JP2008212439A - Medical blood collecting device - Google Patents

Medical blood collecting device Download PDF

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JP2008212439A
JP2008212439A JP2007055126A JP2007055126A JP2008212439A JP 2008212439 A JP2008212439 A JP 2008212439A JP 2007055126 A JP2007055126 A JP 2007055126A JP 2007055126 A JP2007055126 A JP 2007055126A JP 2008212439 A JP2008212439 A JP 2008212439A
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syringe
nozzle
blood collection
blood
catheter
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Seigo Murakawa
成吾 村川
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a dispenser capable of safely and quickly dispensing blood from a syringe which collects the blood from a person with narrow vein by a narrow injection needle using a regular syringe, into a vacuum blood collection tube (spitz) in a holder. <P>SOLUTION: A syringe 1 formed by separating the narrow injection needle 11 drawing 16 the blood from the vein 15 with a relatively small internal diameter, is formed by communicating and connecting an elastic suction port 3 detachably fitted to a nozzle 2 of the syringe 1 to a nozzle 8 of a luer adapter 7 with a narrow flexible catheter 10. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

本発明は比較的管径小な静脈から減圧採血管(スピィツ)内に分注する医療器具に関するものである。   The present invention relates to a medical instrument that dispenses a vein having a relatively small diameter into a reduced-pressure blood collection tube (Spitsu).

一般に採血管ホルダーに採血針を装着し、採血針を静脈に刺入した状態で、上記ホルダー内に減圧採血管(スピィツ)を挿入し、ホルダー内の刺入針を減圧採血管内にゴム栓から刺入し、該採血管内の減圧(負圧)により上記静脈から直接分注した(例えば特許文献1、2)。   In general, a blood collection needle is attached to a blood collection tube holder, a blood collection needle is inserted into a vein, a vacuum blood collection tube (Spies) is inserted into the holder, and the insertion needle in the holder is inserted into a vacuum blood collection tube from a rubber stopper. The tube was inserted, and dispensed directly from the vein by decompression (negative pressure) in the blood collection tube (for example, Patent Documents 1 and 2).

血管が極めて細い患者や乳幼児又は静脈圧が低い場合或は血液量が少ない場合で真空管採血が困難な場合がある(例えば特許文献1、2)。   In some cases, patients with very thin blood vessels, infants, or when the venous pressure is low or the blood volume is low, it is difficult to collect the vacuum tube (for example, Patent Documents 1 and 2).

しかし真空管採血による合併症のリスクが大きい場合には注射器と従来の注射針を用いた採血が行われる。   However, when the risk of complications due to vacuum tube blood collection is high, blood collection using a syringe and a conventional injection needle is performed.

注射器と従来の注射針を用いた採血では注射針を減圧採血管又は陰圧試験管(スピィツ)内にゴム栓から刺入し、注射器内の採血(検体)をスピィツ内に直接減圧により分注した。   In blood collection using a syringe and a conventional injection needle, the injection needle is inserted into a vacuum blood collection tube or negative pressure test tube (spits) from a rubber stopper, and blood collection (specimen) in the syringe is dispensed directly into the spine by decompression. did.

このような採血手順では右手に持った注射器の注射針を一旦体外に露出し、この注射針をスピィツ内に刺入する手順又は動作が行われ、針刺し事故を起こしやすいという危険性があり、かつ時間を要し、陰圧(負圧)及び針の内径(22ゲージ以下)によっては血液中の赤血球が壊れ溶血して検体(検査用の血液)に用い難いという問題があった。   In such a blood collection procedure, there is a risk that the needle or needle of the syringe held in the right hand is once exposed to the outside of the body, and the procedure or operation for inserting the needle into the spine is performed, and a needle stick accident is likely to occur. Depending on the negative pressure (negative pressure) and the inner diameter of the needle (22 gauge or less), there was a problem that red blood cells in blood were broken and hemolyzed, making it difficult to use for specimens (test blood).

又、カテーテルの両端にテーパノズルを形成し、一端に吸引口を、他端に排出口をそれぞれ着脱自在に設けられる2方向性カテーテルデバイスがある(特許文献3)。   In addition, there is a bidirectional catheter device in which tapered nozzles are formed at both ends of a catheter, a suction port is provided at one end, and a discharge port is provided at the other end in a detachable manner (Patent Document 3).

しかし上記吸引口及び排出口カップラーは開口端に向う内面拡大テーパを有するものでカテーテル又は注射器のテーパノズルと分離し易く漏血による危険性が大であった。   However, the suction port and the discharge port coupler have a taper that expands the inner surface toward the opening end, and are easily separated from the taper nozzle of the catheter or syringe.

特開平9−56700号JP-A-9-56700 特開2003−325486号JP 2003-325486 A 特開平9−164207号JP-A-9-164207

本発明は細い注射針による普通の注射器で静脈の細い人から採血した注射器から、上記ホルダー内において減圧採血管(スピィツ)内に安全迅速に分注する分注用器具を得ることを目的とするものである。   It is an object of the present invention to obtain a dispensing device for safely and quickly dispensing into a reduced-pressure blood collection tube (spies) in a holder from a syringe collected from a person with thin veins using a normal syringe with a thin needle. Is.

上記の目的を達成するため本発明は、
第1に比較的小さい内径の静脈から採血した細い注射針を分離してなる注射器において、注射器のノズルに着脱自在に嵌合する弾性吸引口と、ルアーアダプターのノズルとを、細い柔軟カテーテルで連通接続してなる医療用採血器具、
第2に上記ルアーアダプターのノズルに上記カテーテルと1体に設けた排出口を1体に連通接続した上記第1発明記載の医療用採血器具、
第3に上記ルアーアダプターのノズルに上記カテーテルと1体に設けた弾性排出口を着脱自在に嵌合可能に形成した上記第1発明記載の医療用採血器具、
第4に上記ルアーアダプターが採血管ホルダーに装着されてなる上記第1〜第3発明のいずれかに記載の医療用採血器具、
によって構成される。
In order to achieve the above object, the present invention
First, in a syringe obtained by separating a thin injection needle collected from a vein having a relatively small inner diameter, an elastic suction port detachably fitted to the nozzle of the syringe and a nozzle of the luer adapter are communicated with each other by a thin flexible catheter. Medical blood collection device,
Secondly, the medical blood collecting instrument according to the first invention, wherein the nozzle of the luer adapter is connected to the discharge port provided in one body with the catheter.
Thirdly, the medical blood collecting instrument according to the first invention, wherein the nozzle of the luer adapter is detachably fitted with the catheter and the elastic outlet provided in one body,
Fourth, the medical blood collection instrument according to any one of the first to third inventions, wherein the luer adapter is attached to a blood collection tube holder,
Consists of.

従って細い注射針を静脈に刺入し、ピストンを手の感触で緩慢に外側に摺動させることによって注射器のシリンジ内に必要量採血した後、注射針を静脈から引抜く、
引抜いた後皮膚の引抜部を消毒止血した後、速やかに上記注射器のノズルに嵌合している細い注射針を感染症医療廃棄物容器内に廃棄し、
その状態でカテーテルの上記吸引口を上記ノズルに速やかに嵌合装着する。
Therefore, after inserting a thin needle into the vein and collecting the necessary amount of blood in the syringe of the syringe by sliding the piston slowly outwards with the touch of the hand, the needle is withdrawn from the vein.
After pulling out, after disinfecting and bleeding the extracted part of the skin, immediately dispose of the thin injection needle fitted to the nozzle of the syringe in the infectious disease medical waste container,
In this state, the suction port of the catheter is quickly fitted and attached to the nozzle.

上記ホルダーの他端から負圧採血管(スピィツ)を該ホルダー内に挿入すると該採血管のゴム栓を貫通して該採血管内に穿刺針が刺入され、該採血管の負圧又は陰圧により、注射器内の血液(検体)は自動的に該採血管内に流入し、これを繰返して複数の採血管内に上記血液を分注することができる。   When a negative pressure blood collection tube (spies) is inserted into the holder from the other end of the holder, a puncture needle is inserted into the blood collection tube through the rubber stopper of the blood collection tube, and negative pressure or negative pressure of the blood collection tube Thus, blood (specimen) in the syringe automatically flows into the blood collection tube, and this can be repeated to dispense the blood into a plurality of blood collection tubes.

本発明は上述のように構成したので
普通の注射器で静脈の細い患者から手動で安全確実に採血した後、注射針を注射器のノズルから分離廃棄し得るし、
その直後、迅速かつ安全確実に上記注射器内の血液をスピィツに分注することができる効果がある。
Since the present invention is configured as described above, blood can be collected manually and safely from a patient with thin veins with an ordinary syringe, and then the injection needle can be separated and discarded from the nozzle of the syringe.
Immediately after that, there is an effect that blood in the syringe can be quickly and securely dispensed into a spine.

又上記吸引口には、弾性腕を有し、中心線の回りに回動するおそれがなく、ノズルへの嵌込み操作を迅速簡便確実に行うことができるし、開閉栓で上記吸引口を閉鎖し空のカテーテル内を清潔に保持することができる。   In addition, the suction port has an elastic arm, there is no risk of turning around the center line, and the fitting operation to the nozzle can be performed quickly and simply, and the suction port is closed with an opening / closing stopper. The inside of the empty catheter can be kept clean.

普通(従来)注射器1は図5(イ)図に示すように注射器1はシリンジ1’の先端に截頭錐形ノズル2(先端に向って細い外面のテーパノズル)を有し、該ノズル2に注射針11の基部11’を嵌合し、   As shown in FIG. 5 (a), the ordinary (conventional) syringe 1 has a truncated cone-shaped nozzle 2 (tapered nozzle having a thin outer surface toward the tip) at the tip of the syringe 1 ′. The base 11 'of the injection needle 11 is fitted,

ノズル2には図5(ロ)図に示すように上記ノズル2に翼状針11の基部11’を嵌合して用いられる。   As shown in FIG. 5 (b), the nozzle 2 is used by fitting the base portion 11 ′ of the winged needle 11 to the nozzle 2.

本発明では図1に示すように上記ノズル2に着脱自在に嵌合する合成樹脂製円筒形弾性吸引口3と、普通(従来)の採血管ホルダー4の先端筒口5内に基部6を螺合するルアーアダプター7の截頭錐形ノズル8に着脱自在に嵌合する合成樹脂製の円筒形雌状排出口9とを、合成樹脂製の細い(外径約2mm、内径約1mm)の柔軟カテーテル10で1体に接続してなるものである。   In the present invention, as shown in FIG. 1, a base 6 is screwed into a synthetic resin cylindrical elastic suction port 3 detachably fitted to the nozzle 2 and a tip tube port 5 of a normal (conventional) blood collection tube holder 4. A synthetic resin cylindrical female discharge port 9 detachably fitted to the truncated cone-shaped nozzle 8 of the luer adapter 7 is made of a synthetic resin thin (outside diameter: about 2 mm, inside diameter: about 1 mm) flexible catheter. 10 is connected to one body.

ルアーアダプター7は図6(イ)(ロ)図及び図7(イ)(ロ)図に示す合成樹脂製中空筒状基部6の1端に截頭錐形ノズル8(先端に向って細い外面のテーパノズル)を設け、他端には採血管ホルダー4内に挿入する刺針12を突設し、図1、図3に示すように上記ホルダー4の上記筒口5の内周に形成した雌螺旋6”と上記基部6の外周に形成した雄螺旋6’とを螺合させ、上記筒口5に上記基部6を螺着する。   The luer adapter 7 has a frustoconical nozzle 8 (a thin outer surface toward the tip) at one end of the synthetic resin hollow cylindrical base 6 shown in FIGS. 6 (a) and 7 (b). And a female helix 6 formed on the inner periphery of the tube port 5 of the holder 4 as shown in FIGS. 1 and 3. ”And a male helix 6 ′ formed on the outer periphery of the base portion 6 are screwed together, and the base portion 6 is screwed into the tube port 5.

図7(イ)(ロ)図に示すように螺旋6’に代り係合溝6aを形成し、該溝6aを上記ホルダー4の入口5’に発条6b,6bを介して設けた逆止段6c,6c間に係合させることができる。   As shown in FIGS. 7 (a) and 7 (b), an engaging groove 6a is formed instead of the spiral 6 ', and the groove 6a is provided at the inlet 5' of the holder 4 via the ridges 6b and 6b. 6c can be engaged between 6c.

少なくとも上記吸引口3には中心線cと直交する弾性腕13を設け、カテーテル10の捻れなどによる中心線cの回りの回動を防止し、ノズル2,8との嵌合作業における外れを防止し、かつ吸引口3又は上記排出口9の栓16を設ける。   At least the suction port 3 is provided with an elastic arm 13 orthogonal to the center line c to prevent the catheter 10 from rotating around the center line c due to torsion or the like, and to prevent detachment in the fitting operation with the nozzles 2 and 8. And the stopper 16 of the suction port 3 or the discharge port 9 is provided.

図6(イ)(ロ)図及び図7(イ)(ロ)図に示すルアーアダプター7の上記ノズル8と上記カテーテル10に設けた上記弾性排出口9とを1体に接続し、又は両者8,9を1体の合成樹脂製弾性ノズルとすることができる(図1(イ)(ロ)図)。   The nozzle 8 of the luer adapter 7 and the elastic outlet 9 provided in the catheter 10 shown in FIGS. 6 (a) and 6 (b) and 7 (b) and 7 (b) are connected to one body or both. 8, 9 can be a single synthetic resin-made elastic nozzle (FIGS. 1A and 1B).

ルアーアダプター7の上記刺針12は薄ゴム又は合成樹脂によって被覆12’され、上記ホルダー4内に挿入する減圧採血管(スピィツ)14のゴム栓14’に刺入する際該被覆12’は破られ圧縮される。   The puncture needle 12 of the luer adapter 7 is covered with a thin rubber or a synthetic resin 12 ′, and the wrapping 12 ′ is broken when inserted into the rubber stopper 14 ′ of the vacuum blood collection tube (spies) 14 inserted into the holder 4. Compressed.

従って図5(イ)(ロ)図に示す細い注射針11を静脈15に刺入し、注射器1のピストン1”を手の感触に基づいて緩慢に外側に摺動させることによって注射器1内に必要量の検体16(血液)を採血した後、上記細い注射針11を静脈15から引抜き、引抜部皮膚を消毒止血した後、速やかに上記細い注射針11を前述の容器内に廃棄し、
その状態で露出したノズル2から漏血させることなく上記吸引口3を他方の手で該ノズル2に速やかに嵌合装着する。
Accordingly, the thin injection needle 11 shown in FIGS. 5 (a) and 5 (b) is inserted into the vein 15, and the piston 1 "of the syringe 1 is slowly slid outwardly based on the hand feeling. After collecting a necessary amount of the specimen 16 (blood), the thin injection needle 11 is withdrawn from the vein 15 and after disinfection and hemostasis of the extracted portion skin, the thin injection needle 11 is promptly discarded in the container.
The suction port 3 is quickly fitted and attached to the nozzle 2 with the other hand without causing blood leakage from the exposed nozzle 2 in that state.

カテーテル10の他端に接続されている上記排出口9は上記ホルダー4の先端筒口5内に基部6を螺合6’,6”又は溝6aで係合している上記ルアーアダプター7の截頭錐形ノズル8に予め嵌合装着し又は排出口9と上記ノズル8は1体であるため(図2(イ)(ロ)図)、上記採血管14(スピィツ)内の負圧によって上記注射器1内の検体17(血液)を上記スピィツ14内に分注することができる。   The discharge port 9 connected to the other end of the catheter 10 is the wharf of the luer adapter 7 in which the base 6 is engaged with the distal end tube port 5 of the holder 4 by screwing 6 ′, 6 ″ or the groove 6a. The syringe 9 is fitted in advance to the conical nozzle 8 or the discharge port 9 and the nozzle 8 are one body (FIGS. 2 (A) and 2 (B)). The specimen 17 (blood) in 1 can be dispensed into the spits 14.

本発明は上述のように子女などの普通より細い静脈15内の血液を注射器で採血した後、安全迅速確実にスピィツ内に分注し得るものである。   In the present invention, blood in a vein 15 that is thinner than normal, such as a child or the like, is collected with a syringe as described above, and can be dispensed safely and quickly into a spine.

(イ)図は本発明の採血用器具を示す一部切欠側面図、(ロ)図は該採血用器具のルアーアダプター部の一部切欠側面図である。(A) The figure is a partially cutaway side view showing the blood collection device of the present invention, and (b) is a partially cutaway side view of the luer adapter part of the blood collection device. 本発明の採血用器具の一部縦断側面図である。It is a partial vertical side view of the blood collection instrument of the present invention. 本発明の採血用器具の側面図である。It is a side view of the instrument for blood collection of this invention. (イ)(ロ)図は従来の採血用器具の他側の側面図である。(A) and (B) are side views of the other side of the conventional blood sampling device. (イ)(ロ)図は従来の注射器の一部切欠側面図である。(A) (b) is a partially cutaway side view of a conventional syringe. (イ)図は従来のルアーアダプターの一部切欠側面図、(ロ)図はその斜視図である。(A) is a partially cutaway side view of a conventional luer adapter, and (B) is a perspective view thereof. (イ)図は従来のルアーアダプターの一部切欠側面図、(ロ)図はその斜視図である。(A) is a partially cutaway side view of a conventional luer adapter, and (B) is a perspective view thereof.

符号の説明Explanation of symbols

1 注射器
1’ シリンジ
1” ピストン
2 ノズル
3 吸引口
4 採血管ホルダー
5 先端筒口
6 基部
7 ルアーアダプター
8 ルアーアダプターのノズル
9 排出口
DESCRIPTION OF SYMBOLS 1 Syringe 1 'Syringe 1 "Piston 2 Nozzle 3 Suction port 4 Blood-collecting-tube holder 5 Tip tube port 6 Base 7 Luer adapter 8 Luer adapter nozzle 9 Outlet

Claims (4)

比較的小さい内径の静脈から採血した細い注射針を分離してなる注射器において、
注射器のノズルに着脱自在に嵌合する弾性吸引口と、
ルアーアダプターのノズルとを、
細い柔軟カテーテルで連通接続してなる医療用採血器具。
In a syringe formed by separating a thin needle collected from a vein with a relatively small inner diameter,
An elastic suction port detachably fitted to the nozzle of the syringe;
With the nozzle of the lure adapter
A blood sampling device for medical use that is connected by a thin flexible catheter.
上記ルアーアダプターのノズルに上記カテーテルと1体に設けた排出口を1体に連通接続した請求項1記載の医療用採血器具。   The medical blood collection device according to claim 1, wherein the catheter and the discharge port provided in one body are connected to the nozzle of the luer adapter in one body. 上記ルアーアダプターのノズルに上記カテーテルと1体に設けた弾性排出口を着脱自在に嵌合可能に形成した請求項1記載の医療用採血器具。   The medical blood collection device according to claim 1, wherein the catheter and the elastic outlet provided in one body are detachably fitted to the nozzle of the luer adapter. 上記ルアーアダプターが採血管ホルダーに装着されてなる請求項1〜3のいずれかに記載の医療用採血器具。   The medical blood collection instrument according to any one of claims 1 to 3, wherein the lure adapter is attached to a blood collection tube holder.
JP2007055126A 2007-03-06 2007-03-06 Medical blood collecting device Pending JP2008212439A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2021520945A (en) * 2018-04-17 2021-08-26 ベクトン・ディキンソン・アンド・カンパニーBecton, Dickinson And Company Biofluid collection system

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2021520945A (en) * 2018-04-17 2021-08-26 ベクトン・ディキンソン・アンド・カンパニーBecton, Dickinson And Company Biofluid collection system

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