JP2005218605A - Tool of fixing blood transfusion tube or paracentesis needle for dialysis - Google Patents

Tool of fixing blood transfusion tube or paracentesis needle for dialysis Download PDF

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JP2005218605A
JP2005218605A JP2004029005A JP2004029005A JP2005218605A JP 2005218605 A JP2005218605 A JP 2005218605A JP 2004029005 A JP2004029005 A JP 2004029005A JP 2004029005 A JP2004029005 A JP 2004029005A JP 2005218605 A JP2005218605 A JP 2005218605A
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fixing
puncture needle
holding
dialysis
transfusion
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Junko Ishii
淳子 石井
Shigetsugu Masumura
成嗣 増村
Tetsuya Yano
哲也 矢野
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Teijin Pharma Ltd
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Teijin Pharma Ltd
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a holder of a blood circuit capable of playing a role as the assistance of a patient and a care worker in the case of performing dialysis at home. <P>SOLUTION: The holder of the blood circuit of a hemodialysis unit is composed of a holding part 2 for holding the blood circuit and a fixing part 1 for fixing the holder to another part. The holding part 2 is attached on a surface 1a on the outer side at one side part of the fixing part 1 composed of a clip. The holding part is prepared by fixing, to a circular metal fitting 2a, both ends of a coil-like metal fitting 2b for clamping and holding a blood tube. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

本発明は在宅血液透析実施時に使用する輸血管あるいは穿刺針の固定具に関する。   The present invention relates to a fixture for an infusion blood vessel or a puncture needle used at home hemodialysis.

病院等の施設において血液透析を行う際には、看護師、技師等の医療行為の専門家が透析装置の準備、穿針、透析器と血液回路(輸血管)の接続、抜針を実施している。また、透析前後や透析中に何らかのトラブルが発生した場合には、同施設内の他の介助者に助けてもらうことができる。   When performing hemodialysis in hospitals and other facilities, nurses, technicians, and other medical professionals prepare the dialysis machine, connect the needle, connect the dialyzer to the blood circuit (intravascular), and remove the needle. ing. Also, if any trouble occurs before or after dialysis or during dialysis, other caregivers in the facility can help.

これに対して、患者が在宅で血液透析を行う場合は、主に患者の家族あるいはヘルパーが介助者となる。その場合、介助者は通常1人であるので、穿針、透析器と血液回路の接続、抜針を行う際には、介助者の両手と、患者の片手(針を刺さないほうの手)により、各操作を行っている。   On the other hand, when a patient performs hemodialysis at home, the patient's family or helper is the assistant. In that case, there is usually one helper, so when you need to puncture, connect the dialyzer to the blood circuit, and remove the needle, both the helper's hand and the patient's hand (the one that will not pierce the needle) Thus, each operation is performed.

この場合、装置が順調に作動し、かつ各作業を予定通り的確に処理できている場合は、介助者の両手と患者の片手による操作で間に合う。しかしながら、何らかのトラブルが発生した場合には、介助者か患者のいずれかがトラブルに対応するのは難しいという問題がある。   In this case, when the apparatus is operating smoothly and each operation can be accurately processed as scheduled, the operation can be performed with the helper's both hands and the patient's one hand. However, when some trouble occurs, there is a problem that it is difficult for either the caregiver or the patient to deal with the trouble.

特に、清潔な状態を維持する必要がある血液回路の接続部分を手に持っている場合には、その手を離せば当該接続部分が汚染されるため、手を離すことができず、トラブルに対応するのはほとんど不可能であった。   In particular, if you have a blood circuit connection part in your hand that needs to be kept clean, the connection part will be contaminated if you take your hand off. It was almost impossible to respond.

また、従来透析装置に各種回路の保持具が備え付けられているが、これらは透析装置の回路を整理し、回路を定位置に保持するためのものであり、患者や介助者の補助としての役割を果たせる可動性のものは存在しなかった。   In addition, conventional dialysis machines are equipped with various circuit holders. These are used to organize the dialysis machine circuit and hold the circuit in place, and serve as a support for patients and caregivers. There was no mobile thing that could fulfill the requirements.

さらに、透析終了後血液回路中の排液をバケツに移す際にチューブとバケツとを固定するための排液チューブの固定具が開示されている(例えば特許文献1。)。しかし、かかる固定具は、吸盤によりバケツに取付け、排液チューブを固定してチューブからの廃液をバケツ内に移すための器具であり、バケツ以外への適用は不可能である。そして、ここで固定される排液チューブは、使用後廃棄するものであるので、固定具により挟持される際に多少変形したり、傷ついたりしても問題はなく、一度固定された排液チューブをその後透析に使用することは全く想定していない。
実開昭59−85234号公報
Furthermore, a drainage tube fixture for fixing the tube and the bucket when the drainage in the blood circuit is transferred to the bucket after completion of dialysis is disclosed (for example, Patent Document 1). However, such a fixture is an instrument for attaching the drainage tube to the bucket by a suction cup and transferring the waste liquid from the tube into the bucket, and cannot be applied to other than the bucket. Since the drainage tube fixed here is discarded after use, there is no problem even if it is slightly deformed or damaged when sandwiched by the fixture, and the drainage tube once fixed Is not envisaged for subsequent use in dialysis.
Japanese Utility Model Publication No.59-85234

本発明の目的は、透析を行う場合に、患者や介助者の補助としての役割を果たすことができる、可動式の、輸血管あるいは穿刺針の固定具を提供することである。   An object of the present invention is to provide a movable transfusion vessel or puncture needle fixture that can serve as an aid to a patient or an assistant when performing dialysis.

さらに本発明の目的は、輸血管あるいは穿刺針の形状や品質に影響を与えずに固定するための固定具を提供するものである。   A further object of the present invention is to provide a fixture for fixing without affecting the shape and quality of a transfusion vessel or puncture needle.

すなわち本発明は、血液透析装置の血液回路の保持具であって、血液回路を保持する保持部、及び該保持具を他の箇所へ固定するための固定部からなる血液回路の保持具である。   That is, the present invention is a blood circuit holder of a hemodialysis apparatus, which is a holder for a blood circuit comprising a holding part for holding the blood circuit and a fixing part for fixing the holder to another location. .

本発明により、透析を行う場合に、患者や介助者の補助的な役割を果たす保持具を提供することが可能となる。すなわち本発明により、より安全でより容易に透析を行うことが可能となり、特に、患者と非専門的な介助者とで行う在宅透析において、より安全な透析を行うことが可能となる。   According to the present invention, it is possible to provide a holder that plays an auxiliary role for a patient or an assistant when performing dialysis. That is, according to the present invention, dialysis can be performed more safely and more easily, and safer dialysis can be performed particularly in home dialysis performed by a patient and a non-professional assistant.

本発明の固定具は、血液透析装置の血液回路の一部である輸血管あるいは穿刺針を固定するための可動式の固定具であり、血液回路を保持する保持部、及び該保持具を他の箇所へ固定するための固定部からなる(第1の態様)。   The fixing device of the present invention is a movable fixing device for fixing an infusion tube or a puncture needle that is a part of a blood circuit of a hemodialysis apparatus, and includes a holding unit that holds the blood circuit, and the holding tool. It consists of the fixing | fixed part for fixing to the location of (1st aspect).

本発明の輸血管あるいは穿刺針を保持する保持部は、透析に使用する前の輸血管あるいは穿刺針を保持する場合を考慮し、輸血管あるいは穿刺針を固定具から取り外した後も、輸血管あるいは穿刺針の形状や品質に影響が出ないようにする構造、素材とする必要がある。   The holding part for holding the blood transfusion vessel or puncture needle of the present invention takes into consideration the case of holding the blood transfusion vessel or puncture needle before use for dialysis, and even after the transfusion vessel or puncture needle is removed from the fixture, Alternatively, it is necessary to use a structure and material that do not affect the shape and quality of the puncture needle.

また、本発明の固定具は、介助者や患者の補助的な役割を果たすため、輸血管あるいは穿刺針を保持部に、簡単にセットできることが重要である。例えば、輸血管あるいは穿刺針を該保持部に保持させる際、輸血管あるいは穿刺針を該保持部にあてがっただけで保持されるのが理想的である。したがって、手で該保持部を押さえたり、輸血管あるいは穿刺針を該保持部に押し付けたりする必要がないことが好ましい。   In addition, since the fixture of the present invention plays an auxiliary role for a caregiver or a patient, it is important that an infusion tube or a puncture needle can be easily set in the holding portion. For example, when the transfusion vessel or puncture needle is held by the holding portion, it is ideal that the transfusion vessel or puncture needle is held only by being applied to the holding portion. Therefore, it is preferable that it is not necessary to press the holding part by hand or press an infusion tube or a puncture needle against the holding part.

そのような保持部の構成としては、輸血管あるいは穿刺針を挟持する挟持手段を挙げることができる。   As a configuration of such a holding portion, a holding means for holding a transfusion vessel or a puncture needle can be exemplified.

また、該挟持手段は、輸血管あるいは穿刺針を挟持して保持できる手段であれば、特に制限されない。具体的には例えば、コイル状手段、クリップ状手段、または溝状手段を好ましいものとして挙げることができる。   The clamping means is not particularly limited as long as it is a means that can clamp and hold a transfusion vessel or a puncture needle. Specifically, for example, a coil-like means, a clip-like means, or a groove-like means can be mentioned as a preferable one.

該溝状手段とは、例えば、ウレタン等からなる立方体状あるいは直方体状の部材の、一表面上に、互いに平行な複数の溝を施したようなものを意味する。図3及び図4に、該溝状手段を用いた本発明の保持具の例を示す。   The groove-like means means, for example, a cubic or rectangular parallelepiped member made of urethane or the like in which a plurality of grooves parallel to each other are provided on one surface. 3 and 4 show examples of the holder of the present invention using the groove-like means.

また、該保持部の素材としては、輸血管あるいは穿刺針を保持している間に輸血管あるいは穿刺針が滑り落ちたり、傷ついたり、あるいは変質しない素材であれば特に限定されない。具体的には例えば、ウレタン、ゴム等の弾性材料、プラスチック、金属、ビニール、シリコン、スポンジなどを好ましいものとしてあげることができる。   Further, the material of the holding portion is not particularly limited as long as it is a material that does not slide, be damaged, or change in quality while the transfusion vessel or puncture needle is held. Specifically, for example, elastic materials such as urethane and rubber, plastic, metal, vinyl, silicon, sponge and the like can be mentioned as preferable ones.

本発明の固定部とは、本発明の固定具を所望の箇所に取り付けることを可能にし、該固定具の可動性を実現するものである。   The fixing part of the present invention makes it possible to attach the fixing tool of the present invention to a desired location and realize the mobility of the fixing tool.

上記所望の箇所は、該固定部により該固定具を固定可能な箇所であればどこでもよい。具体的には例えば、透析装置、ベット、イス、テーブル、机、クランプ、点滴スタンド、または電気スタンドなどを挙げることができる。   The desired location may be any location as long as the fixture can be fixed by the fixing portion. Specifically, a dialysis machine, a bed, a chair, a table, a desk, a clamp, an infusion stand, a desk lamp, or the like can be given.

また、本発明の固定部としては、挟持手段または貼付手段を挙げることができる。該挟持手段とは、該固定部が上記所望の箇所を挟持できる構造を有するものであればよい。具体的には例えば、クリップや把持具などを挙げることができる。   In addition, examples of the fixing portion of the present invention include a sandwiching unit or a pasting unit. The holding means may be any means as long as the fixing portion has a structure that can hold the desired portion. Specifically, a clip, a holding tool, etc. can be mentioned, for example.

該把持具とは、可動式卓上電気スタンドを、机に取り付ける際に用いられるような、机を挟み込んで、ボルトとナットにより机に固定する器具のようなものを意味する。   The gripping tool means an instrument that sandwiches a desk and is fixed to the desk with bolts and nuts as used when the movable desk lamp is attached to the desk.

該貼付手段とは、本発明の固定具を上記所望の箇所に固定する場合に、当該所望の箇所に、該固定具を貼り付けることにより固定する手段をいう。具体的には例えば、マジックテープ等の両ファスナーまたは両面テープなどを挙げることができる。   The affixing means refers to a means for affixing the fixing tool of the present invention by affixing the fixing tool to the desired position when the fixing tool is fixed to the desired position. Specifically, for example, a double fastener such as a magic tape or a double-sided tape can be used.

さらに、本発明の固定具は、該保持部と該固定部とを連結する結合部を有してもよい(第二の態様)。該連結部により、より便利な場所に、本発明の固定具を取り付けて、より便利な位置で使用することが可能となる。   Furthermore, the fixing device of the present invention may have a coupling portion that connects the holding portion and the fixing portion (second aspect). The connecting portion allows the fixture of the present invention to be attached at a more convenient place and used at a more convenient position.

該連結部は屈曲可能であってもよく、そのような連結部としては例えば、可動式卓上電気スタンドのアーム部分のように、くの字に屈曲可能なものを挙げることができる。   The connecting portion may be bendable, and examples of such a connecting portion include a member that can be bent into a dogleg shape such as an arm portion of a movable desk lamp.

上記の連結部を有しない態様(第一の態様)の本発明の固定具は、可動式卓上電気スタンドに直接取り付けることにより使用することも可能である。   The fixing device of the present invention having the above-described connection portion (first aspect) can also be used by being directly attached to the movable table lamp.

本発明の固定具は、該固定部と該保持部とを、あるいは該固定部と該結合部と該保持部とを従来公知の方法により一体化させることにより製造可能である。   The fixing device of the present invention can be manufactured by integrating the fixing portion and the holding portion, or integrating the fixing portion, the coupling portion, and the holding portion by a conventionally known method.

また、本発明の固定具は、在宅での透析のみならず、通常の施設における透析の際にも適用可能であることはいうまでもない。   Needless to say, the fixture of the present invention can be applied not only to dialysis at home but also to dialysis in a normal facility.

さらに、本発明の固定具は、透析終了後の抜針の際にも使用することができる。抜針の際に使用する場合は、抜針前に穿針部位近傍に該固定具を固定して輸血管(血液チューブ)あるいは穿刺針を該保持部にセットした後、針が刺さっている腕等の体の部位を、刺さっている針の先端方向にほぼ平行に移動する。このとき針は動かないので、腕等の体の部位から針が抜ける。   Furthermore, the fixture of the present invention can also be used when the needle is removed after dialysis. When using the needle when removing the needle, before fixing the needle, fix the fixing tool in the vicinity of the puncture site and set the transfusion vessel (blood tube) or puncture needle in the holder, and then pierce the arm. The body part such as the body is moved almost in parallel to the direction of the tip of the pierced needle. At this time, since the needle does not move, the needle comes out of a body part such as an arm.

本発明の固定具の実施例を、図1を参照しながら以下詳細に説明する。
クリップからなる固定部1の片側部分の外側の面1aに、保持部2を取り付け、本発明の固定具6を作成した。該保持部2は、血液チューブ3を挟持して保持するためのコイル状金具2bの両端を円形金具2aに固定して作成した。さらに該円形金具2aを該クリップ1の片側部分の外側の面1aに固定することにより、固定部2が保持部となるクリップ1に固定されている。
An embodiment of the fixture of the present invention will be described in detail below with reference to FIG.
The holding part 2 was attached to the outer surface 1a of the one side part of the fixing part 1 made of a clip, and the fixing tool 6 of the present invention was created. The holding part 2 was prepared by fixing both ends of a coiled metal fitting 2b for holding the blood tube 3 in a clamped manner to the circular metal fitting 2a. Further, by fixing the circular metal fitting 2a to the outer surface 1a of the one side portion of the clip 1, the fixing portion 2 is fixed to the clip 1 serving as a holding portion.

つづいて、該固定部1で机4の端部を挟持して本発明の固定具6を固定し、血液透析用の輸血管3を、該コイル2bに軽くあてがうようにしながら固定した。固定された状態において、該輸血管3の先端部分の接続部分3a,3bは、宙に浮いており、清潔な状態を維持していた。   Subsequently, the fixing part 6 of the present invention was fixed by sandwiching the end of the desk 4 with the fixing part 1, and the infusion blood vessel 3 for hemodialysis was fixed while being lightly applied to the coil 2b. In the fixed state, the connection portions 3a and 3b at the distal end portion of the blood transfusion vessel 3 are floating in the air and kept clean.

第一の態様の一例である。It is an example of a 1st aspect. 第一の態様の一例である。固定部となるクリップの片側部分の外側の面1aに、保持部2を取り付けてある。It is an example of a 1st aspect. A holding portion 2 is attached to the outer surface 1a of one side portion of the clip serving as a fixing portion. 第一の態様の一例である。固定部となるクリップの片側部分の外側の面1aに、スポンジ状部材からなり並行な溝を施した保持部2を接着手段により取り付けてある。It is an example of a 1st aspect. A holding portion 2 made of a sponge-like member and provided with a parallel groove is attached to the outer surface 1a of one side portion of the clip serving as a fixing portion by an adhesive means. 第二の態様の一例である。スポンジ状部材からなり、並行な溝を施した保持部2を、くの字に屈曲可能な結合部5に取り付け、さらに該結合部5の、該保持部2を取り付けた反対側の端部に、固定部1を取り付けてある。It is an example of a 2nd aspect. A holding portion 2 made of a sponge-like member and provided with parallel grooves is attached to a joint portion 5 that can be bent into a dogleg shape, and further, on the opposite end of the joint portion 5 to which the holding portion 2 is attached. The fixing part 1 is attached.

符号の説明Explanation of symbols

1.固定部
1a.クリップの片側部分の外側の面
2.保持部
2a.円形金具
2b.コイル状金具
3.輸血管
4.机
5.結合部
6.本発明の固定具
1. Fixed part 1a. 1. The outer surface of one side of the clip Holding part 2a. Circular metal fitting 2b. 2. Coiled metal fittings 3. Transfusion vessel Desk 5. Coupling unit 6. Fixture of the present invention

Claims (8)

血液透析用の輸血管あるいは穿刺針を固定する固定具であって、該輸血管あるいは穿刺針を保持する保持部、及び該保持部を固定するための固定部からなる輸血管あるいは穿刺針の固定具。   Fixing device for fixing an infusion blood vessel or a puncture needle for hemodialysis, comprising: a holding portion for holding the infusion blood vessel or a puncture needle; and fixing of the infusion blood vessel or the puncture needle comprising a fixing portion for fixing the holding portion Ingredients. さらに、該保持部と該固定部を連結する結合部を有する請求項1に記載の輸血管あるいは穿刺針の固定具。   The transfusion vessel or puncture needle fixture according to claim 1, further comprising a coupling portion for connecting the holding portion and the fixing portion. 該保持部が、輸血管あるいは穿刺針を挟持する挟持手段である請求項1または2に記載の輸血管あるいは穿刺針の固定具。   The fixture for an infusion tube or puncture needle according to claim 1 or 2, wherein the holding portion is a clamping means for sandwiching the infusion tube or the puncture needle. 該挟持手段が、コイル状手段、クリップ状手段、または溝状手段である請求項3に記載の輸血管あるいは穿刺針の固定具。   The transfusion or puncture needle fixture according to claim 3, wherein the clamping means is a coil-like means, a clip-like means, or a groove-like means. 該固定部が、挟持手段または貼付手段によるものである請求項1または2に記載の輸血管あるいは穿刺針の固定具。   The transfusion vessel or puncture needle fixture according to claim 1 or 2, wherein the fixing portion is a pinching means or a sticking means. 該挟持手段が、クリップまたは把持具である請求項5に記載の輸血管あるいは穿刺針の固定具。   6. The transfusion or puncture needle fixture according to claim 5, wherein the clamping means is a clip or a gripper. 該貼付手段が、マジックテープまたは両面テープである請求項5に記載の輸血管あるいは穿刺針の固定具。   The transfusion vessel or puncture needle fixture according to claim 5, wherein the attaching means is a magic tape or a double-sided tape. 該連結部が、屈曲可能である請求項2に記載の輸血管あるいは穿刺針の固定具。   The transfusion vessel or puncture needle fixture according to claim 2, wherein the connecting portion is bendable.
JP2004029005A 2004-02-05 2004-02-05 Tool of fixing blood transfusion tube or paracentesis needle for dialysis Pending JP2005218605A (en)

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Publication number Priority date Publication date Assignee Title
JP2008289512A (en) * 2007-05-22 2008-12-04 Kawasumi Lab Inc Needle member lock type opening/closing clamp and blood collecting device
CN102526821A (en) * 2012-01-11 2012-07-04 刘思波 Bedside fixing support for hemodialysis tubing
WO2012124866A1 (en) * 2011-03-15 2012-09-20 Lee Keun Ho Apparatus for fixing a medical pipe
CN106880888A (en) * 2017-03-23 2017-06-23 济世医疗器械(天津)有限公司 A kind of purl device
CN107929837A (en) * 2017-11-21 2018-04-20 中国人民解放军第二军医大学第二附属医院 Disposable blood purifies the fixator of pipeline

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2008289512A (en) * 2007-05-22 2008-12-04 Kawasumi Lab Inc Needle member lock type opening/closing clamp and blood collecting device
WO2012124866A1 (en) * 2011-03-15 2012-09-20 Lee Keun Ho Apparatus for fixing a medical pipe
KR101258749B1 (en) 2011-03-15 2013-04-29 이근호 Apparatus for fixing a medical pipe
CN102526821A (en) * 2012-01-11 2012-07-04 刘思波 Bedside fixing support for hemodialysis tubing
CN106880888A (en) * 2017-03-23 2017-06-23 济世医疗器械(天津)有限公司 A kind of purl device
CN107929837A (en) * 2017-11-21 2018-04-20 中国人民解放军第二军医大学第二附属医院 Disposable blood purifies the fixator of pipeline

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