CN106344045B - 带有保护元件的微灌注针或瘘管针 - Google Patents

带有保护元件的微灌注针或瘘管针 Download PDF

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CN106344045B
CN106344045B CN201610546005.3A CN201610546005A CN106344045B CN 106344045 B CN106344045 B CN 106344045B CN 201610546005 A CN201610546005 A CN 201610546005A CN 106344045 B CN106344045 B CN 106344045B
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elongated body
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cannula
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CN106344045A (zh
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埃琳娜·毛里
皮耶路易吉·佛朗哥
达尼埃莱·波拉奇
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    • A61B5/15Devices for taking samples of blood
    • A61B5/150007Details
    • A61B5/150374Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
    • A61B5/150534Design of protective means for piercing elements for preventing accidental needle sticks, e.g. shields, caps, protectors, axially extensible sleeves, pivotable protective sleeves
    • A61B5/150664Pivotable protective sleeves, i.e. sleeves connected to, or integrated in, the piercing or driving device, and which are pivoted for covering or uncovering the piercing element
    • AHUMAN NECESSITIES
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    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
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    • A61B5/150641Protective sleeves which are axially extensible, e.g. sleeves connected to, or integrated in, the piercing or driving device; pivotable protective sleeves comprising means to impede repositioning of protection sleeve from covering to uncovering position
    • AHUMAN NECESSITIES
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    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/158Needles for infusions; Accessories therefor, e.g. for inserting infusion needles, or for holding them on the body
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    • A61M5/32Needles; Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
    • A61M5/3205Apparatus for removing or disposing of used needles or syringes, e.g. containers; Means for protection against accidental injuries from used needles
    • A61M5/321Means for protection against accidental injuries by used needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/32Needles; Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
    • A61M5/3205Apparatus for removing or disposing of used needles or syringes, e.g. containers; Means for protection against accidental injuries from used needles
    • A61M5/321Means for protection against accidental injuries by used needles
    • A61M5/3243Means for protection against accidental injuries by used needles being axially-extensible, e.g. protective sleeves coaxially slidable on the syringe barrel
    • A61M5/3271Means for protection against accidental injuries by used needles being axially-extensible, e.g. protective sleeves coaxially slidable on the syringe barrel with guiding tracks for controlled sliding of needle protective sleeve from needle exposing to needle covering position
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    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/158Needles for infusions; Accessories therefor, e.g. for inserting infusion needles, or for holding them on the body
    • A61M2005/1586Holding accessories for holding infusion needles on the body

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Abstract

本发明提供了一种带有保护元件的微灌注针或瘘管针,包括第一部件(1a)和第二部件(1b),第一部件(1a)包括插管(5)和本体(2),本体(2)刚性地接合至插管(5)并且具有从本体(2)延伸的抓持翼(3),第二部件(1b)包括长形本体(8),长形本体(8)具有用于在插管(5)的操作位置与插管(5)的安全位置之间以可滑动的方式接纳第一部件(1a)的腔体,长形本体(8)具有横向插槽(9)以使抓持翼(3)延伸穿过横向插槽(9),抓持翼(3)适于围绕长形本体(8)的对置的部分弹性地弯曲并且接触长形本体(8)的对置的部分。长形本体(8)包括两列凸起(14),两列凸起(14)在翼(3)弯曲时与翼(3)接触。对置的成对凸起(14)设计成在抓持翼(3)弯曲时与抓持翼(3)接触并机械地抵触。

Description

带有保护元件的微灌注针或瘘管针
技术领域
本发明涉及用于医疗领域中的带有保护元件的微灌注针或瘘管针。
背景技术
微灌注针是具有带有对置的横向翼的本体的医疗器械,该本体在一个侧部上与管状元件相关联并且在另一侧部上与中空插管相关联,其中,中空插管与管状元件之间流体连通并且适于插入到患者的静脉中以从他/她抽取血液或者将药物引入到静脉中。
瘘管针是具有带有对置的横向翼的本体的医疗器械,该本体在一个侧部上与适于从患者的静脉抽取血液的中空插管相关联并且在另一侧部上与将这种血液运载到被称为透析器的设备的管相关联,其中,透析器在将血液净化之后通过另一根管和另一根瘘管针将血液重新注入到患者中。
对于如上述的(微灌注或瘘管)针,当操作者将插管从静脉移出时,已知他/她将暴露于伤害并且与患者的血液接触。考虑到防止感染蔓延,已知上述针的本体与长形保护元件相关联,该长形保护元件具有腔体并且适于在插管从患者的静脉被移出时接纳插管。因此获得了包括两个部件——由(微灌注或瘘管)针限定的具有带有翼的本体和插管的第一部件和由保护元件限定的第二部件——的组件。
在操作中,即,当插管被引入到静脉中时,插管从保护元件凸出。在上述将插管引入静脉中的过程中,通过对第一部件的翼的作用而使整个组件移动;随着插管从血管中移出,导致整个微灌注针(或瘘管针)在第二部件的腔体中滑动直到插管被完全地覆盖为止,从而避免与操作者之间的任何意外接触。
如上述的保护元件的多个实施方式在本领域中是已知的并且通常包括管状本体(限定上述的腔体),该管状本体在两个相反的端部处敞开并且具有横向插槽,第一部件的翼可以通过横向插槽移动以允许将插管装配到腔体中。这些横向插槽还包括特定形状的部分,这些特定形状的部分设计成在整个插管插入第二部件中时将第一部件的翼保持在特定形状的部分中。因此,当必须使第一部件安全时,第一部件将相对于第二部件被锁定,并且将安全地避免插管与操作者接触。EP 2055344的申请人在文中公开了这些装置的一个示例。
然而,现有技术的解决方案仍受到下述可能性的影响:在必须移动整个组件时,例如,在插管被引入到静脉中时,第一部件的(微灌注或瘘管)针将在第二部件(保护元件)中滑动或者总之将发生第一部件相对于第二部件的平移运动,这可能会对操作者和患者都造成意外伤害。
发明内容
本发明的目的在于提供一种带有能够消除现有技术装置的缺点的保护元件的微灌注针或瘘管针。
具体地,本发明的目的在于提供一种带有下述保护元件的微灌注针或瘘管针:所述保护元件确保在两个部件必须以接合的关系移动至彼此时以相对于第二部件的方式充分控制第一部件的针。
上述技术目标和具体目的通过带有结合了本发明所述的技术特征的保护元件的微灌注针或瘘管针而基本实现。
附图说明
本发明的其他特征和优点将通过阅读对如附图中所示的带有保护元件的微灌注针或瘘管针的优选的、非排他的实施方式的说明性的、非限制性的描述而被更容易地理解,在附图中:
-图1是本发明的带有保护元件的微灌注针或瘘管针的立体图;
-图2是图1的针在不同的操作构型中的立体图;
-图3是图1的针的一个部件的平面图;以及
-图4是图3的部件的细节的立体图。
具体实施方式
带有保护元件的微灌注针或瘘管针在附图中总体上由附图标记1表示。
带有保护元件的微灌注针或瘘管针包括第一部件1a,该第一部件1a包括本体2,本体2配装有对置的抓持翼3并且具有第一端部4,其中,第一端部4连接有插管5,插管5具有梢部6(梢部6上可能放置有未示出的针罩)。本体2的第二端部具有与该本体相关联的管7,该管7与插管5流体连通。在这方面,本体2内部中空以允许插管5与管7之间流体连通。管7可以连接至包含有生物流体或医疗流体的袋或其他储液器、或者连接至用于在将插管5插入他/她的静脉中时收集从患者抽取的血液的包。
在本发明的优选实施方式中,抓持翼3与本体2形成为一体件,然而它们也可以彼此分离并且机械地连接至彼此。翼3由塑料制成并且以远离本体2的方式延伸以限定各自的大致梯形部。翼3还形成为如下述结构:所述结构能够弹性地变形(这意味着翼3的变形随着应力被释放而消失)并且相对于本体2弯曲以及特别是能够大致绕与本体2的主延伸方向(主延伸方向与插管5的延伸方向基本上一致)平行的轴线相对于本体2枢转。翼3被设计成由操作者握持以进行(弹性地)弯曲并且使插管5移动。两个翼3的表面可以是光滑的或有纹理的以改善使用者的手指的抓握。
针1还包括第二部件1b,该第二部件1b包括长形本体8,长形本体8具有下述腔体:所述腔体用于在插管5于长形本体8的第一端部8a处从所述腔体中凸出的操作位置(如图1中所示)与插管5整个地保持在所述腔体内的安全位置(如图2中所示)之间以可滑动的方式接纳第一部件1a。长形本体8具有横向插槽9以使抓持翼3延伸穿过横向插槽9。如上所述的抓持翼3适于绕长形本体8的对置的部分弹性地弯曲并且因此接触并包围长形本体8。通过释放翼3或者总之通过释放导致翼3枢转的力,翼3趋于移动回到未变形位置(如图1中和图2中所示),并且翼3与长形本体8之间的接触消失。长形本体8通过将两个半部稳定地联接而形成,所述两个半部在本体8的第一端部8a处被铰接(参见图4)并且在第二端部8b处通过从一个半部凸出并装配到另一半部中的敞开的连接座11中的连接臂10(如图1中示意性示出的)来刚性地接合至彼此。因此,不允许抓持翼3从横向插槽9(在两个半部之间)滑出,从而针的第一部件1a不能与针的第二部件1b分离(除非通过破坏针并且使针不能使用)。
在第二端部8b处,长形本体8包括插槽12,该插槽12以大致圆形的切口终止以在插管5从患者的静脉移出并移动至插管5的安全位置的情况下接纳第一部件1a的管7。当第一部件1a位于第一部件1a的安全位置时,操作者可以将管7插入到插槽12中并插入圆形的切口中以通过过盈配合将管锁定。因此,管7将弯曲90°并且由此被堵塞,从而将避免管中的血液或流体的任何泄漏。
优选地,长形本体8包括肋部或脊部13,肋部或脊部13设计成在第二部件1b上为操作者提供牢固的抓握,并且因此有利于第一部件1a在插管5移动到插管5的安全位置时缩回。在这方面,当第一部件1a位于其安全位置时,提供保持构件以将插管5稳定地保持在长形本体8的腔体中。这些保持构件包括例如两个半部中的一个半部的用于抵接另一半部的开口和/或截底的凸起,这些保持构件变得被稳定地联接(通过操作者的推动动作或本体2的平移运动),从而将第一部件1a锁定在如此获得的位置中。EP 2055344A1中公开了可以将插管5锁定在本体2的腔体中的保持构件的示例。
有利地,长形本体8包括位于长形本体8的对置的部分上的两列凸起14,所述两列凸起14设计成在翼3弹性地弯曲时与翼3接触。对置的成对的凸起14设计成在抓持翼3弯曲时与抓持翼3接触并机械地抵触。因此,当插管5在接合至长形本体8的同时必须被移动时,例如,当将插管引入患者的静脉中时,弯曲的翼3在其相对于长形本体的运动方面被强有力地阻碍,从而避免两个部件1a、1b之间的任何相对滑动运动。应当指出的是,成列的凸起14定位在长形本体8的第一端部8a附近,使得成列的凸起14在第一部件1a位于第一部件1a的操作位置时——即在插管5从长形本体8中完全移出时——面对翼3。
由于每列凸起具有多个凸起14,优选地,至少两个凸起,因此,不论翼3在与长形本体8的延伸方向平行的方向上的尺寸是多少,第二部件1b可以始终是相同的。应当指出的是,在针1的制造期间,可能需要使用来自不同制造商的带有类似但不同尺寸的翼的第一部件1a。多个凸起14提供了多个机械过盈配合区域,从而无论翼的尺寸是多少都将始终确保翼的抵接。
两列凸起的每个凸起14限定用于翼3的抵接肩部,该抵接肩部对抗第一部件1a的滑入到第二部件1b中的运动。一列凸起中的凸起14被连续地布置,其中,距离长形本体8的第一端部8a最远的凸起比更接近长形本体8的第一端部8a的凸起从长形本体8更大程度地凸出(如图3中所示)。优选地,每列凸起中的凸起14呈台阶状。
优选地,除凸起14外还设置了限位止动元件15,并且该限位止动元件15在长形本体8上设置得与上述凸起14相比距离长形本体8的第一端部8a更远。限位止动元件15比凸起14从长形本体更大程度地凸出并且在翼3于长形本体8中平移运动期间由于任何原因而未被凸起14锁定时确保对第一部件1a进行更安全地锁定。
当然,当从患者的静脉移出插管5时,翼3将简单地枢转至未变形位置(或者将简单地减小施加至翼的力)以释放由凸起14或限位止动元件15提供的机械过盈配合并且允许第一部件1a在第二部件1b中滑动至安全位置。

Claims (8)

1.一种带有保护元件的微灌注针或瘘管针,包括:
第一部件(1a),所述第一部件(1a)包括插管(5)和本体(2),所述插管(5)具有允许将所述插管(5)插入到患者的静脉中的梢部(6),所述本体(2)刚性地接合至所述插管(5)并且具有从所述本体(2)延伸的基本上对置的横向的抓持翼(3);
第二部件(1b),所述第二部件(1b)包括长形本体(8),所述长形本体(8)具有腔体:所述腔体用于在所述插管(5)于所述长形本体(8)的第一端部(8a)处从所述腔体中凸出的操作位置与所述插管(5)整个地保持在所述腔体内的安全位置之间以可滑动的方式接纳所述第一部件(1a),所述长形本体(8)具有横向插槽(9)以使所述抓持翼(3)延伸穿过所述横向插槽(9),所述抓持翼(3)能够围绕所述长形本体(8)的对置的部分弹性地弯曲并且接触所述长形本体(8)的所述对置的部分;
其特征在于,所述长形本体(8)包括位于在所述抓持翼(3)弯曲时与所述抓持翼(3)接触的所述长形本体(8)的所述对置的部分上的两列凸起(14),并且对置的成对凸起(14)设计成在所述抓持翼(3)弯曲时与所述抓持翼(3)接触并机械地干涉,
所述两列凸起(14)被定位在所述长形本体的所述第一端部(8a)附近以在所述第一部件(1a)位于所述操作位置时抵接所述抓持翼(3)。
2.根据权利要求1所述的针,其中,所述两列凸起中的每个凸起(14)限定用于所述抓持翼(3)的抵接肩部,所述抵接肩部在抵接相应的弯曲的所述抓持翼(3)时对抗所述第一部件(1a)滑入到所述第二部件(1b)中的运动。
3.根据权利要求1或2所述的针,其中,一列凸起中的所述凸起(14)被连续地布置;距离所述长形本体的所述第一端部(8a)最远的所述凸起(14)比更接近所述长形本体(8)的所述第一端部(8a)的所述凸起(14)从所述长形本体更大程度地凸出。
4.根据权利要求1或2所述的针,其中,每列凸起中存在至少两个所述凸起(14)。
5.根据权利要求1或2所述的针,包括至少一个限位止动元件(15),所述至少一个限位止动元件(15)在所述长形本体(8)上设置成与所述凸起(14)相比距离所述长形本体的所述第一端部(8a)更远;所述限位止动元件(15)比所述凸起(14)从所述长形本体更大程度地凸出以在所述抓持翼(3)弯曲时抑制所述抓持翼(3)。
6.根据权利要求1或2所述的针,其中,每列凸起中的所述凸起(14)呈台阶状。
7.根据权利要求1或2所述的针,其中,所述长形本体(8)具有肋部(13),所述肋部(13)设计成有利于所述第一部件(1a)在所述插管(5)从静脉退出时缩回。
8.根据权利要求1或2所述的针,包括用于将所述插管(5)稳定地保持在所述安全位置的保持构件。
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