WO2009104809A1 - Liquid filled body for invasive arterial-pressure monitoring system and method for producing the same - Google Patents

Liquid filled body for invasive arterial-pressure monitoring system and method for producing the same Download PDF

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Publication number
WO2009104809A1
WO2009104809A1 PCT/JP2009/053476 JP2009053476W WO2009104809A1 WO 2009104809 A1 WO2009104809 A1 WO 2009104809A1 JP 2009053476 W JP2009053476 W JP 2009053476W WO 2009104809 A1 WO2009104809 A1 WO 2009104809A1
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WO
WIPO (PCT)
Prior art keywords
liquid
connection structure
filling liquid
filling
monitoring system
Prior art date
Application number
PCT/JP2009/053476
Other languages
French (fr)
Japanese (ja)
Inventor
健 島本
Original Assignee
Shimamoto Takeshi
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Shimamoto Takeshi filed Critical Shimamoto Takeshi
Publication of WO2009104809A1 publication Critical patent/WO2009104809A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/0215Measuring pressure in heart or blood vessels by means inserted into the body

Definitions

  • the present invention relates to a circuit (exclusive line) for supplying a filling liquid in an invasive monitoring system.
  • the filling solution may be a high-concentration solution in which a solute is dissolved at a high concentration, such as physiological saline, heparin-added physiological saline with heparin added, 10% sodium chloride solution, 50% sugar solution, etc. good.
  • Open blood pressure monitoring systems are widely used to monitor heart rate and blood pressure fluctuations in patients with unstable cardiac function and blood pressure. For example, it is widely used for hemodynamic monitoring and condition monitoring of patients in the intensive care unit (ICU) for catheter examinations in cardiovascular surgery and cardiovascular medicine.
  • ICU intensive care unit
  • the invasive arterial pressure monitoring system obtains various data on arterial pressure by directly monitoring blood pressure fluctuations in the blood vessel via an indwelling needle drilled in the blood vessel of the patient.
  • a filling solution such as physiological saline is supplied to the indwelling needle, and monitoring is performed with a transducer that senses pressure using the filling solution as a medium.
  • the circuit that conducts this filling liquid from the filling liquid bag (a soft 50cc bag filled with the filling liquid) to the indwelling needle is called a dedicated line, which consists of a pre-sterilized medical tube.
  • a transducer is provided in the line path with a transducer that senses pressure from the flowing blood flow, and a cable for outputting data to the monitor main unit. Is provided.
  • the same type of liquid can be put into the dedicated line filling liquid bag.
  • heparin-added saline with heparin added as the filling solution
  • heparin-added saline is used for both the dedicated line and the filling solution bag.
  • This invasive arterial pressure monitoring system is dynamically assembled and used by the following procedure immediately before being used in an operating room or the like.
  • the blood pressure of the filling fluid bag is appropriately higher than the arterial pressure of the patient, so that the blood flow does not flow back into the dedicated line and Therefore, the filling liquid can be introduced appropriately.
  • Changes in arterial pressure in the dedicated line are converted into electrical signals using a transducer, and signal processing is performed in the main unit via a cable to display graphs and numerical values such as heart rate and blood pressure on the display device.
  • Patent Document 1 Japanese Patent Laid-Open No. 2 0 0 6-3 4 6 4 5 1 Disclosure of Invention
  • the assembly of the filling bag and the dedicated line of the conventional invasive arterial pressure monitoring system has the following problems.
  • the first problem is that assembly takes time.
  • the assembly of the filling fluid bag and the dedicated line of the conventional invasive arterial pressure monitoring system requires the above five procedures, so even a skilled nurse is said to take about 10 minutes. This time of 10 minutes is precious and regarded as a problem in the medical field.
  • the particularly time-consuming work is the work of properly removing the air in the dedicated line and the filling liquid bag and filling the dedicated line with the filling liquid. If air remains in the dedicated line, the air may enter the artery as it is, so thorough air bleeding is required. If air enters the artery, it becomes arterial embolism and may cause ischemia of peripheral extremity. However, it is difficult to reliably remove fine air from this dedicated line, and it takes time to do so carefully.
  • the second problem is the difficulty of dealing with urgency.
  • the invasive monitoring system is used in emergency surgery for acute heart diseases such as myocardial infarction and heart failure patients, and is also used in emergency surgery for sudden accidents such as traffic accidents.
  • acute heart diseases such as myocardial infarction and heart failure patients
  • sudden accidents such as traffic accidents.
  • the present invention provides a liquid enclosure for an invasive arterial pressure monitoring system that can be assembled in a short period of time and can be easily handled in an emergency, and a method for producing the same.
  • the purpose is to do.
  • a liquid inclusion body for an invasive arterial pressure monitoring system of the present invention comprises:
  • Fluid for an invasive arterial pressure monitoring system that measures the state of the patient's artery by detecting the state of the filling fluid filled in the dedicated line that has invaded the patient's artery via the indwelling needle with a transducer.
  • a first connection structure provided at the one end of the medical tube body and sealed at the tip thereof, connectable to the indwelling needle;
  • a second connection structure provided at the other end of the medical tube body and sealed at the tip thereof, connectable to the filling liquid pug;
  • a part of the transducer provided near the middle of the medical tube body is provided.
  • a pre-filled solution can be prepared in advance, and assembly with an indwelling needle and a solution bag can be completed on the spot in a short time. It is possible to provide an invasive monitoring system that can easily cope with an emergency.
  • the liquid enclosure for the invasive arterial pressure monitoring system has a liquid reservoir portion that can be pressed by the first connection structure in the above-described configuration, and is provided at the tip of the first connection structure.
  • the seal is broken and connected to the indwelling needle, it is possible to connect the indwelling needle while pressing the liquid reservoir and dripping the filling liquid from the tip to release the air. .
  • the liquid enclosure for the invasive arterial pressure monitoring system in the above-described configuration includes a liquid reservoir that can be pressed by the second connection structure, and seals the tip of the second connection structure. It is possible to connect to the filling liquid bag while releasing the air by releasing the air by dropping the filling liquid from the tip by pressing the liquid reservoir when connecting to the filling liquid bag.
  • the liquid enclosure for the invasive arterial pressure monitoring system has the above-described configuration, wherein the medical tube body includes the three-way stopcock provided near a part of the transducer of the medical tube body.
  • the filling liquid is injected toward the tip of the first connection structure and the tip of the second connection structure, and the filling liquid is sealed in the medical tube body.
  • a first method for producing a liquid inclusion body for the invasive arterial pressure monitoring system of the present invention is as follows.
  • Fluid for an invasive arterial pressure monitoring system that measures the state of the patient's artery by detecting the state of the filling fluid filled in the dedicated line that has invaded the patient's artery via the indwelling needle with a transducer.
  • the first connecting structure that can be connected to the indwelling needle is at one end
  • the second connecting structure that can be connected to the filling liquid bag is at the other end
  • a part of the transducer is injected near the middle, and the filling liquid is injected.
  • the vicinity of the liquid injection three-way stopcock is kept low, the first connection structure and the second connection structure are kept high, and the filling liquid is supplied from the liquid injection three-way stopcock located on the lower side at a predetermined pressure.
  • the air in the transducer may be vented and the air may remain. Is reduced.
  • the filling liquid when a mechanism for increasing the internal pressure of the dedicated line to a predetermined pressure is incorporated in the vicinity of the transducer, it is preferable to inject the filling liquid at a predetermined pressure while releasing the pressure increasing mechanism.
  • a second method for producing a liquid inclusion body for the invasive arterial pressure monitoring system of the present invention is as follows. Liquid filling for an invasive arterial pressure monitoring system that measures the state of the patient's artery by detecting the state of the filling fluid filled in the dedicated line that has invaded the patient's artery via the indwelling needle. A method of producing a body,
  • the first connection structure that can be connected to the indwelling needle at one end
  • the second connection structure that can be connected to the filling liquid bag at the other end
  • a medical tube body that has a part of the transducer near the middle for
  • the filling liquid used in the liquid inclusion body for the invasive arterial pressure monitoring system of the present invention and the filling liquid used in the method for producing the liquid sealing body for the invasive arterial pressure monitoring system of the present invention is preferably a physiological saline that has been deaerated to reduce the air dissolved in the liquid.
  • filling liquid For example, physiological saline without other additives may be used, and other additives, for example, heparin-added physiological saline with heparin added may be used.
  • soot-concentration solution in which a solute is dissolved at a high concentration such as 10% sodium chloride solution or 50% sugar solution may be used. If the liquid to be filled is degassed or the solute concentration of the liquid to be filled is increased, the amount of air dissolved in the filling liquid can be reduced, and minute air bubbles are formed in the liquid enclosure. The risk of precipitation is reduced.
  • FIG. 1 is a diagram schematically showing a configuration example of a liquid enclosure 100 of the present invention.
  • FIG. 2 is a view showing a structure example in which the tip of the second connection structure is sealed using a twisted cap that is a pseudo needle.
  • FIG. 3 is a diagram schematically showing a procedure for constructing an invasive arterial pressure monitoring system using the liquid inclusion body 100.
  • FIG. 4 is a diagram showing a construction example of an invasive arterial pressure monitoring system.
  • FIG. 5 is a diagram schematically showing the filling liquid filling and air bleeding directions in the first production method of the liquid enclosure 100 of the present invention.
  • FIG. 6 is a diagram schematically showing the filling liquid and the direction of air bleeding in the second production method of the liquid enclosure 100 of the present invention.
  • a liquid enclosure 100 for an invasive arterial pressure monitoring system according to Embodiment 1 of the present invention will be described.
  • FIG. 1 is a diagram schematically showing a configuration example of a liquid enclosure 100 according to Embodiment 1 of the present invention.
  • the indwelling needle 20 0 inserted into the patient, the filling fluid bag 3 0 0, and the invasive blood pressure monitoring system main unit 4 0 0 are also included. Are shown.
  • the liquid enclosure 10 100 of the present invention includes a medical tube 10, a transducer part 20, a first connection structure 30, and a second connection structure 40.
  • the filling liquid filled inside may be a physiological saline without other additives, or other additives, for example, heparin-added physiological saline with heparin added. Any additives to which additives that can be used are added may be used.
  • the filling liquid to be sealed is preferably a liquid which has been subjected to a deaeration process for reducing the air dissolved in the liquid.
  • the liquid may be physiological saline or heparin-added physiological saline to which other additives (eg, heparin) are added.
  • a high concentration solution in which a solute is dissolved at a high concentration such as 10% sodium chloride solution or 50% sugar solution may be used. If the liquid to be filled is degassed or the solute concentration of the liquid to be filled is increased, the amount of air dissolved in the filling liquid can be reduced, and minute air bubbles are formed in the liquid enclosure. It becomes difficult to precipitate.
  • the medical tube 10 is filled with a filling liquid. It may be made of a soft bure for medical tubes, and is set to an internal pressure of 300 mm Hg, which is higher than the arterial pressure when boosted by connecting to a filling liquid bag 300 as will be described later. Therefore, it is necessary to be able to withstand the internal pressure sufficiently. The material must be able to withstand sterilization chemicals.
  • the medical tube 1 o has a force s that is tubularly connected from one end to the other end, the first medical tube part 1 1, the air vent three-way cock 1 2, the liquid injection three-way cock 1 3, the second tube Each of the parts 14 and the second liquid reservoir 15 is provided.
  • the first medical tube portion 11 is a portion from the tip of the first connection structure 30 to the liquid injection three-way cock 13. Note that the front end of the first connection structure 30 is sealed.
  • the air vent three-way stopcock 12 is provided in the vicinity of the first connection part 30.
  • the connection part This is a part for extracting the remaining air. For example, in the process of collecting the patient's blood from the indwelling needle 20 0, it is possible to simultaneously release the air from the connection portion of the first connection portion 30 of the arterial pressure line.
  • the air vent three-way stopcock 12 is provided in the vicinity of the first connection part 30.
  • the present invention is not limited to this position, and the three-way stopcock for injecting liquid from the vicinity of the first connection part 30
  • the first medical tube portion 11 may be located anywhere in place, and the air venting three-way stopcock 12 and a liquid injection three-way stopcock 13 described later may serve as a single three-way stopcock.
  • the liquid injection three-way stopcock 13 is a portion that serves as an inlet for injecting the filling liquid in the process of producing the liquid enclosure 10 100 as will be described later.
  • the part is provided in the vicinity of the transducer part 20.
  • Liquid injection three-way stopcock 1 If the filling liquid is injected from the 3 inlet, the filling liquid is injected into both the left and right first medical tube parts 1 1 and the second medical tube part 1 4 at the same time. It will be done.
  • the second medical tube portion 14 is a portion from the tip of the second connection structure 40 to the liquid injection three-way stopcock 13. Note that the front end of the second connection structure 40 is sealed.
  • the second liquid reservoir 15 is a buffer portion that becomes a liquid reservoir for the second medical tube portion 14 near the second connection structure 40, and can be easily used by a nurse or the like as will be described later. The air can be pressed and the air venting is smooth.
  • the transducer part 20 is a sensor part provided in a part of the medical tube 10, and the wall of the medical tube 10 inside the transducer part 20 is thin and flexible, and the internal pressure changes.
  • the wall surface is easy to vibrate according to the sensor, and is provided with a sensor for detecting the vibration of the wall surface inside the transducer part 20.
  • the sensor may be any sensor that can detect a change in hydraulic pressure, such as a pressure sensor.
  • the fluctuation of the internal pressure in the medical tube 10 detected by the transducer part 20 is output as an electrical signal and transmitted to the invasive arterial pressure monitor system main unit 40 0 via the connector.
  • the first connection structure 30 is a connector that can be connected to an indwelling needle 20 0 drilled in a patient.
  • the connector structure may be one corresponding to the indwelling needle 200.
  • the tip of the first connection structure 30 is sealed so as not to leak.
  • a structure that can be opened quickly is preferable.
  • the tip of the vinyl tube may be threaded.
  • it is screwed and sealed with a screw cap, it can be easily removed with a human finger or hand, such as turning the cap to easily unscrew and open the tip.
  • the second connection structure 40 is a connector that can be connected to the filling liquid bag 30.
  • a connector structure corresponding to the filling liquid bag 300 may be employed.
  • the tip of the second connection structure 40 When in regular use, the tip of the second connection structure 40 is sealed to prevent liquid leakage. It is.
  • a structure that can be opened quickly is preferable. For example, if the bull tube is sealed by thermocompression bonding, the tip of the bull tube may be threaded off. In addition, if it is screwed and sealed with a screw cap, it can be easily removed with a human finger or hand, such as turning the cap to easily unscrew and open the tip.
  • a twist cap that is a pseudo needle as shown in Fig. 2.
  • a needle 41 is provided at the tip of the second connection structure 40, and a twist cap 42 is provided so as to cover the needle 41. That is, the needle 41 is completely sealed by the second connection structure 40 and the twist cap 42.
  • the tip of the twist cap 42 is needle-shaped and can be connected to the filling liquid bag 300 as a pseudo needle as shown in FIG. 2 (b). It is like that.
  • FIG. 3 is a diagram schematically showing a procedure for constructing an invasive arterial pressure monitoring system using the liquid inclusion body 100 according to the first embodiment.
  • Changes in internal pressure of the medical tube 10 due to changes in arterial pressure are captured by the transducer 20 and converted into electrical signals, and signal processing is performed in the main unit via a cable, and the heart rate and blood pressure are applied to the display device. Display graphs and numerical values.
  • the air vent three-way stopcock 12 can be used to collect blood from the patient's blood vessel via the indwelling needle 20 0, and it is also possible to vent the remaining small amount of air.
  • the conventional method requires five procedures.
  • the filling operation of the filling liquid into the medical tube 10 is particularly performed compared to the conventional method. Nya Labor saving is saved.
  • the liquid enclosure 100 is filled and filled with a filling liquid, but it is necessary to vent the air thoroughly.
  • the inside of the medical tube 10 is not a simple tube, but there are structures such as a transducer part 20 in particular, and air is likely to accumulate, and in the mass production process, air bleeding becomes a problem.
  • FIG. 5 is a diagram schematically illustrating the filling liquid filling and air bleeding directions in the first production method of the liquid enclosure 100 of the present invention.
  • FIG. 5 only the supply pipe 5 10 and the T-shaped discharge pipe 5 20 are shown in the configuration of the sealing device 500 used in the first production method.
  • the main body of the sealing device 500 has a function of filling the filling liquid into the dedicated line from the supply pipe 5 10 and collecting the filling liquid overflowing from the T-shaped discharge pipe 5 20. It is.
  • the supply pipe 51 is located in the lower part, and supplies the filling liquid dropwise from below to above.
  • the T-shaped discharge pipe 5 20 is located in the upper part, and receives and collects the liquid flow of the filling liquid that flows separately from the lower part.
  • the liquid enclosure 100 is connected to the supply pipe 5 10 with the liquid injection three-way stopcock 13 located at the lowest position, and the first connection structure 30 and the second The connecting structure 40 is set in the enclosure so as to be connected to the T-shaped discharge pipe 5 20.
  • the liquid infusion way stopcock 1 3 is provided in the vicinity of Toransude Yusa part 2 0 is located at the lowest generally part 2 0. transducer.
  • the filling liquid is divided into left and right from the liquid injection three-way stopcock 13 and rises toward the first connection structure 30 and the second connection structure 40, and the air vent three-way stopcock 12 and second
  • the liquid reservoir 15 is filled, and the liquid is collected from the T-shaped discharge pipe 5 20 through the first connection structure 30 and the second connection structure 40.
  • a device for giving a vibration to the transducer part 20, the first connection structure 30, and the second connection structure 40 to knock out fine bubbles. Do.
  • By applying vibration in this way fine bubbles are knocked out, the bubbles rise in the medical tube 10 along the flow of the filling liquid, and the air remaining in each part is surely removed. I can leave.
  • a motor-type vibrator or ultrasonic vibrator may be applied to the medical tube 10 or the like to vibrate.
  • the tip portion of the first connection structure 30 and the connection portion of the second connection structure 40 are respectively sealed to seal the filling liquid inside.
  • it may be sealed by pressing a soft vinyl tube by thermocompression.
  • Liquid injection three-way stopcock 1 3 Close the stopcock so that the filling liquid does not leak.
  • the above production method can also be used in a mass production process, and the liquid enclosure 10 of the present invention can be produced.
  • FIG. 6 is a diagram schematically showing the filling liquid filling and air bleeding directions in the second production method of the liquid enclosure 100 of the present invention.
  • Figure 6 shows the second Only the supply pipe 5 1 0 a and the discharge pipe 5 2 0 a are illustrated in the configuration of the sealing device 5 0 0 used in this production method.
  • the body part of the sealing device 500 is not shown, but as in FIG. 5, the filling liquid is filled into the dedicated line from the supply pipe 5 1 0 a and the filling liquid overflowing from the discharge pipe 5 2 0 a It has a function to collect.
  • the supply pipe 5 10 a is located at the lower part, and supplies the filling liquid dropwise from below to above.
  • the discharge pipe 5 2 0 a is located at the upper part and receives and collects the filling liquid flowing from below.
  • the liquid enclosure 10 0 lowers either the first connection structure 30 or the second connection structure 40, and places the transducer part 20 in the middle, so that the first connection structure 3 0 or the second connection structure 40 Keeping the other 0 high, the filling liquid is injected at a predetermined pressure from the lower position, and the filling liquid is recovered from the upper position. By doing. Fill the filling liquid.
  • the first connection structure 30 is positioned below and the second connection structure 40 is positioned above.
  • the tip of the first connection structure 30 is connected to the supply pipe 5 10 0 a
  • the tip of the second connection structure 40 is connected to the discharge pipe 5 2 0 a
  • the supply By dropping the filling liquid upward from the pipe 5 10 a, the filling liquid rises toward the second connection structure 40, and the air vent three-way stopcock 1 2, the transducer part 20, the first The second liquid reservoir 15 is filled, and the liquid is collected from the discharge pipe 5 20 a through the second connection structure 40.
  • the tip portion of the first connection structure 30 and the connection portion of the second connection structure 40 are sealed to seal the filling liquid inside.
  • the soft vinyl tube may be pressed and sealed by thermocompression.
  • the above production method can also be used in a mass production process, and the liquid enclosure 10 of the present invention can be produced.
  • the liquid enclosure 10 100 of the present invention according to the first embodiment, it is possible to always prepare a pre-filled filling liquid, and to easily place the indwelling needle and the filling liquid bag on the spot for a short time. As a result, it is possible to provide an invasive monitoring system that can be easily assembled in an emergency.
  • the liquid inclusion body of the present invention can be used in an invasive monitoring system.

Abstract

Provided is a filling-liquid filled body used for an invasive arterial-pressure monitoring system and filled with filling liquid, wherein internal deaeration is performed positively, assembling work requires only a short time, and emergency can be handled easily. The liquid filled body comprises a medical tube body (10) filled with filling liquid, a first connection structure (30) having a sealed distal end provided at one end of the medical tube body (10) and being connectible to an indwelling needle (200) which is punctured into a patient, and a second connection structure (40) having a sealed distal end provided at the other end of the medical tube body (10) and being connectible to a filling liquid bag (300). A transducer portion (20) is provided near the middle of the medical tube body (10). Deaeration is performed positively by supplying the filling liquid from a liquid-injecting three-way stopcock (13) near the side of the transducer portion (20) while deaeration is performed during production.

Description

明 細 誊 観血的動脈圧モニタシステム用の液体封入体およびそれの生産方法 技術分野  MEI HOSHI 液体 Liquid inclusion body for invasive arterial pressure monitoring system and production method thereof Technical Field
本発明は、 観血的モニタシステムにおいて充填液を供給する回路 (専 用ライン) に関する。 充填液としては、 生理食塩水、 へパリンを添加し たへパリン添加生理食塩水、 1 0 %塩化ナトリウム液、 5 0 %糖液など 溶質が高濃度に溶け込んでいる高濃度溶液であっても良い。 背景技術  The present invention relates to a circuit (exclusive line) for supplying a filling liquid in an invasive monitoring system. The filling solution may be a high-concentration solution in which a solute is dissolved at a high concentration, such as physiological saline, heparin-added physiological saline with heparin added, 10% sodium chloride solution, 50% sugar solution, etc. good. Background art
心機能や血圧の不安定な患者さんの心拍や血圧の変動をモニタリング するために観血的動脈圧モニタシステムが広く利用されている。例えば、 心臓血管外科や循環器内科でのカテーテル検査における、集中治療室( I C U ) での患者の血行動態モニタリ ング、 状態監視などで広く用いられ ている。  Open blood pressure monitoring systems are widely used to monitor heart rate and blood pressure fluctuations in patients with unstable cardiac function and blood pressure. For example, it is widely used for hemodynamic monitoring and condition monitoring of patients in the intensive care unit (ICU) for catheter examinations in cardiovascular surgery and cardiovascular medicine.
観血的動脈圧モニタシステムは、 患者の血管内に穿設された留置針を 介して直接血管内の血圧変動をモニタリングすることにより動脈圧の諸 データを得るものである。 留置針に生理食塩水などの充填液を供給して 充填液を媒介として圧力を感知する トランスデューサ一によりモニタリ ングする。  The invasive arterial pressure monitoring system obtains various data on arterial pressure by directly monitoring blood pressure fluctuations in the blood vessel via an indwelling needle drilled in the blood vessel of the patient. A filling solution such as physiological saline is supplied to the indwelling needle, and monitoring is performed with a transducer that senses pressure using the filling solution as a medium.
この充填液を充填液バッグ (充填液が充填されている 5 0 0 c cの柔 らかいバッグ) から留置針まで導通させる回路は専用ラインと呼ばれ、 あらかじめ滅菌された医療用チューブからなり、 専用ラインの経路中に は流れる血流から圧力を感知するトランスデューサ一が設けられたトラ ンスデューサ一部とデータをモニタ本体装置に出力するためのケ一ブル が設けられている。 The circuit that conducts this filling liquid from the filling liquid bag (a soft 50cc bag filled with the filling liquid) to the indwelling needle is called a dedicated line, which consists of a pre-sterilized medical tube. In the line path, a transducer is provided with a transducer that senses pressure from the flowing blood flow, and a cable for outputting data to the monitor main unit. Is provided.
なお、 専用ラインおょぴ充填液バッグに入れる液体は同質の液体を入 れる。 例えば、 充填液としてへパリ ンを添加したへパリ ン添加生理食塩 水を使用する場合、 専用ラインおよび充填液バッグの両方にへパリン添 加生理食塩水が使用される。  In addition, the same type of liquid can be put into the dedicated line filling liquid bag. For example, when using heparin-added saline with heparin added as the filling solution, heparin-added saline is used for both the dedicated line and the filling solution bag.
この観血的動脈圧モニタシステムは、 手術室等の中において使用され る直前に以下の手順により動的に組み上げられて使用される。  This invasive arterial pressure monitoring system is dynamically assembled and used by the following procedure immediately before being used in an operating room or the like.
(手順 1 ) 充填液バッグを、 専用ラインに接続し、 充填液バッグと専 用ラインを導通する。  (Procedure 1) Connect the filling liquid bag to the dedicated line, and connect the filling liquid bag to the dedicated line.
(手順 2 ) 充填液バッグから専用ラインに充填液を流し込んで充填し て行く。  (Procedure 2) Fill the filling liquid by pouring the filling liquid from the filling liquid bag into the dedicated line.
(手順 3 )充填液パッグ内に封入されていた緩衝用の空気を抜いた後、 加圧バッグで充填液バッグを加圧してゆき、 その圧力が 3 0 O m m H g となるまで加圧する。  (Procedure 3) After removing the buffering air enclosed in the filling liquid bag, pressurize the filling liquid bag with a pressure bag and pressurize until the pressure becomes 30 O m m H g.
なお、 充填液バッグの圧力を 3 0 0 m m H gとすることにより患者の 動脈圧よりも適度に高圧となるために専用ライン内に血流が逆流するこ となく、 かつ、 専用ラインに対して適度に充填液を流入させることがで きる。  By setting the pressure of the filling fluid bag to 300 mm Hg, the blood pressure is appropriately higher than the arterial pressure of the patient, so that the blood flow does not flow back into the dedicated line and Therefore, the filling liquid can be introduced appropriately.
(手順 4 ) 専用ライン内の細かい気泡についてもエア抜きを徹底し、 液体を少し滴下させる。  (Procedure 4) Thoroughly vent the fine bubbles in the dedicated line, and drop a little liquid.
(手順 5 ) 患者の動脈に穿刺した留置針に接続し、 モニタ本体装置に ケーブルを接続する。  (Procedure 5) Connect to the indwelling needle punctured into the patient's artery and connect the cable to the monitor main unit.
専用ライン内の動脈圧の変動をトランスデューサ一により電気的信号 に変換し、 ケーブルを介して本体装置内で信号処理して表示装置に心拍 や血圧などのグラフや数値を表示する。  Changes in arterial pressure in the dedicated line are converted into electrical signals using a transducer, and signal processing is performed in the main unit via a cable to display graphs and numerical values such as heart rate and blood pressure on the display device.
観血的動脈圧モニタリングを行うために充填液バッグと専用ラインを 用いて上記の手順を毎回動的に行う必要があった。 Filling fluid bag and dedicated line for invasive arterial pressure monitoring It was necessary to perform the above procedure in every rotation.
特許文献 1 特開 2 0 0 6— 3 4 6 4 5 1号公報 発明の開示  Patent Document 1 Japanese Patent Laid-Open No. 2 0 0 6-3 4 6 4 5 1 Disclosure of Invention
発明が解決しょうとする課題  Problems to be solved by the invention
従来の観血的動脈圧モニタシステムの充填液バッグと専用ラインの 組み立てについては以下の問題があった。  The assembly of the filling bag and the dedicated line of the conventional invasive arterial pressure monitoring system has the following problems.
第 1の問題は、 組み立てに時間がかかることである。  The first problem is that assembly takes time.
従来の観血的動脈圧モニタシステムの充填液バッグと専用ラインの 組み立てでは、 上記した 5つの手順を行う必要があるため、 熟練した 看護士でも 1 0分ほどの時間がかかるとされている。 医療現場におい てこの 1 0分もの時間は貴重であり問題視されている。  The assembly of the filling fluid bag and the dedicated line of the conventional invasive arterial pressure monitoring system requires the above five procedures, so even a skilled nurse is said to take about 10 minutes. This time of 10 minutes is precious and regarded as a problem in the medical field.
上記 5つの手順のうち、 特に時間がかかる作業は、 専用ラインと充 填液バッグの中のエアをきちんと抜いて専用ラインの中を充填液で充 填する作業である。 専用ラインの中にエアが残留していると、 そのェ ァがそのまま動脈の中に入るおそれがあるため徹底したエア抜きが必 要とされる。 動脈内にエアが混入してしまうと動脈塞栓症となり四肢 抹消の虚血を引き起こすおそれがあるからである。 しかし、 この専用 ラインから細かいエアを確実に抜くのは難しく、 慎重に行うために時 間が掛かるのである。  Of the above five procedures, the particularly time-consuming work is the work of properly removing the air in the dedicated line and the filling liquid bag and filling the dedicated line with the filling liquid. If air remains in the dedicated line, the air may enter the artery as it is, so thorough air bleeding is required. If air enters the artery, it becomes arterial embolism and may cause ischemia of peripheral extremity. However, it is difficult to reliably remove fine air from this dedicated line, and it takes time to do so carefully.
第 2の問題は、 緊急性への対応の難しさである。  The second problem is the difficulty of dealing with urgency.
観血的モニタシステムは、 心筋梗塞患者や心不全患者など急性心臓 疾患の緊急手術に使用されるケースがあり、 さらには交通事故などの 突発事故の緊急手術に使用されるケースがある。 このよ うな緊急性に 対応する場合、 1分 1秒を争っており、 この状況下 1 0分近くもかか る観血的モニタシステムの組み立て作業を一人の看護士に担わせてお く ことは大きな負担となっている。 The invasive monitoring system is used in emergency surgery for acute heart diseases such as myocardial infarction and heart failure patients, and is also used in emergency surgery for sudden accidents such as traffic accidents. When dealing with such an urgency, we are competing for 1 minute and 1 second, and in this situation we have a nurse take care of assembling an invasive monitoring system that takes nearly 10 minutes. This is a heavy burden.
特に時間を要する専用ラインのエア抜き作業を不要とするようなプ レフィルドされた専用ラインが求められているが、 現在そのようなプ レフィルドされた専用ラインは提供されていないのが現状である。 し かも心臓血管外科手術の場合には、 この観血的モニタシステムを全身 動脈圧のモニタ用、 肺動脈モニタ用など複数用意する必要があり、 負 担はさらに増大する。  In particular, there is a need for a pre-filled dedicated line that eliminates the need for time-consuming air bleed operations, but currently no such pre-filled dedicated line is available. Moreover, in the case of cardiovascular surgery, it is necessary to prepare a plurality of such invasive monitoring systems for monitoring systemic arterial pressure and for monitoring pulmonary artery, which further increases the burden.
上記問題点に鑑み、 本発明は、 観血的モニタシステムの組み立てが短 時間で完了し、 緊急時にも容易に対応できる観血的動脈圧モニタシステ ム用の液体封入体およびその生産方法を提供することを目的とする。 課題を解決するための手段  In view of the above problems, the present invention provides a liquid enclosure for an invasive arterial pressure monitoring system that can be assembled in a short period of time and can be easily handled in an emergency, and a method for producing the same. The purpose is to do. Means for solving the problem
上記目的を達成するため、 本発明の観血的動脈圧モニタシステム用の 液体封入体は、  In order to achieve the above object, a liquid inclusion body for an invasive arterial pressure monitoring system of the present invention comprises:
留置針を介して患者の動脈に侵襲した専用ラインの内部に充填されて いる充填液の状態をトランスデューサ一により検知して前記患者の動脈 状態を測定する観血的動脈圧モ二タシステム用の液体封入体であって、 前記充填液が充填された医療用チューブ体と、  Fluid for an invasive arterial pressure monitoring system that measures the state of the patient's artery by detecting the state of the filling fluid filled in the dedicated line that has invaded the patient's artery via the indwelling needle with a transducer. An inclusion body, the medical tube body filled with the filling liquid;
前記医療用チューブ体の前記一端に設けられ、その先端が封止された、 前記留置針に接続可能な第 1の接続構造体と、  A first connection structure provided at the one end of the medical tube body and sealed at the tip thereof, connectable to the indwelling needle;
前記医療用チューブ体の前記他端に設けられ、その先端が封止された、 前記充填液パッグに接続可能な第 2の接続構造体と、  A second connection structure provided at the other end of the medical tube body and sealed at the tip thereof, connectable to the filling liquid pug;
前記医療用チューブ体の中間付近に設けられたトランスデューサ一部 を備えたものである。  A part of the transducer provided near the middle of the medical tube body is provided.
上記構成により、事前に充填液をプレフィルドされたものを常備でき、 留置針や充填液バッグと簡単にその場で短時間に組み立てが完了し、 緊 急時にも容易に対応できる観血的モニタシステムを提供することができ る。 With the above configuration, a pre-filled solution can be prepared in advance, and assembly with an indwelling needle and a solution bag can be completed on the spot in a short time. It is possible to provide an invasive monitoring system that can easily cope with an emergency.
次に、 観血的動脈圧モニタシステム用の液体封入体は、 上記構成にお いて、 前記第 1の接続構造体が押圧可能な液溜まり部を備え、 前記第 1 の接続構造体の先端の封止を破り前記留置針に接続する際に前記液溜ま り部を押圧して前記先端から前記充填液を滴下させてエア抜きしつつ前 記留置針に接続することを可能としたものである。  Next, the liquid enclosure for the invasive arterial pressure monitoring system has a liquid reservoir portion that can be pressed by the first connection structure in the above-described configuration, and is provided at the tip of the first connection structure. When the seal is broken and connected to the indwelling needle, it is possible to connect the indwelling needle while pressing the liquid reservoir and dripping the filling liquid from the tip to release the air. .
また、 観血的動脈圧モニタシステム用の液体封入体は、 上記構成にお いて、 前記第 2の接続構造体が押圧可能な液溜まり部を備え、 前記第 2 の接続構造体の先端の封止を破り前記充填液バッグに接続する際に前記 液溜まり部を押圧して前記先端から前記充填液を滴下させてエア抜きし つつ前記充填液バッグに接続することを可能としたものである。  In addition, the liquid enclosure for the invasive arterial pressure monitoring system in the above-described configuration includes a liquid reservoir that can be pressed by the second connection structure, and seals the tip of the second connection structure. It is possible to connect to the filling liquid bag while releasing the air by releasing the air by dropping the filling liquid from the tip by pressing the liquid reservoir when connecting to the filling liquid bag.
上記構成により、 封止している第 1の接続構造体および第 2の接続構 造体を開封した場合、 開封口から少量の空気が混入してしまうことがあ るが、 液溜まりを設けて針の先端を上方に向けながら液溜まりを押圧し て充填液を滴下させて空気を外に押し出しつつ留置針、 充填液バッグに 接続することができ、 接続するその場で簡単にエア抜きすることができ る。  With the above configuration, when the sealed first connection structure and second connection structure are opened, a small amount of air may be mixed in from the opening, but a liquid reservoir is provided. It is possible to connect the indwelling needle and the filling liquid bag while pushing the liquid reservoir while dripping the tip of the needle upwards and dropping the filling liquid to push the air outward. You can.
次に、 観血的動脈圧モニタシステム用の液体封入体は、 上記構成にお いて、 前記医療用チューブ体の前記トランスデューサ一部近くに設けら れている三方活栓から前記医療用チューブ体の前記第 1の接続構造体の 先端および前記第 2の接続構造体の先端に向けて前記充填液を注入して 行き、 前記医療用チューブ体内に前記充填液を封入せしめたことを特徴 とする。  Next, the liquid enclosure for the invasive arterial pressure monitoring system has the above-described configuration, wherein the medical tube body includes the three-way stopcock provided near a part of the transducer of the medical tube body. The filling liquid is injected toward the tip of the first connection structure and the tip of the second connection structure, and the filling liquid is sealed in the medical tube body.
上記構成によれば、 液体封入体に充填液を注入してゆく際にエアが残 存しゃすいトランスデューサー付近から注入してゆけばエア抜きがしゃ すくなり、 エアが残存するおそれが低減する。 According to the above configuration, when the filling liquid is injected into the liquid enclosure, if the air is injected from the vicinity of the remaining thin transducer, the air is released. It reduces the risk of air remaining.
次に、 本発明の観血的動脈圧モニタシステム用の液体封入体の第 1の 生産方法は、  Next, a first method for producing a liquid inclusion body for the invasive arterial pressure monitoring system of the present invention is as follows.
留置針を介して患者の動脈に侵襲した専用ラインの内部に充填されて いる充填液の状態をトランスデューサ一により検知して前記患者の動脈 状態を測定する観血的動脈圧モ二タシステム用の液体封入体を生産する 方法であって、  Fluid for an invasive arterial pressure monitoring system that measures the state of the patient's artery by detecting the state of the filling fluid filled in the dedicated line that has invaded the patient's artery via the indwelling needle with a transducer. A method for producing inclusion bodies,
前記留置針に接続可能な第 1の接続構造体を一端に、 充填液バッグに 接続可能な第 2の接続構造体を他端に、 トランスデューサ一部を中間付 近に、 前記充填液を注入してゆく液注入三方活栓を前記トランスデュー サ一部近くに備えた医療用チューブ体に対して、  The first connecting structure that can be connected to the indwelling needle is at one end, the second connecting structure that can be connected to the filling liquid bag is at the other end, and a part of the transducer is injected near the middle, and the filling liquid is injected. For a medical tube body with a three-way stopcock for liquid injection near the transducer,
前記液注入三方活栓付近を低く、 前記第 1の接続構造体および前記第 2の接続構造体を高く保ち、 下側に位置している前記液注入三方活栓か ら前記充填液を所定圧にて注入して行き、 前記トランスデューサ一部と 前記第 1の接続構造体と前記第 2の接続構造体のエア抜きを確実に行つ た後、 前記液注入三方活栓先端と前記第 1の接続構造体先端と前記第 2 の接続構造体先端を封止せしめる方法である。  The vicinity of the liquid injection three-way stopcock is kept low, the first connection structure and the second connection structure are kept high, and the filling liquid is supplied from the liquid injection three-way stopcock located on the lower side at a predetermined pressure. After injecting and surely venting the transducer part, the first connection structure, and the second connection structure, the tip of the liquid injection three-way cock and the first connection structure In this method, the tip and the tip of the second connection structure are sealed.
上記生産方法によれば、 液体封入体に充填液を注入してゆく際にエア が残存しやすいトランスデューサー付近から注入してゆけばトランスデ ユーサー内のエア抜きがしゃすくなり、 エアが残存するおそれが低減す る。  According to the above production method, when the filling liquid is injected into the liquid enclosure, if the air is injected from the vicinity of the transducer where the air is likely to remain, the air in the transducer may be vented and the air may remain. Is reduced.
例えば、 トランスデューサー付近に専用ラインの内圧を所定圧に昇圧 する機構が組み込まれている場合、 当該昇圧機構を解除しながら所定圧 にて充填液を注入することが好ましい。  For example, when a mechanism for increasing the internal pressure of the dedicated line to a predetermined pressure is incorporated in the vicinity of the transducer, it is preferable to inject the filling liquid at a predetermined pressure while releasing the pressure increasing mechanism.
次に、 本発明の観血的動脈圧モニタシステム用の液体封入体の第 2の 生産方法は、 留置針を介して患者の動脈に侵襲した専用ラインの内部に充填されて いる充填液の状態を トランスデューサ一により検知して前記患者の動脈 状態を測定する観血的動脈圧モニタシステム用の液体封入体を生産する 方法であって、 Next, a second method for producing a liquid inclusion body for the invasive arterial pressure monitoring system of the present invention is as follows. Liquid filling for an invasive arterial pressure monitoring system that measures the state of the patient's artery by detecting the state of the filling fluid filled in the dedicated line that has invaded the patient's artery via the indwelling needle. A method of producing a body,
前記留置針に接続可能な第 1の接続構造体を一端に、 充填液バッグに 接続可能な第 2の接続構造体を他端に、 トランスデューサ一部を中間付 近に備えた医療用チューブ体に対して、  The first connection structure that can be connected to the indwelling needle at one end, the second connection structure that can be connected to the filling liquid bag at the other end, and a medical tube body that has a part of the transducer near the middle for,
前記第 1の接続構造体または前記第 2の接続構造体のいずれか一方を 低く、 前記トランスデューサ一部を中ほどに、 前記第 1の接続構造体ま たは前記第 2の接続構造体の他方を高く保ち、 下側に位置している方か ら前記充填液を所定圧にて注入して行き、 上側に位置している方から前 記充填液を回収し、 前記第 1 の接続構造体と前記トランスデューサ一部 と前記第 2の接続構造体のエア抜きを確実に行った後、 前記第 1の接続 構造体先端と前記第 2の接続構造体先端を封止せしめる方法である。 上記生産方法によれば、 液体封入体に充填液を注入してゆく際にエア が残存しやすいトランスデューサー付近より高くに位置する第 2の接続 構造体に向けて注入してゆけばトランスデューサーエア抜きがしゃすく なり、 エアが残存するおそれが低減する。  Either one of the first connection structure or the second connection structure is lowered, and the other part of the first connection structure or the second connection structure is placed in the middle of the transducer part. The filling liquid is injected at a predetermined pressure from the lower side, and the filling liquid is recovered from the upper side, and the first connection structure In addition, after the air is released from the transducer part and the second connection structure with certainty, the tip of the first connection structure and the tip of the second connection structure are sealed. According to the above production method, when the filling liquid is injected into the liquid enclosure, air is likely to remain, and if it is injected toward the second connection structure located higher than the vicinity of the transducer, the transducer air The removal becomes less and the possibility of air remaining is reduced.
なお、 上記生産方法において、 前記エア抜きに際して、 前記トランス デューサ一部、 前記第 1 の接続構造体、 前記第 2の接続構造体に対して バイブレーションを与えて細かい気泡をたたき出すことが好ましい。 上記構成により、 細かいエアを徹底的にたたき出すことができる。 なお、 本発明の観血的動脈圧モニタシステム用の液体封入体で使用す る充填液は、 および、 本発明の観血的動脈圧モニタシステム用の液体封 入体の生産方法で使用する充填液は、 液中に溶存している空気を低減さ せる脱気処理を施した生理食塩水であることが好ましい。 また、 充填液 として他の添加物のない生理食塩水でも良く、 他の添加物、 例えばへパ リンを添加したへパリン添加生理食塩水でも良い。 また、 1 0 %塩化ナ トリゥム液や 5 0 %糖液など溶質が高濃度に溶け込んでいる髙濃度溶液 でも良い。 充填する液体を脱気しておいたり充填する液体の溶質濃度を 高濃度化しておくと、 充填液体内に溶存する空気量が低減することがで き、 液体封入体中に微小な空気泡が析出するおそれが低減する。 図面の簡単な説明 In the above production method, it is preferable to vibrate fine bubbles by giving vibration to a part of the transducer, the first connection structure, and the second connection structure when the air is released. With the above configuration, fine air can be exhausted thoroughly. The filling liquid used in the liquid inclusion body for the invasive arterial pressure monitoring system of the present invention and the filling liquid used in the method for producing the liquid sealing body for the invasive arterial pressure monitoring system of the present invention The liquid is preferably a physiological saline that has been deaerated to reduce the air dissolved in the liquid. Also filling liquid For example, physiological saline without other additives may be used, and other additives, for example, heparin-added physiological saline with heparin added may be used. Alternatively, a soot-concentration solution in which a solute is dissolved at a high concentration such as 10% sodium chloride solution or 50% sugar solution may be used. If the liquid to be filled is degassed or the solute concentration of the liquid to be filled is increased, the amount of air dissolved in the filling liquid can be reduced, and minute air bubbles are formed in the liquid enclosure. The risk of precipitation is reduced. Brief Description of Drawings
第 1図は、 本発明の液体封入体 1 0 0の構成例を模式的に示す図で ある。  FIG. 1 is a diagram schematically showing a configuration example of a liquid enclosure 100 of the present invention.
第 2図は、 第 2の接続構造体の先端を擬似針となった捻じ切りキヤ ップを用いて封止する構造例を示した図である。  FIG. 2 is a view showing a structure example in which the tip of the second connection structure is sealed using a twisted cap that is a pseudo needle.
第 3図は、 液体封入体 1 0 0を用いて観血的動脈圧モニタシステム を構築する手順を模式的に示した図である。  FIG. 3 is a diagram schematically showing a procedure for constructing an invasive arterial pressure monitoring system using the liquid inclusion body 100.
第 4図は、 観血的動脈圧モニタシステムの構築例を示した図である。 第 5図は、 本発明の液体封入体 1 0 0の第 1の生産方法における充 填液の充填とエア抜きの方向などを模式的に示した図である。  FIG. 4 is a diagram showing a construction example of an invasive arterial pressure monitoring system. FIG. 5 is a diagram schematically showing the filling liquid filling and air bleeding directions in the first production method of the liquid enclosure 100 of the present invention.
第 6図は、 本発明の液体封入体 1 0 0の第 2の生産方法における充 填液の充填とエア抜きの方向などを模式的に示した図である。 発明を実施するための最良の形態  FIG. 6 is a diagram schematically showing the filling liquid and the direction of air bleeding in the second production method of the liquid enclosure 100 of the present invention. BEST MODE FOR CARRYING OUT THE INVENTION
以下、 本発明を実施するための最良の形態について実施例により具体 的に説明する。 なお、 本発明はこれらの実施例に限定されるものではな い。 '  Hereinafter, the best mode for carrying out the present invention will be specifically described by way of examples. The present invention is not limited to these examples. '
以下、 本発明の観血的動脈圧モニタシステム用の液体封入体およびそ の生産方法を添付図面に示す実施例に基づいて詳細に説明する。 なお、 本発明はこれらの実施例に限定されるものではない。 Hereinafter, a liquid enclosure for an invasive arterial pressure monitoring system of the present invention and a method for producing the same will be described in detail with reference to the embodiments shown in the accompanying drawings. In addition, The present invention is not limited to these examples.
(実施例 1 )  (Example 1)
本発明の実施例 1に係る観血的動脈圧モニタシステム用の液体封入体 1 0 0について説明する。  A liquid enclosure 100 for an invasive arterial pressure monitoring system according to Embodiment 1 of the present invention will be described.
図 1は、 本発明の実施例 1に係る液体封入体 1 0 0の構成例を模式的 に示す図である。 なお、 観血的動脈圧モニタシステムを構築する場合に は患者さんに揷入される留置針 2 0 0、 充填液バッグ 3 0 0、 観血的動 脈圧モニタシステム本体装置 4 0 0も併せて図示している。  FIG. 1 is a diagram schematically showing a configuration example of a liquid enclosure 100 according to Embodiment 1 of the present invention. In addition, when constructing an invasive arterial pressure monitoring system, the indwelling needle 20 0 inserted into the patient, the filling fluid bag 3 0 0, and the invasive blood pressure monitoring system main unit 4 0 0 are also included. Are shown.
図 1に示すように、 本発明の液体封入体 1 0 0は、 医療用チューブ 1 0、 トランスデューサ一部 2 0、 第 1の接続構造体 3 0、 第 2の接続構 造体 4 0を備えている。 内部に充填されている充填液は、 他の添加物の ない生理食塩水でも良く、 他の添加物、 例えばへパリンを添加したへパ リン添加生理食塩水でも良く、 観血的動脈圧モニタにおいて用いられ得 る添加剤が添加されたものであれば良い。 ここで、 封入する充填液は、 液中に溶存している空気を低減させる脱気処理を施した液体であること が好ましい。 液体としては生理食塩水、 他の添加物 (例えばへパリン) を添加したへパリン添加生理食塩水でも良い。 また、 1 0 %塩化ナトリ ゥム液や 5 0 %糖液など溶質が高濃度に溶け込んでいる高濃度溶液でも 良い。 充填する液体を脱気しておいたり充填する液体の溶質濃度を高濃 度化しておく と、 充填液体内に溶存する空気量が低減することができ、 液体封入体中に微小な空気泡が析出しにく くなる。  As shown in FIG. 1, the liquid enclosure 10 100 of the present invention includes a medical tube 10, a transducer part 20, a first connection structure 30, and a second connection structure 40. ing. The filling liquid filled inside may be a physiological saline without other additives, or other additives, for example, heparin-added physiological saline with heparin added. Any additives to which additives that can be used are added may be used. Here, the filling liquid to be sealed is preferably a liquid which has been subjected to a deaeration process for reducing the air dissolved in the liquid. The liquid may be physiological saline or heparin-added physiological saline to which other additives (eg, heparin) are added. Alternatively, a high concentration solution in which a solute is dissolved at a high concentration such as 10% sodium chloride solution or 50% sugar solution may be used. If the liquid to be filled is degassed or the solute concentration of the liquid to be filled is increased, the amount of air dissolved in the filling liquid can be reduced, and minute air bubbles are formed in the liquid enclosure. It becomes difficult to precipitate.
医療用チューブ 1 0は、 内部に充填液が封入されている。 医療用チュ ーブ向けのソフトビュール製のものでよく、 後述するように充填液バッ グ 3 0 0と接続して昇圧する場合に動脈圧よりも高い 3 0 0 m m H gの 内圧に設定されるので、その内圧に十分耐えうるものとする必要がある。 また、 滅菌処理の薬品に耐えうる素材である必要がある。 医療用チューブ 1 oは一端から他端まで管状に導通したものである力 s、 第 1の医療用チューブ部分 1 1、 エア抜き三方活栓 1 2、 液注入三方活 栓 1 3、 第 2のチューブ部分 1 4、 第 2の液溜まり 1 5の各部位を備え ている。 The medical tube 10 is filled with a filling liquid. It may be made of a soft bure for medical tubes, and is set to an internal pressure of 300 mm Hg, which is higher than the arterial pressure when boosted by connecting to a filling liquid bag 300 as will be described later. Therefore, it is necessary to be able to withstand the internal pressure sufficiently. The material must be able to withstand sterilization chemicals. The medical tube 1 o has a force s that is tubularly connected from one end to the other end, the first medical tube part 1 1, the air vent three-way cock 1 2, the liquid injection three-way cock 1 3, the second tube Each of the parts 14 and the second liquid reservoir 15 is provided.
第 1の医療用チューブ部分 1 1は第 1の接続構造体 3 0の先端から液 注入三方活栓 1 3までの部位である。 なお、 第 1の接続構造体 3 0の先 端の口は封止されている。  The first medical tube portion 11 is a portion from the tip of the first connection structure 30 to the liquid injection three-way cock 13. Note that the front end of the first connection structure 30 is sealed.
エア抜き三方活栓 1 2は第 1の接続部 3 0近辺に設けられ、 患者に留 置針 2 0 0が挿入されて動脈圧ラインの第 1の接続部 3 0が接続された ときにその接続部に残存するエアを抜き出す部位である。 例えば、 留置 針 2 0 0から患者の血液を採取する過程において同時に動脈圧ラインの 第 1の接続部 3 0の接続部分のエア抜きをかねることができる。  The air vent three-way stopcock 12 is provided in the vicinity of the first connection part 30. When the indwelling needle 20 00 is inserted into the patient and the first connection part 30 of the arterial pressure line is connected, the connection part This is a part for extracting the remaining air. For example, in the process of collecting the patient's blood from the indwelling needle 20 0, it is possible to simultaneously release the air from the connection portion of the first connection portion 30 of the arterial pressure line.
なお、 図 1の構成ではエア抜き三方活栓 1 2は第 1の接続部 3 0近辺 に設けられているが、 この位置に限らず、 第 1の接続部 3 0近辺から液 注入三方活栓 1 3までの第 1の医療用チューブ部分 1 1のどこかの箇所 で良く、 また、 エア抜き三方活栓 1 2と後述する液注入三方活栓 1 3と を一つの三方活栓によって兼ねても良い。  In the configuration of FIG. 1, the air vent three-way stopcock 12 is provided in the vicinity of the first connection part 30. However, the present invention is not limited to this position, and the three-way stopcock for injecting liquid from the vicinity of the first connection part 30 The first medical tube portion 11 may be located anywhere in place, and the air venting three-way stopcock 12 and a liquid injection three-way stopcock 13 described later may serve as a single three-way stopcock.
液注入三方活栓 1 3は、 後述するように液体封入体 1 0 0を生産する 過程において充填液を注入してゆく 口となる部分である。 部位としては トランスデューサ一部 2 0の近傍に設けられている。 液注入三方活栓 1 3の注入口から充填液を注入してゆけば左右の第 1の医療用チューブ部 分 1 1および第 2の医療用チューブ部分 1 4の双方に向けて同時に充填 液が注入されてゆく。  The liquid injection three-way stopcock 13 is a portion that serves as an inlet for injecting the filling liquid in the process of producing the liquid enclosure 10 100 as will be described later. The part is provided in the vicinity of the transducer part 20. Liquid injection three-way stopcock 1 If the filling liquid is injected from the 3 inlet, the filling liquid is injected into both the left and right first medical tube parts 1 1 and the second medical tube part 1 4 at the same time. It will be done.
第 2の医療用チューブ部分 1 4は第 2の接続構造体 4 0の先端から液 注入三方活栓 1 3までの部位である。 なお、 第 2の接続構造体 4 0の先 端の口は封止されている。 第 2の液溜まり 1 5は第 2の接続構造体 4 0付近にある第 2の医療用 チューブ部分 1 4の液溜まりとなる緩衝部分であり、 後述するように看 護士などの指で簡単に押圧できてエア抜きがしゃすいものとなっている。 The second medical tube portion 14 is a portion from the tip of the second connection structure 40 to the liquid injection three-way stopcock 13. Note that the front end of the second connection structure 40 is sealed. The second liquid reservoir 15 is a buffer portion that becomes a liquid reservoir for the second medical tube portion 14 near the second connection structure 40, and can be easily used by a nurse or the like as will be described later. The air can be pressed and the air venting is smooth.
トランスデューサ一部 2 0は、 医療用チューブ 1 0の一部に設けられ たセンサ部分であり、 トランスデューサ一部 2 0内部における医療用チ ユーブ 1 0の壁面が薄く可撓性に富み、 内圧の変化に応じて振動しやす い壁面となっており、 トランスデューサ一部 2 0内部においてその壁面 の振動を検知するセンサを備えたものである。 センサは圧力センサなど 液圧の変化を検知できるセンサであれば良い。 トランスデューサ一部 2 0で検知された医療用チューブ 1 0内の内圧の変動は電気信号として出 力され、 観血的動脈圧モニタシステム本体装置 4 0 0にコネクタを介し て伝達される。  The transducer part 20 is a sensor part provided in a part of the medical tube 10, and the wall of the medical tube 10 inside the transducer part 20 is thin and flexible, and the internal pressure changes. The wall surface is easy to vibrate according to the sensor, and is provided with a sensor for detecting the vibration of the wall surface inside the transducer part 20. The sensor may be any sensor that can detect a change in hydraulic pressure, such as a pressure sensor. The fluctuation of the internal pressure in the medical tube 10 detected by the transducer part 20 is output as an electrical signal and transmitted to the invasive arterial pressure monitor system main unit 40 0 via the connector.
第 1の接続構造体 3 0は患者に穿設された留置針 2 0 0と接続できる コネクタである。 コネクタ構造は留置針 2 0 0に対応するものが採用さ れていれば良い。  The first connection structure 30 is a connector that can be connected to an indwelling needle 20 0 drilled in a patient. The connector structure may be one corresponding to the indwelling needle 200.
常備時では第 1の接続構造体 3 0の先端は液漏れしないように封止さ れている。 観血的動脈圧モニタシステムを構築する際には素早く開封で きる構造が好ましい。 例えばビニル管を熱圧着して封止したものであれ ば、 ビニル管の先をねじ切れば良い。 また、 ねじキャップで螺合封止し たものであればキャップを回すことにより簡単に螺合を解いて先端を開 封できるなど、 人間の指や手で簡単に外すことができる構造となってい る。  In the normal state, the tip of the first connection structure 30 is sealed so as not to leak. When constructing an invasive arterial pressure monitoring system, a structure that can be opened quickly is preferable. For example, if the vinyl tube is sealed by thermocompression bonding, the tip of the vinyl tube may be threaded. Also, if it is screwed and sealed with a screw cap, it can be easily removed with a human finger or hand, such as turning the cap to easily unscrew and open the tip. The
第 2の接続構造体 4 0は充填液バッグ 3 0 0と接続できるコネクタで ある。 コネクタ構造は充填液バッグ 3 0 0に対応するものが採用されて いれば良い。  The second connection structure 40 is a connector that can be connected to the filling liquid bag 30. A connector structure corresponding to the filling liquid bag 300 may be employed.
常備時では第 2の接続構造体 4 0の先端は液漏れしないように封止さ れている。 観血的動脈圧モニタシステムを構築する際には素早く開封で きる構造が好ましい。 例えばビュル管を熱圧着して封止したものであれ ば、 ビュル管の先をねじ切れば良い。 また、 ねじキャップで螺合封止し たものであればキヤップを回すことにより簡単に螺合を解いて先端を開 封できるなど、 人間の指や手で簡単に外すことができる構造となってい る。 When in regular use, the tip of the second connection structure 40 is sealed to prevent liquid leakage. It is. When constructing an invasive arterial pressure monitoring system, a structure that can be opened quickly is preferable. For example, if the bull tube is sealed by thermocompression bonding, the tip of the bull tube may be threaded off. In addition, if it is screwed and sealed with a screw cap, it can be easily removed with a human finger or hand, such as turning the cap to easily unscrew and open the tip. The
また、 ねじキャップのような指や手で外す仕組みに代え、 図 2のよう に擬似針となった捻じ切りキヤップを用いることも可能である。 第 2の 接続構造体 4 0の先端には針 4 1があり、 その針 4 1を覆うように捻じ 切りキャップ 4 2を備えている。 つまり、 第 2の接続構造体 4 0と捻じ 切りキヤップ 4 2により針 4 1が完全に密封されている。 図 2 ( a ) に 示すように捻じ切りキャップ 4 2の先端は針状になっており、図 2 ( b ) に示すように擬似針として充填液バッグ 3 0 0に対して接続することが できるようになっている。 充填液バッグ 3 0 0に対して第 2の接続構造 体 4 0の捻じ切りキャップ 4 2の先端を揷入した後、 図 2 ( c ) に示す ように捻じ切りキャップ 4 2を押さえつつ第 2の接続構造体 4 0を左右 に回転させてことにより捻じ切りキャップ 4 2を捻じ切ると、図 2 ( d ) に示すように針 4 1が露出し、 充填液バッグ 3 0 0と第 2の接続構造体 4 0とが導通し、 充填液を取り込むことができる。  Also, instead of using a screw cap or other mechanism to remove with a finger or hand, it is also possible to use a twist cap that is a pseudo needle as shown in Fig. 2. A needle 41 is provided at the tip of the second connection structure 40, and a twist cap 42 is provided so as to cover the needle 41. That is, the needle 41 is completely sealed by the second connection structure 40 and the twist cap 42. As shown in FIG. 2 (a), the tip of the twist cap 42 is needle-shaped and can be connected to the filling liquid bag 300 as a pseudo needle as shown in FIG. 2 (b). It is like that. After inserting the tip of the twisting cap 4 2 of the second connection structure 40 into the filling liquid bag 30 0, the second connection structure 40 is pressed while holding the twisting cap 42 as shown in FIG. 2 (c). When the twisted cap 4 2 is twisted by rotating the connecting structure 4 0 to the left and right, the needle 41 is exposed as shown in FIG. 2 (d), and the filling liquid bag 3 0 0 and the second The connection structure 40 is electrically connected, and the filling liquid can be taken in.
次に、 液体封入体 1 0 0を用いて観血的動脈圧モニタシステムを構築 する手順を説明しておく。  Next, a procedure for constructing an invasive arterial pressure monitoring system using the liquid inclusion body 100 will be described.
図 3は、 実施例 1にかかる液体封入体 1 0 0を用いて観血的動脈圧モ ニタシステムを構築する手順を模式的に示した図である。  FIG. 3 is a diagram schematically showing a procedure for constructing an invasive arterial pressure monitoring system using the liquid inclusion body 100 according to the first embodiment.
(手順 1 ) まず、 図 3 ( a ) に示すように、 液体封入体 1 0 0の第 2 の接続構造体 4 0の先端の封止を解いて開封し、 第 2の液溜まり 1 5を 指で押圧して先端から滴下させつつエアが入らないようにし、 第 2の接 続構造体 4 0を充填液バッグ 3 0 0の接続口と接続させ、 充填液バッグ と液体封入体 1 0 0を導通する。 充填液バッグと液体封入体 1 0 0をェ ァが混入することなく導通させることができる。 (Procedure 1) First, as shown in FIG. 3 (a), the tip of the second connection structure 40 of the liquid enclosure 100 is unsealed and opened, and the second liquid reservoir 15 is removed. Press with your finger and let it drip from the tip while preventing air from entering. The connecting structure 40 is connected to the connection port of the filling liquid bag 30, and the filling liquid bag and the liquid enclosure 10 100 are electrically connected. The filling liquid bag and the liquid enclosure 100 can be made conductive without mixing air.
(手順 2 ) 加圧バッグで充填液バッグを加圧してゆき、 その圧力が 3 0 0 m m H gとなるまで加圧する。 充填液バッグと接続された液体封入 体 1 0 0の内圧も 3 0 0 m m H gまで高くなる。 なお、 充填液バッグ内 に緩衝用の空気が封入されている場合は、 加圧バッグによる加圧の前に 当該緩衝用空気を抜いておく。  (Procedure 2) Pressurize the filling liquid bag with a pressure bag and pressurize until the pressure reaches 300 m Hg. The internal pressure of the liquid enclosure 100 connected to the filling liquid bag is also increased to 300 mm Hg. When buffering air is sealed in the filling liquid bag, the buffering air is removed before pressurizing with the pressurizing bag.
(手順 3 ) 図 3 ( b ) に示すように、 液体封入体 1 0 0の第 1の接続 構造体 3 0の先端の封止を解いて開封し、 エアが入らないように第 1の 接続構造体 3 0を患者の動脈に穿刺した留置針に接続し、 人体の動脈と 液体封入体 1 0 0を導通する。 また、 モニタ本体装置にケーブルを接続 する。  (Procedure 3) As shown in Fig. 3 (b), the first connection of the liquid enclosure 100 is unsealed and opened to prevent air from entering. The structure 30 is connected to an indwelling needle pierced into the patient's artery, and the human artery is connected to the liquid enclosure 100. Connect the cable to the monitor main unit.
動脈圧の変動に伴う医療用チューブ 1 0の内圧の変動をトランスデュ ーサー 2 0により捉えて電気的信号に変換し、 ケーブルを介して本体装 置内で信号処理して表示装置に心拍や血圧などのグラフや数値を表示す る。  Changes in internal pressure of the medical tube 10 due to changes in arterial pressure are captured by the transducer 20 and converted into electrical signals, and signal processing is performed in the main unit via a cable, and the heart rate and blood pressure are applied to the display device. Display graphs and numerical values.
なお、 第 1の接続構造体 3 0を留置針 2 0 0に接続した際に生じ得る 少量の残留エアを抜く手段としてはエア抜き三方活栓 1 2を用いる手段 がある。 エア抜き三方活栓 1 2は留置針 2 0 0を介して患者の血管から 血液を採血することに用いることもでき、 残留している少量エアのエア 抜きも行うことも可能である。  As a means for removing a small amount of residual air that may be generated when the first connection structure 30 is connected to the indwelling needle 20 0, there is a means using an air vent three-way cock 12. The air vent three-way stopcock 12 can be used to collect blood from the patient's blood vessel via the indwelling needle 20 0, and it is also possible to vent the remaining small amount of air.
上記の 3つの手順により、 短時間かつ簡単に図 4のように観血的動脈 圧モエタシステムを構築することができる。 従来方法は従来技術で示し たように 5つの手順が必要であり、本発明の液体封入体 1 0 0によれば、 従来方法に比べて特に医療用チューブ 1 0内への充填液の充填作業ゃェ ァ抜きという作業が省力化されている。 By the above three procedures, it is possible to construct an open arterial pressure moeta system as shown in Fig. 4 in a short time and easily. As shown in the prior art, the conventional method requires five procedures. According to the liquid enclosure 10 of the present invention, the filling operation of the filling liquid into the medical tube 10 is particularly performed compared to the conventional method. Nya Labor saving is saved.
次に、 本発明の液体封入体 1 0 0の生産方法について説明する。  Next, a method for producing the liquid enclosure 100 according to the present invention will be described.
液体封入体 1 0 0は、 充填液を充填して封入したものであるが、 徹底 的に確実にエア抜きする必要がある。 医療用チューブ 1 0内は単なる寸 胴の管ではなく特にトランスデューサ一部 2 0等の構造物があり、 エア が溜まりやすいものとなっており、 量産工程においてはエア抜きが課題 となる。  The liquid enclosure 100 is filled and filled with a filling liquid, but it is necessary to vent the air thoroughly. The inside of the medical tube 10 is not a simple tube, but there are structures such as a transducer part 20 in particular, and air is likely to accumulate, and in the mass production process, air bleeding becomes a problem.
まず、 第 1の生産方法について述べる。  First, the first production method is described.
図 5は、 本発明の液体封入体 1 0 0の第 1の生産方法における充填液 の充填とエア抜きの方向などを模式的に示した図である。 図 5では第 1 の生産方法に用いられる封入装置 5 0 0の構成のうち供給管 5 1 0と T 字型の排出管 5 2 0のみが図示されている。 封入装置 5 0 0の本体部分 は図示しないが充填液を供給管 5 1 0から専用ライン内に充填してゆく とともに T字型の排出管 5 2 0から溢れ出る充填液を回収する機能を備 えている。  FIG. 5 is a diagram schematically illustrating the filling liquid filling and air bleeding directions in the first production method of the liquid enclosure 100 of the present invention. In FIG. 5, only the supply pipe 5 10 and the T-shaped discharge pipe 5 20 are shown in the configuration of the sealing device 500 used in the first production method. Although not shown in the figure, the main body of the sealing device 500 has a function of filling the filling liquid into the dedicated line from the supply pipe 5 10 and collecting the filling liquid overflowing from the T-shaped discharge pipe 5 20. It is.
供給管 5 1 0は下部に位置し、 下方から上方に充填液を滴下して供給 するものである。 T字型の排出管 5 2 0は上部に位置し、 下方から二手 に分かれて流れてくる充填液の液流を受けて回収するものである。  The supply pipe 51 is located in the lower part, and supplies the filling liquid dropwise from below to above. The T-shaped discharge pipe 5 20 is located in the upper part, and receives and collects the liquid flow of the filling liquid that flows separately from the lower part.
図 5に示すように、 液体封入体 1 0 0は、 その液注入三方活栓 1 3が 最下位に位置して供給管 5 1 0に接続され、 第 1の接続構造体 3 0と第 2の接続構造体 4 0を T字型の排出管 5 2 0に接続されるように封入装 置にセットされる。 上述したように、 液注入三方活栓 1 3はトランスデ ユーサ一部 2 0の近傍に設けられており、 トランスデューサ一部 2 0も 概ね最下位に位置している。 As shown in FIG. 5, the liquid enclosure 100 is connected to the supply pipe 5 10 with the liquid injection three-way stopcock 13 located at the lowest position, and the first connection structure 30 and the second The connecting structure 40 is set in the enclosure so as to be connected to the T-shaped discharge pipe 5 20. As described above, the liquid infusion way stopcock 1 3 is provided in the vicinity of Toransude Yusa part 2 0 is located at the lowest generally part 2 0. transducer.
図 5に示したように、 供給管 5 1 0から液注入三方活栓 1 3に向けて 静かに充填液を注入してゆく。 充填液は液注入三方活栓 1 3から左右に 同時に医療用チューブ 1 0内に充填されてゆく。 つまり液注入三方活栓 1 3付近を低く、 第 1の接続構造体 3 0および第 2の接続構造体 4 0を 高く保ち、 下側に位置している液注入三方活栓 1 3から充填液を所定圧 にて注入して行く。 As shown in FIG. 5, gently inject the filling liquid from the supply pipe 5 10 toward the liquid injection three-way stopcock 13. Filling liquid is three-way stopcock. At the same time, the medical tube 10 is filled. That is, the vicinity of the liquid injection three-way stopcock 1 3 is kept low, the first connection structure 30 and the second connection structure 40 are kept high, and the filling liquid is predetermined from the liquid injection three-way stopcock 13 located on the lower side. Inject with pressure.
充填液は液注入三方活栓 1 3から左右に分かれて第 1の接続構造体 3 0および第 2の接続構造体 4 0に向けて上昇してゆき、 エア抜き三方活 栓 1 2および第 2の液溜まり 1 5を満たして第 1の接続構造体 3 0およ び第 2の接続構造体 4 0を介して T字型の排出管 5 2 0から回収される。 ここで、 本実施例 1では、 エア抜きに際して、 トランスデューサ一部 2 0、 第 1の接続構造体 3 0、 第 2の接続構造体 4 0に対してパイブレ ーションを与えて細かい気泡をたたき出す工夫を行う。 このようにバイ ブレーションを与えることにより細かい気泡がたたき出され、 気泡が医 療用チューブ 1 0の中を充填液の流れに乗って上昇してゆき、 各部に残 留するエアを確実に抜き去ることができる。 バイブレーショ ンを与える 方法としてはモーター式の振動子や超音波振動子を医療用チューブ 1 0 等に当てて振動させることでも良い。  The filling liquid is divided into left and right from the liquid injection three-way stopcock 13 and rises toward the first connection structure 30 and the second connection structure 40, and the air vent three-way stopcock 12 and second The liquid reservoir 15 is filled, and the liquid is collected from the T-shaped discharge pipe 5 20 through the first connection structure 30 and the second connection structure 40. Here, in the first embodiment, when venting the air, a device for giving a vibration to the transducer part 20, the first connection structure 30, and the second connection structure 40 to knock out fine bubbles. Do. By applying vibration in this way, fine bubbles are knocked out, the bubbles rise in the medical tube 10 along the flow of the filling liquid, and the air remaining in each part is surely removed. I can leave. As a method for providing vibration, a motor-type vibrator or ultrasonic vibrator may be applied to the medical tube 10 or the like to vibrate.
この後、 第 1の接続構造体 3 0の先端部分と、 第 2の接続構造体 4 0 の接続部分をそれぞれ封止して内部の充填液を密封する。 例えば封止方 法としては熱圧着によりソフトビニール管を押さえて圧着して封止する ことでも良い。 液注入三方活栓 1 3は充填液が漏れないように活栓を閉 じる。  Thereafter, the tip portion of the first connection structure 30 and the connection portion of the second connection structure 40 are respectively sealed to seal the filling liquid inside. For example, as a sealing method, it may be sealed by pressing a soft vinyl tube by thermocompression. Liquid injection three-way stopcock 1 3 Close the stopcock so that the filling liquid does not leak.
以上の生産方法は量産工程においても利用することができ、 本発明の 液体封入体 1 0 0を生産することができる。  The above production method can also be used in a mass production process, and the liquid enclosure 10 of the present invention can be produced.
次に、 第 2の生産方法について述べる。  Next, the second production method will be described.
図 6は、 本発明の液体封入体 1 0 0の第 2の生産方法における充填液 の充填とエア抜きの方向などを模式的に示した図である。 図 6では第 2 の生産方法に用いられる封入装置 5 0 0の構成のうち供給管 5 1 0 aと 排出管 5 2 0 aのみが図示されている。 封入装置 5 0 0の本体部分は図 示しないが図 5と同様、 充填液を供給管 5 1 0 aから専用ライン内に充 填してゆく とともに排出管 5 2 0 aから溢れ出る充填液を回収する機能 を備えている。 FIG. 6 is a diagram schematically showing the filling liquid filling and air bleeding directions in the second production method of the liquid enclosure 100 of the present invention. Figure 6 shows the second Only the supply pipe 5 1 0 a and the discharge pipe 5 2 0 a are illustrated in the configuration of the sealing device 5 0 0 used in this production method. The body part of the sealing device 500 is not shown, but as in FIG. 5, the filling liquid is filled into the dedicated line from the supply pipe 5 1 0 a and the filling liquid overflowing from the discharge pipe 5 2 0 a It has a function to collect.
供給管 5 1 0 aは下部に位置し、 下方から上方に充填液を滴下して供 給するものである。 排出管 5 2 0 aは上部に位置し、 下方から流れてく る充填液の液流を受けて回収するものである。  The supply pipe 5 10 a is located at the lower part, and supplies the filling liquid dropwise from below to above. The discharge pipe 5 2 0 a is located at the upper part and receives and collects the filling liquid flowing from below.
液体封入体 1 0 0は、 第 1の接続構造体 3 0または第 2の接続構造体 4 0のいずれか一方を低く し、 トランスデューサ一部 2 0を中ほどに、 第 1の接続構造体 3 0または第 2の接続構造体 4 0の他方を高く保ち、 下側に位置している方から充填液を所定圧にて注入して行き、 上側に位 置している方から充填液を回収することにより。充填液を充填してゆく。 図 6の例では、 一例として第 1の接続構造体 3 0を下方に位置させ、 第 2の接続構造体 4 0を上方に位置させた例となっている。  The liquid enclosure 10 0 lowers either the first connection structure 30 or the second connection structure 40, and places the transducer part 20 in the middle, so that the first connection structure 3 0 or the second connection structure 40 Keeping the other 0 high, the filling liquid is injected at a predetermined pressure from the lower position, and the filling liquid is recovered from the upper position. By doing. Fill the filling liquid. In the example of FIG. 6, as an example, the first connection structure 30 is positioned below and the second connection structure 40 is positioned above.
図 6の状態において、 第 1の接続構造体 3 0の先端を供給管 5 1 0 a に接続し、 第 2の接続構造体 4 0の先端を排出管 5 2 0 aに接続し、 供 給管 5 1 0 aから上方に向けて充填液を滴下することにより、 充填液が 第 2の接続構造体 4 0に向けて上昇し、 エア抜き三方活栓 1 2、 トラン スデューサ一部 2 0、 第 2の液溜まり 1 5を満たして第 2の接続構造体 4 0を介して排出管 5 2 0 aから回収される。  In the state of FIG. 6, the tip of the first connection structure 30 is connected to the supply pipe 5 10 0 a, the tip of the second connection structure 40 is connected to the discharge pipe 5 2 0 a, and the supply By dropping the filling liquid upward from the pipe 5 10 a, the filling liquid rises toward the second connection structure 40, and the air vent three-way stopcock 1 2, the transducer part 20, the first The second liquid reservoir 15 is filled, and the liquid is collected from the discharge pipe 5 20 a through the second connection structure 40.
この例でも、 エア抜きに際して、 トランスデューサ一部 2 0、 第 1の 接続構造体 3 0、 第 2の接続構造体 4 0に対してバイブレーションを与 えて細かい気泡をたたき出す工夫を行うことが好ましい。 パイブレーシ ヨンを与えることにより細かい気泡がたたき出され、 気泡が医療用チュ ープ 1 0の中を充填液の流れに乗って上昇してゆき、 各部に残留するヱ ァを確実に抜き去ることができる。 In this example as well, it is preferable to devise a method to vibrate fine bubbles by giving vibration to the transducer part 20, the first connection structure 30, and the second connection structure 40 when releasing air. By applying the pie brasion, fine bubbles are knocked out, and the bubbles rise in the medical tube 10 along the flow of the filling liquid and remain in each part. Can be removed without fail.
この後、 第 1の接続構造体 3 0の先端部分と、 第 2の接続構造体 4 0 の接続部分の 2箇所をそれぞれ封止して内部の充填液を密封する。 例え ば封止方法としては熱圧着によりソフ トビニール管を押さえて圧着して 封止することでも良い。  Thereafter, two portions of the tip portion of the first connection structure 30 and the connection portion of the second connection structure 40 are sealed to seal the filling liquid inside. For example, as a sealing method, the soft vinyl tube may be pressed and sealed by thermocompression.
以上の生産方法は量産工程においても利用することができ、 本発明の 液体封入体 1 0 0を生産することができる。  The above production method can also be used in a mass production process, and the liquid enclosure 10 of the present invention can be produced.
上記したように、 実施例 1にかかる本発明の液体封入体 1 0 0によれ ば、 事前に充填液をプレフィルドされたものを常備でき、 留置針や充填 液バッグと簡単にその場で短時間に組み立てが完了し、 緊急時にも容易 に対応できる観血的モニタシステムを提供することができる。  As described above, according to the liquid enclosure 10 100 of the present invention according to the first embodiment, it is possible to always prepare a pre-filled filling liquid, and to easily place the indwelling needle and the filling liquid bag on the spot for a short time. As a result, it is possible to provide an invasive monitoring system that can be easily assembled in an emergency.
以上、 本発明の液体封入体の構成例における好ましい実施例を図示 して説明してきたが、 本発明の技術的範囲を逸脱することなく種々の 変更が可能であることは理解されるであろう。  As described above, the preferred embodiment of the configuration example of the liquid enclosure according to the present invention has been illustrated and described, but it will be understood that various modifications can be made without departing from the technical scope of the present invention. .
以上、 本発明の好ましい実施形態を図示して説明してきたが、 本発明 の技術的範囲を逸脱することなく種々の変更が可能であることは理解さ れるであろう。 従って本発明の技術的範囲は添付された特許請求の範囲 の記載によってのみ限定されるものである。  Although the preferred embodiments of the present invention have been illustrated and described above, it will be understood that various modifications can be made without departing from the technical scope of the present invention. Therefore, the technical scope of the present invention is limited only by the description of the appended claims.
産業上の利用可能性 Industrial applicability
本発明の液体封入体は観血的モニタシステムに用いることができる。  The liquid inclusion body of the present invention can be used in an invasive monitoring system.

Claims

請求の範囲 The scope of the claims
1 . 留置針を介して患者の動脈に侵襲した専用ラインの内部に充填され ている充填液の状態をトランスデューサ一により検知して前記患者の動 脈状態を測定する観血的動脈圧モニタシステム用の液体封入体であって、 前記充填液が充填された医療用チューブ体と、 1. For an arterial pressure monitoring system for measuring the arterial state of a patient by detecting the state of the filling liquid filled in a dedicated line invading the patient's artery via an indwelling needle with a transducer. A medical tube body filled with the filling liquid,
前記医療用チューブ体の前記一端に設けられ、その先端が封止された、 前記留置針に接続可能な第 1の接続構造体と、  A first connection structure provided at the one end of the medical tube body and sealed at the tip thereof, connectable to the indwelling needle;
前記医療用チューブ体の前記他端に設けられ、その先端が封止された、 前記充填液バッグに接続可能な第 2の接続構造体と、  A second connection structure provided at the other end of the medical tube body and sealed at the tip thereof, and connectable to the filling liquid bag;
前記医療用チューブ体の中間付近に設けられたトランスデューサ一部 を備えた、 観血的動脈圧モニタシステム用の液体封入体。  A liquid enclosure for an invasive arterial pressure monitoring system, comprising a part of a transducer provided near the middle of the medical tube body.
2 . 前記第 1の接続構造体が押圧可能な液溜まり部を備え、前記第 1の 接続構造体の先端の封止を破り前記留置針に接続する際に前記液溜まり 部を押圧して前記先端から前記充填液を滴下させてエア抜きしつつ前記 留置針に接続することを可能とした請求項 1に記載の観血的動脈圧モニ タシステム用の液体封入体。 2. The first connection structure includes a liquid reservoir that can be pressed, and when the first connection structure is broken to seal the tip of the first connection structure and connected to the indwelling needle, the liquid reservoir is pressed to 2. The liquid enclosure for an invasive arterial pressure monitoring system according to claim 1, wherein the filling liquid can be dropped from the tip and connected to the indwelling needle while releasing air.
3 . 前記第 2の接続構造体が押圧可能な液溜まり部を備え、前記第 2の 接続構造体の先端の封止を破り前記充填液バッグに接続する際に前記液 溜まり部を押圧して前記先端から前記充填液を滴下させてエア抜きしつ つ前記充填液バッグに接続することを可能とした請求項 1または 2に記 载の観血的動脈圧モニタシステム用の液体封入体。  3. The second connection structure is provided with a pressurizable liquid reservoir, and when the second connection structure is broken and sealed at the tip of the second connection structure, the liquid reservoir is pressed. 3. The liquid enclosure for an invasive arterial pressure monitoring system according to claim 1 or 2, wherein the filling liquid is dropped from the tip to be evacuated and connected to the filling liquid bag.
4 . 前記医療用チューブ体の前記トランスデューサ一部近くに設けられ ている三方活栓から前記医療用チューブ体の前記第 1の接続構造体の先 端および前記第 2の接続構造体の先端に向けて前記充填液を注入して行 き、 前記医療用チューブ体内に前記充填液を封入せしめた請求項 1に記 載の観血的動脈圧モニタシステム用の液体封入体。 4. From a three-way cock provided near a part of the transducer of the medical tube body toward the leading end of the first connection structure and the distal end of the second connection structure of the medical tube body The filling liquid according to claim 1, wherein the filling liquid is injected, and the filling liquid is sealed in the medical tube body. Liquid enclosure for the invasive arterial pressure monitoring system.
5 . 前記充填液が、液中に溶存している空気を低減させる脱気処理を施 した生理食塩水であることを特徴とする請求項 1から 4のいずれか 1項 に記載の生理食塩水封入体。  5. The physiological saline solution according to any one of claims 1 to 4, wherein the filling liquid is a physiological saline that has been subjected to a deaeration process for reducing air dissolved in the liquid. Inclusion body.
6 . 前記充填液が、高濃度食塩水または高濃度糖液であることを特徴と する請求項 1から 4のいずれか 1項に記載の液体封入体。 6. The liquid enclosure according to any one of claims 1 to 4, wherein the filling liquid is high-concentration saline or high-concentration sugar liquid.
7 . 前記充填液がへパリンを添加したへパリン添加生理食塩水である請 求項 1から 6のいずれか 1項に記載の観血的動脈圧モニタシステム用の 液体封入体。 7. The liquid inclusion body for an invasive arterial pressure monitoring system according to any one of claims 1 to 6, wherein the filling liquid is heparin-added physiological saline to which heparin is added.
8 . 留置針を介して患者の動脈に侵襲した専用ラインの内部に充填され ている充填液の状態をトランスデューサ一により検知して前記患者の動 脈状態を測定する観血的動脈圧モニタシステム用の液体封入体を生産す る方法であって、 8. For an invasive arterial pressure monitoring system that measures the patient's arterial state by detecting the state of the filling liquid filled in a dedicated line that has invaded the patient's artery via an indwelling needle with a transducer. A method for producing a liquid enclosure of
前記留置針に接続可能な第 1の接続構造体を一端に、 充填液バッグに 接続可能な第 2の接続構造体を他端に、 トランスデューサ一部を中間付 近に、 前記充填液を注入してゆく液注入三方活栓を前記トランスデュー サ一部近くに備えた医療用チューブ体に対して、  The first connecting structure that can be connected to the indwelling needle is at one end, the second connecting structure that can be connected to the filling liquid bag is at the other end, and a part of the transducer is injected near the middle, and the filling liquid is injected. For a medical tube body with a three-way stopcock for liquid injection near the transducer,
前記液注入三方活栓付近を低く、 前記第 1の接続構造体および前記第 The vicinity of the liquid injection three-way cock is low, the first connection structure and the first
2の接続構造体を高く保ち、 下側に位置している前記液注入三方活栓か ら前記充填液を所定圧にて注入して行き、 前記トランスデューサ一部と 前記第 1の接続構造体と前記第 2の接続構造体のエア抜きを確実に行つ た後、 前記液注入三方活栓先端と前記第 1の接続構造体先端と前記第 2 の接続構造体先端を封止せしめる観血的動脈圧モニタシステム用の液体 封入体の生産方法。 The connection structure of 2 is kept high, and the filling liquid is injected at a predetermined pressure from the liquid injection three-way cock located on the lower side, and the transducer part, the first connection structure, and the After reliably venting the second connection structure, invasive arterial pressure that seals the tip of the three-way stopcock, the tip of the first connection structure, and the tip of the second connection structure Production method of liquid enclosure for monitoring system.
9 . 留置針を介して患者の動脈に侵襲した専用ラインの内部に充填され ている充填液の状態をトランスデューサ一により検知して前記患者の動 脈状態を測定する観血的動脈圧モニタシステム用の液体封入体を生産す る方法であって、 9. The state of the filling liquid filled in the dedicated line that has invaded the patient's artery via the indwelling needle is detected by a transducer, and the movement of the patient is detected. A method of producing a liquid inclusion for an invasive arterial pressure monitoring system for measuring a pulse state comprising:
前記留置針に接続可能な第 1 の接続構造体を一端に、 充填液バッグに 接続可能な第 2の接続構造体を他端に、 トランスデューサ一部を中間付 近に備えた医療用チューブ体に対して、  The first connection structure that can be connected to the indwelling needle at one end, the second connection structure that can be connected to the filling liquid bag at the other end, and a medical tube body that has a part of the transducer near the middle for,
前記第 1の接続構造体または前記第 2の接続構造体のいずれか一方を 低く、 前記トランスデューサ一部を中ほどに、 前記第 1の接続構造体ま たは前記第 2の接続構造体の他方を高く保ち、 下側に位置している方か ら前記充填液を所定圧にて注入して行き、 上側に位置している方から前 記充填液を回収し、 前記第 1の接続構造体と前記トランスデューサ一部 と前記第 2の接続構造体のエア抜きを確実に行った後、 前記第 1の接続 構造体先端と前記第 2の接続構造体先端を封止せしめる観血的動脈圧モ 二タシステム用の液体封入体の生産方法。  Either one of the first connection structure or the second connection structure is lowered, and the other part of the first connection structure or the second connection structure is placed in the middle of the transducer part. The filling liquid is injected at a predetermined pressure from the lower side, and the first filling structure is recovered from the upper side. And the second connecting structure is surely vented, and then the invasive arterial pressure module is used to seal the tip of the first connecting structure and the tip of the second connecting structure. A method for producing a liquid enclosure for a two-part system.
1 0 . 前記エア抜きに際して、 前記トランスデューサ一部、 前記第 1の 接続構造体、 前記第 2の接続構造体に対してバイブレーショ ンを与えて 細かい気泡をたたき出すことを特徴とする請求項 8または 9に記載の観 血的動脈圧モニタシステム用の液体封入体の生産方法。  10. The method according to claim 8, wherein when the air is released, a fine bubble is knocked out by applying a vibration to the part of the transducer, the first connection structure, and the second connection structure. 10. A method for producing a liquid inclusion body for the invasive arterial pressure monitoring system according to 9.
1 1 . 前記充填液が、 液中に溶存している空気を低減させる脱気処理を 施した生理食塩水であることを特徴とする請求項 8から 9のいずれか 1 項に記載の液体封入体の生産方法。  11. The liquid filling according to any one of claims 8 to 9, wherein the filling liquid is a physiological saline that has been subjected to a deaeration process for reducing air dissolved in the liquid. Body production method.
1 2 . 前記充填液が、 高濃度食塩水または高濃度糖液であることを特徴 とする請求項 8から 9のいずれか 1項に記載の液体封入体の生産方法。 12. The method for producing a liquid enclosure according to any one of claims 8 to 9, wherein the filling liquid is a high-concentration saline or a high-concentration sugar liquid.
1 3 . 前記充填液がへパリンを添加したへパリン添加生理食塩水である 請求項 8から 1 2のいずれか 1項に記載の観血的動脈圧モユタシステム 用の液体封入体の生産方法。 1 3. The method for producing a liquid inclusion body for an invasive arterial pressure monitor system according to any one of claims 8 to 12, wherein the filling liquid is a heparin-added physiological saline to which heparin is added. .
PCT/JP2009/053476 2008-02-22 2009-02-19 Liquid filled body for invasive arterial-pressure monitoring system and method for producing the same WO2009104809A1 (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105877724A (en) * 2016-05-19 2016-08-24 优尼麦迪克器械(深圳)有限公司 Portable invasive pressure sensor
WO2018200832A1 (en) * 2017-04-27 2018-11-01 Edwards Lifesciences Corporation Flexible tubing for a pressure monitoring system

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP4214170B1 (en) * 2008-02-22 2009-01-28 健 島本 Saline inclusion body for invasive arterial pressure monitoring system and production method thereof

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH01160528A (en) * 1987-12-18 1989-06-23 Terumo Corp Cock type pressure transmitting apparatus
JPH0523308A (en) * 1991-07-18 1993-02-02 Terumo Corp Flow controller and blood pressure measuring apparatus
JPH0623038A (en) * 1992-07-03 1994-02-01 Nissho Corp Tube insertion apparatus for measuring internal pressure of blood vessel
JP4214170B1 (en) * 2008-02-22 2009-01-28 健 島本 Saline inclusion body for invasive arterial pressure monitoring system and production method thereof

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH01160528A (en) * 1987-12-18 1989-06-23 Terumo Corp Cock type pressure transmitting apparatus
JPH0523308A (en) * 1991-07-18 1993-02-02 Terumo Corp Flow controller and blood pressure measuring apparatus
JPH0623038A (en) * 1992-07-03 1994-02-01 Nissho Corp Tube insertion apparatus for measuring internal pressure of blood vessel
JP4214170B1 (en) * 2008-02-22 2009-01-28 健 島本 Saline inclusion body for invasive arterial pressure monitoring system and production method thereof

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105877724A (en) * 2016-05-19 2016-08-24 优尼麦迪克器械(深圳)有限公司 Portable invasive pressure sensor
CN105877724B (en) * 2016-05-19 2019-04-05 优尼麦迪克器械(深圳)有限公司 Portable invasive pressure sensor
WO2018200832A1 (en) * 2017-04-27 2018-11-01 Edwards Lifesciences Corporation Flexible tubing for a pressure monitoring system

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