JP2016007429A - Indwelling needle - Google Patents

Indwelling needle Download PDF

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JP2016007429A
JP2016007429A JP2014130375A JP2014130375A JP2016007429A JP 2016007429 A JP2016007429 A JP 2016007429A JP 2014130375 A JP2014130375 A JP 2014130375A JP 2014130375 A JP2014130375 A JP 2014130375A JP 2016007429 A JP2016007429 A JP 2016007429A
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needle
magnetic member
inner needle
rear end
tip protector
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JP6427987B2 (en
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衝 貞廣
Shiyou Sadahiro
衝 貞廣
裕之 中神
Hiroyuki Nakagami
裕之 中神
山口 一
Hajime Yamaguchi
一 山口
慎吾 阪本
Shingo Sakamoto
慎吾 阪本
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Nipro Corp
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Nipro Corp
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Abstract

PROBLEM TO BE SOLVED: To provide an indwelling needle facilitating pull-out of an inner needle and scarcely causing accidental detachment of a protector.SOLUTION: The indwelling needle includes: an inner needle 111; an outer needle 131; an outer needle hub 132 provided at a rear end of the outer needle 131; and a needle tip protector 151 detachably engaged with the outer needle hub 132. The outer needle hub 132 includes a storage part 133 having a recessed part 133a provided at the rear end and capable of storing the needle tip protector 151. When the length of a side wall of the recessed part 133a is L1, the length of the needle tip protector 151 is L2, and an interval between the recessed part 133a and the needle tip protector 151 at the rear end of the recessed part 133a is L3, the indwelling needle satisfies a relational expression of L2-L1<L3.

Description

本開示は、留置針に関し、特に使用後の針先を保護する安全機構を備えた留置針に関する。   The present disclosure relates to an indwelling needle, and more particularly, to an indwelling needle provided with a safety mechanism that protects a used needle tip.

従来から、内針が外針を挿通するように組み付けられた留置針が知られている。一般的に、内針は鋭利な先端を有する金属針であり、外針は弾力性を有する樹脂製である。内針と外針とを組み付けた状態で留置針を患者の血管に穿刺する。この後、内針を抜き去り、外針を患者の血管に留置する。留置された外針を用いることにより輸液、血液透析及び採血等を行うことができる。   Conventionally, an indwelling needle that is assembled so that an inner needle passes through an outer needle is known. Generally, the inner needle is a metal needle having a sharp tip, and the outer needle is made of a resin having elasticity. The indwelling needle is punctured into the patient's blood vessel with the inner needle and the outer needle assembled. Thereafter, the inner needle is removed and the outer needle is placed in the patient's blood vessel. By using an indwelling outer needle, infusion, hemodialysis, blood collection, and the like can be performed.

引き抜かれた内針は廃棄されるが、内針は鋭利な先端を有しているため、保護キャップ等をして廃棄する必要がある。一方、保護キャップ等をする際に針刺し事故が生じやすい。このため、使用後に自動的に針先を保護する機構が求められている。   The pulled out inner needle is discarded, but since the inner needle has a sharp tip, it is necessary to discard it with a protective cap or the like. On the other hand, a needle stick accident is likely to occur when wearing a protective cap or the like. For this reason, a mechanism for automatically protecting the needle tip after use is required.

例えば、外針の後端部に設けられた外針ハブにプロテクタを組み込み、外針から内針が引き抜かれた際に、プロテクタの先端部がばねの力により閉塞され内針の先端部を覆うと共にプロテクタが外針ハブから脱離する機構が提案されている(例えば、特許文献1を参照。)。しかし、従来のばね式のプロテクタは、ばねの付勢力が内針に加わるため、内針の引き抜きに大きな力が必要になるとういう問題がある。内針を引き抜く際に不用意に大きな力を加えると、患者に痛みを与えたり、患者の血管を傷つけたりする恐れがある。   For example, a protector is incorporated into an outer needle hub provided at the rear end portion of the outer needle, and when the inner needle is pulled out from the outer needle, the distal end portion of the protector is closed by the force of the spring and covers the distal end portion of the inner needle. At the same time, a mechanism in which the protector is detached from the outer needle hub has been proposed (see, for example, Patent Document 1). However, the conventional spring-type protector has a problem that a large force is required to pull out the inner needle because the biasing force of the spring is applied to the inner needle. Inadvertently applying a large force when pulling the inner needle may cause pain to the patient and damage the patient's blood vessels.

そこで、外針ハブとプロテクタとの係合及びプロテクタ先端部の閉塞に磁石の力を用いた保護機構が提案されている(例えば、特許文献2を参照。)。磁石の力を用いることにより、内針を引き抜く際に大きな力を加えなくてよいという利点が得られる。   In view of this, a protection mechanism has been proposed in which the force of the magnet is used to engage the outer needle hub and the protector and close the protector tip (see, for example, Patent Document 2). By using the force of the magnet, there is an advantage that it is not necessary to apply a large force when the inner needle is pulled out.

特開2010−88520号公報JP 2010-88520 A 国際公開第2013/027355号パンフレットInternational Publication No. 2013/027355 Pamphlet

しかしながら、従来の磁石式のプロテクタは、内針が外針から完全に引き抜かれる前にプロテクタが外針ハブから脱離しやすいという問題がある。磁石式に限らず、内針を引き抜くために必要な力を小さくすると同様の問題が生じる。内針が外針から完全に引き抜かれる前にプロテクタが外針ハブから脱離してしまうと、内針の先端部がプロテクタに収容されず、内針の先端がむき出しになってしまう。プロテクタと外針ハブとの係合力を大きくすれば、プロテクタを脱離しにくくすることはできるが、プロテクタを外針ハブからスムーズに脱離させることが困難になる。   However, the conventional magnet type protector has a problem that the protector is easily detached from the outer needle hub before the inner needle is completely pulled out from the outer needle. The same problem occurs when the force required to pull out the inner needle is reduced, not limited to the magnet type. If the protector is detached from the outer needle hub before the inner needle is completely pulled out from the outer needle, the distal end portion of the inner needle is not accommodated in the protector, and the distal end of the inner needle is exposed. If the engaging force between the protector and the outer needle hub is increased, it is possible to make it difficult to remove the protector, but it is difficult to smoothly remove the protector from the outer needle hub.

本開示は、内針の引き抜きが容易で且つプロテクタの不用意な脱離が生じにくい留置針を実現できるようにすることを目的とする。   An object of the present disclosure is to make it possible to realize an indwelling needle in which the inner needle can be easily pulled out and the protector is not easily detached.

本開示の留置針の一態様は、内針と、内針を挿通可能な外針と、外針の後端部に設けられた外針ハブと内針が外針に挿通された状態において、内針が挿通され、外針ハブと着脱可能に係合された針先プロテクタとを備え、針先プロテクタは、先端側開口部及び後端側開口部を有し、内針が挿通される筒状部と、内針の先端部が筒状部の内部に収容された際に、先端側開口部を閉塞する閉塞部とを有し、内針は、前端側開口部を通過でき、後端側開口部を通過できない脱落防止部を有し、外針ハブは、針先プロテクタを収容できる凹部を有する収容部を含み、凹部の側壁の長さをL1、針先プロテクタの長さをL2、凹部の後端部における凹部と針先プロテクタとの間隔をL3とすると、L2−L1<L3の関係を満たす。   One aspect of the indwelling needle of the present disclosure includes an inner needle, an outer needle through which the inner needle can be inserted, an outer needle hub provided at a rear end portion of the outer needle, and an inner needle inserted into the outer needle. An inner needle is inserted and includes a needle tip protector that is detachably engaged with the outer needle hub. The needle tip protector has a front end side opening portion and a rear end side opening portion, and a cylinder through which the inner needle is inserted. And a closing portion that closes the distal end side opening when the distal end portion of the inner needle is accommodated inside the cylindrical portion, the inner needle can pass through the front end side opening, and the rear end The outer needle hub includes a housing portion having a recess that can receive the needle tip protector, the length of the side wall of the recess is L1, and the length of the needle tip protector is L2. When the distance between the concave portion at the rear end portion of the concave portion and the needle tip protector is L3, the relationship of L2-L1 <L3 is satisfied.

留置針の一態様において、L2−L1は0以下であってもよい。   In one aspect of the indwelling needle, L2-L1 may be 0 or less.

留置針の一態様において、閉塞部は、筒状部の先端部に設けられた第1の磁性部材と、内針の先端が筒状部の内部に収容された際に第1の磁性部材側にスライドして、先端側開口部を閉塞する第2の磁性部材とを有し、外針ハブは、後端側に設けられた第3の磁性部材を有し、第1の磁性部材及び第2の磁性部材の少なくとも一方は磁石であり、内針が外針に挿通された状態において、針先プロテクタは、第1の磁性部材及び第2の磁性部材の少なくとも一方と、第3の磁性部材との吸引力により外針ハブに着脱可能に係合されていてもよい。   In one mode of the indwelling needle, the blocking portion includes a first magnetic member provided at the distal end portion of the cylindrical portion, and a first magnetic member side when the distal end of the inner needle is accommodated in the cylindrical portion. And a second magnetic member that closes the front end side opening, and the outer needle hub has a third magnetic member provided on the rear end side, and the first magnetic member and the second magnetic member At least one of the two magnetic members is a magnet, and in a state where the inner needle is inserted through the outer needle, the needle tip protector includes at least one of the first magnetic member and the second magnetic member, and the third magnetic member. May be detachably engaged with the outer needle hub.

留置針の一態様において、内針の後端部に設けられた内針ハブをさらに備え、内針ハブは、先端部に設けられ、収容部の側壁に外嵌するカバー部を有し、カバー部の長さは、内針の外針から突出している部分の長さ以上であってもよい。   One aspect of the indwelling needle further includes an inner needle hub provided at a rear end portion of the inner needle, and the inner needle hub has a cover portion that is provided at the distal end portion and is fitted on the side wall of the housing portion, The length of the portion may be equal to or longer than the length of the portion protruding from the outer needle of the inner needle.

留置針の一態様において、収容部は、外針ハブの他の部分から分離可能としてもよい。   In one aspect of the indwelling needle, the housing portion may be separable from other portions of the outer needle hub.

本開示の留置針によれば、内針の引き抜きが容易で且つプロテクタの不用意な脱離を生じにくくすることができる。   According to the indwelling needle of the present disclosure, the inner needle can be easily pulled out and the protector can be prevented from being unintentionally detached.

一実施形態に係る留置針の組み立てられた状態を示す断面図である。It is sectional drawing which shows the assembled state of the indwelling needle which concerns on one Embodiment. (a)及び(b)はそれぞれ一実施形態に係る留置針の外針及び内針を示す断面図である。(A) And (b) is sectional drawing which shows the outer needle and inner needle of the indwelling needle which concern on one Embodiment, respectively. 一実施形態に係る留置針の針先プロテクタを示す断面図である。It is sectional drawing which shows the needle point protector of the indwelling needle which concerns on one Embodiment. (a)〜(d)は一実施形態に係る留置針の内針を引き抜く操作を順に示す断面図である。(A)-(d) is sectional drawing which shows operation which pulls out the inner needle of the indwelling needle which concerns on one Embodiment in order. (a)〜(d)は一実施形態に係る留置針の内針を引き抜く操作を拡大して順に示す断面図である。(A)-(d) is sectional drawing which expands and shows operation which pulls out the inner needle of the indwelling needle which concerns on one Embodiment in order. 針先プロテクタと収容部との関係を示す断面図である。It is sectional drawing which shows the relationship between a needlepoint protector and an accommodating part. 一実施形態に係る留置針の変形例を示す断面図である。It is sectional drawing which shows the modification of the indwelling needle which concerns on one Embodiment. 一実施形態に係る留置針の変形例を示す断面図である。It is sectional drawing which shows the modification of the indwelling needle which concerns on one Embodiment.

本実施形態においては、特に断りがない限り留置針100を使用する際に患者側となる側を先端、反対側の他の医療器具が接続される側を後端という。   In this embodiment, unless otherwise specified, when using the indwelling needle 100, the side that becomes the patient side is referred to as the front end, and the side to which the other medical device on the opposite side is connected is referred to as the rear end.

図1及び図2(a)及び(b)に示すように、本実施形態の留置針100は、内針111が外針131に挿通されて組み立てられている。内針111の後端部には、内針ハブ112が設けられている。外針131の後端部には、外針ハブ132が設けられている。外針ハブ132は、後端部に設けられた収容部133を有している。内針111が外針131に挿通されて組み立てられた状態において、収容部133には、針先プロテクタ151が収容されている。   As shown in FIGS. 1, 2 (a), and 2 (b), the indwelling needle 100 of this embodiment is assembled with an inner needle 111 inserted through an outer needle 131. An inner needle hub 112 is provided at the rear end portion of the inner needle 111. An outer needle hub 132 is provided at the rear end portion of the outer needle 131. The outer needle hub 132 has a receiving portion 133 provided at the rear end. In a state where the inner needle 111 is inserted into the outer needle 131 and assembled, the needle tip protector 151 is accommodated in the accommodating portion 133.

図3に示すように、針先プロテクタ151は、先端側開口部152a及び後端側開口部152bを有し、内針111が挿通される筒状部152と、内針111の先端が筒状部152の内部に収容された際に、先端側開口部152aを閉塞する閉塞部153とを有している。閉塞部153は、固定された第1の磁性部材161と、筒状部152の先端部に設けられた閉塞部通路156内をスライド可能な第2の磁性部材162とを有している。第1の磁性部材161及び第2の磁性部材162の少なくとも一方は磁石である。第1の磁性部材161及び第2の磁性部材162の少なくとも一方は、針先プロテクタ151を収容部133に係合させる部材としても機能する。   As shown in FIG. 3, the needle tip protector 151 has a front end side opening 152a and a rear end side opening 152b, a cylindrical portion 152 through which the inner needle 111 is inserted, and a front end of the inner needle 111 is cylindrical. And a closing portion 153 that closes the distal end side opening 152 a when housed in the portion 152. The closing portion 153 includes a fixed first magnetic member 161 and a second magnetic member 162 that can slide in the closing portion passage 156 provided at the distal end portion of the cylindrical portion 152. At least one of the first magnetic member 161 and the second magnetic member 162 is a magnet. At least one of the first magnetic member 161 and the second magnetic member 162 also functions as a member that engages the needle tip protector 151 with the accommodating portion 133.

本実施形態において、筒状部152は、先端側が後端側よりも大きく、軸方向の中間部分に段差部を有する段付円筒形状である。先端側の大径部は、円の一部が切り取られた略D字状の断面を有している。大径部には第2の磁性部材162が径方向に移動可能に収容される閉塞部通路156が設けられている。第1の磁性部材161は、閉塞部通路156内に露出するように固定されている。内針111が先端側開口部152aに挿通されている場合には、閉塞部通路156は内針111により閉鎖されており、閉塞部通路156内に配置された第2の磁性部材162は第1の磁性部材161側に移動できない。第2の磁性部材162が内針111に当接する場合があるが、これにより内針111に加わる力は非常に小さく、内針111の引き抜きにほとんど影響を与えない。内針111の針先111aが筒状部152内に収容されると、閉塞部通路156は開通し、第2の磁性部材162は閉塞部通路156内をスライドして移動し、第2の磁性部材162は第1の磁性部材161に磁力により吸着する。これにより先端側開口部152aは閉塞される。   In the present embodiment, the cylindrical portion 152 is a stepped cylindrical shape having a front end side larger than a rear end side and having a step portion in an intermediate portion in the axial direction. The large-diameter portion on the distal end side has a substantially D-shaped cross section in which a part of a circle is cut off. The large-diameter portion is provided with a closing portion passage 156 in which the second magnetic member 162 is accommodated so as to be movable in the radial direction. The first magnetic member 161 is fixed so as to be exposed in the closing portion passage 156. When the inner needle 111 is inserted through the distal end side opening 152a, the closing portion passage 156 is closed by the inner needle 111, and the second magnetic member 162 disposed in the closing portion passage 156 is the first magnetic member 162. Cannot move to the magnetic member 161 side. Although the second magnetic member 162 may come into contact with the inner needle 111, the force applied to the inner needle 111 is thereby very small and hardly affects the withdrawal of the inner needle 111. When the needle tip 111a of the inner needle 111 is accommodated in the cylindrical portion 152, the closing portion passage 156 is opened, and the second magnetic member 162 slides and moves in the closing portion passage 156, so that the second magnetic member The member 162 is attracted to the first magnetic member 161 by a magnetic force. Thereby, the front end side opening 152a is closed.

収容部133は、第3の磁性部材163を有している。第3の磁性部材163は、第1の磁性部材161及び第2の磁性部材162の少なくとも一方との間に吸引力が生じるように配置されている。これにより針先プロテクタ151を収容部133に係合させることが可能となる。以下においては、第3の磁性部材163と第1の磁性部材161との間に吸引力が生じる構成を例に説明する。この場合、第1の磁性部材161が磁石である場合には、第3の磁性部材163は磁石であっても、磁石ではない磁性体であってもよい。第1の磁性部材161が磁石ではない磁性体である場合には、第3の磁性部材163は磁石である。   The housing part 133 has a third magnetic member 163. The third magnetic member 163 is arranged so that an attractive force is generated between at least one of the first magnetic member 161 and the second magnetic member 162. As a result, the needle tip protector 151 can be engaged with the accommodating portion 133. Hereinafter, a configuration in which an attractive force is generated between the third magnetic member 163 and the first magnetic member 161 will be described as an example. In this case, when the first magnetic member 161 is a magnet, the third magnetic member 163 may be a magnet or a magnetic body that is not a magnet. When the first magnetic member 161 is a magnetic body that is not a magnet, the third magnetic member 163 is a magnet.

例えば、図4(a)及び図5(a)に示すように、内針111が外針131に挿通されて組み立てられている状態において、第1の磁性部材161と第3の磁性部材163とは互いに対向して配置され、第1の磁性部材161と第3の磁性部材163との間に生じる吸引力により、針先プロテクタ151は収容部133に着脱可能に係合されている。   For example, as shown in FIGS. 4A and 5A, in a state where the inner needle 111 is inserted through the outer needle 131 and assembled, the first magnetic member 161 and the third magnetic member 163 Are arranged opposite to each other, and the needle tip protector 151 is detachably engaged with the accommodating portion 133 by an attractive force generated between the first magnetic member 161 and the third magnetic member 163.

図4(b)及び図5(b)に示すように内針111を後端側に移動させると、内針ハブ112のカバー部114が収容部133から分離されるが、針先プロテクタ151は、収容部133に係合された状態のまま保持される。内針111をさらに後端側に移動させると、内針111に設けられた脱落防止部118が筒状部152の先端側開口部152aに達する。先端側開口部152aの径は脱落防止部118の最大幅よりも大きいため、脱落防止部118は、先端側開口部152aを通過することができる。   When the inner needle 111 is moved to the rear end side as shown in FIGS. 4B and 5B, the cover portion 114 of the inner needle hub 112 is separated from the accommodating portion 133, but the needle tip protector 151 is And held in the state of being engaged with the accommodating portion 133. When the inner needle 111 is further moved to the rear end side, the drop-off preventing portion 118 provided on the inner needle 111 reaches the distal end side opening portion 152 a of the cylindrical portion 152. Since the diameter of the front end side opening 152a is larger than the maximum width of the fall prevention part 118, the fall prevention part 118 can pass through the front end side opening 152a.

内針111をさらに後端側に移動させると、図4(c)及び図5(c)に示すように、内針111の針先111aが針先プロテクタ151内に収容され、先端側開口部152aが第2の磁性部材162により閉塞される。第1の磁性部材161と第2の磁性部材162とは磁力により吸着するため、針先プロテクタ151の向きを変えたりすること等によって先端側開口部152aが開くことはない。   When the inner needle 111 is further moved to the rear end side, as shown in FIGS. 4C and 5C, the needle tip 111a of the inner needle 111 is accommodated in the needle tip protector 151, and the distal end side opening 152 a is closed by the second magnetic member 162. Since the first magnetic member 161 and the second magnetic member 162 are attracted by magnetic force, the distal end side opening 152a is not opened by changing the direction of the needle tip protector 151 or the like.

内針111をさらに後端側に移動させると、脱落防止部118は後端側開口部152bに達する。脱落防止部118の最大幅は後端側開口部152bの径よりも大きいため、脱落防止部118は後端側開口部152bを通過できない。このため、図4(d)及び図5(d)に示すように、内針111と共に針先プロテクタ151も後端側に移動し、針先プロテクタ151は外針ハブ132から脱離する。内針111の針先111aが針先プロテクタ151内に収容され、先端側開口部152aは閉塞されているため、内針111を安全に廃棄することができる。   When the inner needle 111 is further moved to the rear end side, the drop-off prevention unit 118 reaches the rear end side opening 152b. Since the maximum width of the dropout prevention portion 118 is larger than the diameter of the rear end side opening portion 152b, the dropout prevention portion 118 cannot pass through the rear end side opening portion 152b. For this reason, as shown in FIGS. 4D and 5D, the needle tip protector 151 moves to the rear end side together with the inner needle 111, and the needle tip protector 151 is detached from the outer needle hub 132. Since the needle tip 111a of the inner needle 111 is housed in the needle tip protector 151 and the distal end side opening 152a is closed, the inner needle 111 can be safely discarded.

本実施形態において針先プロテクタ151は、第1の磁性部材161と第3の磁性部材163との吸引力により収容部133に係合されており、小さな力により係合を解除することができる。このため、内針111を外針131から滑らかに引き抜くことが可能となる。しかし、内針111を引き抜く際に、指等が針先プロテクタ151に触れると、内針111の針先111aが収容される前に針先プロテクタ151が外針ハブ132から意図せずに脱離する恐れがある。   In the present embodiment, the needle tip protector 151 is engaged with the housing portion 133 by the attractive force of the first magnetic member 161 and the third magnetic member 163, and can be disengaged by a small force. For this reason, the inner needle 111 can be smoothly pulled out from the outer needle 131. However, when a finger or the like touches the needle tip protector 151 when pulling out the inner needle 111, the needle tip protector 151 is unintentionally detached from the outer needle hub 132 before the needle tip 111a of the inner needle 111 is received. There is a fear.

内針111の針先111aが収容される前に針先プロテクタ151が外針ハブ132から脱離すると、内針111の針先111aが露出したままとなり、安全を確保することができない。しかし、本実施形態の留置針100は、針先プロテクタ151が収容部133の凹部133aに収容されている。また、図6に示すように、凹部133aの側壁の長さをL1、針先プロテクタ151の長さをL2、凹部133aの後端部における凹部133aと針先プロテクタ151との間隔をL3とすると、L2−L1<L3の関係を満たす。このため、内針111が外針131から完全に引き抜かれるまで、針先プロテクタ151に指等が触れることはほとんどない。従って、内針111の針先111aが収容される前に針先プロテクタ151が外針ハブ132から脱離しにくくできる。針先プロテクタ151に指等が触れないことにより、感染のリスクを低減する効果も得られる。L2−L1を0以下として、凹部133aの側壁の長さL1を針先プロテクタ151の長さL2以上としてもよい。L2−L1≦0とすることにより、針先プロテクタ151に指等が触れる恐れをさらに小さくすることができる。   If the needle tip protector 151 is detached from the outer needle hub 132 before the needle tip 111a of the inner needle 111 is accommodated, the needle tip 111a of the inner needle 111 remains exposed, and safety cannot be ensured. However, in the indwelling needle 100 of the present embodiment, the needle tip protector 151 is accommodated in the recess 133a of the accommodating portion 133. Further, as shown in FIG. 6, when the length of the side wall of the concave portion 133a is L1, the length of the needle tip protector 151 is L2, and the distance between the concave portion 133a and the needle tip protector 151 at the rear end portion of the concave portion 133a is L3. , L2-L1 <L3 is satisfied. For this reason, until the inner needle 111 is completely pulled out from the outer needle 131, the fingertip protector 151 is hardly touched by a finger or the like. Therefore, the needle tip protector 151 can be hardly detached from the outer needle hub 132 before the needle tip 111a of the inner needle 111 is accommodated. By not touching the needle tip protector 151 with a finger or the like, an effect of reducing the risk of infection can be obtained. L2-L1 may be 0 or less, and the side wall length L1 of the recess 133a may be greater than or equal to the length L2 of the needle tip protector 151. By setting L2−L1 ≦ 0, it is possible to further reduce the possibility that a finger or the like touches the needle tip protector 151.

また、内針111を引き抜く際に、内針111を大きく傾けると、内針111と針先プロテクタ151との摩擦が大きくなり、先端側開口部152aが閉塞される前に針先プロテクタ151が外針ハブ132から脱離する恐れが生じる。しかし、本実施形態の留置針100は、収容部133の外壁が長いため、内針111を引き抜く際に収容部133の外壁がガイドの役割をする。このため内針111を大きく傾けることができず、まっすぐ引き抜くことが可能となり、針先プロテクタ151の意図しない脱離を生じにくくすることができる。また、内針111を大きく傾けることができず、まっすぐ引き抜くことが可能であるため、内針111を抜針する際に患者への負担を減らすことも可能となる。   Further, when the inner needle 111 is tilted greatly when the inner needle 111 is pulled out, the friction between the inner needle 111 and the needle tip protector 151 increases, and the needle tip protector 151 is removed before the distal end side opening 152a is closed. There is a risk of detachment from the needle hub 132. However, since the indwelling needle 100 of this embodiment has a long outer wall of the housing part 133, the outer wall of the housing part 133 serves as a guide when the inner needle 111 is pulled out. For this reason, the inner needle 111 cannot be greatly tilted and can be pulled out straight, and unintentional detachment of the needle tip protector 151 can be made difficult to occur. Further, since the inner needle 111 cannot be greatly tilted and can be pulled out straight, it is possible to reduce the burden on the patient when the inner needle 111 is withdrawn.

以下に、本実施形態の留置針100の各部材についてさらに詳細に説明する。   Below, each member of the indwelling needle 100 of this embodiment is demonstrated in detail.

内針111は中空針であり、ステンレス鋼、又はアルミニウム若しくはチタン、若しくはこれらを含む合金等の公知の材料により形成することができる。内針111の先端部に設けられた針先111aは、外径が先端に向かって漸減するテーパ状とすればよく、生体への穿刺が容易で且つ低刺激で行えるようにできる。   The inner needle 111 is a hollow needle and can be formed of a known material such as stainless steel, aluminum, titanium, or an alloy containing these. The needle tip 111a provided at the distal end portion of the inner needle 111 may be tapered so that the outer diameter gradually decreases toward the distal end, so that the living body can be punctured easily and with low irritation.

内針111には、針先111aと間隔をおいて、他の部分よりも突出した脱落防止部118が設けられている。脱落防止部118は、針先プロテクタ151の筒状部152内に内針111の針先111aが収容できるように、筒状部152の長さに応じた位置に設ければよい。穿刺をスムーズに行うことができるようにする観点からは、脱落防止部118は針先111aからある程度距離をおいて設けることが好ましい。脱落防止部118を針先111a付近に設けると脱落防止部118が外針131から突出してしまう。内針111の他の部分よりも突出した脱落防止部118が外針131から露出した状態で、患者の血管に穿刺した場合、突出した脱落防止部118が患者の皮膚などに引っかかり痛みの原因とる恐れがある。そのため、脱落防止部118は外針131に覆われるよう設けられていることが好ましい。   The inner needle 111 is provided with a drop-off preventing portion 118 that protrudes from other portions at a distance from the needle tip 111a. The drop-off prevention part 118 may be provided at a position corresponding to the length of the cylindrical part 152 so that the needle point 111a of the inner needle 111 can be accommodated in the cylindrical part 152 of the needle point protector 151. From the viewpoint of enabling smooth puncturing, it is preferable that the drop-off prevention unit 118 is provided at a certain distance from the needle tip 111a. If the drop prevention part 118 is provided in the vicinity of the needle tip 111 a, the drop prevention part 118 protrudes from the outer needle 131. When the patient's blood vessel is punctured while the drop-off prevention part 118 protruding from the other part of the inner needle 111 is exposed from the outer needle 131, the protruded drop-off prevention part 118 is caught on the patient's skin and the like to cause pain. There is a fear. Therefore, it is preferable that the drop-off prevention unit 118 is provided so as to be covered with the outer needle 131.

脱落防止部118は、筒状部152の先端側開口部152aを通過でき、後端側開口部152bを通過できないように最大幅を大きくすればよい。脱落防止部118は、内針111の所定の位置に潰し加工を施すことにより設けることができる。また、内針111の所定の位置に他の部材を固定して脱落防止部118を構成してもよい。固定する部材は金属、樹脂又は弾性材料等とすることができる。固定の方法は、溶接、圧着又は接着剤を用いた接着等を部材の材質に応じて選択すればよい。脱落防止部118、外周の一部が突出した部分としても、外径が大きいリング状の部分としてもよい。さらに、内針111の所定の位置よりも先端側の全体において、後端側よりも径を大きくすることにより脱落防止部118としてもよい。   The drop-off prevention part 118 may have a maximum width so that it can pass through the front end side opening 152a of the cylindrical part 152 and cannot pass through the rear end side opening 152b. The drop-off prevention unit 118 can be provided by crushing a predetermined position of the inner needle 111. Further, the fall prevention unit 118 may be configured by fixing another member at a predetermined position of the inner needle 111. The member to be fixed can be metal, resin, elastic material, or the like. As a fixing method, welding, pressure bonding, adhesion using an adhesive, or the like may be selected according to the material of the member. The drop-off prevention part 118 may be a part in which a part of the outer periphery protrudes or a ring-shaped part having a large outer diameter. Furthermore, the drop-off prevention part 118 may be formed by making the diameter larger than the rear end side in the entire front end side of the predetermined position of the inner needle 111.

内針111の後端部に設けられた内針ハブ112は、内針111の後端部が埋設状態で固定された略円柱形状の台座部113と、台座部113の先端部から突出し、収容部133の外壁と外嵌する略円筒形状のカバー部114と、台座部113の後端部から突出する略円筒形状のコネクタ部115とを有している。内針111の内針ハブ112への固定は、嵌合、かしめ、融着又は接着剤による接着等により行うことができる。内針111の後端部は台座部113の後端部に露出しており、内針111の内腔がコネクタ部115の内部空間と連通されている。内針ハブ112は、台座部113、カバー部114及びコネクタ部115が一体となった樹脂成形品とすることができる。内針ハブ112を内部が視認できるように透明又は半透明とすれば、血液のフラッシュバックの確認が可能となる。   The inner needle hub 112 provided at the rear end portion of the inner needle 111 protrudes from the substantially cylindrical pedestal portion 113 in which the rear end portion of the inner needle 111 is fixed in an embedded state and the front end portion of the pedestal portion 113, and is accommodated. It has a substantially cylindrical cover portion 114 that fits around the outer wall of the portion 133, and a substantially cylindrical connector portion 115 that protrudes from the rear end portion of the pedestal portion 113. The inner needle 111 can be fixed to the inner needle hub 112 by fitting, caulking, fusing, bonding with an adhesive, or the like. The rear end portion of the inner needle 111 is exposed at the rear end portion of the pedestal portion 113, and the lumen of the inner needle 111 is communicated with the internal space of the connector portion 115. The inner needle hub 112 can be a resin molded product in which the pedestal 113, the cover 114, and the connector 115 are integrated. If the inner needle hub 112 is made transparent or semi-transparent so that the inside can be visually confirmed, it is possible to confirm blood flashback.

コネクタ部115の開口部には、内針キャップ116を脱離可能に組み付けることができる。内針キャップ116は、軸方向中間部分に段差部が設けられた段付円筒形状の合成樹脂部材とすることができる。内針キャップ116の小径側端部は、コネクタ部115の開口部に液密に接続できる。内針キャップ116の大径側開口部は、シリンジ等を連結可能とすることができる。留置針100を患者の血管に穿刺した際に血液が漏出しないように、内針キャップ116の小径側の開口部に、通気フィルタ117を設けることができる。通気フィルタ117は、気体を透過するが液体は遮断する性質のフィルタとすればよい。例えば、焼結多孔体、疎水性の不織布又は他の多孔体等を用いることができる。   The inner needle cap 116 can be removably assembled to the opening of the connector portion 115. The inner needle cap 116 may be a stepped cylindrical synthetic resin member provided with a step portion at an axially intermediate portion. The end portion on the small diameter side of the inner needle cap 116 can be liquid-tightly connected to the opening of the connector portion 115. The large-diameter side opening of the inner needle cap 116 can be connected to a syringe or the like. A ventilation filter 117 can be provided in the opening on the small diameter side of the inner needle cap 116 so that blood does not leak when the indwelling needle 100 is punctured into the blood vessel of the patient. The ventilation filter 117 may be a filter that transmits gas but blocks liquid. For example, a sintered porous body, a hydrophobic nonwoven fabric or other porous body can be used.

外針131は、適度な可撓性を有する中空針形状とすることができる。例えば、エチレン−テトラフルオロエチレン共重合体(ETFE)、ポリウレタン、ポリエーテルアミド、又はポリプロピレン等の各種の軟質樹脂により外針131を形成することができる。また、内針111の針先111aと同様の理由から、外針131の先端部131aも、外径が先端に向かって漸減するテーパ状とすることができる。なお、外針131の先端部131aに、必要に応じて1つ以上の貫通穴を設けて、外針131への流体の流通を効率よく行うようにしてもよい。   The outer needle 131 can be formed into a hollow needle shape having moderate flexibility. For example, the outer needle 131 can be formed of various soft resins such as ethylene-tetrafluoroethylene copolymer (ETFE), polyurethane, polyether amide, or polypropylene. Further, for the same reason as the needle tip 111a of the inner needle 111, the distal end portion 131a of the outer needle 131 can also be tapered so that the outer diameter gradually decreases toward the distal end. Note that one or more through holes may be provided in the distal end portion 131a of the outer needle 131 as necessary so that the fluid can be efficiently distributed to the outer needle 131.

外針131の後端部には、略円筒形状の外針ハブ132が設けられている。外針131の内腔と外針ハブ132の内部とは連通されている。外針131の外針ハブ132への固定は、嵌合、かしめ、融着又は接着剤による接着等により行うことができる。本実施形態において外針ハブ132は、筐体135、チューブ136、外針コネクタ137及び収容部133を有している。   A substantially cylindrical outer needle hub 132 is provided at the rear end portion of the outer needle 131. The lumen of the outer needle 131 and the inside of the outer needle hub 132 are in communication. The outer needle 131 can be fixed to the outer needle hub 132 by fitting, caulking, fusing, bonding with an adhesive, or the like. In the present embodiment, the outer needle hub 132 includes a housing 135, a tube 136, an outer needle connector 137, and a housing portion 133.

筐体135は、外針131の後端部に固定されている。外針コネクタ137は、他の医療器具を接続するためのコネクタであり、外針コネクタ137の内周面は、メスルアーテーパとすることができる。外針コネクタ137の後端付近の外周には、他の医療用具との接続を確実にするため、雄ねじを設けることができる。筐体135と外針コネクタ137とはチューブ136により接続されている。チューブ136は弾性を有する樹脂チューブとすることができる。   The casing 135 is fixed to the rear end portion of the outer needle 131. The outer needle connector 137 is a connector for connecting other medical instruments, and the inner peripheral surface of the outer needle connector 137 can be a female luer taper. An external thread can be provided on the outer periphery near the rear end of the outer needle connector 137 in order to ensure connection with other medical devices. The housing 135 and the outer needle connector 137 are connected by a tube 136. The tube 136 can be a resin tube having elasticity.

収容部133は外針コネクタ137の後端部に接続されている。本実施形態において、収容部133の先端側には、外針コネクタ137と接続する接続部138が設けられている。接続部138の先端部には外針コネクタ137のメスルアーテーパと液密に接続される管状突起部が設けられている。管状突起部を覆うようにガイド壁部が設けられており、ガイド壁部の内部には外針コネクタ137に設けられた雄ねじと螺合できる雌ねじが設けられている。管状突起部の後端部には外針コネクタ137の後端部をシールする弾性パッキン141が設けられている。弾性パッキン141にはスリットが設けられており、内針111を貫通させることができる。また、内針111を引き抜いた際には、スリットが閉じ、シールが保たれる。なお、弾性パッキン141が2枚設けられている例を示したが、弾性パッキン141は1枚でもよく3枚以上であってもよい。また、接続部138は外針コネクタ137と接続できればどのような構成であってもよい。   The accommodating portion 133 is connected to the rear end portion of the outer needle connector 137. In the present embodiment, a connecting portion 138 that connects to the outer needle connector 137 is provided on the distal end side of the accommodating portion 133. A tubular protrusion that is fluid-tightly connected to the female luer taper of the outer needle connector 137 is provided at the distal end of the connecting portion 138. A guide wall is provided so as to cover the tubular protrusion, and a female screw that can be screwed with a male screw provided on the outer needle connector 137 is provided inside the guide wall. An elastic packing 141 that seals the rear end of the outer needle connector 137 is provided at the rear end of the tubular protrusion. The elastic packing 141 is provided with a slit so that the inner needle 111 can be passed therethrough. Further, when the inner needle 111 is pulled out, the slit is closed and the seal is maintained. In addition, although the example provided with the two elastic packings 141 was shown, the elastic packing 141 may be one piece and may be three or more pieces. Further, the connecting portion 138 may have any configuration as long as it can be connected to the outer needle connector 137.

収容部133の後端側には、針先プロテクタ151を収容することができる凹部133aが設けられている。凹部133aには、第3の磁性部材163が設けられている。第3の磁性部材163は、針先プロテクタ151を凹部133aに収容した際に、第1の磁性部材161及び第2の磁性部材162の少なくとも一方との間の引力により針先プロテクタ151を係合させることができる位置に設ければよい。本実施形態においては、第3の磁性部材163は、第1の磁性部材161と対向するように凹部133aの底面となる面に設けられている。このため、針先プロテクタ151を収容部133の凹部133aに収容すると、第1の磁性部材161と第3の磁性部材163との間に発生する吸引力により、針先プロテクタ151は収容部133に係合される。   On the rear end side of the accommodating portion 133, a recess 133a capable of accommodating the needle tip protector 151 is provided. A third magnetic member 163 is provided in the recess 133a. The third magnetic member 163 engages the needle tip protector 151 by attractive force between at least one of the first magnetic member 161 and the second magnetic member 162 when the needle tip protector 151 is accommodated in the recess 133a. What is necessary is just to provide in the position which can be made to do. In the present embodiment, the third magnetic member 163 is provided on the surface serving as the bottom surface of the recess 133 a so as to face the first magnetic member 161. For this reason, when the needle tip protector 151 is housed in the recess 133 a of the housing portion 133, the needle tip protector 151 is moved to the housing portion 133 by the attractive force generated between the first magnetic member 161 and the third magnetic member 163. Engaged.

凹部133aと針先プロテクタ151とは、L2−L1<L3の関係を満たす。このため、凹部133aに収容された針先プロテクタ151に指等が不用意に触れる恐れが非常に小さい。さらに、L2−L1≦0とすることにより、針先プロテクタ151に指等が触れる恐れをさらに低減できる。   The recess 133a and the needle tip protector 151 satisfy the relationship of L2-L1 <L3. For this reason, there is very little fear that a finger etc. will inadvertently touch the needle tip protector 151 accommodated in the recess 133a. Further, by setting L2−L1 ≦ 0, it is possible to further reduce the possibility that a finger or the like touches the needle tip protector 151.

また、比較的長い収容部133の側壁に内針ハブ112のカバー部114が外嵌する。収容部133の側壁とカバー部114とが内針111を引き抜く際にガイドとして機能するため、内針111をまっすぐに引き抜くことが容易となる。ガイドとしての機能を高くするためには、カバー部114の長さを長くした方がよく、カバー部114の長さを収容部133の長さとを同じにしてもよい。但し、カバー部114の長さは収容部133の長さよりも長くしなくてよい。好適には、カバー部114の長さは、留置針100が組み立てられている状態において、内針111の外針131から突出している部分の長さ以上とすることができる。このようにすることにより、抜針する際に、少なくとも内針111が外針131内に収容されるまで、カバー部114が収容部133に外嵌している。このため、カバー部114がガイドのように働き内針111を大きく傾けることなくまっすぐ抜針することができる。それにより、針先プロテクタ151の意図しない脱離を生じにくくすることができる。また、大きく傾けることなくまっすぐ抜針することができるため患者への負担を減らすことも可能となる。   Further, the cover portion 114 of the inner needle hub 112 is fitted on the side wall of the relatively long accommodating portion 133. Since the side wall of the accommodating portion 133 and the cover portion 114 function as a guide when the inner needle 111 is pulled out, it is easy to pull out the inner needle 111 straight. In order to enhance the function as a guide, it is better to lengthen the cover portion 114, and the length of the cover portion 114 may be the same as the length of the accommodating portion 133. However, the length of the cover part 114 does not have to be longer than the length of the accommodating part 133. Preferably, the length of the cover portion 114 can be equal to or longer than the length of the portion of the inner needle 111 protruding from the outer needle 131 in a state where the indwelling needle 100 is assembled. By doing so, when the needle is withdrawn, the cover portion 114 is externally fitted into the accommodating portion 133 until at least the inner needle 111 is accommodated in the outer needle 131. For this reason, the cover part 114 works like a guide, and the needle can be pulled straight without significantly tilting the inner needle 111. As a result, unintentional detachment of the needle tip protector 151 can be made difficult to occur. Moreover, since the needle can be pulled straight without being greatly inclined, the burden on the patient can be reduced.

また、収容部133及びカバー部114によって針先プロテクタが覆われており、針先プロテクタ151に指等が不用意に触れる恐れを非常に小さくできる。   In addition, the needle tip protector is covered with the housing portion 133 and the cover portion 114, and the risk of a finger or the like touching the needle tip protector 151 inadvertently can be greatly reduced.

本実施形態において収容部133が、外針ハブ132の他の部材から分離可能である例を示した。収容部133が分離可能である方が、外針ハブ132へのチューブ等の接続が容易となる。しかし、チューブ等の接続が可能であれば、収容部133を外針ハブ132の他の部材と一体としたり、分離できない構成としたりしてもよい。   In the present embodiment, an example in which the accommodating portion 133 is separable from other members of the outer needle hub 132 is shown. It is easier to connect a tube or the like to the outer needle hub 132 when the accommodating portion 133 is separable. However, as long as a tube or the like can be connected, the accommodating portion 133 may be integrated with other members of the outer needle hub 132 or may not be separated.

本実施形態において、外針131からの血液の逆流を阻止する弾性パッキン141が接続部138内に設けられた構成を示した。しかし、弾性パッキン141は必要に応じて設ければよく、設けなくてもよい。また、外針コネクタ137と収容部133との間に弾性パッキン141が設けられた別の部材を挿入してもよい。さらに、弾性パッキン141を外針コネクタ内に設けてもよい。図7は弾性パッキン141を設けた外針コネクタ137Aの例を示している。外針コネクタ137Aに弾性パッキン141を設ける場合には、外針コネクタ137の後端部にチューブ等を接続した際に、弾性パッキン141を押し広げて通路を開通するための、押し子145及び押し子145が抜け落ちないようにする押し子ガイド146が設けられた構成とすることができる。チューブ等が接続された際に通路が開通するようにできれば、他の構成であってもよい。外針コネクタ137A側に弾性パッキン141が設けられている場合には、収容部133側に弾性パッキン141を設けなくてよいが、収容部133側にも弾性パッキン141が設けられていてもよい。   In the present embodiment, the configuration in which the elastic packing 141 that prevents the backflow of blood from the outer needle 131 is provided in the connection portion 138 is shown. However, the elastic packing 141 may be provided as necessary and may not be provided. Further, another member provided with the elastic packing 141 may be inserted between the outer needle connector 137 and the accommodating portion 133. Further, the elastic packing 141 may be provided in the outer needle connector. FIG. 7 shows an example of an outer needle connector 137 </ b> A provided with an elastic packing 141. When the outer needle connector 137A is provided with the elastic packing 141, when a tube or the like is connected to the rear end portion of the outer needle connector 137, a pusher 145 and a pusher are provided for expanding the elastic packing 141 and opening the passage. It can be set as the structure provided with the pusher guide 146 which prevents the child 145 from falling off. Other configurations may be used as long as the passage is opened when a tube or the like is connected. In the case where the elastic packing 141 is provided on the outer needle connector 137A side, the elastic packing 141 may not be provided on the accommodation portion 133 side, but the elastic packing 141 may also be provided on the accommodation portion 133 side.

本実施形態において、外針ハブ132を筐体135と外針コネクタ137とがチューブ136により接続された構成とした。チューブ136を設けることにより、外針コネクタ137の配置の自由度が向上するという利点がある。また、チューブ136をクランプして、液の流通を阻止することも可能となる。しかし、図8に示すように、筐体と外針コネクタとが一体となった筐体135Aとしてもよい。このようにすれば、外針ハブ132を小型化できるという利点が得られる。筐体135A内に弾性パッキン141を設ける構成を示したが、筐体135A内に弾性パッキン141を設けなくてもよい。   In the present embodiment, the outer needle hub 132 is configured such that the housing 135 and the outer needle connector 137 are connected by the tube 136. By providing the tube 136, there is an advantage that the degree of freedom of arrangement of the outer needle connector 137 is improved. In addition, the tube 136 can be clamped to prevent the liquid from flowing. However, as shown in FIG. 8, it may be a case 135A in which the case and the outer needle connector are integrated. In this way, the advantage that the outer needle hub 132 can be reduced in size can be obtained. Although the configuration in which the elastic packing 141 is provided in the housing 135A is shown, the elastic packing 141 may not be provided in the housing 135A.

針先プロテクタ151の筒状部152は、樹脂等により形成することができる。筒状部152の先端側開口部152aの径は、内針111の脱落防止部118が通過できるようにする。後端側開口部152bの径は、脱落防止部118が通過できず、内針111の他の部分の径よりもわずかに大きくすればよい。後端側開口部152bの径は、筒状部152の後端部にリング状の部材を設けることにより設定してもよい。リング状の部材は内径が脱落防止部118の最大幅よりも小さい、樹脂又は金属等の部材とすることができる。筒状部152の中に血液等を吸収する吸収体を設けてもよい。吸収体は例えば、スポンジ等の多孔性の部材とすることができる。   The cylindrical portion 152 of the needle tip protector 151 can be formed of resin or the like. The diameter of the distal end side opening 152a of the cylindrical portion 152 is such that the drop prevention portion 118 of the inner needle 111 can pass through. The diameter of the rear end side opening 152b may be slightly larger than the diameter of the other part of the inner needle 111 because the drop-off preventing part 118 cannot pass through. The diameter of the rear end side opening 152b may be set by providing a ring-shaped member at the rear end of the cylindrical portion 152. The ring-shaped member can be a member such as a resin or a metal whose inner diameter is smaller than the maximum width of the drop-off preventing portion 118. An absorber that absorbs blood or the like may be provided in the cylindrical portion 152. For example, the absorber can be a porous member such as a sponge.

第1の磁性部材161、第2の磁性部材162及び第3の磁性部材163のうち磁石であるものは、特に限定されないが、サマコバ磁石、アルニコ磁石、ネオジウム磁石又はフェライト磁石等とすることができる。   Of the first magnetic member 161, the second magnetic member 162, and the third magnetic member 163, the one that is a magnet is not particularly limited, but may be a sumakoba magnet, an alnico magnet, a neodymium magnet, a ferrite magnet, or the like. .

第1の磁性部材161、第2の磁性部材162及び第3の磁性部材163のうち磁性体であるものは、磁石に吸着する磁性体であればよい。耐食性の観点からステンレス鋼等を用いることができる。   Of the first magnetic member 161, the second magnetic member 162, and the third magnetic member 163, the magnetic body may be any magnetic body that is attracted to the magnet. Stainless steel or the like can be used from the viewpoint of corrosion resistance.

第1の磁性部材161及び第3の磁性部材163の形状は特に限定されないが、円柱状又は角柱状等とすることができる。第2の磁性部材162の形状は、先端側開口部152aを閉塞できればどのような形状であってもよい。例えば、薄肉の円盤形状等とすれば、閉塞部通路156内を円滑に移動させることができる。また、第2の磁性部材162の針先111aが当接する位置に、凹部を設けてもよい。針先111aが凹部に係合することにより、針先プロテクタ151内に収容した針先111aの位置ずれを生じにくくすることができる。   Although the shape of the 1st magnetic member 161 and the 3rd magnetic member 163 is not specifically limited, It can be set as columnar shape or prismatic shape. The shape of the second magnetic member 162 may be any shape as long as the distal end side opening 152a can be closed. For example, if a thin disk shape or the like is used, the inside of the closing portion passage 156 can be moved smoothly. Moreover, you may provide a recessed part in the position where the needle | hook tip 111a of the 2nd magnetic member 162 contact | abuts. By engaging the needle tip 111a with the recess, it is possible to make it difficult for the needle tip 111a accommodated in the needle tip protector 151 to be displaced.

本実施形態において、第1の磁性部材161と第3の磁性部材163とが引き合う構成を示したが、第2の磁性部材162と第3の磁性部材163とが引き合う構成としてもよい。この場合、第2の磁性部材162が初期位置にある状態で、第2の磁性部材162と対向する位置に第3の磁性部材を設ければよい。このようにすれば、針先111aが収容され、第2の磁性部材162が第1の磁性部材161側にスライドすると、第2の磁性部材と第3の磁性部材163とが対向しなくなり、針先プロテクタ151と収容部133との係合が弱くなる。このため、内針111の先端部が針先プロテクタ151内に収容される前よりも弱い力で針先プロテクタ151と収容部133との係合を解除することが可能となる。また、第3の磁性部材163は、第1の磁性部材161及び第2の磁性部材162の両方と引き合うような位置に設けてもよい。第3の磁性部材163は、引き合う対象となる磁性部材が磁石の場合は磁石であっても、磁石以外の磁性体であってもよく、引き合う対象となる磁性部材が磁石以外の磁性体の場合は磁石である。   In the present embodiment, the configuration in which the first magnetic member 161 and the third magnetic member 163 are attracted to each other is shown, but the second magnetic member 162 and the third magnetic member 163 may be attracted. In this case, the third magnetic member may be provided at a position facing the second magnetic member 162 in a state where the second magnetic member 162 is at the initial position. In this way, when the needle tip 111a is accommodated and the second magnetic member 162 slides toward the first magnetic member 161, the second magnetic member and the third magnetic member 163 do not face each other, and the needle The engagement between the tip protector 151 and the accommodating portion 133 is weakened. For this reason, the engagement between the needle tip protector 151 and the housing portion 133 can be released with a weaker force than before the front end portion of the inner needle 111 is housed in the needle tip protector 151. The third magnetic member 163 may be provided at a position that attracts both the first magnetic member 161 and the second magnetic member 162. The third magnetic member 163 may be a magnet when the magnetic member to be attracted is a magnet, or may be a magnetic body other than the magnet, and the magnetic member to be attracted is a magnetic body other than the magnet. Is a magnet.

第3の磁性部材163を凹部133aの底面となる部分に配置する例を示したが、第3の磁性部材163を凹部133aの側面となる部分に配置してもよい。この場合、第1の磁性部材161又は第2の磁性部材162と第3の磁性部材163とが径方向で互いに対向するように配置すればよい。   Although the example which arrange | positions the 3rd magnetic member 163 in the part used as the bottom face of the recessed part 133a was shown, you may arrange | position the 3rd magnetic member 163 in the part used as the side surface of the recessed part 133a. In this case, the first magnetic member 161 or the second magnetic member 162 and the third magnetic member 163 may be disposed so as to face each other in the radial direction.

第1の磁性部材161、第2の磁性部材162及び第3の磁性部材163のうち磁石であるもの同士は、互いに反対の極性の磁極が対向するように配置すればよい。   What is necessary is just to arrange | position the thing which is a magnet among the 1st magnetic member 161, the 2nd magnetic member 162, and the 3rd magnetic member 163 so that the mutually opposite magnetic poles may oppose.

本実施形態において、筒状部152の大径部の断面形状は円形ではなく略D字状とした。筒状部152の先端部をこのような非円形の形状とすることにより、針先プロテクタ151は、凹部133aに一定の向きで収容される。このため、第1の磁性部材161又は第2の磁性部材162を第3の磁性部材163の位置に合わせて、針先プロテクタ151を凹部133aに収容することが容易となる。針先プロテクタ151の先端面及び凹部133aの底面に互いに係合する凹凸等を設けてもよい。互いに係合する凹凸等を針先プロテクタ及び凹部133aの側面に設けてもよい。このような構成とすることにより針先プロテクタ151の位置合わせがさらに容易となる。凹凸等を設ける場合には、大径部の断面形状を円形としてもよい。また、針先プロテクタ151の位置合わせを容易にする機構は、他の構成であってもよい。針先プロテクタ151の位置合わせを容易にする機構は必要に応じて設ければよく、特に設けなくてもよい。   In the present embodiment, the cross-sectional shape of the large diameter portion of the cylindrical portion 152 is not a circle but a substantially D shape. By making the tip part of the cylindrical part 152 into such a non-circular shape, the needle tip protector 151 is accommodated in the concave part 133a in a fixed direction. For this reason, it becomes easy to accommodate the needle tip protector 151 in the recess 133a by aligning the first magnetic member 161 or the second magnetic member 162 with the position of the third magnetic member 163. Concavities and convexities that engage with each other may be provided on the distal end surface of the needle tip protector 151 and the bottom surface of the recess 133a. You may provide the unevenness | corrugation etc. which mutually engage in the side surface of the needle | hook tip protector and the recessed part 133a. With this configuration, the alignment of the needle tip protector 151 is further facilitated. When providing unevenness, the cross-sectional shape of the large diameter portion may be circular. Further, the mechanism that facilitates the alignment of the needle tip protector 151 may have another configuration. A mechanism that facilitates the alignment of the needle tip protector 151 may be provided as necessary, and may not be particularly provided.

また、大径部の断面形状は略D字状に限らず、円形又は楕円形状としてもよく、六角形状又は四角形状等の複数の辺を有する形状としてもよい。大径部だけでなく小径部の断面形状も円形以外の形状としてもよい。   The cross-sectional shape of the large diameter portion is not limited to a substantially D shape, and may be a circular shape or an elliptical shape, or a shape having a plurality of sides such as a hexagonal shape or a quadrangular shape. The cross-sectional shape of the small-diameter portion as well as the large-diameter portion may be a shape other than a circle.

筒状部152を大径部と小径部とを有する段付円筒形状とすることにより、凹部133aの後端部において、凹部133aと針先プロテクタ151との間隔L3を大きくすることができるという利点がある。しかし、筒状部152を段差のない円筒状又はその他の筒状としてもよい。   By making the cylindrical part 152 into a stepped cylindrical shape having a large-diameter part and a small-diameter part, it is possible to increase the distance L3 between the concave part 133a and the needle tip protector 151 at the rear end part of the concave part 133a. There is. However, the cylindrical portion 152 may be a cylindrical shape having no step or another cylindrical shape.

凹部133aは、針先プロテクタ151が収容できればよく、針先プロテクタ151と側壁との間に隙間があり、針先プロテクタ151を保持していない構成することができる。この場合には、凹部133aの側壁と針先プロテクタ151の側面とが接していないため、凹部133aを設けても内針111を引き抜く際の抵抗は増加しない。しかし、凹部133aの側壁と針先プロテクタ151の側面とが、針先プロテクタ151が滑らかに動くことができるはめ合いとすることもできる。このような構成とすることにより、内針111を完全に引き抜く前に針先プロテクタ151がより脱離しにくくなる。   The recess 133a only needs to be able to accommodate the needle tip protector 151. There is a gap between the needle tip protector 151 and the side wall, and the concave tip 133a can be configured not to hold the needle tip protector 151. In this case, since the side wall of the recess 133a and the side surface of the needle tip protector 151 are not in contact with each other, the resistance when the inner needle 111 is pulled out does not increase even if the recess 133a is provided. However, the side wall of the recess 133a and the side surface of the needle tip protector 151 can be fitted so that the needle tip protector 151 can move smoothly. With such a configuration, the needle tip protector 151 is less likely to be detached before the inner needle 111 is completely pulled out.

本開示の留置針は、内針の引き抜きが容易で且つプロテクタの不用意な脱離が生じにくく、留置針等として有用である。   The indwelling needle of the present disclosure is useful as an indwelling needle or the like because the inner needle can be easily pulled out and the protector is unlikely to be carelessly detached.

100 留置針
111 内針
111a 針先
112 内針ハブ
113 台座部
114 カバー部
115 コネクタ部
116 内針キャップ
117 通気フィルタ
118 脱落防止部
131 外針
131a 先端部
132 外針ハブ
133 収容部
133a 凹部
135 筐体
135A 筐体
136 チューブ
137 外針コネクタ
137A 外針コネクタ
138 接続部
141 弾性パッキン
145 押し子
146 押し子ガイド
151 針先プロテクタ
152 筒状部
152a 先端側開口部
152b 後端側開口部
153 閉塞部
156 閉塞部通路
161 第1の磁性部材
162 第2の磁性部材
163 第3の磁性部材
DESCRIPTION OF SYMBOLS 100 Indwelling needle 111 Inner needle 111a Needle tip 112 Inner needle hub 113 Base part 114 Cover part 115 Connector part 116 Inner needle cap 117 Vent filter 118 Fall-off prevention part 131 Outer needle 131a Tip part 132 Outer needle hub 133 Accommodating part 133a Recess 135 Housing Body 135A Housing 136 Tube 137 Outer needle connector 137A Outer needle connector 138 Connection part 141 Elastic packing 145 Pusher 146 Pusher guide 151 Needle tip protector 152 Cylindrical part 152a Front end side opening part 152b Rear end side opening part 153 Closure part 156 Closure portion passage 161 First magnetic member 162 Second magnetic member 163 Third magnetic member

Claims (6)

内針と、
前記内針を挿通可能な外針と、
前記外針の後端部に設けられた外針ハブと
前記内針が前記外針に挿通された状態において、前記内針が挿通され、前記外針ハブと着脱可能に係合された針先プロテクタとを備え、
前記針先プロテクタは、先端側開口部及び後端側開口部を有し、前記内針が挿通される筒状部と、前記内針の先端部が前記筒状部の内部に収容された際に、前記先端側開口部を閉塞する閉塞部とを有し、
前記内針は、前端側開口部を通過でき、前記後端側開口部を通過できない脱落防止部を有し、
前記外針ハブは、前記針先プロテクタを収容できる凹部を有する収容部を含み、
前記凹部の側壁の長さをL1、前記針先プロテクタの長さをL2、前記凹部の後端部における前記凹部と前記針先プロテクタとの間隔をL3とすると、L2−L1<L3の関係を満たす、留置針。
An inner needle,
An outer needle through which the inner needle can be inserted;
An outer needle hub provided at a rear end portion of the outer needle, and a needle tip that is detachably engaged with the outer needle hub when the inner needle is inserted in a state where the inner needle is inserted through the outer needle. With a protector,
The needle tip protector has a front end side opening portion and a rear end side opening portion, and a cylindrical portion into which the inner needle is inserted and a front end portion of the inner needle are accommodated inside the cylindrical portion. And a closing part that closes the tip side opening,
The inner needle has a drop-off preventing part that can pass through the front end side opening and cannot pass through the rear end side opening,
The outer needle hub includes an accommodating portion having a recess capable of accommodating the needle tip protector,
When the length of the side wall of the concave portion is L1, the length of the needle tip protector is L2, and the distance between the concave portion and the needle tip protector at the rear end portion of the concave portion is L3, the relationship of L2-L1 <L3 is established. Fill, indwelling needle.
L2−L1は0以下である、請求項1に記載の留置針。   The indwelling needle according to claim 1, wherein L2-L1 is 0 or less. 前記外針ハブと針先プロテクタとが、磁石同士又は磁石と磁性体との吸引力により着脱可能に係合される、請求項1又は2に記載の留置針。   The indwelling needle according to claim 1 or 2, wherein the outer needle hub and the needle tip protector are detachably engaged with each other or by an attractive force between the magnet and the magnetic body. 前記閉塞部は、前記筒状部の先端部に設けられた第1の磁性部材と、前記内針の先端が前記筒状部の内部に収容された際に前記第1の磁性部材側にスライドして、前記先端側開口部を閉塞する第2の磁性部材とを有し、
前記外針ハブは、後端側に設けられた第3の磁性部材を有し、
前記第1の磁性部材及び前記第2の磁性部材の少なくとも一方は磁石であり、
前記内針が前記外針に挿通された状態において、前記針先プロテクタは、前記第1の磁性部材及び前記第2の磁性部材の少なくとも一方と、前記第3の磁性部材との吸引力により前記外針ハブに着脱可能に係合されている、請求項1〜3のいずれか1項に記載の留置針。
The closing portion slides toward the first magnetic member when the distal end of the inner needle is accommodated in the first magnetic member provided at the distal end of the tubular portion and the inner needle. And a second magnetic member that closes the tip side opening,
The outer needle hub has a third magnetic member provided on the rear end side,
At least one of the first magnetic member and the second magnetic member is a magnet;
In a state where the inner needle is inserted into the outer needle, the needle tip protector is caused by the attraction force between at least one of the first magnetic member and the second magnetic member and the third magnetic member. The indwelling needle according to claim 1, which is detachably engaged with the outer needle hub.
前記内針の後端部に設けられた内針ハブをさらに備え、
前記内針ハブは、先端部に設けられ、前記収容部の側壁に外嵌するカバー部を有しており、
前記カバー部の長さは、前記内針の前記外針から突出している部分の長さ以上である、請求項1〜4のいずれか1項に記載の留置針。
An inner needle hub provided at the rear end of the inner needle;
The inner needle hub has a cover portion that is provided at a distal end portion and is fitted on the side wall of the housing portion,
The length of the said cover part is an indwelling needle of any one of Claims 1-4 which is more than the length of the part which protrudes from the said outer needle of the said inner needle.
前記収容部は、前記外針ハブの他の部分から分離可能である、請求項1〜5のいずれか1項に記載の留置針。   The indwelling needle according to any one of claims 1 to 5, wherein the accommodating portion is separable from other portions of the outer needle hub.
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CN109045401A (en) * 2018-10-10 2018-12-21 苏州九龙医院有限公司 A kind of internal arteriovenous fistula cannula needle
CN112206376A (en) * 2019-07-09 2021-01-12 贝克顿·迪金森公司 Magnetic catheter system and method

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JP2004321489A (en) * 2003-04-24 2004-11-18 Terumo Corp Indwelling needle assembly
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CN109045401A (en) * 2018-10-10 2018-12-21 苏州九龙医院有限公司 A kind of internal arteriovenous fistula cannula needle
CN112206376A (en) * 2019-07-09 2021-01-12 贝克顿·迪金森公司 Magnetic catheter system and method
WO2021007104A1 (en) * 2019-07-09 2021-01-14 Becton, Dickinson And Company Magnetic catheter system and methods
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