JPWO2013172104A1 - Catheter assembly - Google Patents

Abstract

The catheter assembly (10) includes an inner tube (42) (protector) that covers at least the needle tip (17) of the inner needle (16) when the inner needle (16) is removed. The inner cylinder (42) has a first part (74) and a second part (76), and an insertion hole (55) is formed between the first part (74) and the second part (76). The In a part of the axial direction of the wall portion forming the insertion hole (55), the first part (74) and the first part are located at a position shifted to the second part (76) side with respect to the center of the insertion hole (55). A boundary part (110) with two parts (76) is provided. With this configuration, even if the inner needle (16) returns backward after the tip of the inner needle (16) is covered with the protector, it is possible to suppress or prevent the inner needle (16) from being exposed from the protector.

Description

  The present invention relates to a catheter assembly that punctures and indwells a blood vessel when, for example, infusion is performed on a patient.

  Conventionally, for example, a catheter assembly is used when infusion is performed on a patient. This type of catheter assembly includes a hollow outer needle (catheter), an outer needle hub (catheter hub) fixed to the proximal end of the outer needle, and an inner needle having a sharp needle tip inserted into the outer needle. A needle and an inner needle hub fixed to the proximal end of the inner needle are provided. When transfusion is performed on a patient using the catheter assembly, the outer needle is punctured into the patient's blood vessel together with the inner needle, and after the puncture, the inner needle is pulled out from the outer needle while the outer needle is punctured into the patient. Next, a connector provided at the end of the infusion tube is connected to the proximal end of the outer needle hub, and the infusion agent is supplied into the blood vessel of the patient via the infusion tube, the outer needle hub, and the outer needle.

  In using such a catheter assembly, after removing the inner needle from the outer needle, the inner needle after removal is covered to prevent the user from inadvertently touching the inner needle having a sharp needle tip. There has been proposed a catheter assembly including a protector that can be used (see, for example, JP-A-2002-126080). Further, in the prior art, in order to prevent the inner needle from protruding from the tip of the protector by moving forward (returning back) in the distal direction after the needle tip of the inner needle is covered by the protector, A configuration is also adopted in which a shutter member that blocks the movement path of the inner needle is disposed in the protector.

  By the way, in order to make it easy to assemble the shutter member into the protector at the time of assembly, a structure of the protector in which a plurality of members are overlapped to form the shutter member arrangement space is conceivable.

  However, in the case of a protector formed by superimposing a plurality of members, when the inner needle returns to the distal direction after the inner needle is covered by the protector, the protector breaks due to the inner needle entering the boundary between the members. There is a concern that the inner needle may be exposed.

  The present invention has been made in consideration of such problems, and a catheter that can suppress or prevent the inner needle from being exposed from the protector even if the inner needle returns backward after the tip of the inner needle is covered by the protector. An object is to provide an assembly.

  In order to achieve the above object, the catheter assembly of the present invention includes an inner needle having a sharp needle tip, a catheter through which the inner needle is inserted, and an insertion hole through which the inner needle can be inserted in the axial direction. And a needle tip protecting member that covers at least the needle tip of the inner needle when the inner needle is removed, and the needle tip protecting member constitutes one side portion with respect to the insertion hole. A first part and a second part constituting the other side, and the first part and the second part overlap each other in a predetermined positional relationship between the first part and the second part. The insertion hole is formed therebetween, and a part of the wall portion forming the insertion hole in the axial direction is shifted to the first part side or the second part side with respect to the center of the insertion hole. A boundary portion between the first part and the second part is provided.

  According to the above configuration, in the part of the needle tip protection member, the boundary portion between the first portion and the second portion is provided at a position shifted (offset) with respect to the center of the insertion hole. It is suppressed or prevented that the needle tip enters between the first part and the second part. As a result, even after the inner needle is removed, even if the inner needle returns backward in the distal direction with respect to the needle tip protecting member, the needle tip protecting member composed of the first part and the second part is broken and the inner needle is exposed. Can be suitably suppressed or prevented.

  In the above catheter assembly, a pair of convex portions projecting on both sides of the insertion hole toward one side of the first portion and the second portion, and the pair of convex portions between the pair of convex portions. A concave / convex portion comprising a concave portion recessed in a direction opposite to the protruding direction of the convex portion is provided, and a groove portion into which the concave / convex portion is inserted is provided on the other of the first portion and the second portion, and the concave / convex portion is provided. A part of the insertion hole may be formed by the portion and the groove portion, and the boundary portion may be formed by a contact surface between a tip surface of the pair of convex portions and a bottom surface of the groove portion.

  According to said structure, it is the simple structure of the fitting structure by the uneven | corrugated | grooved part and groove part which were each provided in the 1st site | part and the 2nd site | part, and the boundary part of a 1st site | part and a 2nd site | part is with respect to the center of an insertion hole. It is easy to construct a structure that is offset.

  In the above catheter assembly, the other of the first part and the second part includes a first position engageable with an outer member disposed outside the needle tip protecting member, and the first position. A stopper that is displaceable to a second position where the engagement with the outer member is released and the penetrating member is inserted into the insertion hole, The groove portion may be provided at a position adjacent to the distal end side of the stopper with respect to the axial direction of the needle tip protecting member.

  According to said structure, the boundary part of a 1st site | part and a 2nd site | part is provided in the position shifted | deviated to the 2nd site | part side provided with the stopper with respect to the center of the insertion hole. For this reason, even if a situation occurs in which the needle tip hits the stopper and gets over the stopper when the inner needle moves backward, the portion where the needle tip comes in contact is at a position shifted from the boundary portion. It can suppress or prevent suitably entering into the mating surface with a 2nd site | part.

  In the above catheter assembly, the pair of convex portions may extend along the axial direction of the needle tip protecting member.

  According to the above configuration, since the boundary portion shifted from the center of the insertion hole can be formed within a certain range in the axial direction, the needle tip further enters the mating surface between the first portion and the second portion. It can be effectively suppressed or prevented.

  In the catheter assembly described above, the needle tip protection member is configured to block a movement path of the inner needle in the needle tip protection member when the inner needle is retracted to a predetermined position with respect to the needle tip protection member. A shutter member that has a shutter housing portion that houses the shutter member, and the shutter housing portion is provided in the first portion and a part of the shutter member is disposed. A first disposition groove and a second disposition groove provided in the second portion where the other portion of the shutter member is disposed, and one of the first portion and the second portion includes the insertion hole. A pair of protruding wall portions that protrude toward the other of the first part and the second part and that are inserted into the first arrangement groove or the second arrangement groove are provided on both sides of the pair of protrusions. The wall portions are mutually opposite in the shutter housing portion. Characterized in that it constitutes a part of the inner wall.

  According to the above configuration, since the pair of projecting wall portions constituting a part of the inner wall of the shutter housing portion is inserted into the first placement groove or the second placement groove in which the shutter member is disposed, The pair of protruding wall portions prevent the needle tip from entering between the first portion and the second portion in the shutter housing portion. Therefore, even after the inner needle is removed, it is possible to suitably prevent the inner needle from being exposed from the outer surface of the shutter housing portion even when the inner needle returns backward in the distal direction with respect to the needle tip protecting member. Further, in the assembly step of arranging the shutter member inside the needle tip protecting member, the arrangement groove (the first arrangement groove or the second arrangement groove) on the side where the protruding wall portion is provided in the first part or the second part. When the shutter member is placed on the shutter member, the shutter member can be stably accommodated in the arrangement groove due to the pair of protruding wall portions, and the assembling workability can be improved.

  In the above catheter assembly, the pair of protruding wall portions may extend from the proximal end side to the distal end side of the shutter accommodating portion.

  According to said structure, since the range which provides a pair of protruding wall part is ensured to some extent in the extension direction of an insertion hole, the protrusion of the inner needle from the outer surface of a shutter accommodating part is prevented more effectively. it can.

  In the catheter assembly, the shutter member is disposed in the shutter housing portion so as to be elastically deformed in a direction intersecting with an overlapping direction of the first part and the second part, The height from the bottom of the arrangement groove or the second arrangement groove to the tip in the protruding direction of the protruding wall may be set to be equal to or greater than the width of the shutter member in the protruding direction.

  According to said structure, in an assembly process which arrange | positions a shutter member in a needlepoint protection member, a shutter member is put in the arrangement | positioning groove | channel on the side in which the protruding wall part was provided among the 1st arrangement | positioning groove | channel and the 2nd arrangement | positioning groove | channel. Then, the tip position in the height direction of the protruding wall portion is the same as or higher than the width direction end portion of the shutter member. Accordingly, when the other part (for example, the second part) is overlapped with the one (for example, the first part) on which the shutter member is placed (for example, the first part) of the first part and the second part, the other part is not caught by the shutter member, Workability can be improved.

  In the catheter assembly described above, the needle tip protecting member may be an integrally molded part in which the proximal ends of the first part and the second part are connected by a hinge portion.

  According to said structure, since it is the structure where 1st site | part and 2nd site | part were integrated by the base end, compared with the case where it consists of several components shape | molded separately, with respect to the crack by the approach of a needle point Resistance can be increased.

  According to the catheter assembly of the present invention, it is possible to suppress or prevent the inner needle from being exposed from the protector even if the inner needle returns backward after the tip of the inner needle is covered with the protector.

It is a perspective view showing the whole catheter assembly composition concerning one embodiment of the present invention. FIG. 2 is a partially omitted longitudinal sectional view of the catheter assembly shown in FIG. 1. 3A is a partially enlarged view of FIG. 2, and FIG. 3B is a partially omitted longitudinal sectional view taken along line IIIB-IIIB in FIG. 3A. 4A is a perspective view of a single inner cylinder, and FIG. 4B is a cross-sectional view taken along line IVB-IVB in FIG. 4A. FIG. 5A is a perspective view of the inner cylinder forming component, and FIG. 5B is a perspective view in which the direction of the inner cylinder forming component shown in FIG. 5A is turned upside down. FIG. 6A is a perspective view of the single outer cylinder as viewed from above the distal end, FIG. 6B is a perspective view of the single outer cylinder as viewed from above the proximal end, and FIG. 6C is a perspective view of the single outer cylinder as viewed from below the proximal end. FIG. 7A is a longitudinal sectional view showing a state where the catheter hub and the protector are separated from each other, and FIG. 7B is a longitudinal sectional view taken along the line VIIB-VIIB in FIG. 7A. It is a longitudinal cross-sectional view which shows the state which the front-end | tip of the inner needle was covered with the protector, and the protector isolate | separated from the catheter hub. FIG. 9A is a diagram showing the relationship between the inner cylinder and the inner needle when the inner needle is retracted to the proximal end side with respect to the stopper, and FIG. 9B is a diagram when the inner needle moves back over the stopper in the distal direction. It is a figure which shows the relationship between an inner cylinder and an inner needle. 10A is a perspective view of an inner cylinder according to a modified example in which the shutter member is accommodated, and FIG. 10B is a cross-sectional view taken along line XB-XB in FIG. 10A. It is a perspective view of the shutter member arrange | positioned at the front end side of the 1st site | part of the inner cylinder which concerns on a modification, and the 1st arrangement | positioning groove | channel of the said 1st site | part.

  DESCRIPTION OF EMBODIMENTS Hereinafter, preferred embodiments of a catheter assembly according to the present invention will be described with reference to the accompanying drawings.

  FIG. 1 is a perspective view showing an overall configuration of a catheter assembly 10 according to the present embodiment. FIG. 2 is a partially omitted longitudinal sectional view of the catheter assembly 10.

  As shown in FIG. 1, the catheter assembly 10 has a tubular catheter 12 that functions as an outer needle, a catheter hub 14 connected to the proximal end of the catheter 12, and a sharp needle tip 17 at the distal end. A tubular inner needle 16 that can be inserted into the interior of the inner needle 12, an inner needle hub 18 connected to the proximal end side of the inner needle 16, and a protector 20 that covers the needle tip 17 of the inner needle 16 when the inner needle 16 is removed. Prepare. The catheter assembly 10 is generally used as follows.

  In the catheter assembly 10, the inner needle hub 18 is gripped by a user (such as a doctor or nurse), and the distal end of the catheter assembly 10 is punctured into the blood vessel of the patient. In an initial state before use (before puncturing the patient), the catheter assembly 10 has a double tube structure in which the inner needle 16 is inserted through the catheter 12, and the inner needle 16 protrudes from the distal end of the catheter 12 by a predetermined length. ing. Hereinafter, the initial state of the catheter assembly 10 may be referred to as a “puncture enabled state”. In the initial state of the catheter assembly 10, the proximal end side of the catheter hub 14 and the distal end side of the inner needle hub 18 are connected via the protector 20.

  In the catheter assembly 10, the catheter 12 and the inner needle 16 constituting the double tube structure are both inserted into a patient's blood vessel in a puncturable state. When the protector 20 is detached from the catheter hub 14 by retreating the inner needle hub 18 in the proximal direction with the position of the catheter 12 maintained after puncturing the patient, the catheter 20 is connected to the inner needle hub 18. The inner needle 16 is also withdrawn integrally and detached from the catheter 12 and the catheter hub 14. As a result, only the catheter 12 and the catheter hub 14 of the catheter assembly 10 are placed on the patient side.

  When the inner needle 16 is removed from the catheter 12, the protector 20 extends in the distal direction with respect to the inner needle hub 18, so that the inner needle 16 is accommodated in the protector 20. Thereby, the exposure of the inner needle 16 to the outside is prevented. After the inner needle 16 is pulled out from the catheter 12, an infusion tube connector (not shown) is connected to the proximal end side of the catheter hub 14, whereby the infusion agent (medicine solution) is supplied from the infusion tube to the patient.

  Hereinafter, the configuration of the catheter assembly 10 will be specifically described.

  The catheter assembly 10 in the puncturable state forms a single assembly by combining the double tube structure of the catheter 12 and the inner needle 16, the catheter hub 14, the protector 20, and the inner needle hub 18, and can be handled integrally. It has become.

  The catheter 12 configured as an outer needle in the catheter assembly 10 is a thin tubular member having flexibility and formed in a predetermined length. Inside the catheter 12, a lumen 12a extends in the axial direction and penetrates. The inner diameter of the lumen 12a is set to a size that allows the inner needle 16 to be inserted.

  As a constituent material of the catheter 12, a resin material, particularly a soft resin material is suitable. In this case, for example, a fluororesin such as polytetrafluoroetherene (PTFE), an ethylene / tetrafluoroetherene copolymer (ETFE), or a belfluoroalkoxy fluororesin (PFA), an olefin resin such as polyethylene or polypropylene, or These mixtures, polyurethane, polyester, polyamide, polyether nylon resin, a mixture of the olefin resin and an ethylene-vinyl acetate copolymer, and the like. The catheter 12 may be made of a resin having transparency so that the whole or a part of the inside can be visually recognized.

  A catheter hub 14 is connected and fixed to the proximal end of the catheter 12. The catheter hub 14 is formed in a tapered cylindrical shape. A caulking pin 22 is disposed inside the distal end portion of the catheter hub 14, and the caulking pin 22 (see FIG. 2) fixes the distal end portion of the catheter hub 14 and the proximal end portion of the catheter 12 in a liquid-tight manner. The A flange portion 24 that protrudes outward and extends in the circumferential direction is provided at the proximal end of the catheter hub 14. Hereinafter, the combined body of the catheter 12 and the catheter hub 14 is referred to as a “catheter member 26”.

  When the catheter assembly 10 is used, the catheter hub 14 is exposed on the patient's skin in a state where the catheter 12 is punctured into a blood vessel, and is stuck on the skin with a tape or the like. Such a catheter hub 14 is preferably made of a material harder than the catheter 12. The constituent material of the catheter hub 14 is not particularly limited. For example, a thermoplastic resin such as polypropylene, polycarbonate, polyamide, polysulfone, polyarylate, and methacrylate-butylene-styrene copolymer can be suitably used. .

  In the present embodiment, the hemostasis valve 28, the seal member 30, and the plug 32 are disposed inside the catheter hub 14.

  The hemostasis valve 28 has a valve portion 29 having a slit formed at the tip thereof. When the hemostasis valve 28 flows into the catheter hub 14 through the lumen of the catheter 12 as the catheter 12 punctures the blood vessel, the catheter hub 14 14 prevents the blood from flowing into the proximal end side of 14.

  The seal member 30 is an annular member made of a material (for example, a porous body) that allows gas flow and blocks liquid flow. When blood flows into the distal end side of the catheter hub 14 through the catheter 12 when the catheter 12 is punctured into the blood vessel, the air present on the distal end side in the catheter hub 14 passes through the seal member 30. It is discharged to the proximal end side in the catheter hub 14. As a result, the distal end side in the catheter hub 14 is filled with liquid (blood). Thereby, mixing of the air to an infusion solution is suppressed.

  The plug 32 is formed in a cylindrical shape, and is arranged so as to be movable in the axial direction within the catheter hub 14. In the initial position shown in FIG. 2 (position before the connector of the infusion tube is connected), the distal end of the plug 32 is located on the proximal end side with respect to the valve portion 29 of the hemostasis valve 28. When the plug 32 is moved in the distal direction by the connector when the catheter hub 14 is connected to the connector of the infusion tube, the plug 32 is connected to the hemostasis valve 28 with elastic deformation of the valve portion 29 provided in the hemostasis valve 28. To penetrate. Thereby, the state which can supply infusion from the infusion line to the blood vessel via the catheter member 26 (the catheter hub 14 and the catheter 12) is formed.

  The inner needle 16 is a tubular member having rigidity capable of puncturing the patient's skin. The inner needle 16 is formed to be sufficiently longer than the catheter 12, and the needle tip 17 projects from the distal end opening of the catheter 12 when the catheter assembly 10 is puncturable (initial state). Further, in the puncture enabled state, the inner needle 16 is inserted into the catheter hub 14 in the middle in the longitudinal direction, and the proximal end side is held inside the inner needle hub 18. As a constituent material of the inner needle 16, for example, a metal material such as stainless steel, aluminum or an aluminum alloy, titanium or a titanium alloy can be cited.

  The inner needle hub 18 constitutes the proximal end side of the catheter assembly 10. The inner needle hub 18 includes a hollow hub body 34 that forms an outer shell that is gripped by a user, and a hollow inner needle holding member 36 that is fitted inside the proximal end of the hub body 34. The hub body 34 is an elongated cylindrical member having a hollow portion having a predetermined volume, and has an appropriate size (thickness) so that the user can easily hold and operate the catheter assembly 10 when using the catheter assembly 10. , Length). A step 34 a having a small diameter at the distal end side and a large diameter at the proximal end side is provided on the inner peripheral portion of the hub body 34 near the distal end.

  The inner needle holding member 36 is fitted and fixed to the proximal end side of the hub main body 34 to fix and hold the proximal end portion of the inner needle 16. The inner needle holding member 36 is formed in a cylindrical shape that gradually decreases in diameter toward the distal end side. The narrowest distal end portion is configured as a holding portion 36 a that holds (fixes and fixes) the proximal end side of the inner needle 16, and the largest diameter proximal end portion is engaged with the inner surface of the hub body 34. It is configured as a part 36b.

  A filter 38 is disposed inside the locking portion 36b. Similar to the seal member 30, the filter 38 is a member that blocks liquid and allows gas to flow. The filter 38 closes the proximal end side of the inner needle holding member 36, thereby forming a flashback chamber 40 inside the inner needle holding member 36. In the flashback chamber 40, the proximal end portion of the inner needle 16 protrudes. For this reason, when the patient is punctured with the inner needle 16 and the catheter 12, blood flows into the flashback chamber 40 through the inner needle 16. The user can determine whether or not the inner needle 16 and the catheter 12 have been normally punctured by the inflow of blood into the flashback chamber 40.

  The protector 20 covers the needle tip 17 of the inner needle 16 by accommodating the inner needle 16 when the inner needle 16 is removed from the catheter 12. As shown in FIG. 2, the protector 20 has an inner cylinder 42 that is releasably engaged with the proximal end of the catheter hub 14, and an axial line within a range in which the inner cylinder 42 is disposed on the inner side and is restricted with respect to the inner cylinder 42. The outer cylinder 62 is relatively displaceable in the direction, and the connecting pipe 64 is inserted into the outer cylinder 62 and slidable in the axial direction with respect to the outer cylinder 62. When the inner needle 16 is removed from the catheter 12, the protector 20 extends to cover the entire length of the inner needle 16 (see FIG. 8).

  The inner cylinder 42 functions as a needle tip protecting member that covers the needle tip 17 of the inner needle 16 as the inner needle 16 is pulled out of the catheter 12. 3A is a partially enlarged view of FIG. 2, and FIG. 3B is a partially omitted longitudinal sectional view taken along line IIIB-IIIB in FIG. 3A. 3A and 3B, illustration of the inner needle hub 18 and the connecting pipe 64 is omitted. 4A is a perspective view of the inner cylinder 42 alone, and FIG. 4B is a cross-sectional view taken along line IVB-IVB in FIG. 4A.

  As shown in FIGS. 3A to 4A, the inner cylinder 42 includes a hollow inner cylinder main body 44 and an arm 46 provided integrally with the outer side of the inner cylinder main body 44. The inner cylinder main body 44 protrudes toward the proximal end side of the shutter accommodating portion 50, the shutter accommodating portion 50 that accommodates the shutter member 48, the distal end cylindrical portion 52 that projects continuously from the distal end side of the shutter accommodating portion 50, and the shutter accommodating portion 50. And a proximal end cylindrical portion 54 connected thereto. The inner cylinder main body 44 is provided with an insertion hole 55 through which the inner needle 16 can be inserted while penetrating in the axial direction.

  Here, the shutter member 48 accommodated in the shutter accommodating part 50 is demonstrated. As shown in FIG. 3B, the shutter member 48 is an elastic member formed by bending a plate-like member into a V shape, and the shutter accommodating portion is in a state where the apex of the V shape is directed to the distal end side of the inner cylinder 42. 50 is disposed in an internal space 50 a formed in the interior 50. The internal space 50a constitutes a part of the insertion hole 55 through which the inner needle 16 can be inserted.

  In the initial state of the catheter assembly 10, the inner needle 16 penetrates the inner space 50 a back and forth, and in this state, the shutter member 48 is elastically compressed and deformed by pressing from the side surface of the inner needle 16, and closes small. It is assumed that Examples of the constituent material of the shutter member 48 include pseudo-elastic alloys (including superelastic alloys) such as Ni-Ti alloys, shape memory alloys, stainless steel, cobalt alloys, noble metals such as gold and platinum, tungsten. Examples thereof include carbon alloys and carbon materials.

  As shown in FIGS. 3A and 3B, the distal end cylindrical portion 52 has a cylindrical shape, and is fitted into the proximal end of the catheter hub 14 in a state where the catheter hub 14 and the inner cylinder 42 are engaged (connected). The hollow portion 52a of the distal end cylindrical portion 52 constitutes a part of the insertion hole 55 through which the inner needle 16 can be inserted.

  The proximal end cylinder part 54 is a tubular body that is longer than the distal end cylinder part 52. The hollow portion 54a of the proximal end cylindrical portion 54 constitutes a part of the insertion hole 55 through which the inner needle 16 can be inserted. The hollow portion 52a of the distal end tubular portion 52 and the hollow portion 54a of the proximal end tubular portion 54 are provided on the same straight line and communicate with each other via the internal space 50a.

  As shown in FIG. 3A and FIG. 4A, a first protrusion 56 and a second protrusion 58 that are spaced apart from each other in the axial direction are provided on the outer peripheral portion of the proximal end cylinder portion 54. In the present embodiment, a pair of first protrusions 56 are provided at locations on the opposite sides (locations where the phase is shifted by 180 degrees) on the outer peripheral portion of the proximal end cylindrical portion 54. Similarly, a pair of second projecting portions 58 are provided at locations on the opposite sides of the outer peripheral portion of the proximal end tubular portion 54. The protrusion height of the second protrusion 58 is lower than the protrusion height of the first protrusion 56.

  As shown in FIGS. 3A and 3B, a side hole 60 that communicates the inside and outside of the base end cylinder part 54 is provided at a location near the tip of the base end cylinder part 54. Further, as shown in FIG. 3A, a groove 75 is provided at a location facing the side hole 60 in the proximal end cylindrical portion 54. As shown in FIG. 2, the inner cylinder 42 is disposed so as to face the insertion hole 55 (specifically, the hollow part 54 a provided in the proximal end cylinder part 54) and can be released from the outer cylinder 62. A stopper 66 is provided to engage with the stopper 66.

  The stopper 66 is a first position (see FIG. 3A) that can be engaged with the outer cylinder 62 disposed on the outer side of the inner cylinder 42, and an inner cylinder 42 position relative to the first position. It can be displaced to a second position (see FIG. 7A) that is disengaged from 62 and enters the insertion hole 55. In the present embodiment, the stopper 66 is disposed in the side hole 60 and is formed integrally with the proximal end tubular portion 54 via the hinge portion 68. The hinge portion 68 is an elastically deformable portion interposed between the stopper 66 and the proximal end cylindrical portion 54.

  In a state in which the needle tip 17 of the inner needle 16 is positioned on the distal end side with respect to the stopper 66, the stopper 66 is pressed outward by the inner needle 16 and engaged with the outer cylinder 62, so that the outer cylinder 62 becomes the inner cylinder 42. On the other hand, it is prevented from retreating. On the other hand, when the needle tip 17 of the inner needle 16 moves to the proximal end side with respect to the stopper 66, the stopper 66 is displaced inward and the engagement with the outer cylinder 62 is released, so that the outer cylinder 62 is disengaged from the inner cylinder. 42 can move backward.

  The arms 46 are releasably engaged with the proximal end of the catheter hub 14 from the outside, and in this embodiment, a pair of arms 46 are provided on the left and right side surfaces of the shutter accommodating portion 50. Specifically, as shown in FIGS. 3B and 4A, each arm 46 includes a support portion 69 that protrudes outward from the left and right side surfaces of the shutter housing portion 50, and an inner cylinder body that is connected to the outer end of the support portion 69. 44 has an arm base portion 70 extending in parallel with the axial direction of 44 and an engagement end portion 72 connected to the tip side of the arm base portion 70. Since the base end of the arm base portion 70 protrudes in the base end direction from the support portion 69, the length in the axial direction can be increased accordingly. An engaging claw 73 that can be engaged with the flange of the catheter hub 14 is integrally provided inside the distal end of the engaging end 72.

  As shown in FIG. 4A, in a natural state where no external force is applied, the engagement end 72 is inclined so as to spread outward in the distal direction, and the engagement end 72 and the arm base 70 are The connecting portion is elastically deformed so that it can be displaced in a direction perpendicular to the axis of the inner cylinder main body 44. The operation of the arm 46 will be described in the explanation part of the relationship between the inner cylinder 42 and the outer cylinder 62.

  In the present embodiment, the inner cylinder 42 is formed by bending the inner cylinder forming component 100 shown in FIG. 5A in half at an intermediate position in the longitudinal direction. That is, the inner cylinder 42 has a first portion 74 that constitutes one side (upper part in the illustrated example) and a second part that constitutes the other side (lower part in the illustrated example) with reference to the axis (lumen). A part 76 is an integrally molded part in which the base ends of the first part 74 and the second part 76 are connected by a hinge portion 78. The insertion hole 55 is formed between the first part 74 and the second part 76 by overlapping the first part 74 and the second part 76 in a predetermined positional relationship. 5B is a perspective view in which the direction of the inner cylinder forming component 100 shown in FIG. 5A is turned upside down.

  In the present embodiment, the shutter member 48 described above is disposed in the internal space 50 a of the inner cylinder 42 in a direction that elastically deforms in a direction perpendicular to the overlapping direction of the first portion 74 and the second portion 76. Yes. For this reason, the shutter member 48 does not press the first part 74 and the second part 76 in the direction in which they are separated from each other, and the inner needle 16 is moved after the needle tip 17 of the inner needle 16 is accommodated in the inner cylinder 42. Even when the shutter member 48 is pressed against the inner needle 16 by reversing back in the distal direction, the inner cylinder 42 is not broken.

  In the present embodiment, the first part 74 mainly constitutes the upper side of the inner cylinder 42, the second part 76 mainly constitutes the lower side of the inner cylinder 42, and the pair of arms 46 described above are configured by the first part 74. The stopper 66 is provided at the second portion 76. The pair of arms 46 may be provided in the second portion 76 that constitutes the lower side portion. The stopper 66 may be provided in the first portion 74 constituting the upper side portion. One of the pair of first protrusions 56 is provided in the first part 74, and the other of the pair of first protrusions 56 is provided in the second part 76. One of the pair of second protrusions 58 is provided in the first part 74, and the other of the pair of second protrusions 58 is provided in the second part 76.

  As shown in FIG. 3A, in the inner cylinder 42, a part of the wall portion forming the insertion hole 55 in the axial direction has a first position shifted to the second portion 76 side with respect to the center of the insertion hole 55. A boundary 110 between the part 74 and the second part 76 is provided. As shown in FIG. 5B, the first portion 74 has a pair of convex portions 112 protruding on both sides of the insertion hole 55 toward the second portion 76, and the protrusion 112 protrudes between the pair of convex portions 112. A concave / convex portion 114 including a concave portion 113 recessed in a direction opposite to the direction is provided. The recess 113 extends along the axial direction of the inner cylinder 42. Moreover, as shown to FIG. 5A, the groove part 115 in which the uneven | corrugated | grooved part 114 is inserted in the 2nd site | part 76 is provided.

  Here, FIG. 4B is a cross-sectional view taken along line IVB-IVB in FIG. 4A. A portion of the insertion hole 55 that penetrates the inner cylinder 42 in the axial direction is formed by the uneven portion 114 and the groove portion 115. As shown in FIG. 4B, the boundary portion 110 shifted (offset) to the second portion 76 side with respect to the center of the insertion hole 55 due to the contact surface between the front end surface 112a of the convex portion 112 and the bottom surface 115a of the groove portion 115. It is formed. When the stopper 66 is provided in the first part 74, the groove part 115 may be provided in the first part 74 and the uneven part 114 may be provided in the second part 76. In this case, the boundary part 110 between the first part 74 and the second part 76 is provided at a position shifted to the first part 74 side with respect to the center of the insertion hole 55.

  The concavo-convex portion 114 and the groove portion 115 are provided at a position adjacent to the distal end side of the stopper 66 in the axial direction of the inner cylinder 42 and between the internal space 50 a and the stopper 66. That is, the boundary portion 110 that is shifted from the center of the insertion hole 55 is provided in the inner cylinder 42 on the tip side of the stopper 66 and in the vicinity of the stopper 66. The insertion hole 55 at a position closer to the distal end than the stopper 66 and in the vicinity of the stopper 66 is formed after the needle tip 17 of the inner needle 16 is accommodated on the proximal end side in the inner cylinder 42 as will be described later. When the inner needle 16 returns in the distal direction, it is the portion that reaches the first after overcoming the stopper 66.

  As shown in FIGS. 3A and 3B, the outer cylinder 62 includes an arm accommodating portion 80 that can accommodate the arm 46 and a cylindrical portion 82 that protrudes from the base end side of the arm accommodating portion 80. The outer cylinder 62 corresponds to an outer member disposed outside the inner cylinder 42 that functions as an outer needle protection member. Here, FIG. 6A is a perspective view of the outer cylinder 62 alone as seen from above the distal end, FIG. 6B is a perspective view of the outer cylinder 62 alone as seen from above the proximal end, and FIG. 6C is a perspective view of the outer cylinder 62 alone. It is the perspective view which looked at from the base end lower part.

  As shown in FIGS. 6A to 6C, the arm accommodating portion 80 is formed in a box shape with an upper portion and a tip portion opened. When the catheter assembly 10 is puncturable, the proximal end of the catheter hub 14 and the distal end side of the inner cylinder 42 (the pair of arms 46 and the shutter accommodating portion 50) are disposed inside the arm accommodating portion 80. As shown in FIG. 6A, guide grooves 84 that slidably guide the arm 46 of the inner cylinder 42 are formed along the axial direction of the outer cylinder 62 on the inner side surfaces of the left and right sides of the arm accommodating portion 80. . Each guide groove 84 opens to the distal end side of the arm accommodating portion 80.

  As shown in FIG. 6C, an opening 86 penetrating in the axial direction of the outer cylinder 62 is provided at the upper and lower portions of the base end of the arm housing portion 80. A tubular portion 82 of the outer tube 62 is formed with a lumen 82a that communicates with the inside of the arm housing portion 80 in the axial direction. A pair of elongated slits 90 penetrating the inside and the outside of the tubular portion 82 are provided along the axial direction of the tubular portion 82 at the upper and lower portions near the tip of the tubular portion 82.

  As shown in FIGS. 6B and 6C, a pair of engaging portions 92 is provided at the tip of the cylindrical portion 82 corresponding to the pair of slits 90. The pair of engaging portions 92 are provided so as to protrude into an opening 86 provided at the base end of the arm accommodating portion 80. The engaging portion 92 can be elastically deformed outward when a pressing force from the inside acts. An outer hook 94 that protrudes outward and extends in the circumferential direction is provided on the outer surface of the base end of the outer cylinder 62.

  Next, the relationship (connected state) between the inner cylinder 42 and the outer cylinder 62 configured as described above will be described. As shown in FIG. 3A, the proximal end cylindrical portion 54 of the inner cylinder 42 is inserted into the cylindrical portion 82 of the outer cylinder 62, and the first protrusion 56 and the second protrusion 58 provided on the inner cylinder 42 are: It is inserted into a pair of slits 90 provided in the outer cylinder 62. In the state where the catheter assembly 10 can be punctured (initial state), the stopper 66 is inserted into the lower slit 90 under the pressing action of the inner needle 16 in the outward direction, and is engaged with the outer cylinder 62. Since it is engaged with the portion 92, the displacement of the outer cylinder 62 in the proximal direction relative to the inner cylinder 42 is restricted. Displacement in the distal direction of the outer cylinder 62 with respect to the inner cylinder 42 is regulated by the rear wall of the arm accommodating portion 80 and the proximal end of the shutter accommodating portion 50 coming into contact with each other. Further, in this state, as shown in FIG. 3B, the arm 46 provided on the inner cylinder 42 is located in the arm accommodating portion 80 of the outer cylinder 62, so that the elastic force is exerted by the inner wall of the arm accommodating portion 80. Accordingly, the expansion of the arm 46 is prevented and the arm 46 is closed.

  On the other hand, when the inner needle 16 moves to the proximal end side with respect to the stopper 66, the stopper 66 is displaced inward and the engagement between the stopper 66 and the engaging portion 92 is released. The outer cylinder 62 can be displaced in the proximal direction. Since the base end of the arm base portion 70 protrudes in the base end direction more than the support portion 69, the arm base portion 70 can have a larger length in the axial direction. Therefore, in combination with the guide action by the guide groove 84, The relative movement between 42 and the outer cylinder 62 can be made smooth.

  Here, FIG. 7A is a longitudinal sectional view showing a state where the catheter hub 14 and the protector 20 are separated, and FIG. 7B is a longitudinal sectional view taken along the line VIIB-VIIB in FIG. 7A.

  As shown in FIG. 7A, when the outer cylinder 62 is displaced in the proximal direction with respect to the inner cylinder 42, the first protrusions 56 provided on the inner cylinder 42 are brought into engagement portions 92 provided on the outer cylinder 62. By the contact, the displacement of the outer cylinder 62 in the proximal direction with respect to the inner cylinder 42 is restricted. Further, in this case, as shown in FIG. 7B, the engagement end portion 72 of the arm 46 protrudes from the arm housing portion 80 in the distal direction, so that the restriction on the expansion of the arm 46 by the arm housing portion 80 is released. . As a result, the arm 46 is displaced outward (expanded) by the elastic restoring force.

  As shown in FIG. 2, the connecting pipe 64 has a lumen 64 a that can accommodate the cylindrical portion 82 of the outer cylinder 62, and is assembled so as to be slidable relative to the outer cylinder 62. An inner hook 96 that protrudes inward and extends in the circumferential direction is provided on the inner surface near the tip of the connecting pipe 64. The inner hook 96 can be engaged with an outer hook 94 provided on the outer cylinder 62. An outer hook 98 that protrudes outward and extends in the circumferential direction is provided on the outer surface of the proximal end portion of the connecting pipe 64. The outer hook 98 can be engaged with a step 34 a provided on the inner peripheral portion of the hub body 34.

  The material constituting each member (the hub main body 34, the inner needle holding member 36, the inner cylinder 42, the outer cylinder 62, the connecting pipe 64) of the inner needle hub 18 and the protector 20 described above is not particularly limited. What was mentioned by description of the catheter hub 14 is applicable. In this case, all the members may be formed of the same material, or may be formed of a different material for each member.

  The catheter assembly 10 according to the present embodiment is basically configured as described above, and its operation and effects will be described below.

  As shown in FIG. 2, in the initial state of the catheter assembly 10 (a punctureable state), the inner needle 16 is inserted into the catheter 12, and the needle tip 17 protrudes from the distal end of the catheter 12 by a predetermined length, and the distal end of the inner cylinder 42. The cylindrical portion 52 is inserted into the proximal end of the catheter hub 14, and the outer cylinder 62 moves to the most distal side within the movable range with respect to the inner cylinder 42. Further, as shown in FIG. 3B, the pair of arms 46 provided on the inner cylinder 42 is in a closed state by being positioned in the arm accommodating portion 80 of the outer cylinder 62. The pair of closed arms 46 are engaged with the flange portion 24 of the catheter hub 14, thereby preventing the catheter hub 14 from being separated from the protector 20 including the inner cylinder 42.

  In addition, as shown in FIG. 2, in the initial state of the catheter assembly 10 (in a puncture enabled state), the needle tip 17 of the inner needle 16 is located on the distal side of the stopper 66, and the stopper 66 is the proximal end of the inner cylinder 42. The outer cylinder 62 is prevented from moving in the proximal direction with respect to the inner cylinder 42 by protruding outward from the cylinder section 54 and engaging with the engaging portion 92 of the outer cylinder 62. Further, the connecting pipe 64 is inserted into the inner needle hub 18 to the maximum, and the tubular portion 82 of the outer cylinder 62 is inserted into the connecting pipe 64 to the maximum. In this state, the arm accommodating portion 80 is inserted on the distal end side of the inner needle hub 18. The shutter member 48 is accommodated in an elastically deformed state by the inner needle 16 so as to approach one side of the internal space 50a.

  In the catheter assembly 10, the inner needle hub 18 is gripped by a user (doctor, nurse, or the like) in a puncturable state, and the catheter 12 and the inner needle 16 are punctured into the blood vessel of the patient. After puncturing, a detachment operation (extraction operation of the inner needle 16) for detaching the combined body (hereinafter referred to as "inner needle unit 21") composed of the inner needle 16, the inner needle hub 18 and the protector 20 from the catheter member 26 is performed. Is done.

  In the detachment operation, the inner needle hub 18 is moved backward in the proximal direction while the position of the catheter member 26 is maintained. Then, the inner needle 16 held by the inner needle holding member 36 constituting the inner needle hub 18 starts to move backward with respect to the catheter 12. On the other hand, the protector 20 is not displaced with respect to the catheter member 26 (movement stopped state) until the inner needle 16 is moved backward by a predetermined amount.

  When the inner needle hub 18 is moved backward by a predetermined amount, the step 34a (see FIG. 2) provided on the distal end side of the hub main body 34 engages with the outer hook 98 on the proximal end side of the connecting pipe 64. With the backward movement, the connecting pipe 64 also moves backward. When the hub body 34 further moves backward, the inner hook 96 on the distal end side of the connecting pipe 64 engages with the outer hook 94 on the proximal end side of the tubular portion 82. In this state, the outer cylinder 62, the connecting pipe 64, and the inner needle hub 18 are extended to the maximum. Further, in this state, since the inner needle hub 18 moves backward with respect to the connecting pipe 64 and the protector 20 extends as the connecting pipe 64 moves backward with respect to the outer cylinder 62, it is shown in FIG. Thus, the inner needle 16 is covered by the inner needle hub 18 and the protector 20 over the entire length.

  On the other hand, in the process in which the inner needle hub 18 moves backward with respect to the catheter member 26, the inner needle 16 also moves backward with respect to the inner cylinder 42. At that time, when the needle tip 17 (see FIG. 2) of the inner needle 16 moves to the proximal end side with respect to the shutter member 48 disposed in the inner cylinder 42, the expansion is restricted by the pressure from the inner needle 16. The shutter member 48 expands in the internal space 50a by an elastic restoring force (see the shutter member 48 in the state shown in FIG. 7B). As a result, the movement path of the inner needle 16 in the inner space 50a is interrupted, so that the needle tip 17 of the inner needle 16 is prevented from protruding again from the tip of the inner cylinder 42. However, at this time, the arm 46 provided on the inner cylinder 42 is still closed, and the engagement between the inner cylinder 42 and the catheter hub 14 is maintained.

  When the inner needle 16 further moves backward in the inner cylinder 42 and the needle tip 17 moves to the proximal end side with respect to the stopper 66 provided in the inner cylinder 42, the stopper 66 is released from the pressure from the inner needle 16. Thus, the stopper 66 is displaced inward of the inner cylinder 42 by the elastic restoring force of the hinge portion 68 (see the stopper 66 in the state shown in FIG. 7A). When the stopper 66 is displaced inward of the inner cylinder 42, the engagement between the stopper 66 and the engaging portion 92 provided on the outer cylinder 62 is released, so that the outer cylinder 62 moves toward the proximal direction of the inner cylinder 42. Displacement is possible. For this reason, when the outer cylinder 62, the connecting pipe 64, and the inner needle hub 18 are relatively displaced in the axial direction and extended to the maximum, the inner needle hub 18 is further moved in the proximal direction, so that the outer cylinder 62 is moved to the inner cylinder 42. To the proximal direction.

  7B, when the engagement end portion 72 of the arm 46 protrudes from the arm housing portion 80 in the distal direction, the restriction on the expansion of the arm 46 by the arm housing portion 80 is released. Therefore, the arm 46 is actively displaced outward (expanded) by the elastic restoring force. As a result, the engagement between the arm 46 provided on the inner cylinder 42 and the flange portion 24 provided on the catheter hub 14 is released, so that the inner cylinder 18 moves in the proximal direction as the inner needle hub 18 moves in the proximal direction. 42 separates from the catheter hub 14. Then, the inner needle 16 connected to the inner needle hub 18 is also pulled out from the catheter 12, and the inner needle unit 21 is detached from the catheter member 26. As a result, the inner needle unit 21 is separated from the catheter member 26, and only the catheter member 26 of the catheter assembly 10 is placed on the patient side.

  In a state where the inner needle unit 21 is separated from the catheter member 26, the entire length of the inner needle 16 is accommodated in the protector 20 and the inner needle hub 18, and the needle tip 17 of the inner needle 16 is covered. On the other hand, after the inner needle 16 is pulled out from the catheter 12, an infusion solution connector (medical solution) is supplied from the infusion tube to the patient by connecting an infusion tube connector (not shown) to the proximal end side of the catheter hub 14. .

  By the way, in the use of the catheter assembly 10 configured as described above, when the inner needle 16 is removed from the catheter 12, that is, when the protector 20 (inner cylinder 42) is detached from the catheter hub 14, FIG. As shown, the needle tip 17 is disposed on the proximal end side in the inner cylinder 42. However, in this state, the inner needle 16 can move in the axial direction within a certain range with respect to the inner cylinder 42, and until the needle tip 17 is prevented from moving by the shutter member 48, the inner needle 16 can move. 16 can move forward with respect to the inner cylinder 42, that is, can move back in the distal direction.

  For this reason, as shown in FIG. 9B, the inner needle 16 may move over the stopper 66 and move forward with respect to the inner cylinder 42. In this case, in the inner cylinder 42, the boundary portion 110 between the first portion 74 and the second portion 76 is formed by the fitting structure including the uneven portion 114 and the groove portion 115 provided adjacent to the tip end side of the stopper 66. In this embodiment, it is provided at a position shifted from the center of the insertion hole 55 (position shifted to the second portion 76 side in this embodiment). For this reason, the boundary part 110 between the 1st site | part 74 and the 2nd site | part 76 does not exist in the part which the needle point 17 of the inner needle 16 contacts. Therefore, the needle tip 17 does not enter the mating surface between the first part 74 and the second part 76.

  As described above, according to the catheter assembly 10 according to the present embodiment, a part of the inner tube 42 (needle tip protection member) is displaced (offset) from the center of the insertion hole 55. Since the boundary portion 110 between the first portion 74 and the second portion 76 is provided, it is possible to suppress or prevent the needle tip 17 from entering between the first portion 74 and the second portion 76. Thereby, after the inner needle 16 is removed, it is preferable that when the inner needle 16 returns backward in the distal direction, the inner cylinder 42 composed of the first portion 74 and the second portion 76 is broken and the inner needle 16 is exposed. It can be suppressed or prevented.

  In particular, in the case of the present embodiment, a part of the insertion hole 55 is configured by the uneven portion 114 and the groove portion 115 provided in the inner cylinder 42, and the contact surface between the tip surface 112 a of the convex portion 112 and the bottom surface 115 a of the groove portion 115. Thus, the boundary portion 110 is formed at a position shifted from the center of the insertion hole 55 (see FIG. 4B). As a result, the boundary 110 between the first part 74 and the second part 76 is inserted into the insertion hole 55 with a simple structure of a fitting structure by the concave and convex parts 114 and the groove part 115 provided in the first part 74 and the second part 76, respectively. A structure shifted from the center of the can be easily constructed.

  In the case of the present embodiment, the second portion 76 has a first position engageable with an outer cylinder 62 (outer member) disposed outside the inner cylinder 42, and the inner cylinder 42 than the first position. Is provided with a stopper 66 that can be displaced to a second position where the engagement with the outer cylinder 62 is released and the insertion into the insertion hole 55 is made. It is provided at a position adjacent to the tip end side of the stopper 66 in the axial direction of 42. Thereby, the boundary part 110 between the first part 74 and the second part 76 is provided at a position shifted to the second part 76 side where the stopper 66 is provided with respect to the center of the insertion hole 55. For this reason, even if a situation (see FIG. 9B) occurs when the needle tip 17 hits the stopper 66 and moves over the stopper 66 when the inner needle 16 returns, the portion where the needle tip 17 contacts is a position shifted from the boundary portion 110. Therefore, it is possible to suitably suppress or prevent the needle tip 17 from entering the mating surface between the first portion 74 and the second portion 76.

  Furthermore, in the case of this embodiment, a pair of convex part 112 extends along the axial direction of the inner cylinder 42 (refer FIG. 3B and FIG. 5B). According to this configuration, since the boundary portion 110 that is shifted from the center of the insertion hole 55 can be formed in a certain extent in the axial direction, the needle tip 17 is formed on the mating surface between the first portion 74 and the second portion 76. Intrusion can be more effectively suppressed or prevented.

  Furthermore, in the case of this embodiment, the inner cylinder 42 is an integrally molded part in which the base ends of the first part 74 and the second part 76 are connected by a hinge part 78. That is, since the first portion 74 and the second portion 76 are integrated at the proximal end, the resistance to cracking due to the entry of the needle tip 17 is greater than in the case of a plurality of individually molded parts. Can be increased.

  In the catheter assembly 10 described above, instead of the inner cylinder 42, an inner cylinder 42a according to a modification shown in FIGS. 10A and 10B may be employed. 10A is a perspective view of an inner cylinder 42a according to a modified example in which the accommodated shutter member 48 is accommodated, and FIG. 10B is a cross-sectional view taken along line XB-XB in FIG. 10A.

  The inner cylinder 42a according to the modified example is different from the inner cylinder 42 illustrated in FIG. 4A and the like in that a pair of projecting wall portions 120 are provided in the first portion 74. Specifically, as shown in FIG. 10B, the first portion 74 of the inner cylinder 42a is provided with a first arrangement groove 118 (see also FIG. 11) in which a part of the shutter member 48 is arranged, and the second The part 76 is provided with a second arrangement groove 119 in which the other part of the shutter member 48 is arranged. In the illustrated example, the pair of protruding wall portions 120 are provided in the first portion 74.

  The pair of protruding wall portions 120 protrude from the left and right sides of the opening of the first arrangement groove 118 in the first portion 74 toward the second portion 76 side, face each other, and are inserted into the second arrangement groove 119. ing. That is, the pair of projecting wall portions 120 are located on both sides of the insertion hole 55 and constitute a part of the inner walls facing each other in the shutter accommodating portion 50. In the illustrated example, each protruding wall portion 120 is formed to be continuous with the left and right inner side surfaces 118 b of the first arrangement groove 118. Further, in the illustrated example, the tip 120a in the protruding direction of the protruding wall 120 is in contact with the bottom 119b of the second arrangement groove 119, but the tip 120a of the protruding wall 120 and the second arrangement groove 119 are in contact with each other. A slight gap may exist between the bottom portion 119a.

  In addition, a pair of protruding wall part 120 may be provided in the 2nd site | part 76 side. In this case, the pair of projecting wall portions 120 protrude from the left and right sides of the opening of the second arrangement groove 119 toward the first portion 74 side and are inserted into the first arrangement groove 118.

  Similar to the embodiment described above, the shutter member 48 is elastic in a direction intersecting with the overlapping direction of the first portion 74 and the second portion 76 (in the illustrated example, a direction substantially perpendicular to the overlapping direction). It arrange | positions in the shutter accommodating part 50 so that it may deform | transform. Further, the V-shaped apex of the shutter member 48 faces the front end side of the inner cylinder 42a.

  As shown in FIG. 10B, the first portion 74 is provided with a pair of engagement pieces 122 (see also FIG. 11) having an opening 122 a outside the first arrangement groove 118. A pair of engagement claws 124 that engage with the engagement piece 122 through the opening 122a are provided outside the second arrangement groove 119. Due to the engagement between the engagement piece 122 and the engagement claw 124, the state where the first portion 74 and the second portion 76 overlap (the state where the inner cylinder 42a is closed) is maintained. Unlike the illustrated example, the engaging claw 124 may be provided in the first portion 74 and the engaging piece 122 may be provided in the second portion 76. Although not illustrated in FIG. 4A and the like according to the above-described embodiment, the inner cylinder 42 is provided with the same engagement piece 122 and engagement claw 124.

  The height H from the bottom 118a of the first arrangement groove 118 to the tip 120a in the protruding direction of the protruding wall 120 is preferably set to be equal to or greater than the width W of the shutter member 48 in the protruding direction. In the illustrated example, the height H is slightly larger than the width W of the shutter member 48. When the pair of protruding wall portions 120 are provided not in the first portion 74 but in the second portion 76, from the bottom portion 119b of the second arrangement groove 119 to the tip 120a in the protruding direction of the protruding wall portion 120. Is preferably set to be equal to or greater than the width W of the shutter member 48 in the protruding direction.

  FIG. 11 is a perspective view of the shutter member 48 disposed in the distal end side of the first portion 74 of the inner cylinder 42 a and the first disposition groove 118 of the first portion 74. As shown in FIG. 11, the pair of protruding wall portions 120 extends from the proximal end side of the shutter accommodating portion 50 toward the distal end side. In the illustrated example, the pair of projecting wall portions 120 are not parallel to each other, and are slightly inclined with respect to the axial direction of the inner cylinder 42a so that the distance from each other decreases toward the distal end direction of the inner cylinder 42a. Is provided. Note that the pair of protruding wall portions 120 may be provided in parallel to each other, or may be provided so as to be inclined so that the distance from each other becomes narrower toward the base end direction of the inner cylinder 42a.

  In the catheter assembly 10, when the inner cylinder 42 a configured as described above is adopted, the shutter member 48 is disposed on the pair of protruding wall portions 120 that constitute a part of the opposed inner walls of the shutter accommodating portion 50. The first housing groove 118 and the second housing groove 119 are inserted into one of the first housing groove 118 and the second housing groove 119 (second housing groove 119 in the illustrated example). The needle tip 17 is prevented from entering between the first part 74 and the second part 76.

  That is, in the shutter housing portion 50, since the pair of protruding wall portions 120 exist on both sides of the movement path of the inner needle 16, the boundary between the first portion 74 and the second portion 76 in the shutter housing portion 50 is an insertion hole. The protruding wall portion 120 functions as a barrier against the entry of the needle tip 19 while shifting to a position offset from the center of 55.

  Therefore, after the inner needle 16 is removed, that is, after the inner needle 16 is retracted to the proximal side with respect to the inner cylinder 42a and the shutter member 48 is elastically restored and expanded, the inner needle Even when 16 is returned in the distal direction with respect to the inner cylinder 42a, it is possible to suitably prevent the inner needle 16 from being exposed from the outer surface of the shutter accommodating portion 50.

  In the illustrated example, the pair of protruding wall portions 120 extend from the proximal end side toward the distal end side of the shutter accommodating portion 50, and therefore the range in which the pair of protruding wall portions 120 are provided is an insertion hole. 55 is secured to some extent in the extending direction. Therefore, the protrusion of the inner needle 16 from the outer surface of the shutter accommodating portion 50 can be more effectively prevented.

  By the way, when the pair of projecting wall portions 120 are provided in the first portion 74 as in the illustrated example, in the assembly process of disposing the shutter member 48 inside the inner cylinder 42a, first, as shown in FIG. With the opening of the first arrangement groove 118 facing upward, the shutter member 48 is placed (inserted) in the first arrangement groove 118 in a predetermined direction. In this case, since the pair of protruding wall portions 120 are provided on both sides of the shutter member 48, the shutter member 48 can be stably arranged in the first arrangement groove 118, and the assembling workability can be improved.

  Next, the second portion 76 is overlapped with the first portion 74, whereby the inner cylinder 42a in which the shutter member 48 is accommodated is completed. In this case, when the height H of the projecting wall 120 is the same as or larger than the width W of the shutter member 48 as in the illustrated example, the shutter member 48 is placed in the first arrangement groove 118 as shown in FIG. In the placed state, the position of the tip 120a in the height direction of the projecting wall 120 is the same as or higher than the end of the shutter member 48 in the width direction. Therefore, when the second portion 76 is overlapped with the first portion 74, the second portion 76 is not caught by the shutter member 48, and the assembly workability can be improved.

  When the pair of protruding wall portions 120 are provided in the second portion 76, the shutter member 48 can be stably accommodated in the second arrangement groove 119 by placing the shutter member 48 in the second arrangement groove 119. In addition, when the first portion 74 is overlapped with the second portion 76 on which the shutter member 48 is placed in the second arrangement groove 119, the first portion 74 is not caught by the shutter member 48, and the assembly workability is improved. Can be improved.

  In the above description, the present invention has been described with reference to preferred embodiments. However, the present invention is not limited to the above-described embodiments, and various modifications can be made without departing from the scope of the present invention. Yes.

Claims (8)

An inner needle (16) having a sharp needle tip (17) at the tip;
A catheter (12) through which the inner needle (16) is inserted;
An insertion hole (55) through which the inner needle (16) can be inserted is formed in the axial direction, and the needle tip protection covers at least the needle tip (17) of the inner needle (16) when the inner needle (16) is removed. A member (42),
The needle tip protecting member (42) includes a first portion (74) constituting one side portion with respect to the insertion hole (55) and a second portion (76) constituting the other side portion. Have
The insertion hole (55) is formed between the first part (74) and the second part (76) by overlapping the first part (74) and the second part (76) in a predetermined positional relationship. Formed,
A part of the wall portion forming the insertion hole (55) in the axial direction is displaced toward the first part (74) side or the second part (76) side with respect to the center of the insertion hole (55). A boundary portion (110) between the first part (74) and the second part (76) is provided at a position,
A catheter assembly (10) characterized in that. The catheter assembly (10) of claim 1,
One of the first part (74) and the second part (76) has a pair of protrusions (112) projecting on both sides of the insertion hole (55) toward the other side, and the pair of protrusions An uneven portion (114) is provided between the portions (112), and is formed of a recessed portion (113) that is recessed in a direction opposite to the protruding direction of the protruding portion (112).
A groove (115) into which the concave and convex portion (114) is inserted is provided on the other of the first portion (74) and the second portion (76),
A part of the insertion hole (55) is formed by the uneven portion (114) and the groove portion (115),
The boundary portion (110) is formed by the contact surface between the tip surface of the pair of convex portions (112) and the bottom surface of the groove portion (115).
A catheter assembly (10) characterized in that. Catheter assembly (10) according to claim 2,
The other of the first part (74) and the second part (76) has a first position engageable with an outer member (62) disposed outside the needle tip protecting member (42). A second position that is an inner position of the needle tip protecting member (42) than the first position and is disengaged from the outer member (62) and enters the insertion hole (55). And a displaceable stopper (66).
The concavo-convex portion (114) and the groove portion (115) are provided at positions adjacent to the distal end side of the stopper (66) with respect to the axial direction of the needle tip protecting member (42).
A catheter assembly (10) characterized in that. Catheter assembly (10) according to claim 3,
The pair of convex portions (112) extend along the axial direction of the needle tip protecting member (42).
A catheter assembly (10) characterized in that. The catheter assembly (10) of claim 1,
In the needle tip protecting member (42), the inner needle in the needle tip protecting member (42) when the inner needle (16) is retracted to a predetermined position with respect to the needle tip protecting member (42). A shutter member (48) for blocking the movement path of (16) is disposed;
The needle tip protecting member (42) has a shutter accommodating portion (50) for accommodating the shutter member (48),
The shutter accommodating part (50) is provided in the first part (74) and provided in the first part groove (118) in which a part of the shutter member (48) is arranged, and in the second part (76). A second arrangement groove (119) in which the other part of the shutter member (48) is arranged,
One of the first part (74) and the second part (76) is directed to the other of the first part (74) and the second part (76) on both sides of the insertion hole (55). And a pair of projecting wall portions (120) inserted into the first placement groove (118) or the second placement groove (119),
The pair of protruding wall portions (120) constitutes a part of mutually opposing inner walls in the shutter housing portion (50).
A catheter assembly (10) characterized in that. The catheter assembly (10) according to claim 5,
The pair of protruding wall portions (120) extend from the proximal end side to the distal end side of the shutter accommodating portion (50).
A catheter assembly (10) characterized in that. The catheter assembly (10) according to claim 5,
The shutter member (48) is disposed in the shutter accommodating portion (50) so as to be elastically deformed in a direction intersecting with the overlapping direction of the first part (74) and the second part (76). And
The height (H) from the bottom (119a) of the first placement groove (118) or the second placement groove (119) to the tip (120a) in the protruding direction of the protruding wall portion (120) is Set to a width (W) or more of the shutter member (48) in the protruding direction;
A catheter assembly (10) characterized in that. The catheter assembly (10) of claim 1,
The needle tip protecting member (42) is an integrally molded part in which the base ends of the first part (74) and the second part (76) are connected by a hinge part (78).
A catheter assembly (10) characterized in that.

Images