is a side view of a receiver.
  • Figure 3 is a front view of a receiver, that comprises various sticky strips.
  • Figure 4 is a front view of a receiver, that comprises supplementary compartments.
  • Figure 5 is a side view of a receiver, that comprises supplementary compartments.
  • Figure 6 is a front view of a receiver, that comprises a reclosable closing mechanism.
  • Figure 7 is a side view of a receiver, that comprises a reclosable closing mechanism.
  • transformable element relates to an element that can be transformed manually and that is capable to retain more or less the newly adopted form.
  • the invention relates predominantly to a longitudinal receiver.
  • This element is suitable for the storage of guiding threads and/or catheters used during a surgical procedure and is at least partly folded along its longitudinal axis.
  • the receiver comprises a front- (10) and rearside (1 1), the bottom part (12) and side parts whereof are waterproof connected to each other, and the rearside whereof comprises means (3) for the attachment of the receiver to a surgical drape, and the upper part whereof comprises an opening (15).
  • the receiver according to the invention is characterized in that the length of the receiver obtained by at least partly unfolding the receiver is sufficient to store the said guiding threads and/or catheters in unfolded position through said opening (15).
  • Such a receiver according to the invention presents numerous advantages in practice.
  • the guiding threads and/or catheters can be easily inserted, stored and taken back out. Because the guiding threads and/or catheters are stored in non-folded and hence stretched position, manipulation not only is easier and more handy, but the risk for being damaged during manipulation is also virtually non-existant. The possibility that more of these stored elements become entangled with each other is practically excluded.
  • the guiding threads and/or catheters can also be stored humidly.
  • the receiver according to the invention allows that one sole type of receiver in at least partly folded position can be used for the creation of a receiver suitable for each type of surgical procedure by unfolding 'according to size'. In this way one can avoid the production of a large portfolio of receivers, each suitable for a particular kind of surgical procedure, or the production of one single type of receiver that is too short for being used in some procedures, and too long in other cases.
  • the guiding threads and/or catheters can only be stored in folded position, resulting in the disadvantages described above.
  • the receiver is too long, it takes unnecessary place on the surgical table, resulting in difficulties in practice.
  • the length of the receiver in at least partly folded position amounts to between 40 cm and 240 cm.
  • the length of the receiver amounts to between 60 cm and 150 cm, preferably at least minimum 100 cm.
  • the height of the receiver amounts to between 2 cm and 25 cm. Preferably the height of the receiver amounts to between 3 cm and 15 cm, preferably at least minimum 5 cm, still more preferably minimum 10 cm.
  • the receiver can be manufactured from various kinds of fluid-impermeable material.
  • the receiver is manufactured from a flexible kind of synthetic material such as polyethylene.
  • the receiver is preferably manufactured from a transparant material.
  • the receiver is preferably made from a sterilisable material.
  • a double sided sticky strip can be attached to the rear side of the receiver.
  • Suitable double sided sticky strips like e.g. "3M Transparant Polyethylene, 4.9 mil Double Coated Tape 9889, 60 ⁇ Liner" are commercially available from 3M.
  • this sticky strip is preferably covered by a release-foil.
  • the sticky strip can be affixed over the entire length of the receiver. Also plural sticky strips, spread over the entire rear side of the receiver, can be affixed. After removal of the release foil the sticky side is available for use.
  • this sticky strip or strips the receicer can be attached to the surgical drape that covers the patient.
  • the receiver according to the invention can easily be unfolded so as to conform to the size suitable for the storage of guiding threads and/or catheters in unfolded or stretched position, used in case of specific surgical procedures.
  • the receiver according to the invention Upon its manufacture, the receiver according to the invention is folded in a way that enables the partial unfolding of the receiver when used in practice.
  • the receiver can be attached to the surgical drape at the inner side of the leg of the patient.
  • the receiver can be attached to the surgical drape at the outer side of the leg of the patient.
  • the receiver can be attached to the pending side of the surgical drape.
  • the receiver can be attached by means of the sticky strip and by making one or more corners around the feet of the patient.
  • part of the longitudinal receiver can be folded back.
  • the folded part of the longitudinal receiver can be attached to the surgical drape by means of a sticky strip.
  • a fluid can be present so as to moisten the stored guiding threads and catheters.
  • a saltine solution containing heparin can be used.
  • the catheters stored in the receiver can be washed trough in the receiver by means of a solution containing heparin. This can be accomplished by taking one end of the catheter out of the receiver and by inserting a solution containing heparin in the catheter. The solution that flows out of the catheter at its other end can e.g. be received in the receiver.
  • a deformable element with a predefined stiffness can be incorporated at or around the open end of the receiver.
  • a deformable element can be deformed manually and can also be useful to prevent that the receiver containing the solution falls completely open.
  • the deformable element can also be used to temporarily clip a surgical instrument, such as a syringe, during a surgical procedure
  • the deformable element can e.g. be made by one or more metal threads surrounded by a deformable synthetic material.
  • An example of such a deformable element is commercially available under the brand Flexform (available from 3M).
  • the dimensions, in particular the height of the rear side of the receiver are at least equal to the dimensions, in particular the height of the front side of the receiver. In a more preferred embodiment the dimensions of the front- and rearside of the receiver are equal.
  • the dimensions of the front- and rearside are selected such that the ratio of the width ofthe opening (15) over the height of the front-, resp. rearside of the receiver, is minimum 1 over 2, more preferably 1 over 3, still more preferably 1 over 5.
  • These ratios can be accomplished in practice by a judicious use of the deformable element as described above. These ratios should not be identical over the entire length of the opening (15). It is clear that close to the side parts ofthe receiver the opening may be minimal, and that the opening widens further away from the side parts.
  • the deformable element as described above can be used advantageously to steer the width of the opening over the entire length of the receiver.
  • Figures 1 and 2 represent the front resp. the side view of the receiver.
  • the receiver comprises a layer of synthetic material (1).
  • a sticky strip (3) is affixed.
  • the sticky strip is covered by means of a release foil (4).
  • a deformable element (2) with a predefined stiffnes is affixed.
  • Figure 3 represents the front view of a receiver that comprises various sticky strips at its rear side (5).
  • a reclosable closing mechanism can be foreseen at the inner side of the receiver. By means of such closing mechanism some parts of the opening of the receiver can be temporarily closed. Examples of such reclosable closing mechanisms are known in the art and are described e.g. in US 5138750, US 7137736 and US20060104548. The judicious use of such a reclosable closing mechanism can reduce the risk of undesirable opening of the receiver.
  • reclosable closing mechanism is characterized by a sufficient degree of stiffness
  • the presence of such reclosable closing mechanism can make the presence of a deformable element superfluous.
  • Figures 6 and 7 represent resp. the front view and side view of a receiver, that comprises a reclosable closing mechanism (7).
  • sufficient space should be foreseen in the receiver. This is to avoid that pressure should be exerted on the catheters for storage. The provision of sufficient space in the receiver is also desirable to take back the selected catheter out of the receiver.
  • FIGS. 4 and 5 represent respectively the front view and the side view of a receiver, that comprises a smaller additional receiver (6).
  • the use of a receiver comprising such additional compartment can help with the easy retrieval of the desired guiding thread or catheter.
  • the receiver is used during examinations wherein a guiding thread or catheter in inserted in a vein or artery.
  • a guiding thread or catheter in inserted in a vein or artery.
  • An advantage fo the receiver according to the invention is the fact that catheters in case of removal out of the body of the patient can be put directly in one smooth movement in the receiver whilst the practising physician keeps an eye on the patient. Because of the smaller number of manipulations that should be practised with the guiding thread or the catheter, the rise that the guiding thread or catheter touches one or the other part of the drape or the instrument table is smaller compared to the present still practised procedures whereby the practising physician should turn away from the patient to put the guiding thread or catheter away, or whereby the physician hands over the guiding thread or catheter to an assistant who subsequently stores the guiding thread or catheter. Each and every contact between the fragile catheter and another object can have an inferior effect on the coating covering the catheter.
  • the number of manipulations that should be performed with the catheter during an angiographic examination can be reduced to a minimum.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

La présente invention concerne l'utilisation de récepteurs qui sont utilisés en combinaison avec des draps chirurgicaux durant les examens médicaux, un cathéter médical étant introduit dans une veine ou une artère. Plus particulièrement, l'invention concerne un récepteur longitudinal adapté au stockage de cathéters et/ou fils de guidage utilisés durant un examen chirurgical, au moins partiellement pliés dans le sens longitudinal, comprenant un côté avant (10) et un côté arrière (11), sa partie arrière (12) et ses parties latérales (13, 14) sont connectées de manière étanche les unes aux autres, sa partie arrière comprend un moyen (3) de fixation du récepteur à un drap chirurgical, sa partie supérieure comprend une ouverture (15), caractérisé en ce que la longueur du récepteur obtenue en le dépliant au moins partiellement est suffisante pour stocker lesdits cathéters et/ou fils de guidages à travers ladite ouverture, sous une forme dépliée.
PCT/BE2011/000034 2010-05-27 2011-05-26 Récepteur pour cathéter Ceased WO2011156875A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
BE2010/0322A BE1018961A4 (nl) 2010-05-27 2010-05-27 Katheter recipient.
BEBE2010/0322 2010-05-27

Publications (1)

Publication Number Publication Date
WO2011156875A1 true WO2011156875A1 (fr) 2011-12-22

Family

ID=43447924

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/BE2011/000034 Ceased WO2011156875A1 (fr) 2010-05-27 2011-05-26 Récepteur pour cathéter

Country Status (2)

Country Link
BE (1) BE1018961A4 (fr)
WO (1) WO2011156875A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US12472026B2 (en) 2016-07-14 2025-11-18 Intuitive Surgical Operations, Inc. Mechanism for managing and retaining a surgical drape

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP6680686B2 (ja) * 2014-03-17 2020-04-15 インテュイティブ サージカル オペレーションズ， インコーポレイテッド 手術用ドレープ並びに手術用ドレープ及び取付けセンサを含むシステム

Citations (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5074316A (en) 1990-03-12 1991-12-24 Baxter International Inc. Brachial angiography surgical drape
US5138750A (en) 1991-05-13 1992-08-18 Dowbrands L.P. Zipper for reclosable thermoplastic bag
WO1998056687A1 (fr) 1997-06-12 1998-12-17 Deroyal Industries, Inc. Bol de stockage de catheter/fil de guidage
EP1113970A1 (fr) 1998-08-21 2001-07-11 Shaun L.W. Samuels Procede et dispositif permettant le rangement de fils-guides chirurgicaux
WO2002041800A2 (fr) * 2000-11-27 2002-05-30 Kimberly-Clark Worldwide, Inc. Champ operatoire avec element formant poche
US6691946B2 (en) 2002-01-30 2004-02-17 Allegiance Corporation Medical bowl for coiled devices
WO2004060184A1 (fr) 2002-12-18 2004-07-22 Kimberly-Clark Worldwide, Inc. Drap chirurgical comprenant un support pour instruments
US6802323B1 (en) 2001-05-04 2004-10-12 Isurgical, Llc Method and apparatus for storing guide wires
US20050279366A1 (en) 2004-06-21 2005-12-22 Adrienne Adragna Surgical drape system with catheter pouch
US20060104548A1 (en) 2004-11-15 2006-05-18 Reynolds Consumer Products, Inc. Resealable package with guiding ridges
US20060169290A1 (en) * 2005-01-31 2006-08-03 Kimberly-Clark Worldwide, Inc Surgical drape with extensible instrument holder straps
US7137736B2 (en) 2003-05-19 2006-11-21 S.C. Johnson Home Storage, Inc. Closure device for a reclosable pouch
WO2011025439A1 (fr) 2009-08-24 2011-03-03 Probonova Medical Innovations Ab Dispositif de mise en place d'un instrument chirurgical servant à retenir des outils pour des procédures angiographiques

Patent Citations (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5074316A (en) 1990-03-12 1991-12-24 Baxter International Inc. Brachial angiography surgical drape
US5138750A (en) 1991-05-13 1992-08-18 Dowbrands L.P. Zipper for reclosable thermoplastic bag
WO1998056687A1 (fr) 1997-06-12 1998-12-17 Deroyal Industries, Inc. Bol de stockage de catheter/fil de guidage
EP1113970A1 (fr) 1998-08-21 2001-07-11 Shaun L.W. Samuels Procede et dispositif permettant le rangement de fils-guides chirurgicaux
WO2002041800A2 (fr) * 2000-11-27 2002-05-30 Kimberly-Clark Worldwide, Inc. Champ operatoire avec element formant poche
US6802323B1 (en) 2001-05-04 2004-10-12 Isurgical, Llc Method and apparatus for storing guide wires
US6691946B2 (en) 2002-01-30 2004-02-17 Allegiance Corporation Medical bowl for coiled devices
WO2004060184A1 (fr) 2002-12-18 2004-07-22 Kimberly-Clark Worldwide, Inc. Drap chirurgical comprenant un support pour instruments
US7137736B2 (en) 2003-05-19 2006-11-21 S.C. Johnson Home Storage, Inc. Closure device for a reclosable pouch
US20050279366A1 (en) 2004-06-21 2005-12-22 Adrienne Adragna Surgical drape system with catheter pouch
US20060104548A1 (en) 2004-11-15 2006-05-18 Reynolds Consumer Products, Inc. Resealable package with guiding ridges
US20060169290A1 (en) * 2005-01-31 2006-08-03 Kimberly-Clark Worldwide, Inc Surgical drape with extensible instrument holder straps
WO2011025439A1 (fr) 2009-08-24 2011-03-03 Probonova Medical Innovations Ab Dispositif de mise en place d'un instrument chirurgical servant à retenir des outils pour des procédures angiographiques

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US12472026B2 (en) 2016-07-14 2025-11-18 Intuitive Surgical Operations, Inc. Mechanism for managing and retaining a surgical drape

Also Published As

Publication number Publication date
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