JP2005206180A - Unstopping mechanism of specimen container - Google Patents

Unstopping mechanism of specimen container Download PDF

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Publication number
JP2005206180A
JP2005206180A JP2004013772A JP2004013772A JP2005206180A JP 2005206180 A JP2005206180 A JP 2005206180A JP 2004013772 A JP2004013772 A JP 2004013772A JP 2004013772 A JP2004013772 A JP 2004013772A JP 2005206180 A JP2005206180 A JP 2005206180A
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Prior art keywords
opening
cutter
specimen container
lid
cutter holder
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JP2004013772A
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JP4247478B2 (en
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Hiroshi Takao
博志 高尾
Fumio Aida
文男 合田
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Daisen Sangyo Co Ltd
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Daisen Sangyo Co Ltd
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  • Devices For Opening Bottles Or Cans (AREA)

Abstract

<P>PROBLEM TO BE SOLVED: To provide an unstopping mechanism of a specimen container, which can further suppress contamination than ever before. <P>SOLUTION: The specimen container 1 is equipped with an unstopping cutter 3 for punching a lid part 2, and a cutter holder 4 to/from which the unstopping cutter 3 can be attached/detached; a supporting mechanism 8 of the lid part, which is punched when the container is unstopped, is provided in the cutter holder 4; the unstopping cutter 3 is attached to the cutter holder 4 so that the specimen container 1 can be unstopped; the lid part 2 is held by the supporting mechanism 8 of the lid part; the lid part 2 of the specimen container 1, which is held by the supporting mechanism 8 of the lid part, is separated from the supporting mechanism 8 after the container is unstopped; and the unstopping cutter 3, which is attached to the cutter holder 4, is replaced from the cutter holder 4. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

この発明は、血液等の検体容器の開栓機構に関するものである。   The present invention relates to an opening mechanism for a specimen container such as blood.

血液等の臨床検査用検体は、検体容器に収容されて封止されている。   A specimen for clinical examination such as blood is accommodated in a specimen container and sealed.

従来の封止済検体容器の開栓装置として、二次感染の危険性がある手作業を排し効率的に開栓処理することができるものがあった(例えば、特許文献1参照)。   As a conventional device for opening a sealed specimen container, there has been a device that can efficiently perform an opening process by eliminating a manual operation at risk of secondary infection (see, for example, Patent Document 1).

すなわち、検体容器(採血管等)の栓のフィルム部分を、加熱した金属製のカッター部で打ち抜いて開栓するものである。前記カッター部等の金属製の開栓機構は加熱により同時に殺菌もされるので、次回開栓時へのコンタミネーション(汚染)を防止できるようになっていた。   That is, the film portion of the stopper of the specimen container (such as a blood collection tube) is punched and opened by a heated metal cutter. Since the metal opening mechanism such as the cutter unit is sterilized at the same time by heating, it is possible to prevent contamination (contamination) at the next opening.

しかし、近年検査機器の精度が向上し、加熱殺菌したはずの微量の残留血清であっても次回分として検知されてしまうようになり、コンタミネーションを十分に防止することができなくなったという問題があった。
特開平6―64688号公報(第3頁、図1)
However, in recent years, the accuracy of testing equipment has improved, and even a trace amount of residual serum that should have been heat-sterilized will be detected as the next time, and contamination cannot be prevented sufficiently. there were.
Japanese Patent Laid-Open No. 6-64688 (page 3, FIG. 1)

そこでこの発明は、従来よりもコンタミネーションを抑制することができる検体容器の開栓機構を提供しようとするものである。   Therefore, the present invention is intended to provide a specimen container opening mechanism that can suppress contamination as compared with the prior art.

前記課題を解決するためこの発明では次のような技術的手段を講じている。   In order to solve the above problems, the present invention takes the following technical means.

(1)この発明の検体容器の開栓機構は、検体容器の蓋部を打ち抜く開栓カッターと、前記開栓カッターが着脱可能なカッター保持具とを具備し、開栓時に打ち抜かれた蓋部の支持機構が前記カッター保持具に設けられ、前記カッター保持具に開栓カッターを装着し検体容器を開栓すると共に蓋部の支持機構により蓋部を保持せしめ、開栓後に蓋部の支持機構からこれに保持された検体容器の蓋部を離脱させ、カッター保持具からこれに装着された開栓カッターを交換するようにしたことを特徴とする。  (1) The specimen container opening mechanism of the present invention comprises an opening cutter for punching the lid of the specimen container, and a cutter holder to which the opening cutter can be attached and detached, and the lid being punched at the time of opening. Is provided on the cutter holder, and the specimen holder is opened by attaching an opening cutter to the cutter holder and the lid part is held by the lid support mechanism. The lid portion of the specimen container held by the container is detached, and the opening cutter attached to the cutter holder is replaced with the cutter holder.

この検体容器の開栓機構は、カッター保持具からこれに装着された開栓カッターを交換するようにしたので、次の検体容器の開栓時には汚染のおそれがある前の開栓カッターから交換された別の開栓カッターを用いることとなる。   Since the opening mechanism of the specimen container is changed from the cutter holder to the opening cutter attached to it, it is replaced from the previous opening cutter that may cause contamination when the next specimen container is opened. Another opening cutter will be used.

また、開栓後に蓋部の支持機構からこれに保持された検体容器の蓋部を離脱させ、カッター保持具からこれに装着された開栓カッターを交換するようにしており、検体容器の蓋部と開栓カッターとを作業サイクル内の同一工程ではなく別工程で処理することが可能であり、開栓カッターと開栓された検体容器の蓋部とを別個に分別回収することができる。   Further, after opening the lid, the lid of the specimen container held by the lid is removed from the support mechanism of the lid, and the opening cutter attached to the specimen holder is replaced from the cutter holder. And the opening cutter can be processed in separate steps instead of the same step in the work cycle, and the opening cutter and the lid portion of the opened specimen container can be separately collected.

なお、前記開栓カッターは合成樹脂製とすると量産が可能であって安価なものとして製造することができる。   If the opening cutter is made of a synthetic resin, it can be mass-produced and manufactured at a low cost.

(2) 前記蓋部を保持する支持機構として開栓時に打ち抜かれた蓋部を刺持するニードル部(針状部)がカッター保持具に設けられ、検体容器を開栓すると同時にニードル部により蓋部を刺持せしめ、開栓後にニードル部からこれに刺持された検体容器の蓋部を抜脱させるようにしたこととしてもよい。 (2) A needle part (needle-like part) that pierces the lid part punched at the time of opening as a support mechanism for holding the lid part is provided in the cutter holder, and at the same time the specimen container is opened, the needle part is closed It is good also as having made the part stab and removing the cover part of the sample container stabbed by this from the needle part after opening.

このように構成すると、開栓時に打ち抜かれた蓋部を刺持するニードル部により落栓を好適に防止しつつ蓋部を保持することができる。また、開栓後にニードル部からこれに刺持された検体容器の蓋部を抜脱させ、カッター保持具からこれに装着された開栓カッターを交換するようにしており、検体容器の蓋部と開栓カッターとを作業サイクル内の同一工程ではなく別工程で処理することが可能であり、開栓カッターと開栓された検体容器の蓋部とを別個に分別回収することができる。   If comprised in this way, a cover part can be hold | maintained, preventing a clogging suitably by the needle part which punctures the cover part punched at the time of opening. In addition, after opening the lid, the lid of the specimen container stuck to the needle is removed from the needle, and the opening cutter attached to the specimen holder is replaced from the cutter holder. The opening cutter can be processed in a separate process instead of the same process in the work cycle, and the opening cutter and the lid of the opened specimen container can be separately collected.

前記ニードル部は、合成樹脂や好ましくは金属などにより形成することができる。   The needle portion can be formed of a synthetic resin or preferably a metal.

(3) 前記ニードル部はカッター保持具に対して進退可能としたこととしてもよい。  (3) The needle portion may be capable of moving back and forth with respect to the cutter holder.

このように構成すると、開栓後にニードル部からこれに刺持された検体容器の蓋部を抜脱させる際、検体容器の蓋部が刺持されたニードル部をカッター保持具から進行させてカッター保持具と検体容器の蓋部との間の距離を広げた状態として抜脱作業を行うことができ作業性がよい。   With this configuration, when the lid of the specimen container stuck in the needle portion is removed from the needle portion after opening, the needle portion in which the specimen container lid portion is stuck is advanced from the cutter holder and the cutter is moved. The removal work can be performed in a state where the distance between the holder and the lid of the sample container is widened, and the workability is good.

(4) 前記カッター保持具を複数連に形成したこととしてもよい。  (4) A plurality of the cutter holders may be formed in series.

このように構成すると、複数連(例えば10連)のカッター保持具により1サイクルの作業工程で複数個(例えば10個分)の検体容器の開栓作業を行うことができスピーディーに開栓を行うことができる。   If comprised in this way, the opening operation | work of several sample containers (for example, ten pieces) can be performed by the work process of 1 cycle with a multiple series (for example, 10 series) cutter holder, and it opens quickly. be able to.

(5) この発明の開栓カッターは、前記検体容器の開栓機構について交換用に用いるものである。  (5) The opening cutter of the present invention is used for exchanging the opening mechanism of the specimen container.

(6)この発明の検体容器の開栓システムは、前記検体容器の開栓機構を用いて検体容器を開栓するようにプログラムしたものである。 (6) The specimen container opening system of the present invention is programmed to open the specimen container using the specimen container opening mechanism.

この発明は上述のような構成であり、次の効果を有する。   The present invention is configured as described above and has the following effects.

次の検体容器の開栓時には汚染のおそれがある前の開栓カッターから交換された別の開栓カッターを用いることとなるので、従来よりもコンタミネーションを抑制することができる検体容器の開栓機構を提供することができる。   When opening the next specimen container, another opening cutter replaced from the previous opening cutter that may be contaminated is used. Therefore, the opening of the specimen container that can suppress contamination more than before is possible. A mechanism can be provided.

以下、この発明の実施の形態を図面を参照して説明する。
(実施形態1)
図1乃至図6に示すように、この実施形態の検体容器の開栓機構は、真空採血管等の検体容器1の蓋部2を打ち抜く合成樹脂製の開栓カッター(ポンチカッター)3と、前記開栓カッター3が着脱可能な金属製のカッター保持具4とを具備する。前記開栓カッター3は刃部5が形成された合成樹脂製としており、量産が可能であって安価なものとして製造することができる。前記合成樹脂として、ポリスチレン樹脂を用いて成型した。前記検体容器1の蓋部2は、アルミラミネートフィルム6とその中央に固着されたゴム部7とから成る。
Embodiments of the present invention will be described below with reference to the drawings.
(Embodiment 1)
As shown in FIGS. 1 to 6, the specimen container opening mechanism according to this embodiment includes a synthetic resin opening cutter (punch cutter) 3 for punching the lid 2 of the specimen container 1 such as a vacuum blood collection tube, and the like. The opening cutter 3 includes a metal cutter holder 4 that is detachable. The opening cutter 3 is made of a synthetic resin on which the blade portion 5 is formed, and can be mass-produced and manufactured at a low cost. The synthetic resin was molded using a polystyrene resin. The lid portion 2 of the sample container 1 includes an aluminum laminate film 6 and a rubber portion 7 fixed to the center thereof.

また、開栓時に打ち抜かれた蓋部の支持機構8が、前記カッター保持具4に設けられている。前記蓋部2を保持する支持機構8として、開栓時に打ち抜かれた蓋部2を刺持する針状のニードル部(8)がカッター保持具4の円周方向の中央に設けられている。前記ニードル部(8)は金属製として、カッター保持具4に対して操作体9により進退可能としている。ニードル部(8)は、傷んできたら交換可能としている。   Also, the cutter holder 4 is provided with a lid support mechanism 8 punched at the time of opening. As the support mechanism 8 that holds the lid portion 2, a needle-like needle portion (8) that pierces the lid portion 2 punched out at the time of opening is provided at the center in the circumferential direction of the cutter holder 4. The needle portion (8) is made of metal and can be advanced and retracted by the operating body 9 with respect to the cutter holder 4. The needle portion (8) can be replaced if it is damaged.

そして、図1に示すように、テーパー状の接続端10を有する前記カッター保持具4を下降せしめ、開栓カッター3に圧入して装着する。装着後カッター保持具4を上昇せしめ、図2に示すように、検体容器1の上方へと移動させる。この状態で、ニードル部(8)は開栓カッター3の刃先によりも突出している。   And as shown in FIG. 1, the said cutter holder 4 which has the taper-shaped connection end 10 is lowered | hung, and it press-fits in the opening cutter 3, and is mounted | worn. After mounting, the cutter holder 4 is raised and moved upward of the sample container 1 as shown in FIG. In this state, the needle portion (8) protrudes beyond the cutting edge of the opening cutter 3.

図3に示すように、カッター保持具4を下降せしめ、検体容器1を開栓すると共に(同時に)、蓋部の支持機構(ニードル部)8により蓋部2を保持(刺持)せしめる。   As shown in FIG. 3, the cutter holder 4 is lowered to open the sample container 1 (at the same time), and the lid portion 2 is held (pierced) by the lid support mechanism (needle portion) 8.

開栓後にカッター保持具4を上昇せしめ、蓋部2の分離位置へと移動し、ニードル部(8)に連結された操作体9を押圧することによりニードル部(8)をカッター保持具4に対して進行せしめ、図4及び図5に示すように蓋部の支持機構(ニードル部)8からこれに保持(刺持)された検体容器1の蓋部2を離脱(抜脱)させる。すなわち、図4に示すように蓋リリース板11のU字溝12にニードル部(8)を挿入し、図5に示すように前記U字溝に蓋部2が引っ掛かって抜けるように操作体9を引っ張ることによりニードル部(8)をカッター保持具4に対して後退せしめる。こうして蓋部2はニードル部(8)から分離される。   After opening, the cutter holder 4 is raised, moved to the separation position of the lid portion 2, and the operating portion 9 connected to the needle portion (8) is pressed to bring the needle portion (8) into the cutter holder 4. As shown in FIGS. 4 and 5, the lid portion 2 of the sample container 1 held (pierced) by the lid support mechanism (needle portion) 8 is removed (removed). That is, the needle portion (8) is inserted into the U-shaped groove 12 of the lid release plate 11 as shown in FIG. 4, and the operating body 9 is pulled out so that the lid portion 2 is caught in the U-shaped groove as shown in FIG. The needle part (8) is retracted with respect to the cutter holder 4 by pulling. Thus, the lid portion 2 is separated from the needle portion (8).

次いでカッター保持具4を横方向に変位せしめ、使用した開栓カッター3の分離位置へと移動させ、カッター保持具4からこれに装着された開栓カッター3を交換する。すなわち、図6に示すようにカッターリリース板13のU字溝14に使用された開栓カッター3を引っ掛けて、カッター保持具4を上昇させる。開栓カッター3はカッター保持具4から分離される。蓋部2と開栓カッター3とは、分別回収するようにしている。そして、図1の工程へと戻って次の開栓カッター3を装着する。   Next, the cutter holder 4 is displaced laterally, moved to the separation position of the used opening cutter 3, and the opening cutter 3 attached to the cutter holder 4 is replaced. That is, as shown in FIG. 6, the opening cutter 3 used in the U-shaped groove 14 of the cutter release plate 13 is hooked and the cutter holder 4 is raised. The opening cutter 3 is separated from the cutter holder 4. The lid 2 and the opening cutter 3 are separately collected. And it returns to the process of FIG. 1 and the next opening cutter 3 is mounted | worn.

次に、この実施形態の検体容器の開栓機構の使用状態を説明する。   Next, the use state of the sample container opening mechanism of this embodiment will be described.

この検体容器の開栓機構は、カッター保持具4からこれに装着された開栓カッター3を交換するようにしたので、次の検体容器1の開栓時には汚染のおそれがある前の開栓カッター3から交換された別の開栓カッター3を用いることとなり、従来よりもコンタミネーションを抑制することができるという利点がある。   In this specimen container opening mechanism, the opening cutter 3 attached to the cutter holder 4 is exchanged, and therefore the opening cutter before the next specimen container 1 may be contaminated. Therefore, there is an advantage that contamination can be suppressed as compared with the prior art.

分別回収した開栓カッター3は、洗浄して再利用することもできる。すなわち、開栓カッター3は1回毎に使い捨てとしてもよいし、分別回収した後に洗浄して複数回再利用してもよい。   The opening and closing cutter 3 that has been separated and collected can be washed and reused. That is, the opening cutter 3 may be disposable every time, or may be washed after being separated and collected and reused a plurality of times.

また、開栓後に蓋部の支持機構(ニードル部)8からこれに保持(刺持)された検体容器1の蓋部2を離脱(抜脱)させ、カッター保持具4からこれに装着された開栓カッター3を交換するようにしており、検体容器1の蓋部2と開栓カッター3とを作業サイクル内の同一工程ではなく別工程で処理することが可能であり、開栓カッター3と開栓された検体容器1の蓋部2とを別個に分別回収することができるという利点がある。ここで、開栓時に打ち抜かれた蓋部2を刺持するニードル部(8)により、落栓を好適に防止しつつ蓋部2を保持することができるという利点がある。   Further, after opening, the lid 2 of the specimen container 1 held (pierced) by the lid support mechanism (needle portion) 8 is detached (removed), and the cutter holder 4 is attached to the lid 2. The opening cutter 3 is exchanged, and the lid portion 2 and the opening cutter 3 of the sample container 1 can be processed in different processes instead of the same process in the work cycle. There is an advantage that the lid 2 of the opened specimen container 1 can be separately collected separately. Here, there exists an advantage that the cover part 2 can be hold | maintained by the needle part (8) which punctures the cover part 2 pierced at the time of opening a plug, preventing a clogging suitably.

さらに、前記ニードル部(8)はカッター保持具4に対して進退可能としており、開栓後にニードル部(8)からこれに刺持された検体容器1の蓋部2を抜脱させる際、検体容器1の蓋部2が刺持されたニードル部(8)をカッター保持具4から進行させてカッター保持具4と検体容器1の蓋部2との間の距離を広げた状態として抜脱作業を行うことができ作業性がよいという利点がある。
(実施形態2)
次に、実施形態2を実施形態1との相違点を中心に説明する。
Furthermore, the needle part (8) can be moved back and forth with respect to the cutter holder 4, and when the lid part 2 of the specimen container 1 held in the needle part (8) is removed from the needle part (8) after opening, the specimen The needle part (8) in which the lid part 2 of the container 1 is pierced is advanced from the cutter holder 4 so that the distance between the cutter holder 4 and the lid part 2 of the specimen container 1 is widened and removed. There is an advantage that workability is good.
(Embodiment 2)
Next, the second embodiment will be described focusing on the differences from the first embodiment.

この実施形態では、カッター保持具4(図1乃至図6参照)を複数連(例えば10連)に形成しており(図示せず)、1サイクルの作業工程で複数個の検体容器の開栓作業を一遍に行うことができ、スピーディーに開栓作業を行うことができる。また、開栓カッター3相互間には飛沫の飛散を防止するための遮蔽板を配設するようにしており、開栓カッター3と検体容器を周りから覆うことができ、開栓時の衝撃で検体容器内の血清等が飛散しても周囲の検体容器に対して遮蔽することができるという利点がある。   In this embodiment, the cutter holder 4 (see FIGS. 1 to 6) is formed in a plurality of series (for example, 10 series) (not shown), and a plurality of sample containers are opened in one cycle of the work process. The work can be performed all at once, and the opening work can be performed speedily. In addition, a shielding plate is provided between the opening cutters 3 to prevent splashes from splashing, so that the opening cutter 3 and the sample container can be covered from the surroundings. There is an advantage that even if serum or the like in the sample container is scattered, it can be shielded from surrounding sample containers.

従来よりもコンタミネーションを抑制することができ、検体容器を開栓する種々の用途に適用することができる。   Contamination can be suppressed as compared with the conventional case, and can be applied to various uses for opening the specimen container.

この発明の実施形態1で、カッター保持具に開栓カッターを装着する工程を示す側断面図。In Embodiment 1 of this invention, the sectional side view which shows the process of mounting | wearing a cutter holder with an opening cutter. 図1のカッター保持具を検体容器の上方へと移動した状態を示す側断面図。The sectional side view which shows the state which moved the cutter holder of FIG. 1 to the upper direction of the sample container. 図2の開栓カッターにより検体容器を開栓する工程を示す側断面図。The sectional side view which shows the process of opening a sample container with the opening cutter of FIG. 図3のニードル部がカッター保持具に対して進行した状態を示す側断面図。FIG. 4 is a side sectional view showing a state in which the needle portion of FIG. 3 has advanced with respect to the cutter holder. 図4のニードル部から蓋部を抜脱する工程を示す側断面図。FIG. 5 is a side sectional view showing a step of removing the lid from the needle part of FIG. 4. 図5のカッター保持具から開栓カッターを分離する工程を示す側断面図。The sectional side view which shows the process of isolate | separating an opening cutter from the cutter holder of FIG.

符号の説明Explanation of symbols

1 検体容器
2 蓋部
3 開栓カッター
4 カッター保持具
8 蓋部の支持機構(ニードル部)
DESCRIPTION OF SYMBOLS 1 Sample container 2 Lid part 3 Opening cutter 4 Cutter holder 8 Support mechanism (needle part) of a lid part

Claims (6)

検体容器1の蓋部2を打ち抜く開栓カッター3と、前記開栓カッター3が着脱可能なカッター保持具4とを具備し、開栓時に打ち抜かれた蓋部の支持機構8が前記カッター保持具4に設けられ、前記カッター保持具4に開栓カッター3を装着し検体容器1を開栓すると共に蓋部の支持機構8により蓋部2を保持せしめ、開栓後に蓋部の支持機構8からこれに保持された検体容器1の蓋部2を離脱させ、カッター保持具4からこれに装着された開栓カッター3を交換するようにしたことを特徴とする検体容器の開栓機構。 An opening cutter 3 for punching the lid portion 2 of the sample container 1 and a cutter holder 4 to which the opening cutter 3 can be attached and detached are provided, and a support mechanism 8 for the lid portion punched at the time of opening is the cutter holder. 4, the stopper holder 3 is attached to the cutter holder 4 to open the sample container 1, and the lid portion 2 is held by the lid support mechanism 8. An opening mechanism for a specimen container, wherein the lid portion 2 of the specimen container 1 held thereby is detached and the opening cutter 3 attached to the cutter holder 4 is replaced. 前記蓋部2を保持する支持機構8として開栓時に打ち抜かれた蓋部2を刺持するニードル部がカッター保持具4に設けられ、検体容器1を開栓すると同時にニードル部により蓋部2を刺持せしめ、開栓後にニードル部からこれに刺持された検体容器1の蓋部2を抜脱させるようにした請求項1記載の検体容器の開栓機構。 As the support mechanism 8 for holding the lid portion 2, a needle portion that pierces the lid portion 2 punched at the time of opening is provided in the cutter holder 4. The specimen container opening mechanism according to claim 1, wherein the lid part 2 of the specimen container 1 stabbed by the needle part is removed from the needle part after being pierced and opened. 前記ニードル部はカッター保持具4に対して進退可能とした請求項2記載の検体容器の開栓機構。 The specimen container opening mechanism according to claim 2, wherein the needle portion is movable back and forth with respect to the cutter holder 4. 前記カッター保持具4を複数連に形成した請求項1乃至3のいずれかに記載の検体容器の開栓機構。 The specimen container opening mechanism according to any one of claims 1 to 3, wherein a plurality of the cutter holders 4 are formed in series. 請求項1乃至4のいずれかに記載の検体容器の開栓機構について交換用に用いる開栓カッター。 An opening cutter used for replacement of the opening mechanism of the specimen container according to any one of claims 1 to 4. 請求項1乃至5のいずれかに記載の検体容器の開栓機構を用いて検体容器を開栓するようにプログラムした検体容器の開栓システム。
6. A sample container opening system programmed to open a sample container using the sample container opening mechanism according to claim 1.
JP2004013772A 2004-01-22 2004-01-22 Sample container opening mechanism Expired - Fee Related JP4247478B2 (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2010007709A1 (en) * 2008-07-17 2010-01-21 株式会社 メディカルジャパン Disposable unplugging block for blood collection tube and unplugging device using the same
JP2013079957A (en) * 2011-09-30 2013-05-02 Ortho-Clinical Diagnostics Inc Disposable foil punch for immunohematology test elements

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2010007709A1 (en) * 2008-07-17 2010-01-21 株式会社 メディカルジャパン Disposable unplugging block for blood collection tube and unplugging device using the same
JP2013079957A (en) * 2011-09-30 2013-05-02 Ortho-Clinical Diagnostics Inc Disposable foil punch for immunohematology test elements

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