|Publication number||US3920001 A|
|Publication date||Nov 18, 1975|
|Filing date||Jun 10, 1974|
|Priority date||Jul 24, 1970|
|Also published as||CA938850A, CA938850A1, DE2128395A1, DE2128395B2, DE2128395C3, US3961622|
|Publication number||US 3920001 A, US 3920001A, US-A-3920001, US3920001 A, US3920001A|
|Inventors||Donald W Edwards|
|Original Assignee||Donald W Edwards|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (10), Referenced by (76), Classifications (58)|
|External Links: USPTO, USPTO Assignment, Espacenet|
United States Patent 1191 Edwards Nov. 18, 1975 1 ASPIRATOR DEVICE  Inventor: Donald W. Edwards, 821 Peoria Ave, Dixon, 111. 61021  Filed: June 10, 1974  Appl. No.: 477,847
Related US. Application Data  Continuation-impart of Ser. No. 58,049. July 24,
 US. Cl. 128/2 F; 128/D1G. 5; 128/215; 128/221  Int. Cl. A61B 5/14  Field of Search. 128/2 F, DIG. 5, 221, 218 N, 128/214 R, 214.2, 214.4, 215, 276, DIG. 25,
 References Cited UNlTED STATES PATENTS 2,402,306 6/1946 Turkel 128/214 R 2,512,568 6/1950 Saffir 128/215 2,590,895 4/1952 Scappellino 128/221 2,952,256 9/1960 Meader et a1 128/221 3,064,648 11/1962 Bujan 1 128/214 R 3,076,457 2/1963 COperi 128/221 3,277,893 10/1966 Clark 128/221 3,487,837 1/1970 Petersen l28/DIG. 26 3509880 5/1970 Guttman 1. 128/221 3,662,754 5/1972 Halloran 128/221 Primary Examiner-Kyle L. Howell 57 ABSTRACT The cannula is provided with a hub for mounting on a syringe. Adjacent the point of the cannula is a lateral opening which intersects the end opening. A slidable sleeve is provided for sealing to the cannula outwardly of the lateral opening during insertion of the cannula and, in some instances, during taking of the blood sample. An outwardly-extending disk is arranged at an oblique angle to the sleeve to seal against the skin of a patient.
3 Claims, 8 Drawing Figures US. Patent Nov. 18,1975 Sheet 1 0'52 1 3,920,001
U.S. Patent Nov. 18,1975 Sheet20f2 3,920,001
///I //////l L ASPIRATOR DEVICE CROSS REFERENCE This application is a continuation-in-part of application Ser. No. 58,049, filed July 24, 1970, now abandoned.
BACKGROUND The invention pertains to instruments used in the field of medicine and more particularly to an aspirator and method for taking a blood sample.
In taking a blood sample, it is customary to insert the cannula into a vein and withdraw a sample into a syringe. In the use of a conventional cannula it is necessary to accurately position the point in the vein in such a manner that the opening at the point is not blocked. For example, an l8-gauge cannula has a lumen of about 0.03 inch diameter. If the penetrating point is at a 30 angle, the axial length of the end opening is only about 0.06 inch. This emphasizes the problem of accurately positioning the point. If the cannula is inserted too deeply, the point may pass through the vein and the opening will be blocked. If the opening is otherwise positioned adjacent the wall of the vein, it may be blocked, or it may become blocked when a slight vacuum is applied in drawing blood. It is desirable to have a device that alleviates the necessity of accurate positioning, without affecting the operability. Additionally, the material punctured by the cannula has a tendency to bulge into the lumen and cause what is commonly known as coring or heel shaving. When this occurs, a piece of the material plugs the lumen so that it is difficult to draw a blood sample. It is desirable to have a device which alleviates the problem of coring, without affecting the operability of the aspirator.
In the practice of pediatrics, it is frequently necessary to take a blood sample of an infant perhaps a newborn baby. Such a sample may be taken from the femoral vein and, while it is usually possible to pierce the vein, to accurately position the point of a ZS-guage cannula is difficult at best. The femoral vein is near the femur and this fact is used in taking the sample. A cannula is inserted in the infants thigh until it contacts the femur, the cannula is then slowly retracted until the open end communicates with the femural vein. Obviously this is a difficult operation. It is desirable to provide a method which alleviates the necessity of accurately positioning the end of the cannula.
SUMMARY The present invention relates to an improved aspirator device and method.
It is an object of the present invention to provide a new and improved device and method for taking a blood sample and which is fully operative even when not exactly positioned.
Another object is to provide an aspirator device including a sleeve which is slidably mounted on the cannula and seals thereto.
Still another object is to provide an aspirator device which seals against the skin of a patient.
Yet another object is to provide an aspirator device in accordance with the preceding object and in which the member that seals against the skin is transparent for viewing therethrough.
These, and other objects and advantages of the present invention, will become apparent as the same becomes better understood from the following detailed description when taken in conjunction with the accompanying drawings.
DRAWINGS FIG. 1 is a side elevational view of a preferred embodiment of the present invention mounted on a syrmge;
FIG. 2 is a front view as seen from line 22 of FIG.
FIG. 3 is a view of the back side of the disk as seen from line 3-3 of FIG. 1;
FIG. 4 is an enlarged fragmentary side elevational view of the apparatus shown inserted in a vein which is partially shown in vertical section to illustrate details;
FIG. 5 is an enlarged longitudinal sectional view, through the sleeve and disk;
FIG. 6 is a cross-sectional view taken along line 66 of FIG. 5 and on a still larger scale;
FIG. 7 is a view similar to FIG. 4 but with the end of the cannula at a different position relative to the vein, and showing the lateral opening sealed by the sleeve; and
- FIG. 8 is a view similar to FIG. 5 but showing the lateral opening sealed by the sleeve.
DESCRIPTION Reference is now made more particularly to the drawings which illustrate the best presently known mode of carrying out the invention and wherein similar reference characters indicate the same parts throughout the several views.
A cannula, generally designated 10, preferably has a size in the range of 25 gauge to 16 gauge and includes a tubular body 12 providing a lumen 13. At the distal end of the body 12 is a penetrating point 14 provided by about a 30 angle of the distal end. Thus the lumen terminates at what can be described as an opening 21 at the distal end of the cannula. A hub 16 is provided at the proximal end of the cannula for attachment to a syringe 18. The syringe provides a reservoir for receiving blood from the patient, and has a plunger 19 for applying a partial vacuum on the reservoir as the plunger is retracted. Such syringes are well known in the art and additional description is deemed unnecessary. It is contemplated, however, that the present invention can be used with other suitable apparatus for applying a slight vacuum to draw blood from a patient.
In use, the cannula 10 is inserted through the skin 32 and moved therebeneath through the subcutaneous tissue 34. The piercing point 14 pierces the wall of a vein 36 or other blood vessel and moves into the vessel. A conventional cannula is provided with an opening adjacent the penetrating point 14. In use it is possible to partially or completely block this opening. For example, should the opening be positioned adjacent the wall of the vein 36, the flow of blood will be restricted. Additionally, if the cannula is inserted too deeply, the penetrating point 14 may pass through the vein thereby necessitating repositioning.
In accordance with the present invention, the cannula is formed with a lateral opening 22 through the cannula wall. The lateral opening 22 (see FIG. 4) intersects the opening 21 at the end of the cannula and having a width less than (see FIG. 6). The lateral opening provides an entrance for blood in the event that the open end is obstructed in any of the manners described above. The lateral opening 22 extends along the cannula to a remote end 23, a distance from the proximal end preferably in the range of 10 to 40 times the diameter of the lumen 13. For example, an 18 guage cannula has a lumen with a diameter of about 0.03 inch. For this size, the remote end 23 would be located between 0.3 inch and 1.2 inch from the proximal end of the cannula. In accordance with the present invention, it is essential that the cannula 10 have a smooth exterior surface with no obstructions thereon. For this purpose, the body 12 has a uniform outer diameter along its entire length.
It is essential to avoid introducing air into the vein 36 and also to avoid drawing air into the syringe 18 when taking a blood sample. For this purpose, a tubular sleeve 44 is provided to slidably surround the tubular body 12 of the cannula l and seal the lateral opening 22. It is necessary that the sleeve 44 seal to the tubular body 12 of the cannula prior to insertion (as shown in the position of FIG. 1 or FIG. 8), and that the cannula 10 be slidable extensible therethrough to the position shown in FIGS. 4, or 7 where the lateral opening can communicate with the vein 36. For this purpose, sleeve 44 has a bore 45 for receiving the tubular body of the cannula. The sleeve 44 has a length greater than the distance from the penetrating point 14 to the remote end 23 of the lateral opening 22, as shown in FIG. 8. The bore 45 is sized to closely receive the tubular body 12 and provide an air-tight seal thereagainst; for example, note the seal area designated 45a in FIG. 8. Yet the bore 44 is sized to permit sliding movement between the cannulaand sleeve, from the position shown in FIG. 1 all the way to the hub 16.
It is preferable to introduce the cannula into the skin 32 and vein 36 at an angle to facilitate penetration by the piercing point 14. For this purpose, a disk or base 46 is mounted on the sleeve 44 at an oblique angle to the axis of the sleeve. The base 46 is adapted to be positioned on the surface of the skin 32 in overlying relation to the vein 36, and the cannula is then pushed through the sleeve 44 to penetrate the skin and enter the vein of the patient. In order to facilitate aligning the cannula with the vein, the base 46 is preferably formed of a clear material such as transparent plastic. By pressure applied against the base 46, it will seal against the skin 32 of the patient. A base of about inch diameter is a suitable size for this purpose. An adhesive (not shown) can be applied to the underside of the base 46 to aid in holding the base and sleeve 46 in position over the vein and sealed against the skin 32.
In one preferred arrangement, the remote end 23 of the lateral opening 22 is k inch from the penetrating point 14, the sleeve 44 has a length of about X1 inch, and the cannula is 18 guage, having a length of about 2 inches.
The importance of the sealing of the base 46 against the skin 32 and of the sleeve 44 over the lateral opening 22, is demonstrated in FIG. 7. If the vein 36 is close to the surface of the skin 32, it is sometimes possible to pierce the vein while some of the lateral opening 22 is still exterior of the skin. When this occurs, the lateral opening 22 is sealed by the sleeve 44 while the base 46 seals against the skin 32. Not only is a larger opening provided for receiving the blood, but a smaller area of the cannula penetrates the patient sincethe end 23 is still exterior. In such use, the lateral opening 22 is sealed by the sleeve 44, and the base 46 seals against the skin 32 throughout the procedure. The cannula 10 is aligned with the vein 36 and inserted into the vein until the lateral opening communicates with the vein, but without regard to whether the lateral opening 22 is still external of the skin. Thereafter, a slight vacuum is applied to withdraw the blood sample.
In taking a blood sample from an infant, the apparatus of the present invention is also advantageous. The cannula 10 is inserted into the infants leg, through the femoral vein, until the penetrating point is adjacent the femur. In many instances, the lateral opening 22 will then be communicating with the femoral vein; however, the walls of the vein may be pinched together. Therefore, the cannula should be retracted slightly until proper communication is provided between the lateral opening and the femoral vein. Thereafter, a slight vacuum is applied to withdraw the blood sample.
It is now deemed apparent that the present invention provides an aspirator device and method which alleviates the necessity of accurately positioning the end of a cannula.
1. An aspirator device for taking a blood sample and which alleviates the necessity of accurate positioning, the device including: means defining a reservoir for receiving blood from a patient; means for applying a partial vacuum on the reservoir to draw blood from the patient; a cannula having a size in the range of 25 guage to 16 guage; the cannula having a penetrating point at its distal end and a hub at its proximal end operatively connected to the reservoir; the cannula having an opening at its distal end communicating with its lumen, and an axially elongate lateral opening through the cannula wall on the side opposite the penetrating point; the lateral opening intersecting the end opening and extending along the cannula to a remote end a distance from the distal end in the range of 10 to 40 times the diameter of the lumen of the cannula; the lateral opening having a width less than ;the cannula having a smooth exterior surface of uniform diameter extending the full length thereof, with no obstructions thereon; a slidable sealing sleeve having a length greater than the distance from the distal end to the remote end of the lateral opening; the cannula having a length greater than twice the length of the sleeve; the cannula slidably extending through the sleeve from a first position where the penetrating point is inside the sleeve and the lateral opening is covered by the sleeve, to a position contiguous to the hub; the sleeve closely surrounding the cannula and arranged to provide an air-tight seal against the cannula at said first position to provide an air-tight cover extending over the lateral opening both prior to and during insertion of the cannula into the patient; means at the end of the sleeve adjacent the penetrating point for sealing against the skin of the patient;
the last-mentioned means including an outwardlyextending base at an oblique angle to the axis of the sleeve and providing a flat, skin-engaging surface; the base being formed from a transparent synthetic resin and extending outwardly from the cannula about inch in each direction.
2. An aspirator device as set forth in claim 1 including an adhesive on the skin-engaging surface of the base for sealing against the skin of the patient.
3. An aspirator device as set forth in claim 2 wherein the remote end of the lateral opening is about A inch from the distal end of the cannula, the sleeve has a length of about inch, and the cannula has a length of about 2 inches.
|Cited Patent||Filing date||Publication date||Applicant||Title|
|US2402306 *||Oct 7, 1943||Jun 18, 1946||Turkel Henry||Retaining guard guide for needles|
|US2512568 *||Aug 13, 1946||Jun 20, 1950||Saffir Jacob A||Hypodermic injection device|
|US2590895 *||Nov 21, 1949||Apr 1, 1952||Scarpellino Louis A||Myelographic needle|
|US2952256 *||Dec 6, 1957||Sep 13, 1960||Sierra Eng Co||Epidural needle|
|US3064648 *||Apr 16, 1958||Nov 20, 1962||Abbott Lab||Intravenous needle assembly|
|US3076457 *||Feb 14, 1961||Feb 5, 1963||Irving Copen Simon||Hypodermic needle|
|US3277893 *||Jan 31, 1964||Oct 11, 1966||Becton Dickinson Co||Hypodermic projectile with barb in the cannula bevel|
|US3487837 *||Feb 6, 1967||Jan 6, 1970||Roy A Petersen||Device for holding catheters in position|
|US3509880 *||Mar 13, 1969||May 5, 1970||Guttman Yolan R||Intravenous needle hub construction|
|US3662754 *||May 4, 1970||May 16, 1972||Halloran William X||Injection apparatus|
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US4122556 *||Mar 23, 1977||Oct 31, 1978||Stanley Poler||Intra-ocular lens|
|US4596553 *||May 7, 1984||Jun 24, 1986||Hans Lee||Method and apparatus for performing suction lipectomy|
|US4627834 *||Sep 18, 1984||Dec 9, 1986||Hans Lee||Apparatus for performing suction lipectomy|
|US4676780 *||Feb 21, 1986||Jun 30, 1987||Hans Lee||Surgical apparatus for performing suction lipectomy|
|US4676788 *||Nov 27, 1985||Jun 30, 1987||E. I. Du Pont De Nemours And Company||Guide member for a vial|
|US4711636 *||Nov 8, 1985||Dec 8, 1987||Bierman Steven F||Catheterization system|
|US4713053 *||May 6, 1985||Dec 15, 1987||Hans Lee||Method and apparatus for performing suction lipectomy|
|US4900309 *||Jun 2, 1988||Feb 13, 1990||Fred Netherton||Needle shield|
|US4938743 *||Jun 29, 1989||Jul 3, 1990||Hans Lee||Surgical apparatus for performing suction lipectomy|
|US4985019 *||Mar 11, 1988||Jan 15, 1991||Michelson Gary K||X-ray marker|
|US5067899 *||Jan 7, 1991||Nov 26, 1991||Paschal Richard C||Air-water dental syringe with protective barrier|
|US5192273 *||May 4, 1990||Mar 9, 1993||Steven F. Bierman||Catheterization system|
|US5192274 *||May 8, 1991||Mar 9, 1993||Bierman Steven F||Anchor pad for catheterization system|
|US5290248 *||May 28, 1992||Mar 1, 1994||Steven F. Bierman||Sideport connector for catherization system|
|US5314411 *||May 3, 1991||May 24, 1994||Steven F. Bierman, M.D.||Catheterization system with universal retention device and method of use|
|US5354282 *||Mar 19, 1993||Oct 11, 1994||Bierman Steven F||Catheter anchoring system|
|US5437640 *||Jan 31, 1994||Aug 1, 1995||Schwab; Louis||Apparatus and method for inserting hypodermic, tuberculin and other needles and for administering Mantoux tuberculin tests|
|US5456671 *||Sep 15, 1993||Oct 10, 1995||Bierman; Steven F.||Catheter anchoring system|
|US5478315 *||Aug 8, 1994||Dec 26, 1995||Brothers Family Investments, L.C.||Local anesthetic injection system|
|US5578013 *||Apr 6, 1994||Nov 26, 1996||Venetec International, Inc.||Catheter anchoring system|
|US5658306 *||Jul 1, 1994||Aug 19, 1997||Archimedes Surgical, Inc.||Method for making additional incisions in laparoscopic surgery|
|US5702371 *||Apr 27, 1995||Dec 30, 1997||Venetec International, Inc.||Tube fitting anchoring system|
|US5800402 *||May 10, 1996||Sep 1, 1998||Venetec International, Inc.||Catheter anchoring system and method of use|
|US5810781 *||Feb 14, 1996||Sep 22, 1998||Venetec International, Inc.||Catheter fitting securement device|
|US5827230 *||Nov 25, 1996||Oct 27, 1998||Venetec International, Inc.||Catheter anchoring system|
|US5833667 *||Mar 7, 1996||Nov 10, 1998||Venetec International, Inc.||Catheter anchoring system|
|US6290676||Apr 27, 1998||Sep 18, 2001||Venetec International, Inc.||Catheter anchoring system|
|US6322536||Sep 10, 1999||Nov 27, 2001||Cornell Research Foundation, Inc.||Minimally invasive gene therapy delivery and method|
|US6491664||Aug 17, 1999||Dec 10, 2002||Venetec International, Inc.||Anchoring system for a medical article|
|US6508802||May 23, 2000||Jan 21, 2003||Cornell Research Foundation, Inc.||Remote sensing gene therapy delivery device and method of administering a therapeutic solution to a heart|
|US6629958 *||Jun 7, 2000||Oct 7, 2003||Ronald P. Spinello||Leak sealing needle|
|US6786892||Mar 15, 2001||Sep 7, 2004||Venetec International, Inc.||Catheter anchoring system|
|US6827705||Mar 11, 2002||Dec 7, 2004||Venetec International, Inc.||Catheter anchoring system|
|US6837875||Oct 2, 1998||Jan 4, 2005||Venetec International, Inc.||Catheter anchoring system|
|US6971999||Nov 14, 2002||Dec 6, 2005||Medical Instill Technologies, Inc.||Intradermal delivery device and method|
|US6979320||Dec 10, 2002||Dec 27, 2005||Venetec International, Inc.||Anchoring system for a medical article|
|US7316679||Jan 22, 2001||Jan 8, 2008||Venetec International, Inc.||Medical device connector fitting|
|US7354421||Oct 1, 2003||Apr 8, 2008||Venetec International, Inc.||Catheter securement device|
|US7520870||Nov 3, 2005||Apr 21, 2009||Venetec International, Inc.||Anchoring system for a medical article|
|US7578804||Aug 10, 2007||Aug 25, 2009||Venetec International, Inc.||Anchoring system for a medical article|
|US7648492||Oct 19, 2007||Jan 19, 2010||Venetec International, Inc.||Catheter securement device|
|US7744572||Jun 29, 2010||Venetec International, Inc.||Catheter anchoring system|
|US7887515||Nov 23, 2004||Feb 15, 2011||Venetec International, Inc.||Catheter anchoring system|
|US7935084||May 3, 2011||Venetec International, Inc.||Catheter securement device|
|US7967792||Mar 2, 2007||Jun 28, 2011||Venetec International, Inc.||Catheter anchoring system|
|US7998119||May 23, 2005||Aug 16, 2011||Nano Pass Technologies Ltd.||System and method for delivering fluid into flexible biological barrier|
|US8043280||Nov 30, 2007||Oct 25, 2011||Venetec International, Inc.||Medical device connector fitting|
|US8052649||Sep 15, 2006||Nov 8, 2011||Venetec International, Inc.||Medical tubing securement assembly and methods of use|
|US8177756||May 15, 2012||Venetec International, Inc.||Medical tubing securement assembly and methods of use|
|US8282606||Aug 20, 2007||Oct 9, 2012||Venetec International, Inc.||Anchoring system for a medical article|
|US8292849||Sep 9, 2010||Oct 23, 2012||Medtronic Minimed, Inc.||Insertion device for an insertion set and method of using the same|
|US8540680||Jul 17, 2008||Sep 24, 2013||C.R. Bard, Inc.||Medical line securement device with locating guides|
|US8585655||May 23, 2006||Nov 19, 2013||Venetec International, Inc.||Securement device for I.V. t-connector|
|US8608705||Mar 4, 2010||Dec 17, 2013||C.R. Bard, Inc.||Catheter securement device|
|US8628498||Jun 30, 2011||Jan 14, 2014||Medtronic Minimed, Inc.||Insertion device for an insertion set and method of using the same|
|US8641674||Sep 19, 2012||Feb 4, 2014||Medtronic Minimed, Inc.||Insertion device for an insertion set and method of using the same|
|US8641678||Apr 26, 2011||Feb 4, 2014||Venetec International, Inc.||Catheter securement device|
|US8679067||May 14, 2012||Mar 25, 2014||Venetec International, Inc.||Medical tubing securement assembly and methods of use|
|US9017290||Dec 17, 2013||Apr 28, 2015||C. R. Bard. Inc.||Catheter securement device|
|US20020133121 *||Mar 11, 2002||Sep 19, 2002||Bierman Steven F.||Catheter anchoring system|
|US20030093032 *||Nov 14, 2002||May 15, 2003||Daniel Py||Intradermal delivery device and method|
|US20040147901 *||Jul 8, 2003||Jul 29, 2004||Medical Instill||Intradermal delivery device, and method of intradermal delivery|
|US20040243146 *||Nov 18, 2003||Dec 2, 2004||Chesbrough Richard M||Method and apparatus for supporting a medical device|
|US20050209566 *||May 23, 2005||Sep 22, 2005||Nano Pass Technologies Ltd.||System and method for delivering fluid into flexible biological barrier|
|US20060064063 *||Nov 3, 2005||Mar 23, 2006||Bierman Steven F||Anchoring system for a medical article|
|US20070129685 *||Nov 3, 2005||Jun 7, 2007||Venetec International, Inc.||Anchoring System for a Medical Article|
|US20080027392 *||Aug 20, 2007||Jan 31, 2008||Venetec International, Inc.||Anchoring system for a medical article|
|US20080027393 *||Aug 10, 2007||Jan 31, 2008||Venetec International, Inc.||Anchoring system for a medical article|
|US20090143741 *||Jul 17, 2008||Jun 4, 2009||C.R. Bard, Inc.||Medical line securement device with locating guides|
|US20110040256 *||Feb 17, 2011||Medtronic Minimed, Inc.||Insertion Device for an Insertion Set and Method of Using the Same|
|EP0173653A2 *||Jul 17, 1985||Mar 5, 1986||Roberto Zambelli||Instrument for carrying out biopsies|
|WO1996001074A2 *||Jun 29, 1995||Jan 18, 1996||General Surgical Innovations, Inc.||Method and apparatus for making additional incisions in laparoscopic surgery|
|WO1996001074A3 *||Jun 29, 1995||Feb 22, 1996||Gen Surgical Innovations Inc||Method and apparatus for making additional incisions in laparoscopic surgery|
|WO2001010315A1 *||Aug 4, 2000||Feb 15, 2001||Cornell Research Foundation, Inc.||Gene therapy platformed needle and method of administering a therapeutic solution to a heart|
|WO2010064211A2 *||Dec 3, 2009||Jun 10, 2010||Nanopass Technologies Ltd.||Intradermal mini-needle interface and associated devices and methods|
|WO2010064211A3 *||Dec 3, 2009||Sep 30, 2010||Nanopass Technologies Ltd.||Intradermal mini-needle interface and associated devices and methods|
|U.S. Classification||600/578, 604/198, 604/180, 604/116, 604/239|
|International Classification||A61B17/34, A61M5/158, A61B19/00, A61B5/15, A61M5/31, A61B10/00, A61B10/02, A61B5/145, A61M5/32|
|Cooperative Classification||A61B5/150396, A61B5/14, A61B5/150236, A61M5/158, A61B5/150259, A61M2205/197, A61B5/153, A61B2017/00907, A61M5/32, A61B5/150244, A61B10/0283, A61M5/329, A61B5/150519, A61B5/150389, A61M5/31, A61M2005/1585, A61B5/150732, A61B5/150511, A61B5/150175, A61B17/3403, A61B5/1405, A61M5/3287, A61B5/15003, A61B5/150748, A61M5/3291|
|European Classification||A61B17/34D, A61M5/158, A61M5/32F, A61B5/153, A61B5/15B18B10D, A61B5/15B20, A61B5/15B2D, A61B5/15B8H, A61B5/15B8J, A61B5/15B8N, A61B5/15B18B10B, A61B5/15B18B2, A61B5/15B24, A61B5/15B18B2B, A61M5/31, A61B5/14B, A61M5/32, A61B5/14, A61B10/02P8|