CN100566658C - Sting device - Google Patents

Sting device Download PDF

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Publication number
CN100566658C
CN100566658C CNB200710078826XA CN200710078826A CN100566658C CN 100566658 C CN100566658 C CN 100566658C CN B200710078826X A CNB200710078826X A CN B200710078826XA CN 200710078826 A CN200710078826 A CN 200710078826A CN 100566658 C CN100566658 C CN 100566658C
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cylindrical body
blood
skin
analysis
mentioned
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CN101002684A (en
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坂田哲也
松本大辅
笠井督夫
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Arkray Inc
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Arkray Inc
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Abstract

The present invention relates to take test portions such as blood, to be used to analyze the sting device of this test portion from human body skin.Sting device (A) has can be from the 1st direction progressive puncture body (3) of the rear portion in the housing (2) to the front end of cylindrical body (8); With the analysis parts (4) that are configured in the cylindrical body (8).When being subjected to the power of 2nd direction opposite with above-mentioned the 1st direction, this analysis can be moved to the 2nd direction with parts (4).When skin (S) swelled, analysis, can be imported by the effusive blood of skin (S) (b) and analyze with in the parts (4) along with this protuberance moves along above-mentioned the 2nd direction with parts (4).

Description

Sting device
Technical field
The present invention relates to take test portions such as blood, to be used to analyze the sting device of this test portion from human body skin.
Background technology
When the treatment diabetics, need take patient's blood, measure the concentration of glucose in the blood, decide according to this measured value and take the corresponding treatment policy.Prior art as being used to carry out the sting device that above-mentioned blood takes for example has the spy to open the device described in the 2000-231 communique.
This sting device has: the housing that has the cylindrical body of front opening; Be configured in the intravital puncture body of this shell; Be configured in the intravital analysis parts of above-mentioned tubular.When using this sting device, at first press the skin of human body with the front end of above-mentioned cylindrical body, above-mentioned puncture body is advanced to the front end of above-mentioned cylindrical body.Like this, the front end bur of above-mentioned puncture body is gone in the above-mentioned skin, just can cause bleeding at above-mentioned skin place.Place reagent in above-mentioned analysis on parts, when by utilizing this analysis to take blood when importing above-mentioned reagent with parts, glucose and the above-mentioned reagent generation certain reaction in the blood got by institute.According to the situation of reaction, can judge the concentration of glucose in the above-mentioned blood.Therefore, when adopting above-mentioned sting device, and do not have above-mentioned analysis and have only the sting device of other structure of single puncture function to compare with parts, be more conducive to user's use.
Analyze with in the sting device of parts having, for make this analysis with parts as far as possible near the hemorrhage part of skin, so just can take blood reliably with parts with above-mentioned analysis.But in the prior art,, take blood very difficult sometimes based on following reason.
That is, when the cylindrical body front end with sting device was pressed against on the skin, skin can swell sometimes.The protuberance amount of this skin can be different to the size of the throw-on pressure of skin with above-mentioned cylindrical body because of the pliability of skin.On the other hand, in the prior art, above-mentioned analysis is fixedly installed on the intravital certain position of above-mentioned tubular with parts.Therefore, have or not the degree difference of protuberance or protuberance according to above-mentioned skin, the hemorrhage part of skin and above-mentioned analysis increase with the distance between the parts, just are difficult to suitably attached to above-mentioned analysis with on the parts and take blood.
Utilizing above-mentioned sting device to take under the situation of blood, producing the pump that negative pressure is used, can make and produce negative pressure in the above-mentioned cylindrical body by utilizing.Like this, just can utilize above-mentioned negative pressure, promote that blood partly flows out from the puncture of skin, therefore can reduce the bur amount of puncture body to skin.Yet when producing negative pressure, under the effect of negative pressure, the protuberance of skin is bigger.Therefore, in this case, dermatorrhagia part and analysis further increase with the distance between the parts, make more to be difficult to suitably take blood with above-mentioned analysis with parts.
Summary of the invention
Purpose of the present invention is exactly that the sting device that can solve or alleviate the problems referred to above will be provided.
Have according to sting device provided by the invention: with the cylindrical body formation one of front opening or the housing of making in addition; Be configured in the above-mentioned housing, and can be from the intravital rear portion of above-mentioned shell to the progressive puncture body of the 1st direction of the front end of above-mentioned cylindrical body; Be configured in the intravital analysis parts of above-mentioned tubular; Judge whether test portion imports the decision mechanism in the above-mentioned analysis usefulness parts; With the negative pressure generating mechanism that is used in above-mentioned cylindrical body, producing negative pressure; It is characterized in that, also has controlling organization, this controlling organization is used in the certain hour of above-mentioned puncture body after the front end of above-mentioned cylindrical body advances, and when the result who is judged by above-mentioned decision mechanism is that test portion does not import above-mentioned analysis with in the parts time, removes the negative pressure that produces in the above-mentioned cylindrical body.
Be preferably, when above-mentioned analysis is subjected to the power of 2nd direction opposite with progressive the 1st direction of above-mentioned puncture body with parts, can move to the 2nd direction.
Sting device of the present invention is preferably to have and can makes in the above-mentioned cylindrical body and the relief valve of the external communications of above-mentioned housing, and by opening above-mentioned relief valve, above-mentioned controlling organization can be removed the intravital negative pressure of above-mentioned tubular.
Be preferably, after above-mentioned controlling organization releasing resulted from the intravital negative pressure of above-mentioned tubular, the above-mentioned negative pressure generating mechanism of may command made and produces negative pressure in the above-mentioned cylindrical body once more.
Be preferably, the forward motion of above-mentioned puncture body can be implemented repeatedly according to the control of above-mentioned controlling organization, and, in the certain hour after in above-mentioned cylindrical body, producing negative pressure once more, when the result who is judged by above-mentioned decision mechanism is that test portion does not import above-mentioned analysis with in the parts time, above-mentioned puncture body can be implemented forward motion once more according to the control of above-mentioned controlling organization.
Be preferably, after above-mentioned puncture body is advanced, in the period before the negative pressure that above-mentioned controlling organization produces, can control above-mentioned negative pressure generating mechanism in removing above-mentioned cylindrical body, make above-mentioned cylindrical body internal pressure lower.
Sting device of the present invention is preferably to have: test portion import above-mentioned analysis with parts in the time be used to the report mechanism that analyzes the analysis institution of this test portion and be used to report the analysis result of this analysis institution.
Be preferably, in the regular period after the forward motion of above-mentioned puncture body, can not carry out the assaying that undertaken by above-mentioned analysis institution when handling, utilize above-mentioned report mechanism to report this meaning, control by above-mentioned controlling organization.
Sting device of the present invention is preferably to have: when above-mentioned cylindrical body is subjected to the rightabout throw-on pressure of above-mentioned puncture body direction of advance, be used to detect the testing agency of this throw-on pressure; And, when surpassing set-point, utilize above-mentioned report mechanism to look like by the detected throw-on pressure of this testing agency.
According to the following detailed description of carrying out with reference to accompanying drawing, can more know other features and advantages of the present invention.
Description of drawings
Fig. 1 is the stereoscopic sketch map of an example of sting device of the present invention;
Fig. 2 is the II-II line profile among Fig. 1;
Fig. 3 is for looking up the axonometric chart that sensor stand obtains from the below;
Fig. 4 is for analyzing the schematic perspective view with an example of pick off;
Fig. 5 is the exploded perspective view that pick off is used in analysis shown in Figure 4;
Fig. 6 is the VI-VI line profile of Fig. 4;
Fig. 7 is the analysis of Fig. 4 of seeing from the direction opposite with Fig. 4 axonometric chart with pick off;
Fig. 8 is the block diagram of the brief configuration of sting device;
Fig. 9 is the flow chart that is used to illustrate the action control of control part;
Figure 10 is the flow chart that is used to illustrate the action control of control part;
Figure 11 is the flow chart that is used to illustrate the action control of control part;
Figure 12 is the flow chart that is used to illustrate the action control of control part;
Figure 13 is the flow chart of the action control of explanation control part;
Figure 14 is the generalized section of cutaneous protuberance state;
Figure 15 is the generalized section of skin penetrating state;
Figure 16 is the generalized section of the state behind the skin penetrating;
Figure 17 is skin and analyzes and use the position of pick off to concern sketch map;
Figure 18 is skin and analyzes and use the position of pick off to concern sketch map;
Figure 19 is the profile of another routine major part of sting device of the present invention;
Figure 20 is the profile of another routine major part of sting device of the present invention;
Figure 21 is the profile of another routine major part of sting device of the present invention;
Figure 22 is the profile of another routine major part of sting device of the present invention.
The specific embodiment
Below, specify the preferred embodiments of the present invention with reference to accompanying drawing.
Fig. 1~Fig. 7 is one embodiment of the present invention.As shown in Figure 1, the sting device A in the present embodiment has housing 2, surrounds the framework 39 of the part of this housing 2, the display part 21 that is used to show image and operation with switch 22,23.Display part 21 is made of for example liquid crystal display or light-emitting diode display.In framework 39, also be provided with following control part 9.
The lower end front end of housing 2 forms cylindrical body 20, and setting-in with housing 2 and is not the cylindrical body 8 of one in this cylindrical body 20.The using method of the sting device A of present embodiment is that the front end 8a with cylindrical body 8 is pressed against as on the puncture subject's skin.
As shown in Figure 2, this cylindrical body 8 is bearing in by spring 83 on the flange 24 of inwall of housing 2, and when spring 83 was flexible, cylindrical body 8 can be slided with respect to cylindrical body 20 along the axial length direction.When the front end of cylindrical body 8 is not pressed in common state on the skin, more outstanding than the cylindrical body 20 of housing 2 near the part of its front end 8a.The pressure transducer 25 of the elastic force size that is used to measure spring 83 is installed on flange 24, and the data of this measured value are transfused to control part 9.
Sting device A have puncture body 3, as the analysis of analysis component with pick off 4, keep support 7, pump 26 and the relief valve 28 of this analysis usefulness pick off 4.
Puncture body 3 and analysis after using once, need to change new product with pick off 4, can be by the given position dismounting of sting device A.But this replacing parts component parts that also is sting device in the present invention.
Puncture body 3 is the form that has metal needle 3a to give prominence to below synthetic resin system body 3b.Puncture body 3 is installed on the puncture body support of being located in the housing 2 31, and can take off.Puncture body support 31 is driven and can freely be moved back and forth along the axial length direction (above-below direction of Fig. 2) of cylindrical body 8 by puncture body driving mechanism 93 described later, thereby can advance to the front opening decline of cylindrical body 8 by the rear end in the housing 2 (Fig. 2 is near top part), and can retreat playback to above-mentioned rear end.The opening 80 that can allow puncture body 3 to pass through is formed at the top in cylindrical body 8.
Pump 26 is an electrodynamic pump, and it is connected with housing 2 by connection tube 29.This pump 26 utilizes the air in the housing 2 is discharged to the outside, and can produce negative pressure in the cylindrical body 20 of housing 2 and in the cylindrical body 8.As described later, pump 26 is by control part 9 controls, and this pump 26 both can be installed in the outside of housing 2, and can take off, and also can be located in the framework 3.In connection tube 29, be provided with pressure transducer 27, import control part 9 by the force value data that this pressure transducer 27 is measured.
Relief valve 28 is for example electromagnetic valve, and it can make the action of closing of starting work and blocking of the inside and outside connection of housing 2.When the inside of housing 2 is negative pressure state,, just can make the inside of housing 2 return back to atmospheric pressure if carry out above-mentioned starting when doing.
As shown in Figure 4 to 7, analyzing with pick off 4 is the chip form of semicircular in shape roughly for example, and it has the stacked structure of substrate 40, a pair of partition 41, cover plate 42 and adhesive tab 43.On substrate 40, be provided with include can with glucose in the blood produce certain reaction (for example oxidation reaction) enzyme reagent 44 and with the pair of electrodes 45 of electrical method detection reaction situation.A pair of partition 41 and cover plate 42 are the members that are used to form the capillary tube 46 of the blood access on the substrate 40.A pair of partition 41 is placed side by side on the substrate 40, and gapped therebetween; Simultaneously, by cover the top in this gap with cover plate 42, can form capillary tube 46.
On substrate 40, adhesive tab 43 and a pair of partition 41, be provided with otch or chamfering, form the test portion introduction part 47 of concavity thus.When blood attached to this test portion introduction part 47 on the time, utilize capillarity, this blood can be advanced in capillary tube 46, in the reagent 44 that imports to the part that is clamped by pair of electrodes 45.As shown in Figure 6, can be on the part of the regulation test portion introduction part 47 in the downward surface of cover plate 42, coating or attaching hygroscopic materials 49 are implemented hydrophilic treated.As hygroscopic materials 49, for example can use vinylon.When carrying out this hydrophilic treated, be preferably and import reposefully in the capillary tube 46 attached to the blood on the test portion introduction part 47.Hygroscopic materials 49 also can be coated on above-mentioned position in addition.
On a pair of partition 41 and cover plate 42, be arranged with continuous each pair of holes 41a, 42a.As described later, these holes 41a, 42a are as described below, are used to make a pair of mensuration probe 75 to pass through, and contact with pair of electrodes 45.When reagent 44 contacts with blood, for example by oxidation reaction with the glucose oxidase in the blood, by the conductive materials in the electron reduction reagent 44 in this reaction.The ratio of the conductive materials that is reduced and the glucose ratio in the blood, promptly concentration of glucose is corresponding.Value of current flowing is relation in correspondence with each other between this concentration of glucose and the pair of electrodes 45, therefore, can obtain concentration of glucose the blood from this current value.
Adhesive tab 43 is bonded on the back side (following) of substrate 40.This adhesive tab 43 is preferably the gel sheet of silicon system, and has viscosity for containing the gel sheet of hydrogel or acrylic resin etc.The lower surface and the skin of this adhesive tab 43 are bonding, can improve skin thus and analyze the adaptation of using pick off 4.The surperficial 43a of one of them of this adhesive tab 43 is the face that contacts with human body skin.As giving single face 43a the method for viscosity, except that said method, also can adopt the two-sided tape that will have viscosity to be bonded in the method for analyzing with on the pick off 4.
As shown in Figure 3, sensor stand 7 has the installed surface 73 of available method installing analysis such as bonding with pick off 4.Installed surface 73 is downward-sloping shape.As shown in Figure 2, sensor stand 7 by spring 74 hanger bearings in cylindrical body 8.Therefore, this sensor stand 7 can the axial length direction along cylindrical body 8 move back and forth when spring 74 stretches.Because installed surface 73 tilts, and therefore analyzes with pick off 4 also to tilt.This analysis with pick off 4 be used for be skewed with the surperficial 43a of contact skin, the central shaft of convergence cylindrical body 8 more the closer to the rear portion (top of Fig. 2) of cylindrical body 8.Analysis is installed on the sensor stand 7 with pick off 4, makes the central shaft of test portion introduction part 47 near cylindrical body 8.
On sensor stand 7, be provided with hole 70, make when puncture body 3 declines are advanced, allow the pin 3a of puncture body 3 to pass through.But as shown in figure 15, when puncture body 3 descended, this hole 70 was not that whole puncture body 3 is passed through, but was provided with stop part 76 in the part of the periphery in this hole 70, by with the following end in contact of the body 3b of puncture body 3, advance to stop puncture body 3.
A pair of mensuration probe 75 is installed on sensor stand 7.The front end of this a pair of mensuration probe 75 contacts with the pair of electrodes of analyzing with pick off 4 45.Be preferably, each measures the front end retractable of probe 75, and has the elastic force that produced by spring giving the below reinforcing, thereby can press pair of electrodes 45 with suitable throw-on pressure.As shown in Figure 8, the sting device A of present embodiment has amperometric determination portion 91, pump 26, relief valve 28, puncture body driving mechanism 93, storage part 92, display part 21, pressure transducer 25 and 27 and the structure that is connected with control part 9 of console switch 22.
Amperometric determination portion 91 utilizes a pair of mensuration probe 75 to give pair of electrodes 45 making alives of analyzing with pick off 4, and measures the electric current between the pair of electrodes 45.Control part 9 can calculate concentration of glucose according to the current value of being measured by amperometric determination portion 91.
Control part 9 is made of for example CPU, and it can carry out various control described later according to the control sequence and the signal of telecommunication that is sent by console switch 22 and pressure transducer 25,27 that are stored in the storage part 92.As described later, control part 9 has as judging whether blood suitably supplies to the function of analyzing with the decision mechanism of the reagent 44 in the pick off 4.Storage part 92 is made of ROM, RAM etc., necessary data when being used to store control part 9 and carrying out control.
Secondly, make use-case and effect thereof with reference to the flowchart text sting device A of Fig. 9~Figure 13.
At first, as shown in Figure 2, the human body skin S that the front end 8a of the cylindrical body 8 of sting device A is pressed against as the puncture object goes up (step S1).At this moment, judge the front end 8a throw-on pressure that is pressed against on the s skin S whether excessive (step S2) by control part 9.More particularly, as mentioned above, when front end 8a presses the contact s skin S, utilize pressure transducer 25 to measure this throw-on pressure.When this measured value surpassed predetermined value, control part 9 judged that user are pressed in power excessive (step S2: be) on the s skin S with front end 8a, went forward side by side to be about to this meaning and to be presented at control (step S3) on the display part 21.After user is seen this demonstration, just can adjust front end 8a and press the state of s skin S to suitable.Thus, then as described later, when making the s skin S protuberance when cylindrical body 8 inner pressure relieves, can suppress s skin S and produce projection, thereby can not produce bigger protuberance.
Secondly, when user is operated the console switch 22 of framework 2 (step S4: be), control part 9 driving pumps 26 (step S5).Make thus and form negative pressure in the cylindrical body 8.At this moment, as shown in figure 14, the s skin S protuberance contacts with surperficial 43a with the contact skin of analyzing with pick off 4.Because this surface 43a tilts, so can closely contact with the inclined surface of the chevron bump of s skin S.Because surperficial 43a is the bonding plane of adhesive tab 43, like this, just improved adaptation again with s skin S.Owing to analyze with pick off 4 and s skin S driving fit, between analyzing, can not produce big gap, so blood can import rightly in the above-mentioned gap with pick off 4 and s skin S.
Control part 9 monitors the force value of being measured by pressure transducer 27, judges whether the force value of measuring reaches predetermined value (step S6).(step S6: not), the then running of holding pump 26 makes further decompression in the cylindrical body 8 when control part 9 judges that the force value of said determination does not reach above-mentioned certain value.Like this, s skin S continues protuberance, presses upward and analyzes with pick off 4.Thus, analysis is compressed springs 74 with pick off 4 and is risen.Analyze with pick off 4 and be still on the position that the drag of s skin S uplift forces and spring 74 balances each other.
Thus, rise with the protuberance of pick off 4, therefore, analyze and to hinder the protuberance of s skin S rightly with pick off 4 along with s skin S owing to analyzing.In addition, even under the discrepant situation of protuberance degree size of s skin S, the top, top of the bump of s skin S and analysis also can be kept roughly certain position relation with the test portion introduction part 47 of pick off 4.Like this, as described later, for raising blood suitably being imported analysis is preferred with the probability in the test portion introduction part 47 of pick off 4.
Then, when control part 9 judges that the pressure of being measured by pressure transducer 27 reaches given pressure (step S6: be), then drive puncture body driving mechanism 93.Thus, after puncture body support 31 and puncture body 3 are advanced in cylindrical body 8, retreat to the origin-location.As shown in figure 15, when puncture body 3 was advanced, pin 3a thrust (step S7) in the s skin S.When puncture body 3 is advanced, its body 3b is contacted with stop part 76, just can stop puncture body 3 to be advanced thus above certain distance.Therefore, pin 3a can not thrust deeply in the s skin S surpass a certain amount of more than, thereby can not cause big damage to s skin S.
In the present invention, different with present embodiment, can control the action that moves forward and backward of puncture body 3 without control part 9, but be undertaken by operator's operating operation switch 23.In this case, when the pressure of pressure transducer 27 mensuration reaches setting pressure (step S6: be), control part 9 will allow the meaning of puncture body 3 runnings to be presented on the display part 21.User can be depressed console switch 23 after seeing this demonstration, puncture body 3 is moved.
When carrying out above-mentioned puncture, produce hemorrhage from s skin S.Because in the cylindrical body 8 is negative pressure, this negative pressure promotes the hemorrhage of s skin S.As shown in figure 18, by the Surface runoff of the effusive blood of s skin S along the s skin S of protuberance.To this, as mentioned above, owing to analyze with pick off 4 and s skin S driving fit, blood b can flow in these gaps rightly, thereby blood b suitably can be imported in the test portion introduction part 47.In addition, rise along with the protuberance of s skin S because analyze, keeping roughly certain position between the top, top of the bump of s skin S and the test portion introduction part 47 and concerning, therefore with pick off 4, be not subjected to the influence of the protuberance degree of s skin S, and can make test portion introduction part 47 near hemorrhage part.Just can more reliably blood b be imported in the test portion introduction part 47 thus.In addition, test portion introduction part 47 has the width opening form wideer than capillary tube 46, can reliably blood b be imported in the test portion introduction part 47.
The blood that imports in the test portion introduction part 47 utilizes capillarity to advance in capillary tube 46.Because test portion introduction part 47 has been coated with hygroscopic materials 49, have high-hydrophilic, so blood b is difficult to be stuck between test portion introduction part 47 and the s skin S, thereby can promotes blood b in capillary tube 46, to advance.By advancing of blood b, blood b supplies to reagent 44.
Control part 9 judges whether that the blood supply reagent 44 of sufficient quantity is to carry out concentration determination (step S8).When the b of sufficient quantity supplies with reagent 44, produce above-mentioned redox reaction, electric current flows between pair of electrodes 45.When electric current surpassed predetermined threshold value, control part 9 judged results were for there being competent blood supply reagent 44 (step S8: be).Fail to supply with (step S8: not), determine through till the scheduled time whether continue to supply with blood b (step S12) under the situation of competent blood b by control part 9 when judgement.
Judging that blood b suitably supplies with under the situation of reagent 44 (step S8: be), after this stop the running of pump 26 by control part 9, open relief valve 28 (step S9) simultaneously.Make thus in the cylindrical body 8 and return back to atmospheric pressure, be easy to cylindrical body 8 is taken off from s skin S.The current value that control part 9 is measured according to the portion of amperometric determination after this 91 is calculated the concentration of glucose (step S10) in the blood, and this value is presented at (step S11) on the display part 21.
As mentioned above, in the sting device A of present embodiment, analyze the protuberance of following s skin S with pick off 4, just can reliably blood b be imported and analyze with in the test portion introduction part 47 of pick off 4 by making.But because that the flexibility of the degree of the protuberance size of s skin S and s skin S and thickness etc. concern is very big, thus even produce the negative pressure of same pressure, also can produce s skin S swell sometimes little, swell big situation sometimes.In this case, blood b can not suitably import in the test portion introduction part 47.In this case, among the sting device A of present embodiment,, form following control once more as promoting blood b to import the control in the test portion introduction part 47.
At first, in the judgement of the step S8 of Fig. 9, after puncture, after a period of time, when control part 9 judged results are (step S12: be) when also not having an amount of blood b to supply with reagent 44, then control part 9 stops the running of pump 26, simultaneously, as shown in figure 16, open relief valve 28 (step S13).Like this, just removed the negative pressure in the cylindrical body 8.
When removing negative pressure, be not the instantaneous atmospheric pressure that returns back in the cylindrical body 8, but by the aperture of control part 9 control relief valves 28 and the running of pump 26, thereby make cylindrical body in 8 inherent regular hours at leisure near atmospheric pressure.Adopt this mode can obtain following effect.
That is, under the quite softish situation of s skin S, in the step S5 of Fig. 9, when the negative pressure, as shown in figure 17, s skin S can be swelled increase sometimes in the running that utilizes pump 26 makes cylindrical body 8, in the protuberance of this s skin S, the top of bump is divided into local eminence.In this case, when puncturing on above-mentioned top portion, when this part was hemorrhage, blood b and analyzing with the distance between the test portion introduction part 47 of pick off 4 increased, and the path between hemorrhage part and the test portion introduction part 47 is hidden by the part of sensor stand 7.Like this, blood b just is difficult to suitably import in the test portion introduction part 47.
For this reason, as mentioned above, the pressure in making cylindrical body 8 at leisure is during near atmospheric pressure, as shown in figure 18, make analyze with pick off 4 temporarily with the situation of s skin S maintenance driving fit under, make the partial protuberance atrophy of the top portion of s skin S.At this moment, the covering of the part of sensor stand 7 to the path from hemorrhage part to test portion introduction part 47 in addition, removed near test portion introduction part 47 in the bleeding part, and therefore, blood b can import in the test portion introduction part 47 reliably.Be preferably, the pressure in the above-mentioned cylindrical body 8 as far as possible slowly rises.Like this, the atrophy of s skin S also can slowly be carried out, and can prolonging near the time of hemorrhage part and test portion introduction part 47 can import blood b in the test portion introduction part 47 reliably.
After opening relief valve 28 as mentioned above, control part 9 judges once more whether blood b suitably supplies with reagent 44 (step S14).This processing is the processing identical with the processing of step S8.When judging that blood b suitably supplies with reagent 44 (step S14: be), carry out identical processing later on above-mentioned steps S10.
On the other hand, no matter whether implemented above-mentioned action control, can not suitably import (step S14: not), judge by control part 9 whether the number of times of judging whether blood b suitably imports in the test portion introduction part 47 surpasses certain number of times (step S15) of being scheduled under the situation of test portion introduction part 47 as blood b.When above-mentioned judgement number of times surpasses above-mentioned certain number of times (step S15: be), control part 9 is judged as and can not carries out glucose concentration determination, and this meaning is presented at (step S16) on the display part 21.
To this, be no more than (step S15: not) under the situation of above-mentioned certain number of times at above-mentioned judgement number of times.26 runnings (step S17) of control part 9 driving pumps.Like this, decompression once more in the cylindrical body 8, s skin S protuberance.This control model of carrying out with control part 9 will be for producing and the simulation massage mode (step 18) of rubbing the surperficial roughly the same effect of s skin S with finger tip.
In this simulation massage mode, after said pump 26 entrys into service, as shown in figure 10, stop the running of pump 26, and open relief valve 28 (step S21).Like this, negative pressure weakens.Through (step S22: be) behind the certain hour,, strengthen negative pressure thus then closing 26 runnings (step S23) of relief valve 28 rear drive pumps.Carry out this a series of actions (step S24) repeatedly with given number of times.Therefore, can obtain with by changing the same effect of pressure massage s skin S, promote the operation of blood, and promote that s skin S is hemorrhage.The effect of above-mentioned promotion blood operation, owing to just increased the number of occurrence of above-mentioned change pressure, and can not improve pro rata.When the above-mentioned number of occurrence increased, it was longer to measure required time.Therefore, as mentioned above, it is rational limiting to the number of occurrence of above-mentioned change pressure.In addition, in above-mentioned simulation massage mode, when negative pressure weakened, being preferably in the cylindrical body 8 was not to be returned to atmospheric pressure, but can keep s skin S and the negative pressure of analyzing with pick off 4 contact condition degree.After the certain repeatedly number of times of above-mentioned pressure oscillation, when the pressure in the cylindrical body 8 becomes given negative pressure (step S25: be), control part 9 is back to the step S8 of Fig. 9.Therefore, even before carrying out above-mentioned simulation massage mode, cause under the glucose concentration determination situation of difficult,, also can suitably measure the concentration of glucose among the blood b by carrying out above-mentioned simulation massage mode because of the s skin S amount of bleeding is not enough.
Figure 11~Figure 13 represents another routine flow chart of the action control of sting device A.
In the action control of flow chart shown in Figure 11, simulation massage mode shown in Figure 10 is to carry out with the step S7 ' by behind the puncture body 3 skin puncture S that utilizes step S7.Judge then whether blood b suitably supplies with reagent 44 (step S8).
Like this, behind the skin puncture S,, will further promote the blood operation of s skin S if implement the simulation massage mode immediately, therefore compare with the situation of flow chart shown in Figure 9, advantage is that the blood b that can improve sufficient quantity imports the probability of analyzing with in the pick off 4.
In flow chart action control shown in Figure 12, driving pump 26 operates at and produces negative pressure, administration step S6, S7 then in the cylindrical body 8 once more in step S17.That is, in this action control, as mentioned above, produce negative pressure once more after, in step S7, implement puncture once more to s skin S.
Adopt this action control, suppose that puncture position has deviation, improper in the 1st puncture, then by the 2nd puncture, just can puncture on the tram, like this, blood b still can suitably import and analyze with in the reagent 44 of pick off 4.
In the control of the action shown in the flow chart of Fig. 9, Figure 11 and Figure 12, whether import and analyze at any situation blood b that judges with afterwards (step S8) in the pick off 4, judging (step S8: not) under the situation that blood does not have to import, then open relief valve 28 (step S13), remove the negative pressure in the cylindrical body 8.But also can not remove negative pressure, but implement simulation massage mode shown in Figure 10.Under blood b does not suitably import yet and analyzes with the situation in the reagent 44 of pick off 4 after implementing the simulation massage mode, also can after this puncture to s skin S again.
The action of flow chart shown in Figure 13 is controlled to be and can replaces whether suitably being supplied to the action control of a series of actions control of the processing of reagent 44 by the judgment processing of the console switch 22 of the step S4 in above-mentioned other action control to the blood b that judges of step S8.
In this action control, respectively before to the s skin S puncture with after do twice decompression.More particularly, in this action control, control part 9 judges whether the pressure of being measured by pressure transducer 27 reaches predetermined the 1st force value (step S32) after making utilizing driving pump 26 runnings (step S31) and reducing pressure in the cylindrical body 8.Above-mentioned the 1st force value is the force value that is lower than atmospheric pressure and is higher than aftermentioned the 2nd force value.
When control part 9 judges that the output valve of pressure transducers 27 reaches above-mentioned the 1st force value (step S32: be), temporarily stop the running (step S33) of pump 28.Like this, the inside of cylindrical body 8 just becomes pressure below atmospheric pressure slightly, the s skin S protuberance.This protuberance amount reaches for example not raise analyzes the degree that the surperficial 43a of s skin S and its is contacted with pick off 4.The action (step S34) of then puncturing, and then driving pump 26 runnings (step S35) are judged by control part 9 whether the pressure of pressure transducer 27 mensuration reaches predetermined the 2nd force value (step S36).When said determination pressure when being above-mentioned the 2nd force value (step S36: be), then stop the running (step S37) of pump 26 at this moment.
Adopt this action control, s skin S is swelled to the inside of cylindrical body 8 again, thereby increase the protuberance amount.The result is because the wound of the s skin S that is punctured is opened and by the sucking action that negative pressure causes, promote the hemorrhage of s skin S.Therefore, even in this case, also the blood b supply analysis of sufficient quantity can be used the reagent 44 of pick off 4.
Figure 19~Figure 22 represents other structure example of sting device of the present invention.Identical with above-mentioned embodiment or similar parts among the figure adopt the symbol identical with above-mentioned embodiment.
In Figure 19 and sting device shown in Figure 20, the analysis that remains on the sensor stand 7B is variable with the inclination alpha of pick off 4, and this point is different from the embodiment described above.More particularly, sensor stand 7B have with fulcrum 78 be the center, the swing part 79 that can freely shake in the axial length direction of cylindrical body 8.Analysis is installed on this swing part 79 with pick off 4, utilizes shaking of swing part 79, changes the inclination alpha of analyzing with pick off 4.Near the swing part 79 of sensor stand 7B, be provided with the 77a of restriction portion that restriction swing part 79 rotates.When above-mentioned inclination alpha is one regularly, this restriction portion contacts with swing part 79, makes above-mentioned inclination alpha be no more than this certain value.
Adopt this structure, as shown in figure 19, when when giving that decompression makes the s skin S protuberance in the cylindrical body 8, swing part 79 is pressed and rotates by s skin S, and analysis changes with the inclination alpha of pick off 4.Analysis is corresponding with the protuberance degree of s skin S with the variation of the inclination alpha of pick off 4, so just can keep and analyze with the state of pick off 4 with the inclined plane driving fit of the protrusion of s skin S.Therefore, identical with the sting device A situation of above-mentioned embodiment, take under the situation of blood b making s skin S protuberance, even s skin S protuberance amount has deviation, also can make the test portion introduction part of analyzing with pick off 4 47 approaching, can suitably blood b be imported and analyze with in the test portion introduction part 47 of pick off 4 with the hemorrhage part of s skin S.By stoping inclination alpha to increase to more than the certain value, then when s skin S protuberance amount increases, analyze need not strengthen and turn round above the degree of necessity so that itself and s skin S are left with pick off 4.
When the negative pressure in the s skin S puncture back releasing cylindrical body 8, as shown in figure 20, analyze and use pick off 4 and swing part 79 because of the deadweight of self, rotate along with dwindling of s skin S protuberance.When s skin S was replied general plane shape, analyzing with pick off 4 was non-heeling condition, and this compares with the situation that pick off 4 tilts with s skin S protuberance, analysis, and therefore test portion introduction part 47 can be suitable for a large amount of blood and import in the test portion introduction part 47 near hemorrhage part.In said structure, the action that swing part 79 rotates to the direction that reduces inclination alpha can be a structure irrelevant with deadweight but that utilize the elastic force of spring to reach.If like this, though at sting device under situation about using under the attitude of for example level or inclination, also can make analyze with dwindling of the protuberance of pick off 4 and s skin S relevant.
In structure shown in Figure 21, unsuitable parts with the cylindrical body 8 of above-mentioned embodiment.In this embodiment, forming in the whole cylindrical body 20 with housing 2, be provided with the sensor stand 7 that keeps analyzing with pick off 4, this support 7 can be realized lifting with spring 74.
Utilize this structure, the front end of cylindrical body 20 can be pressed s skin S and use, when making the s skin S protuberance, can overcome the elastic force of spring 74, make to analyze and rise with pick off 4 and sensor stand 7 when in cylindrical body 20, producing negative pressure.Therefore can obtain the effect of the present invention's anticipation.Owing to adopt said structure not use the cylindrical body that forms with housing 2 splits, so sting device is simple in structure.Like this, no matter cylindrical body of the present invention is to form one with housing, still makes separately can not have problems.
In structure shown in Figure 22, sensor stand 7 ' is fixedly mounted on the cylindrical body 8.Cylindrical body 8 is entrenched togather slidably with cylindrical body 20, not making its cylindrical body that is projected into housing 2 20 belows, and utilizes spring 74 ' afterburning downwards.
Owing to adopt this structure sensor stand 7 ' can lifting, therefore can make sensor stand 7 ' lifting along with the s skin S protuberance along with the lifting action of cylindrical body 8.
The present invention is not limited only to the content of above-mentioned embodiment, and the concrete structure of the each several part of sting device of the present invention can freely be made various changes when design.
For example, the purposes of sting device of the present invention is not limited only to measure the concentration of glucose in the blood.By changing the structure of analyzing with parts, can be used for above-mentioned various mensuration and analysis purposes in addition.Analysis of the present invention not necessarily must have reagent with parts, for example, also can be the structure of the function that only has sample of blood, drawn.Sting device of the present invention is preferably has the APU that can carry out assaying, but the present invention also is not limited only to this, for example also can not carry out the function of analyzing and processing on analyzing with parts to the test portion of taking.
The negative pressure generator is preferably electrodynamic pump, but in the present invention also can be without electrodynamic pump, and with manual pump or adopt by make puncture body advance action action and in cylindrical body, produce the pump machanism of negative pressure.Be used to mechanism that puncture body is moved, in forward motion, can utilize the elastic force of elastomeric element, in backward movement, can utilize hand gear.In addition, any action of moving forward and backward of puncture body all can utilize the elastic force of elastomeric element such as spring to carry out.

Claims (8)

1. sting device has:
With the cylindrical body formation one of front opening or the housing of making in addition; Be configured in the described housing, and can be from the intravital rear portion of described shell to the progressive puncture body of the 1st direction of the front end of described cylindrical body; Be configured in the intravital analysis pick off of described tubular; Judge whether blood imports the decision mechanism in the described analysis usefulness pick off; Negative pressure generating mechanism be used for producing negative pressure in described cylindrical body is characterized in that,
Also has controlling organization, described controlling organization is used in the certain hour of described puncture body after the front end of described cylindrical body advances, when the result who is judged by described decision mechanism is that blood does not import described analysis with in the pick off time, remove the negative pressure that produces in the described cylindrical body
Described controlling organization is controlled described negative pressure generating mechanism, makes to carry out repeatedly making the action that produces negative pressure in the described cylindrical body once more after releasing results from the intravital negative pressure of described tubular.
2. sting device as claimed in claim 1 is characterized in that:
When described analysis is subjected to the power of 2nd direction opposite with progressive the 1st direction of described puncture body with pick off, can move to the 2nd direction.
3. sting device as claimed in claim 1 is characterized in that:
Have the relief valve that can make in the described cylindrical body, and by opening described relief valve, described controlling organization can be removed the intravital negative pressure of described tubular with the external communications of described housing.
4. sting device as claimed in claim 1, it is characterized in that: the forward motion of described puncture body can be implemented repeatedly according to the control of described controlling organization, and, in the certain hour after in described cylindrical body, producing negative pressure once more, when the result who is judged by described decision mechanism is that blood does not import described analysis with in the pick off time, described puncture body can be implemented forward motion once more according to the control of described controlling organization.
5. sting device as claimed in claim 1 is characterized in that:
After described puncture body is advanced, in the period before the negative pressure that described controlling organization produces, can control described negative pressure generating mechanism in removing described cylindrical body, make described cylindrical body internal pressure lower.
6. sting device as claimed in claim 1 is characterized in that:
Have blood import described analysis with pick off in the time be used for analyzing the report mechanism that the analysis result of described analysis institution is reported by the analysis institution and being used to of the blood sugar concentration of described blood.
7. sting device as claimed in claim 6 is characterized in that:
After the forward motion of described puncture body in the regular period, when the hemanalysis that can not carry out being undertaken by described analysis institution is handled, utilize described report mechanism to report this meaning, control by described controlling organization.
8. sting device as claimed in claim 6 is characterized in that having:
When described cylindrical body is subjected to the rightabout throw-on pressure of described puncture body direction of advance, be used to detect the testing agency of described throw-on pressure; And, when surpassing set-point, utilize described report mechanism to notify this meaning by the detected throw-on pressure of described testing agency.
CNB200710078826XA 2001-07-19 2002-07-18 Sting device Expired - Lifetime CN100566658C (en)

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JP2001220259 2001-07-19
JP2001220259 2001-07-19
JP2001236976 2001-08-03

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CN100566658C true CN100566658C (en) 2009-12-09

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