JP2021020033A - Puncture aid - Google Patents

Puncture aid Download PDF

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JP2021020033A
JP2021020033A JP2019149204A JP2019149204A JP2021020033A JP 2021020033 A JP2021020033 A JP 2021020033A JP 2019149204 A JP2019149204 A JP 2019149204A JP 2019149204 A JP2019149204 A JP 2019149204A JP 2021020033 A JP2021020033 A JP 2021020033A
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blood vessel
puncture
arm
puncture aid
subcutaneous tissue
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JP2021020033A5 (en
JP7057478B2 (en
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広大 木村
Kodai Kimura
広大 木村
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Abstract

To provide a puncture aid that has a simple structure, makes work for puncturing a blood vessel with a needle easy, and is capable of inhibiting movement of a blood vessel going away to the left, to the right, or obliquely in puncturing the blood vessel with a needle when the blood vessel exists at a deep location in thick subcutaneous tissue under skin.SOLUTION: A puncture aid 1 having elastic deformability for fitting it to an arm has a simple structure composed of: a body part, in a tapered shape, a cylinder with an outer periphery of inner wall having a part at which an open part 3 is formed; a spiral salient 4 in a longer direction of the body part's inner periphery; and a C-shaped salient. The puncture aid adheres tightly to an arm 7, suppresses stress D in subcutaneous tissue around a blood vessel 12 and a muscle 11 while applying tension to the arm 7 via pressing force B, E, and suppresses, via pressing force C applied during puncture, stress D making the blood vessel go away to the left, to the right, or obliquely to inhibit the blood vessel at a deep location in thick subcutaneous tissue from going away.SELECTED DRAWING: Figure 6

Description

本発明は血管への穿刺を補助する穿刺補助具に関する。The present invention relates to a puncture aid that assists in puncturing a blood vessel.

医療現場においては、採血、注射、持続輸液、血管内カテーテルの留置のため、血管への穿刺は頻繁に行われており、穿刺する血管の方向が針の走行と一致している事が必要である。しかし、例えば皮膚、血管周囲の筋肉、皮下組織の張が弱い患者では、超音波で血管を見ながら針を穿刺する際に、血管が左右斜めに逃げてしまい、血管に針を穿刺する事が上手くできない状況がしばし発生する。このような場合、患者の精神的な苦痛が増大、また、穿刺する皮膚、筋肉、血管周囲の動脈・静脈・神経に余分な損傷を与える問題が生じる。そのため、穿刺を容易にする穿刺補助具が各種提案されている(例えば特許文献1参照)。 In the medical field, puncture of blood vessels is frequently performed for blood collection, injection, continuous infusion, and placement of an intravascular catheter, and it is necessary that the direction of the punctured blood vessel matches the running of the needle. is there. However, for example, in patients with weak skin, muscles around blood vessels, and subcutaneous tissue, when puncturing a needle while looking at the blood vessel with ultrasonic waves, the blood vessel escapes diagonally to the left and right, and the needle may be punctured. Situations that do not go well often occur. In such a case, the patient's mental distress increases, and there arises a problem of causing extra damage to the punctured skin, muscles, and arteries, veins, and nerves around the blood vessels. Therefore, various puncture aids that facilitate puncture have been proposed (see, for example, Patent Document 1).

特開2011−156053号公報Japanese Unexamined Patent Publication No. 2011-156053

特許文献1に関する穿刺補助具は単純構造を有するが、穿刺する部位が浅く、皮下組織の少ない前腕に使用し、血管の逃げを抑制するが、皮下組織が多く、深い位置にある血管に対しては、血管を狭持する突起部の深達度が足りず、血管の逃げを抑制する事ができない課題を有している。 The puncture aid according to Patent Document 1 has a simple structure, but is used for the forearm having a shallow puncture site and a small amount of subcutaneous tissue to suppress the escape of blood vessels, but for blood vessels having a large amount of subcutaneous tissue and a deep position. Has a problem that the depth of penetration of the protrusions that hold the blood vessels is insufficient and the escape of the blood vessels cannot be suppressed.

本発明は、上記技術に伴う課題を解決するためになされたものであり、単純な構造で、 皮下組織、筋肉に押圧を加え、深い位置にある血管を穿刺する際に、血管が逃げてしまう動き(応力)を抑制する事が可能である穿刺補助具を提供する事を目的とする。 The present invention has been made to solve the problems associated with the above techniques, and has a simple structure, and when a blood vessel at a deep position is punctured by applying pressure to a subcutaneous tissue or a muscle, the blood vessel escapes. It is an object of the present invention to provide a puncture assisting tool capable of suppressing movement (stress).

上記発明を達成するための本発明の穿刺補助具は、腕にはめ込む弾性変形能を有している、円筒の外周内壁の一部は開放部を形成されてなる本体部と、本体部の内周長手方向に、螺旋状の凸部と、C状の凸部が形成され、外周面から解放部先端にかけては軟質素材で干渉部が形成されている事を特徴とする。 The puncture aid of the present invention for achieving the above invention has an elastic deformability to be fitted into an arm, a main body portion in which a part of the outer peripheral inner wall of a cylinder is formed with an open portion, and an inner portion of the main body portion. It is characterized in that a spiral convex portion and a C-shaped convex portion are formed in the circumferential longitudinal direction, and an interference portion is formed of a soft material from the outer peripheral surface to the tip of the open portion.

本発明によれば、穿刺補助具は腕にはめ込む弾性変形能を有している、テーパー状で円筒の外周内壁の一部は開放部を形成されてなる本体部と、本体部の内周長手方向に、螺旋状の凸部と、C状の凸部からなる単純な構造で、かつ、腕に密着し、押圧で皮膚に張力を加えられる事と、穿刺時に加わる押圧で皮下組織、筋肉、血管が左右斜めへ逃げる応力を抑制する事ができるようになった。 According to the present invention, the puncture aid has an elastic deformability to be fitted into the arm, a main body portion having a tapered shape and a part of the outer peripheral inner wall of the cylinder having an open portion, and an inner peripheral length of the main body portion. It has a simple structure consisting of a spiral convex part and a C-shaped convex part in the direction, and it is in close contact with the arm, tension can be applied to the skin by pressing, and subcutaneous tissue, muscle, by pressing applied at the time of puncture. It has become possible to suppress the stress that blood vessels escape diagonally to the left and right.

実施形態の穿刺補助具を説明するための斜面図である。It is a slope view for demonstrating the puncture aid of an embodiment. 図1に示される穿刺補助具の正面図である。It is a front view of the puncture aid shown in FIG. 図1に示される穿刺補助具の断面図である。It is sectional drawing of the puncture aid shown in FIG. 図1に示される穿刺補助具の使用形態の一例を説明するための斜視図である。It is a perspective view for demonstrating an example of the usage form of the puncture aid shown in FIG. 図1に示される穿刺補助具の使用形態の側面図である。It is a side view of the usage form of the puncture aid shown in FIG. 図1に示される穿刺補助具の使用形態の断面図である。It is sectional drawing of the usage form of the puncture aid shown in FIG. 図1に示される穿刺補助具の使用形態の断面図である。It is sectional drawing of the usage form of the puncture aid shown in FIG.

以下、本発明の実施の形態を、図を参照しつつ説明する。 Hereinafter, embodiments of the present invention will be described with reference to the drawings.

図1は腕にはめ込む弾性変形能を有している、円筒の外周内壁の一部は開放部3を形成されてなる本体部と、図2の本体部の内周長手方向に、螺旋状4の凸部と、図3の切断面はおよそC状5の凸部が形成され、外周面から解放部先端にかけては軟質素材で干渉部から形成されており、干渉部とは、腕と皮膚とが接する部分で、一例としてビニールテープ2で形成されている事を特徴とする穿刺補助具1。 FIG. 1 shows a main body portion having an elastic deformability to be fitted into an arm, and a part of the outer peripheral inner wall of the cylinder is formed with an open portion 3, and a spiral shape 4 in the inner peripheral longitudinal direction of the main body portion of FIG. The convex portion of the above and the cut surface of FIG. 3 are formed with a convex portion of approximately C-shaped 5, and the outer peripheral surface to the tip of the open portion are formed from the interference portion with a soft material. The interference portion includes the arm and the skin. A puncture aid 1 characterized in that it is formed of vinyl tape 2 as an example of a portion in contact with the puncture aid 1.

図1〜5の前記円筒部はテーパー状にした、腕2/3程度ある長形を有している穿刺補助具1で、開口部3は血管12を触診する時や、消毒する部位、超音波9を当てる部位、穿刺する部位を確実に確保できる構造となっており、作業性を向上させることが可能である。 The cylindrical portion of FIGS. 1 to 5 is a tapered puncture assisting tool 1 having a long shape of about 2/3 of the arm, and the opening 3 is a site to be disinfected or disinfected when palpating a blood vessel 12. The structure is such that the part to which the sound wave 9 is applied and the part to be punctured can be surely secured, and the workability can be improved.

図4、5の前記本体部の内径は、適応とする腕より小さいサイズで、前記開放部3から腕へ挿入し、開放部3の皮膚露出面に張力が加わる特徴とする穿刺補助具1である。 The inner diameter of the main body of FIGS. 4 and 5 is smaller than that of the arm to which the arm is adapted, and the puncture aid 1 is characterized by being inserted into the arm from the opening 3 and applying tension to the exposed skin surface of the opening 3. is there.

図4、5、6の前記開放部3から針8を血管12へ穿刺する穿刺補助具1である。 It is a puncture assisting tool 1 that punctures a needle 8 into a blood vessel 12 from the opening portion 3 of FIGS. 4, 5 and 6.

図1〜6の前記内周部に設けられている螺旋状凸部4は、腕側7から本体部の2/3範囲に螺旋状凸部4があり、高さ0.2〜0.5mmの凸部からなる穿刺補助具1。また、皮下組織、筋肉11からなる凹部を押して、より腕と密着し、穿刺補助具1の動きを抑える特徴をもつ。 The spiral convex portion 4 provided on the inner peripheral portion of FIGS. 1 to 6 has a spiral convex portion 4 in a range of 2/3 from the arm side 7 to the main body portion, and has a height of 0.2 to 0.5 mm. Puncture aid 1 consisting of the convex part of. Further, it has a feature that the concave portion composed of the subcutaneous tissue and the muscle 11 is pushed to be more closely attached to the arm and the movement of the puncture aid 1 is suppressed.

図2、4、5の前記内周部に設けられているC状凸部5は、本体部から頭側6の1/3範囲と、腕側7の1/3範囲を、高さ0.2〜0.5mmの凸部からなる穿刺補助具1。また、腕より小さいサイズで、本体部の左右末端部1/3は本体部幹より固く、より腕と密着し、穿刺補助具1の動きを抑える特徴をもつ。 The C-shaped convex portion 5 provided on the inner peripheral portion of FIGS. 2, 4 and 5 covers a range of 1/3 of the head side 6 and a range of 1/3 of the arm side 7 from the main body portion at a height of 0. Puncture aid 1 consisting of a convex portion of 2 to 0.5 mm. In addition, the size is smaller than that of the arm, and the left and right end 1/3 of the main body is stiffer than the trunk of the main body, and has a feature that the puncture assist tool 1 is suppressed from moving.

図1〜6の前記弾性変形の素材は皮膚より硬い素材で合成樹脂から形成されている事を特徴とする穿刺補助具1。 The puncture assisting tool 1 characterized in that the elastically deformed material of FIGS. 1 to 6 is a material harder than the skin and is formed of a synthetic resin.

図1〜6の前記穿刺補助具1は、血管12内にある針8を、超音波9、レントゲンを常時使用している状況下でも、確認する事ができる素材で形成されており、穿刺操作の妨げにならない特徴をもつ穿刺補助具1である。 The puncture aid 1 shown in FIGS. 1 to 6 is made of a material that allows the needle 8 in the blood vessel 12 to be confirmed even under the condition that the ultrasonic wave 9 and the roentgen are constantly used, and the puncture operation is performed. It is a puncture assisting tool 1 having a feature that does not interfere with the above.

図6は穿刺補助具1を装着し、腕を机に置く事により、より穿刺補助具1が皮膚と密着し、机から腕7へ向かう押圧Bと、穿刺補助具1から皮下組織・筋肉11・血管12・超音波9に向かうEの押圧が増し、超音波9を当て、血管12に針8を穿刺する際に生じる押圧Cで、皮下組織、筋肉、血管12の左右斜めに動く応力を抑えられ、医療従事者の作業負担を軽減できる穿刺補助具1である。 In FIG. 6, by attaching the puncture assisting tool 1 and placing the arm on the desk, the puncture assisting tool 1 comes into close contact with the skin, and the pressing B from the desk toward the arm 7 and the subcutaneous tissue / muscle 11 from the puncture assisting tool 1 -The pressure of E toward the blood vessel 12 and the blood vessel 9 increases, and the pressure C generated when the blood vessel 12 is punctured with the needle 8 by applying the ultrasonic wave 9 exerts a stress that moves diagonally to the left and right of the subcutaneous tissue, muscle, and blood vessel 12. It is a puncture assisting tool 1 that can be suppressed and reduce the work load of medical personnel.

したがって、血管12穿刺をするのに失敗する問題、例えば医療従事者の精神的負担、技術能力の差を軽減する事や、患者の肉体的苦痛の増大や、穿刺部位に余分な損傷等を回避する事ができる。 Therefore, the problem of failing to puncture the blood vessel 12, for example, reducing the mental burden on the medical staff and the difference in technical ability, increasing the physical pain of the patient, and avoiding extra damage to the puncture site, etc. Can be done.

図7は穿刺補助具1を装着して無い状態で、超音波を当て、針を穿刺した際に血管が動く向き、応力を図にしたものである。 FIG. 7 is a diagram showing the direction in which the blood vessel moves and the stress when the needle is punctured by applying ultrasonic waves without the puncture aid 1 attached.

本発明は、上述した実施形態に限定されるものではなく、特許請求の範囲で種々改変することができる。例えば穿刺補助具1は現状の一サイズだが、S、M、Lサイズへの変更も可能。 The present invention is not limited to the above-described embodiment, and various modifications can be made within the scope of the claims. For example, the puncture aid 1 is currently one size, but it can be changed to S, M, and L sizes.

また、螺旋状凸部4、C状凸部5、開口部3との位置を狭小化し、皮膚の張力、皮下組織、筋肉11へ押圧をかけやすい構造へ変更する事も可能。 It is also possible to narrow the positions of the spiral convex portion 4, the C-shaped convex portion 5, and the opening 3 so that the structure can easily apply pressure to the skin tension, subcutaneous tissue, and muscle 11.

1 穿刺補助具
2 ビニールテープ(皮膚保護部)
3 開口部(触診・消毒部 エコー接触部)
4 螺旋状凸部
5 C状凸部
6 頭側
7 腕側
8 針
9 超音波
10 骨
11 皮下組織・筋肉
12 血管
A 血管の走行方向。
B 机から皮下組織・筋肉・骨・血管・超音波の方向へ動く押圧の向き。
C 超音波・針から皮下組織・筋肉・骨・血管・穿刺補助具・机の方向へ動く押圧の向き。
D 血管から皮下組織・筋肉・骨・超音波・穿刺補助具・机の方向へ動く応力の向き。
E 穿刺補助具から皮下組織・筋肉・血管・超音波の方向へ動く押圧の向き。
1 Puncture aid 2 Vinyl tape (skin protection part)
3 Opening (palpation / disinfection part echo contact part)
4 Spiral convex part 5 C-shaped convex part 6 Head side 7 Arm side 8 Needle 9 Ultrasound 10 Bone 11 Subcutaneous tissue / muscle 12 Blood vessel A Blood vessel running direction.
B The direction of pressure that moves from the desk in the direction of subcutaneous tissue, muscles, bones, blood vessels, and ultrasonic waves.
C The direction of pressing that moves from the ultrasonic wave / needle to the subcutaneous tissue / muscle / bone / blood vessel / puncture aid / desk.
D Direction of stress moving from blood vessels toward subcutaneous tissue, muscles, bones, ultrasound, puncture aids, and desks.
E The direction of pressure that moves from the puncture aid in the direction of subcutaneous tissue, muscles, blood vessels, and ultrasonic waves.

Claims (6)

腕にはめ込む弾性変形能を有している、円筒の外周内壁の一部は開放部を形成されてなる本体部と、本体部の内周長手方向に、螺旋状の凸部と、C状の凸部が形成され、外周面から解放部先端にかけては軟質素材で干渉部が形成されている事を特徴とする穿刺補助具。 A main body part that has an elastic deformability that fits into the arm and has an open part formed on the outer peripheral inner wall of the cylinder, a spiral convex part in the inner circumferential longitudinal direction of the main body part, and a C-shaped A puncture assisting tool characterized in that a convex portion is formed and an interference portion is formed of a soft material from the outer peripheral surface to the tip of the open portion. 前記円筒部はC状に切断した、腕2/3程度ある長形を有している、請求項1に記載の穿刺補助具。 The puncture aid according to claim 1, wherein the cylindrical portion is cut into a C shape and has a long shape having about 2/3 of an arm. 前記本体部の内径は適応とする腕より小さいサイズで、前記開放部から挿入し、開放部の皮膚が露出する面から穿刺する、請求項1、2に記載の穿刺補助具。 The puncture aid according to claim 1 or 2, wherein the inner diameter of the main body is smaller than the applicable arm, and the puncture aid is inserted from the open portion and punctured from the exposed surface of the skin of the open portion. 前記内周部に設けられている螺旋状凸部は、高さ0.2〜10mmの凸部からなる請求項1〜3に記載の穿刺補助具。 The puncture aid according to claim 1, wherein the spiral convex portion provided on the inner peripheral portion comprises a convex portion having a height of 0.2 to 10 mm. 前記内周部に設けられているC状凸部は、高さ0.2〜10mmの凸部からなる請求項1〜4に記載の穿刺補助具。 The puncture aid according to claim 1, wherein the C-shaped convex portion provided on the inner peripheral portion is composed of a convex portion having a height of 0.2 to 10 mm. 前記弾性変形の素材は皮膚より硬い素材で、請求書1〜6に記載の穿刺補助具。 The elastically deformed material is a material harder than the skin, and is the puncture aid according to claims 1 to 6.
JP2019149204A 2019-07-29 2019-07-29 Puncture aid Active JP7057478B2 (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2021145825A (en) * 2020-03-18 2021-09-27 広大 木村 Puncture aid

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4634429A (en) * 1983-07-15 1987-01-06 Schoettley Gerald L Self injection appliance
CN106037870A (en) * 2016-07-01 2016-10-26 赵德宝 Upper arm fixing device for peripherally inserted central catheter

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4634429A (en) * 1983-07-15 1987-01-06 Schoettley Gerald L Self injection appliance
CN106037870A (en) * 2016-07-01 2016-10-26 赵德宝 Upper arm fixing device for peripherally inserted central catheter

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2021145825A (en) * 2020-03-18 2021-09-27 広大 木村 Puncture aid
JP7198400B2 (en) 2020-03-18 2023-01-04 広大 木村 Puncture aid

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