WO2011016785A1 - Multiple needle system with a multiple plastic tubing to cannulate narrow arteries - Google Patents

Multiple needle system with a multiple plastic tubing to cannulate narrow arteries Download PDF

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Publication number
WO2011016785A1
WO2011016785A1 PCT/TR2009/000100 TR2009000100W WO2011016785A1 WO 2011016785 A1 WO2011016785 A1 WO 2011016785A1 TR 2009000100 W TR2009000100 W TR 2009000100W WO 2011016785 A1 WO2011016785 A1 WO 2011016785A1
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WO
WIPO (PCT)
Prior art keywords
needles
plastic
plastic tubing
hollow
stated
Prior art date
Application number
PCT/TR2009/000100
Other languages
French (fr)
Inventor
Sadettin Deniz Kumbasar
Original Assignee
Sadettin Deniz Kumbasar
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 Sadettin Deniz Kumbasar filed Critical Sadettin Deniz Kumbasar
Priority to TR2011/04731T priority Critical patent/TR201104731T1/en
Priority to PCT/TR2009/000100 priority patent/WO2011016785A1/en
Publication of WO2011016785A1 publication Critical patent/WO2011016785A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06Body-piercing guide needles or the like
    • A61M25/0606"Over-the-needle" catheter assemblies, e.g. I.V. catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06Body-piercing guide needles or the like
    • A61M25/0662Guide tubes
    • A61M2025/0681Systems with catheter and outer tubing, e.g. sheath, sleeve or guide tube

Definitions

  • the invention explained here is a medical device with multiple plastic tubing system over a multiple hollow needle system that is intended to be used for arterial cannulation to monitor blood pressure, frequent blood sampling or introducing medical devices (guidewires, catheters) through it.
  • plastic tubes In medicine, plastic tubes, called sheath in English, are inserted and placed in narrow arteries and veins during some procedures and also in angiography. Inserting narrow plastic cathethers is not only necessary for angiography but for also some procedures like continious arterial blood pressure monitoring or drawing arterial blood gas samples frequently. In such procedures where these plastic tubes are used, first the arteries are cannulated by a needle and then a guide wire is advanced through the needle and finally plastic tubes or sheaths are inserted into the arteries over the guide wire.
  • this new device will especially ease the insertion of the needle, guidewire and the 'sheath' into the artery of the adults and children with narrow arteries during cathetherization and angiography. Besides that, recently angiography and percuteneous coronary interventions via the wrist artery
  • Figure-1A Upper view of multiple plastic tubing (2) system over the multiple hollow needle (1) system that is designed to be used for arterial cannulation.
  • Figure-I B Upper view of the multiple plastic tubing (2) system alone.
  • Figure-1C Upper view of the multiple hollow needle (1) system alone.
  • Figure-2A Side view of multiple plastic tubing (2) system over the multiple hollow needle (1) system that is designed to be used for arterial cannulation.
  • Figure-2B Side view of the multiple plastic tubing (2) system alone.
  • Figure-2C Side view of the multiple hollow needle (1) system alone.
  • Figure-3 Side view scheme of an arterial puncture procedure; the device is advanced towards the artery (9) where it is palpated by the operator and the artery punctured both anteriorly and posteriorly.
  • Figure-4 Side view scheme of an arterial puncture procedure; after the arterial puncture with the needle system and the tubing altogether, only the multiple hollow needle (1) system is drawn back and multiple plastic tubing (2) is left in.
  • Figure-5 Side view scheme of an arterial puncture procedure; multiple plastic tubing (2) system is pulled back slowly and the tube(s) fall into the lumen of the artery (9).
  • Figure-6 Side view scheme of an arterial puncture procedure; a guidewire (5) is advanced through the plastic tubing (2) unit where the blood comes back.
  • Figure-7 Side view scheme of an arterial puncture procedure; the guidewire (5) is left inside the artery (9) for advancing other devices.
  • Figure-8 Side view scheme of an arterial puncture procedure; plastic tube (2) that is on the guidewire (5) could easily be seperated from the other two at the hub region (8) and can be advanced into the artery (9).
  • the invented and newly designed system which consists a multiple hollow needle system (1) with a multiple plastic tubing (2), uses multiple plastic tubing (2) that exactly fits on the needle (1) system, all in one equipment that causes the main difference from the ones that have single needle and plastic tube and used presently ( Figures 1 and 2).
  • This new device system can be consisted of 2, 3, 4, 5 or more hollow needles and corresponding number of plastic tubing system on the needle system, however, triple needle with a triple plastic tubing will be more convinient and easy to use, so the figures basically will show the triple hollow needle system.
  • the three hollow needles (1) that stands next to one and other are attached to each other at the very proximal edge (8) (far most from the tip) which is made of plastic.
  • the three plastic tubes (2) that surround and fit the three needles (1) are transparent and they are attached to each other at the very proximal edge (7) as stated before and can easily be seperated by pulling slightly as they are bounded to each other at a very small point.
  • the plastic tubing (2) could also be produced from non-transparent material if desired.
  • These three plastic tubes (2) over the three needles (1) could also be manufactured unattached to each other if required.
  • the system could be manufactured in different needle sizes (thickness and length) with the appropriate plastic tubes in those sizes.
  • the distance between the hollow needles (6) is the same as the thickness of the needle and the plastic tube (2) covering it together which means thicker needles will have more distance (6) between them, however, if needed in the manufactured system, the distance (6) between needles could be set less or more than the thickness of one needle and tubing unit, this distance could vary according to the anatomic area that the system is intended to be used.
  • the thickness of the needles will be measured by the international measuring system called "Gauge". Hence, systems that are 14-16-18-20-22-24-26-28-30-32-34 G thick and other systems measured in different thicknesses could also be manufactured.
  • each one of the three (or more) hollow needles with the plastic tubing unit be filled with normal saline or with a likewise sterile liquid before used.
  • the operator using the system should aim the central needle to the region where he/she palpates the artery (9) with his/her finger tip ( Figure-3) and inserts the unit all the way down in the anatomic area until where the operator thinks it is deep enough.
  • This way the aimed artery (9) is punctured and passed through, both from the front and back by one or more of the three hollow needles (1) and the plastic tubing (2) on it ( Figure-3).
  • the three hollow needle (1) unit that is inside triple plastic tubing (2) is pulled back and the only device that stays in the artery is triple plastic tube (2) system ( Figure 4).
  • plastic tube (2) that is on the wire could easily be seperated from the other two and could be sent forward into the artery (9) ( Figure 8) and this tube could also be used for monitoring arterial pressure and/or for frequent arterial blood gas sampling.
  • the proximal part of the plastic tube (2) is compatable with a standart luerlock used in medical devices.

Abstract

This newly invented system is intended for cannulating arteries and advancing a guidewire to allow inserting arterial sheaths, plastic tubes or devices that need to be inserted into the arteries. The system is consisted of multiple hollow needles and multiple plastic tubing system which are on the same plane and parallel to each other and the plastic tubes exactly fit on the needles, with the help of this device, arteries are easily cannulated and a guidewire is advanced. With this new device, the procedure is done easily and more quickly, hence it eases the work of the doctors and nurses besides reducing the stress of the patients by decreasing the procedural time.

Description

DESCRIPTION
Multiple Needle System With A Multiple Plastic Tubing To Cannulate Narrow Arteries
The invention explained here is a medical device with multiple plastic tubing system over a multiple hollow needle system that is intended to be used for arterial cannulation to monitor blood pressure, frequent blood sampling or introducing medical devices (guidewires, catheters) through it.
In medicine, plastic tubes, called sheath in English, are inserted and placed in narrow arteries and veins during some procedures and also in angiography. Inserting narrow plastic cathethers is not only necessary for angiography but for also some procedures like continious arterial blood pressure monitoring or drawing arterial blood gas samples frequently. In such procedures where these plastic tubes are used, first the arteries are cannulated by a needle and then a guide wire is advanced through the needle and finally plastic tubes or sheaths are inserted into the arteries over the guide wire.
It is not always easy to get the hollow needle into the artery to advance the plastic tubing and/or advance the tiny guidewire especially if the artery is narrow and such a procedure may result with a waste of time, exhaustion of the doctor and pain and distress for the patient.
In this invention, to overcome the abovementioned difficulties, this new device will especially ease the insertion of the needle, guidewire and the 'sheath' into the artery of the adults and children with narrow arteries during cathetherization and angiography. Besides that, recently angiography and percuteneous coronary interventions via the wrist artery
(Radial artery) has increased in number and will continue to do so in the future as well, as it is more convinient for the patient and in many studies it is shown to carry a lower complication rate.
The explanation of the figures that show the system more clearly are as follows: Figure-1A: Upper view of multiple plastic tubing (2) system over the multiple hollow needle (1) system that is designed to be used for arterial cannulation.
Figure-I B: Upper view of the multiple plastic tubing (2) system alone.
Figure-1C: Upper view of the multiple hollow needle (1) system alone.
Figure-2A: Side view of multiple plastic tubing (2) system over the multiple hollow needle (1) system that is designed to be used for arterial cannulation.
Figure-2B: Side view of the multiple plastic tubing (2) system alone.
Figure-2C: Side view of the multiple hollow needle (1) system alone.
Figure-3: Side view scheme of an arterial puncture procedure; the device is advanced towards the artery (9) where it is palpated by the operator and the artery punctured both anteriorly and posteriorly. Figure-4: Side view scheme of an arterial puncture procedure; after the arterial puncture with the needle system and the tubing altogether, only the multiple hollow needle (1) system is drawn back and multiple plastic tubing (2) is left in.
Figure-5: Side view scheme of an arterial puncture procedure; multiple plastic tubing (2) system is pulled back slowly and the tube(s) fall into the lumen of the artery (9).
Figure-6: Side view scheme of an arterial puncture procedure; a guidewire (5) is advanced through the plastic tubing (2) unit where the blood comes back.
Figure-7: Side view scheme of an arterial puncture procedure; the guidewire (5) is left inside the artery (9) for advancing other devices.
Figure-8: Side view scheme of an arterial puncture procedure; plastic tube (2) that is on the guidewire (5) could easily be seperated from the other two at the hub region (8) and can be advanced into the artery (9).
The parts resembled with corresponding numbers in the figures are as follows:
1- Multiple hollow needle system
2- Multiple plastic tubing system
3- Hubs of the multiple needle system
4- Hub orifice of the plastic tubing system
5- Guidewire
6- Interspace between the needles and the tubing system
7- Plastic tubing hub region that is far most from the tip
8- Needle hub region that is far most from the tip
9- Artery
The invented and newly designed system, which consists a multiple hollow needle system (1) with a multiple plastic tubing (2), uses multiple plastic tubing (2) that exactly fits on the needle (1) system, all in one equipment that causes the main difference from the ones that have single needle and plastic tube and used presently (Figures 1 and 2). This new device system can be consisted of 2, 3, 4, 5 or more hollow needles and corresponding number of plastic tubing system on the needle system, however, triple needle with a triple plastic tubing will be more convinient and easy to use, so the figures basically will show the triple hollow needle system.
In Figure-1 the system is seen in an upper view and in Figure-2 the system is seen in a side view, in Figure-1 A: The triple plastic tubing (2) system is fit on the triple hollow needle system (1) (upperview), in Figure-1 B: The triple plastic tubing (2) system is seen seperately (upperview), in Figure 1 C: The triple hollow needle (1) system is seen seperately (upperview), in Figure-2 A: The triple plastic tubing (2) system is fit on the triple hollow needle (1) system (sideview), in Figure-2 B: The triple plastic tubing (2) system is seen seperately (sideview), in Figure 2 C: The triple hollow needle (1) system is seen seperately (sideview). In all sideview scenes (Figure-2) as the needles (1) and plastic tubing (2) legs are parallel to each other and are on the same plane, only the needle and plastic tube in front are seen.
The three hollow needles (1) that stands next to one and other are attached to each other at the very proximal edge (8) (far most from the tip) which is made of plastic. The three plastic tubes (2) that surround and fit the three needles (1) are transparent and they are attached to each other at the very proximal edge (7) as stated before and can easily be seperated by pulling slightly as they are bounded to each other at a very small point. The plastic tubing (2) could also be produced from non-transparent material if desired. These three plastic tubes (2) over the three needles (1) could also be manufactured unattached to each other if required.
The system could be manufactured in different needle sizes (thickness and length) with the appropriate plastic tubes in those sizes. The distance between the hollow needles (6) is the same as the thickness of the needle and the plastic tube (2) covering it together which means thicker needles will have more distance (6) between them, however, if needed in the manufactured system, the distance (6) between needles could be set less or more than the thickness of one needle and tubing unit, this distance could vary according to the anatomic area that the system is intended to be used. The thickness of the needles will be measured by the international measuring system called "Gauge". Hence, systems that are 14-16-18-20-22-24-26-28-30-32-34 G thick and other systems measured in different thicknesses could also be manufactured.
The system will and could only be used by authorized personnel. It is advisable that each one of the three (or more) hollow needles with the plastic tubing unit be filled with normal saline or with a likewise sterile liquid before used.
The operator using the system should aim the central needle to the region where he/she palpates the artery (9) with his/her finger tip (Figure-3) and inserts the unit all the way down in the anatomic area until where the operator thinks it is deep enough. This way the aimed artery (9) is punctured and passed through, both from the front and back by one or more of the three hollow needles (1) and the plastic tubing (2) on it (Figure-3). At this point the three hollow needle (1) unit that is inside triple plastic tubing (2) is pulled back and the only device that stays in the artery is triple plastic tube (2) system (Figure 4). Then the triple plastic tube (2) system in the artery of the patient is pulled back slowly and when the tube(s) fall into the lumen of the artery (9) a pulsatile blood stream comes back from the tubing system (Figure-5). At this point of the procedure, the tube is no longer pulled back and the guidewire (5) is advanced through the plastic tube (2) unit in which the blood comes back (Figure-6), but if blood comes from two of the tubes then the guidewire (5) is adviced to be sent through the one with more pulsatile blood flow. If another equipment will be used the guidewire (5) is left inside the artery (9) (Figure 7) and the desired equipment such as plastic sheath could be inserted to the artery (9) by sliding it on the wire (5) and the procedure continues. If required the plastic tube (2) that is on the wire could easily be seperated from the other two and could be sent forward into the artery (9) (Figure 8) and this tube could also be used for monitoring arterial pressure and/or for frequent arterial blood gas sampling. The proximal part of the plastic tube (2) is compatable with a standart luerlock used in medical devices.

Claims

1- This new medical device is intended for cannulating arteries (9) and advancing a guidewire (5) to allow inserting arterial sheaths, plastic tubes or devices that need to be inserted to the arteries, and the system is consisted of multiple hollow needles (1) and multiple plastic tubing (2) system which are on the same plane and parallel to each other and the plastic tubes exactly fit on the needles.
2- The system is as stated in claim 1 , and wherein the multiple hollow needle (1) and plastic tubing (2) system are preferred to have three hollow needles (1) and three plastic tubing (2) that exactly fits the needles (1).
3- The system is as stated in claim 1 , and wherein the multiple hollow needles are attached to each other from the most proximal part (8) which is the plastic hub part far most from the tip of the needles.
4- The system is as stated in claim 1 , and wherein the multiple plastic tubing (2) that fits on the hollow needles (1), is preffered to be manufactured from a transparent material.
5- The system is as stated in the abovementioned previous claims, and wherein the three plastic tubes (2) that surround and fit the three needles (1) are attached to each other at the very proximal edge (7) and can easily be seperated by pulling slightly as they are bounded to each other at a very small point (7) also these three plastic tubes (2) over the three hollow needles (1) could be manufactured unattached to each other, if desired.
6- The system is as stated in the abovementioned previous claims, and wherein the distance- between the needles (6) is the same as the thickness of the hollow needle and the plastic tube (2).
7- The system is as stated in claim 6, and wherein the distance between the hollow needles (6) can be of different measures; less or more than the thickness of the hollow needle (1) and the plastic tube (2) if desired.
PCT/TR2009/000100 2009-08-06 2009-08-06 Multiple needle system with a multiple plastic tubing to cannulate narrow arteries WO2011016785A1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
TR2011/04731T TR201104731T1 (en) 2009-08-06 2009-08-06 A multi-needle needle and multiple plastic sheaths for access to thin arteries.
PCT/TR2009/000100 WO2011016785A1 (en) 2009-08-06 2009-08-06 Multiple needle system with a multiple plastic tubing to cannulate narrow arteries

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/TR2009/000100 WO2011016785A1 (en) 2009-08-06 2009-08-06 Multiple needle system with a multiple plastic tubing to cannulate narrow arteries

Publications (1)

Publication Number Publication Date
WO2011016785A1 true WO2011016785A1 (en) 2011-02-10

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PCT/TR2009/000100 WO2011016785A1 (en) 2009-08-06 2009-08-06 Multiple needle system with a multiple plastic tubing to cannulate narrow arteries

Country Status (2)

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TR (1) TR201104731T1 (en)
WO (1) WO2011016785A1 (en)

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2016507347A (en) * 2013-02-26 2016-03-10 プライアー・メディカル・デバイシーズ・インコーポレイテッドPryor Medical Devices, Inc. Vascular access system and method of use
US10433928B2 (en) 2015-03-10 2019-10-08 Allergan Pharmaceuticals Holdings (Ireland) Unlimited Company Multiple needle injector
USD865949S1 (en) 2017-03-24 2019-11-05 Allergan, Inc. Syringe device
US10596321B2 (en) 2016-04-08 2020-03-24 Allergan, Inc. Aspiration and injection device
US10792427B2 (en) 2014-05-13 2020-10-06 Allergan, Inc. High force injection devices
US11185641B2 (en) 2014-10-01 2021-11-30 Allergan, Inc. Devices for injection and dosing
US11684719B2 (en) 2013-05-23 2023-06-27 Allergan, Inc. Methods of treatment using a syringe extrusion accessory

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US5800384A (en) * 1993-10-08 1998-09-01 Medical Parameters, Inc. Multi-lumen percutaneous introducer
US20080139989A1 (en) * 2006-12-11 2008-06-12 Stanley Kim Hemodialysis needle device having multiple needles mounted on a needle hub
EP1935447A1 (en) * 2006-12-18 2008-06-25 Medikit Co., Ltd. Indwelling needle assembly

Patent Citations (4)

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US5800384A (en) * 1993-10-08 1998-09-01 Medical Parameters, Inc. Multi-lumen percutaneous introducer
EP0792660A2 (en) * 1996-02-29 1997-09-03 Medtronic, Inc. Introducer system
US20080139989A1 (en) * 2006-12-11 2008-06-12 Stanley Kim Hemodialysis needle device having multiple needles mounted on a needle hub
EP1935447A1 (en) * 2006-12-18 2008-06-25 Medikit Co., Ltd. Indwelling needle assembly

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2016507347A (en) * 2013-02-26 2016-03-10 プライアー・メディカル・デバイシーズ・インコーポレイテッドPryor Medical Devices, Inc. Vascular access system and method of use
US11684719B2 (en) 2013-05-23 2023-06-27 Allergan, Inc. Methods of treatment using a syringe extrusion accessory
US10792427B2 (en) 2014-05-13 2020-10-06 Allergan, Inc. High force injection devices
US11185641B2 (en) 2014-10-01 2021-11-30 Allergan, Inc. Devices for injection and dosing
US10433928B2 (en) 2015-03-10 2019-10-08 Allergan Pharmaceuticals Holdings (Ireland) Unlimited Company Multiple needle injector
US10596321B2 (en) 2016-04-08 2020-03-24 Allergan, Inc. Aspiration and injection device
US11890457B2 (en) 2016-04-08 2024-02-06 Allergan, Inc. Aspiration and injection device
USD865949S1 (en) 2017-03-24 2019-11-05 Allergan, Inc. Syringe device
USD865948S1 (en) 2017-03-24 2019-11-05 Allergan, Inc. Syringe device
USD865950S1 (en) 2017-03-24 2019-11-05 Allergan, Inc. Syringe device
USD866753S1 (en) 2017-03-24 2019-11-12 Allergan, Inc. Syringe device
USD867582S1 (en) 2017-03-24 2019-11-19 Allergan, Inc. Syringe device

Also Published As

Publication number Publication date
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