IPC분류정보
국가/구분 |
United States(US) Patent
등록
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국제특허분류(IPC7판) |
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출원번호 |
US-0071665
(2002-02-08)
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발명자
/ 주소 |
- Alchas, Paul G.
- Laurent, Philippe Emile Fernand
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출원인 / 주소 |
- Becton Dickinson and Company
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대리인 / 주소 |
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인용정보 |
피인용 횟수 :
67 인용 특허 :
67 |
초록
▼
A method of making an intradermal injection using a drug delivery device containing the substance to be injected. A device for practicing the method includes a needle cannula having a forward tip and a limiter portion having a skin engaging surface surrounding the needle cannula. The needle cannula
A method of making an intradermal injection using a drug delivery device containing the substance to be injected. A device for practicing the method includes a needle cannula having a forward tip and a limiter portion having a skin engaging surface surrounding the needle cannula. The needle cannula is in fluid communication with the substance and the tip of the needle cannula extends beyond the skin engaging surface a distance equal to approximately 0.5 mm to 3.0 mm. The needle cannula includes a fixed angle of orientation relative to the plane of the skin engaging surface. The skin engaging surface limits penetration of the needle tip into the skin so that the substance can be expelled through the needle tip into the dermis layer. Preferably, the fixed angle of orientation of the needle cannula is generally perpendicular relative to the skin surface, and the skin engaging surface is generally flat.
대표청구항
▼
A method of making an intradermal injection using a drug delivery device containing the substance to be injected. A device for practicing the method includes a needle cannula having a forward tip and a limiter portion having a skin engaging surface surrounding the needle cannula. The needle cannula
A method of making an intradermal injection using a drug delivery device containing the substance to be injected. A device for practicing the method includes a needle cannula having a forward tip and a limiter portion having a skin engaging surface surrounding the needle cannula. The needle cannula is in fluid communication with the substance and the tip of the needle cannula extends beyond the skin engaging surface a distance equal to approximately 0.5 mm to 3.0 mm. The needle cannula includes a fixed angle of orientation relative to the plane of the skin engaging surface. The skin engaging surface limits penetration of the needle tip into the skin so that the substance can be expelled through the needle tip into the dermis layer. Preferably, the fixed angle of orientation of the needle cannula is generally perpendicular relative to the skin surface, and the skin engaging surface is generally flat. of claim 1 wherein said proximal terminal includes a self-sealing septum for penetration by a blunt cannula. 12. The catheter-flushing system of claim 1 wherein said tube defines at least one internal dimension, said occluding member being elongated and sized to compress a predetermined length of said tube, said predetermined length and said internal dimension being sufficient such that compression of said predetermined length displaces a sufficient volume of flush solution to flush said indwelling portion of said catheter. 13. The system of claim 12 wherein said tube includes an enlarged portion having an increased internal dimension adjacent said occluding member so that a correspondingly enlarged volume is propelled toward said catheter when said occluding member is moved to said second position. 14. The catheter-flushing system of claim 1 wherein said volume reducer progressively compresses a portion of said tube along a length of greater than 7 millimeters. 15. The catheter-flushing system of claim 1 wherein said volume reducer progressively compresses a portion of said tube along a length of about 7 millimeters-12 millimeters. 16. The catheter-flushing system of claim 1 wherein said volume reducer is configured to selectively at least substantially occlude said first, upstream portion of said tube and further configured to thereafter and sequentially substantially occlude said second, downstream portion of said tube between said substantially occluded first portion and said catheter while holding said first portion in said substantially occluded state. 17. The system of claim 1 wherein said at least one occluding member is a clamp mounted to said tube. 18. The system of claim 17 wherein said clamp is a clamp with an elongated compressing surface. 19. The system of claim 17 wherein said clamp is configured for progressively clamping said tube toward the catheter. 20. The system of claim 1 wherein said volume reducer is comprised of a plurality of compressing members mounted to said tube. 21. The system of claim 19 wherein said plurality of compressing members comprise a plurality of slide clamps serially mounted to said tube. 22. A patient mounted system for providing a bolus flow of a flush solution through an indwelling catheter to flush the lumen of said catheter, the system comprising: a tube having a distal end connectable to a proximal end of said indwelling catheter and at least one proximal end having a self sealing luer receiving terminal for intermittent connection with a source of flush solution, said terminal including a seal for sealing said proximal end of said tube when said source of flush solution is disconnected from said terminal, said tube further defining an internal space defining a variable internal volume and a lumen extending therethrough from said sealed proximal terminal to said distal end, so that when a source of flush solution is connected to said terminal, flush solution can enter said tube from said source through said terminal and flow through said lumen to at least partially fill said internal space, said lumen defining at least a portion of said internal volume, and a clamp having an elongated compressing surface configured to selectively and progressively propel flush solution through said tube toward said catheter and thereby substantially flush blood from said catheter by progressively reducing said internal volume of said tube after said distal end has been connected with said catheter, said flush solution has been flowed into said space from said source, and said source has been disconnected from said terminal. 23. The system of claim 22 wherein said clamp is a slide clamp. 24. The system of claim 22, wherein said elongated compressing surface of said clamp is configured to substantially occlude a first, upstream portion of said tube and thereafter and sequentially substantially occlude a second portion of said tube, downstream of said first portion. 25. A method for intermitt ently flushing the lumen of an indwelling catheter with fluid derived from an external fluid source when said catheter is no longer in fluid communication with said external fluid source, the method comprising: providing a tube defining a stable internal volume and having at least one proximal terminal for intermittent flow connection with said external fluid source, said proximal terminal including a seal for sealing said proximal terminal upon disconnection of said source; operatively coupling at least one volume reducer to said tube, said reducer including at least one occluding member, displaceable with respect to said tube from a first position to at least a second position, said at least one occluding member, in said second position, substantially occluding at least a first portion of said tube and further substantially occluding at least a second portion of said tube downstream from said first portion; disposing a distal end of a tube in flow communication with a proximal end of said indwelling catheter; operatively connecting said external source to said proximal terminal and flowing a flush solution from said external fluid source into said tube to at least partially fill said internal volume; disconnecting said external fluid source from said proximal terminal, such that at least a portion of said flush solution entering said tube from said source remains within said tube after said source has been disconnected from said proximal terminal, thereby defining a residual volume of flush solution within said tube; displacing said at least one occluding member from said first position to said second position, to serially and sequentially substantially occlude said first portion of said tube and said second portion of said tube to progressively reduce said internal volume of said tube to serially displace a sufficient portion of said residual volume of flush solution into said catheter to substantially flush said indwelling catheter with said flush solution. 26. A method as in claim 14, wherein said at least one occluding member comprises a plurality of compressing members provided along said tube, and said step of displacing comprises sequentially displacing each said compressing member to substantially occlude a respective portion of said tube, from a proximal most one of said compressing members to a distal most one of said compressing members. 27. A method as in claim 25, wherein said at least one occluding member comprises at least one clamp mounted to said tube, each said clamp having an elongated compression surface configured to first progressively occlude said first, upstream portion of said tube and thereafter and sequentially substantially occlude said second portion of said tube, downstream of said first portion, when the clamp is displaced. 28. A system for intermittently flushing the lumen of an indwelling catheter with fluid derived from an external fluid source when said catheter is no longer in fluid communication with said external fluid source, the system comprising: a flexible tube defining an axis and further defining a stable internal volume and having at least one proximal terminal for intermittent flow connection with said external fluid source, and a distal terminal for flow connection with said catheter, said proximal terminal including a seal for sealing said proximal terminal upon disconnection of said source; at least one volume reducer operatively coupled with said tube, said reducer including a plurality of compressing surfaces substantially facing toward each other, said compressing surfaces being elongated and projecting along the axis of the tube, said tube extending along the reducer adjacent the elongated compressing surfaces, at least one of said surfaces being displaceable with respect to said tube from a first position to at least a second position, said opposing surfaces, in said second position, substantially compressing and holding said tube in a compressed state to flu sh the catheter. 29. The system of claim 28 wherein said opposing compressing surfaces are planer. 30. The system of claim 29 wherein said opposing compressing surfaces are flattened. 31. The system of claim 30 wherein said proximal terminal is a luer receiving valve. 32. The system of claim 21 wherein said surfaces project along said axis to define at least one compression length of said tube adjacent said surfaces, said tube being held in said compressed state substantially said entire compression length when at least one of said surfaces is displaced into said second position. 33. A method for intermittently flushing the lumen of an indwelling catheter with fluid derived from an external fluid source when said catheter is no longer in fluid communication with said external fluid source, the method comprising: providing a tube defining an axis and further defining a stable internal volume and having at least one proximal terminal for intermittent flow connection with said external fluid source, said proximal terminal including a seal for sealing said proximal terminal upon disconnection of said source; operatively coupling at least one volume reducer to said tube, said reducer including a plurality of elongated axial compressing surfaces substantially facing toward each other and projecting along the axis of the tube, the tube being disposed adjacent said compressing surfaces, said surfaces defining opposing length, at least one of said surfaces being displaceable with respect to said tube from a first position to at least a second position, said surface, in said second position, substantially compressing and holding in a compressed state said tube substantially along the entire opposing length; disposing a distal end of a tube in flow communication with a proximal end of said indwelling catheter; operatively connecting said external source to said proximal terminal and flowing a flush solution from said external fluid source into said tube to at least partially fill said internal volume; disconnecting said external fluid source from said proximal terminal, such that at least a portion of said flush solution entering said tube from said source remains within said tube after said source has been disconnected from said proximal terminal, thereby defining a residual volume of flush solution within said tube; displacing said at least one surface from said first position to said second position, to progressively compress said tube and to hold compressed said tube between substantially the entire length of said opposing elongated surfaces to displace a sufficient portion of said residual volume of flush solution into said catheter to substantially flush said indwelling catheter with said flush solution. 34. The method of the claim 33 wherein said surfaces are planer. 35. The method of the claim 33 wherein at least a portion of said both said surfaces are flattened. hand pump comprising a nozzle adapted to be removably connected to said tube means, in communication with said inflation channel. 6. The device of claim 1 wherein said inflating means comprises a pressure relief valve. 7. The device of claim 1 wherein said faceplate comprises a first engaging part defining an opening, and said cap means mounting means comprises a second engaging part with an opening, said parts being adapted to engage, with said opening in said second engaging part aligned with the stoma. 8. The device of claim 7 wherein said detachable mounting means further comprises a member retaining part defining an opening and a waste collection receptacle having a first inlet aligned with said second engaging part opening and a wall defining a second inlet, said receptacle wall being sealed to said member retaining part with said second inlet aligned with said opening in said member retaining part. 9. The device of claim 8 further comprising a channel defined between said wall of said member and the interior wall of said receptacle and filter means operably interposed between said channel and the environment. 10. The device of claim 9 wherein said filter means is situated in said retaining part. 11. The device of claim 7 further comprising means for detachably mounting said cap means on said second engaging part. 12. The device of claim 7 wherein said member retaining part comprises a disc and wherein said disc is adapted to be received between said cap means and said second engaging part. 13. The device of claim 1 wherein said member comprises a bulbous proximal end. 14. An ostomy device for insertion through the stoma into the bowel comprising a balloon-like member adapted to be inserted into the bowel and inflated to seal the stoma, said member comprising a flexible wall defining an opening, cap means for retaining said wall and closing said opening and means for adhering said cap means to the tissue proximate the stoma, means for inflating said member, wherein said cap means comprises a port, flexible tube means connected to said port, said tube means being adapted to extend into said member and comprising an inflation channel, wherein said inflating means comprises a hand pump comprising a nozzle adapted to be removably connected to said tube means, in communication with said inflation channel. 15. The device of claim 14 wherein said adhering means comprises a faceplate and means for detachably mounting said cap means on said faceplate. 16. An ostomy device for insertion through the stoma into the bowel comprising a balloon-like member adapted to be received in the bowel and inflated to seal the stoma, a faceplate, means for adhering said faceplate to the tissue surrounding the stoma, said member comprising a flexible wall defining an opening, cap means for retaining said wall and closing said opening in said member, said cap means comprising an inflation port and means for mounting said cap means on said faceplate, and a waste collection receptacle operably interposed between said cap means and said faceplate, wherein said cap means mounting means comprises means for detachably engaging said faceplate and means for detachably mounting said cap means on said faceplate engaging means and means for inflating said member while said cap means is mounted on said faceplate. 17. The device of claim 16 further comprising means for inflating said member. 18. The device of claim 16 further comprising a channel defined between said wall of said member and the interior wall of said receptacle, and filter means operably interposed between said channel and the environment. 19. The device of claim 16 wherein said member comprises a bulbous proximal end. 20. An ostomy device for insertion through the stoma into the bowel comprising a balloon-like member adapted to be received in the bowel and inflated to seal the stoma, a faceplate, means for adhering said faceplate to the tissue surrounding the stoma, said member comprising a fl
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