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WO2009068661A1 - Dispositif pour thoracotomie - Google Patents

Dispositif pour thoracotomie Download PDF

Info

Publication number
WO2009068661A1
WO2009068661A1 PCT/EP2008/066461 EP2008066461W WO2009068661A1 WO 2009068661 A1 WO2009068661 A1 WO 2009068661A1 EP 2008066461 W EP2008066461 W EP 2008066461W WO 2009068661 A1 WO2009068661 A1 WO 2009068661A1
Authority
WO
WIPO (PCT)
Prior art keywords
cannula
needle
spring
guide
catch
Prior art date
Application number
PCT/EP2008/066461
Other languages
English (en)
Inventor
Johannes Eugene Aerts
Peter Rinze Gérard BRINK
Imme Zengerink
Jeroen Gerhard Pieter Cox
Paul Barteld Kwant
Original Assignee
Universiteit Maastricht
Academisch Ziekenhuis Maastricht
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 Universiteit Maastricht, Academisch Ziekenhuis Maastricht filed Critical Universiteit Maastricht
Publication of WO2009068661A1 publication Critical patent/WO2009068661A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
    • A61B17/3496—Protecting sleeves or inner probes; Retractable tips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3492—Means for supporting the trocar against the body or retaining the trocar inside the body against the outside of the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/036—Abutting means, stops, e.g. abutting on tissue or skin abutting on tissue or skin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0801—Prevention of accidental cutting or pricking
    • A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0807—Indication means
    • A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument

Definitions

  • the invention relates to a device for thoracostomy, in particular for relief of a (tension) pneumothorax, comprising a cannula and a needle slidingly sheathed in the cannula.
  • the invention further relates to a kit of parts for assembling such a device.
  • spontaneous pneumothorax is a relatively common medical emergency.
  • a pneumothorax occurs when the potential space between the lung and the inside of the chest wall (the pleural space) is breached and becomes an actual space and the lung collapses as the closed space fills with air. If the degree of collapse is significant or causing distress, the air in the closed pleural space (between the collapsed lung and chest wall) must be evacuated allowing full lung expansion.
  • Needle aspiration is a relatively painless and simple procedure that is often highly effective and allows full lung expansion to be achieved quickly and easily.
  • the equipment required is a metal hypodermic needle and a plain syringe. The needle is passed through the chest wall and once the tip is positioned in the pleural space air can be aspirated (sucked out) with the syringe allowing the lung to re-inflate.
  • GB 2 344 289 addresses the problem that in existing needles there is no means of signalling when the pleural space has been reached and the cannula is correctly sited.
  • the needle according to GB 2 344 289 has in communication with its interior a signalling device comprising a housing containing a member, in particular a light weight ball, movable in response to breathing, the housing having an opening remote from the needle.
  • WO 2006/090148 relates to an apparatus for the aspiration of a fluid from an individual suffering from e.g. tension pneumothorax.
  • the apparatus comprises a fluid passage switch.
  • US 5,545,141 relates to a gastrostomy device, which has an elongated body for insertion into the patient's stomach, a removable needle for piercing a channel through the stomach and abdomen walls, a shield means for removably covering the needle as it is inserted into the stomach, and an actuating means for moving the needle forward to pierce the channel.
  • a biasing means is included in the device 10 for biasing the rod 30 backwards relative to the tube 32, so that the needle 50 is shielded except when the surgeon purposely pushes the rod 30 forward.
  • the biasing means is a coiled spring 66, which extends to force apart the rod handle 64 and the tube proximal region 40.”
  • US 5,066,288 relates to trocars used to puncture tissue for the performance of laparoscopic or arthroscopic surgery and, in particular, to such trocars which employ a safety device to shield the obturator point immediately after the point has perforated tissue.
  • the embodiment shown in Figure 22 comprises a mechanism (92) that will exhibit a ratchet-like operation, permitting extension of the obturator in small incremental distances.
  • US 6,298,851 relates to an apparatus for performing emergency tracheotomies.
  • the device according to the present invention is characterized by a spring, e.g., a coiled spring, which, at least during insertion of the device, resiliently couples the needle to the cannula.
  • a spring e.g., a coiled spring
  • the resistance experienced by the needle is reduced and the spring that couples the needle and the cannula is further compressed, providing a signal to the operator to stop.
  • the device comprises a stop mechanism which, upon relative movement of the needle and the cannula, prevents both from further insertion.
  • the effective length of the needle is automatically adjusted to the thickness of the tissue, on the one hand establishing a vent between the pleural cavity and the surroundings and on the other hand preventing the needle from penetrating too deep, which might result in damage to tissue or organs beneath. I.e., proper insertion is facilitated, even under emergency (hectic) conditions.
  • the device comprises a guide which can be placed, with its distal end, on the skin of a patient, typically between two ribs.
  • the guide slidingly accommodates the cannula and comprises a catch or a plurality of recesses, whereas the needle comprises, respectively, a plurality of recesses or a catch.
  • the recesses and catch upon relative movement of the needle and the cannula, lock the needle to the guide. As the guide rests on the patient, the needle and cannula can penetrate no further.
  • the cannula comprises a plurality of openings and the needle comprises a plurality of recesses which are staggered with respect to the openings.
  • a guide slidingly accommodates the cannula and in turn comprises a catch in register with the openings.
  • the openings, recesses and catch provide a straightforward yet effective stop mechanism and may produce an audible signal during insertion.
  • the invention further relates to a kit of parts for assembling the device described above comprising a cannula, a needle to be slidingly sheathed in the cannula, and a spring for resiliently coupling the needle to the cannula.
  • the kit further comprises a stop mechanism having an opening for slidingly accommodating the cannula and a catch which, during sliding of the cannula and upon relative movement of the needle and the cannula, locks the needle and the cannula relative to the mechanism.
  • the kit can be assembled beforehand or during an emergency. It facilitates sterilization and hence repeated use .
  • Figure 1 is a perspective view of a device for relief of a (tension) pneumothorax according to the present invention.
  • Figures 2 and 3 are schematic cross-sections of the device shown in Figure 1.
  • Figures 4 and 5 are a schematic side view and cross-section of a second example of a device according to the present invention.
  • Figure 1 shows a disposable device 1 for thoracostomy, in particular for relief of a tension pneumothorax, comprising a cannula 2, a needle 3 slidingly (in axial direction) and rotatably (about its axis) sheathed in the cannula 2, and a guide 4 comprising a catch mechanism 5.
  • the cannula 2 has a diameter of e.g. 2 mm and comprises a protrusion, e.g. a flange 6, at its proximal end and a flat portion 7 running the length of the cannula 2 itself.
  • the flat portion 7 is provided with a plurality of openings 8, located at equal mutual distance ("D") and on a straight line parallel to the central axis of the cannula 2.
  • the cannula 2 and its features were made or stainless steel or obtained by injection-molding a suitable synthetic material, such as polymethyl methacrylate (PMMA) .
  • PMMA polymethyl methacrylate
  • the needle 3 comprises a pushbutton 9 at its proximal end.
  • the needle 3 has a sharpened distal end 10 and plurality of notches 11, also located at equal mutual distance ("D") .
  • the needle 3 further comprises an axial groove 12 interconnecting the notches 11.
  • the needle was made of stainless steel and the pushbutton was made of a suitable synthetic material, such as PMMA.
  • a metal coiled spring 13 is located between the flange 6 and the pushbutton 9 so as to resiliently couple the needle 3 to the cannula 2.
  • the length and stiffness (spring constant, C) of the spring are selected such that the notches in the needle are axially staggered and tangentially aligned with the openings in the cannula, at least during insertion.
  • the stiffness of the spring is such that the force resulting form the friction between the cannula and tissue in which the device is inserted is greater than the initial spring force.
  • the spring force in turn is greater than the force required to insert the device.
  • the spring force substantially equals 1/2 x D x C.
  • the guide 4 comprises a main body, e.g. a disc 14, with a central through-opening 15 having the same rotationally non-symmetrical cross-section as the cannula 2, i.e. circular with a flat portion, thus preventing the cannula 2 from rotating relative to the catch mechanism 4.
  • the guide 4 comprises an insert 16.
  • the disc and flat portion can be formed as an integral whole.
  • the catch mechanism 5 comprises a pin 17 abutting the outer wall of the cannula 2 or the needle 3 (if one of the openings in the cannula is in register with the pin and the pin extends through this opening) .
  • the mechanism 5 further comprises a spring 18 and a screw 19 for mounting the catch mechanism 5 inside the main body 14, e.g. in a stepped bore extending along a radius of the main body 14, and for adjusting the force with which the pin 17 abuts the cannula .
  • Treating e.g. pneumothorax with the assembled device can be preformed by the following steps:
  • the needle 3 is rotated about its axis until the catch pin 17 reaches the axial groove 12 interconnecting the notches 11 thus unlocking the needle 3 yet maintaining the lock between the cannula 2 and the guide 4.
  • Figures 4 and 5 show a second example of a device 1 for thoracostomy, in particular for relief of a tension pneumothorax, comprising a cannula 2, a needle 3 slidingly (in axial direction) and rotatably (about its axis) sheathed in the cannula 2, and a guide 4.
  • the cannula 2 has an outer diameter of e.g. 2,5 mm and an inner diameter of e.g. 2 mm and comprises, at its proximal end, a cylindrical (female) guide tube 2B having significantly larger outer and inner diameters, e.g. 12 and 10 mm, respectively.
  • the needle 3 comprises a pushbutton 9 at its proximal end, a cylindrical (male) guide element 3B, and a sharpened distal end 10.
  • the guide element 3B has an outer diameter only slightly smaller than the inner diameter of the guide tube 2B of the cannula 2, such that the guide element 3B is slidingly and rotatably received in the same (2B) .
  • the needle 3 has a central bore 20 and, near the pushbutton 9, a vent 21.
  • the guide element 3B further comprises a catch mechanism 5 in turn comprising a pin 17 protruding from the outer wall of the guide element 3B and a spring and screw for mounting the catch mechanism 5 inside said guide element 3B.
  • the catch mechanism 5 is mounted in a stepped bore extending along a radius of the guide element 3B.
  • a metal coiled spring 13 is located between the lower surface of the guide element 3B of the needle 3 and the bottom of the guide tube 2B of the cannula 2.
  • the guide 4 comprises a main body 4A and a base 4B removably attached to the main body 4A, e.g. by friction or a bayonet coupling.
  • the main body 4A and the base 4B each have a central cylindrical bore 15 for accommodating respective sections of the cannula 2. I.e., these bores have inner diameters only slightly larger than the outer diameters of, respectively, the guide tube 2B of the cannula 2 and the cannula 2 itself, such that the cannula 2, 2B is slidingly received inside the guide 4.
  • the inner wall of the main body 4A of the guide 4 comprises a plurality of annular notches 11, at equal mutual distance, and an axial groove 12 interconnecting the notches 11. Treating e.g. pneumothorax with the assembled device can be preformed by the following steps:
  • the needle 3 and the main body can be removed simply by pulling these elements over the cannula 2. In that case, unlocking of the needle 3 and the guide 4 is not required and the axial groove 12 can be omitted.
  • the effective length of the needle is automatically adjusted to the thickness of the tissue and proper insertion of the cannula is facilitated.
  • the risk of inadequate decompression resulting from insufficient insertion depth on the one hand and damage to organs in the thoracic cavity on the other is reduced.
  • the invention is not restricted to the above- described embodiments, which can be varied in a number of ways within the scope of the claims.

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

L'invention concerne un dispositif (1) pour thoracotomie, en particulier pour le soulagement d'un pneumothorax (tension), comprenant une canule (2) et une aiguille (3) gainée par la canule avec possibilité de glissement (2). Un ressort (13) couple avec résilience l'aiguille (3) à la canule (2), au moins pendant l'insertion du dispositif (1).
PCT/EP2008/066461 2007-11-29 2008-11-28 Dispositif pour thoracotomie WO2009068661A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
EP07121910 2007-11-29
EP07121910.9 2007-11-29

Publications (1)

Publication Number Publication Date
WO2009068661A1 true WO2009068661A1 (fr) 2009-06-04

Family

ID=39345132

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2008/066461 WO2009068661A1 (fr) 2007-11-29 2008-11-28 Dispositif pour thoracotomie

Country Status (1)

Country Link
WO (1) WO2009068661A1 (fr)

Cited By (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2011149416A1 (fr) 2010-05-24 2011-12-01 Swedish Oat Fiber Ab Dispersion aqueuse comprenant des galactolipides et son procédé de production
WO2014055456A1 (fr) * 2012-10-07 2014-04-10 Abbott Diabetes Care Inc. Indicateurs d'introduction de dispositif médical
US9186098B2 (en) 2010-03-24 2015-11-17 Abbott Diabetes Care Inc. Medical device inserters and processes of inserting and using medical devices
EP2992914A1 (fr) * 2014-09-04 2016-03-09 Prometheus Delta Tech Limited Dispositif trans-cutané pour l'élimination de fluide dans un corps
US9402570B2 (en) 2011-12-11 2016-08-02 Abbott Diabetes Care Inc. Analyte sensor devices, connections, and methods
US9521968B2 (en) 2005-09-30 2016-12-20 Abbott Diabetes Care Inc. Analyte sensor retention mechanism and methods of use
EP3181072A1 (fr) * 2015-12-18 2017-06-21 Paul Harder Dispositif de traitement médical d'un pneumothorax
US9980670B2 (en) 2002-11-05 2018-05-29 Abbott Diabetes Care Inc. Sensor inserter assembly
CN109069277A (zh) * 2016-04-27 2018-12-21 德普伊爱尔兰无限公司 冲击器
US10213139B2 (en) 2015-05-14 2019-02-26 Abbott Diabetes Care Inc. Systems, devices, and methods for assembling an applicator and sensor control device
JP2020500078A (ja) * 2016-11-22 2020-01-09 アルフレッド ヘルス 手術システムおよび使用方法
US10674944B2 (en) 2015-05-14 2020-06-09 Abbott Diabetes Care Inc. Compact medical device inserters and related systems and methods
US10736663B2 (en) 2013-03-01 2020-08-11 The Arizona Board Of Regents On Behalf Of The University Of Arizona Modified veress needle for tension pneumothorax decompression
USD902408S1 (en) 2003-11-05 2020-11-17 Abbott Diabetes Care Inc. Analyte sensor control unit
US11033665B2 (en) 2016-11-04 2021-06-15 The Arizona Board Of Regents On Behalf Of The University Of Arizona Modified veress needle assembly for tension pneumothorax decompression
US11071478B2 (en) 2017-01-23 2021-07-27 Abbott Diabetes Care Inc. Systems, devices and methods for analyte sensor insertion
EP3886740A4 (fr) * 2018-11-30 2022-08-10 Quick Tube Medical, LLC Procédé et appareil pour traiter un pneumothorax sous tension à l'aide d'un accès à déploiement rapide à la poitrine
WO2025019608A3 (fr) * 2023-07-17 2025-02-20 B.I.N.T. Industry, Llc Dispositif de thoracostomie à l'aiguille et procédé d'utilisation
US12239463B2 (en) 2020-08-31 2025-03-04 Abbott Diabetes Care Inc. Systems, devices, and methods for analyte sensor insertion
US12274548B2 (en) 2006-10-23 2025-04-15 Abbott Diabetes Care Inc. Sensor insertion devices and methods of use

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US5545141A (en) * 1993-05-28 1996-08-13 Eld; Larry A. Percutaneous gastrostomy feeding tube applicator and method.
GB2344289A (en) * 1998-11-27 2000-06-07 Townsend Rose Chris Robin Pneumothorax needle and indicator device
US6298851B1 (en) * 1999-09-15 2001-10-09 Gheorghe Parota Emergency tracheotomy apparatus
WO2006090148A1 (fr) * 2005-02-23 2006-08-31 Medical Device Innovations Limited Appareil medical et procede d’utilisation

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5066288A (en) * 1988-07-06 1991-11-19 Ethicon, Inc. Safety trocar
US5545141A (en) * 1993-05-28 1996-08-13 Eld; Larry A. Percutaneous gastrostomy feeding tube applicator and method.
GB2344289A (en) * 1998-11-27 2000-06-07 Townsend Rose Chris Robin Pneumothorax needle and indicator device
US6298851B1 (en) * 1999-09-15 2001-10-09 Gheorghe Parota Emergency tracheotomy apparatus
WO2006090148A1 (fr) * 2005-02-23 2006-08-31 Medical Device Innovations Limited Appareil medical et procede d’utilisation

Cited By (49)

* Cited by examiner, † Cited by third party
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US9980670B2 (en) 2002-11-05 2018-05-29 Abbott Diabetes Care Inc. Sensor inserter assembly
US11141084B2 (en) 2002-11-05 2021-10-12 Abbott Diabetes Care Inc. Sensor inserter assembly
US11116430B2 (en) 2002-11-05 2021-09-14 Abbott Diabetes Care Inc. Sensor inserter assembly
US10973443B2 (en) 2002-11-05 2021-04-13 Abbott Diabetes Care Inc. Sensor inserter assembly
USD914881S1 (en) 2003-11-05 2021-03-30 Abbott Diabetes Care Inc. Analyte sensor electronic mount
USD902408S1 (en) 2003-11-05 2020-11-17 Abbott Diabetes Care Inc. Analyte sensor control unit
US9521968B2 (en) 2005-09-30 2016-12-20 Abbott Diabetes Care Inc. Analyte sensor retention mechanism and methods of use
US12274548B2 (en) 2006-10-23 2025-04-15 Abbott Diabetes Care Inc. Sensor insertion devices and methods of use
US10881341B1 (en) 2010-03-24 2021-01-05 Abbott Diabetes Care Inc. Medical device inserters and processes of inserting and using medical devices
US10959654B2 (en) 2010-03-24 2021-03-30 Abbott Diabetes Care Inc. Medical device inserters and processes of inserting and using medical devices
US11013440B2 (en) 2010-03-24 2021-05-25 Abbott Diabetes Care Inc. Medical device inserters and processes of inserting and using medical devices
US11000216B2 (en) 2010-03-24 2021-05-11 Abbott Diabetes Care Inc. Medical device inserters and processes of inserting and using medical devices
US9265453B2 (en) 2010-03-24 2016-02-23 Abbott Diabetes Care Inc. Medical device inserters and processes of inserting and using medical devices
US10952657B2 (en) 2010-03-24 2021-03-23 Abbott Diabetes Care Inc. Medical device inserters and processes of inserting and using medical devices
US9186098B2 (en) 2010-03-24 2015-11-17 Abbott Diabetes Care Inc. Medical device inserters and processes of inserting and using medical devices
US10292632B2 (en) 2010-03-24 2019-05-21 Abbott Diabetes Care Inc. Medical device inserters and processes of inserting and using medical devices
US9215992B2 (en) 2010-03-24 2015-12-22 Abbott Diabetes Care Inc. Medical device inserters and processes of inserting and using medical devices
US11064922B1 (en) 2010-03-24 2021-07-20 Abbott Diabetes Care Inc. Medical device inserters and processes of inserting and using medical devices
US11058334B1 (en) 2010-03-24 2021-07-13 Abbott Diabetes Care Inc. Medical device inserters and processes of inserting and using medical devices
US9687183B2 (en) 2010-03-24 2017-06-27 Abbott Diabetes Care Inc. Medical device inserters and processes of inserting and using medical devices
US10772547B1 (en) 2010-03-24 2020-09-15 Abbott Diabetes Care Inc. Medical device inserters and processes of inserting and using medical devices
US10945649B2 (en) 2010-03-24 2021-03-16 Abbott Diabetes Care Inc. Medical device inserters and processes of inserting and using medical devices
US10881340B2 (en) 2010-03-24 2021-01-05 Abbott Diabetes Care Inc. Medical device inserters and processes of inserting and using medical devices
WO2011149416A1 (fr) 2010-05-24 2011-12-01 Swedish Oat Fiber Ab Dispersion aqueuse comprenant des galactolipides et son procédé de production
USD903877S1 (en) 2011-12-11 2020-12-01 Abbott Diabetes Care Inc. Analyte sensor device
US9402570B2 (en) 2011-12-11 2016-08-02 Abbott Diabetes Care Inc. Analyte sensor devices, connections, and methods
US11179068B2 (en) 2011-12-11 2021-11-23 Abbott Diabetes Care Inc. Analyte sensor devices, connections, and methods
US11051725B2 (en) 2011-12-11 2021-07-06 Abbott Diabetes Care Inc. Analyte sensor devices, connections, and methods
US11051724B2 (en) 2011-12-11 2021-07-06 Abbott Diabetes Care Inc. Analyte sensor devices, connections, and methods
USD915601S1 (en) 2011-12-11 2021-04-06 Abbott Diabetes Care Inc. Analyte sensor device
USD915602S1 (en) 2011-12-11 2021-04-06 Abbott Diabetes Care Inc. Analyte sensor device
US9931066B2 (en) 2011-12-11 2018-04-03 Abbott Diabetes Care Inc. Analyte sensor devices, connections, and methods
US9693713B2 (en) 2011-12-11 2017-07-04 Abbott Diabetes Care Inc. Analyte sensor devices, connections, and methods
WO2014055456A1 (fr) * 2012-10-07 2014-04-10 Abbott Diabetes Care Inc. Indicateurs d'introduction de dispositif médical
US10736663B2 (en) 2013-03-01 2020-08-11 The Arizona Board Of Regents On Behalf Of The University Of Arizona Modified veress needle for tension pneumothorax decompression
EP2992914A1 (fr) * 2014-09-04 2016-03-09 Prometheus Delta Tech Limited Dispositif trans-cutané pour l'élimination de fluide dans un corps
US10213139B2 (en) 2015-05-14 2019-02-26 Abbott Diabetes Care Inc. Systems, devices, and methods for assembling an applicator and sensor control device
US10674944B2 (en) 2015-05-14 2020-06-09 Abbott Diabetes Care Inc. Compact medical device inserters and related systems and methods
EP3181072A1 (fr) * 2015-12-18 2017-06-21 Paul Harder Dispositif de traitement médical d'un pneumothorax
CN109069277A (zh) * 2016-04-27 2018-12-21 德普伊爱尔兰无限公司 冲击器
US11033665B2 (en) 2016-11-04 2021-06-15 The Arizona Board Of Regents On Behalf Of The University Of Arizona Modified veress needle assembly for tension pneumothorax decompression
EP3544648A4 (fr) * 2016-11-22 2020-07-01 Alfred Health Système chirurgical et procédé d'utilisation
JP2020500078A (ja) * 2016-11-22 2020-01-09 アルフレッド ヘルス 手術システムおよび使用方法
JP7274147B2 (ja) 2016-11-22 2023-05-16 アルフレッド ヘルス 手術システムおよび使用方法
US11071478B2 (en) 2017-01-23 2021-07-27 Abbott Diabetes Care Inc. Systems, devices and methods for analyte sensor insertion
US12268496B2 (en) 2017-01-23 2025-04-08 Abbott Diabetes Care Inc. Systems, devices and methods for analyte sensor insertion
EP3886740A4 (fr) * 2018-11-30 2022-08-10 Quick Tube Medical, LLC Procédé et appareil pour traiter un pneumothorax sous tension à l'aide d'un accès à déploiement rapide à la poitrine
US12239463B2 (en) 2020-08-31 2025-03-04 Abbott Diabetes Care Inc. Systems, devices, and methods for analyte sensor insertion
WO2025019608A3 (fr) * 2023-07-17 2025-02-20 B.I.N.T. Industry, Llc Dispositif de thoracostomie à l'aiguille et procédé d'utilisation

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