Devices and methods for securing elongated members to medical devices

Abstract

To provide an apparatus and a method for securing an elongate member to a medical instrument.SOLUTION: An apparatus and a method for securing an elongate member to a medical instrument are provided. The apparatus comprises an attachment device including a base, a liner, and an adhesive. The base comprises an aperture configured to receive the elongate member, wherein the liner is positioned adjacent the aperture and axially aligned with the elongate member when the attachment device is coupled to the medical instrument. The attachment device may comprise a pair of apertures and the liner may be positioned adjacent the adhesive and at least partially between the pair of apertures. The method of securing the elongate member to the medical instrument comprises threading the elongate member through the aperture of the attachment device and adhering the attachment device to the medical instrument. The method of manufacturing the attachment device may comprise cutting the aperture in the base, the adhesive, and liner.SELECTED DRAWING: Figure 3

Description

[Technical Field]

[0001] [Related Applications] This application claims priority from U.S. Application No. 62 / 626,440, filed February 5, 2018. and the benefit thereof, the disclosure of which is hereby incorporated by reference in its entirety. This shall be included. [Background technology]

[0002] In traditional medical procedures, a medical professional approaches the local surgical site to observe and treat the area. Surgical tools and / or medical instruments are regularly used to treat or assist in the treatment of Depending on the tool application, for example, high speed drills, rotary burrs, fenestration shavers, etc. Inevitably, heat and / or debris accumulate at the surgical site. In combination with the irrigation system, the irrigation system typically comprises a fluid source and a flexible conduit. The flexible conduit or tube is connected to the medical device and provides a fluid path from the fluid source. Therefore, the elongated member or tube is connected to the medical device. The attachment device for connecting the irrigation tube is designed to overcome various drawbacks of conventional irrigation tube connection mechanisms. There is a need in the art for a mounting device configured in this manner. Summary of the Invention

[0003] The present disclosure generally relates to a method for attaching a flexible conduit or elongate member, such as a tube, to a medical device. The device comprises an elongated member having a lumen to facilitate irrigation. and a mounting device configured to secure the medical device to the medical device.

[0004] One exemplary configuration of the device includes a catheter positioned at least partially between the base and the liner. The base has a first base opening and a second base opening. the liner is at least partially between the first and second base openings adjacent the adhesive. The attachment device is configured to attach an elongated member, such as a flexible conduit or tube, to the proximal opening. The elongated member is attached to the medical device by sewing the adhesive into the medical device and adhering the exposed portion of the adhesive to the medical device. The device is configured to be removably secured to the device.

[0005] In another exemplary configuration of an attachment device for securing an elongate member to a medical device, the attachment device comprises: The adhesive includes a liner, a base, and an adhesive. The base has a first base opening and a second base opening. The adhesive is at least partially disposed between the base and the liner. The liner is disposed adjacent to the adhesive and between the first and second base openings. It is arranged so as to be partially located.

[0006] In yet another exemplary embodiment of an attachment device for securing an elongate member to a medical device, the attachment device The adhesive sheet includes a first liner, a second liner, a base, and an adhesive. The adhesive is attached to the base, the first liner, and the second base opening. The first liner is disposed at least partially between the first and second liners. The second liner is disposed adjacent to the second base opening. The first liner and the second liner are defined by a first base opening and a second base opening. The long axis and the axial direction are aligned straight.

[0007] In yet another exemplary configuration of an attachment device for securing an elongate member to a medical device, the attachment device The mounting bracket includes a base having a top surface, a bottom surface, a first base opening, and a second base opening. The device is at least one base opening on the bottom surface of the base so as not to be located between the first base opening and the base opening. The adhesive also includes an adhesive disposed partially thereon.

[0008] In yet another exemplary configuration of an attachment device for securing an elongate member to a medical device, the attachment device The adhesive includes a liner, a base, and an adhesive. The base has a first base opening and a second base opening. The liner has at least a portion between the first base opening and the second base opening. The adhesive is placed on the base so that it is properly positioned.

[0009] An exemplary configuration of an attachment device assembly for securing an elongate member to a medical device includes: The attachment device includes a liner, a base, and an adhesive. The base is attached to a first substrate. The adhesive has at least one base opening and a second base opening. The liner is at least partially disposed between the first base opening and the second base opening. The mounting device assembly is also partially positioned adjacent to the adhesive. a operably connectable indicator tab indicating how the attachment device is attached to the medical device; The device further includes an indicator tab having a marking.

[0010] Another exemplary configuration of an attachment device for use with a medical instrument to facilitate irrigation includes: The mounting device assembly includes a mounting device. The mounting device has a first base opening and a second base opening. The mounting device includes a base having a base opening. The mounting device includes an adhesive disposed on the base. The attachment device assembly includes an elongated portion sewn into the first and second base openings. The device further includes a material.

[0011] An exemplary irrigation system is a medical instrument configured to cut tissue, The medical device includes a body configured to be held by the irrigation system. The system includes an elongated member and an attachment member configured to removably connect the elongated member to a medical device. The attachment device further comprises a liner, a base, and an adhesive. The adhesive has a first base opening and a second base opening. The liner has a first base opening, a second base opening, and The elongated member is at least partially located between the adhesive and the adhesive. is sewn into the first base opening and the second base opening so as to be adjacent to the body of the medical device. are.

[0012] The method of connecting an elongate member to a medical device may include providing an attachment device. The attachment device includes a liner, a base having a first base opening and a second base opening, and an adhesive. The adhesive is at least partially disposed between the base and the liner, and the adhesive is The ner is at least partially positioned between the first base opening and the second base opening and is adapted to be attached to the adhesive. This method is performed so that the elongated member is axially aligned with the liner. and further comprising the step of sewing the elongated member through the first base opening and the second base opening. The method may further comprise the step of adhering the attachment device to the medical device, the elongated member being attached. The exposed portion of the adhesive is attached so as to be at least partially disposed between the device and the medical device. The method may also include the step of removably coupling the device to a medical instrument.

[0013] A method of manufacturing an attachment device for releasably connecting an elongate member to a medical device includes: The method may include providing a base material having a bottom surface and an opposing bottom surface. The method may further include applying an adhesive to a bottom surface of the base material. such that the nozzle is at least partially disposed between the first base opening and the second base opening. The liner is removably coupled to the adhesive, and a first base material is attached to the base material, adhesive, and liner. Cutting the opening and the second base opening may also be included.

[0014] These and other embodiments, features, and advantages of the present disclosure will be apparent to those skilled in the art. The present disclosure is not limited to or includes these embodiments, features, and advantages. The present invention is not limited to these embodiments, features, and advantages.

[0015] Referring now to the drawings, illustrative examples are shown in detail. The drawings show schematic embodiments. 1A and 1B are diagrams, not necessarily to scale, to better illustrate the novel aspects of the exemplary embodiments. Also, for purposes of illustration, some features may be exaggerated. Illustrative examples are not intended to be exhaustive or to be limiting of the scope of the invention as shown in the drawings and detailed below. It is not intended to be limiting or restricting the invention to the precise forms and configurations disclosed in the description. Not at all.

[0016] The present disclosure may be better understood by reference to the following detailed description taken in conjunction with the accompanying drawings, in which: If it is understood, it will become clear quickly. [Brief explanation of the drawings]

[0017] [Figure 1] FIG. 10 is a top view of an attachment device for securing an elongate member to a medical device. [Figure 2] FIG. 2 is a perspective view of the mounting device of FIG. 1. [Figure 3] 2 is a cross-sectional view of the mounting device of FIG. 1 showing an exemplary configuration of various elements of the mounting device. [Figure 4A] 2 is a bottom view of the mounting device of FIG. 1 showing a first embodiment of a liner. [Figure 4B] 4B is a rotated cross-sectional view of the mounting device of FIG. 4A with a first embodiment of a liner. [Figure 5A] 2 is a bottom view of the mounting device of FIG. 1 showing a second embodiment of a liner. [Figure 5B] 5B is a rotated cross-sectional view of the mounting device of FIG. 5A with a second embodiment of a liner. [Figure 6A] 10 is a bottom view of the mounting device of FIG. 1 showing a third embodiment of a liner. [Figure 6B] 6B is a rotated cross-sectional view of the mounting device of FIG. 6A with a third embodiment of a liner. [Figure 7] 2 is a top view of a mounting device assembly including an indicator tab and the mounting device of FIG. 1. [Figure 8] FIG. 8 is a partially exploded view of the mounting device assembly of FIG. 7. [Figure 9] 10 is a top view of an indicator tab including example markings that represent how the attachment device is used to secure the elongate member to the medical device. FIG. [Figure 10] FIG. 16 is a perspective view of a partially disassembled and partially assembled attachment device assembly including an elongate member and an irrigation sleeve. [Figure 11] 11A and 11B are top and bottom views of the assembled attachment device assembly of FIG. 10 including the elongated member and irrigation sleeve. [Figure 12A] 2 is a perspective view of a method of securing an elongate member to a medical device using the attachment device of FIG. 1. FIG. [Figure 12B]12A is a perspective view of the method of FIG. 12A for securing an elongate member to a medical device using the attachment device of FIG. 1. [Figure 12C] 12A is a perspective view of the method of FIG. 12A for securing an elongate member to a medical device using the attachment device of FIG. 1. DETAILED DESCRIPTION OF THE INVENTION

[0018] Medical professionals are able to reduce the size of incisions and recovery time required after invasive medical procedures. In an effort to reduce the size of medical instruments, medical instruments used in various medical procedures are becoming smaller. Examples of medical instruments used in medical procedures include high-speed drills, rotary burrs, fenestration shavers, etc. An exemplary medical device is the No. 5,941,891, the disclosure of which is incorporated herein by reference. These cutting accessories are incorporated herein in their entirety by reference to the accompanying drawings. Many use irrigation or suction to reduce heat and / or remove debris at the surgical site. Similarly, irrigation may be used to lubricate cutting accessories. Generally, an elongate member, for example an elongate member with a lumen, provides a path from an irrigation source to a surgical site and The elongated member is used to direct fluid toward the sterilization process and / or the cutting accessory. It is only temporarily attached to the medical device as it is discarded as part of the device. The size, profile, and / or shape of the medical device may be improved by introducing additional elements such as elongated members for or increase overall bulk. A loose, elongated piece extending from the irrigation system to the cutting accessory The member may obstruct the view of the medical professional during the operation of the medical instrument during the medical procedure and / or The positioning of the elongated member relative to the medical device may also affect the use of the medical device. It can have an uncontrollable effect and inhibit the ability of medical professionals to use medical equipment. The medical professional may use an attachment device and / or attachment device assembly to secure the elongated member to the medical device. For example, the mounting device shown in FIGS. 1 and 2 may be used.

[0019] 1, 2, and 3, one exemplary configuration of the mounting device 10 is shown. Generally, the attachment device 10 includes a base 12, an adhesive 14, and a liner 16, and is attached to the medical device 4. The mounting device 10 is configured as a laminate and is attached to a base 8. 12, adhesive 14, and liner 16 each comprise a type of attachment device 10 as shown in FIG. For example, referring to FIGS. 2 and 3, The mounting device 10 comprises a base 12, an adhesive 14, and a liner 16, which are stacked one on top of the other. Alternatively, the base 12, adhesive 14, and liner 16 may be assembled as individual elements. These individual elements may be configured to interconnect the base 12 and the liner 16. It is preferable to assemble them using adhesive 14 as shown in FIG.

[0020] The base 12 is constructed from a flexible, tear-resistant material. For example, the base The base 12 may be constructed from a variety of materials, including, but not limited to, plastic, composite materials. For example, when used in hospitals or operating rooms, it is desirable to have resistance to deterioration or erosion. For example, the base 12 may have one or more complementary shaped openings (11, 12a, 12b) as described below. 8a, 18B), for example, a generally elliptical shape as shown in FIGS. The generally oval shape allows the attachment device 10 to be attached to a medical device having a generally convex surface. When connecting to a structure, even if its contour is limited, it can provide the necessary structural properties. Although not shown, the base 12 may be cut into various shapes and / or configurations depending on the application. For example, the base 12 may be cut into a square, rectangle, or similar polygonal shape. This provides alternative structural features and / or advantages when connecting the mounting device 10 to a substantially flat surface. However, the above examples are not intended to be limiting and may include, for example, The angular base may be connected to a convex surface, and the generally circular base 12 may be connected to a flat surface. .

[0021] The base 12 is configured to have at least one label printed thereon so that text and / or graphics can be printed on at least a portion of the base 12. The base 12 may also be partially translucent and printable. A printed identification mark or graphic and a sign showing instructions for using the mounting device 10 The base 12 may also be writable. 12 provides a writing surface on which a medical professional can write with a typical writing implement, such as a pen, marker, or lead. Even if the date of use or installation can be written on the base 12 with a writing brush, good.

[0022] The adhesive 14 is generally positioned such that a portion of the adhesive 14 is located between the base 12 and the liner 16. For example, the adhesive 14 is disposed on at least one surface of the base 12. 12, at least one surface, for example, the bottom surface, is coated on or covers the entire area. Preferably, the liner 16 is configured to cover the adhesive while exposing a portion of the adhesive disposed on the base 12. The liner 16 may be configured to cover a defined area of ​​the substrate 14. The exposed (uncovered) portion of adhesive 14 is used to attach attachment device 10 to a medical device (described in more detail below). The liner is configured to be removably coupled to the attachment 48. In other words, the liner After the device is secured to the medical device 48, it will remain in the attachment device 10.

[0023] The adhesive 14 is configured to attach the base 12 to the liner 16 and / or the medical device 48. Compounds such as pastes, silicones, glues, rubber cements, or similar adhesives Similarly, adhesive 14 is attached to both base 12 and liner 16. Adhesive tape that allows attachment, for example, double-sided tape with adhesive on both sides. For example, the adhesive 14 may be a 3M TM Medical grade adhesives manufactured by, e.g. , 3M TM 9865 polyethylene single sided medical tape. The adhesive 14 is and / or suitable for use in dirty environments and safe for attachment to human skin; It is composed of:

[0024] The liner 16 is adjacent, e.g., directly adjacent, to the adhesive 14 on the opposite side of the base 12. The liner 16 is configured to be coupled to the adhesive. A liner 16 may be placed over the adhesive 14 to cover the area where the adhesive is attached. The liner 16 may be removably coupled to the adhesive 14 of the device 10. 4. Made from materials treated with a compound that allows for easy removal from the For example, wax or Teflon may be applied to the liner 16. TM It is preferable that a coating is applied. The liner 16 may be similar to the backing of a sticker, specifically an adhesive 1 14. The adhesive 14 may be easily removable or separable from the adhesive 14 while remaining connected to the adhesive 14. However, when the attachment device is secured to the medical device, at least a portion of the liner 16 may remain on the mounting device.

[0025] As shown in FIGS. 1, 2 and 3, the mounting device 10 includes a first base opening formed in the base 12. The drawing shows the first base opening 18A and the second base opening 18B. Although the mounting device 10 is shown configured with two base openings 18B, the mounting device 10 may be configured with a single It will be appreciated that the base opening may be configured to have three or more base openings. As will be described in detail below, the positions, shapes, and and / or number depending on the location and configuration of the adhesive 14 and / or liner 16, e.g. The location and configuration of these openings may be varied.

[0026] As shown in FIG. 1, the first base opening 18A and the second base opening 18B are The first base opening 18A and the second base opening 18B are configured to define a longitudinal axis L. For example, the longitudinal axis L extends from the first base opening 18A and the second base opening 18B. The base opening 18B is bisected by one or more of the following configurations of the mounting device 10: In the embodiment, the liner 16 is defined by a first base opening 18A and a second base opening 18B. The "true" axis is configured to be substantially aligned with the longitudinal axis L. The term "aligned" means that the major axis of the liner 16 is parallel to the major axis L. More generally, in some embodiments, at least one of the liner 16 The adhesive 14 is positioned between the first base opening 18A and the second base opening 18B. In other words, in some embodiments, the liner 16 is disposed on the longitudinal axis L and / or Alternatively, the first and second base openings 18A, 18B may be arranged in other configurations. become.

[0027] The mounting device 10 also includes adhesive openings 19A, 19B formed in the adhesive 14. The adhesive openings 19A and 19B are aligned with the first base opening 18A and the second base opening 18B. The liner 16 is arranged to be aligned with the liner opening, for example, to be coaxial. It is further contemplated that the liner openings 21A, 21B may be provided. The first base opening 18A and the second base opening 18B and / or the adhesive openings 19A, 19B are It is good that it is aligned with B, for example, it is good that it is coaxial. In this embodiment, base openings 18A, 18B, adhesive openings 19A, 19B, and liner opening 21A are provided. , 21B are arranged in a linked manner so that the centers of their openings are aligned in a straight line. However, in other embodiments, the base openings 18A, 18B, adhesive openings 19A, 19B, and The liner openings 21A, 21B are partially straight to allow the elongated members to pass through. The base openings 18A, 18B, adhesive openings 19A, 19B, or lathe openings 18A, 18B may be aligned immediately. The shapes and / or sizes of the inner openings 21A, 21B may be the same or different. For example, as shown in FIGS. 1-3, base openings 18A, 18B and / or The size of the adhesive openings 19A, 19B is determined based on the size of the adhesive openings 19A, 19B. In order to prevent the transfer of the adhesive 14, the openings are set to be larger than the liner openings 21A and 21B. It may be specified.

[0028] Alternatively, in other configurations of the mounting device 10, the base 12 surrounds the base openings 18A, 18B. The base 12 may have a recess 20, bevel, chamfer, fillet, or similar transition between opposing surfaces thereof. The recess 20 surrounding the openings 18A and 18B may be provided in the openings 18A and 18B. It may be configured to reduce stress or strain on the base 12 at its periphery.

[0029] 4A and 4B, an exemplary configuration of the first liner 16A is shown. In one exemplary configuration of the liner 16A, the liner 16A has at least one The adhesive is applied to the base 12 so that a portion of the adhesive is positioned between the first and second base openings 18A and 18B. The liner 16A is configured to be removably coupled to the base 14. 2. The adhesive 12 extends beyond the area located between the first and second base openings 18A, 18B. For example, the liner 16A is configured as shown in FIGS. , covering a portion of the adhesive 14 surrounding the first and second base openings 18A, 18B of the base 12. Therefore, the adhesive 14 is preferably configured to adhere to the first and second base openings of the base 12. The liner 16A is configured such that the liner 16A is not exposed between the openings 18A and 18B. 16A has liner openings 21A and 21B.

[0030] The cross-sectional view shown in FIG. 4B illustrates the base openings 18A, 18B and adhesive openings 19A, 19B. The mounting device 10 is shown with liner openings 21A and 21B each having a substantially equal diameter. , relative to the respective sizes of the base openings 18A, 18B and / or adhesive openings 19A, 19B. This is because the base openings 18A and 18B are configured to be small enough to allow the object passing through them to pass through. This is to prevent the adhesive from transferring. , 21B may vary depending on the size of the base openings 18A, 18B and / or adhesives 19A, 19B. For example, the base openings 18A and 18B, the adhesive openings 19A and 19B, and / or liner openings 21A, 21B are of equal size, e.g., 1 / 2" through mounting device 10 The first base opening 18A and the second base opening 18B may have the same diameter. The first liner opening 19A and the first adhesive opening 21A are respectively connected to the second base opening 1 8B, second liner opening 19B, and second adhesive opening 21B may be of different sizes and / or It is also contemplated that the may have a shape.

[0031] Base openings 18A, 18B, adhesive openings 19A, 19B, and liner openings 21A, 21B. B is when the base 12, adhesive 14, and / or liner 16 are stacked one on top of the other in the vertical direction. They are preferably arranged so that they are generally aligned in a straight line, for example, so that they are coaxial. 2, the base openings 18A and 18B, the adhesive openings 19A and 19B, and the liner opening 21 A, 21B form a continuous opening through the mounting device 10. Alternatively, the size of each opening may be It is also contemplated that the sizes, shapes, and / or locations may differ from one another. For example, The center of the base openings 18A, 18B and / or adhesive openings 19A, 19B is the liner opening In yet another configuration, the base openings 18A and 18B may be offset from the center. The shape of the adhesive openings 19A, 19B is different from the shape of the liner openings 21A, 21B. For example, the liner openings 21A and 21B may be configured as circles, and the base The openings 18A, 18B and / or adhesive openings 19A, 19B may be configured as ellipses. This configuration helps prevent transfer of adhesive 14 to elongate strip 36.

[0032] In other configurations, a portion of the adhesive 14 may be applied to the area of ​​the base 12 surrounding the base openings 18A, 18B. 19A, 19B, thereby increasing the size, e.g., diameter, of the adhesive openings 19A, 19B. In other words, in this case, one portion of the base 12 surrounding the base openings 18A and 18B may be The base opening 18 relative to the liner openings 21A, 21B does not come into direct contact with the adhesive 14. A, 18B and / or adhesive openings 19A, 19B. The advantage of this is that the elongated member 36 is sewn into the base openings 18A, 18B of the attachment device 10. This is sometimes to prevent the adhesive 14 from seeping or transferring onto the elongated members 36 .

[0033] 5A and 5B, an exemplary configuration of the second liner 16B is shown. In the exemplary configuration of two liners 16B, the liners 16B are A portion of the adhesive 14 is located between the first and second base openings 18A, 18B of the base 12. The second liner 16B is configured to be connected to the adhesive 14. The removed portion of the liner 16B is exposed to the first and second base openings 18A, 18B and / or adhesive. The liner 16B shown in FIGS. 5A and 5B does not surround the openings 19A and 19B. a strip-like adhesive connected to the portion of the adhesive located between the first and second base openings 18A, 18B; , belt-like, strap-like, band-like, or ribbon-like material.

[0034] The length and width of liner 16B are such that the base openings 18A, 18B and / or adhesive opening 19A , 19B and the dimensions of the elongated member 36. The length and width of 16B are between base openings 18A, 18B and / or adhesive openings 19A, 19B. Although not required, the width of the liner 16B is typically Typically, the base openings 18A, 18B and / or adhesive openings 19A, 19B are larger than the base openings 18A, 18B and / or adhesive openings 19A, 19B. For example, the width of the liner 16B is at least as large as the width of the base openings 18A, 18B and and / or the diameter of the adhesive openings 19A, 19B may be equal to or larger than the length of the liner 16B. Rather, it depends on the size of the adhesive openings 19A and 19B. For example, the base openings of the base 12 To prevent exposure of the portion of adhesive 14 covering the area between 18A and 18B, liner 1 The edge of the adhesive 14 located between the base openings 18A and 18B of the base 12 is at least partly As shown in FIGS. 5A and 5B, the liner 16B The length of each of the base openings 18A, 18B and / or adhesive openings 19A, 19B is The liner 16B has a base opening 18A, a base opening 18B, and a distance between the ...B and the liner 16B. and / or extend over and cover a portion of adhesive 19A, 19B. If adhesive 14 is flush with base openings 18A and 18B, liner 16B will be flush with the base openings 18A and 18B. Similarly, the base openings 18A and 18B may be configured to extend between the edges of the base openings 18A and 18B, thereby The liner 16B is flush with the edges of the base openings 18A and 18B. Once the portion of adhesive 14 surrounding openings 18A, 18B has been removed, the length of liner 16B is Because the thickness is reduced, the liner 16B is positioned at the base opening 18 in contact with the adhesive 14 of the base 12. This would only cover the area between A and 18B.

[0035] 6A and 6B, an exemplary configuration of the third liner 16C is shown. 4A-5B, the configuration of liners 16A, 16B in this exemplary configuration is similar to that shown in FIGS. A third liner 16C is connected to the adhesive 14 and is disposed adjacent the base openings 18A and 18B. The liner 16C is positioned between the first base opening 18A and the second base opening 16B. A portion of adhesive 14 extends substantially parallel to or along the longitudinal axis L. The liner 16C is connected to the first base opening 18A and the second base opening 18B. The longitudinal axis L defined by the "true" axis is preferably substantially aligned with the longitudinal axis L defined by the "true" axis. The term "aligned" means that the major axis of the liner 16 is parallel to the major axis L. As shown in Figures 6A and 6B, the liner 16C has first and second It does not need to be placed on the portion of adhesive 14 located between base openings 18A and 18B. In the exemplary construction shown in FIGS. 6A and 6B, the liner 16C is constructed from multiple pieces. These multiple pieces are positioned adjacent to the base openings 18A and 18B, respectively. These multiple pieces of 16C extend from the base openings 18A, 18B relative to the center of the mounting device 10. Alternatively, the liner 16C may be positioned between the first and second base openings of the base 12. (Not located between 18A, 18B) and located adjacent to the first and second base openings 18A, 18B. The adhesive 14 may be placed on the portion of the adhesive 14 that is to be adhered to the surface of the substrate 11 .

[0036] The size and / or location of liner 16C is at least partially determined by the base openings 18A, 18B. B and / or the size and / or location of adhesive openings 19A, 19B and the dimensions of elongated member 36 The length and width of the liner 16C are also determined by the base openings 18A, 18B and / or The distance between the adhesive openings 19A, 19B and / or the outer edge of the mounting device 10 may be set. Although not required, the width of the liner 16C is typically 8B and / or adhesive openings 19A, 19B. For example, the width of the liner 16C is equal to the width of the base openings 18A, 18B and the adhesive openings 19A, 19B. The length of the liner 16C may be equal to or greater than the diameter of the adhesive opening 19A. For example, the area between the base openings 18A and 18B of the base 12 and and the adhesive covering the outer edge of the mounting device 10 is exposed. The outer edge is located in the area between the base openings 18A and 18B of the base 12 and the outer edge of the mounting device 10. It is preferable that the adhesive 14 is at least partially covered. As such, the length of the liner 16C is determined by the distance between the edges of the base openings 18A, 18B and the length of the attachment device. The liner 16C preferably has a length longer than the outer edge of the base openings 18A, 18B and and / or extend into and cover a portion of adhesive openings 19A, 19B. If adhesive 14 is flush with base openings 18A, 18B, liner 16C , may be configured to extend between the edges of the base openings 18A, 18B, thereby Thus, the liner 16C is flush with the edges of the base openings 18A and 18B. Once the portion of adhesive surrounding the base openings 18A, 18B has been removed, the length of the liner 16C is The reduced thickness allows the liner 16C to fit over the area between the base openings 18A and 18B of the base 12 and 1 and 2. The adhesive 14 is then applied to the mounting device 10 ...

[0037] Although various configurations of liner 16 have been described, the mounting device 10 may be configured without a liner. It should be understood that the mounting device 10 may be configured without a liner. In some embodiments, the liner may be removed from the mounting device 10 in the same position and / or shape as when it was removed. For example, the mounting device 10 may have an upper surface and an upper surface. The device may be configured to have a base 12 having a lower surface. The attachment device 10 also preferably includes a first base opening 18A and a second base opening 18B. The adhesive 14 is applied to the area between the first base opening 18A and the second base opening 18B of the base 12. The area may be at least partially disposed on the bottom surface of the base 12 so that the area is free of adhesive. The mounting device 10 is configured such that the adhesive-free areas of the base 12 are covered by the adhesive liner. It is preferable that the area is configured to correspond to the area.

[0038] 7 and 8, an exemplary configuration of the mounting assembly 30 is shown. The device assembly 30 includes the previously described mounting device 10 and an indicator tab 32. The indicator tab 32 is provided with the second liner 22. The second liner 22 is attached The adhesive 10 is adapted to be removably coupled to the adhesive 10 not covered by the liner 16 of the device 10. The second liner 22 and the liner 16 are constructed from similar or identical materials. The liner 16 and the second liner 22 are integrally formed from a single piece of material. 16 and the second liner 22, in which case a single piece of material forms the liner 16 and the second liner 22. Specifically, the liner 16 and the second liner 22 are cut into the attachment device 1. When the indicator tab 22 is removed and / or separated, the liner 16 is removed. The cut may be performed so that the adhesive 14 of the attachment device 10 remains connected to the adhesive 14. For example, As shown in FIG. 8, the second liner 22 is the liner that remains connected to the attachment device 10. The second liner opening 24 corresponds to the shape of the inner liner 16. Indicator tab 32 When the second liner 22 is removed by separating it from the mounting device 10 ( 2 (corresponding to the liner 22 of the mounting device 10) is exposed. This exposed portion of adhesive 14 may be used to secure attachment device 10 to another object, such as a medical device 48. It is configured to:

[0039] The second liner 22 is integrally formed with an indicator tab 32 of the mounting assembly 30. However, although not shown, the second liner 22 may be positioned at the position of the indicator tab 32. For example, the indicator tab 32 may be attached to the mounting device described above. 10 may be constructed from laminate materials or layers similar to those of the example construction. The indicator tab 32 comprises a base indicator layer, an adhesive indicator layer, and a second a second liner adapted to be removably coupled to the adhesive indicator layer; It has become like this.

[0040] The indicator tab 32 of the mounting assembly 30 further includes an indicia portion 34 . The sign portion 34, like the base 12 of the mounting device 10, has text and / or graphics. 4. The material has been treated to be at least partially translucent and printable. For example, the label portion 34 may include printed instructions for using the mounting device 10. The marking portion 34 may have an identifying mark, illustration, text, or graphic. , may be writable, allowing the medical professional to write with a typical writing implement, e.g. Use a pen, marker, or pencil to write the date of use or installation on the label portion 34. 9, an exemplary indicator portion 34 of indicator tab 32 is shown. The last is shown.

[0041] 10 and 11 show an elongated thread that is sewn into the attachment device assembly 30 described above. 1 is an exemplary configuration of an irrigation assembly 50 including an elongated member 36. The elongated member 36 is made of plastic. The device may be constructed of a durable, flexible material such as rubber, polymer, or similar. Member 36 is configured to form a conduit, conduit, or passageway that allows fluid flow. For example, the elongate member 36 may include a lumen to allow fluid to pass through the elongate member 36 to the surgical site. to the surgical site or to aspirate debris from the surgical site through elongated member 36. The elongated member 36 may be attached to a navigation system or a navigation control console. It is preferable that the device is configured to support a motion tracker.

[0042] The elongate member further comprises a distal end 38 and a proximal end 40. The proximal end 38 is adapted to be connected to a surgical system. The proximal end is configured to be coupled to a system, such as an irrigation system (not shown). 40 includes a proximal coupler 42. The proximal coupler 42 couples the proximal end 40 to the surgical system. The proximal coupler 42 is configured to couple to the stem. The proximal coupler may comprise a connector, an electrical connector, or a similar fitting. 42 can be bonded by a number of different methods, e.g., ultrasonic bonding, adhesive bonding, cement bonding, epoxy bonding, It is understood that the proximal end 40 of the elongate member 36 may be connected by plastic fusion or the like. It should also be understood that the proximal coupler 42 may be omitted and the elongated member 36 may be directly connected to the surgical system. It should be understood that they may be concatenated.

[0043] The distal end 38 is configured to be coupled to a medical instrument accessory 44, such as an irrigation sleeve. An exemplary irrigation sleeve for use with a medical device is disclosed in the July 25, 2017 This document is disclosed in U.S. Provisional Patent Application No. 62 / 536,733, filed on the same day. , which are incorporated herein by reference in their entirety. Distal end 38 of elongate member a barbed connector configured to connect the elongated member 36 to the medical instrument accessory 44; It may consist of a luer connector or similar fitting. Alternatively, the medical device accessory may An accessory 44 is an accessory cap configured to receive the distal end 38 of the elongate member 36. The accessory coupler 46 can be attached in a number of different ways, for example: Elongation by ultrasonic bonding, adhesive bonding, cement bonding, epoxy bonding, plastic fusion, etc. The distal end 38 of the member 36 may be coupled to the distal end 38 of the member 36. Alternatively, the accessory coupler 46 may be omitted. The elongated member 36 is positioned adjacent to the medical instrument accessory 44 to deliver fluid directly to the surgical site. It should be understood that the present invention may be configured to

[0044] As previously mentioned, the mounting device 10 includes multiple base openings 18A, 18B. The openings 18A, 18B are elongated sections that are sewn into the base openings 18A, 18B of the attachment device 10. The dimensions of the base openings 18A, 18B and / or The thickness is determined by the thickness of the base 12 and / or the elongated member 36 when it is sewn into the base openings 18A, 18B. The base opening 18A may be configured to reduce stress or strain on the elongated member 36. , 18B and / or the distance between the base openings 18A, 18B. configured to provide a friction fit for elongated member 36 when sewn into 18A, 18B This allows the elongated member 36 to remain in a fully closed position unless additional force is applied to the elongated member 36, e.g. Unless the medical professional pulls on the elongated member 36 in one direction or the other, the elongated member 36 Alternatively, as previously mentioned, the base may include a recess 20. The dimensions and / or thickness of the recess 20 surrounding the base openings 18A, 18B are determined by the elongated members 36. The base 12 and / or elongate member 36 are sewn into the base openings 18A, 18B. It may be configured to reduce the force or strain.

[0045] As previously mentioned, a number of different liner 16A, 16B, 16C configurations may be utilized. However, the configuration of the liners 16A, 16B, and 16C is such that the elongated members 36 are not The direction and orientation of the stitching are indicated in the base openings 18A and 18B of the 10. 10 and 11, the stitching configuration of the elongate member 36 relative to the attachment device 10 is corresponds to the stitching configuration of liners 16A, 16B shown in Figures 4A-5B. 16A, 16B are at least partially between the base openings 18A, 18B adjacent to the adhesive 14. The elongated member 36 is positioned between the base openings 18A and 18B. The attachment device 10 is attached to the liner 16A, 16B such that the intermediate portions of the elongated members 36 are adjacent to the liners 16A, 16B. The base openings 18A and 18B are sewn into the base openings 18A and 18B. The elongated members 36 are shown extending along the liner 16. One of the many functions of the liner 16 is to prevents the elongated member 36 from connecting to the adhesive 14, thereby preventing the protective member 36 from The purpose is to allow axial sliding when attached to the medical device 48.

[0046] Alternatively, the stitching configuration of the elongate member 36 may be similar to that of the liner 16C shown in FIGS. 6A and 6B. This can be achieved by stitching the elongated member 36 as shown in FIGS. In the configuration of the liner 16C shown in FIGS. 6A and 6B, the liner 16C , which is composed of two separate pieces positioned adjacent to each of the base openings 18A and 18B. However, in this configuration, the liner 16C is located between the base openings 18A and 18B. When the elongate member 36 is sewn into the base openings 18A, 18B, the elongate member 36 is The intermediate portion of the elongated member 36 located between the openings 18A and 18B is aligned along the base 12, i.e., , extending along the top surface of the mounting device 10 and into the base openings 18A and 18B of the mounting device 10. The ends of the elongate member 36 are positioned adjacent to the individual pieces of liner 16C. becomes.

[0047] Although not shown, additional base openings 18A, 18B may be provided to allow for additional stitching configurations. It should be understood that other configurations and / or liner configurations are also contemplated. Regardless of the number of separate pieces of liner 16 and / or base openings 18A, 18B, 18C, 18D, 18E, 18F, 18G, 18H, 18I, 18J, 18K ... When sewn into the 8B, the individual pieces of liner 16 are typically attached to the strips of adhesive 14. It is understood that the adhesive 14 and the elongated member 36 are positioned between the adhesive 14 and the elongated member 36 to prevent exposure of the adhesive 14 and the elongated member 36. sea ​​bream.

[0048] Alternatively, instead of including the liner 16 as an element of the mounting device 10, the liner 16 Portions of adhesive 14 corresponding to the locations may be removed from base 12 (as shown in FIGS. 4A-6B). (See liners 16A, 16B, and 16C shown.) By removing the portion of adhesive 14 corresponding to the position C, liners 16A and 16B , 16C are not required, so liners 16A, 16B, 16C are omitted from mounting device 10. This may also be done.

[0049] 12A, 12B, and 12C, an exemplary configuration of a surgical system 60 is shown. The surgical system 60 includes the medical instrument 48 and the irrigation assembly 50 described above. The medical tool 48 is configured to be attached to a medical tool accessory 44, such as a cutting accessory or The elongated member 36 of the irrigation assembly 50 is attached to the base of the attachment device 10. The distal end 38 is sewn into the openings 18A, 18B and is attached to a medical device accessory 44. They are linked.

[0050] Referring to FIG. 12B, the mounting device 10 is removed from the indicator tab 32 and the liner 16. The adhesive 14 is then attached to the mounting bracket 16. The device 10 is removably coupled to the medical device 48 via the exposed portion of the adhesive 14. The device 10 may be attached to any point along the body 52 of the medical device 48, as shown in FIG. 12C. For example, the attachment device 10 may be configured to attach a medical device 48 near the medical device accessory 44. Alternatively, the attachment device 10 may be detachable from the medical instrument accessory 44. The medical professional may attach the attachment device 10 to the body of the medical device 48. For example, a medical professional may choose where to attach the attachment device 10 to the medical device. When selecting a point of attachment to the instrument 48, the size of the elongated member, the type of medical procedure being performed, and the medical Consideration should be given to the ergonomic grip of the treatment tool 48, etc.

[0051] As shown in FIG. 12C, when the elongate member 36 is attached to the body 52 of the medical device, The base openings 18A, 18B of the mounting device 10 are aligned axially with the liner 16A. B. A portion of the elongate member 36 is sewn into the medical device 48. When the adhesive 14 is inserted, it is positioned between the liner 16A and the body 52 of the medical device 48. 6, the presence of the liner 16A between the elongate member 36 and the medical device 48 This allows the medical professional to adjust the size of the needle as needed. Allows adjustment of elongate member 36 to tighten or additionally loosen .

[0052] [Method of fixing an elongated member to a medical device] 12A, 12B, and 12C illustrate the use of attachment device 10 to attach elongate member 36 to medical device 48. 1 further illustrates various steps of an exemplary method of attaching elongate member 36 to a medical device. The method includes providing a mounting device 10 and / or a mounting device assembly 30. The mounting device 10 includes a liner 16, a base 12, and a space between the base 12 and the liner 16. The mounting device 10 includes a first base and an adhesive 14 at least partially disposed thereon. The liner 16 further includes an opening 18A and a second base opening 18B. Specifically, the liner 16 is positioned adjacent to the first base opening. The second base opening 18B is disposed at least partially between the mouth 18A and the second base opening 18B. 2, the elongated member 36 is inserted into the first and second base openings 18A and 18B of the mounting device 10. The step of sewing in which the elongated member 36 is aligned axially with the liner 16 Alternatively, the liner 16 shown in FIGS. 6A and 6B may be As previously described with reference to the configuration of C, the liner 16C is positioned adjacent to the base openings 18A and 18B. The liner 16C may be positioned adjacent to the adhesive 14 at the base opening 18A. It is preferable that the longitudinal axis defined by 18B is aligned with the longitudinal axis defined by 18B.

[0053] The method of securing the elongate member 36 further includes bonding the attachment device 10 to the medical device 48. The attachment device 10 presses the exposed portion of the adhesive 14 against the body 52 of the medical device 48. detachably coupled to the body 52 of the medical device 48, thereby The material 36 is at least partially disposed between the attachment device 10 and the medical device 48. For example, To secure the extraction device 10 to the medical device 48, threads sewn into the openings 18A, 18B are provided. The mounting device 10 , including the elongate member 36 , may be pressed against the base 52 .

[0054] This method removes the indicator tab 32 of the mounting assembly 30 from the adhesive 14. The indicator tab 32 indicates the mounting of the assembly 30. The device 10 can be separated or removed by pulling on the elongated members 36 sewn into the device 10. The indicator tab 32 may be removed by adjusting the method of coupling the attachment device 10 to the medical device 48. It is preferable that the device is configured to have a mark 34 representing the above.

[0055] This method ensures that the elongated member 36 is tensioned when the attachment device 10 is coupled to the medical device 48. The method further includes sliding the elongated member 36 axially along the liner 16 so that the elongated member 36 is For example, pulling on the proximal end 40 of the elongate member 36 can cause the elongate member 36 to The distal end can be slackened, thereby reducing the profile or bulk of the surgical system 60. This also prevents the elongated member 36 from being exposed to foreign objects during operation of the medical device 48. Alternatively, the elongated member 36 may be prevented from being caught or entangled in the To create more slack in the spool 6, the elongate member 36 may be pulled at its distal end 38. It may be slid by pressing the lever.

[0056] The method includes the steps of removing the second liner 22 from the adhesive 14, Removal of the liner 22 allows the attachment device 10 to be removably coupled to the medical device 48. The method also includes a step of exposing a portion of the adhesive 14 configured as described above.

[0057] After adhering the attachment device 10 to the medical device 48, the method involves tensioning the elongated member 36. and separating the attachment device 10 from the medical device 48. For example, , pulling on the proximal end 40 of the elongate member 36 removes the attachment device 10 from the medical device 48. After the medical procedure, the elongate member and attachment device 10 can be removed and / or detached. , which will be discarded as part of the sterilization process.

[0058] [Manufacturing method] The method for manufacturing the mounting device 10 and / or mounting device assembly 30 described above involves the use of a top and bottom The method includes providing a base 12 having a contralateral underside. One or more base openings. 18A, 18B are cut into the base 12. For example, a first base opening 18A and a second A die cutting process may be used to cut the base opening 18B. The adhesive 14 is applied to the bottom surface of the base 12 through the first base opening 18A and the second base opening 18B. Alternatively, the adhesive 14 may be applied to the base 12 so as to be flush with the adhesive B. Adhesive 14 is applied to a portion of base 12 surrounding first base opening 18A and second base opening 18B. It may be applied to the base 12 to prevent adhesion.

[0059] The method includes the steps of removably connecting liners 16A, 16B to adhesive 14. The liners 16A and 16B are spaced apart from the first base opening 18A and the second base opening 18B of the base 12. 8B. As mentioned above, the liner 16C is disposed between the first base opening 18A and the second base opening 18B. It may be configured not to be located at

[0060] This method involves forming a first base opening 18A and a second base opening 18B on the top surface of the base 12. a recess 20, bevel, chamfer, fillet, or similar transition configured to surround the The recess 20 may be formed by forming a second cut of any shape, for example, a circular shape. The shape of the recess 20 formed by the second cut is may correspond to the shape of the first base opening 18A and the second base opening 18B. The shape of the recess 20 is different from the shapes of the first base opening 18A and the second base opening 18B. Generally, the size and / or dimensions of the recess 20 formed by the second cut The size and / or dimensions of the first base opening 18A and the second base opening 18B are larger than the size and / or dimensions of the first base opening 18A and the second base opening 18B. For example, when the second cut for forming the recess 20 is circular, the second The cutouts are centered on the midpoints of the first base opening 18A and the second base opening 18B. The diameter of the base opening 18A may be larger than the diameter of the first base opening 18A and the second base opening 18B. The second cut configured to form the recess is called a "kiss cut" or "relief cut." Also called.

[0061] It is further contemplated that the mounting device 10 may be fabricated from pre-assembled pieces of material. A base 12, an adhesive 14 applied to one side of the base 12, and a removable adhesive 14 In this configuration, the mounting device 10 The method of manufacturing the base 12, adhesive 14, and liners 16A, 16B, and 16C is This method includes cutting a plurality of base openings 18A, 18B into the liner 1. 6A, 16B are at least between the first base opening 18A and the second base opening 18B of the base 12. The liners 16A, 16B, and 16C may be further cut away so that they are partially positioned. Alternatively, as previously mentioned, in the case of liner 16C, this liner 16C includes , is cut so as not to be located between the first base opening 18A and the second base opening 18B. This method also provides a first base opening 18A and a second base opening 18B on the top surface of the base 12. 8B. The recess 20 may have any shape, for example, a circular second As mentioned above, the second incision is preferably made by making a The size and / or dimensions of the recesses to be formed are determined by the first base opening 18A and the second base opening 18B. The size and / or dimensions of the second recess may be larger than those of the second recess. The cut is also called a "kiss cut" or a relief cut.

[0062] This method involves sewing elongate member 36 into first base opening 18A and second base opening 18B. The configuration of liners 16A and 16B shown in FIGS. When using the first base opening, the elongated member 36 is placed on the top surface of the base 12 and the elongated member 36 is inserted through the first base opening. 18A, and elongated member 36 is extended along liners 16A and 16B. 6 into the second base opening 18B, the elongated member 36 is sewn to the attachment device 10. Alternatively, when using the configuration of liner 16C shown in Figures 6A and 6B, 2. When the elongated member 36 is inserted into the first base opening 18, the elongated member 36 is positioned along the liner 16C. A, and the elongated member 36 is extended along the upper surface of the base 12, and the elongated member 36 is inserted into the second base. The elongated member 36 is sewn into the attachment device 10 by inserting it into the opening 18B. It is good.

[0063] This method removably attaches the indicator tab 32 to the adhesive 14 adjacent the liner 16. The indicator tab 32 indicates whether the attachment device 10 is connected to the medical device. The markings 34 indicate the method of joining the elongated member 3. The device includes text, graphics, and / or images that illustrate how the device 6 can be connected to a medical device. The indicia 34 may be part of the method of manufacturing the mounting device 10 and / or the mounting device assembly 30. and printed on indicator tab 32. For example, referring again to FIG. An example of indicia 34 printed on tab 32 is shown. Indicia 34 indicates that elongated member 36 is cut. a step of attaching the elongated member 36 to the medical device 48 using the attachment device 10; Securing and connecting elongate member 36 to a medical system, e.g., an irrigation system It includes graphics and / or numbers to indicate the steps.

[0064] As previously mentioned, the liner 16 includes a secondary liner 22. 22 is integrally formed with the indicator tab 32. During manufacture, the mounting assembly The liner 30, the liner 16, and the second liner 22 are initially a single However, when indicator tab 32 is removed, liner 16 The mounting device 10 is configured to remain connected to the adhesive 14, Easy separation of the liner 16 and the second liner 22 when removed from the catertub 32 Therefore, the liners 16 and 22 must be cut to allow for the attachment device 10 to The method of manufacture involves separating the second liner 22 from the liner 16. cutting the liner 16 through the first base opening 18A and the second base opening 22; and the base opening 18B of the base opening 18B. It's good to be.

[0065] The method includes the steps of cutting liner openings 21A, 21B in liner 16. , the liner openings 21A, 21B are aligned with the base openings 18A, 21B, The base openings 18A, 18B are defined by a first diameter and include a liner. The opening 21A is defined by a second diameter. The mounting device 10 has a first and second diameters. Preferably, the second diameter is greater than the first diameter. Alternatively, the first diameter may be greater than the second diameter.

[0066] [Further Protection Provisions] I. An attachment device for securing an elongate member to a medical device, the attachment device comprising a first liner and a second liner. a base having a first base opening and a second base opening; and an adhesive at least partially disposed between the first liner and the second liner. , the first liner is adjacent to the first base opening, and the second liner is adjacent to the The first liner and the second liner are adjacent to the first base opening. axially aligned with a longitudinal axis defined by the base opening and the second base opening; Mounting device.

[0067] II. A mounting device for securing an elongate member to a medical device, comprising: a top surface, a bottom surface, a first base, a base having a bottom opening and a second base opening; and a bottom surface of the base at least partially and an adhesive disposed on the bottom surface of the base, the first base opening and the second base opening. A mounting device with no adhesive between it and the opening.

[0068] III. An attachment device for securing an elongate member to a medical device, comprising a liner and a first a base having a base opening and a second base opening; and an adhesive; the base opening of the portion at least partially located between the first base opening and the second base opening The mounting device is disposed on the adhesive.

[0069] IV. METHOD OF MANUFACTURING AN ATTACHMENT DEVICE FOR RELEASEDLY COUPLING AN ELONGATED MEMBER TO A MEDICAL DEVICE The method includes providing a base material having a top surface and an opposite bottom surface; applying an adhesive to the base material; and applying a liner to a bottom surface of the base of the container, the liner being at least partially disposed between the first base opening and the second base opening. removably connecting the liner to the adhesive so that the liner is at least partially positioned; Steps for cutting the first and second base openings into the base material, adhesive, and liner. The method includes:

[0070] V. A recess is provided in the base, the recess being configured to surround each of the first base opening and the second base opening. The method of clause IV, further comprising cutting into the top surface of the material.

[0071] VI. Further comprising the step of sewing the elongate member into the first base opening and the second base opening. , the method according to any one of clauses IV or V.

[0072] VII. The base material has a generally elliptical shape. The terms stated.

[0073] VIII. A septum for removably connecting the indicator tab to the adhesive near the liner. the indicator tab is an indicator representing the method of coupling the attachment device to the medical device.

[0023] The method of any one of clauses IV, V, VI, or VII, further comprising the step of: Clauses.

[0074] IX. Cutting the Liner to Comprise a First Liner Portion and a Second Liner Portion a step of disassembling the second liner portion so that the second liner portion is separable from the first liner portion; and the first liner portion is configured to have at least one base opening between the first and second base openings. Any one of clauses IV-VIII, which are intended to remain partially in place The method described below.

[0075] X. cutting a first liner opening into the liner, is aligned with the first base opening, the first base opening being defined by a first diameter. The first liner opening is defined by a second diameter, the second diameter being smaller than the first diameter. The method of any one of clauses IV-IX, further comprising the step of:

[0076] Several embodiments have been discussed above. However, the embodiments discussed here are , are not intended to be exclusive or to be a general description of the mounting device 10, mounting device assembly 3 0, and / or is not intended to limit surgical system 60 to any particular configuration. The terminology used is intended to be descriptive rather than limiting. Many modifications and variations are possible in light of the above teachings, and the system may be specifically It may be carried out by procedures other than those described.

Claims

1. 1. An attachment device for securing an elongate member to a medical device, comprising: Liner and a base having a first base opening and a second base opening; Adhesive and Equipped with the adhesive is at least partially disposed between the base and the liner; the liner is positioned at least partially between the first base opening and the second base opening and adjacent to the adhesive; the liner further comprising a first liner portion and a second liner portion, the first liner portion being at least partially disposed between the first base opening and the second base opening; the second liner portion surrounds the first liner portion and is separable from the first liner portion, the first liner portion configured to remain connected to the adhesive when the second liner portion is removed.

2. The mounting device of claim 1 , wherein the base further comprises a recess surrounding the first base opening and the second base opening.

3. The attachment device of claim 1 or claim 2, further comprising indicia indicating how the attachment device is to be attached to the medical device.

4. 4. The mounting device of claim 1, wherein the base has a generally oval shape.

5. 5. The attachment device of claim 1, wherein the adhesive comprises a medical grade adhesive.

6. the liner further comprising a first liner opening and a second liner opening; the first liner opening is aligned with the first base opening; the second liner opening is aligned with the second base opening; 6. A mounting device according to any one of claims 1 to 5.

7. the first base opening is defined by a first diameter and the first liner opening is defined by a second diameter; The second diameter is greater than the first diameter.

7. The mounting device of claim 6.

8. 8. The attachment device of claim 1, wherein the liner is configured to allow axial movement of the elongate member along an axis defined by the first and second base openings when the attachment device is attached to the medical device.

Images