JP5782259B2 - Three-way stopcock - Google Patents

Three-way stopcock Download PDF

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JP5782259B2
JP5782259B2 JP2011000644A JP2011000644A JP5782259B2 JP 5782259 B2 JP5782259 B2 JP 5782259B2 JP 2011000644 A JP2011000644 A JP 2011000644A JP 2011000644 A JP2011000644 A JP 2011000644A JP 5782259 B2 JP5782259 B2 JP 5782259B2
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valve body
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introduction
introduction pipe
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JP2012139451A (en
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文男 前迫
文男 前迫
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Description

本発明は、3つの分岐管の連通を選択的に切換える三方活栓に関する。   The present invention relates to a three-way cock which selectively switches the communication of three branch pipes.

三方活栓は、医療の分野において点滴等を行う際に使用されており、2つの分岐管から供給される薬液等を他の1つの分岐管に交互にあるいは同時に供給するものである。従来、この種の三方活栓は、3つの分岐管が円筒状の基部から基部の周方向へ90゜間隔で外方に延出している。基部内には円柱状の弁体が基部の周方向を回動方向として回動自在に設けられており、弁体にはT字形の切換路が形成されている。そして、この弁体を回動させることにより切換路を介して各分岐管同士を選択的に連通させることができるようになっている(例:特許文献1図4)。   The three-way stopcock is used when performing drip in the medical field, and supplies a chemical solution or the like supplied from two branch pipes alternately or simultaneously to another one branch pipe. Conventionally, in this type of three-way cock, three branch pipes extend outward from the cylindrical base portion in the circumferential direction of the base portion at 90 ° intervals. A cylindrical valve body is provided in the base so as to be rotatable with the circumferential direction of the base as a rotational direction, and a T-shaped switching path is formed in the valve body. Then, by rotating this valve body, the branch pipes can be selectively communicated with each other via the switching path (for example, Patent Document 1 FIG. 4).

その場合、T字形切換路の−部分(“T”を頂部の“−”と柱の“I”とに分解して考える。)の両端が、第1分岐管と第3分岐管(基部の周方向へ第1、第2、第3分岐管の順に配置されているとする。)へ接続され、T字形切換路のI部分の先端が第2分岐管とは反対側の閉塞部へ向けられている回動位置では、すなわち、第3分岐管へは第1分岐管からの液のみを供給する切換位置では、切換路のI部分が閉塞空間(デッドスペース)になり、該閉塞空間に薬液等が滞留する不都合が生じる(例:特許文献2図5(b))。   In that case, both ends of the -portion of the T-shaped switching path ("T" is disassembled into "-" at the top and "I" at the top) are connected to the first branch pipe and the third branch pipe (at the base). It is assumed that the first, second, and third branch pipes are arranged in the circumferential direction in this order.), And the tip of the I portion of the T-shaped switching path is directed toward the blocking portion on the opposite side of the second branch pipe. In the rotation position, that is, in the switching position where only the liquid from the first branch pipe is supplied to the third branch pipe, the I portion of the switching path becomes a closed space (dead space). Inconvenience that the chemical solution or the like stays occurs (eg, Patent Document 2 FIG. 5B).

また、T字形切換路のI部分の先端が第3分岐管へ接続され、T字形切換路の−部分の一端が第2分岐管へ接続され、T字形切換路の−部分の他端が第2分岐管とは反対側の閉塞部へ向けられている回動位置では、すなわち、第3分岐管へは第2分岐管からの液のみを供給する切換位置では、切換路の−部分の他端側半部が閉塞空間になり、該閉塞空間に薬液等が滞留する不都合が生じる(例:特許文献2図5(c))。   The tip of the I portion of the T-shaped switching path is connected to the third branch pipe, one end of the-portion of the T-shaped switching path is connected to the second branch pipe, and the other end of the-portion of the T-shaped switching path is the second. In the rotation position directed to the closed portion opposite to the two branch pipes, that is, in the switching position where only the liquid from the second branch pipe is supplied to the third branch pipe, the other part of the switching path is provided. The end-side half becomes a closed space, and there is an inconvenience that a chemical solution or the like stays in the closed space (eg, Patent Document 2 FIG. 5 (c)).

特許文献2はこれに対処する三方活栓を開示し、該三方活栓では、切換路が、弁体を貫通する直線貫通孔と、弁体の一方の半周部に周方向へ半周するように延設されて両端において管通孔の両端へ連通する半周溝とによって構成されている。該三方活栓では、弁体のどの切換位置においても、液が半周溝を通過するので、切換路内に閉塞空間が生じないようになっている(特許文献2図4)。   Patent Document 2 discloses a three-way cock for coping with this, and in this three-way cock, the switching path extends so as to half-circulate in the circumferential direction in a straight through hole that penetrates the valve body and one half-circumferential part of the valve body. Thus, at both ends, it is constituted by a semicircular groove communicating with both ends of the tube passage hole. In the three-way stopcock, the liquid passes through the half-circumferential groove at any switching position of the valve body, so that a closed space is not generated in the switching path (Patent Document 2 FIG. 4).

実開平6−44554号公報Japanese Utility Model Publication No. 6-44554 特開2009−77879号公報JP 2009-77879 A

特許文献2の三方活栓では、弁体の切換路には液の滞留空間が生じないものの、その図4(a)において第2分岐管として第2導入管としてのからの液供給が終了した場合、第2導入管内の残存液の一部が滞留するおそれがある。   In the three-way cock of Patent Document 2, there is no liquid retention space in the switching path of the valve body, but the liquid supply from the second inlet pipe as the second branch pipe in FIG. There is a possibility that a part of the remaining liquid in the second introduction pipe may stay.

本発明の目的は、一方の導入管のみから導出管に液を送る際に他方の導入管内の液を導出管に流出させることができる三方活栓を提供することである。   An object of the present invention is to provide a three-way stopcock that can cause the liquid in the other inlet pipe to flow out to the outlet pipe when the liquid is sent from only one inlet pipe to the outlet pipe.

本発明は、円筒状の基部と、該基部内に回動自在に設けられた円柱状の弁体と、該弁体の回動方向へ90°間隔で前記基部から三方に延出する3つの分岐管とを備え、該弁体に、その回動により各分岐管同士を選択的に連通させる切換路が形成された三方活栓において、前記3つの分岐管は、前記弁体の回動方向へ順番に第1導入管、導出管及び第2導入管とされ、前記切換路は、前記弁体を直線状に貫通する貫通孔と、前記貫通孔の一端の位置から該位置より前記弁体の回動方向へ所定角度範囲にわたり前記弁体の周部に延設される周溝とによって構成され、前記所定角度範囲は、前記貫通孔の両端部が前記第1導入管と前記第2導入管とに連通しているときに、前記周溝の両端部が前記第1導入管及び前記第2導入管のいずれかと前記導出管とに連通する角度範囲となっていることを特徴とする。 The present invention includes a cylindrical base portion, a columnar valve body rotatably provided in the base portion, and three pieces extending from the base portion in three directions at 90 ° intervals in the rotation direction of the valve body. A three-way stopcock in which a switching path for selectively communicating the branch pipes with each other by rotation of the valve body is provided. The three branch pipes are arranged in the direction of rotation of the valve body. The first introduction pipe, the lead-out pipe, and the second introduction pipe are sequentially formed, and the switching path includes a through hole that linearly penetrates the valve body, and a position of the valve body from the position of one end of the through hole. It is comprised by the surrounding groove extended in the surrounding part of the said valve body over the predetermined angle range to a rotation direction, and the said predetermined angle range has the both ends of the said through-hole as said 1st introduction pipe and said 2nd introduction pipe When both ends of the circumferential groove are in communication with either the first introduction pipe or the second introduction pipe, Characterized in that it is an angle range for communicating with the tube.

本発明によれば、直線状の貫通孔が両端において第1及び第2導入管に接続される切換位置では、第1導入管の液としての一方の液は、弁体の貫通孔が直線状のために、該貫通孔を所定の勢いを保持しつつ通過して、第2導入管内へ十分深く流入し、第2導入管内の他方の液と混合する。そして、混合液が弁体の周溝を介して導出管へ流入する。したがって、第2導入管内への他方の液の供給が停止した場合には、一方の液が第2導入管内に残存する他方の液を、周溝を介して導出管に流出させることができる。 According to the present invention , at the switching position where the straight through hole is connected to the first and second introduction pipes at both ends, the one through hole of the valve body is linear in the liquid as the liquid in the first introduction pipe. Therefore, it passes through the through-hole while maintaining a predetermined momentum, flows sufficiently deeply into the second introduction pipe, and mixes with the other liquid in the second introduction pipe. Then, the mixed liquid flows into the outlet pipe through the circumferential groove of the valve body. Therefore, when the supply of the other liquid into the second introduction pipe is stopped, the other liquid in which one liquid remains in the second introduction pipe can flow out to the outlet pipe through the circumferential groove.

三方活栓の平面図。The top view of a three-way cock. 図1のII−II線断面図。II-II sectional view taken on the line of FIG. 図1のIII−III線断面図。III-III sectional view taken on the line of FIG. 三方活栓の第1切換位置における主要部の横断面図。The cross-sectional view of the main part in the 1st switching position of a three-way cock. 三方活栓の第2切換位置における主要部の横断面図。The cross-sectional view of the main part in the 2nd switching position of a three-way cock. 三方活栓の第3切換位置における主要部の横断面図。The cross-sectional view of the main part in the 3rd switching position of a three-way cock.

本実施形態の三方活栓10は、図1に示すように、円筒状の基部12と、基部12の周方向へ90°間隔で基部12から三方に延出する3つの分岐管とを備えている。これら3つの分岐管は、三方活栓10の図1の平面図において反時計方向へ順番に第1導入管13、導出管14及び第2導入管15となっている。導入側の第1導入管13及び第2導入管15は雌コネクタ型とされ、導出側の導出管14は雄コネクタ型とされる。なお、第2導入管15は、内部にゴム製のバルブを内蔵し、該バルブは、第2導入管15へのシリンジの取付け及び取り外しに伴い自動的に開閉する。   As shown in FIG. 1, the three-way cock 10 of the present embodiment includes a cylindrical base 12 and three branch pipes extending from the base 12 in three directions at intervals of 90 ° in the circumferential direction of the base 12. . These three branch pipes are a first introduction pipe 13, a lead-out pipe 14 and a second introduction pipe 15 in order counterclockwise in the plan view of the three-way cock 10 in FIG. The first introduction pipe 13 and the second introduction pipe 15 on the introduction side are female connector types, and the lead-out pipe 14 on the extraction side is a male connector type. The second introduction tube 15 incorporates a rubber valve, and the valve automatically opens and closes when the syringe is attached to and removed from the second introduction tube 15.

図1及び図2に示すように、円柱状の弁体17は、上部に三つ股のレバー16を備え、基部12に回動自在に挿設されている。なお、弁体17の回動方向は基部12の周方向と同一である。   As shown in FIGS. 1 and 2, the columnar valve body 17 includes a trifurcated lever 16 at an upper portion thereof, and is rotatably inserted into the base portion 12. The rotating direction of the valve body 17 is the same as the circumferential direction of the base portion 12.

図2及び図3において、切換路18は、貫通孔18aと周溝18bとによって構成され、弁体17に形成されている。貫通孔18aは弁体17の中心線に対して直交する直線で弁体17を貫通する。周溝18bは、弁体17の回動方向へ90°の範囲にわたり弁体17の周部に延在しており、一端は貫通孔18aの一端に連通し、他端は弁体17の回動方向へ貫通孔18aの両端から90°離間した位置となっている。典型的には、貫通孔18aは円形横断面であり、周溝18bは半円横断面である。なお、貫通孔18a及び周溝18bの流通断面積は、貫通孔18aの直径、並びに周溝18bの深さ及び幅により適宜調整することができる。   2 and 3, the switching path 18 is constituted by a through hole 18 a and a circumferential groove 18 b and is formed in the valve body 17. The through hole 18 a penetrates the valve body 17 with a straight line orthogonal to the center line of the valve body 17. The circumferential groove 18b extends to the circumference of the valve body 17 over a range of 90 ° in the rotation direction of the valve body 17, one end communicates with one end of the through hole 18a, and the other end rotates the valve body 17. The position is 90 ° apart from both ends of the through hole 18a in the moving direction. Typically, the through hole 18a has a circular cross section, and the circumferential groove 18b has a semicircular cross section. In addition, the distribution | circulation cross-sectional area of the through-hole 18a and the circumferential groove 18b can be suitably adjusted with the diameter of the through-hole 18a, and the depth and width | variety of the circumferential groove 18b.

弁体17は、レバー16の回動操作に伴って、基部12に対して相対回転し、第1切換位置(図4)、第2切換位置(図5)又は第3切換位置(図6)へ切換えられる。なお、図1に示すように、三つ股のレバー16の各アーム部16a〜16cには、その上面に連通方向を示す矢印表示19が設けられている。   The valve body 17 rotates relative to the base 12 as the lever 16 is turned, and the first switching position (FIG. 4), the second switching position (FIG. 5), or the third switching position (FIG. 6). Is switched to. In addition, as shown in FIG. 1, each arm part 16a-16c of the trifurcated lever 16 is provided with the arrow display 19 which shows a communication direction on the upper surface.

図1の矢印表示19の状態は第1切換位置(図4)を示しており、第1導入管13、導出管14及び第2導入管15はいずれかの矢印表示19の向きと一致している。第1切換位置では、図4に示すように、切換路18は第1導入管13及び第2導入管15を導出管14へ接続している。   The state of the arrow display 19 in FIG. 1 indicates the first switching position (FIG. 4), and the first introduction pipe 13, the lead-out pipe 14 and the second introduction pipe 15 coincide with the direction of any one of the arrow displays 19. Yes. At the first switching position, the switching path 18 connects the first introduction pipe 13 and the second introduction pipe 15 to the outlet pipe 14 as shown in FIG.

図1の矢印表示19の状態からレバー16を反時計方向へ90°だけ回動させると、矢印表示19の状態は第2切換位置(図5)を示し、導出管14及び第2導入管15はいずれかの矢印表示19の向きと一致しているものの、第1導入管13はいずれの矢印表示19の向きとも一致しなくなる。第2切換位置では、切換路18は第2導入管15を導出管14へ接続している。   When the lever 16 is turned 90 ° counterclockwise from the state of the arrow display 19 in FIG. 1, the state of the arrow display 19 indicates the second switching position (FIG. 5), and the lead-out pipe 14 and the second introduction pipe 15 Is coincident with the direction of any arrow display 19, but the first introduction tube 13 does not coincide with the direction of any arrow display 19. In the second switching position, the switching path 18 connects the second inlet pipe 15 to the outlet pipe 14.

図1の矢印表示19の状態からレバー16を時計方向へ90°だけ回動させると、矢印表示19の状態は第3切換位置(図6)を示し、第1導入管13及び導出管14はいずれかの矢印表示19の向きと一致しているものの、第2導入管15はいずれの矢印表示19の向きとも一致しなくなる。第2切換位置では、切換路18は第1導入管13を導出管14へ接続している。   When the lever 16 is rotated 90 ° clockwise from the state of the arrow display 19 in FIG. 1, the state of the arrow display 19 indicates the third switching position (FIG. 6), and the first introduction pipe 13 and the lead-out pipe 14 are Although the direction of any arrow display 19 coincides, the second introduction pipe 15 does not match the direction of any arrow display 19. In the second switching position, the switching path 18 connects the first inlet pipe 13 to the outlet pipe 14.

三方活栓10の作動について説明する。例えば、第1導入管13へは可撓性管路を介して点滴等の薬液が導入され、導出管14は可撓性管路を介して人体の腕の静脈へ刺す針へ接続され、第2導入管15には、シリンジが接続されて、シリンジ内の他の薬液が投入される。   The operation of the three-way cock 10 will be described. For example, a drug solution such as an infusion is introduced into the first introduction tube 13 through a flexible conduit, and the lead-out tube 14 is connected to a needle that pierces the vein of the human arm through the flexible conduit. 2 A syringe is connected to the introduction pipe 15 and another chemical solution in the syringe is introduced.

三方活栓10の第1切換位置では、図4に示すように、切換路18の貫通孔18aが第1導入管13と第2導入管15とに連通し、切換路18の周溝18bが導出管14と第2導入管15とに連通している。第1導入管13からの第1薬液は、直線状の貫通孔18aを介して第2導入管15へ導入される。その際、貫通孔18aが直線状である理由により、第1薬液は十分な勢いを保持して第2導入管15へ導入され、第2導入管15へ深く進入して、第2導入管15において第2導入管15からの第2薬液と混合する。そして、第1及び第2薬液の混合薬液が周溝18bを介して導出管14へ流入する。第1切換位置において、切換路18には薬液の滞留空間(デッドスペース)は存在しない。   At the first switching position of the three-way stopcock 10, as shown in FIG. 4, the through hole 18a of the switching path 18 communicates with the first introduction pipe 13 and the second introduction pipe 15, and the circumferential groove 18b of the switching path 18 leads out. The tube 14 communicates with the second introduction tube 15. The first chemical solution from the first introduction pipe 13 is introduced into the second introduction pipe 15 through the linear through hole 18a. At this time, the first chemical liquid is introduced into the second introduction pipe 15 while maintaining a sufficient momentum for the reason that the through-hole 18a is linear, and enters the second introduction pipe 15 deeply. And mixed with the second chemical solution from the second introduction tube 15. Then, a mixed chemical solution of the first and second chemical solutions flows into the outlet pipe 14 through the circumferential groove 18b. In the first switching position, there is no chemical liquid retention space (dead space) in the switching path 18.

シリンジの第2薬液がなくなるのに伴い、シリンジから第2導入管15への第2薬液の導入が途絶える。これに対し、第1薬液は、なおも、第1導入管13内へ導入され続け、第1導入管13からレバー16の貫通孔18aを介して第2導入管15へ進入する。その際、貫通孔18aが直線状である理由により、第1薬液は十分な勢いを保持して第2導入管15へ導入され、第2導入管15へ深く進入して、第2導入管15内に残存中の第2薬液を効率的に取り込んで、周溝18bを介して導出管14へ流入する。したがって、第2導入管15内に残存中の第2薬液は、第1薬液により導出管14へ流れ、第2導入管15内の残存が防止される。   As the second chemical solution in the syringe runs out, the introduction of the second chemical solution from the syringe into the second introduction tube 15 stops. In contrast, the first chemical liquid continues to be introduced into the first introduction pipe 13 and enters the second introduction pipe 15 from the first introduction pipe 13 through the through hole 18 a of the lever 16. At this time, the first chemical liquid is introduced into the second introduction pipe 15 while maintaining a sufficient momentum for the reason that the through-hole 18a is linear, and enters the second introduction pipe 15 deeply. The remaining second chemical liquid is efficiently taken in and flows into the outlet pipe 14 via the circumferential groove 18b. Therefore, the second chemical liquid remaining in the second introduction pipe 15 flows to the outlet pipe 14 by the first chemical liquid, and the residual in the second introduction pipe 15 is prevented.

三方活栓10の第2切換位置では、図5に示すように、第1導入管13は弁体17の周部により閉鎖され、第2導入管15は、周溝18b及び貫通孔18aを介して導出管14へ連通状態となる。これにより、第2導入管15の第2薬液のみが、周溝18bから貫通孔18aを経て導出管14へ流入する。第2切換位置において、切換路18には薬液の滞留空間は存在しない。   At the second switching position of the three-way stopcock 10, as shown in FIG. 5, the first introduction pipe 13 is closed by the peripheral portion of the valve body 17, and the second introduction pipe 15 is interposed via the circumferential groove 18b and the through hole 18a. A communication state is established with the outlet pipe 14. Thereby, only the 2nd chemical | medical solution of the 2nd introductory pipe | tube 15 flows in into the derivation | leading-out pipe | tube 14 through the through-hole 18a from the circumferential groove 18b. At the second switching position, there is no chemical liquid retention space in the switching path 18.

三方活栓10の第3切換位置では、図6に示すように、第1導入管13は、周溝18bを介して導出管14へ連通状態となり、第2導入管15は弁体17の周部により閉鎖される。これにより、第1導入管13の第1薬液のみが周溝18bを経て導出管14へ流入する。   At the third switching position of the three-way stopcock 10, as shown in FIG. 6, the first introduction pipe 13 is in communication with the outlet pipe 14 via the circumferential groove 18b, and the second introduction pipe 15 is connected to the peripheral portion of the valve body 17. Closed. Thereby, only the 1st chemical | medical solution of the 1st introductory pipe | tube 13 flows in into the derivation | leading-out pipe | tube 14 through the circumferential groove 18b.

なお、第1切換位置において、シリンジを取り外すと、第2導入管15内のゴム製のバルブが自動的に閉止され、第2薬液が第2導入管15から流出し、その後は、第1導入管13の第1薬液のみが、貫通孔18a、第2導入管15及び周溝18bを経て導出管14内へ導入されることになる。その後、別のシリンジを第2導入管15に装着するとともに、第3切換位置にしても、前回の第2液は第2導入管15内に残っていないので、毎回、第2液を正確な投与量で投与することかできる。   When the syringe is removed at the first switching position, the rubber valve in the second introduction pipe 15 is automatically closed, the second chemical liquid flows out from the second introduction pipe 15, and thereafter, the first introduction is performed. Only the first chemical solution in the tube 13 is introduced into the outlet tube 14 through the through hole 18a, the second introduction tube 15 and the circumferential groove 18b. Thereafter, another syringe is attached to the second introduction tube 15 and the second liquid is not accurately left in the second introduction tube 15 even when the third switching position is set. Can be administered at a dose.

以上のように、本実施形態の三方活栓10によれば、弁体17の切換路18が、直線状の貫通孔18aと、弁体17の回動方向へ貫通孔18aの一端から貫通孔18aの両端の中心点までの90°の範囲にわたり弁体17の周部に延設された周溝18bとによって構成されたことにより、第2導入管15への第2薬液の供給終了後、第2導入管15内に残存しようとする第2薬液を第1薬液により第2導入管15から円滑に除去することができる。   As described above, according to the three-way cock 10 of the present embodiment, the switching path 18 of the valve body 17 includes the straight through hole 18a and the through hole 18a from one end of the through hole 18a in the rotational direction of the valve body 17. After the end of the supply of the second chemical liquid to the second introduction pipe 15, 2 The second chemical liquid that is to remain in the introduction pipe 15 can be smoothly removed from the second introduction pipe 15 by the first chemical liquid.

11・・・三方活栓、12・・・基部、13・・・第1導入管(分岐管)、14・・・導出管(分岐管)、15・・・第2導入管(分岐管)、17・・・弁体、18・・・切換路、18a・・・貫通孔、18b・・・周溝。 DESCRIPTION OF SYMBOLS 11 ... Three-way stopcock, 12 ... Base part, 13 ... 1st introduction pipe (branch pipe), 14 ... Outlet pipe (branch pipe), 15 ... 2nd introduction pipe (branch pipe), 17 ... Valve body, 18 ... Switching path, 18a ... Through hole, 18b ... Circumferential groove.

Claims (1)

円筒状の基部と、該基部内に回動自在に設けられた円柱状の弁体と、該弁体の回動方向へ90°間隔で前記基部から三方に延出する3つの分岐管とを備え、該弁体に、その回動により各分岐管同士を選択的に連通させる切換路が形成された三方活栓において、
前記3つの分岐管は、前記弁体の回動方向へ順番に第1導入管、導出管及び第2導入管とされ、
前記切換路は、前記弁体を直線状に貫通する貫通孔と、前記貫通孔の一端の位置から該位置より前記弁体の回動方向へ所定角度範囲にわたり前記弁体の周部に延設される周溝とによって構成され
前記所定角度範囲は、前記貫通孔の両端部が前記第1導入管と前記第2導入管とに連通しているときに、前記周溝の両端部が前記第1導入管及び前記第2導入管のいずれかと前記導出管とに連通する角度範囲となっていることを特徴とする三方活栓。
A cylindrical base, a columnar valve body provided rotatably in the base, and three branch pipes extending in three directions from the base at 90 ° intervals in the rotational direction of the valve body In the three-way stopcock provided with a switching path that selectively connects the branch pipes to each other by rotation of the valve body,
The three branch pipes are a first introduction pipe, a lead-out pipe, and a second introduction pipe in order in the rotation direction of the valve body,
The switching path extends from the position of one end of the through hole in a straight line through the valve body to the periphery of the valve body over a predetermined angle range from the position to the rotation direction of the valve body. It is constituted by a circumferential groove being,
The predetermined angle range is such that when both end portions of the through hole are in communication with the first introduction tube and the second introduction tube, both end portions of the circumferential groove are the first introduction tube and the second introduction tube. A three-way stopcock having an angle range communicating with any one of the tubes and the outlet tube .
JP2011000644A 2011-01-05 2011-01-05 Three-way stopcock Active JP5782259B2 (en)

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JPH11342209A (en) * 1998-06-03 1999-12-14 Nippon Sherwood Medical Industries Ltd Medical stop cock
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