CA2438396A1 - Fluid injection system for coronary intervention - Google Patents

Fluid injection system for coronary intervention Download PDF

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Publication number
CA2438396A1
CA2438396A1 CA002438396A CA2438396A CA2438396A1 CA 2438396 A1 CA2438396 A1 CA 2438396A1 CA 002438396 A CA002438396 A CA 002438396A CA 2438396 A CA2438396 A CA 2438396A CA 2438396 A1 CA2438396 A1 CA 2438396A1
Authority
CA
Canada
Prior art keywords
syringe
control
power
fluid injection
plunger
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.)
Granted
Application number
CA002438396A
Other languages
French (fr)
Other versions
CA2438396C (en
Inventor
Mark H. Vandiver
Colin P. Hart
Kevin C. Martin
Thomas A. Delcourt
Eric Houde
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.)
Navilyst Medical Inc
Original Assignee
Scimed Life Systems, Inc.
Mark H. Vandiver
Colin P. Hart
Kevin C. Martin
Thomas A. Delcourt
Eric Houde
Boston Scientific Scimed, Inc.
Namic/Va, Inc.
Navilyst Medical, Inc.
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 Scimed Life Systems, Inc., Mark H. Vandiver, Colin P. Hart, Kevin C. Martin, Thomas A. Delcourt, Eric Houde, Boston Scientific Scimed, Inc., Namic/Va, Inc., Navilyst Medical, Inc. filed Critical Scimed Life Systems, Inc.
Publication of CA2438396A1 publication Critical patent/CA2438396A1/en
Application granted granted Critical
Publication of CA2438396C publication Critical patent/CA2438396C/en
Anticipated expiration legal-status Critical
Expired - Fee Related 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
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142—Pressure infusion, e.g. using pumps
    • A61M5/145—Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons
    • A61M5/1452—Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons pressurised by means of pistons
    • 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
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/35—Communication
    • A61M2205/3546—Range
    • A61M2205/3561—Range local, e.g. within room or hospital
    • 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
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/58—Means for facilitating use, e.g. by people with impaired vision
    • A61M2205/582—Means for facilitating use, e.g. by people with impaired vision by tactile feedback
    • 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
    • A61M2209/00—Ancillary equipment
    • A61M2209/01—Remote controllers for specific apparatus
    • 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
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/007—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests for contrast media

Abstract

A fluid injection apparatus and method of injecting fluid are disclosed. The apparatus includes a control syringe electrically connected to a power-acutated syringe. A sensor is provided proximate the control syring to monitor of the plunger therein, with a signal representative of plunger position then being communicated to a processor for calculation of a corresponding control signal. The control signal is received by an actuator of the power-actuated syringe to move the plunger of the power-actuated syringe is a manner related to movement of the control syringe. The control syringe is provided with a feedback device to provide the operator with an indication as to the pressure of the fluid being injected into a patient.
CA002438396A 2001-03-01 2001-07-27 Fluid injection system for coronary intervention Expired - Fee Related CA2438396C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US09/796,779 US7044933B2 (en) 2001-03-01 2001-03-01 Fluid injection system for coronary intervention
US09/796,779 2001-03-01
PCT/US2001/023635 WO2002070048A1 (en) 2001-03-01 2001-07-27 Fluid injection system for coronary intervention

Publications (2)

Publication Number Publication Date
CA2438396A1 true CA2438396A1 (en) 2002-09-12
CA2438396C CA2438396C (en) 2008-02-19

Family

ID=25169040

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002438396A Expired - Fee Related CA2438396C (en) 2001-03-01 2001-07-27 Fluid injection system for coronary intervention

Country Status (8)

Country Link
US (1) US7044933B2 (en)
EP (1) EP1363687B1 (en)
JP (1) JP2004525690A (en)
AT (1) ATE350085T1 (en)
CA (1) CA2438396C (en)
DE (1) DE60125837T2 (en)
ES (1) ES2280384T3 (en)
WO (1) WO2002070048A1 (en)

Families Citing this family (53)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020107501A1 (en) * 2001-02-02 2002-08-08 Smith James E. Weight dependent, automatic filling dosage system and method of using same
US6780170B2 (en) 2002-05-15 2004-08-24 Liebel-Flarsheim Company Hydraulic remote for a medical fluid injector
US7354429B2 (en) * 2003-05-27 2008-04-08 Integrated Sensing Systems, Inc. Device and method for detecting and treating chemical and biological agents
EP1614403B2 (en) 2003-03-14 2014-06-18 Depuy Spine, Inc. Hydraulic device for the injection of bone cement in percutaneous vertebroplasty
US8066713B2 (en) 2003-03-31 2011-11-29 Depuy Spine, Inc. Remotely-activated vertebroplasty injection device
CA2523267C (en) 2003-04-23 2013-09-03 Biovalve Technologies, Inc. Hydraulically actuated pump for long duration medicament administration
DE10326306B4 (en) * 2003-06-11 2010-09-23 Henke-Sass Wolf Gmbh Syringe, in particular for veterinary applications
US8415407B2 (en) 2004-03-21 2013-04-09 Depuy Spine, Inc. Methods, materials, and apparatus for treating bone and other tissue
WO2006011152A2 (en) 2004-06-17 2006-02-02 Disc-O-Tech Medical Technologies, Ltd. Methods for treating bone and other tissue
US8579908B2 (en) 2003-09-26 2013-11-12 DePuy Synthes Products, LLC. Device for delivering viscous material
WO2006014425A1 (en) 2004-07-02 2006-02-09 Biovalve Technologies, Inc. Methods and devices for delivering glp-1 and uses thereof
US9918767B2 (en) 2005-08-01 2018-03-20 DePuy Synthes Products, Inc. Temperature control system
JP2007037753A (en) * 2005-08-03 2007-02-15 Furuno Electric Co Ltd Transfusion apparatus and control method of transfusion apparatus
EP2469437A1 (en) 2005-11-21 2012-06-27 ACIST Medical Systems, Inc. Medical fluid injection system with stored injection parameters
US8360629B2 (en) 2005-11-22 2013-01-29 Depuy Spine, Inc. Mixing apparatus having central and planetary mixing elements
US8043206B2 (en) 2006-01-04 2011-10-25 Allergan, Inc. Self-regulating gastric band with pressure data processing
US7798954B2 (en) 2006-01-04 2010-09-21 Allergan, Inc. Hydraulic gastric band with collapsible reservoir
CN103239773B (en) 2006-03-30 2015-08-26 瓦莱里塔斯公司 Multi-cartridge fluid delivery device
US20070250149A1 (en) * 2006-04-21 2007-10-25 Abbott Laboratories Stiffening Support Catheters and Methods for Using the Same
US7993303B2 (en) 2006-04-21 2011-08-09 Abbott Laboratories Stiffening support catheter and methods for using the same
US20080065014A1 (en) * 2006-04-21 2008-03-13 Abbott Laboratories Systems, Methods, and Devices to Facilitate Wire and Device Crossings of Obstructions in Body Lumens
US8246574B2 (en) * 2006-04-21 2012-08-21 Abbott Laboratories Support catheter
US7927305B2 (en) * 2006-04-21 2011-04-19 Abbott Laboratories Systems, methods, and devices for injecting media contrast
US8206370B2 (en) 2006-04-21 2012-06-26 Abbott Laboratories Dual lumen guidewire support catheter
CN101516412B (en) 2006-09-14 2014-02-12 德普伊斯派尔公司 Bone cement and use method thereof
AU2007311451A1 (en) 2006-10-19 2008-04-24 Depuy Spine, Inc. Fluid delivery system
US20090157219A1 (en) * 2007-05-03 2009-06-18 Parker Jr Lance T Intelligent Sleeve Container for Use in a Controlled Syringe System
US20090005734A1 (en) * 2007-06-27 2009-01-01 Tessaron Medical, Inc. Systems and methods for delivering particles into patient body
CN101951987B (en) * 2007-09-17 2015-03-18 萨蒂什·桑达尔 High precision infusion pump controller
JP5695907B2 (en) * 2007-11-19 2015-04-08 マリンクロッド エルエルシー Power injector with patency check using pressure monitoring
EP2227275B1 (en) * 2007-11-20 2012-06-27 Mallinckrodt LLC Power injector with flow rate assessment and numerical display
JP5695908B2 (en) * 2007-12-10 2015-04-08 バイエル メディカル ケア インコーポレーテッド Continuous fluid transport system and fluid transport method
WO2009120692A2 (en) * 2008-03-25 2009-10-01 Animal Innovations, Inc. Syringe mechanism for detecting syringe status
US20100185049A1 (en) 2008-10-22 2010-07-22 Allergan, Inc. Dome and screw valves for remotely adjustable gastric banding systems
WO2011097358A1 (en) * 2010-02-05 2011-08-11 Deland M Maitland Led treatment of dermatologic toxicities associated with vascular endothelial growth factor inhibitors
WO2011097360A1 (en) * 2010-02-05 2011-08-11 Deland M Maitland Led treatment of dermatologic toxicities associated with epidermal growth factor receptor inhibitors
US8795263B2 (en) * 2010-02-05 2014-08-05 M. Maitland DeLand LED treatment of dermatologic toxicities associated with multikinase inhibitors
US8840541B2 (en) 2010-02-25 2014-09-23 Apollo Endosurgery, Inc. Pressure sensing gastric banding system
US8939888B2 (en) 2010-04-28 2015-01-27 Apollo Endosurgery, Inc. Method and system for determining the pressure of a fluid in a syringe, an access port, a catheter, and a gastric band
US20110270025A1 (en) 2010-04-30 2011-11-03 Allergan, Inc. Remotely powered remotely adjustable gastric band system
US8932231B2 (en) 2010-09-16 2015-01-13 The Cleveland Clinic Foundation Lacrimal drainage manometer and method of use
US10446269B2 (en) 2011-03-24 2019-10-15 Sanofi-Aventis Deutschland Gmbh Device and method for detecting an actuation action performable with a medical device
US8725435B2 (en) 2011-04-13 2014-05-13 Apollo Endosurgery, Inc. Syringe-based leak detection system
KR101397129B1 (en) * 2012-10-29 2014-05-19 신경수 Medication injection device
WO2014089008A2 (en) * 2012-12-07 2014-06-12 Smiths Medical Asd, Inc. Syringe characterization
US11369739B2 (en) * 2013-01-21 2022-06-28 Medline Industries, Lp Method to provide injection system parameters for injecting fluid into patient
WO2014158716A1 (en) * 2013-03-14 2014-10-02 The Cleveland Clinic Foundation Lacrimal drainage manometer and method of use
EP3242649A4 (en) 2015-01-09 2019-01-09 Bayer Healthcare LLC Multiple fluid delivery system with multi-use disposable set and features thereof
ES2805230T5 (en) 2015-06-09 2023-11-24 Sanofi Aventis Deutschland Data collection apparatus for attachment to an injection device
CN109009444B (en) * 2018-08-23 2023-09-01 广州医科大学附属第一医院 Electromagnetic force feedback puncture operation auxiliary device and robot puncture system
CN108852514B (en) * 2018-08-23 2023-09-05 广州医科大学附属第一医院 Fluid type force feedback puncture operation auxiliary device and robot puncture system
CN111035440B (en) * 2019-12-31 2022-10-25 重庆医科大学附属第二医院 Pedal device and contain this pedal device's bolus pump
CN115252968A (en) * 2022-08-05 2022-11-01 苏州恒瑞宏远医疗科技有限公司 Remote control device and injection system

Family Cites Families (57)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3674009A (en) 1970-07-13 1972-07-04 Cordis Corp Angiographic injector with pump motor starting control
US3701345A (en) 1970-09-29 1972-10-31 Medrad Inc Angiographic injector equipment
US3812843A (en) 1973-03-12 1974-05-28 Lear Siegler Inc Method and apparatus for injecting contrast media into the vascular system
US4006736A (en) * 1974-11-27 1977-02-08 Medrad, Inc. Angiographic injector
US4024864A (en) 1975-09-05 1977-05-24 Cordis Corporation Injector with overspeed protector
FR2338401A1 (en) * 1976-01-14 1977-08-12 Radiologie Cie Gle PROCESS FOR CREATING A CONSTANT BACK PRESSURE INSIDE A CYLINDER, AND IMPLEMENTATION APPARATUS, IN PARTICULAR FOR INJECTION INTO A VASCULAR SYSTEM
US4634431A (en) 1976-11-12 1987-01-06 Whitney Douglass G Syringe injector
US4250887A (en) 1979-04-18 1981-02-17 Dardik Surgical Associates, P.A. Remote manual injecting apparatus
US4533346A (en) 1979-06-26 1985-08-06 Pharmacontrol Corporation System for automatic feedback-controlled administration of drugs
US4370982A (en) 1980-09-10 1983-02-01 Medrad, Inc. Method and apparatus for injecting and for controlling the pressure of fluid being injected into a catheter
US4502488A (en) 1983-01-13 1985-03-05 Allied Corporation Injection system
US4854324A (en) 1984-01-31 1989-08-08 Medrad, Inc. Processor-controlled angiographic injector device
US5562614A (en) 1993-11-22 1996-10-08 Advanced Cardiovascular Systems, Inc. Programmable manifold system for automatic fluid delivery
US4551133A (en) 1984-04-16 1985-11-05 American Hospital Supply Corporation Patient controlled medication infusion system
DE3587540T3 (en) 1984-06-06 1998-01-22 Medrad Inc Angiography syringe for use with an angiography injector.
US4812724A (en) 1984-11-13 1989-03-14 Liebel-Flarsheim Corporation Injector control
GB8525109D0 (en) 1985-10-11 1985-11-13 Vickers Plc Syringe pumps
US4695271A (en) 1986-02-03 1987-09-22 Liebel-Flarsheim Company Angiographic injector
US4919650A (en) 1987-03-30 1990-04-24 Bionica Pty. Limited Infusion pump
EP0285679A1 (en) 1987-04-04 1988-10-12 B. Braun-SSC AG Pressure infusion apparatus
AU609843B2 (en) 1987-06-19 1991-05-09 University Of Melbourne, The Infusion pump
EP0396536B1 (en) 1988-01-07 1994-08-31 HAZON, Bernard Syringe-pushing device for ambulant administration of parenteral injections, with flow rate governed by the contents of the syringe and method of control thereof
US5053002A (en) * 1988-01-11 1991-10-01 Olympus Corporation Irrigation system for angioscope
US4877956A (en) 1988-06-23 1989-10-31 Halliburton Company Closed feedback injection system for radioactive materials using a high pressure radioactive slurry injector
US4861340A (en) 1988-10-17 1989-08-29 Cordis Corporation Hand-held pneumatic power assisted syringe
US5014715A (en) 1988-11-22 1991-05-14 Chapolini Robert J Device for measuring the impedance to flow of a natural or prosthetic vessel in a living body
US5137514A (en) 1990-11-01 1992-08-11 Accumed Systems, Inc. Inflation syringe assembly for percutaneous transluminal angioplasty
US5236416A (en) 1991-05-23 1993-08-17 Ivac Corporation Syringe plunger position detection and alarm generation
IL104365A0 (en) 1992-01-31 1993-05-13 Gensia Pharma Method and apparatus for closed loop drug delivery
US5322511A (en) 1992-04-21 1994-06-21 Sterling Winthrop Inc. Portable hand-held power injector
US5232449A (en) 1992-04-29 1993-08-03 Becton, Dickinson And Company Syringe pump pusher
FR2693112B1 (en) 1992-07-01 1994-09-02 Raymond Denance Electromechanical injection device for medical and veterinary use actuated by a trigger.
ATE209052T1 (en) 1993-06-30 2001-12-15 Hamilton Co MANUAL DISPENSING AID FOR AN INJECTION SYRINGE
US5515851A (en) 1993-07-30 1996-05-14 Goldstein; James A. Angiographic fluid control system
CA2129284C (en) 1993-11-24 1999-03-09 Kenneth J. Niehoff Controlling plunger drives for fluid injection in animals
DE59409006D1 (en) * 1994-01-28 2000-01-20 Mallinckrodt Medical Gmbh Conversion kit for an injection machine for use with syringes with different diameters
US5840026A (en) * 1994-09-21 1998-11-24 Medrad, Inc. Patient specific dosing contrast delivery systems and methods
GB9421687D0 (en) 1994-10-27 1994-12-14 Aid Medic Ltd Dosimetric spacer
US5697899A (en) 1995-02-07 1997-12-16 Gensia Feedback controlled drug delivery system
EP1920718A1 (en) 1995-04-20 2008-05-14 ACIST Medical Systems, Inc. Radiographic contrast material injector
US6099502A (en) 1995-04-20 2000-08-08 Acist Medical Systems, Inc. Dual port syringe
US6221045B1 (en) 1995-04-20 2001-04-24 Acist Medical Systems, Inc. Angiographic injector system with automatic high/low pressure switching
US5573515A (en) * 1995-04-20 1996-11-12 Invasatec, Inc. Self purging angiographic injector
US5882343A (en) 1995-04-20 1999-03-16 Invasatec, Inc. Dual port syringe
US5569208A (en) * 1995-08-01 1996-10-29 Merit Medical Systems, Inc. System for managing delivery of contrast media
JP3367319B2 (en) 1996-01-30 2003-01-14 株式会社島津製作所 Automatic sample injection device
US5830194A (en) 1996-09-20 1998-11-03 Azam Anwar Power syringe
US6030368A (en) 1996-09-20 2000-02-29 Azam Anwar Power syringe having a base and a lever
US5868710A (en) 1996-11-22 1999-02-09 Liebel Flarsheim Company Medical fluid injector
FR2757772B1 (en) 1996-12-31 1999-03-26 Karcher Gilles REMOTE CONTROL INJECTOR FOR MEDICAL INTERVENTIONS
US5913844A (en) 1997-06-17 1999-06-22 Liebel-Flarsheim Company Power injector and method providing removal of used disposable syringe
US5865805A (en) 1997-07-16 1999-02-02 Liebel-Flarsheim Company Power injector and side loadable syringe support therefor for plunger pushrod type syringes
US6171276B1 (en) 1997-08-06 2001-01-09 Pharmacia & Upjohn Ab Automated delivery device and method for its operation
US5988587A (en) 1997-10-10 1999-11-23 Invasatec, Inc. Control device for providing a variable control signal to a fluid-supplying machine
USD404717S (en) 1997-11-06 1999-01-26 Invasatec, Inc. Hand-held pneumatic control device
US5916165A (en) 1997-11-06 1999-06-29 Invasatec, Inc. Pneumatic controller and method
ES2252871T3 (en) 1997-11-07 2006-05-16 Acist Medical Systems, Inc. ANGIOGRAPHIC INJECTOR SYSTEM WITH MULTIPLE FLUID PROCESSOR.

Also Published As

Publication number Publication date
ES2280384T3 (en) 2007-09-16
CA2438396C (en) 2008-02-19
ATE350085T1 (en) 2007-01-15
JP2004525690A (en) 2004-08-26
US20020123716A1 (en) 2002-09-05
EP1363687A1 (en) 2003-11-26
DE60125837T2 (en) 2007-07-05
WO2002070048A1 (en) 2002-09-12
US7044933B2 (en) 2006-05-16
DE60125837D1 (en) 2007-02-15
EP1363687B1 (en) 2007-01-03

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Effective date: 20140729