公开(公告)号：WO2018081632A1

公开(公告)日：2018-05-03

申请号：PCT/US2017/058863

申请日：2017-10-27

Applicant: C.R. BARD, INC.

Inventor： BLANCHARD, Daniel, B. ,  LINDEKUGEL, Eric, W.

IPC: A61B17/34

Abstract: An access device configured for inserting an intraosseous catheter into an interior portion of a bone is disclosed. In one embodiment, an intraosseous access device is disclosed, comprising a device body, a trocar needle included with the device body, and an intraosseous catheter removably disposed on the trocar needle. The device body is configured to enable a user of the access device to manually insert a distal tip of the trocar needle through a skin surface of a body of a patient to an external surface of a bone of the patient. An advancement mechanism is also disclosed and is configured to selectively and distally advance the trocar needle and intraosseous catheter a predetermined distance into an internal portion of the bone of the patient after the distal tip of the trocar needle has been inserted to the external surface of the bone.

Abstract translation: 公开了一种配置用于将骨内导管插入骨骼内部的进入装置。 在一个实施例中，公开了一种骨内接入装置，其包括装置主体，与装置主体一起包括的套管针以及可移除地设置在套管针上的骨内导管。 装置主体构造成使得进入装置的使用者能够手动地将套管针的远侧尖端穿过患者身体的皮肤表面延伸到患者的骨头的外表面。 还公开了一种推进机构，该推进机构被构造成在套管针的远侧末端已经插入到患者的外部表面之后，将套管针和骨内导管选择性地并且向远侧推进预定距离进入患者骨的内部部分 骨

公开(公告)号：WO2017127074A1

公开(公告)日：2017-07-27

申请号：PCT/US2016/014190

申请日：2016-01-20

Applicant: C.R. BARD, INC.

Inventor： CHRISTIAN, Kelly, J. ,  BLANCHARD, Daniel, B. ,  PATTERSON, Ryan, C.

IPC: A61M5/14 ,  A61M39/02

CPC classification number: A61M39/0208 ,  A61M25/00 ,  A61M2039/0232 ,  A61M2039/082

Abstract: A stabilized catheter tube for insertion into a body of a patient. The catheter tube includes a distal portion that remains stable during fluid infusion into the patient, thus reducing or eliminating whipping of the catheter distal tip. In one embodiment, the catheter tube defines at least one lumen and is formed from a tube material that defines a proximal portion and a distal portion of the catheter tube. The catheter tube is configured such that the arithmetic product of an elastic modulus and an area moment of inertia for the distal portion of the catheter tube is greater relative the arithmetic product of an elastic modulus and an area moment of inertia for the proximal portion of the tube. In one embodiment, the catheter tube is operably attached to an implantable access port and includes an enlarged distal portion relative a proximal portion of the catheter tube.

Abstract translation:

用于插入患者体内的稳定的导管管。 导管管包括远端部分，所述远端部分在流体注入患者期间保持稳定，因此减少或消除导管远端尖端的鞭打。 在一个实施例中，导管管限定至少一个内腔并且由限定导管管的近侧部分和远侧部分的管材料形成。 导管的构造使得导管管远端部分的弹性模量和面积惯性矩的算术乘积相对于弹性模量和面积惯性矩的算术乘积大于 管。 在一个实施例中，导管管可操作地连接到可植入进入端口并且包括相对于导管管的近侧部分的扩大的远侧部分。

公开(公告)号：WO2012021542A2

公开(公告)日：2012-02-16

申请号：PCT/US2011/047127

申请日：2011-08-09

Applicant: C.R. BARD, INC. ,  LINDEKUGEL, Eric, W. ,  COX, Jeremy, B. ,  BLANCHARD, Daniel, B. ,  CROOK, Christian, W. ,  BURNSIDE, Eddie, K. ,  SOUTHARD, Jeanette, E. ,  STINGER, Kevin, W.

Inventor： LINDEKUGEL, Eric, W. ,  COX, Jeremy, B. ,  BLANCHARD, Daniel, B. ,  CROOK, Christian, W. ,  BURNSIDE, Eddie, K. ,  SOUTHARD, Jeanette, E. ,  STINGER, Kevin, W.

IPC: A61B8/00

CPC classification number: A61B8/4281 ,  A61B8/4455 ,  A61B8/4472

Abstract: A probe cap for use with an ultrasound probe including a head portion and an acoustic surface is disclosed. In one embodiment, the probe cap includes a body that defines a cavity sized for releasably receiving the head portion of the probe therein. The probe cap body further defines a hole that is proximate the acoustic surface of the head portion. A compliant spacer component is disposed in the hole. The spacer component can include a hydrogel and provides an acoustic path between the acoustic surface and a tissue surface of a patient. The spacer component includes a skin contact surface that defines a concavity and is deformable against the tissue surface. Additional embodiments disclose various probe cap and accompanying needle guide designs for use in assisting a clinician with ultrasound probe use and needle insertion into a patient.

Abstract translation: 公开了一种用于包括头部和声表面的超声波探头的探针盖。 在一个实施例中，探针盖包括限定用于可释放地将探针的头部部分容纳在其中的空腔的主体。 探针帽体还限定了靠近头部的声表面的孔。 在孔中设置顺应的间隔件。 间隔件组件可以包括水凝胶并且在声表面和患者的组织表面之间提供声学路径。 间隔件组件包括限定凹部并且可相对于组织表面变形的皮肤接触表面。 另外的实施例公开了各种探针帽和伴随的针引导设计，用于辅助临床医生使用超声波探针并将针插入病人。

公开(公告)号：WO2014062728A1

公开(公告)日：2014-04-24

申请号：PCT/US2013/065121

申请日：2013-10-15

Applicant: C.R. BARD, INC.

Inventor： NEWMAN, Jon, B. ,  HARRIS, Nathaniel, Brian P. ,  BLANCHARD, Daniel, B. ,  HALL, John, W.

IPC: A61M25/095

CPC classification number: A61M5/427 ,  A61B5/042 ,  A61B5/04286 ,  A61B5/062 ,  A61B5/15003 ,  A61B5/150748 ,  A61B5/153 ,  A61B5/743 ,  A61B2560/0443 ,  A61B2562/16 ,  A61B2562/227 ,  A61B2562/247 ,  A61M5/46 ,  A61M25/0127 ,  A61M25/06 ,  A61M2025/0166

Abstract: A guidance system for assisting with the insertion of a needle into a patient is disclosed. The guidance system utilizes ultrasound imaging or other suitable imaging technology. In one embodiment, the guidance system comprises an imaging device including a probe for producing an image of an internal body target, such as a vessel. One or more sensors are included with the probe. The sensors sense a detectable characteristic related to the needle, such as a magnetic field of a magnet included with the needle. The system includes a processor that uses data relating to the sensed characteristic to determine a 3-D position of the needle. The system includes a display for depicting the position of the needle. A needle assembly including a hub, cannula, and magnetic element is also disclosed, wherein a magnetic axis of the magnetic element is configured to be coaxially or otherwise aligned with the needle cannula.

Abstract translation: 公开了一种用于辅助将针插入病人的引导系统。 引导系统利用超声成像或其他合适的成像技术。 在一个实施例中，引导系统包括成像装置，其包括用于产生诸如血管的内部身体目标图像的探针。 探头附带一个或多个传感器。 传感器检测与针相关的可检测特性，例如包括在针中的磁体的磁场。 该系统包括使用与感测特征有关的数据来确定针的3-D位置的处理器。 该系统包括用于描绘针的位置的显示器。 还公开了一种包括轮毂，插管和磁性元件的针组件，其中磁性元件的磁轴被构造为与针插管同轴或以其它方式对准。

公开(公告)号：WO2012021844A2

公开(公告)日：2012-02-16

申请号：PCT/US2011/047656

申请日：2011-08-12

Applicant: C.R. BARD, INC. ,  BLANCHARD, Daniel, B. ,  PATTERSON, Ryan, C.

Inventor： BLANCHARD, Daniel, B. ,  PATTERSON, Ryan, C.

IPC: A61M25/00

CPC classification number: A61M25/0023 ,  A61M25/001 ,  A61M25/0021 ,  A61M25/003 ,  A61M25/0043 ,  A61M25/0054 ,  A61M25/0071 ,  A61M25/008 ,  A61M2025/0025 ,  A61M2025/0035 ,  A61M2025/0037

Abstract: A catheter tube for insertion into a body of a patient is disclosed. The catheter tube includes a distal portion that remains stable during fluid infusion into the patient, thus reducing or eliminating whipping of the catheter distal tip, even during power injection. In one embodiment, the catheter tube defines at least one lumen and is formed from a tube material that defines a proximal portion and a distal portion of the catheter tube. The catheter tube is configured such that the arithmetic product of an elastic modulus and an area moment of inertia for at least a portion of the distal portion of the catheter tube defined by the catheter tube material is greater relative the arithmetic product of an elastic modulus and an area moment of inertia for at least a portion of the proximal portion of the catheter tube.

Abstract translation: 公开了一种用于插入患者体内的导管管。 导管管包括远端部分，该远端部分在流体输注到患者体内期间保持稳定，因此即使在动力注射期间也减少或消除了导管远端尖端的鞭打。 在一个实施例中，导管管限定至少一个内腔并且由限定导管管的近侧部分和远侧部分的管材料形成。 导管的构造使得由导管管材料限定的导管管的远端部分的至少一部分的弹性模量和面积惯性矩的算术乘积相对于弹性模量和 导管管近端部分的至少一部分的面积惯性矩。

公开(公告)号：WO2011143621A1

公开(公告)日：2011-11-17

申请号：PCT/US2011/036530

申请日：2011-05-13

Applicant: C.R. BARD, INC. ,  BLANCHARD, Daniel, B. ,  HALL, John, W. ,  STATS, Jason, R. ,  CHRISTENSEN, Mark, A.

Inventor： BLANCHARD, Daniel, B. ,  HALL, John, W. ,  STATS, Jason, R. ,  CHRISTENSEN, Mark, A.

IPC: A61M31/00

CPC classification number: A61M25/0618 ,  A61M5/3273 ,  A61M25/0113 ,  A61M25/0606 ,  A61M25/09041 ,  A61M29/00 ,  A61M2005/325

Abstract: An insertion tool for inserting a catheter into a body of a patient is disclosed. The insertion tool unifies needle insertion, guidewire advancement, and catheter insertion in a single device. In one embodiment, the insertion tool comprises a housing in which at least a portion of the catheter is initially disposed, a hollow needle distally extending from the housing with at least a portion of the catheter pre-disposed over the needle, and a guidewire pre-disposed within the needle. A guidewire advancement assembly is also included for selectively advancing the guidewire distally past a distal end of the needle in preparation for distal advancement of the catheter. In one embodiment a catheter advancement assembly is also included for selectively advancing the catheter into the patient. Each advancement assembly can include a slide or other actuator that enables a user to selectively advance the desired component.

Abstract translation: 公开了一种用于将导管插入患者体内的插入工具。 插入工具将针插入，导丝前进和导管插入在单个装置中。 在一个实施例中，所述插入工具包括壳体，其中所述导管的至少一部分最初设置在所述壳体中，所述中空针从所述壳体向远侧延伸，所述导管的至少一部分预先设置在所述针上， - 位于针内。 还包括导线组件，用于选择性地将导丝线向前移动经过针的远端以准备导管的远端前进。 在一个实施例中，还包括导管前进组件，用于选择性地将导管推进到患者体内。 每个前进组件可以包括滑动件或其他致动器，其使得使用者能够选择性地推进所需的部件。

公开(公告)号：WO2015168655A2

公开(公告)日：2015-11-05

申请号：PCT/US2015/028950

申请日：2015-05-01

Applicant: C.R. BARD, INC.

Inventor： BLANCHARD, Daniel, B. ,  RIBELIN, Rex, A. ,  RUSSELL, Thomas, S. ,  STATS, Jason, R. ,  SHERWOOD, Joshua, D. ,  MUSE, Jay, A. ,  SHEFFIELD, Andrew, C. ,  RICH, Matthew, C.

IPC: A61M25/01 ,  A61M25/06

CPC classification number: A61M25/09041 ,  A61M25/0113 ,  A61M25/0618

Abstract: An insertion tool for inserting a catheter into a patient's body is disclosed. The insertion tool unifies needle insertion, guidewire advancement, and catheter insertion in a single device. In one embodiment, the insertion tool comprises a housing in which at least a portion of the catheter is initially disposed, a hollow needle distally extending from the housing with at least a portion of the catheter pre-disposed over the needle, and a guidewire pre-disposed within the needle. A guidewire advancement assembly is also included for selectively advancing the guidewire distally past a distal end of the needle in preparation for distal advancement of the catheter. In one embodiment a catheter advancement assembly is also included for selectively advancing the catheter into the patient. Each advancement assembly can include a slide or other actuator that enables a user to selectively advance the desired component. Guidewire and catheter locking systems are also disclosed.

Abstract translation: 公开了一种用于将导管插入患者体内的插入工具。 插入工具将针插入，导丝前进和导管插入到单个装置中。 在一个实施例中，所述插入工具包括壳体，其中所述导管的至少一部分最初设置在所述壳体中，所述中空针从所述壳体向远侧延伸，所述导管的至少一部分预先设置在所述针上， - 位于针内。 还包括导线组件，用于选择性地将导丝线向前移动经过针的远端以准备导管的远端前进。 在一个实施例中，还包括导管前进组件，用于选择性地将导管推进到患者体内。 每个前进组件可以包括滑动件或其他致动器，其使得使用者能够选择性地推进所需的部件。 还公开了导丝和导管锁定系统。

公开(公告)号：WO2014133617A1

公开(公告)日：2014-09-04

申请号：PCT/US2013/073577

申请日：2013-12-06

Applicant: C.R. BARD, INC.

Inventor： BLANCHARD, Daniel, B.

IPC: A61M25/06

CPC classification number: A61M25/0113 ,  A61M25/0618 ,  A61M25/0631 ,  A61M25/09041

Abstract: An insertion tool for inserting a catheter into a patient's body is disclosed. The insertion tool unifies needle insertion, guidewire advancement, and catheter insertion in a single device. In one embodiment, the insertion tool comprises a housing in which at least a portion of the catheter is initially disposed, a hollow needle distally extending from the housing with at least a portion of the catheter pre-disposed over the needle, and a guidewire pre-disposed within the needle. A guidewire advancement assembly is also included for selectively advancing the guidewire distally past a distal end of the needle in preparation for distal advancement of the catheter. In one embodiment a catheter advancement assembly is also included for selectively advancing the catheter into the patient. Each advancement assembly can include a slide or other actuator that enables a user to selectively advance the desired component. Guidewire and catheter advancement assemblies are also disclosed.

Abstract translation: 公开了一种用于将导管插入患者体内的插入工具。 插入工具将针插入，导丝前进和导管插入到单个装置中。 在一个实施例中，所述插入工具包括壳体，其中所述导管的至少一部分最初设置在所述壳体中，所述中空针从所述壳体向远侧延伸，所述导管的至少一部分预先设置在所述针上， - 位于针内。 还包括导线组件，用于选择性地将导丝线向前移动经过针的远端以准备导管的远端前进。 在一个实施例中，还包括导管前进组件，用于选择性地将导管推进到患者体内。 每个前进组件可以包括滑动件或其他致动器，其使得使用者能够选择性地推进所需的部件。 还公开了导丝和导管推进组件。

公开(公告)号：WO2014036325A3

公开(公告)日：2014-03-06

申请号：PCT/US2013/057399

申请日：2013-08-29

Applicant: C.R. BARD, INC.

Inventor： RAMOS, Miguel, D. ,  BLANCHARD, Daniel, B.

IPC: A61M39/28

Abstract: A clamp for selectively compressing a portion of tubing, such as an extension leg of a PICC or other catheter, is disclosed. The clamp is able to be opened or closed with a thumb and finger of a single hand of a user and is slidably attached to the tubing so as to enable its placement as desired along the tube. In one embodiment, the tubing clamp comprises a body including first and second body portions hingedly connected to one another in a clamshell configuration, a latch for releasably latching the first and second body portions together, and at least two tube compression members. The tube compression members cooperate to compress and occlude a portion of tubing passing through the tubing clamp when the first and second body portions are latched to one another.

公开(公告)号：WO2012094583A2

公开(公告)日：2012-07-12

申请号：PCT/US2012/020465

申请日：2012-01-06

Applicant: C.R. BARD, INC. ,  BLANCHARD, Daniel, B. ,  CHRISTENSEN, Mark, A. ,  HOWELL, Glade, H. ,  BREITER, Catherine, C.

Inventor： BLANCHARD, Daniel, B. ,  CHRISTENSEN, Mark, A. ,  HOWELL, Glade, H. ,  BREITER, Catherine, C.

IPC: A61B17/34 ,  A61M25/01 ,  A61M25/09

CPC classification number: A61M29/00 ,  A61B17/3415 ,  A61M25/0009 ,  A61M25/0023 ,  A61M25/0069 ,  A61M25/0082 ,  A61M25/01 ,  A61M29/02 ,  A61M2025/0024

Abstract: A dilator system for insertion of a catheter or other elongate device into a body of a patient includes a catheter having a lumen that initially defines a first inner diameter. The catheter includes a swellable material that swells after insertion into the body. A dilator includes an elongate body that is initially disposed in the catheter lumen and a tapered head extending from a distal end of the catheter lumen. The dilator head defines an outer diameter that is larger than the first inner diameter of the catheter lumen. After insertion of the dilator head and a distal portion of the catheter into the body, the catheter swells such that the lumen defines a second inner diameter that is larger than the outer diameter of the dilator head. This enables the dilator to be proximally removed from the body via the catheter lumen defining the second diameter.

Abstract translation: 用于将导管或其他细长装置插入患者体内的扩张器系统包括具有初始限定第一内径的内腔的导管。 导管包括在插入体内后膨胀的可膨胀材料。 扩张器包括最初设置在导管内腔中的细长主体和从导管内腔的远端延伸的锥形头部。 扩张器头限定出比导管内腔的第一内径大的外径。 在将扩张器头部和导管的远端部分插入体内后，导管膨胀使得内腔限定比扩张器头部的外径大的第二内径。 这使得扩张器能够通过限定第二直径的导管腔向近端移除。