External Vascular Access Conduit for Reduced Bleeding and Infection
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Solution Overview
Problem
Current vascular access systems that reside within the blood vessel lumen are prone to bleeding, clotting, infection, and require frequent punctures, making them difficult to access and prone to failure.
Innovation Solution
A vascular access system with an access conduit having one end outside the body and a stent-encapsulated end inside the body, allowing external access to the blood vessel lumen, and a vessel entry device for controlled puncture, reducing the risk of bleeding and infection by maintaining the conduit outside the vessel.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If the vascular access device resides inside the blood vessel lumen, then continuous blood flow through the device is achieved, but the risk of bleeding, clotting, and infection increases
Solution Approach 1:
The access conduit is extracted from the blood vessel lumen and repositioned to reside outside the vessel, attached to its external surface. This extraction eliminates the conduit's direct contact with blood flow, thereby removing the source of bleeding, clotting, and infection risks while preserving vascular access functionality through external positioning.
Solution Approach 2:
The blood vessel wall serves as an intermediary barrier between the access conduit and the blood lumen. The conduit attaches to the external surface of the vessel, using the vessel wall itself as a natural seal and barrier, thereby providing access without direct luminal contact and eliminating the need for additional sealing mechanisms.
2Object-affected harmful factors
If the vascular access device resides outside the blood vessel, then the risk of bleeding and infection is reduced, but the device becomes difficult to access from outside the body
Solution Approach 1:
The access conduit is repositioned from a luminal (internal) dimension to an external subcutaneous dimension, creating a new access pathway through the vessel wall. This dimensional change allows the conduit to be easily accessed from outside the body while maintaining safety by preventing direct blood contact.
Solution Approach 2:
The vascular access system is segmented into distinct functional zones: the access conduit resides externally for easy access, the puncture site provides controlled entry to the lumen, and the vessel wall acts as a barrier. This segmentation allows each component to optimize its function independently.
3Adaptability or versatility
If repeated percutaneous punctures are performed to access the blood vessel, then vascular procedures can be performed, but the device fails due to poor flow or repeated punctures
Solution Approach 1:
A puncture site is created in advance through the vessel wall into the lumen, allowing guidewires and other devices to be introduced without repeated punctures. This preliminary access pathway preserves device integrity and eliminates failure caused by repeated puncture trauma.
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
The system provides safe, repeated access to the blood vessel lumen with reduced risks of bleeding and infection, facilitating easy access and minimizing vessel trauma.
Implementation Method 1
The stent prevents collapsing of the indwelling portion of the access conduit
Implementation Method 2
allowing the opening from the conduit into the blood vessel to close and heal over, thereby re-establishing a tissue barrier between the conduit and the lumen of the blood vessel
Data Source
AI summary
A vascular access system for repeatedly accessing a blood vessel includes a sheathed access conduit that remains outside of the confines of the vascular system. The tubular access conduit includes a first end adapted to be arranged outside the body for easy access and a second end adapted to be connected to an outer surface of the blood vessel. A stent is encapsulated inside the subcutaneously portion of the access conduit to avoid contracture. A vessel entry device is adapted to extend inside the access conduit to puncture and to gain access to the blood vessel lumen when needed, otherwise the conduit remains excluded from the vascular system. Guidewires, catheter, monitors or treatment devices can be inserted, advanced, positioned, used and removed as desired via the access conduit. Because the conduit remains external to the blood vessel the risks of septicemia and vessel thrombosis and occlusion are reduced.


