JP4323389B2 - Medical electric aspirator - Google Patents

Medical electric aspirator Download PDF

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JP4323389B2
JP4323389B2 JP2004198637A JP2004198637A JP4323389B2 JP 4323389 B2 JP4323389 B2 JP 4323389B2 JP 2004198637 A JP2004198637 A JP 2004198637A JP 2004198637 A JP2004198637 A JP 2004198637A JP 4323389 B2 JP4323389 B2 JP 4323389B2
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main body
collection bag
liquid collection
suction
medical electric
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JP2006020658A (en
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誠一 熊田
淳 大倉
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株式会社興伸工業
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Description

この発明は、患者の体腔等に貯留する気体(空気)及び液体(腹水、血液、膿)を排出するために用いる医療用電動式吸引器に関するものである。   The present invention relates to a medical electric aspirator used for discharging gas (air) and liquid (ascites, blood, pus) stored in a body cavity or the like of a patient.

術後の患者の体腔等から空気、腹水、血液、膿等を吸引ポンプの作動で吸引し、これを
外部に排出する治療に医療用電動式吸引器が使用される。ドレナージを目的とした電動式吸引器で腹腔内に貯留する腹水や胸腔内に貯留する胸水や空気を持続的に排出する用途として、低圧持続吸引器や持続的胸腔ドレナージ等がある。吸引した排液を収容するプラスチック製の集液バックと、その下流にオーバーフローリザーバ用のクッション瓶とを備え、これらを吸引ポンプに配管する気道回路を形成し、本体内に吸引ポンプ及びクッション瓶を収納し、本体前面に、その吸引器専用の集液バックを着脱自在に取り付ける構造が一般的である。そして、吸引ポンプの作動による所定陰圧で腹水等を吸引し、これを集液バックに収容し、この使用済みの集液バックは廃棄処分されるが、本体内のクッション瓶及び気道回路は、特に交換することなく継続的に使用される。
A medical electric aspirator is used for the treatment of sucking air, ascites, blood, pus, etc. from the body cavity of a patient after operation by operating a suction pump and discharging it to the outside. There are low-pressure continuous aspirators, continuous thoracic drainage, and the like as applications for continuously discharging ascites stored in the abdominal cavity, pleural effusions stored in the thoracic cavity and air with an electric suction device for drainage. A plastic collection bag for storing the sucked drainage and a cushion bottle for the overflow reservoir downstream thereof, forming an airway circuit for piping these to the suction pump, and the suction pump and cushion bottle in the main body The structure is generally stored and attached to the front surface of the main body so that a liquid collecting bag dedicated to the suction device is detachable. And ascites etc. are sucked in with a predetermined negative pressure by the operation of the suction pump, and this is stored in a liquid collection bag, and this used liquid collection bag is discarded, but the cushion bottle and the airway circuit in the main body are It is used continuously without any special replacement.

一方、医療用電動式吸引器は、患者の膿等の排液を収集するものであるから、機器内部を細菌等で汚染される潜在的リスクがあり、継続使用される回路部材に対しては、患者ごとに洗浄、消毒処理することが奨励されている。また、集液バックのオーバフロー等により、その下流の回路部材の感染が疑われる場合は、これらを廃棄、交換する必要がある。   On the other hand, because the medical electric suction device collects drainage fluid such as pus from patients, there is a potential risk of contamination of the inside of the device with bacteria, etc. It is recommended that each patient be cleaned and disinfected. Further, when infection of the downstream circuit member is suspected due to overflow of the liquid collection bag or the like, it is necessary to discard or replace them.

かかる医療用電動式吸引器の洗浄は、シリンジ等で洗浄液を気道回路に注入して行うが、本体内に収納された回路部材は、その様子や効果を目視で確認することができない。また、感染が疑われる回路部材を廃棄するには本体の分解、再組立ての作業が必要とされ、これらの部材の交換が極めて困難であるなど、安全上の課題がある。   The medical electric aspirator is cleaned by injecting a cleaning liquid into the airway circuit with a syringe or the like, but the state and effect of the circuit member housed in the main body cannot be visually confirmed. Further, disposing circuit members suspected of infection requires disassembly and reassembly of the main body, and there are safety issues such as the replacement of these members being extremely difficult.

この発明は、こうした課題を解決することを目的とするもので、集液バックの下流のクッション瓶や気道回路の状態を常時目視で確認可能とし、回路部材の洗浄、廃棄、交換を容易に行うことができ、安全性の著しい向上を図った医療用電動式吸引器を提案することを目的とするものである。また、本体に邪魔な突出部を無くし、取り扱いに優れた医療用電動式吸引器を提案することを目的とするものである。 An object of the present invention is to solve these problems. The state of the cushion bottle and the airway circuit downstream of the liquid collection bag can always be visually confirmed, and the circuit members can be easily cleaned, discarded, and replaced. Therefore, it is an object of the present invention to propose a medical electric aspirator that can significantly improve safety. Another object of the present invention is to propose a medical electric suction device that eliminates an obtrusive protrusion on the main body and is excellent in handling.

上記の目的を達成するため、請求項1に記載の構成は、患者の体腔等から吸引ポンプ15の作動で吸引した排液を収容する集液バック20と、その下流にオーバフローリザーバ用のクッション瓶30とを備え、これらを吸引ポンプ15に配管する気道回路を形成し、集液バック20を本体10に着脱自在に取り付ける医療用電動式吸引器において、本体10内に収納した吸引ポンプ15の吸引口に連通した接続口35を本体10に形成し、この接続口35に接続する気道回路の上流に位置する部材である集液バック20から順に陽圧防止弁25、クッション瓶30、除菌フィルター36及びそれらの配管チューブを露出した状態で本体10に取り付け、これらの部材が本体10から取り外し自在であるとともに、これらの部材同士が分解可能とする。そして、本体10に凹部28、33、34を形成し、クッション瓶30、除菌フィルター36及びそれらの配管チューブを凹部28、33、34に収容するとともに保持したことを特徴とするものである。 In order to achieve the above-mentioned object, the configuration according to claim 1 includes a liquid collection bag 20 for storing the drained liquid sucked by the operation of the suction pump 15 from the body cavity of the patient, and a cushion bottle for the overflow reservoir downstream thereof. 30, an airway circuit that pipes them to the suction pump 15, and attaches the liquid collection bag 20 to the body 10 in a detachable manner. The suction of the suction pump 15 housed in the body 10 A connection port 35 communicating with the port is formed in the main body 10, and the positive pressure prevention valve 25, the cushion bottle 30, and the sterilization filter are sequentially formed from the liquid collection bag 20 which is a member located upstream of the airway circuit connected to the connection port 35. 36 and attached to the body 10 in a state exposed their piping tube, with these members are detachable from the main body 10, these members each other degradable To. And the recessed part 28,33,34 was formed in the main body 10, and the cushion bottle 30, the sanitization filter 36, and those piping tubes were accommodated in the recessed part 28,33,34, and were hold | maintained .

このように構成した医療用電動式吸引器は、集液バック20の下流のクッション瓶30や気道回路の状態を常時目視で確認し、回路部材の感染が疑われる場合は、陽圧防止弁25、クッション瓶30、除菌フィルター36、配管チューブを本体10から取り外し、個別に洗浄したり、廃棄、交換する。The medical electric aspirator configured as described above always visually checks the state of the cushion bottle 30 and the airway circuit downstream of the liquid collection bag 20, and when the infection of the circuit member is suspected, the positive pressure prevention valve 25 is used. The cushion bottle 30, the sterilizing filter 36, and the piping tube are removed from the main body 10, and individually washed, discarded, or replaced.

請求項に記載の構成は、本体10に、吸引圧を調圧する電磁弁40及び圧力センサ41の収納室42を形成し、この収納室42を蓋する取り外し自在のカバー43を設け、電磁弁40及び圧力センサ41を取り外し可能とするものである。 According to the configuration of the second aspect of the present invention, the main body 10 is provided with the electromagnetic valve 40 for adjusting the suction pressure and the storage chamber 42 for the pressure sensor 41, and the removable cover 43 for covering the storage chamber 42 is provided. 40 and the pressure sensor 41 can be removed.

請求項に記載の構成は、集液バック20の上辺に沿った一対の取付孔21に挿通する一対のフック16を、本体10前面に突設し、各フック16を水平方向の溝17に対してを無段階にスライド自在とするものである。 According to the third aspect of the present invention , a pair of hooks 16 inserted into the pair of attachment holes 21 along the upper side of the liquid collection bag 20 are provided to protrude from the front surface of the main body 10, and each hook 16 is formed in the horizontal groove 17 . On the other hand, it is possible to slide freely.

請求項1の構成によれば、従来本体10内に収納されていたクッション瓶30や配管チューブ類が、露出した状態で本体10に取り付けられ、その状態を常時目視で確認可能である。また、これらの継続使用される回路部材に直接アクセス可能で、本体10の分解、再組立ての作業が一切不要となり、本体10から取り外して分解し、個別に洗浄することができ、集液バック20のオーバフロー等により感染が疑われる場合は、簡単に廃棄、交換することができ、安全性の著しい向上を図ることができる。また、本体10に形成した接続口35に接続する気道回路の最下流に除菌フィルター36を設けたので、本体10内の吸引ポンプの汚染が防止され、除菌フィルター36の交換も容易である。 According to the configuration of the first aspect, the cushion bottle 30 and the piping tubes that are conventionally stored in the main body 10 are attached to the main body 10 in an exposed state, and the state can be visually confirmed at all times. In addition, the circuit members that are continuously used can be directly accessed, and the work of disassembling and reassembling the main body 10 is not required. The main body 10 can be removed from the main body 10 and disassembled, and can be cleaned individually. When infection is suspected due to overflow or the like, it can be easily discarded and replaced, and the safety can be significantly improved. Further, since the sterilization filter 36 is provided on the most downstream side of the airway circuit connected to the connection port 35 formed in the main body 10, contamination of the suction pump in the main body 10 is prevented, and the sterilization filter 36 can be easily replaced. .

また、クッション瓶30、除菌フィルター36及びそれらの配管チューブが、本体10に形成した凹部28、33、34に収容、保持されるので、本体10に邪魔な突出部を無くすとともに、運搬時の振動等による外れや離脱を防止することができ、取り扱いに極めて優れるものである。 Further, the cushion bottle 30, the sterilization filter 36 and their piping tubes are accommodated and held in the recesses 28, 33, 34 formed in the main body 10, so that the main body 10 has no disturbing protrusions and is not transported. It can prevent detachment or detachment due to vibration or the like, and is extremely excellent in handling.

請求項の構成によれば、電磁弁40及び圧力センサ41の汚染が疑われる場合に、カバー43を取り外してこれらの洗浄、交換を容易に行うことができる。 According to the configuration of the second aspect , when the contamination of the electromagnetic valve 40 and the pressure sensor 41 is suspected, the cover 43 can be removed and the cleaning and replacement thereof can be easily performed.

請求項の構成によれば、集液バック20の取付孔21の間隔に応じてフック16を水平方向の溝17に対してスライドさせ、フック16の間隔を自由に設定することができ、専用のものに限定されずに様々な取り付け間隔の集液バック20が使用可能であり、汎用性の向上を図ることができる。 According to the configuration of the third aspect , the hook 16 can be slid with respect to the horizontal groove 17 in accordance with the interval between the mounting holes 21 of the liquid collecting bag 20, and the interval between the hooks 16 can be freely set. The liquid collection bag 20 with various attachment intervals can be used without being limited to the above, and versatility can be improved.

以下にこの発明の最良の実施形態について、図面を用いて具体的に説明する。
図面は、吸引ポンプの作動による所定陰圧で腹水等を持続的に排出する電動式低圧持続吸引器に、この発明を適用したもので、図1は側面図、図2は背面図、図3は平面図、図4は正面図である。図に示すように、膨出成形したフロントパネル11とリヤパネル12を接合して本体10が形成され、上面に運搬用の把手13を設け、本体10内に、吸引ポンプ15、所定制御回路からなるコントローラ、非常時用のバッテリ等を収納している。
Hereinafter, the best embodiment of the present invention will be specifically described with reference to the drawings.
In the drawings, the present invention is applied to an electric low-pressure continuous suction device that continuously discharges ascites or the like with a predetermined negative pressure by operating a suction pump. FIG. 1 is a side view, FIG. 2 is a rear view, and FIG. Is a plan view, and FIG. 4 is a front view. As shown in the figure, a main body 10 is formed by joining a front panel 11 and a rear panel 12 which are bulged and formed, a handle 13 for transportation is provided on the upper surface, and a suction pump 15 and a predetermined control circuit are provided in the main body 10. Contains controller, emergency battery, etc.

フロントパネル11の前面に、一方の接続口を吸引カテーテルと接続する集液バック20が取り付けられ、集液バック20の上辺に沿った一対の取付孔21に、フロントパネル11の前面上部に突設した一対のフック16を挿通し、集液バック20は着脱自在とされている。フロントパネル11の上面には、操作用タッチボタン、運転状態を示す液晶表示部等を設けた操作パネル19が形成され、リヤパネル12の上面端部に陽圧防止弁25が取り付けられ、集液バック20の他方の接続口と陽圧防止弁25がチューブ26で接続される。   A liquid collection bag 20 for connecting one connection port to the suction catheter is attached to the front surface of the front panel 11, and a pair of attachment holes 21 along the upper side of the liquid collection bag 20 are projected at the upper front portion of the front panel 11. The liquid collecting bag 20 is detachable through the pair of hooks 16. On the upper surface of the front panel 11 is formed an operation panel 19 provided with an operation touch button, a liquid crystal display unit indicating the operation state, and the like. The other connection port 20 and the positive pressure prevention valve 25 are connected by a tube 26.

リヤパネル12の左半部に、十分な奥行きで上面に至る凹部28が形成され、凹部28の下半の空間に、クランプ31で保持してクッション瓶30が収容される。陽圧防止弁25とクッション瓶30はチューブ29で接続され、陽圧防止弁25から垂下するチューブ29は凹部28の上半の空間に収容されている。   A recess 28 that reaches the upper surface with a sufficient depth is formed in the left half of the rear panel 12, and the cushion bottle 30 is accommodated in the lower half space of the recess 28 by being held by a clamp 31. The positive pressure prevention valve 25 and the cushion bottle 30 are connected by a tube 29, and the tube 29 depending from the positive pressure prevention valve 25 is accommodated in the upper half space of the recess 28.

リヤパネル12の右半部下半位置に、同じく十分な奥行きの凹部34が形成され、凹部34の底面に、吸引ポンプ15の吸引口に連通した接続口35が形成されている。この接続口35に除菌フィルター36が取り付けられ、クッション瓶30と除菌フィルター36がチューブ32で接続される。チューブ32は、凹部28と凹部34を連通する湾曲した凹溝33に埋設され、離脱することがないように係止されている(図8参照)。   A recess 34 having a sufficient depth is formed in the lower half of the right half of the rear panel 12, and a connection port 35 communicating with the suction port of the suction pump 15 is formed on the bottom surface of the recess 34. A sterilization filter 36 is attached to the connection port 35, and the cushion bottle 30 and the sterilization filter 36 are connected by a tube 32. The tube 32 is embedded in a curved concave groove 33 communicating with the concave portion 28 and the concave portion 34, and is locked so as not to be detached (see FIG. 8).

リヤパネル12の右半部上方位置には、吸引圧を調圧する電磁弁40とこの電磁弁40に接続した圧力センサ41の収納室42が形成され、電磁弁40はチューブ44でチューブ29に連通されている。この収納室42を蓋する取り外し自在のカバー43が設けられ、図5に示すように、カバー43を取り外すことで、電磁弁40及び圧力センサ41を取り外し可能としている。   An electromagnetic valve 40 for adjusting the suction pressure and a storage chamber 42 for a pressure sensor 41 connected to the electromagnetic valve 40 are formed at a position above the right half of the rear panel 12. The electromagnetic valve 40 is communicated with the tube 29 by a tube 44. ing. A removable cover 43 that covers the storage chamber 42 is provided, and the solenoid valve 40 and the pressure sensor 41 can be removed by removing the cover 43 as shown in FIG.

図6に、フロントパネル11の上部を示す。図において、集液バック20の取付孔21に挿通する一対のフック16をスライド可能とする水平方向の溝17が設けられている。各フック16は、水平方向の溝17に対して無段階にスライド自在とされ、摘み18の回転でロック解除され、各フック16が独立してその横方向位置を設定可能とされている。したがって、集液バック20の取付孔21の間隔に応じてフック16の間隔を自由に設定することができ、様々な取り付け間隔の集液バック20を使用可能としている。 FIG. 6 shows the upper part of the front panel 11. In the figure, a horizontal groove 17 is provided that allows a pair of hooks 16 inserted through the mounting holes 21 of the liquid collection bag 20 to slide. Each hook 16 is slidable in a stepless manner with respect to the horizontal groove 17 and unlocked by the rotation of the knob 18 so that each hook 16 can independently set its lateral position. Therefore, the interval between the hooks 16 can be freely set according to the interval between the attachment holes 21 of the liquid collection bag 20, and the liquid collection bag 20 with various attachment intervals can be used.

図7に、この電動式低圧持続吸引器の気道回路の全体を示す。図に示すように、気道回路の上流から、集液バック20、陽圧防止弁25、クッション瓶30、除菌フィルター36の順に接続され、配管チューブ類を含むこれらの部材が全て露出した状態で本体10に取り付けられ、また、これらの部材は本体10から取り外し自在であるとともに、これらの部材同士が分解可能である。除菌フィルター36は気道回路の最下流に位置し、本体10内の吸引ポンプの汚染が防止される。 FIG. 7 shows the entire airway circuit of the electric low-pressure continuous suction device. As shown in the figure, from the upstream side of the airway circuit, the liquid collection bag 20, the positive pressure prevention valve 25, the cushion bottle 30, and the sterilization filter 36 are connected in this order, and all these members including the piping tubes are exposed. These members are attached to the main body 10, and these members can be detached from the main body 10 , and these members can be disassembled. The sterilization filter 36 is located on the most downstream side of the airway circuit, and contamination of the suction pump in the main body 10 is prevented.

図8は、集液バック20を取り付ける前の状態を示す斜視図である。図に示すように、凹部28、凹溝33、凹部34に、クッション瓶30、除菌フィルター36、配管チューブ類が収容、保持され、リヤパネル12には邪魔な突出部が無く、露出した状態であるからこれらの回路部材に直接アクセス可能である。   FIG. 8 is a perspective view showing a state before the liquid collection bag 20 is attached. As shown in the figure, the cushion bottle 30, the sterilizing filter 36, and the piping tubes are accommodated and held in the recess 28, the groove 33, and the recess 34, and the rear panel 12 has no disturbing protrusion and is exposed. Therefore, these circuit members can be directly accessed.

以上、電動式低圧持続吸引器におけるこの発明の適用例について説明したが、この発明は、同様の構成の他の医療用電動式吸引器に適用可能である。   The application example of the present invention in the electric low-pressure continuous suction device has been described above, but the present invention can be applied to other medical motorized suction devices having the same configuration.

この発明の実施例の側面図Side view of an embodiment of the present invention 背面図。Rear view. 平面図。Plan view. 正面図。Front view. カバーを取り外した状態の背面上部を示す説明図。Explanatory drawing which shows the back upper part of the state which removed the cover. 正面上部を示す説明図。Explanatory drawing which shows a front upper part. 気道回路の全体を示す説明図。Explanatory drawing which shows the whole airway circuit. 集液バックを取り付ける前の状態の斜視図。The perspective view of the state before attaching a liquid collection back | bag.

10 本体
15 吸引ポンプ
16 フック
17 溝
20 集液バック
21 取付孔
28、33、34 凹部
30 クッション瓶
35 接続口
40 電磁弁
41 圧力センサ
42 収納室
43 カバー
DESCRIPTION OF SYMBOLS 10 Main body 15 Suction pump 16 Hook 17 Groove 20 Liquid collection bag 21 Mounting hole 28, 33, 34 Recessed part 30 Cushion bottle 35 Connection port 40 Solenoid valve 41 Pressure sensor 42 Storage chamber 43 Cover

Claims (3)

患者の体腔等から吸引ポンプ15の作動で吸引した排液を収容する集液バック20と、その下流にオーバフローリザーバ用のクッション瓶30とを備え、これらを吸引ポンプ15に配管する気道回路を形成し、集液バック20を本体10に着脱自在に取り付ける医療用電動式吸引器において、
本体10内に収納した吸引ポンプ15の吸引口に連通した接続口35を本体10に形成し、この接続口35に接続する気道回路の上流に位置する部材である集液バック20から順に陽圧防止弁25、クッション瓶30、除菌フィルター36及びそれらの配管チューブを露出した状態で本体10に取り付け、これらの部材が本体10から取り外し自在であるとともに、これらの部材同士が分解可能とし、
本体10に凹部28、33、34を形成し、クッション瓶30、除菌フィルター36及びそれらの配管チューブを凹部28、33、34に収容するとともに保持したことを特徴とする医療用電動式吸引器。
A liquid collection bag 20 for storing the drained liquid sucked by the operation of the suction pump 15 from the body cavity of the patient, and a cushion bottle 30 for the overflow reservoir downstream thereof are formed, and an airway circuit for piping these to the suction pump 15 is formed. In the medical electric aspirator for detachably attaching the liquid collection bag 20 to the main body 10,
A connection port 35 communicating with the suction port of the suction pump 15 housed in the main body 10 is formed in the main body 10, and positive pressure is sequentially applied from the liquid collection bag 20 which is a member located upstream of the airway circuit connected to the connection port 35. The prevention valve 25, the cushion bottle 30, the sterilization filter 36 and their piping tubes are attached to the main body 10 in an exposed state, and these members can be detached from the main body 10 and these members can be disassembled.
Recesses 28, 33 and 34 are formed in the main body 10, and the cushion bottle 30, the sterilization filter 36 and their piping tubes are housed and held in the recesses 28, 33 and 34, and the medical electric suction device .
本体10に、吸引圧を調圧する電磁弁40及び圧力センサ41の収納室42を形成し、この収納室42を蓋する取り外し自在のカバー43を設け、電磁弁40及び圧力センサ41を取り外し可能とした請求項1に記載の医療用電動式吸引器。 The main body 10 is provided with a storage chamber 42 for the electromagnetic valve 40 and the pressure sensor 41 for regulating the suction pressure, and a removable cover 43 for covering the storage chamber 42 is provided, so that the electromagnetic valve 40 and the pressure sensor 41 can be removed. The medical electric aspirator according to claim 1. 集液バック20の上辺に沿った一対の取付孔21に挿通する一対のフック16を、本体10の前面に突設し、各フック16を水平方向の溝17に対して無段階にスライド自在とした請求項1又は2に記載の医療用電動式吸引器。 A pair of hooks 16 inserted into a pair of mounting holes 21 along the upper side of the liquid collection bag 20 are projected on the front surface of the main body 10 so that each hook 16 can be slid in a stepless manner with respect to the horizontal groove 17. The medical electric aspirator according to claim 1 or 2.
JP2004198637A 2004-07-05 2004-07-05 Medical electric aspirator Expired - Fee Related JP4323389B2 (en)

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