JPH07178179A - Connector - Google Patents

Abstract

PURPOSE:To obtain a connector which can easily adjust a deformation of a valve body and does not damage instruments, by comprising: a body having the valve body in a path for inserting the instrument; an operating body for operating to deform the valve body from the outside of the body so as to reduce the inner diameter of the valve body: and an engaging portion for engaging step by step the operating body with the body. CONSTITUTION:A connector 1 is formed from a body liquid-tightly connected at the front end with a guide catheter for guiding a catheter having an expander to the entrance of a coronary artery, and an operating body 6 projected from the base end of the body. Projections 44a, 44b provided at a predetermined interval in the longitudinal direction of a cylindrical body 4 on the outer periphery of the front end of the cylindrical body 4 are made engageable with a projection 62 of the operating body 6. The valve body 5 is constituted from a cylindrical elastic member having a path. The operating body 6 which is a cylindrical body with a handle 61 formed at the base end. is slidably inserted into an insertion path 21 from the opposite side of the handle 61 and the opening of the end portion, and by further inserting, presses the valve body 5 which is controlled the movement by wall 43, and deforms so as to reduce its inner diameter.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a connector for liquid-tightly and slidably connecting an instrument used by being inserted into a tubular body to the tubular body.

[0002]

2. Description of the Related Art Conventionally, as a typical angioplasty method,
For the treatment of blood vessels (vasculature) narrowed due to arteriosclerosis, etc., insert a catheter with a dilator at the distal end into the stenosis and expand the dilatation to dilate the stenosis and blood flow on the peripheral side. Percutaneous transluminal coronary angioplasty (PTCA) has been performed to improve In this procedure, a guide catheter for guiding the dilatation catheter to the stenosis site is left in the blood vessel prior to inserting the dilatation catheter into the blood vessel, and is connected to the proximal end of the guide catheter in advance. It is common to insert a catheter with an expandable body from the Y-shaped connector that has been prepared.

The catheter insertion port of this Y-shaped connector is a valve made of an annular elastic body (O-ring), as described in, for example, Japanese Utility Model Publication No. 53-44870 and Japanese Utility Model Publication 4-8918. It has a structure that includes a body and an operating body that fits or is screwed to the base end of the main body and deforms the valve body from the outside to change the inner diameter of the valve body. The body is pressed and deformed, and the catheter with the expander inserted through the valve body can be compressed and held in a fluid-tight manner so as to be slidable.

[0004]

However, in such a conventional connector, the valve body has a predetermined inner diameter in order to adjust the deformation of the valve body to an appropriate inner diameter according to the procedure. It is necessary to align the operating body with the position, but for that purpose, it was difficult to adjust the valve body because of the delicate force and labor required for screwing the operating body.
Furthermore, if the valve body is excessively reduced and deformed by mistakenly adjusting the force with which the operating body is screwed, the force with which the catheter with an expandable body is compressed is too large, and the catheter is damaged, and in some cases it cannot be used. There were things.

SUMMARY OF THE INVENTION It is an object of the present invention to solve the above problems and to provide a connector which can easily adjust the deformation of the valve element and which does not inadvertently damage the instrument.

[0006]

[Means for Solving the Problems] The above-mentioned object is as follows (1)
It is achieved by the present invention. Further, the following (2) to (6) are preferable.

(1) A connector for liquid-tightly and slidably connecting an instrument used by being inserted into a tubular body to the tubular body, the main body having a tubular body connecting portion at one end thereof, An instrument insertion passage opening from the other end of the main body toward the connection portion, and a valve member made of an elastic member formed in the insertion passage and having a passage extending in the longitudinal direction of the insertion passage and opening. And an operating body for deforming the valve body from the outside of the main body to reduce the inner diameter of the valve body, and a locking portion for locking the operating body in a stepwise manner with respect to the main body. connector.

(2) The locking portion engages the operating body at least at a position for slidably and liquid-tightly holding the instrument inserted through the valve body and at a position for non-slidingly holding the instrument. The connector according to (1) above, which is to be stopped.

(3) The locking portion is provided on the main body, and is provided on the operating body with a plurality of convex portions or concave portions formed at predetermined intervals in the longitudinal direction of the main body, and the convex portion. Alternatively, the connector according to (1) or (2) above, which includes a protrusion that is engageable with the recess.

(4) The connector according to (3), wherein the convex portion or the concave portion is provided on substantially the entire circumference of the main body.

(5) The above-mentioned (2) to (4), wherein the convex portion is formed with a slit penetrating from one end of the convex portion to the other end and slidably inserted into the convex portion. Connector.

(6) The connector according to (5), wherein the slit is formed along the outer periphery of the main body and extends in a direction inclined with respect to the longitudinal direction of the main body.

[0013]

The connector of the present invention comprises a main body having a valve body in the instrument insertion passage, and an operating body for deforming the valve body from outside the main body to reduce the inner diameter of the valve body. On the other hand, since it has a locking portion that locks the operation tool in stages,
With this locking part, the operating body can be locked at a position where the valve body has a predetermined inner diameter, and it is not necessary to adjust the force to adjust the operating body to such a position. It can be surely transformed. In addition, inadvertent damage to the device due to excessive contraction and deformation of the valve body is prevented.

[0014]

DESCRIPTION OF THE PREFERRED EMBODIMENTS The present invention will be described below with reference to the drawings. Figure 1
Is a plan view showing an embodiment of a connector when the connector of the present invention is applied to a Y-shaped connector for PTCA, and FIG.
1 is a vertical sectional view of the connector shown in FIG. 1, and FIG. 3 is II-II of FIG.
It is an expanded sectional view in a line. In addition, hereinafter, the right side in FIGS. 1 and 2 is referred to as a base end side, and the left side is referred to as a front end side.

The connector 1 of the present invention includes a main body 2 having a tubular body connection portion 31 at one end, an instrument insertion passage 21 opening from the other end of the main body 2 toward the inside of the connection portion 31, and an insertion passage 21. A valve body 5 made of an elastic member, which is provided with a passage 51 that opens in the longitudinal direction of the insertion passage 21;
The valve body 5 has an operating body 6 for deforming the valve body 5 from the outside to reduce the inner diameter of the valve body 5, and a locking portion for locking the operating body 6 to the main body 2 in stages. Note that FIG. 2 shows a state in which the instrument 15 is inserted therein. Hereinafter, description will be given with reference to the drawings.

As shown in FIG. 1, the connector 1 of the present invention comprises a guide catheter 10 for guiding a catheter with an expandable body to the coronary artery entrance, a main body 2 liquid-tightly connected at the distal end, and a proximal end of the main body 2. It is formed by the operating body 6 that projects further. In the illustrated example, the guide catheter 10 is connected to the main body 2 via a connector 11. The connector 11 is concentrically provided on the proximal end of the catheter 10 and is fixed to the proximal end. A male screw (not shown) is formed on the outer peripheral surface of the connecting tool 11, and can be screwed with a female screw of the connecting portion 31 of the connector 1 described later.

As shown in FIG. 2, the main body 2 is constructed by fitting a cylinder 3 and a cylinder 4 through an O-ring 7 and connecting them in a liquid-tight manner. The tip of the tubular body 3 serves as a connecting portion 31 for connecting the guiding catheter 10. The connecting portion 31 is composed of a concave portion having an internal thread 32 formed on the inner surface thereof, and a protruding portion 33 protruding from the center of the concave portion. Then, the protrusion 33 is inserted into the proximal end of the lumen of the catheter 10, and the female screw 32 and the male screw provided on the connector 11 are screwed together, whereby the catheter 10 connects the connector 1 via the connector 11. Connected to.

The tubular body 4 has a Y-shaped branched shape in the middle thereof and has two end portions 41 and 42.
An opening is formed in each of these end portions 41 and 42, and the end portion 41 is an instrument for inserting an instrument 15 (for example, the above-mentioned catheter with an expandable body) to be inserted into the catheter 10 into the connector 1. The end portion 42 is used as an insertion port, and the end portion 42 is used as an injection port for injecting a contrast agent for confirming the improvement of blood flow after the dilation of the stenosis into the blood vessel through the lumen of the catheter 10.

As the constituent materials of the cylinder 3 and the cylinder 4,
Thermoplastic resins such as polycarbonate, polyamide, polysulfone, polyarylate, and methacrylate-butylene-styrene copolymer can be preferably used.

The instrument insertion passage 21 extends into the main body 2 from the inside of the protruding portion 33 of the tubular body 3 to the end portion 41 of the tubular body 4,
It is formed with openings at both ends. The insertion passage 21 branches toward the opening of the end portion 42 in the tubular body 4, and communicates with the opening of the end portion 41 and the opening of the end portion 42.

A wall 43 extending in the radial direction of the insertion passage 21 is formed at a position of the insertion passage 21 closer to the end 41 than a portion of the insertion passage 21 that branches toward the end 42. . The inner diameter of the insertion passage 21 is bordered by this wall 43.
The end portion 41 side is larger than the cylinder body 3 side.

On the outer peripheral surface of the end portion 41 of the tubular body 4, convex portions 44a are provided at predetermined intervals in the longitudinal direction of the tubular body 4.
And a convex portion 44b is formed. These protrusions 44
Reference characters a and 44b are engageable with a protrusion 62 of the operating body 6 described later. Then, in the illustrated example, the convex portion 44
The locking portions of the present invention are formed by a and 44b and the protrusion 62.

The projections 44a and 44b are preferably formed over substantially the entire outer circumference of the end 41, as shown in FIG. As a result, even if the operating body 6 is mistakenly rotated due to contact with a finger or the like, a protrusion 62 to be described later is provided.
It is possible to prevent the involuntary release of the lock of the operating body 6 by maintaining the engagement with the.

The protrusions 44a and 44b are provided with slits 45a and 45b penetrating from the base end to the tip end of the protrusions 44a and 44b, and slidably inserted into a protrusion 62 described later. These slits 45a and 45b are provided two by two, separated by 180 ° in the circumferential direction of the end portion 41. Also,
The widths of the slits 45a and 45b are set to such a size that a protrusion 62, which will be described later, can enter and can slide in the slits 45a and 45b.

Although the slits 45a and 45b may be extended in the longitudinal direction of the main body 2 for the reason described later, as shown in FIG. It is preferably formed in a direction inclined with respect to the longitudinal direction. In the illustrated example, the slit 45
a and 45b are extended in the clockwise direction toward the tip end direction. In addition, near the base end of the instrument insertion passage 21,
An annular convex portion 46 that projects toward the center of the insertion passage 21 is formed.

As shown in FIG. 2, the valve body 5 is composed of a cylindrical elastic member having a passage 51 opening from one end to the other end, and the passage 51 extends in the longitudinal direction of the insertion passage 21. And is inserted into the insertion passage 21 with one end abutting the wall 43. As a result, the valve body 5 does not move to the cylinder body 3 side at least with respect to the wall 43.

As the constituent material of the elastic member constituting the valve body 5, for example, various rubbers such as silicone rubber, fluororubber, isoprene and natural rubber, various resins such as polyurethane, polyamide elastomer, polybutadiene and soft vinyl chloride, or Among them, a combination of two or more may be mentioned. Among them, in particular, there is relatively little change in physical properties, the dimensional accuracy when molded is high, and the durability of holding the inner diameter of the valve body 5 is excellent. Silicone rubber is preferred.

The valve element 5 is preferably made of a transparent material. As a result, the state of contact between the device inserted through the valve body 5 and the valve body 5 can be confirmed, and the insertion passage 21
It also becomes easy to detect bubbles remaining inside.

The outer diameter of the valve body 5 is about 2 to 10 mm, more preferably about 4 to 6 mm, and the inner diameter is about 0.5 to 3.0 mm, more preferably about 0.9 to 1.5 mm. The wall thickness is about 0.5 to 3.0 mm, preferably 1.0 to
It is about 1.2 mm.

The operating body 6 is a cylindrical body having a handle 61 formed at its base end, and is open in the longitudinal direction from the base end to the distal end so that an instrument can be inserted therethrough. The operating body 6 is slidably inserted into the insertion passage 21 from the opening of the end 41 from the side opposite to the handle 61, and the movement of the operating body 6 is restricted by the wall 43 by advancing the insertion. Is deformed by pressing.

On the handle 61, the convex portions 44a, 44a of the cylindrical body 4 are provided.
A protrusion 62 that can be engaged with b is provided. This protrusion 6
2 is 1 in the circumferential direction of the handle 61 as shown in FIG.
Two pieces are provided at a distance of 80 ° and project in the radial direction of the operating body 6. In addition, the width of the projection 62 is equal to the projections 44a, 4 and
The slits 45a and 45b are formed in the slits 45a and 45b and are slidable in the slits 45a and 45b.

When the protrusion 62 is fitted into the slit 45a from the base end side of the main body 2 and the handle 61 is rotated clockwise toward the tip end, the protrusion 62 moves in the slit 45a toward the tip end. After passing through the slit 45a, the convex portion 4
4a moves in the circumferential direction of the end 41, and the protrusion 62 engages with the protrusion 44, as shown in FIG.

From the state shown in FIG.
By being inserted into b and rotating the handle 61 in the same manner as described above, the protrusion 62 moves in the protrusion 45b, penetrates the protrusion 45b, moves along the protrusion 44b, and engages with the protrusion 44b. To meet. On the contrary, from the state of FIG.
When the handle 61 is fitted in the tip 5b from the tip side and rotated counterclockwise toward the tip direction, the protrusion 62 moves in the slit 45a in the proximal direction, penetrates the slit 45a, and is disengaged. . The same operation may be performed when releasing the engagement between the protrusion 62 and the protrusion 44a.

By such an operation, the operating body 6 can be locked stepwise at the position corresponding to the above engagement. Then, the slit 45 penetrating from the base end to the tip of the convex portions 44a and 44b.
By providing a and 45b, the protrusion 62 can be the protrusion 44
It is possible to move in the longitudinal direction beyond a and 44b, and the locking position of the operating body 6 by the locking portion can be easily changed.

Further, as shown, the slits 45a, 4
If 5b is formed so as to extend in a direction inclined with respect to the longitudinal direction of the main body 2, in the deformation operation of the valve body 5, the operating body 6 is rotated and moved in the distal end direction.
Pressing while applying a twisting force to the valve body 5,
The valve body 5 can be easily compressed and deformed without requiring an excessive force. In the illustrated example, the slits 45a and 45b are formed in the clockwise direction toward the tip direction, but the present invention is not limited to this, and is formed in the counterclockwise direction toward the tip direction. You may.

The height of the convex portions 44a and 44b is not particularly limited, but in consideration of ensuring the engagement between the main body 2 and the operating body 6, it is about 0.5 to 3.0 mm, more preferably 1. 0
It is preferably about 2.0 mm. The height of the protrusion 62 is
0.5 to 3.0 mm for the same reason as the convex portions 44a and 44b
The width of the protrusion 62 is about 0.5 to 4.0 mm, more preferably about 1.0 to 2.0 mm.

The slits 45a and 45b and the projection 6
The number of 2 is not particularly limited, but the protrusions 44a, 4
It is preferable to provide about 2 to 3 pieces at predetermined intervals in consideration of the space in which the 4b and the projection 62 are engaged, the operability when rotating the handle 61, and the like, and the equal intervals in the circumferential direction of the main body 2. It is preferable to provide it. The positions of the protrusions 44a and 44b formed on the cylindrical body 4 and the positions of the protrusions 62 formed on the operating body 6 are shown in FIG. It is set so as to be in a state as shown in FIGS. FIG. 4 is a cross-sectional view showing the vicinity of the valve body 5 for explaining the operation of the valve body 5 and the operating body 6.

In FIG. 4A, the instrument 15 is inserted into the instrument insertion passage 21.
It is shown that the operating body 6 is not inserted into any of the protrusions 44a and 44b. In this state, the operating body 6 does not press the valve body 5 at all, and the instrument 15
Can slide in the valve body 5 without resistance.

FIG. 4B shows that from the state shown in FIG. 4A, the handle 61 is gripped and the operating body 6 is rotated clockwise toward the distal end so that the protrusion 44a and the protrusion 62 are engaged. The combined state is shown. In this state, the operating body 6 presses and deforms the valve body 5 from the base end to reduce the inner diameter thereof, and the valve body 5 becomes the instrument 1
5 is held liquid-tightly and slidably.

In FIG. 4C, from the state shown in FIG. 4B, the handle 61 is gripped and the operating body 6 is further rotated, so that the convex portion 44b is formed.
The state in which the projection 62 is engaged with the projection 62 is shown. In this state, the operating body 6 further presses the valve body 5 from the state shown in FIG. 4B to further compressively deform the valve body 5, whereby the valve body 5 further presses the instrument 15 and slides. Keep disabled,
It is fixed.

Even when the instrument 15 is not inserted into the valve body 5, if the operating body 6 is locked at the position shown in FIG. 4 (c), the valve body 5 will be released as shown in FIG. 4 (d). Deformed and passage 5
1 is completely closed, and the leakage of blood flowing in from the tip of the insertion passage 21 can be reliably prevented.

At the portion of the operating body 6 that is inserted into the instrument insertion passage 21, a convex portion 63 that projects toward the outside of the operating body 6 is formed. The convex portion 63 is provided in a tubular shape in the circumferential direction of the operating body 6, and as shown in FIG.
When 2 is not engaged with any of the protrusions 44a and 44b,
The tip side of the convex portion 46 is provided so as to come into contact with the convex portion 46. As a result, the operation body 6 is restricted from moving from the position where the convex portion 46 and the convex portion 63 are locked to the proximal end side, and is prevented from coming off from the instrument insertion passage 21.

As the convex portion 46 and the convex portion 63,
The configuration is not limited to the configuration in which the end portion 41 and the operating body 6 are formed in the entire circumferential direction. For example, a plurality of end portions 41 and the operating body 6 may be provided at predetermined intervals in the circumferential direction.

The structure of the locking portion in the present invention is not limited to the above-mentioned structure composed of the convex portions 44a and 44b and the protruding portion 62. For example, instead of the convex portions 44a and 44b, the main body 2 in the longitudinal direction can be replaced with each other. Alternatively, the operating body 6 may be locked in stages by providing two recesses spaced apart by a predetermined length and sequentially engaging the protrusions 62 with these recesses. In this case, if a notch (not shown) formed so as to connect these recesses and allowing the protrusion 62 to be slidable is provided, as with the slits 45a and 45b, the operation body 6 is cut. The movement in the longitudinal direction can be smoothly performed.

In addition, for example, the front end of the handle 61 is connected to the protrusion 62.
Notches on both sides of the handle 61 to allow the diameter of the handle 61 to be expanded at the tip,
The protrusion 62 may be pushed over the protrusions 44a and 44b by pushing the handle 61 in the distal direction. Further, in the above-described embodiment, the locking portion is formed on the outer peripheral surface of the main body and the inside of the handle 61, but the locking portion in the present invention is not limited to this, and for example, the longitudinal direction of the main body 2 may be on the inner surface of the instrument insertion passage 21. Forming a plurality of recesses spaced a predetermined length in the direction, and
By forming a convex portion that can be fitted into the concave portion on the outer peripheral surface of the portion of the operating body 6 inserted into the insertion passage 21, and sequentially engaging the convex portion with the concave portion of the instrument insertion passage 21, the operating body 6 May be configured to be locked stepwise.

Further, as the operating body 6, the valve body 5 described above is also used.
Is not limited to the configuration of directly pressing and deforming, for example, as described in Japanese Utility Model Publication No. 53-44870, a pressing member for pressing the valve body 5 is separately provided, and this pressing member is operated by operating the operating body. The valve body 5 may be indirectly deformed by moving the valve body 5.

In the procedure of PTCA using the connector 1 and the guide catheter 10 shown in FIG. 1, when the guide catheter 10 is advanced along the guide catheter guide wire previously inserted into the blood vessel, it is inserted into the blood vessel. When the catheter with the expandable body is advanced in the guide catheter 10 toward the target site, the guide wire or the catheter with the expandable body is guided by operating the operation body 6 to the position shown in FIG. 4B. The above process can be performed in a state where the catheter 10 is liquid-tightly connected and without suffering inadvertent damage. Further, even when the guide wire and the catheter with the expandable body are removed via the guide catheter 10, if the operating body 6 is in the state shown in FIG. 1B, blood will not leak from the connector 1. It can be removed smoothly. Further, when the catheter with the expandable body that has been guided by the guide catheter 10 and has reached the target site is fixed by positioning the expandable body in the stenosis portion, the operating body 6 is operated and shown in FIG. The position allows the catheter with dilator to be secured without damage.

As described above, the connector of the present invention is used for Y for PTCA.
However, the present invention is not limited to this. For example, a connector for connecting a drug administration catheter, a body fluid suction catheter, an endoscope and the like to a thick catheter for guiding these to a target site, It can be used for various applications such as a connector for connecting an endoscope and a treatment tool such as an optical fiber or forceps inserted through the endoscope, and a connector for a hollow puncture needle and a thin tube.

[0049]

As described above, the connector of the present invention is
A connector for liquid-tightly and slidably connecting an instrument used by being inserted into a tubular body to the tubular body, the main body having a tubular body connecting portion at one end, and the connector from the other end of the main body. An instrument insertion passage opening toward the connection portion, a valve body formed of an elastic member provided in the insertion passage, and having a passage extending in the longitudinal direction of the insertion passage, and the valve body, The operating body is screwed in because it has an operating body that deforms from the outside of the main body to reduce the inner diameter of the valve body, and a locking portion that locks the operating body in a stepwise manner with respect to the main body. It is possible to adjust the deformation of the valve body without delicate force and effort, and it is possible to prevent unintentional damage to the instrument due to excessive deformation of the valve body.

[Brief description of drawings]

FIG. 1 is a plan view showing an embodiment of a connector of the present invention.

FIG. 2 is a vertical sectional view of the connector shown in FIG.

FIG. 3 is an enlarged sectional view taken along line II-II of FIG.

FIG. 4 is a cross-sectional view of a main part for explaining the operation of the locking part of the present invention.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 Connector 2 Main body 21 Instrument insertion passage 31 Tube connection parts 44a, 44b Convex portion 5 Valve body 51 Passage 6 Operation body 62 Projection portion

Claims (1)

[Claims] 1. A connector for liquid-tightly and slidably connecting an instrument used by being inserted into a tubular body to the tubular body, the main body having a tubular body connecting portion at one end, and the main body. An instrument insertion passage opening from the other end of the insertion passage toward the connecting portion; and a valve body made of an elastic member that is provided in the insertion passage and has a passage that extends in the longitudinal direction of the insertion passage and opens. A connector including an operating body that deforms the valve body from the outside of the main body to reduce an inner diameter of the valve body, and a locking portion that locks the operating body in a stepwise manner with respect to the main body. .