JP2022073110A - Simulated blood vessel for injection training - Google Patents

Simulated blood vessel for injection training Download PDF

Info

Publication number
JP2022073110A
JP2022073110A JP2020182889A JP2020182889A JP2022073110A JP 2022073110 A JP2022073110 A JP 2022073110A JP 2020182889 A JP2020182889 A JP 2020182889A JP 2020182889 A JP2020182889 A JP 2020182889A JP 2022073110 A JP2022073110 A JP 2022073110A
Authority
JP
Japan
Prior art keywords
blood vessel
adapter
cylinder
connector
simulated blood
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
JP2020182889A
Other languages
Japanese (ja)
Other versions
JP7309206B2 (en
Inventor
泰宏 姫野
Yasuhiro Himeno
公治 亀田
Kimiharu Kameda
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
KCC SHOKAI Ltd
Original Assignee
KCC SHOKAI Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by KCC SHOKAI Ltd filed Critical KCC SHOKAI Ltd
Priority to JP2020182889A priority Critical patent/JP7309206B2/en
Publication of JP2022073110A publication Critical patent/JP2022073110A/en
Application granted granted Critical
Publication of JP7309206B2 publication Critical patent/JP7309206B2/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Landscapes

  • Instructional Devices (AREA)

Abstract

To provide a simulated blood vessel which lowers manufacturing costs by suppressing a number of components, while allowing injection practice of various modes to be performed, and further, which has been downsized in order to not become an obstacle in pressing a simulated blood bag.SOLUTION: In a simulated blood vessel 1, a simulated blood bag 2 filled with simulated blood is connected to a tubular blood vessel part 3 using a connection fixing part 4, and it is a simulated blood vessel for injection training intended for conducting injection training in a state that the blood vessel part 3 is tensioned by pressing the simulated blood bag 2. The connection fixing part 4 includes an adapter attached to one end of the blood vessel part 3, and a connector 6 which encloses the adapter and connects and fixes it to the simulated blood bag 2. The adapter has an outer cylinder, an inner cylinder, and a space which connects an open end being one end of the blood vessel part 3 between the outer cylinder and the inner cylinder. The connector 6 has a protrusion engaging part which tightens a holding state of the adapter and the blood vessel part 3, in a state that the adapter is enclosed.SELECTED DRAWING: Figure 1

Description

本発明は、医師、看護師、助産師、保健師、臨床検査技師、救急救命士、看護学生など医療関係者が注射に関する様々な手技を練習、実習するにあたり、現実の注射感覚に近い状態を再現し、練習効果を向上させるための実習用の模擬血管に係る発明である。 The present invention provides a state close to the actual feeling of injection when medical personnel such as doctors, nurses, midwives, public health nurses, clinical laboratory technicians, paramedics, and nursing students practice and practice various injection-related techniques. It is an invention relating to a simulated blood vessel for training to reproduce and improve the practice effect.

注射は、医療関係者にとって必要不可欠の技術であり、その技量不足は直ちに患者に苦痛を与えるものである。ところが注射技術の向上は、従来医療関係者各自の経験の積み重ねに依存するところが大きく、効果的な訓練を行なうことが困難であった。 Injection is an indispensable technique for medical personnel, and its lack of skill immediately causes patient pain. However, the improvement of injection technique has largely depended on the accumulation of experience of each medical person, and it has been difficult to carry out effective training.

特許文献1には、取付本体に貼着した模擬皮下組織層上に模擬血管を配置し、該模擬皮下組織層及び模擬血管を模擬皮膚層で覆い、取付本体を腕に装着して現実の注射感覚に近い状態を再現した注射練習具が開示されている。模擬血管は模擬血液を貯留した模擬血液バックに一端を連結して形成されている。 In Patent Document 1, a simulated blood vessel is arranged on a simulated subcutaneous tissue layer attached to a mounting body, the simulated subcutaneous tissue layer and the simulated blood vessel are covered with a simulated skin layer, and the mounting body is attached to an arm for actual injection. An injection practice tool that reproduces a state close to the sensation is disclosed. The simulated blood vessel is formed by connecting one end to a simulated blood bag that stores simulated blood.

特開2019-152770号公報Japanese Unexamined Patent Publication No. 2019-152770

特許文献1の注射練習具は、模擬血管と模擬血液バックとが密閉した閉鎖状態であるから、模擬血液を抜き取る採血実習は行えるが、点滴投与などの薬液や食塩水を模擬血管に追加することになる投与に関連する手技を練習し難い。注射練習は、採血実習に加え、投与実習も選択的に行えるものが望まれていた。さらに模擬血液バックに対して異なる径(太さ)の血管をもって実習する必要もあり、様々な実習形態が求められていた。これらを別個に成型していたのではコストが増大となり、単一の部材で様々な実習形態に対応できる模擬血管及び注射練習具が求められていた。 Since the injection practice tool of Patent Document 1 is in a closed state in which the simulated blood vessel and the simulated blood bag are sealed, blood sampling training for extracting the simulated blood can be performed, but a drug solution such as intravenous drip administration or a saline solution should be added to the simulated blood vessel. It is difficult to practice the procedures related to administration. As for the injection practice, it was desired that the administration training could be selectively performed in addition to the blood sampling training. Furthermore, it was necessary to practice with blood vessels of different diameters (thicknesses) for the simulated blood bag, and various training forms were required. If these were molded separately, the cost would increase, and there was a demand for simulated blood vessels and injection training tools that could be used in various training forms with a single member.

さらに、模擬血管は注射練習具に備えて模擬血液バックを押圧して使用することを前提としており、模擬血管と模擬血液バックを連結する部材が大型になると適切な押圧を行うことへの障害になることから、できる限り小型化した連結形態が求められてきた。 Furthermore, the simulated blood vessel is premised on pressing and using the simulated blood bag in preparation for the injection practice tool, and if the member connecting the simulated blood vessel and the simulated blood bag becomes large, it will be an obstacle to proper pressing. Therefore, there has been a demand for a connection form that is as compact as possible.

そこで、本発明は、様々な態様の注射実習を行うことができつつ、部品点数を抑えて製造コストを低減することを目的とし、さらに模擬血液バックの押圧に障害とならないように小型化した模擬血管を提供することを目的とする。 Therefore, the present invention aims to reduce the number of parts and reduce the manufacturing cost while being able to perform injection training in various modes, and further, the simulated blood bag is miniaturized so as not to interfere with the pressing. The purpose is to provide blood vessels.

本発明の模擬血管は、模擬血液を充填した模擬血液バックと管状の血管部とを連結固定部で連結したもので、前記模擬血液バックを押圧して前記血管部を緊張した状態で注射練習をするための注射練習用模擬血管であって、前記連結固定部は、前記血管部の一端に取り付けるアダプタと、該アダプタを内包して前記模擬血液バックに接続して固定するコネクタと、を有し、前記アダプタは、外筒と、内筒と、前記外筒と前記内筒との間に前記血管部の一端である開放端を接続する空間を有し、前記コネクタは、前記アダプタを内包した状態で、前記アダプタと前記血管部との保持状態を締め付ける突出係止部を有することを特徴とする。 In the simulated blood vessel of the present invention, a simulated blood bag filled with simulated blood and a tubular blood vessel portion are connected by a connecting fixing portion, and injection practice is performed in a state where the simulated blood bag is pressed and the blood vessel portion is tense. A simulated blood vessel for practice of injection, wherein the connecting and fixing portion has an adapter attached to one end of the blood vessel portion and a connector that encloses the adapter and connects to and fixes the simulated blood bag. The adapter has a space for connecting the outer cylinder, the inner cylinder, and the open end, which is one end of the blood vessel portion, between the outer cylinder and the inner cylinder, and the connector contains the adapter. In the state, it is characterized by having a protruding locking portion that tightens the holding state between the adapter and the blood vessel portion.

また、模擬血液バックは、連結固定部のコネクタに固定されて接続する流出筒を有し、アダプタは、前記流出筒内への挿入状態を位置決めするために傾斜面を有するアダプタ基端部と、該アダプタ基端部の先端位置からさらに先端方向に延長する外筒と、内筒と、を有し、前記外筒は、円周方向に分割した複数のスリットを有し、各分割された外筒は基端から先端にかけて先細りとした先細り形態を有し、前記コネクタは、前記流出筒に螺合する外壁と底部とを有するキャップ状であって、前記底部に血管部を導出する貫通孔と、前記底部から先細り状に突出する突出係止部と、を有し、前記コネクタが前記アダプタを内包する状態で、前記コネクタを前記流出筒に固定させると、前記突出係止部が前記流出筒の内面と前記外筒の表面との間に挿入して、前記外筒を内方へ締め付けることが好ましい。 Further, the simulated blood bag has an outflow tube fixed to and connected to the connector of the connection fixing portion, and the adapter has an adapter base end portion having an inclined surface for positioning the insertion state into the outflow tube. It has an outer cylinder and an inner cylinder that extend further in the tip direction from the tip position of the adapter base end portion, and the outer cylinder has a plurality of slits divided in the circumferential direction, and each divided outer cylinder is provided. The cylinder has a tapered shape that tapers from the base end to the tip, and the connector has a cap shape having an outer wall and a bottom screwed to the outflow cylinder, and has a through hole for leading out a blood vessel portion to the bottom portion. When the connector is fixed to the outflow cylinder while the connector has a protruding locking portion that protrudes from the bottom portion in a tapered shape and the connector includes the adapter, the protruding locking portion becomes the outflow cylinder. It is preferable to insert the outer cylinder between the inner surface of the outer cylinder and the surface of the outer cylinder to tighten the outer cylinder inward.

また、模擬血液バックの流出筒は、ねじ部の基端側において、流出筒の表面から突出する突条形状を有する係止部を有し、コネクタは、外壁の基端側縁を凹ませた被係止部を有し、前記コネクタを前記模擬血液バックに螺合して固定完了した状態で、突出する前記係止部が前記被係止部の凹み内に位置することが好ましい。 Further, the outflow tube of the simulated blood bag has a locking portion having a ridge shape protruding from the surface of the outflow tube on the proximal end side of the threaded portion, and the connector has a concave edge on the proximal end side of the outer wall. It is preferable that the locked portion has a locked portion, and the protruding locking portion is located in the recess of the locked portion in a state where the connector is screwed into the simulated blood bag and fixed.

また、模擬血液を充填した模擬血液バックと管状の血管部の一端とを連結固定部で連結したもので、さらに前記血管部の他端を排出接続部で排出筒状物に接続する注射練習用の模擬血管であって、前記排出接続部は、前記血管部の他端に取り付ける第2のアダプタと、該第2のアダプタを内包して前記排出筒状物に接続固定する第2のコネクタとからなり、前記第2のアダプタは、傾斜面を有するアダプタ基端部と、該アダプタ基端部の先端位置から延長する外筒と、内筒と、前記外筒と前記内筒との間に前記血管部の開放端を接続する空間と、を有し、前記外筒は、円周方向に分割した複数のスリットを有し、各分割された外筒は基端から先端にかけて先細りとした先細り形態を有し、前記第2のコネクタは、前記排出筒状物に螺合する外壁と底部とを有するキャップ状であって、前記底部に前記血管部を導出する貫通孔と、前記底部から先細り状に突出する突出係止部と、を有し、前記第2のコネクタが前記第2のアダプタを内包する状態で、前記突出係止部が前記排出筒状物の内面と前記外筒の表面との間に挿入し、前記外筒を内方へ締め付けることで前記第2のアダプタと前記血管部との取付状態を保持することが好ましい。 Further, for injection practice, a simulated blood bag filled with simulated blood and one end of a tubular blood vessel portion are connected by a connecting fixing portion, and the other end of the blood vessel portion is connected to a drainage tubular object by a drainage connecting portion. The discharge connection portion is a simulated blood vessel of the above, and the discharge connection portion includes a second adapter attached to the other end of the blood vessel portion, and a second connector that includes the second adapter and connects and fixes it to the discharge cylinder-shaped object. The second adapter comprises an adapter base end having an inclined surface, an outer cylinder extending from the tip position of the adapter base end, an inner cylinder, and between the outer cylinder and the inner cylinder. The outer cylinder has a space for connecting the open ends of the blood vessel portions, the outer cylinder has a plurality of slits divided in the circumferential direction, and each divided outer cylinder is tapered from the base end to the tip. The second connector has a shape and has a cap shape having an outer wall and a bottom screwed to the discharge cylinder, and has a through hole for leading out the blood vessel portion to the bottom portion and a taper from the bottom portion. The protruding locking portion has a protruding locking portion that protrudes in a shape, and the protruding locking portion includes the inner surface of the discharge cylinder and the surface of the outer cylinder in a state where the second connector includes the second adapter. It is preferable to maintain the attached state of the second adapter and the blood vessel portion by inserting the outer cylinder between the two and tightening the outer cylinder inward.

また、排出接続部に接続する排出筒状物である中間接続部材と、該中間接続部材にさらに接続する連結部材と、を有し、前記中間接続部材は内部を排出流路とし、該排出流路を閉塞する遮蔽弁と、前記排出接続部の第2のコネクタと接続するねじ部と、前記連結部材と接続するねじ部と、を有し、前記連結部材は、前記遮蔽弁を突き破ることにより閉塞状態から開放状態に不可逆的に切り替える連通針を有し、前記連通針は、内部を連通用流路とする筒部と、前記筒部の先端から突出する円錐状の針先とからなり、前記針先はその周面に前記連通用流路の開口を有することが好ましい。 Further, it has an intermediate connecting member which is a discharge cylinder-shaped object connected to the discharge connecting portion and a connecting member further connected to the intermediate connecting member, and the intermediate connecting member has an internal discharge flow path and the discharge flow. It has a shielding valve that closes the path, a threaded portion that connects to the second connector of the discharge connecting portion, and a threaded portion that connects to the connecting member, and the connecting member penetrates the shielding valve. It has a communication needle that irreversibly switches from a closed state to an open state, and the communication needle consists of a cylinder portion whose inside is a communication flow path and a conical needle tip protruding from the tip of the cylinder portion. It is preferable that the needle tip has an opening of the communication flow path on its peripheral surface.

請求項1に記載の発明により、アダプタに接続する血管の太さを異なるものとして共通のコネクタに接続して利用することができ、異なる太さの血管部を共通の部材で利用することが可能になる。さらに、血管部の一端に取り付けたアダプタを内包してコネクタを模擬血液バックに接続、固定することにより、異なる径を接続するための接続部位を小型化することができる。 According to the first aspect of the present invention, the blood vessels connected to the adapter can be connected to a common connector with different thicknesses, and the blood vessel portions having different thicknesses can be used by a common member. become. Further, by including an adapter attached to one end of the blood vessel portion and connecting and fixing the connector to the simulated blood bag, the connection site for connecting different diameters can be miniaturized.

請求項2に記載の発明により、コネクタの突出係止部の挿入によりアダプタが血管部を締め付けて固定することにより、血管部を強固に保持することができる。この締付は、先端側に向けて先細り形状となった外筒の外側に、基端側に向けて先細り形状となった突出係止部を挿入するものであるから、突出係止部の挿入が容易になり、血管部を保持し易くなる。 According to the second aspect of the present invention, the blood vessel portion can be firmly held by the adapter tightening and fixing the blood vessel portion by inserting the protruding locking portion of the connector. Since this tightening is to insert a protruding locking portion tapered toward the proximal end side on the outside of the outer cylinder tapered toward the distal end side, the protruding locking portion is inserted. Is easy, and it becomes easy to hold the blood vessel portion.

請求項3に記載の発明により、コネクタのねじ込みが完了した位置に、コネクタの被係止部の凹みに、流出筒の係止部の突条(凸)が位置することになり、コネクタが不意に回動することを防止することができる。 According to the third aspect of the present invention, the protrusion (convex) of the locking portion of the outflow cylinder is located at the position where the screwing of the connector is completed, and the connector is unexpectedly positioned. It is possible to prevent the connector from rotating.

請求項4に記載の発明により、薬液などを血管部に過剰に投与しても廃液容器に排出されるから、針の状態確認、生食ロック、ヘパリンロックによるパルシングフラッシュや陽圧ロックの確認などの実務に近い点滴投与などの投与実習を行うことができる。さらにアダプタ及びコネクタを共通部品とし、コストを抑えることができる。 According to the invention of claim 4, even if the drug solution or the like is excessively administered to the blood vessel portion, it is discharged into the waste liquid container. It is possible to carry out administration training such as infusion administration that is close to the practice of. Further, the adapter and the connector can be used as common parts to reduce the cost.

請求項5に記載の発明により、連通針が遮蔽弁を突き刺して連通する中間接続部材と連通部材を有することで、閉塞状態と開放状態とを切り替え可能な模擬血管を提供することができ、さらに、閉塞状態と開放状態とを連結部材の回動だけの容易な手段で行うことが可能になる。 According to the fifth aspect of the present invention, by having an intermediate connecting member and a communicating member in which the communicating needle pierces and communicates with the shielding valve, it is possible to provide a simulated blood vessel that can switch between a closed state and an open state. The closed state and the open state can be performed by a simple means of rotating the connecting member.

本発明の実施形態に係る模擬血管の斜視図である。It is a perspective view of the simulated blood vessel which concerns on embodiment of this invention. 模擬血管を分解した平面図であって、上段に模擬血液バックとアダプタとコネクタを示し、下段に血管部を示すものである。It is a plan view which disassembled the simulated blood vessel, and the simulated blood bag, the adapter and the connector are shown in the upper row, and the blood vessel portion is shown in the lower row. 連結固定部を分解した拡大縦断面図であって、(a)が通常血管部に用いる連結固定部であり、(b)が細血管部に用いる連結固定部である。It is an enlarged vertical sectional view which disassembled the connection fixing part, (a) is a connection fixing part usually used for a blood vessel part, and (b) is a connection fixing part used for a small blood vessel part. 図3(a)の連結固定部の動作説明図であって、(a)が血管部にアダプタを取り付けてコネクタと連結する直前の状態であり、(b)がコネクタと連結固定した状態である。3 (a) is an operation explanatory view of the connecting and fixing portion, in which (a) is a state immediately before the adapter is attached to the blood vessel portion and connected to the connector, and (b) is a state of being connected and fixed to the connector. .. 排出接続部及び廃液容器を取り付けた模擬血管の説明図である。It is explanatory drawing of the simulated blood vessel which attached the discharge connection part and the waste liquid container. 排出接続部を分解した拡大平面図であって、(a)が血管部と第2アダプタと第2コネクタを示し、(b)が中間接続部材と連結部材を示すものである。It is an enlarged plan view which disassembled the discharge connection part, (a) shows a blood vessel part, a 2nd adapter and a 2nd connector, and (b) shows an intermediate connection member and a connection member. 排出接続部の拡大縦断面図である。It is an enlarged vertical sectional view of the discharge connection part. 中間接続部材と連結接続部材との動作説明図であり、(a)が遮蔽弁により閉塞した初期状態であり、(b)が遮蔽弁を破って閉塞を開放した状態である。It is an operation explanatory view of the intermediate connection member and the connection connection member, (a) is the initial state which was closed by the shielding valve, and (b) is the state which opened the occlusion by breaking the shielding valve. 本発明の模擬血管を注射練習具に備えた状態の全体斜視図である。It is an overall perspective view of the state which provided the simulated blood vessel of this invention in an injection practice tool. 図9より取付本体をデッキから取り外し、模擬血管も外した状態の斜視図である。FIG. 9 is a perspective view showing a state in which the mounting body is removed from the deck and the simulated blood vessel is also removed. 本発明の注射練習具に用いる従来の模擬血管を示す斜視図である。It is a perspective view which shows the conventional simulated blood vessel used for the injection practice tool of this invention. 取付本体の基端支持部を示す一部拡大斜視図である。It is a partially enlarged perspective view which shows the base end support part of a mounting body. 中央の基端支持部を後方から見た一部拡大側面図であり、(a)が従来の模擬血管を取り付けた状態であり、(b)が新たな模擬血管を取り付けた状態である。It is a partially enlarged side view of the central base end support portion as viewed from the rear, (a) is a state in which a conventional simulated blood vessel is attached, and (b) is a state in which a new simulated blood vessel is attached. 取付本体の後端の起立片を後方からみた背面端面図である。It is a rear end view which looked at the standing piece of the rear end of a mounting body from the rear. 取付本体後方の切除部を示す一部拡大斜視図である。It is a partially enlarged perspective view which shows the excision part behind the mounting body.

以下、本発明に係る模擬血管の実施形態を添付の図面に基づいて説明する。なお、本説明に際し、図面上の左側(例えば図2の模擬血液バック側)を基端側とし、図面上の右側(例えば図2の血管部側)を先端側として説明する。 Hereinafter, embodiments of the simulated blood vessel according to the present invention will be described with reference to the accompanying drawings. In this description, the left side on the drawing (for example, the simulated blood back side in FIG. 2) will be referred to as the proximal end side, and the right side on the drawing (for example, the blood vessel portion side in FIG. 2) will be referred to as the distal end side.

模擬血管1は、図1に示すように、模擬血液を貯留した模擬血液バック2と、血管を模擬した円筒形状、管状で長尺な血管部3と、模擬血液バック2と血管部3とを接続して固定する連結固定部4とからなる。特に図示しないが模擬血液は赤く着色して臨場感を持たせた液体からなり、模擬血液バック2に注入されて模擬血管1の内部に空気が入らない状態で密封される。なお、模擬血管1は、使用済みとなると廃棄されるもので、所謂使い捨て材である。 As shown in FIG. 1, the simulated blood vessel 1 includes a simulated blood bag 2 storing simulated blood, a cylindrical, tubular and long blood vessel portion 3 simulating a blood vessel, and a simulated blood bag 2 and a blood vessel portion 3. It is composed of a connecting fixing portion 4 for connecting and fixing. Although not particularly shown, the simulated blood is a liquid colored red to give a sense of presence, is injected into the simulated blood bag 2, and is sealed without air entering the inside of the simulated blood vessel 1. The simulated blood vessel 1 is discarded when it is used, and is a so-called disposable material.

図2に示すように、模擬血管1の連結固定部4は、アダプタ5とコネクタ6とからなり、血管部3をアダプタ5に接続したうえで、アダプタ5をコネクタ6に内包しつつ模擬血液バック2の流出筒11に接続することで、模擬血液バック2と血管部3とを模擬血管1内で連通した状態で接続固定する。血管部3は軟質樹脂から成型され、アダプタ5とコネクタ6も樹脂材により成型されたものである。 As shown in FIG. 2, the connecting and fixing portion 4 of the simulated blood vessel 1 is composed of an adapter 5 and a connector 6, and after connecting the blood vessel portion 3 to the adapter 5, the simulated blood bag is included in the connector 6. By connecting to the outflow tube 11 of 2, the simulated blood bag 2 and the blood vessel portion 3 are connected and fixed in a state of communicating with each other in the simulated blood vessel 1. The blood vessel portion 3 is molded from a soft resin, and the adapter 5 and the connector 6 are also molded from a resin material.

模擬血管1の模擬血液バック2について説明する。模擬血液バック2は、中空矩形状の貯留部10と、貯留部10の一面から突出する円筒形状の流出筒11とからなる。流出筒11は基端側内周から内方に突出した円環形状の受け部12を有する(図3参照)。受け部12は、後述するアダプタ5を受けて係合して軸方向に位置決め、固定する。 The simulated blood bag 2 of the simulated blood vessel 1 will be described. The simulated blood bag 2 includes a hollow rectangular storage portion 10 and a cylindrical outflow cylinder 11 protruding from one surface of the storage portion 10. The outflow tube 11 has an annular receiving portion 12 protruding inward from the inner circumference on the base end side (see FIG. 3). The receiving portion 12 receives and engages with the adapter 5 described later, positions and fixes it in the axial direction.

流出筒11の外周には、後述するコネクタ6に固定するために突出するねじ部13と、ねじ部13の基端側となる貯留部10の中央下端から下方に向けた突条となる2つの係止部14、14を有する。係止部14、14は、流出筒11の表面と裏面にあり、円周方向に180度離れて並んでいる。係止部14、14は、コネクタ6を流出筒11に固定(螺合)が完了した状態で、コネクタ6の被係止部35、35に嵌まり込んで係合し、コネクタ6の螺進を停止するとともに、係止状態でコネクタ6が不意の回動を起こさないようにロックしている。 On the outer circumference of the outflow cylinder 11, there are two screw portions 13 protruding for fixing to the connector 6 described later, and two protrusions extending downward from the central lower end of the storage portion 10 which is the base end side of the screw portion 13. It has locking portions 14, 14. The locking portions 14, 14 are located on the front surface and the back surface of the outflow tube 11, and are arranged 180 degrees apart in the circumferential direction. The locking portions 14, 14 are fitted into and engaged with the locked portions 35, 35 of the connector 6 in a state where the connector 6 is fixed (screwed) to the outflow cylinder 11, and the connector 6 is screwed. Is stopped, and the connector 6 is locked so as not to cause unexpected rotation in the locked state.

模擬血液バック2と血管部3とが接続、固定されることで、貯留部10と血管部3との内部が連通し、貯留部10から模擬血液を血管部3内に供給可能としている。模擬血液バック2は、真空採血管より陽圧側の負圧状態で模擬血液を貯留し、真空採血管に模擬血液を供給可能としつつ、採血などにより血管部3に生じた針孔からの液漏れを抑制している。 By connecting and fixing the simulated blood bag 2 and the blood vessel portion 3, the inside of the reservoir 10 and the blood vessel portion 3 communicate with each other, and the simulated blood can be supplied from the reservoir portion 10 into the blood vessel portion 3. The simulated blood bag 2 stores simulated blood in a negative pressure state on the positive pressure side of the vacuum collecting blood vessel, and while making it possible to supply simulated blood to the vacuum collecting blood vessel, liquid leakage from the needle hole generated in the blood vessel portion 3 due to blood sampling or the like. Is suppressed.

血管部3について説明する。血管部3は、長手方向の基端側を開口する基端部分3a、他端側を閉塞する先端部分3bを有し、所定の長さを有する管状物であり、基端部分3aを連結固定具4により模擬血液バック2に接続する。血管部3は注射針や点滴針などを複数回突き刺せるエラストマーなどの軟質素材により形成し、自由曲線状に屈曲して配置して個体差のある血管を模擬可能としている。血管部3は径方向の厚さ(内側直径と外側直径との差の半分)を薄手として、約0.4mmとしている。 The blood vessel portion 3 will be described. The blood vessel portion 3 has a proximal end portion 3a that opens the proximal end side in the longitudinal direction and a distal end portion 3b that closes the other end side, and is a tubular object having a predetermined length, and the proximal end portion 3a is connected and fixed. It is connected to the simulated blood bag 2 by the tool 4. The blood vessel portion 3 is formed of a soft material such as an elastomer that can pierce an injection needle or a drip needle multiple times, and is bent and arranged in a free curve so that blood vessels having individual differences can be simulated. The blood vessel portion 3 has a thin radial thickness (half the difference between the inner diameter and the outer diameter) and is about 0.4 mm.

連結固定部4について説明する。上記のとおり連結固定部4は、血管部3を取り付けて保持するアダプタ5と、このアダプタ5を流出筒11に螺合することで接続、保持するコネクタ6とからなる。連結固定部4はこの接続により不可逆的に血管部3を模擬血液バック2に固定して、互いの内部を連通させ、模擬血液の流路としている。 The connection fixing portion 4 will be described. As described above, the connecting / fixing portion 4 includes an adapter 5 for attaching and holding the blood vessel portion 3 and a connector 6 for connecting and holding the adapter 5 by screwing the adapter 5 into the outflow tube 11. The connection fixing portion 4 irreversibly fixes the blood vessel portion 3 to the simulated blood bag 2 by this connection, and communicates the inside of each other to form a flow path of the simulated blood.

アダプタ5について説明する。アダプタ5は、図2、3、4に示すように、外筒21と内筒22とからなる先端側の面が開口した二重筒構造としている。アダプタ5は、2つの筒21、22の間の空間に、血管部3の基端部分3aを挿入して保持する空間を有する。この空間の径方向の厚さ(内側直径と外側直径との差の半分)を血管部3の厚さより大きい寸法として、約0.44mmとしている。内筒22の内周に両端が開口された長手方向の空間を有し、流出筒11と血管部3とを連通する流路となる。 The adapter 5 will be described. As shown in FIGS. 2, 3 and 4, the adapter 5 has a double-cylinder structure having an open end surface composed of an outer cylinder 21 and an inner cylinder 22. The adapter 5 has a space for inserting and holding the proximal end portion 3a of the blood vessel portion 3 in the space between the two cylinders 21 and 22. The radial thickness of this space (half the difference between the inner diameter and the outer diameter) is set to be about 0.44 mm as a dimension larger than the thickness of the blood vessel portion 3. It has a space in the longitudinal direction with both ends open on the inner circumference of the inner cylinder 22, and serves as a flow path for communicating the outflow cylinder 11 and the blood vessel portion 3.

アダプタ5は、基端側位置にあって外周に向けて傾斜するアダプタ基端部23があり、このアダプタ基端部23の先端側から血管部3を挿入する開口側、内側に若干傾斜して延長された外筒21が形成される。外筒21は、アダプタ基端部23側から先端側にかけて厚みが徐々に薄くなる先細り形状を有し、円周方向に分割されて、複数のスリット24、24が形成されている。 The adapter 5 has an adapter base end portion 23 that is located at the base end side position and is inclined toward the outer circumference, and is slightly inclined inward from the tip end side of the adapter base end portion 23 to the opening side into which the blood vessel portion 3 is inserted. The extended outer cylinder 21 is formed. The outer cylinder 21 has a tapered shape in which the thickness gradually decreases from the adapter base end portion 23 side to the tip end side, and is divided in the circumferential direction to form a plurality of slits 24, 24.

模擬血液バック2の流出筒11内へアダプタ5を挿入したとき、傾斜面を有する円錐筒形状に形成されたアダプタ基端部23が、流出筒11内に突出する受け部12に係合し、かつ、食い込むことで、アダプタ5を軸方向(長手方向)に位置決めして、固定する。また、後述するが、コネクタ6を模擬血液バック2の流出筒11へ固定していく(螺入していく)ことで、アダプタ5の外筒21は血管部3の基端部分3aを徐々に締め付けて固定する。 When the adapter 5 is inserted into the outflow tube 11 of the simulated blood bag 2, the adapter base end portion 23 formed in the shape of a conical cylinder having an inclined surface engages with the receiving portion 12 protruding into the outflow tube 11. Moreover, by biting into the adapter 5, the adapter 5 is positioned in the axial direction (longitudinal direction) and fixed. Further, as will be described later, by fixing (screwing) the connector 6 to the outflow tube 11 of the simulated blood bag 2, the outer tube 21 of the adapter 5 gradually inserts the proximal end portion 3a of the blood vessel portion 3. Tighten and fix.

本実施形態では血管部3として、図3(a)に示すように、通常の血管を模擬する血管部3を用いているが、通常の血管部3と異なる径の血管部を用いることができる。図3(b)に血管部3より細く、細血管を模擬する細血管部15を示す。通常の血管部3の内径(内側直径)を1.5mmとし、細血管部15の内径を1.3mmとしている。アダプタも、通常の血管部3に用いるアダプタ5と、細血管部15を保持するための細型アダプタ5aとを有している。 In the present embodiment, as the blood vessel portion 3, as shown in FIG. 3A, the blood vessel portion 3 simulating a normal blood vessel is used, but a blood vessel portion having a diameter different from that of the normal blood vessel portion 3 can be used. .. FIG. 3B shows a small blood vessel portion 15 that is thinner than the blood vessel portion 3 and simulates a small blood vessel. The inner diameter (inner diameter) of the normal blood vessel portion 3 is 1.5 mm, and the inner diameter of the microvessel portion 15 is 1.3 mm. The adapter also has an adapter 5 used for the normal blood vessel portion 3 and a thin adapter 5a for holding the small blood vessel portion 15.

細型アダプタ5aは、外筒21の内径をアダプタ5より細くし、内筒22の外径をアダプタ5より太い形状として、細血管部15のサイズに合わせている。細型アダプタ5aは、外筒21の外径とアダプタ基端部23の形状、寸法を、通常のアダプタ5と同じにすることで、コネクタ6及び流出筒11(模擬血液バック2)とを取付、保持可能としている。上記通常の血管部3、細血管部15の他に、より細い血管部や、太い血管部といった異なる径の血管部を用いることができる。 In the thin adapter 5a, the inner diameter of the outer cylinder 21 is made smaller than that of the adapter 5, and the outer diameter of the inner cylinder 22 is made thicker than that of the adapter 5 to match the size of the small blood vessel portion 15. The thin adapter 5a is attached with the connector 6 and the outflow cylinder 11 (simulated blood bag 2) by making the outer diameter of the outer cylinder 21 and the shape and dimensions of the adapter base end portion 23 the same as those of the normal adapter 5. It is possible to hold it. In addition to the normal blood vessel portion 3 and the small blood vessel portion 15, blood vessel portions having different diameters such as a thinner blood vessel portion and a thick blood vessel portion can be used.

次に、コネクタ6について説明する。コネクタ6は、図2、3、4に示すように、外壁31と底部32とからなる円筒状の箱型(キャップ型)形態である。外壁31は、その内面から中心方向に突出するねじ部31aを有し、模擬血液バック2の流出筒11のねじ部13に螺合して係合するナット状物である。円盤状の底部32は、中心位置が開口し、血管部3を挿通する貫通孔33が形成される。コネクタ6は、ナット状の外壁31を流出筒11のねじ部13に螺合した状態で、外壁31の内側空間に血管部3の基端部分3aを保持した状態のアダプタ5を内包し、貫通孔33より血管部3を導出する。 Next, the connector 6 will be described. As shown in FIGS. 2, 3 and 4, the connector 6 has a cylindrical box-shaped (cap-shaped) form including an outer wall 31 and a bottom portion 32. The outer wall 31 has a threaded portion 31a protruding from the inner surface thereof in the central direction, and is a nut-shaped object that is screwed and engaged with the threaded portion 13 of the outflow tube 11 of the simulated blood bag 2. The disk-shaped bottom portion 32 has an opening at the center position, and a through hole 33 through which the blood vessel portion 3 is inserted is formed. The connector 6 contains and penetrates the adapter 5 in which the nut-shaped outer wall 31 is screwed into the threaded portion 13 of the outflow tube 11 and the proximal end portion 3a of the blood vessel portion 3 is held in the inner space of the outer wall 31. The blood vessel portion 3 is derived from the hole 33.

コネクタ6の貫通孔33の周囲から外壁31の内方に向けて延長された、言い換えると、先端側から基端側に向けて突出する突出係止部34が形成される。突出係止部34は、厚みが先端側から基端側にかけて徐々に薄くなる先細り形状を有し、さらにいうと突出係止部34の外側面は水平に形成されるが、内側面は外側面に向けて傾斜する傾斜面となっている。 A protruding locking portion 34 extending from the periphery of the through hole 33 of the connector 6 toward the inside of the outer wall 31, in other words, protruding from the tip end side toward the proximal end side is formed. The protruding locking portion 34 has a tapered shape in which the thickness gradually decreases from the tip end side to the base end side. Further, the outer surface of the protruding locking portion 34 is formed horizontally, but the inner side surface is the outer surface. It is an inclined surface that inclines toward.

突出係止部34は、底部32の貫通孔33の縁部に形成され、軸方向に沿うように外壁31の内部空間に向けて突出している。突出係止部34は、先細り状となった円筒形状であり、血管部3を装着したアダプタ5を模擬血液バック2の流出筒11内に挿入した状態でコネクタ6を流出筒11に螺入していくと、先細りとなった突出係止部34の先端からアダプタ5の外筒21と流出筒11の内周面との間に挿入されていく。基端側から先端側にかけて徐々に太くなる突出係止部34がコネクタ6の螺入に従って挿入されていくことで、徐々にアダプタ5の外筒21が血管部3の基端部分3aに押圧され、血管部3のアダプタ5による保持状態が強固になる。 The protrusion locking portion 34 is formed at the edge of the through hole 33 of the bottom portion 32, and protrudes toward the internal space of the outer wall 31 along the axial direction. The protruding locking portion 34 has a tapered cylindrical shape, and the connector 6 is screwed into the outflow cylinder 11 with the adapter 5 equipped with the blood vessel portion 3 inserted into the outflow cylinder 11 of the simulated blood bag 2. Then, it is inserted from the tip of the tapered protruding locking portion 34 between the outer cylinder 21 of the adapter 5 and the inner peripheral surface of the outflow cylinder 11. The protruding locking portion 34, which gradually becomes thicker from the proximal end side to the distal end side, is inserted according to the screwing of the connector 6, so that the outer cylinder 21 of the adapter 5 is gradually pressed against the proximal end portion 3a of the blood vessel portion 3. , The holding state of the blood vessel portion 3 by the adapter 5 is strengthened.

コネクタ6の外壁31は、底部32と反対側端縁であって模擬血液バック2に形成される2つの係止部14、14に相当する位置を凹ませた凹所状とした2つの被係止部35、35が形成される。この被係止部35、35の凹み形状は、コネクタ6を模擬血液バック2の流出筒11に最深位置まで螺合した状態で、突条の係止部14、14が凹み部分に位置させることで、螺合完了位置に位置決め、固定される。また、この係合によりコネクタ6が不意に回転したときに突条の係止部14、14がコネクタ6の凹んだ被係止部35、35に当たり、コネクタ6の緩みを防止することができる。 The outer wall 31 of the connector 6 has two concave-shaped recessed edges corresponding to the two locking portions 14, 14 formed on the simulated blood bag 2 at the end edge opposite to the bottom portion 32. Stops 35, 35 are formed. The concave shape of the locked portions 35, 35 is such that the locking portions 14 and 14 of the ridges are positioned in the recessed portions in a state where the connector 6 is screwed into the outflow cylinder 11 of the simulated blood bag 2 to the deepest position. Then, it is positioned and fixed at the screwing completion position. Further, when the connector 6 is unexpectedly rotated by this engagement, the locking portions 14 and 14 of the ridges hit the recessed locked portions 35 and 35 of the connector 6 to prevent the connector 6 from loosening.

上記のとおり、模擬血管1のアダプタ5とコネクタ6とからなる連結固定部4により模擬血液バック2と血管部3とを接続、固定することができる。血管部は異なる径のものを使用することができることで様々な径の模擬血管をもって実習を行うことができる。さらにコネクタ6と模擬血液バック2(流出筒11)を共通部品として、部品点数を抑えることができるとともに、コネクタ6がアダプタ5を包み込むように接続、固定していることから、連結固定部4を小型化して、模擬血液バック2の押圧や、実習を阻害しないようにすることができる。 As described above, the simulated blood bag 2 and the blood vessel portion 3 can be connected and fixed by the connecting fixing portion 4 composed of the adapter 5 of the simulated blood vessel 1 and the connector 6. Since blood vessels of different diameters can be used, it is possible to practice with simulated blood vessels of various diameters. Further, the connector 6 and the simulated blood bag 2 (outflow tube 11) are used as common parts to reduce the number of parts, and since the connector 6 is connected and fixed so as to wrap the adapter 5, the connecting fixing portion 4 is connected. It can be miniaturized so as not to interfere with the pressing of the simulated blood bag 2 or the training.

次に、上記の接続固定部4に加え、採血実習に加えて投与実習を行うことができる模擬血管1(第2実施形態)について説明する。第2の実施形態は、上記の第1実施形態において使用したアダプタ5とコネクタ6とを模擬血管1の先端部分3bに配して点滴等の投与実習を行うもので、アダプタとコネクタとを共有して用いることで、部品点数を少なくすることができる。 Next, in addition to the connection fixing portion 4 described above, a simulated blood vessel 1 (second embodiment) capable of performing administration training in addition to blood collection training will be described. In the second embodiment, the adapter 5 and the connector 6 used in the first embodiment are arranged on the tip portion 3b of the simulated blood vessel 1 to practice administration such as infusion, and the adapter and the connector are shared. The number of parts can be reduced by using the above.

図1に示す模擬血管1(第1実施形態)は、基端部分を接続固定部4で模擬血液バック2に接続し、先端部分3bは閉塞された状態である。一方、図5に示すように、第2実施形態である模擬血管1は、先端部分3bの端部を基端部分3aと同じように開口し(図6参照)、血管部3を貫通管状に形成して、排出接続部7を取り付けるものである。第2実施形態の排出接続部7は、中間接続部材8、連結部材9を取り付け、連結部材9に廃液チューブ43の一端を接続し、廃液チューブ43の他端に外部の廃液容器41を接続して、血管部3に投与した薬液などを廃液容器41に排出可能としている。 In the simulated blood vessel 1 (first embodiment) shown in FIG. 1, the proximal end portion is connected to the simulated blood bag 2 by the connecting fixing portion 4, and the distal end portion 3b is in a closed state. On the other hand, as shown in FIG. 5, in the simulated blood vessel 1 according to the second embodiment, the end portion of the distal end portion 3b is opened in the same manner as the proximal end portion 3a (see FIG. 6), and the blood vessel portion 3 is formed into a penetrating tubular. It is formed and the discharge connection portion 7 is attached. The discharge connecting portion 7 of the second embodiment is attached with an intermediate connecting member 8 and a connecting member 9, one end of the waste liquid tube 43 is connected to the connecting member 9, and an external waste liquid container 41 is connected to the other end of the waste liquid tube 43. Therefore, the drug solution or the like administered to the blood vessel portion 3 can be discharged to the waste liquid container 41.

排出接続部7は、図5、6、7に示すように、第2のアダプタ45と第2のコネクタ46とからなり、第2のアダプタ45は第1のアダプタ5と共通する形態を有し、第2のコネクタ46は第1のコネクタ6と共通する形態を有する。第2のコネクタ46に螺合される中間接続部材8と、中間接続部材8を連結する連結部材9を介して廃液チューブ43を接続することが好ましいが、排出接続部7(第2のコネクタ46)に直接、廃液容器41に接続してもよい。 As shown in FIGS. 5, 6 and 7, the discharge connection portion 7 includes a second adapter 45 and a second connector 46, and the second adapter 45 has a form common to that of the first adapter 5. , The second connector 46 has a form common to that of the first connector 6. It is preferable to connect the waste liquid tube 43 via the intermediate connecting member 8 screwed into the second connector 46 and the connecting member 9 connecting the intermediate connecting member 8, but the discharge connecting portion 7 (second connector 46). ) May be directly connected to the waste liquid container 41.

第2のアダプタ45は、第1のアダプタ5と同一形状を有し、共通部品としている。第1のアダプタ5と同じく、外筒51、内筒52、アダプタ基端部53、スリット54、54が形成され、外筒51と内筒52との間の空間に血管部3の先端部分3bを保持する。 The second adapter 45 has the same shape as the first adapter 5 and is a common component. Similar to the first adapter 5, the outer cylinder 51, the inner cylinder 52, the adapter base end portion 53, the slits 54, and 54 are formed, and the tip portion 3b of the blood vessel portion 3 is formed in the space between the outer cylinder 51 and the inner cylinder 52. To hold.

第2のコネクタ46は、第1のコネクタ6と同一形状を有し、共通部品としている。第1のコネクタと同じく、外壁61、ねじ部61a、底部62、貫通孔63、突出係止部64、凹状の被係止部65、65が形成され、第2のコネクタ46を中間接続部材8に螺入していくと、突出係止部64、64が外筒61を内方に締め付けていくことも同じである。 The second connector 46 has the same shape as the first connector 6 and is a common component. Similar to the first connector, the outer wall 61, the threaded portion 61a, the bottom portion 62, the through hole 63, the protruding locking portion 64, and the concave locked portions 65, 65 are formed, and the second connector 46 is connected to the intermediate connecting member 8. It is the same that the protruding locking portions 64, 64 tighten the outer cylinder 61 inward as it is screwed into.

中間接続部材8について説明する。図6、図7に示すように、中間接続部材8は、流出筒11と同じ形状、寸法の流入筒71と、流入筒71より先端側に位置して内部で連通する円筒状の排出部72と、を有する。中間接続部材8は、長手方向にかけて部材中心を貫通した内部空間を有し、血管部3から連通する廃液の排出流路73となる。 The intermediate connecting member 8 will be described. As shown in FIGS. 6 and 7, the intermediate connecting member 8 has an inflow cylinder 71 having the same shape and dimensions as the outflow cylinder 11, and a cylindrical discharge portion 72 located on the tip side of the inflow cylinder 71 and communicating internally. And have. The intermediate connecting member 8 has an internal space penetrating the center of the member in the longitudinal direction, and serves as a waste liquid discharge flow path 73 communicating with the blood vessel portion 3.

流入筒71は、外周にネジ山が形成されたねじ部74を有する。また、後述する排出部72の一部である鍔72aの表面と裏面に長手方向に沿って上方に突出する突条の係止部75、75を有し、基端側内周に受け部76を有している。これらの形状及び寸法は、模擬血液バック2の流出筒11のねじ部13、係止部14、14、受け部12と同じとなる。 The inflow cylinder 71 has a threaded portion 74 having a thread formed on the outer periphery thereof. Further, the front surface and the back surface of the collar 72a, which is a part of the discharge portion 72 to be described later, have ridge locking portions 75, 75 protruding upward along the longitudinal direction, and the receiving portion 76 is provided on the inner circumference on the proximal end side. have. These shapes and dimensions are the same as the threaded portion 13, the locking portions 14, 14 and the receiving portion 12 of the outflow cylinder 11 of the simulated blood bag 2.

流入筒71は、血管部3を保持した第2のアダプタ45を挿入した状態で受け部76により位置決められて固定される。さらに、突条の係止部75、75により、第2のコネクタ46の凹状の被係止部65、65の凹み位置に至って係止されるまで第2のコネクタ46を螺進することができ、係止部75、75と第2のコネクタ46の被係止部65、65との係合により、第2のコネクタ46の不意の回動等による緩みを防止することも、流出筒11と第1のコネクタ6と同じとなる。 The inflow tube 71 is positioned and fixed by the receiving portion 76 with the second adapter 45 holding the blood vessel portion 3 inserted. Further, the locking portions 75 and 75 of the ridges can screw the second connector 46 until it reaches the recessed position of the concave locked portions 65 and 65 of the second connector 46 and is locked. By engaging the locking portions 75, 75 with the locked portions 65, 65 of the second connector 46, it is possible to prevent the second connector 46 from loosening due to unexpected rotation or the like. It is the same as the first connector 6.

中間接続部材8の排出部72は、流入筒71と同心円の円筒形状とし、長手方向において流入筒71の反対側に向けて突出形成している。流入筒71の基端部分が外方に正六角板状に突出した鍔72a、鍔72aから円筒状に突出する基部72b、基部72bの先端からさらに突出する円筒形状の連結筒72cとからなる。連結筒72cは、表面にネジ山からなるねじ部72fを有し、外径を流入筒71と同じ寸法としている。 The discharge portion 72 of the intermediate connection member 8 has a cylindrical shape concentric with the inflow cylinder 71, and is formed so as to project toward the opposite side of the inflow cylinder 71 in the longitudinal direction. The base end portion of the inflow cylinder 71 is composed of a collar 72a projecting outward in the shape of a regular hexagonal plate, a base portion 72b projecting cylindrically from the collar 72a, and a cylindrical connecting cylinder 72c further projecting from the tip of the base portion 72b. The connecting cylinder 72c has a threaded portion 72f composed of threads on its surface, and has the same outer diameter as the inflow cylinder 71.

基部72bの先端(連結筒72c側端)が外方に突出する環状凸部72dを有し、鍔72aからは連結部材9の螺進を停止する2つの中間係止部72e、72eが凸状に突出形成されている。中間係止部72e、72eは表面、裏面に形成され、円周に180度離れている。 The tip of the base portion 72b (the end on the side of the connecting cylinder 72c) has an annular convex portion 72d protruding outward, and two intermediate locking portions 72e and 72e for stopping the screwing of the connecting member 9 are convex from the flange 72a. It is formed in a protrusion. The intermediate locking portions 72e and 72e are formed on the front surface and the back surface, and are separated from each other by 180 degrees around the circumference.

中間接続部材8は、流入筒71から排出部72にかけての長手方向を、部材の中心を貫通する排出流路73が形成されるが、排出部72の先端付近内部で排出流路73を遮蔽する薄膜の遮蔽弁77が配置される(図7参照)。この遮蔽弁77により、中間接続部材8に連結部材9を完了位置まで螺入させなければ、血管部3の先端部分3bを閉塞した状態を維持できる。 The intermediate connection member 8 has a discharge flow path 73 that penetrates the center of the member in the longitudinal direction from the inflow cylinder 71 to the discharge portion 72, but shields the discharge flow path 73 inside the vicinity of the tip of the discharge portion 72. A thin film shielding valve 77 is arranged (see FIG. 7). With this shielding valve 77, the state in which the tip portion 3b of the blood vessel portion 3 is closed can be maintained unless the connecting member 9 is screwed into the intermediate connecting member 8 to the completion position.

次に、連結部材9について説明する。連結部材9は、図6、7に示すように、外壁81と底部82とからなる円筒状の箱型(キャップ型)形態である。外壁81は、その内面から中心方向に突出するねじ部81aを有し、中間接続部材8の排出部72のねじ部72fに螺合して係合するナット状物である。 Next, the connecting member 9 will be described. As shown in FIGS. 6 and 7, the connecting member 9 is in the form of a cylindrical box (cap type) including an outer wall 81 and a bottom 82. The outer wall 81 has a threaded portion 81a projecting from the inner surface thereof in the central direction, and is a nut-shaped object that is screwed and engaged with the threaded portion 72f of the discharge portion 72 of the intermediate connecting member 8.

外壁81は、底部82と反対側端縁を一部凹ませたもので、中間接続部材8の鍔72aに形成される中間係止部72e、72eに相当する位置に、2つの被係止部83、83が形成される。この係止部83、83により、不意に連結部材9が回動することを防止し、螺合状態を継続させることができる。また、外壁81の底部82と反対側端縁は、内面側に向けて周縁から突出した抜け止め突出部84が形成され、中間接続部材8の環状凸部72dと係合し、一定範囲以上で抜けないようにしている。 The outer wall 81 has a partially recessed edge opposite to the bottom portion 82, and has two locked portions at positions corresponding to the intermediate locking portions 72e and 72e formed on the flange 72a of the intermediate connecting member 8. 83, 83 are formed. The locking portions 83, 83 can prevent the connecting member 9 from unexpectedly rotating and continue the screwed state. Further, the edge opposite to the bottom portion 82 of the outer wall 81 is formed with a retaining protrusion 84 protruding from the peripheral edge toward the inner surface side, and engages with the annular convex portion 72d of the intermediate connecting member 8 to exceed a certain range. I try not to pull it out.

連結部材9は、底部82の円中心位置から、外壁81の内方に向けて針状に突出する連通針85と、同じく底部82の円中心位置から連通針85の反対側に突出するジョイント管部86が配置される。連通針85は、内部に連通用流路である排出流路87を有する筒部と、その先端から突出する円錐状の針先とを有し、連通針85とジョイント管部86とは内部空間を連通する排出流路87が形成される。ジョイント管部86は、先端にカエシがついた部材であり、廃液チューブ43のチューブ内に差し込んで連結することができる。 The connecting member 9 includes a communication needle 85 that protrudes inward from the center of the circle of the bottom 82 toward the inside of the outer wall 81, and a joint pipe that also protrudes from the center of the circle of the bottom 82 to the opposite side of the communication needle 85. The unit 86 is arranged. The communication needle 85 has a tubular portion having a discharge flow path 87 which is a communication flow path inside, and a conical needle tip protruding from the tip thereof, and the communication needle 85 and the joint pipe portion 86 have an internal space. The discharge flow path 87 communicating with the above is formed. The joint pipe portion 86 is a member having a burrs at its tip, and can be inserted into and connected to the waste liquid tube 43.

連結部材9を中間接続部材8に螺入していくと、連結部材9の内方に向けて突出する連通針85が、中間接続部材8の排出流路73内に侵入する。さらに螺入を継続すると、連通針85の針先が、上述した中間接続部材8の排出流路73を閉塞する遮蔽弁77を突き破る。この状態で、中間接続部材8の排出流路73から排出される排出液が、連通針85に形成された開口85aから連結部材9の排出流路87内に流入し、ジョイント管部86の先端の開口86aから排出される。 When the connecting member 9 is screwed into the intermediate connecting member 8, the communication needle 85 that protrudes inward of the connecting member 9 enters the discharge flow path 73 of the intermediate connecting member 8. Further, when the screwing is continued, the needle tip of the communication needle 85 breaks through the shielding valve 77 that closes the discharge flow path 73 of the intermediate connecting member 8 described above. In this state, the discharge liquid discharged from the discharge flow path 73 of the intermediate connecting member 8 flows into the discharge flow path 87 of the connecting member 9 from the opening 85a formed in the communication needle 85, and the tip of the joint pipe portion 86. It is discharged from the opening 86a of.

このように、第2実施形態の模擬血管1は、先端部分3bに第2のアダプタ45、第2のコネクタ46とからなる排出接続部7を配置することで、直接に廃液容器41と接続することもでき、さらに中間接続部材8と連結部材9とを接続することで、閉塞状態と排出状態とを容易に切り替えることができる。すなわち、中間接続部材8を排出接続部7に接続し、中間接続部材8と連結部材9との螺合を完全にせずに緩めた状態としておくと、中間接続部材8に形成される遮蔽弁77により、模擬血管1の先端側で遮蔽された状態となる。この状態から連結部材9を中間接続部材8に螺合させていくと、上記のとおり、連通針85が遮蔽弁77を突き破り、ジョイント管部86から廃液チューブ43を介して廃液容器41へと廃液を排出する。このように螺合の動作だけで切り替えることが可能になる。これにおり、閉塞状態で行う採血実習と、排出状態で行う投与実習とを、簡単に切り替えて、行うことが可能になる。 As described above, the simulated blood vessel 1 of the second embodiment is directly connected to the waste liquid container 41 by arranging the discharge connection portion 7 including the second adapter 45 and the second connector 46 at the tip portion 3b. Further, by connecting the intermediate connecting member 8 and the connecting member 9, the closed state and the discharging state can be easily switched. That is, when the intermediate connecting member 8 is connected to the discharge connecting portion 7 and the screw between the intermediate connecting member 8 and the connecting member 9 is not completely screwed and is left in a loosened state, the shielding valve 77 formed on the intermediate connecting member 8 is formed. As a result, the simulated blood vessel 1 is shielded by the tip end side. When the connecting member 9 is screwed into the intermediate connecting member 8 from this state, the communication needle 85 breaks through the shielding valve 77 as described above, and the waste liquid is discharged from the joint pipe portion 86 to the waste liquid container 41 via the waste liquid tube 43. Discharge. In this way, it is possible to switch only by the operation of screwing. This makes it possible to easily switch between the blood sampling training conducted in the blocked state and the administration training conducted in the drained state.

以下、本発明に係る新たな模擬血管1を使用できる注射練習具の実施形態を添付の図面に基づいて説明する。なお、本説明にあたり、取付本体101の長手方向を前後方向とし、図9の左奥側を前側若しくは基端側とし、右手前側を後側若しくは先端側として説明する。また、取付本体101の長手方向と直交する方向を幅方向若しくは側方として説明する。 Hereinafter, an embodiment of an injection practice tool that can use the new simulated blood vessel 1 according to the present invention will be described with reference to the attached drawings. In this description, the longitudinal direction of the mounting body 101 is the front-rear direction, the left back side of FIG. 9 is the front side or the base end side, and the right front side is the rear side or the tip side. Further, the direction orthogonal to the longitudinal direction of the mounting body 101 will be described as the width direction or the lateral direction.

本発明に係る注射練習具の基本的な形態は、図9、10に示すように、取付本体101と、取付本体101の上面に配置する模擬皮下組織層102と、模擬皮下組織層102の上方を覆う模擬皮膚層104を張設する上カバー105とを備えたものである。模擬皮下組織層102上に模擬血管1、161を配し(図1、11参照)、上カバー105を被せて模擬皮膚組織層104から模擬血管1、161を探り当てて注射実習を行うものである。 As shown in FIGS. 9 and 10, the basic form of the injection practice tool according to the present invention is the mounting body 101, the simulated subcutaneous tissue layer 102 arranged on the upper surface of the mounting body 101, and the upper part of the simulated subcutaneous tissue layer 102. It is provided with an upper cover 105 for stretching a simulated skin layer 104 covering the above. The simulated blood vessels 1 and 161 are arranged on the simulated subcutaneous tissue layer 102 (see FIGS. 1 and 11), and the simulated skin tissue layer 104 is covered with the upper cover 105 to find the simulated blood vessels 1 and 161 for injection training. ..

まず、注射練習具の取付本体101について説明する。取付本体101は、硬質樹脂からなる略板状体を全体として突弧形状、アーチ形状に湾曲した形態を有するものである。図10に示すように、突弧形状、アーチ形状となる取付本体101の裏面側となる内方が開放されており、その開放された内方部分が腕通し部分142となる。取付本体101は、図9に示すようにデッキ140に取り付けた状態で卓上に置いて使用することもできるが、図10に示すように、デッキ140から取り外して、取付本体101の内方部分となる腕通し部分142を疑似被用者の腕に巻いて使用することもできる。 First, the mounting body 101 of the injection practice tool will be described. The mounting body 101 has a substantially plate-shaped body made of a hard resin as a whole and has a shape curved in a ridge shape or an arch shape. As shown in FIG. 10, the inner side of the mounting main body 101 having a protruding arc shape and an arch shape on the back surface side is open, and the opened inner portion is the arm passing portion 142. The mounting body 101 can be used by placing it on a table while being mounted on the deck 140 as shown in FIG. 9, but as shown in FIG. 10, it can be removed from the deck 140 to form an inner portion of the mounting body 101. It is also possible to wrap the arm threading portion 142 around the arm of the pseudo-employee.

疑似被用者の腕に巻いて使用する場合、図10に示すデッキから取付本体101を取り外した状態で使用する。取付本体101を腕の肘関節と手首との間の位置で、腕通し部分142を腕に巻いて装着する。そして、腕に装着させた状態で上カバー105の模擬皮膚層104の表面(上面)から模擬血管1に注射針を刺して、血管注射の練習をすることができる。疑似被用者の腕に装着することで、対面した疑似被用者の腕への血管注射を模すことができ、疑似被用者の個人差や対面実施等の臨場感を再現することができる。 When it is used by wrapping it around the arm of a pseudo employee, it is used in a state where the mounting body 101 is removed from the deck shown in FIG. The mounting body 101 is mounted by wrapping the arm loop portion 142 around the arm at a position between the elbow joint of the arm and the wrist. Then, the injection needle can be pierced into the simulated blood vessel 1 from the surface (upper surface) of the simulated skin layer 104 of the upper cover 105 while being attached to the arm to practice blood vessel injection. By attaching it to the arm of the pseudo-employee, it is possible to imitate the blood vessel injection into the arm of the pseudo-employee facing each other, and it is possible to reproduce the individual difference of the pseudo-employee and the realism such as face-to-face implementation.

取付本体101の構成について説明する。図9、10に示すように、取付本体101は、ABS樹脂など硬質の合成樹脂材を用いて、幅方向の中心部を突弧状に湾曲させて全体として突弧状、アーチ状に成型する。このように硬質素材を用いることにより、練習者が誤って使用した場合に、注射針が取付本体101を貫通することを防ぐのみならず、模擬皮膚層104や模擬皮下組織層102等を除いた全体及び外観が硬質素材によって成型されているものであるため、注射練習が未経験であっても安心して利用することができる。 The configuration of the mounting body 101 will be described. As shown in FIGS. 9 and 10, the mounting body 101 is formed into a ridge or arch shape as a whole by bending the central portion in the width direction in a ridge shape using a hard synthetic resin material such as ABS resin. By using such a hard material, not only the injection needle is prevented from penetrating the mounting body 101 when the practitioner mistakenly uses it, but also the simulated skin layer 104, the simulated subcutaneous tissue layer 102, and the like are removed. Since the whole and appearance are molded from a hard material, you can use it with confidence even if you have no experience in injection practice.

取付本体101は、長手方向の両前後端が起立した起立片131、131を有する。取付本体101の表面では、この長手方向に沿って、前側の起立片131から後側の起立片131にかけて、湾曲変更手段である2本の折り曲げ溝132、132を有する。この折り曲げ溝132、132に対応する前後の起立片131、131の位置で切り欠かれた切欠き133、133が形成され、アーチ状の取付本体101のアーチ形態を広げたり、狭めたりすることができる。これにより、疑似被用者の腕の太さに応じて、取付本体101の幅や湾曲状態、アーチ状態を調整することが可能になる。 The mounting body 101 has standing pieces 131, 131 with both front and rear ends in the longitudinal direction standing upright. On the surface of the mounting body 101, along this longitudinal direction, from the standing piece 131 on the front side to the standing piece 131 on the rear side, there are two bending grooves 132, 132 which are bending changing means. Notches 133 and 133 notched at the positions of the front and rear standing pieces 131 and 131 corresponding to the bent grooves 132 and 132 are formed, and the arch shape of the arch-shaped mounting body 101 can be widened or narrowed. can. This makes it possible to adjust the width, curved state, and arch state of the mounting body 101 according to the thickness of the arm of the pseudo-employee.

取付本体1は、図9、10に示すように、前側の起立片131の後側に模擬血管1の模擬血液バック2を配置するためのバック配置部111、111が幅方向に複数並び、その後側に従来及び新たな模擬血管1、161の基端部分である連結部64、連結固定部4を収容する基端支持部106を有し、その後方に突弧平面状に形成された模擬皮下組織層102を配し、その後方に後側の起立片131が配される。 As shown in FIGS. 9 and 10, a plurality of back arranging portions 111 and 111 for arranging the simulated blood bag 2 of the simulated blood vessel 1 are arranged on the rear side of the standing piece 131 on the front side of the mounting body 1, and then a plurality of back arranging portions 111 and 111 are arranged in the width direction. It has a proximal support portion 106 that accommodates a connecting portion 64, which is a proximal portion of the conventional and new simulated blood vessels 1 and 161 and a connecting fixing portion 4, and is formed behind the simulated subcutaneous tissue in a jet-like plane. The tissue layer 102 is arranged, and the posterior standing piece 131 is arranged behind the tissue layer 102.

模擬皮下組織層102は、取付本体101の上面の湾曲形状と一致する突弧状、アーチ状体であり、皮下組織の感触を再現し、取付本体101の湾曲形状の変形に耐え得るために低反発性発泡材とからなる。低反発性発泡材は例えば低発泡ウレタンなどであり、メモリーフォーム(登録商標)が好ましい。模擬皮下組織層102は着脱自在としており、その平面は起立片131の上縁付近に至る。 The simulated subcutaneous tissue layer 102 is a salient arc-shaped or arched body that matches the curved shape of the upper surface of the mounting body 101, and has low resilience in order to reproduce the feel of the subcutaneous tissue and to withstand the deformation of the curved shape of the mounting body 101. It consists of a sex foam material. The low-resilience foam material is, for example, low-foam urethane, and Memory Foam (registered trademark) is preferable. The simulated subcutaneous tissue layer 102 is removable, and its plane extends to the vicinity of the upper edge of the standing piece 131.

次に模擬皮膚層104を張設する上カバー105について説明する。模擬皮下組織層102の上側を覆う模擬皮膚層104は、取付本体101の上面に配置する上カバー105に張設される。この上カバー105は、取付本体101上面の湾曲形状と一致するアーチ状に形成され、その中央部分が切除され、模擬皮膚層104が張設される。上カバー105の前側には押え具108が形成され、上カバー105と押え具108との間は、幅方向両側を開放した押え具連結部107が形成される。押え具108は、上カバー105を閉じた状態で後述するバック配置部111、111の上側に位置し、押え具連結部107は基端支持部106の上側に位置する。 Next, the upper cover 105 on which the simulated skin layer 104 is stretched will be described. The simulated skin layer 104 covering the upper side of the simulated subcutaneous tissue layer 102 is stretched on the upper cover 105 arranged on the upper surface of the mounting body 101. The upper cover 105 is formed in an arch shape that matches the curved shape of the upper surface of the mounting body 101, the central portion thereof is cut off, and the simulated skin layer 104 is stretched. A presser foot 108 is formed on the front side of the upper cover 105, and a presser foot connecting portion 107 having both sides open in the width direction is formed between the upper cover 105 and the presser foot 108. The presser foot 108 is located above the back arrangement portions 111 and 111, which will be described later, with the upper cover 105 closed, and the presser foot connecting portion 107 is located above the base end support portion 106.

模擬皮膚層104は、ウレタン系材料で形成することで、シリコン系材料で形成した場合と異なり、消毒アルコールの乾燥状態(濡れ具合)を目視で確認でき、乾燥が不十分な未消毒状態での注射を防ぐことができる。また、ウレタン系マイクロセルポリマーシートを用いることで、アルコールによる膨張から未消毒状態を確認することができる。 By forming the simulated skin layer 104 with a urethane-based material, unlike the case where it is formed with a silicon-based material, the dry state (wetting condition) of the disinfecting alcohol can be visually confirmed, and the simulated skin layer 104 is in an unsterilized state where the drying is insufficient. You can prevent injections. Further, by using the urethane-based microcell polymer sheet, it is possible to confirm the unsterilized state from the expansion caused by alcohol.

上カバー105は、長手方向の側縁部分に取付本体101への固定手段として、その側方に係止爪134が形成される。一方、取付本体101に被係止部135が形成され、これらの係合により、上カバー105を取付本体101に対して着脱自在に取り付けることができる。 The upper cover 105 has a locking claw 134 formed on the side of the side edge portion in the longitudinal direction as a means for fixing to the mounting body 101. On the other hand, the locked portion 135 is formed on the mounting main body 101, and the upper cover 105 can be detachably attached to the mounting main body 101 by these engagements.

次に、取付本体101に配置する模擬血管について説明する。従来の模擬血管161は、図11に示すように、血管部163と模擬血液バック162とを連結部164により連結固定したものであり、使い捨てのものとして供給している。模擬血液バック162は、図面上方形の袋(バック)に模擬血液を収容し、このバック162の基端部分と模擬血管161の基端部163aとを円筒状の連結部64で接続している。この血管部163は天然ゴムなどで形成する筒状の管を使用し、連結部164は血管部163とほぼ同じ太さ(径)の樹脂成型品を用いている。 Next, the simulated blood vessel arranged in the mounting body 101 will be described. As shown in FIG. 11, in the conventional simulated blood vessel 161, the blood vessel portion 163 and the simulated blood bag 162 are connected and fixed by the connecting portion 164, and are supplied as disposable ones. The simulated blood bag 162 stores simulated blood in a bag (back) in the upper part of the drawing, and connects the base end portion of the back 162 and the base end portion 163a of the simulated blood vessel 161 by a cylindrical connecting portion 64. .. The blood vessel portion 163 uses a tubular tube made of natural rubber or the like, and the connecting portion 164 uses a resin molded product having substantially the same thickness (diameter) as the blood vessel portion 163.

本発明の新たな模擬血管1は、図1に示すように、血管部3と模擬血液バック2とを連結固定部4で連結する。上述のとおり、この連結固定部4は、図2に示すように、血管部3の基端部分3aにアダプタ5を配し、このアダプタ5を模擬血液バック2の流出筒11に螺合することで接続、保持するコネクタ6により接続する。コネクタ6はアダプタ5を内包するようにして接続するため、従来の連結部164よりも太さ、外径が大きくなる(図11参照)。この新たな模擬血管1の連結固定部4により太さの異なる血管部3を連結固定することが可能になる。 In the new simulated blood vessel 1 of the present invention, as shown in FIG. 1, the blood vessel portion 3 and the simulated blood bag 2 are connected by a connecting fixing portion 4. As described above, as shown in FIG. 2, in the connection fixing portion 4, the adapter 5 is arranged at the proximal end portion 3a of the blood vessel portion 3, and the adapter 5 is screwed into the outflow tube 11 of the simulated blood bag 2. Connect with the connector 6 to connect and hold. Since the connector 6 is connected so as to include the adapter 5, the thickness and outer diameter of the connector 6 are larger than those of the conventional connecting portion 164 (see FIG. 11). The connecting and fixing portion 4 of the new simulated blood vessel 1 makes it possible to connect and fix the blood vessel portions 3 having different thicknesses.

従来及び新たな模擬血管1、161に充填する模擬血液は、図1、11に示すように、赤く着色し臨場感を持たせるとともに、血管部3、163を含めその内部に空気が入らない状態で密封している。模擬血液バック2、162や血管部3、163内に空気が入らない状態としておくことによって、練習者が針を刺した時、液体と空気が混じりあった気泡がシリンジ内に入るのを防止することができる。また、模擬血液バック2、162を完全な密封包装とすることによって、模擬血液バック2、162や天然ゴムである血管部3、163の劣化を防止することができる。 As shown in FIGS. 1 and 11, the simulated blood filled in the conventional and new simulated blood vessels 1 and 161 is colored red to give a sense of presence, and air does not enter the inside including the blood vessels 3 and 163. It is sealed with. By keeping air out of the simulated blood bags 2, 162 and blood vessels 3, 163, it is possible to prevent air bubbles, which are a mixture of liquid and air, from entering the syringe when the practitioner pierces the needle. be able to. Further, by completely sealing the simulated blood bags 2 and 162, deterioration of the simulated blood bags 2 and 162 and the blood vessel portions 3 and 163 which are natural rubber can be prevented.

本発明の基端支持部106について図12、13を示して説明するが、模擬血管については図1、5、11も参照されたい。基端支持部106は、血管部3、163の基端部分3a、163aを支持するもので、模擬血液バック2、162から突出する接続部分、連結部164や連結固定部4を支持するものである(図9参照)。幅方向に3つ並んだバック配置部111、111の後方に複数の段部112、112が形成され、この段部112、112の間に凹所113、113が形成される。この凹所113、113は、新たな模擬血管1の連結固定部4を収容できるように所定の幅長さを有している。この幅長さは従来の連結部164の太さ(径)の2倍以上の長さを有することが好ましい(図14参照)。 The proximal support 106 of the present invention will be described with reference to FIGS. 12 and 13, but also see FIGS. 1, 5 and 11 for simulated blood vessels. The proximal end support portion 106 supports the proximal end portions 3a and 163a of the blood vessel portions 3 and 163, and supports the connecting portion, the connecting portion 164 and the connecting fixing portion 4 protruding from the simulated blood bags 2 and 162. Yes (see Figure 9). A plurality of step portions 112, 112 are formed behind the three back arrangement portions 111, 111 arranged in the width direction, and recesses 113, 113 are formed between the step portions 112, 112. The recesses 113, 113 have a predetermined width and length so as to accommodate the connecting and fixing portion 4 of the new simulated blood vessel 1. This width length is preferably twice or more the thickness (diameter) of the conventional connecting portion 164 (see FIG. 14).

凹所113、113は、段部112、112の側面となる側方支持壁112a、112aに幅方向両側を囲まれ、後方に連通支持部114があるが、前方は開放されている。連通支持部114は、段部112、112の後方部分が各々凹所を形成する方向にせり出すように突出する幅延長部分114a、114aを有し、この幅延長部分114a、114aの延長した先であって連通支持部114、114の上縁から下方に、かつ、各々の対向する幅延長部分114a、114aに向けて傾斜するように切欠かれて形成された通し孔114b、114bが配される。この傾斜して切欠く傾斜部分(通し孔114bの外縁)は下方で湾曲して連続するようにした丸みのあるV字状となり、通し孔114b、114bの下端は模擬皮下組織層102の上表面よりも下方に位置している。連通支持部114、114は、単なる板状体ではなく、所定の前後方向の厚みを有し、傾斜するように切欠く部分においても同じく厚みを有する通し孔支持面114c、114cを有する。 The recesses 113 and 113 are surrounded on both sides in the width direction by the side support walls 112a and 112a which are the side surfaces of the step portions 112 and 112, and the communication support portion 114 is located behind, but the front is open. The communication support portion 114 has width extension portions 114a and 114a in which the rear portions of the step portions 112 and 112 project so as to protrude in the direction of forming the recess, respectively, and the extension of the width extension portions 114a and 114a. Through holes 114b, 114b formed by notching downward from the upper edge of the communication support portions 114, 114 and inclined toward the opposite width extension portions 114a, 114a are arranged. The inclined and notched inclined portion (outer edge of the through hole 114b) is curved downward to form a rounded V-shape, and the lower ends of the through holes 114b and 114b are the upper surface of the simulated subcutaneous panniculus 102. It is located below. The communication support portions 114 and 114 are not merely plate-shaped bodies, but have through-hole support surfaces 114c and 114c having a predetermined thickness in the front-rear direction and also having the same thickness in the portion notched so as to be inclined.

連通支持部114、114の幅延長部分114a、114aにより、凹所113、113に配された模擬血管1、161の連結部164、連結固定部4が模擬皮下組織層102に抜け出さないように支持しつつ、V字状の通し孔114b、114bは太さ(径)の異なる血管部3、163をいずれも配することができるようにしている。しかも、通し孔114b、114bの下端が模擬皮下組織層102の上表面よりも下方に位置して、通し孔114b、114bと模擬皮下組織層102との間に所定の前後方向間に隙間を設けることで血管部3、163の遊びの位置を確保して、上カバー105を閉じた状態で模擬皮下組織層102の上縁で傷ついたり破損することを防止している。一般に径の細い血管部の方が強度が弱いところ、径の細い血管部になればなるほど、連通支持部114、114では下方で支持されることになり、破損し難いものとしている。また、連通支持部114、114の通し孔114b、114bの上平面に所定の前後方向長さの通し孔支持面114c、114cが形成されることにより、通し孔114b、114bでの上カバー105の押圧で血管部3、163が破損せずに支持するようにしている。 The width extension portions 114a and 114a of the communication support portions 114 and 114 support the connecting portions 164 and the connecting fixing portions 4 of the simulated blood vessels 1 and 161 arranged in the recesses 113 and 113 so as not to come out to the simulated subcutaneous tissue layer 102. However, the V-shaped through holes 114b and 114b allow the blood vessel portions 3 and 163 having different thicknesses (diameters) to be arranged. Moreover, the lower ends of the through holes 114b and 114b are located below the upper surface of the simulated subcutaneous tissue layer 102, and a gap is provided between the through holes 114b and 114b and the simulated subcutaneous tissue layer 102 in a predetermined anteroposterior direction. As a result, the play positions of the blood vessel portions 3 and 163 are secured, and the upper edge of the simulated subcutaneous tissue layer 102 is prevented from being damaged or damaged with the upper cover 105 closed. Generally, the blood vessel portion having a smaller diameter has a weaker strength, but the smaller the diameter of the blood vessel portion, the more it is supported downward by the communication support portions 114 and 114, making it less likely to be damaged. Further, by forming the through hole support surfaces 114c and 114c having a predetermined length in the front-rear direction on the upper planes of the through holes 114b and 114b of the communication support portions 114 and 114, the upper cover 105 in the through holes 114b and 114b The blood vessel portions 3 and 163 are supported without being damaged by pressing.

また、基端支持部106、106の前側のバック配置部111、111は、取付本体101の下面に形成されるもので、模擬血液バック2、162がずれないように所定大きさの凹みが形成される。また、前側の起立片131には、模擬血液バック2、162の基端位置に配される突出片を挿入して固定するための支持孔131aが形成される。この支持孔131aは、異なる大きさの突出片に対応できるよう、上側に幅狭、下側に幅広の孔を組み合わせた形態としている。 Further, the back arrangement portions 111 and 111 on the front side of the base end support portions 106 and 106 are formed on the lower surface of the mounting body 101, and a dent of a predetermined size is formed so that the simulated blood backs 2 and 162 do not shift. Will be done. Further, the upright piece 131 on the front side is formed with a support hole 131a for inserting and fixing the protruding piece arranged at the proximal end position of the simulated blood bags 2 and 162. The support hole 131a is in the form of a combination of a narrow hole on the upper side and a wide hole on the lower side so as to accommodate projecting pieces of different sizes.

バック配置部111、111は、使用時に駆血帯を巻くことで、上カバー105の前側に形成された押え具108により、複数の模擬血液バック2、2、162、162を一度に圧迫することができる。押え具108を下方に向けて押し込むと、模擬血液バック2、162を上方から圧迫し、その内部に充填している模擬血液の内圧を上昇させる。この内圧上昇は、血管部3、163内の模擬血液も同じであり、現実の怒張状態と似た状態を実現する。駆血帯を巻くために、取付本体101に並ぶバック配置部111、111の両側と、押え具108の両側に駆血帯を保持し易くするための凹状に切欠いた駆血帯通し孔115、115が形成される(図9参照)。 The back arrangement portions 111 and 111 wrap the tourniquet band at the time of use, and the presser foot 108 formed on the front side of the upper cover 105 presses the plurality of simulated blood bags 2, 2, 162 and 162 at once. Can be done. When the presser foot 108 is pushed downward, the simulated blood bags 2 and 162 are pressed from above, and the internal pressure of the simulated blood filled therein is increased. This increase in internal pressure is the same for the simulated blood in the blood vessel portions 3 and 163, and realizes a state similar to the actual angry state. In order to wind the tourniquet, both sides of the back arrangement portions 111 and 111 lined up in the mounting body 101, and on both sides of the presser foot 108, the tourniquet holes 115 are notched in a concave shape to facilitate holding the tourniquet. 115 is formed (see FIG. 9).

取付本体101の後端の起立片131にある切除部121及び短溝122について説明する。図14、15に示すように、後端の起立片131は、折り曲げ溝132、132に対応した切欠き133、133が形成されるが、この切欠き133、133の間であって、取付本体101の湾曲する頂点位置に起立片131を下方まで切り欠いた切除部121が形成される。切除部121は、切欠き133、133と異なり幅広であって、起立片131から傾斜して下方を湾曲したV字状に形成される。切除幅は、少なくとも太い血管部を通す程度であり、複数の血管部3を通すことができる程度の幅が好ましく、基端支持部106の連通支持部114の通し孔114bと同程度が好ましい。この切除部121を有することにより、取付本体101の長手方向よりも長い血管部3を使用することもできる。これのみでなく図5、9に示すように、血管部3の先端側に排出接続部7や中間接続部8、連結部材9を設けて排出することが可能となり、投与型の実習が可能になる。 The cut portion 121 and the short groove 122 in the standing piece 131 at the rear end of the mounting body 101 will be described. As shown in FIGS. 14 and 15, the upright piece 131 at the rear end has notches 133 and 133 corresponding to the bent grooves 132 and 132, and the notches 133 and 133 are between the notches 133 and 133, and the mounting main body is formed. At the curved apex position of 101, a cut portion 121 is formed by cutting out the standing piece 131 downward. The cut portion 121 is wide unlike the notches 133 and 133, and is formed in a V shape that is inclined downward from the standing piece 131 and is curved downward. The excision width is at least to the extent that a thick blood vessel portion can be passed through, and is preferably a width that allows a plurality of blood vessel portions 3 to pass through, and is preferably about the same as the through hole 114b of the communication support portion 114 of the proximal end support portion 106. By having this excision portion 121, it is possible to use the blood vessel portion 3 which is longer than the longitudinal direction of the mounting body 101. In addition to this, as shown in FIGS. 5 and 9, it is possible to provide a discharge connection portion 7, an intermediate connection portion 8, and a connecting member 9 on the distal end side of the blood vessel portion 3 for discharge, enabling administration-type training. Become.

また、起立片131の切除部121の付近の模擬皮下組織層102は、切除部121の下端に至る短溝122が形成される。短溝122は、その基端(前側端)から徐々に下降して切除部121の下端に至ることが好ましく、切除部121の幅と同程度の幅であることが好ましいが、基端は直角に下降するものであってもよい。短溝122は、切除部121を有する後側の起立片131の近傍のみに配され、その他の模擬皮下組織層102には溝形状のものは存在していない。 Further, in the simulated subcutaneous tissue layer 102 near the excision portion 121 of the standing piece 131, a short groove 122 extending to the lower end of the excision portion 121 is formed. The short groove 122 preferably gradually descends from its base end (front end) to reach the lower end of the cut portion 121, and is preferably as wide as the width of the cut portion 121, but the base end is at a right angle. It may be one that descends to a right angle. The short groove 122 is arranged only in the vicinity of the posterior standing piece 131 having the excision portion 121, and the other simulated subcutaneous tissue layer 102 does not have a groove shape.

短溝122の長手方向長さは起立片131の立ち上がり高さと同程度の長さであって、模擬皮下組織層102の長手方向長さの10分の1乃至2程度の長さ、より好ましくは同長さの10分の1である。短溝122の深さは、血管部3、163が完全に没入する深さを有し、短溝122の幅方向長さよりも深い。 The longitudinal length of the short groove 122 is about the same as the rising height of the standing piece 131, and is more preferably about 1/10 to 2 of the longitudinal length of the simulated subcutaneous tissue layer 102. It is one tenth of the same length. The depth of the short groove 122 has a depth at which the blood vessel portions 3, 163 are completely immersed, and is deeper than the widthwise length of the short groove 122.

この短溝122が形成されることにより、上カバー105の後端縁で排出する血管部3を傷つけて破損することを防止し、さらには起立片131の切除部121で血管部3の破損が発生することを防止している。また、本実施形態の模擬皮下組織層102自体には、他製品に存するような血管部を保持する溝などがなく、自由に血管部3を這わせることができ、複数の血管や太さの異なる血管を自由に配することができ、使用者が手探りで血管の位置を確認するようにしている。その一方、押え具108で模擬血液バック2、162を押圧して血管部3、163を怒張させた状態で実習することもあり、この状態で血管部3を損傷させることなく、切除部121から排出する必要がある。そのため、短溝122はできる限り短くしつつ、怒張した血管部3を没入するために必要な長さを有することが好ましい。 By forming this short groove 122, it is possible to prevent the blood vessel portion 3 discharged at the trailing end edge of the upper cover 105 from being damaged and damaged, and further, the blood vessel portion 3 is damaged at the excised portion 121 of the standing piece 131. It prevents it from occurring. Further, the simulated subcutaneous tissue layer 102 itself of the present embodiment does not have a groove for holding a blood vessel portion as in other products, and the blood vessel portion 3 can be freely crawled, and has a plurality of blood vessels and thicknesses. Different blood vessels can be arranged freely, and the user can feel the position of the blood vessels by groping. On the other hand, there is also a case where the simulated blood bag 2 and 162 are pressed with the presser foot 108 to make the blood vessel portions 3 and 163 angry, and in this state, the blood vessel portion 3 is not damaged and the excision portion 121 is used. Need to be discharged. Therefore, it is preferable that the short groove 122 has a length necessary for immersing the swelling blood vessel portion 3 while making the short groove 122 as short as possible.

さらに、図9に示すように、取付本体1は、机などに載置するために底面が平坦となったデッキ140を設けている。このデッキ140にも起立片131の切除部121に対応する位置に、デッキ切除部123を設けている。このデッキ切除部123を有することで、デッキ140に取付本体101を配して卓上で実習する場合においても、長い血管部を使用したり、投与型の実習を行うことが可能になる。 Further, as shown in FIG. 9, the mounting body 1 is provided with a deck 140 having a flat bottom surface for mounting on a desk or the like. The deck 140 is also provided with a deck cut portion 123 at a position corresponding to the cut portion 121 of the standing piece 131. By having this deck excision portion 123, even when the mounting body 101 is arranged on the deck 140 and practiced on a tabletop, it becomes possible to use a long blood vessel portion or perform administration type training.

1…模擬血管、2…模擬血液バック、3…血管部、3a…基端部分、3b…先端部分、4…連結固定部、5…アダプタ、6…コネクタ、7…排出接続部、8…中間接続部材、11…流出筒、14…係止部、21…外筒、22…内筒、23…アダプタ基端部、24…スリット、31…外壁、32…底部、33…貫通孔、34…突出係止部、35…被係止部、9…連結部材、45…第2のアダプタ、46…第2のコネクタ、51…外筒、52…内筒、53…アダプタ基端部、54…スリット、61…外壁、62…底部、63…貫通孔、64…突出係止部、74…ねじ部、72f…ねじ部、73…排出流路、77…遮蔽弁、85…連通針、85a…開口、87…排出流路。 1 ... Simulated blood vessel, 2 ... Simulated blood bag, 3 ... Blood vessel part, 3a ... Base end part, 3b ... Tip part, 4 ... Connection fixing part, 5 ... Adapter, 6 ... Connector, 7 ... Discharge connection part, 8 ... Intermediate Connecting member, 11 ... Outflow cylinder, 14 ... Locking part, 21 ... Outer cylinder, 22 ... Inner cylinder, 23 ... Adapter base end, 24 ... Slit, 31 ... Outer wall, 32 ... Bottom, 33 ... Through hole, 34 ... Projection locking portion, 35 ... Locked portion, 9 ... Connecting member, 45 ... Second adapter, 46 ... Second connector, 51 ... Outer cylinder, 52 ... Inner cylinder, 53 ... Adapter base end portion, 54 ... Slit, 61 ... outer wall, 62 ... bottom, 63 ... through hole, 64 ... protruding locking part, 74 ... threaded part, 72f ... threaded part, 73 ... discharge flow path, 77 ... shielding valve, 85 ... communication needle, 85a ... Opening, 87 ... Discharge channel.

Claims (5)

模擬血液を充填した模擬血液バックと管状の血管部とを連結固定部で連結したもので、前記模擬血液バックを押圧して前記血管部を緊張した状態で注射練習をするための注射練習用模擬血管であって、
前記連結固定部は、前記血管部の一端に取り付けるアダプタと、該アダプタを内包して前記模擬血液バックに接続して固定するコネクタと、を有し、
前記アダプタは、外筒と、内筒と、前記外筒と前記内筒との間に前記血管部の一端である開放端を接続する空間を有し、
前記コネクタは、前記アダプタを内包した状態で、前記アダプタと前記血管部との保持状態を締め付ける突出係止部を有することを特徴とする注射練習用の模擬血管。
A simulated blood bag filled with simulated blood and a tubular blood vessel portion are connected by a connecting fixing portion, and an injection practice simulation for pressing the simulated blood bag and practicing injection in a state where the blood vessel portion is tense. It ’s a blood vessel,
The connecting and fixing portion has an adapter attached to one end of the blood vessel portion and a connector that includes the adapter and connects to and fixes the simulated blood bag.
The adapter has a space for connecting an open end, which is one end of the blood vessel portion, between the outer cylinder, the inner cylinder, and the outer cylinder and the inner cylinder.
The connector is a simulated blood vessel for injection practice, characterized in that it has a protruding locking portion that tightens a holding state between the adapter and the blood vessel portion while the adapter is included.
模擬血液バックは、連結固定部のコネクタに固定されて接続する流出筒を有し、
アダプタは、前記流出筒内への挿入状態を位置決めするために傾斜面を有するアダプタ基端部と、該アダプタ基端部の先端位置からさらに先端方向に延長する外筒と、内筒と、を有し、
前記外筒は、円周方向に分割した複数のスリットを有し、各分割された外筒は基端から先端にかけて先細りとした先細り形態を有し、
前記コネクタは、前記流出筒に螺合する外壁と底部とを有するキャップ状であって、前記底部に血管部を導出する貫通孔と、前記底部から先細り状に突出する突出係止部と、を有し、
前記コネクタが前記アダプタを内包する状態で、前記コネクタを前記流出筒に固定させると、前記突出係止部が前記流出筒の内面と前記外筒の表面との間に挿入して、前記外筒を内方へ締め付けることを特徴とする請求項1に記載の注射練習用の模擬血管。
The simulated blood bag has an outflow tube that is fixed and connected to the connector of the connection fixing part.
The adapter includes an adapter base end portion having an inclined surface for positioning the inserted state into the outflow cylinder, an outer cylinder extending further in the tip direction from the tip position of the adapter base end portion, and an inner cylinder. Have and
The outer cylinder has a plurality of slits divided in the circumferential direction, and each divided outer cylinder has a tapered shape that is tapered from the base end to the tip end.
The connector has a cap shape having an outer wall screwed to the outflow cylinder and a bottom portion, and has a through hole for leading out a blood vessel portion to the bottom portion and a protruding locking portion protruding from the bottom portion in a tapered shape. Have and
When the connector is fixed to the outflow cylinder while the connector includes the adapter, the protruding locking portion is inserted between the inner surface of the outflow cylinder and the surface of the outer cylinder, and the outer cylinder is inserted. The simulated blood vessel for injection practice according to claim 1, wherein the blood vessel is tightened inward.
模擬血液バックの流出筒は、ねじ部の基端側において、流出筒の表面から突出する突条形状を有する係止部を有し、
コネクタは、外壁の基端側縁を凹ませた被係止部を有し、
前記コネクタを前記模擬血液バックに螺合して固定完了した状態で、突出する前記係止部が前記被係止部の凹み内に位置することを特徴とする請求項2に記載の注射練習用の模擬血管。
The outflow tube of the simulated blood bag has a locking portion having a ridge shape protruding from the surface of the outflow tube on the base end side of the threaded portion.
The connector has a locked portion in which the base end side edge of the outer wall is recessed.
The injection practice according to claim 2, wherein the protruding locking portion is located in the recess of the locked portion in a state where the connector is screwed into the simulated blood bag and fixed. Simulated blood vessel.
模擬血液を充填した模擬血液バックと管状の血管部の一端とを連結固定部で連結したもので、さらに前記血管部の他端を排出接続部で排出筒状物に接続する注射練習用の模擬血管であって、
前記排出接続部は、前記血管部の他端に取り付ける第2のアダプタと、該第2のアダプタを内包して前記排出筒状物に接続固定する第2のコネクタとからなり、
前記第2のアダプタは、傾斜面を有するアダプタ基端部と、該アダプタ基端部の先端位置から延長する外筒と、内筒と、前記外筒と前記内筒との間に前記血管部の開放端を接続する空間と、を有し、
前記外筒は、円周方向に分割した複数のスリットを有し、各分割された外筒は基端から先端にかけて先細りとした先細り形態を有し、
前記第2のコネクタは、前記排出筒状物に螺合する外壁と底部とを有するキャップ状であって、前記底部に前記血管部を導出する貫通孔と、前記底部から先細り状に突出する突出係止部と、を有し、
前記第2のコネクタが前記第2のアダプタを内包する状態で、前記突出係止部が前記排出筒状物の内面と前記外筒の表面との間に挿入し、前記外筒を内方へ締め付けることで前記第2のアダプタと前記血管部との取付状態を保持することを特徴とする請求項1、2または3のいずれか一項に記載の注射練習用の模擬血管。
A simulated blood bag filled with simulated blood and one end of a tubular blood vessel portion are connected by a connecting fixing portion, and the other end of the blood vessel portion is connected to a drainage tubular object by a discharge connecting portion. It ’s a blood vessel,
The discharge connection portion includes a second adapter attached to the other end of the blood vessel portion, and a second connector that includes and fixes the second adapter to the discharge cylinder-shaped object.
The second adapter has an adapter base end having an inclined surface, an outer cylinder extending from the tip position of the adapter base end, an inner cylinder, and a blood vessel portion between the outer cylinder and the inner cylinder. Has a space to connect the open ends of
The outer cylinder has a plurality of slits divided in the circumferential direction, and each divided outer cylinder has a tapered shape that is tapered from the base end to the tip end.
The second connector has a cap shape having an outer wall screwed to the discharge cylinder and a bottom portion, and has a through hole for leading out the blood vessel portion to the bottom portion and a protrusion protruding from the bottom portion in a tapered shape. With a locking part,
With the second connector containing the second adapter, the protruding locking portion is inserted between the inner surface of the discharge cylinder and the surface of the outer cylinder, and the outer cylinder is inserted inward. The simulated blood vessel for injection practice according to any one of claims 1, 2 or 3, wherein the attachment state of the second adapter and the blood vessel portion is maintained by tightening.
排出接続部に接続する排出筒状物である中間接続部材と、該中間接続部材にさらに接続する連結部材と、を有し、
前記中間接続部材は、内部を排出流路とし、該排出流路を閉塞する遮蔽弁と、前記排出接続部の第2のコネクタと接続するねじ部と、前記連結部材と接続するねじ部と、を有し、
前記連結部材は、前記遮蔽弁を突き破ることにより閉塞状態から開放状態に不可逆的に切り替える連通針を有し、
前記連通針は、内部を連通用流路とする筒部と、前記筒部の先端から突出する円錐状の針先とからなり、
前記針先はその周面に前記連通用流路の開口を有することを特徴とする請求項4に記載の注射練習用の模擬血管。
It has an intermediate connecting member which is a discharge cylinder-shaped object connected to the discharge connecting portion, and a connecting member further connected to the intermediate connecting member.
The intermediate connection member has a discharge flow path inside, a shielding valve that closes the discharge flow path, a screw portion that connects to the second connector of the discharge connection portion, and a screw portion that connects to the connection member. Have,
The connecting member has a communication needle that irreversibly switches from a closed state to an open state by breaking through the shielding valve.
The communication needle is composed of a cylinder portion whose inside is a communication flow path and a conical needle tip protruding from the tip of the cylinder portion.
The simulated blood vessel for injection practice according to claim 4, wherein the needle tip has an opening of the communication flow path on its peripheral surface.
JP2020182889A 2020-10-30 2020-10-30 Simulated blood vessels for injection practice Active JP7309206B2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2020182889A JP7309206B2 (en) 2020-10-30 2020-10-30 Simulated blood vessels for injection practice

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP2020182889A JP7309206B2 (en) 2020-10-30 2020-10-30 Simulated blood vessels for injection practice

Publications (2)

Publication Number Publication Date
JP2022073110A true JP2022073110A (en) 2022-05-17
JP7309206B2 JP7309206B2 (en) 2023-07-18

Family

ID=81604765

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2020182889A Active JP7309206B2 (en) 2020-10-30 2020-10-30 Simulated blood vessels for injection practice

Country Status (1)

Country Link
JP (1) JP7309206B2 (en)

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH10288286A (en) * 1997-04-14 1998-10-27 Smc Corp Coupling
JP2006317570A (en) * 2005-05-11 2006-11-24 Kyoto Kagaku:Kk Model for practicing injection
JP2019020691A (en) * 2017-07-21 2019-02-07 大衛株式会社 Injection training instrument

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH10288286A (en) * 1997-04-14 1998-10-27 Smc Corp Coupling
JP2006317570A (en) * 2005-05-11 2006-11-24 Kyoto Kagaku:Kk Model for practicing injection
JP2019020691A (en) * 2017-07-21 2019-02-07 大衛株式会社 Injection training instrument

Also Published As

Publication number Publication date
JP7309206B2 (en) 2023-07-18

Similar Documents

Publication Publication Date Title
JP3759618B2 (en) Gastrostomy replenishment port with an inlet valve that securely seals
ES2809518T3 (en) Technique simulator
WO2011115048A1 (en) Introducer assembly
BRPI0620833A2 (en) Atraumatic implantable medical facility for simplified construction
ES2585634T3 (en) Device to facilitate and to introduce a transplant or an implant into the living body, in particular for ophthalmologic interventions
US10099046B2 (en) Skull implant type medication injection port
KR101283581B1 (en) Medical piercing kit
US9192514B2 (en) Medical instrument
US20220080116A1 (en) Medicine administering device and medicine administering system
KR101805763B1 (en) Miniscapel niddle
US20220395262A1 (en) Bone marrow access apparatus and methods for locating same
JPS6359972A (en) Catheter apparatus for embedding
JP2022073110A (en) Simulated blood vessel for injection training
JP2022073111A (en) Injection training tool
JP6846810B2 (en) Injection practice tool
JP2011212417A (en) Introducer assembly
JPS63501405A (en) injection drug inlet
JP2011182995A (en) Puncture needle for bone cement injection
JP4163898B2 (en) Locking connector
US20190308004A1 (en) Low profile self-sealing access port
KR101494298B1 (en) Injection device for wrinkle smooth out
CN214966334U (en) Soft tissue release needle with injection function
KR200368192Y1 (en) Fat transplantation set
JPH02164376A (en) Catheter for leaving in blood vessel
CN216725412U (en) Transfusion port

Legal Events

Date Code Title Description
A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20220705

TRDD Decision of grant or rejection written
A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20230526

A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

Effective date: 20230605

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20230628

R150 Certificate of patent or registration of utility model

Ref document number: 7309206

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150