WO2014163110A2 - Nasal intubation tube - Google Patents

Nasal intubation tube Download PDF

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Publication number
WO2014163110A2
WO2014163110A2 PCT/JP2014/059744 JP2014059744W WO2014163110A2 WO 2014163110 A2 WO2014163110 A2 WO 2014163110A2 JP 2014059744 W JP2014059744 W JP 2014059744W WO 2014163110 A2 WO2014163110 A2 WO 2014163110A2
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WO
WIPO (PCT)
Prior art keywords
nasal cavity
tube
stopper
cavity insertion
guide member
Prior art date
Application number
PCT/JP2014/059744
Other languages
French (fr)
Japanese (ja)
Other versions
WO2014163110A3 (en
Inventor
健児 日置
山田 弘志
幹太 倉内
Original Assignee
セブン ドリーマーズ ラボラトリーズ,インコーポレイテッド
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 セブン ドリーマーズ ラボラトリーズ,インコーポレイテッド filed Critical セブン ドリーマーズ ラボラトリーズ,インコーポレイテッド
Priority to JP2015503383A priority Critical patent/JPWO2014163110A1/en
Publication of WO2014163110A2 publication Critical patent/WO2014163110A2/en
Publication of WO2014163110A3 publication Critical patent/WO2014163110A3/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0488Mouthpieces; Means for guiding, securing or introducing the tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0461Nasoendotracheal tubes

Definitions

  • the present invention relates to a nasal cavity insertion tube for insertion into the nasal cavity.
  • patients with obstructive sleep apnea syndrome the pharyngeal portion of the airway is obstructed by complications such as muscle relaxation and obesity during sleep, and intermittent choking (apnea, hypopnea) is repeated intermittently. For this reason, patients with obstructive sleep apnea syndrome suffer from hypertension and cerebrovascular and cardiovascular disorders.
  • patients with obstructive sleep apnea syndrome may not be able to get enough sleep, and become drowsy during the day or lack concentration or vitality during the day.
  • a patient with obstructive sleep apnea syndrome drives a car, the patient is likely to cause an accident or a serious accident or the like due to drowsy driving.
  • snoring is caused by the vibration of the airway mucosa such as the pharynx when the above-mentioned road is narrowed or occluded during sleep, similar to obstructive sleep apnea syndrome. Snoring not only disturbs the sleep of the housemate, but also disturbs the person's deep sleep, causing sleepiness during the day and lack of concentration and vitality during the day.
  • Patent Document 1 discloses an “occlusion type sleep apnea syndrome canceller”.
  • a flexible tube having a length from the pharynx to the nostril portion, a flexible guide wire inserted into the tube, and an elastically deformable breathable member provided at one end of the guide wire ( And a stopper provided at the other end of the guide wire.
  • the mesh tube is retracted by elastic deformation and is drawn into the tube.
  • the developed reticular cylinder prevents occlusion of the pharynx.
  • An object of the present invention is to provide a nasal cavity insertion tube in which the uncomfortable feeling when inserted into the nasal cavity is reduced as compared with the conventional one.
  • a nasal cavity insertion tube for insertion into the nasal cavity is provided.
  • the 100% tensile stress of the nasal cavity insertion tube is in the range of 0.10 MPa to 0.70 MPa.
  • the inner diameter of the nasal cavity insertion tube is in the range of not less than 3.0 mm and not more than 9.2 mm.
  • the nasal cavity insertion tube satisfies the following formula: 0.030 ⁇ 100% tensile stress (MPa) ⁇ thickness (mm) ⁇ inner diameter (mm) ⁇ 0.067
  • the nasal cavity insertion tube is at least partially curved.
  • the radius of curvature of the curved portion is in the range of 120 mm to 160 mm.
  • the distance from the pharyngeal end of the nasal cavity insertion tube to the axial center of the bending portion is 1/5 or more and 1/2 of the total length of the nasal cavity insertion tube within the following range.
  • the thickness of the nasal cavity insertion tube is in the range of 0.19 mm to 2.85 mm.
  • the outer diameter of the nasal cavity insertion tube is in the range of 3.3 mm to 10 mm.
  • the nasal cavity insertion tube of the present invention has a reduced uncomfortable feeling when inserted into the nasal cavity as compared with the conventional one.
  • a nasal cavity insertion tool 300 according to the present embodiment will be described with reference to FIGS. 1 and 2.
  • the nasal cavity insertion tool 300 includes a tube body (nasal cavity insertion tube) 301, a stopper pin 302, a stopper cover 303, a stopper anchor 304, and a stopper spring 305.
  • the direction from the center in the longitudinal direction of the tube body 301 toward the end on the side attached to the stopper pin 302 is referred to as the rear, and the direction toward the other end is referred to as the front.
  • the tube main body 301 is made of a silicone resin or a thermoplastic elastomer (polystyrene, polyvinyl chloride, polyolefin, polyurethane, polyester, or the like).
  • the tube body 301 is formed so as to extend from the nostril to the pharynx. Details of the tube body 301 will be described later.
  • the tube main body 301 according to the present embodiment includes a styrene thermoplastic elastomer EARNESTONE (registered trademark) CJ103 (manufactured by Kuraray Plastic Co., Ltd.), liquid silicone rubber MED4920 (manufactured by Nusil Silicone Technology), and the like. Can be used.
  • the stopper pin 302 is inserted into the rear end portion of the tube main body 301.
  • One end of a stopper spring 305 is connected to the stopper pin 302.
  • a stopper cover 303 is put on the stopper pin 302 from the rear. The stopper pin 302 and the stopper cover 303 serve as a connecting member for connecting the tube main body 301.
  • the stopper anchor (nasal insertion member) 304 is inserted into the other nasal cavity when the tube body 301 is inserted into one nasal cavity of the user.
  • the other end of the stopper spring 305 is connected to the stopper anchor 304.
  • the stopper spring 305 has one end fixed to the stopper pin 302 and the other end fixed to the stopper anchor 304.
  • the stopper spring 305 is an elastic member and is urged so that the axial direction of the tube main body 301 (and the stopper pin 302 and the stopper cover 303) is parallel to the axial direction of the stopper anchor 304.
  • the user can widen the distance between the tip of the stopper pin 302 and the tip of the stopper anchor 304 against the elastic force of the stopper spring 305. As a result, the user can easily pinch the nose column between the tube main body 301 and the stopper anchor 304.
  • the tube body 301, the stopper pin 302, and the stopper cover 303 are inserted into one nose of the patient, and the stopper anchor 304 is inserted into the other nose.
  • the rear end portion (the stopper pin 302, the stopper cover 303) of the tube main body 301 and the stopper anchor 304 sandwich the nasal column by the biasing force of the stopper spring 305.
  • the tube main body 301 is covered with a cover (not shown).
  • the nasal cavity insertion tool 300 itself is covered with a cover.
  • the user takes out the tube main body 301 or the nasal cavity insertion tool 300 from the cover.
  • the user holds the front portion of the tube body 301 with one hand and inserts the front end of the tube body 301 into one nasal cavity while holding the stopper pin 302 and the stopper anchor 304 with the other hand.
  • the user holds the longitudinal center of the tube body 301 with one hand and holds the stopper pin 302 and the stopper anchor 304 with the other hand.
  • the nasal cavity insertion device 300 is further advanced. Thereby, the tube main body 301 is inserted to the pharynx.
  • the user widens the distance between the stopper pin 302 and the stopper anchor 304.
  • the user advances the nasal cavity insertion tool 300 to insert the stopper pin 302 and the stopper cover 303 into the one nasal cavity, and inserts the stopper anchor 304 into the other nasal cavity.
  • the stopper pin 302 and the stopper anchor 304 sandwich the nose column by the biasing force of the stopper spring 305. Thereby, the nasal cavity insertion tool 300 is fixed with respect to the nose.
  • the color of each part of the nasal cavity insertion device 300 was not mentioned, but the color of the nasal cavity insertion device 300 is transparent so that the nasal cavity insertion device 300 does not stand out when worn.
  • the color of the nasal cavity insertion tool 300 may be a skin color, the color of the nasal cavity insertion tool 300 may be pink, or the color of the nasal cavity insertion tool 300 may be black.
  • the silicone resin is exemplified as the material of the nasal cavity insertion tool 300 according to the present embodiment
  • the present invention is not limited to this and can be applied as the following materials in addition to the silicone resin.
  • ABS resin acrylonitrile-butadiene-styrene
  • butadiene-styrene rubber polyester copolymer
  • ethylene-propylene rubber ethylene-propylene-terpolymer rubber
  • EVA resin ethylene-vinyl acetate copolymer
  • a tube inserter set for reducing the frequency and possibility of the user touching the tube body when inserting the nasal cavity insertion tool Will be described.
  • the tube inserter set 1000 includes a guide member 100, a slider 200, and a nasal cavity insertion tool 300.
  • a tube insertion device what has the guide member 100 and the slider 200, and does not have the nasal cavity insertion tool 300 is called a tube insertion device.
  • the nasal cavity insertion tool 300 can be attached to the slider 200.
  • the nasal cavity insertion tool 300 and a part of the slider 200 are accommodated in the guide member 100.
  • the guide member 100 is formed with a gripping portion 100A.
  • the direction from the center in the longitudinal direction of the nasal cavity insertion tool 300 toward the end on the side attached to the slider 200 is referred to as the rear, and the direction toward the other end is referred to as the front.
  • the user pushes the slider 200 forward with the other hand while holding the grip portion 100A with one hand.
  • the slider 200 and the nasal cavity insertion tool 300 slide forward in the guide member 100.
  • the user can insert the nasal cavity insertion device 300 to a desired position by inserting the front end of the nasal cavity insertion device 300 into the nasal cavity and pushing the slider 200 forward.
  • the tube inserter set 1000 can reduce the need for the user to grip the tube directly.
  • achieves such a function is demonstrated in detail.
  • the guide member 100 is a cylindrical member.
  • a notch 100X is formed in the left side wall of the guide member 100 from the front end portion to the vicinity of the rear end portion. As will be described later, in the present embodiment, the slider 200 slides with respect to the guide member 100 along the notch 100X.
  • a flat grip portion 100A is provided on the right side wall of the guide member 100 so as to extend in the radial direction. The user can easily hold the guide member 100 by pinching the grip portion 100A. Further, with such a configuration, it is possible to prevent the user from deforming the guide member 100 main body or narrowing the width of the notch 100X by pinching the main body of the guide member 100. .
  • reinforcing ribs 100B and 100B are formed on the right side surface of the guide member 100 along the circumferential direction from the front end portion and the rear end portion of the grip portion 100A.
  • a tapered rib 100 ⁇ / b> C is formed around the front end portion of the guide member 100.
  • the rib 100C comes into contact with the tip of the nasal cavity when the tip of the guide member 100 is inserted into the nasal cavity, thereby preventing the user from accidentally inserting the guide member 100 too deeply into the nose.
  • a locking projection 100E is formed on the outer wall of the rear end portion of the guide member 100.
  • the protrusion 100E is in contact with a protrusion of the slider 200 described later.
  • the slider 200 can be fixed to the rear portion of the guide member 100 by the protrusion 100E.
  • the movement of the slider 200 is limited by the protrusion 100 ⁇ / b> E so that the front end portion of the nasal cavity insertion tool 300 does not protrude from the front end of the guide member 100.
  • the user can push the slider 200 forward with a predetermined force or more to get over the protrusion 100E on the protrusion of the slider 200, and the front end portion of the nasal cavity insertion tool 300 can be moved over the guide member 100. Can protrude from the front end.
  • a lubricant is preferably applied to the surface of the tube body 301A described later.
  • the tube inserter set 1000 preferably has a cover 400 for covering the tube main body 301A from the front.
  • protrusions 100Y and 100Y are formed on the opposing surfaces of the notch 100X.
  • the protrusions 100Y and 100Y are configured to contact a connecting member of the slider 200 described later or a stopper spring 305 of the nasal cavity insertion tool 300 described later, and limit the sliding of the slider 200.
  • the protrusion 100Y may be formed only on one side of the notch 100X.
  • the protrusions 100Y and 100Y are configured to limit the advancement of the slider 200 or the nasal cavity insertion tool 300 so that the protrusions 100Y and 100Y do not protrude too far from the guide member 100.
  • the user can move the slider 200 or the nasal cavity insertion tool 300 over the protrusions 100Y and 100Y by pushing the slider 200 forward with a predetermined force or more, and can further advance the nasal cavity insertion tool 300.
  • the slider 200 includes an inner member (first member) 200A, an outer member (second member) 200C, and a connecting member 200E. In the present embodiment, these members are integrally formed.
  • the inner member 200 ⁇ / b> A is located inside the guide member 100 when the nasal cavity insertion tool 300 is accommodated in the guide member 100.
  • a protrusion 200B is formed at the front end of the inner member 200A.
  • the protrusion 200B can be fitted into holes 302A and 303A of a stopper pin 302 and a stopper cover 303 (see FIGS. 11 and 12) of the nasal cavity insertion tool 300 described later.
  • the outer member 200 ⁇ / b> C is positioned outside the guide member 100 when the nasal cavity insertion tool 300 is stored in the guide member 100.
  • a protrusion 200D is formed at the front end of the outer member 200C.
  • the protrusion 200D can be fitted into a hole 304A of a stopper anchor 304 (see FIG. 13) of the nasal cavity insertion tool 300 described later.
  • the thickness of the protrusions 200B and 200D, the inner diameters of the holes 302A and 303A of the stopper pin 302 and the stopper cover 303, and the inner diameter of the hole 304A of the stopper anchor 304 are such that the protrusion 200B is fitted into the stopper pin 302 and the stopper cover 303. It is preferable that the nasal cavity insertion tool 300 is designed so as not to be detached from the slider 200 only by the weight of the nasal cavity insertion tool 300 when the 200D is fitted into the stopper anchor 304.
  • the inner member 200A and the outer member 200C are connected via a connecting member 200E.
  • the slider 200 is integrally formed so that the thickness of a part of the connecting member 200E is much smaller than the size of the inner member 200A and the outer member 200C.
  • the connecting member 200E is sandwiched between the notches 100X. It is. Therefore, the thickness of at least a part of the connecting member 200E needs to be equal to or smaller than the width of the notch 100X of the guide member 100.
  • the slider 200 has a plate-like member 200F parallel to the guide member 100 outside the guide member 100.
  • the slider 200 is formed of an elastic material, and the outer member 200C rotates relative to the inner member 200A when the boundary portion between the plate-like member 200F and the outer member 200C is bent.
  • the front end of the inner member 200A and the outer member 200C Increases the distance from the front edge.
  • the distance between the front end of the inner member 200A and the front end of the outer member 200C is reduced.
  • a locking projection 200G is formed on the inner member 200A side of the rear portion of the plate-like member 200F.
  • the protrusion 200G comes into contact with the protrusion 100E on the outer side of the guide member 100. That is, the slider 200 can be temporarily fixed to the rear portion of the guide member 100 by the protrusion 200G of the plate-like member 200F and the protrusion 100E of the guide member 100.
  • FIG. 1 a nasal cavity insertion tool 300 according to the present embodiment will be described with reference to FIGS. 1, 2, and 11 to 13.
  • FIG. 1 a nasal cavity insertion tool 300 according to the present embodiment will be described with reference to FIGS. 1, 2, and 11 to 13.
  • the nasal cavity insertion tool 300 includes a tube body (nasal cavity insertion tube) 301, a stopper pin 302, a stopper cover 303, a stopper anchor 304, and a stopper spring 305.
  • the stopper pin 302 is inserted into the rear end portion of the tube main body 301.
  • One end of a stopper spring 305 is connected to the stopper pin 302.
  • a stopper cover 303 is put on the stopper pin 302 from the rear.
  • the stopper pin 302 is formed with a hole 302A.
  • the protrusion 200B of the inner member 200A can be fitted into the hole 302A.
  • the relationship between the inner diameter of the hole 302A and the thickness of the protrusion 200B of the inner member 200A is as described above.
  • the stopper cover 303 has a hole 303A.
  • the stopper pin 302 and the protrusion 200B of the inner member 200A can be inserted into the hole 303A.
  • the stopper pin 302 and the stopper cover 303 serve as a connecting member for connecting the tube main body 301.
  • the stopper anchor (nasal insertion member) 304 is inserted into the other nasal cavity when the tube body 301 is inserted into one nasal cavity of the user.
  • the other end of the stopper spring 305 is connected to the stopper anchor 304.
  • the stopper anchor 304 is formed with a hole 304A.
  • the protrusions 200D of the outer member 200C can be fitted into the holes 304A.
  • the relationship between the inner diameter of the hole 304A and the thickness of the protrusion 200D of the outer member 200C is as described above.
  • the stopper spring 305 has one end fixed to the stopper pin 302 and the other end fixed to the stopper anchor 304.
  • the stopper spring 305 is an elastic member and is urged so that the axial direction of the tube main body 301 (and the stopper pin 302 and the stopper cover 303) is parallel to the axial direction of the stopper anchor 304.
  • the user can The axial direction of the tube body 301 (and the stopper pin 302 and the stopper cover 303) and the stopper anchor 304 are pushed by pushing the rear part 200X of the outer member 200C against the urging force of the spring 305 in the direction of the rear part of the inner member 200A.
  • the angle between the axis direction and the axis direction can be widened. That is, the user can widen the distance between the tip of the stopper pin 302 and the tip of the stopper anchor 304. As a result, the user can easily pinch the nose column between the tube main body 301 and the stopper anchor 304.
  • the tube body 301, the stopper pin 302, and the stopper cover 303 are inserted into one nose of the patient, and the stopper anchor 304 is inserted into the other nose.
  • the rear end part (the stopper pin 302, the stopper cover 303) and the stopper anchor 304 of the tube main body 301 push the nose column by the biasing force of the stopper spring 305. Sandwich.
  • the rear end of the nasal cavity insertion tool 300 is attached to the slider 200 at the time of shipment. Further, the nasal cavity insertion tool 300 and the inner member 200 ⁇ / b> A of the slider 200 are housed inside the guide member 100.
  • the user takes out the tube inserter set 1000 from the product cover or box.
  • the user moves the slider 200 forward with the other hand while holding the grip portion 100A with one hand.
  • the user moves the slider 200 forward by causing the protrusion 200G of the slider 200 to get over the protrusion 100E of the guide member 100.
  • the slider 200 stops. At this time, the front end of the tube main body 301 and the front end of the cover 400 (see particularly FIG. 8) protrude from the guide member 100. The user pulls out the cover 400 from the guide member 100 while holding the grip portion 100A.
  • the user further moves the slider 200 forward with the other hand while holding the grip portion 100A with one hand. At this time, the user pushes the slider 200 forward with a relatively strong force, thereby causing the connecting member 200E of the slider 200 or the stopper spring 305 of the nasal cavity insertion tool 300 to get over the protrusions 100Y and 100Y of the guide member 100.
  • the user inserts the front end of the tube body 301 into one nasal cavity.
  • the user further advances the slider 200 with the other hand while holding the grip portion 100A with one hand. Thereby, the tube main body 301 is inserted to the pharynx.
  • the user When the tube body 301 reaches the pharynx, the user removes the nasal cavity insertion tool 300 and the slider 200 from the guide member 100. More specifically, the user widens the distance between the stopper pin 302 and the stopper anchor 304 by pushing the rear portion 200X of the outer member 200C toward the guide member 100 before and after the tube body 301 reaches the pharynx. The user advances the nasal cavity insertion tool 300 to insert the stopper pin 302 and the stopper cover 303 into the one nasal cavity, and inserts the stopper anchor 304 into the other nasal cavity.
  • the stopper pin 302 and the stopper anchor 304 sandwich the nose column by the biasing force of the stopper spring 305. Thereby, the nasal cavity insertion tool 300 is fixed with respect to the nose. The user removes the slider 200 from the nasal cavity insertion tool 300 by moving the slider 200 (and the guide member) away from the nose.
  • the guide member 100 has a cylindrical shape, but is not limited to such a form.
  • the guide member 100 may have a prismatic shape.
  • the guide member 100 may be a half of a cylinder, a part of a cylinder, a half of a prism, or a part of a prism. That is, the guide member 100 only needs to hold the slider 200 so as to be slidable.
  • the notch 100X is formed in the guide member 100, and the grip portion 100A is formed on the opposite side of the notch 100X.
  • the present invention is not limited to such a form.
  • the grip portion 100 ⁇ / b> A does not need to be a flat shape that is long in the axial direction of the guide member 100. That is, the gripper 100A only needs to achieve the purpose of making it difficult for the user to deform the shape of the guide member 100 (particularly, the notch 100X).
  • the color of each part of the tube inserter set 1000 is not mentioned, but even if the color of the nasal cavity insertion tool 300 is transparent so that the nasal cavity insertion tool 300 is not noticeable when worn.
  • the color of the nasal cavity insertion tool 300 may be a skin color, the color of the nasal cavity insertion tool 300 may be pink, or the color of the nasal cavity insertion tool 300 may be black.
  • the silicone resin is exemplified as the material of the tube inserter set 1000 according to the present embodiment, the present invention is not limited to this and can be applied as the following materials in addition to the silicone resin.
  • ABS resin acrylonitrile-butadiene-styrene
  • butadiene-styrene rubber polyester copolymer
  • ethylene-propylene rubber ethylene-propylene-terpolymer rubber
  • EVA resin ethylene-vinyl acetate copolymer
  • the tube inserter set 1000 it is particularly preferable to use gamma ray resistant polypropylene.
  • a low elastic modulus gamma ray resistant polypropylene for the slider 200.
  • Table 1 shows 100% tensile stress (MPa), inner diameter (mm), outer diameter (mm), thickness (mm), and tensile stress ⁇ thickness / inner diameter for each of a plurality of examples related to the tube main body 301. It shows the relationship between the value, the size of the uncomfortable feeling, and the air condition (ventilation volume).
  • Table 2 shows 100% tensile stress (MPa), inner diameter (mm), outer diameter (mm), thickness (mm), and tensile stress ⁇ thickness ⁇ for each of a plurality of comparative examples related to the tube body 301.
  • the main body 111 and the tube main body 301 are made of styrene thermoplastic elastomer EARNESTONE (registered trademark) CJ103 (manufactured by Kuraray Plastic Co., Ltd.).
  • the tube body 301 preferably has a 100% tensile stress in the range of 0.10 MPa to 0.70 MPa.
  • the tube body 301 can withstand negative pressure in the airway and has pushability, while swallowing and inserting the tube, The possibility of damaging soft tissue can be reduced. More specifically, it is possible to eliminate both problems such as being too soft and the tube body 301 being crushed or having a sense of incongruity when the tube body 301 is inserted.
  • the 100% tensile stress of the tube main body 301 is in the range of 0.23 MPa to 0.39 MPa. In order to further enhance the effect, it is preferable that the 100% tensile stress of the tube body 301 is in the range of 0.26 MPa to 0.36 MPa.
  • the hardness JIS K6253 type A is preferably 40 or less.
  • the tube body 301 preferably has an inner diameter in the range of 3.0 mm or more and 9.2 mm or less.
  • the inner diameter is within this range, the adult male can satisfy the ventilation required for a certain period of time and reduce the uncomfortable feeling when inserting the tube body 301 even if the thickness is maintained to maintain the strength. Can do.
  • it is possible to solve problems such as awakening during sleep due to insufficient ventilation and the user's inability to withstand pain in the nasal cavity due to the outside diameter becoming too large. it can.
  • the inner diameter of the tube body 301 is in the range of 3.5 mm to 8.3 mm. In order to further enhance the effect, the inner diameter of the tube main body 301 is preferably within a range of 4.0 mm or greater and 7.0 mm or less.
  • the tube body 301 preferably has an outer diameter in the range of 3.3 mm to 10 mm.
  • the outer diameter is within this range, it reduces the uncomfortable feeling when the tube body 301 is inserted, and satisfies the ventilation amount that adult men need for a certain time even if the thickness is maintained to maintain the strength. be able to.
  • it is possible to solve problems such as awakening during sleep due to insufficient ventilation and the user's inability to withstand pain in the nasal cavity due to the outside diameter becoming too large. it can.
  • the outer diameter of the tube body 301 is preferably in the range of 3.6 mm or more and 9.6 mm or less. In order to further enhance the effect, the outer diameter of the tube body 301 is preferably in the range of 4.8 mm or more and 8.4 mm or less.
  • the tube body 301 preferably has a thickness in the range of 0.19 mm to 2.85 mm.
  • the tube body 301 can withstand the negative pressure in the airway, and the flexibility of the tube body 301 in the axial direction and the radial direction can be ensured. That is, it is possible to prevent the distal end of the tube main body 301 from being strongly pressed against the soft tissue of the pharynx or the periphery of the tube main body 301 being strongly pressed against the inner surface of the airway.
  • the inner diameter is reduced, there is a possibility that the adult male cannot satisfy the ventilation required for a certain time.
  • the tube body 301 preferably satisfies the following formula. 0.030 ⁇ 100% tensile stress (MPa) ⁇ thickness (mm) ⁇ inner diameter (mm) ⁇ 0.067
  • MPa tensile stress
  • mm thickness
  • mm inner diameter
  • the tube main body 301 is curved, and the radius of curvature of the curved portion is in the range of 120 mm or more and 160 mm or less.
  • the radius of curvature is within this range, the tube body 301 may come into strong contact with the soft palate, or the tube body 301 may come into strong contact with the back side of the pharynx and cause inflammation in the soft tissue of the pharynx. Can be reduced. It is also possible to prevent the tip of the tube body 301 from straying in a straight nasal cavity compared to the airway.
  • the length from the pharyngeal end of the tube body 301 to the center 301X in the longitudinal direction of the curved portion is 1/5 or more of the total length of the tube body 301. It is preferably within the range of 2 or less. When the length is within this range, the distal end of the tube body 301 can be smoothly inserted from the nasal cavity to the back of the airway.

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Abstract

The objective of the present invention is to provide a nasal intubation tube that reduces, in comparison with conventional nasal intubation tubes, the sense of discomfort when inserting the same into the nasal cavity. Provided is a nasal intubation tube for insertion into the nasal cavity. The 100% tensile stress of the nasal intubation tube is in the range of 0.10-0.70 MPa. The internal diameter of the nasal intubation tube is in the range of 3.0-9.2 mm. The nasal intubation tube preferably satisfies the following formula: 0.030 ≤ 100% tensile stress (MPa) × thickness (mm) ÷ internal diameter (mm) ≤ 0.067 At least a part of the nasal intubation tube is preferably curved. The radius of curvature of the curved part is in the range of 120-160 mm.

Description

鼻腔挿入チューブNasal tube
 本発明は、鼻腔に挿入されるための鼻腔挿入チューブに関する。 The present invention relates to a nasal cavity insertion tube for insertion into the nasal cavity.
 閉塞型睡眠時無呼吸症候群の患者は、睡眠時に気道の咽頭部が筋肉の弛緩と肥満等との合併症で閉塞され、一時的な窒息(無呼吸、低呼吸)状態を断続的に繰り返す。このため、閉塞型睡眠時無呼吸症候群の患者は、高血圧症を患ったり脳血管及び心血管に障害を患ったりする。また、閉塞型睡眠時無呼吸症候群の患者は、十分な睡眠がとれず、日中に眠気を催したり、日中に集中力や活力を欠いたりするようになる。また、閉塞型睡眠時無呼吸症候群の患者が自動車の運転をする場合には、その患者は居眠り運転で事故や重大事故等を起こしやすくなる。 In patients with obstructive sleep apnea syndrome, the pharyngeal portion of the airway is obstructed by complications such as muscle relaxation and obesity during sleep, and intermittent choking (apnea, hypopnea) is repeated intermittently. For this reason, patients with obstructive sleep apnea syndrome suffer from hypertension and cerebrovascular and cardiovascular disorders. In addition, patients with obstructive sleep apnea syndrome may not be able to get enough sleep, and become drowsy during the day or lack concentration or vitality during the day. In addition, when a patient with obstructive sleep apnea syndrome drives a car, the patient is likely to cause an accident or a serious accident or the like due to drowsy driving.
 また、いびきは、閉塞型睡眠時無呼吸症候群と同様に、睡眠時に上記道が狭窄又は閉塞されることにより、咽頭部等の気道粘膜が振動することによって発生する。いびきは、同居人の眠りの妨害だけでなく、当人の熟睡の妨げとなり、日中に眠気を催したり、日中に集中力や活力を欠いたりするようになる。 Also, snoring is caused by the vibration of the airway mucosa such as the pharynx when the above-mentioned road is narrowed or occluded during sleep, similar to obstructive sleep apnea syndrome. Snoring not only disturbs the sleep of the housemate, but also disturbs the person's deep sleep, causing sleepiness during the day and lack of concentration and vitality during the day.
 以下、上記した「閉塞型睡眠時無呼吸症候群」及び「いびき症」を総称して、「睡眠障害」とする。 Hereinafter, the above-mentioned “obstructive sleep apnea syndrome” and “snoring disease” are collectively referred to as “sleep disorder”.
 そこで、近年、睡眠障害を治療したり解消したりするための様々な提案がなされている。例えば、特開2006-204630号公報(特許文献1)には、「閉塞型睡眠時無呼吸症候群解消器」が開示されている。特許文献1によると、咽頭部から鼻孔部分に至る長さを有する柔軟なチューブと、チューブ内に挿通される柔軟なガイドワイヤーと、ガイドワイヤーの一端に設けられた弾性変形可能な通気性部材(網状筒体)と、ガイドワイヤーの他端に設けられたストッパーとを備え、網状筒体は、ガイドワイヤーが鼻孔側に移動したときに弾性変形により収縮しながらチューブ内に引き込まれ、ガイドワイヤーを咽頭部側に押し込んだときにチューブ内から出て弾性変形により咽頭部内に展開し、展開した網状筒体によって咽頭部の閉塞を防止する。 Therefore, in recent years, various proposals have been made to treat or eliminate sleep disorders. For example, Japanese Patent Laid-Open No. 2006-204630 (Patent Document 1) discloses an “occlusion type sleep apnea syndrome canceller”. According to Patent Document 1, a flexible tube having a length from the pharynx to the nostril portion, a flexible guide wire inserted into the tube, and an elastically deformable breathable member provided at one end of the guide wire ( And a stopper provided at the other end of the guide wire. When the guide wire moves to the nostril side, the mesh tube is retracted by elastic deformation and is drawn into the tube. When pushed into the pharyngeal side, it comes out of the tube and expands into the pharynx by elastic deformation, and the developed reticular cylinder prevents occlusion of the pharynx.
特開2006-204630号公報JP 2006-204630 A
 しかしながら、従来の鼻腔挿入チューブは、流動食などを流し込むためのチューブなどを参考にして開発されてきた。そのため、鼻腔に挿入した際に、使用者は鼻腔や咽頭部に強い違和感を抱いていた。本発明の目的は、鼻腔に挿入した際の違和感を従来のものよりも低減した鼻腔挿入チューブを提供することにある。 However, the conventional nasal cavity insertion tube has been developed with reference to a tube for pouring liquid food or the like. For this reason, when inserted into the nasal cavity, the user has a strong sense of discomfort in the nasal cavity and pharynx. An object of the present invention is to provide a nasal cavity insertion tube in which the uncomfortable feeling when inserted into the nasal cavity is reduced as compared with the conventional one.
 この発明のある局面に従うと、鼻腔に挿入されるための鼻腔挿入チューブが提供される。鼻腔挿入チューブの100%引張応力は、0.10MPa以上0.70MPa以下の範囲内である。鼻腔挿入チューブの内径は、3.0mm以上9.2mm以下の範囲内である。 According to one aspect of the present invention, a nasal cavity insertion tube for insertion into the nasal cavity is provided. The 100% tensile stress of the nasal cavity insertion tube is in the range of 0.10 MPa to 0.70 MPa. The inner diameter of the nasal cavity insertion tube is in the range of not less than 3.0 mm and not more than 9.2 mm.
 好ましくは、鼻腔挿入チューブは、以下の式を満たす。
 0.030≦100%引張応力(MPa)×厚み(mm)÷内径(mm)≦0.067
Preferably, the nasal cavity insertion tube satisfies the following formula:
0.030 ≦ 100% tensile stress (MPa) × thickness (mm) ÷ inner diameter (mm) ≦ 0.067
 好ましくは、鼻腔挿入チューブは、少なくとも一部が湾曲している。湾曲部の曲率半径は、120mm以上160mm以下の範囲内である。 Preferably, the nasal cavity insertion tube is at least partially curved. The radius of curvature of the curved portion is in the range of 120 mm to 160 mm.
 好ましくは、鼻腔挿入チューブが鼻腔に挿入された際における鼻腔挿入チューブの咽頭側の端部から、湾曲部の軸方向の中心までの距離は、鼻腔挿入チューブの全長の1/5以上1/2以下の範囲内である。 Preferably, when the nasal cavity insertion tube is inserted into the nasal cavity, the distance from the pharyngeal end of the nasal cavity insertion tube to the axial center of the bending portion is 1/5 or more and 1/2 of the total length of the nasal cavity insertion tube Within the following range.
 好ましくは、鼻腔挿入チューブの厚みは、0.19mm以上2.85mm以下の範囲内である。 Preferably, the thickness of the nasal cavity insertion tube is in the range of 0.19 mm to 2.85 mm.
 好ましくは、鼻腔挿入チューブの外径は、3.3mm以上10mm以下の範囲内である。 Preferably, the outer diameter of the nasal cavity insertion tube is in the range of 3.3 mm to 10 mm.
 本発明の鼻腔挿入チューブは、従来のものと比較して、鼻腔に挿入したときの違和感が低減されたものとなっている。 The nasal cavity insertion tube of the present invention has a reduced uncomfortable feeling when inserted into the nasal cavity as compared with the conventional one.
第1の実施の形態にかかる鼻腔挿入具300の斜視図である。It is a perspective view of the nasal cavity insertion tool 300 concerning 1st Embodiment. 第1の実施の形態にかかる鼻腔挿入具300の分解図である。It is an exploded view of the nasal cavity insertion tool 300 concerning 1st Embodiment. 第2の実施の形態にかかるチューブ収納時におけるチューブ挿入器セット1000の全体構成を示す斜視図である。It is a perspective view which shows the whole structure of the tube insertion device set 1000 at the time of tube accommodation concerning 2nd Embodiment. 第2の実施の形態にかかるチューブ突出時におけるチューブ挿入器セット1000の全体構成を示す斜視図である。It is a perspective view which shows the whole structure of the tube inserter set 1000 at the time of the tube protrusion concerning 2nd Embodiment. 第2の実施の形態にかかるガイド部材100の左側面図である。It is a left view of the guide member 100 concerning 2nd Embodiment. 第2の実施の形態にかかるガイド部材100の平面図である。It is a top view of the guide member 100 concerning 2nd Embodiment. 第2の実施の形態にかかるガイド部材100の右側面図である。It is a right view of the guide member 100 concerning 2nd Embodiment. チューブ突出時におけるカバーを有するチューブ挿入器セット1000の全体構成を示す斜視図である。It is a perspective view which shows the whole structure of the tube insertion device set 1000 which has a cover at the time of tube protrusion. 第2の実施の形態にかかるスライダ200の斜視図である。It is a perspective view of the slider 200 concerning 2nd Embodiment. 第2の実施の形態にかかるスライダ200の平面図である。It is a top view of the slider 200 concerning 2nd Embodiment. 第2の実施の形態にかかるストッパーピン302の後方斜視図である。It is a back perspective view of stopper pin 302 concerning a 2nd embodiment. 第2の実施の形態にかかるストッパーカバー303の後方斜視図である。It is a back perspective view of the stopper cover 303 concerning 2nd Embodiment. 第2の実施の形態にかかるストッパーアンカー304の後方斜視図である。It is a back perspective view of stopper anchor 304 concerning a 2nd embodiment.
 以下、図面を参照しつつ、本発明の実施の形態について説明する。以下の説明では、同一の部品には同一の符号を付してある。それらの名称および機能も同じである。したがって、それらについての詳細な説明は繰り返さない。 Hereinafter, embodiments of the present invention will be described with reference to the drawings. In the following description, the same parts are denoted by the same reference numerals. Their names and functions are also the same. Therefore, detailed description thereof will not be repeated.
第1の実施の形態First embodiment
 <鼻腔挿入具>
 まず、第1の実施の形態として、図1および図2を参照しながら、本実施の形態にかかる鼻腔挿入具300について説明する。
<Nasal cavity insertion tool>
First, as a first embodiment, a nasal cavity insertion tool 300 according to the present embodiment will be described with reference to FIGS. 1 and 2.
 鼻腔挿入具300は、チューブ本体(鼻腔挿入チューブ)301と、ストッパーピン302と、ストッパーカバー303と、ストッパーアンカー304と、ストッパースプリング305とを有する。 The nasal cavity insertion tool 300 includes a tube body (nasal cavity insertion tube) 301, a stopper pin 302, a stopper cover 303, a stopper anchor 304, and a stopper spring 305.
 以下では、説明のために、チューブ本体301の長手方向の中心から、ストッパーピン302に取り付けられる側の端部に向かう方向を後方といい、他端に向かう方向を前方という。 Hereinafter, for the sake of explanation, the direction from the center in the longitudinal direction of the tube body 301 toward the end on the side attached to the stopper pin 302 is referred to as the rear, and the direction toward the other end is referred to as the front.
 チューブ本体301は、シリコーン樹脂製もしくは熱可塑性エラストマー(ポリスチレン系、ポリ塩化ビニル系、ポリオレフィン系、ポリウレタン系、ポリエステル系など)である。チューブ本体301は、鼻孔から咽頭部まで延在するように形成されている。チューブ本体301の詳細については後述する。なお、より詳細には、本実施の形態にかかるチューブ本体301には、スチレン系熱可塑性エラストマーEARNESTONE(登録商標)CJ103(クラレプラスチック株式会社製)、液状シリコーンゴムMED4920(Nusil Silicone Technology製)などを用いることができる。 The tube main body 301 is made of a silicone resin or a thermoplastic elastomer (polystyrene, polyvinyl chloride, polyolefin, polyurethane, polyester, or the like). The tube body 301 is formed so as to extend from the nostril to the pharynx. Details of the tube body 301 will be described later. In more detail, the tube main body 301 according to the present embodiment includes a styrene thermoplastic elastomer EARNESTONE (registered trademark) CJ103 (manufactured by Kuraray Plastic Co., Ltd.), liquid silicone rubber MED4920 (manufactured by Nusil Silicone Technology), and the like. Can be used.
 ストッパーピン302は、チューブ本体301の後端部に挿入される。ストッパーピン302には、ストッパースプリング305の一端が連結される。ストッパーピン302には、後部からストッパーカバー303が被せられる。ストッパーピン302とストッパーカバー303とは、チューブ本体301が連結されるための連結部材の役割を果たす。 The stopper pin 302 is inserted into the rear end portion of the tube main body 301. One end of a stopper spring 305 is connected to the stopper pin 302. A stopper cover 303 is put on the stopper pin 302 from the rear. The stopper pin 302 and the stopper cover 303 serve as a connecting member for connecting the tube main body 301.
 ストッパーアンカー(鼻挿入部材)304は、チューブ本体301が使用者の一方の鼻腔に挿入された際に、他方の鼻腔に挿入されるものである。ストッパーアンカー304には、ストッパースプリング305の他端が連結される。 The stopper anchor (nasal insertion member) 304 is inserted into the other nasal cavity when the tube body 301 is inserted into one nasal cavity of the user. The other end of the stopper spring 305 is connected to the stopper anchor 304.
 ストッパースプリング305は、一端がストッパーピン302に固設され、他端がストッパーアンカー304に固設される。ストッパースプリング305は、弾性部材であって、チューブ本体301(およびストッパーピン302、ストッパーカバー303)の軸方向と、ストッパーアンカー304の軸方向とが平行になるように付勢されている。使用者は、ストッパースプリング305の弾性力に抗して、ストッパーピン302の先端とストッパーアンカー304の先端との間隔を広げることができる。これにより、使用者が、チューブ本体301とストッパーアンカー304とで鼻柱を挟み易くすることができる。 The stopper spring 305 has one end fixed to the stopper pin 302 and the other end fixed to the stopper anchor 304. The stopper spring 305 is an elastic member and is urged so that the axial direction of the tube main body 301 (and the stopper pin 302 and the stopper cover 303) is parallel to the axial direction of the stopper anchor 304. The user can widen the distance between the tip of the stopper pin 302 and the tip of the stopper anchor 304 against the elastic force of the stopper spring 305. As a result, the user can easily pinch the nose column between the tube main body 301 and the stopper anchor 304.
 チューブ本体301とストッパーピン302とストッパーカバー303とは、患者の一方の鼻に挿入され、ストッパーアンカー304は他方の鼻に挿入される。そして、使用者が鼻腔挿入具300から指を離すと、ストッパースプリング305の付勢力によって、チューブ本体301の後端部(ストッパーピン302、ストッパーカバー303)とストッパーアンカー304とが鼻柱を挟み込む。 The tube body 301, the stopper pin 302, and the stopper cover 303 are inserted into one nose of the patient, and the stopper anchor 304 is inserted into the other nose. When the user releases his / her finger from the nasal cavity insertion tool 300, the rear end portion (the stopper pin 302, the stopper cover 303) of the tube main body 301 and the stopper anchor 304 sandwich the nasal column by the biasing force of the stopper spring 305.
 <鼻腔挿入具の使用方法>
 次に、図1を参照しながら、鼻腔挿入具300の使用方法について説明する。
<Usage of nasal cavity insertion tool>
Next, a method of using the nasal cavity insertion tool 300 will be described with reference to FIG.
 一般的に出荷時には、チューブ本体301が図示しないカバーに覆われている。あるいは、鼻腔挿入具300自体がカバーに覆われている。 Generally, at the time of shipment, the tube main body 301 is covered with a cover (not shown). Alternatively, the nasal cavity insertion tool 300 itself is covered with a cover.
 まず、使用者は、チューブ本体301または鼻腔挿入具300をカバーから出す。使用者は、一方の手でチューブ本体301の前部を保持し、他方の手でストッパーピン302とストッパーアンカー304とを保持しながら、チューブ本体301の前端を一方の鼻腔に挿入する。チューブ本体301の前端が一方の鼻腔に挿入された状態において、使用者は、一方の手でチューブ本体301の長手方向の中央部を保持し、他方の手でストッパーピン302とストッパーアンカー304とを保持しながら、鼻腔挿入具300をさらに前進させる。これによって、チューブ本体301が咽頭部まで挿入される。 First, the user takes out the tube main body 301 or the nasal cavity insertion tool 300 from the cover. The user holds the front portion of the tube body 301 with one hand and inserts the front end of the tube body 301 into one nasal cavity while holding the stopper pin 302 and the stopper anchor 304 with the other hand. In a state where the front end of the tube body 301 is inserted into one nasal cavity, the user holds the longitudinal center of the tube body 301 with one hand and holds the stopper pin 302 and the stopper anchor 304 with the other hand. While holding, the nasal cavity insertion device 300 is further advanced. Thereby, the tube main body 301 is inserted to the pharynx.
 チューブ本体301が咽頭部まで達する直前に、使用者は、ストッパーピン302とストッパーアンカー304との距離を広げる。使用者は、鼻腔挿入具300を前進させることによって、当該一方の鼻腔にストッパーピン302とストッパーカバー303とを挿入し、他方の鼻腔にストッパーアンカー304を挿入する。 Just before the tube main body 301 reaches the pharynx, the user widens the distance between the stopper pin 302 and the stopper anchor 304. The user advances the nasal cavity insertion tool 300 to insert the stopper pin 302 and the stopper cover 303 into the one nasal cavity, and inserts the stopper anchor 304 into the other nasal cavity.
 使用者がストッパーピン302とストッパーアンカー304と離間させるための力を弱めると、ストッパースプリング305の付勢力によってストッパーピン302とストッパーアンカー304が鼻柱を挟む。これによって、鼻腔挿入具300が鼻に対して固定される。 When the user weakens the force for separating the stopper pin 302 and the stopper anchor 304, the stopper pin 302 and the stopper anchor 304 sandwich the nose column by the biasing force of the stopper spring 305. Thereby, the nasal cavity insertion tool 300 is fixed with respect to the nose.
 <変形例>
 以上、本発明の実施形態および実施例について図面に基づいて説明したが、具体的な構成は、これらの実施形態に限定されるものでないと考えられるべきである。本発明の範囲は、上記した実施形態の説明だけではなく特許請求の範囲によって示され、さらに特許請求の範囲と均等の意味及び範囲内でのすべての変更が含まれる。
<Modification>
As mentioned above, although embodiment and the Example of this invention were described based on drawing, it should be thought that a specific structure is not limited to these embodiment. The scope of the present invention is indicated not only by the above description of the embodiments but also by the scope of claims for patent, and further includes all modifications within the meaning and scope equivalent to the scope of claims for patent.
 たとえば、上記した本実施の形態においては、鼻腔挿入具300の各部の色について言及しなかったが、鼻腔挿入具300が装着時に目立たなくなるように、鼻腔挿入具300の色が透明色であっても良いし、鼻腔挿入具300の色が肌色であっても良いし、鼻腔挿入具300の色がピンク色であっても良いし、鼻腔挿入具300の色が黒色であっても良い。 For example, in the present embodiment described above, the color of each part of the nasal cavity insertion device 300 was not mentioned, but the color of the nasal cavity insertion device 300 is transparent so that the nasal cavity insertion device 300 does not stand out when worn. Alternatively, the color of the nasal cavity insertion tool 300 may be a skin color, the color of the nasal cavity insertion tool 300 may be pink, or the color of the nasal cavity insertion tool 300 may be black.
 また、本実施の形態にかかる鼻腔挿入具300の材料として、シリコーン樹脂を例示したが、本発明はこれに限らず、シリコーン樹脂の他に以下の材料として適用可能である。具体的には、ABS樹脂(アクリロニトリル-ブタジエン-スチレン),ブタジエン-スチレンゴム,ポリエステル共重合体,エチレン-プロピレンゴム(エチレン-プロピレン-ターポリマーラバー),EVA樹脂(エチレン-酢酸ビニル共重合体),高密度ポリエチレン,高密度ポリプロピレン,耐衝撃性ポリスチレン,低密度ポリエチレン,メチルメタクリレート-アクリロニトリル-ブタジエン-スチレン共重合体,クロロプレンゴム,ニトリルブタジエンゴム,ポリアミド樹脂,PETG樹脂,ポリアセタール樹脂,ポリブチレンテレフタレート樹脂,ポリカーボネート樹脂,ポリエーテルサルホン樹脂,ポリエチレン樹脂,ポリエチレンテレフタレート樹脂,ポリイミド樹脂,イソブチレン-イソプレン共重合体,ポリプロピレン樹脂,ポリスチレン樹脂,ポリスルホン樹脂,ポリテトラフルオロエチレン樹脂,ポリウレタン樹脂,ポリビニルアセテート樹脂,ポリ塩化ビニル樹脂,スチレン-ブタジエン共重合体樹脂,スチレン-ブタジエンゴム,アクリル変性シリコーン樹脂,一液性RTV(Room emperature lcanizable:常温加硫)ゴム、が挙げられる。 In addition, although the silicone resin is exemplified as the material of the nasal cavity insertion tool 300 according to the present embodiment, the present invention is not limited to this and can be applied as the following materials in addition to the silicone resin. Specifically, ABS resin (acrylonitrile-butadiene-styrene), butadiene-styrene rubber, polyester copolymer, ethylene-propylene rubber (ethylene-propylene-terpolymer rubber), EVA resin (ethylene-vinyl acetate copolymer) , High-density polyethylene, high-density polypropylene, high-impact polystyrene, low-density polyethylene, methyl methacrylate-acrylonitrile-butadiene-styrene copolymer, chloroprene rubber, nitrile butadiene rubber, polyamide resin, PETG resin, polyacetal resin, polybutylene terephthalate resin , Polycarbonate resin, polyethersulfone resin, polyethylene resin, polyethylene terephthalate resin, polyimide resin, isobutylene-isoprene copolymer, polypropylene Resin, polystyrene resin, polysulfone resin, polytetrafluoroethylene resin, polyurethane resin, polyvinyl acetate resin, polyvinyl chloride resin, styrene-butadiene copolymer resin, styrene-butadiene rubber, acrylic-modified silicone resin, one-component RTV (Room emperature lcanizable: normal temperature vulcanization).
第2の実施の形態Second embodiment
 次に、図3および図4を参照しながら、第2の実施の形態として、鼻腔挿入具を挿入する際に、使用者がチューブ本体に触れる頻度や可能性を低減するためのチューブ挿入器セットについて説明する。 Next, referring to FIG. 3 and FIG. 4, as a second embodiment, a tube inserter set for reducing the frequency and possibility of the user touching the tube body when inserting the nasal cavity insertion tool Will be described.
 <チューブ挿入器セット>
 まずは、本実施の形態に係るチューブ挿入器セット1000の全体構成の概略とチューブ挿入器セット1000の使用方法の概略について説明する。
<Tube inserter set>
First, an outline of the overall configuration of the tube inserter set 1000 according to the present embodiment and an outline of a method for using the tube inserter set 1000 will be described.
 チューブ挿入器セット1000は、ガイド部材100と、スライダ200と、鼻腔挿入具300とを有する。なお、ガイド部材100とスライダ200とを有したものであって、鼻腔挿入具300を有さないものを、チューブ挿入器という。 The tube inserter set 1000 includes a guide member 100, a slider 200, and a nasal cavity insertion tool 300. In addition, what has the guide member 100 and the slider 200, and does not have the nasal cavity insertion tool 300 is called a tube insertion device.
 鼻腔挿入具300の一端は、スライダ200に取り付け可能である。鼻腔挿入具300およびスライダ200の一部とは、ガイド部材100に収納されている。ガイド部材100には、把持部100Aが形成されている。 One end of the nasal cavity insertion tool 300 can be attached to the slider 200. The nasal cavity insertion tool 300 and a part of the slider 200 are accommodated in the guide member 100. The guide member 100 is formed with a gripping portion 100A.
 以下では、説明のために、鼻腔挿入具300の長手方向の中心から、スライダ200に取り付けられる側の端部に向かう方向を後方といい、他端に向かう方向を前方という。 Hereinafter, for the sake of explanation, the direction from the center in the longitudinal direction of the nasal cavity insertion tool 300 toward the end on the side attached to the slider 200 is referred to as the rear, and the direction toward the other end is referred to as the front.
 図3の状態において、使用者は、一方の手で把持部100Aを掴みながら、他方の手でスライダ200を前方に押す。これによって、図4に示すように、スライダ200と鼻腔挿入具300とは、ガイド部材100内を前方へスライドする。使用者は、鼻腔挿入具300の前端を鼻腔に挿入し、スライダ200を前方に押すことによって、鼻腔挿入具300を所望の位置まで挿入することができる。 In the state shown in FIG. 3, the user pushes the slider 200 forward with the other hand while holding the grip portion 100A with one hand. As a result, as shown in FIG. 4, the slider 200 and the nasal cavity insertion tool 300 slide forward in the guide member 100. The user can insert the nasal cavity insertion device 300 to a desired position by inserting the front end of the nasal cavity insertion device 300 into the nasal cavity and pushing the slider 200 forward.
 このように、本実施の形態にかかるチューブ挿入器セット1000は、使用者が直接的にチューブを掴む必要性を低減することができるものである。以下、このような機能を実現するチューブ挿入器セット1000の各部の構成について詳細に説明する。 Thus, the tube inserter set 1000 according to the present embodiment can reduce the need for the user to grip the tube directly. Hereinafter, the structure of each part of the tube inserter set 1000 which implement | achieves such a function is demonstrated in detail.
 <ガイド部材>
 図5から図7を参照しながら、本実施の形態にかかるガイド部材100について説明する。
<Guide member>
The guide member 100 according to the present embodiment will be described with reference to FIGS.
 ガイド部材100は、円筒状の部材である。ガイド部材100の左側壁には、前端部から後端部の近傍まで切り欠き100Xが形成されている。後述するように、本実施の形態においては、切り欠き100Xに沿って、スライダ200がガイド部材100に対してスライドするものである。 The guide member 100 is a cylindrical member. A notch 100X is formed in the left side wall of the guide member 100 from the front end portion to the vicinity of the rear end portion. As will be described later, in the present embodiment, the slider 200 slides with respect to the guide member 100 along the notch 100X.
 ガイド部材100の右側壁には、扁平状の把持部100Aが半径方向に向かって進設されている。使用者は、把持部100Aをつまむことによってガイド部材100を容易に保持することができる。また、このような構成により、使用者がガイド部材100の本体をつまむことによって、ガイド部材100本体を変形させてしまったり、切り欠き100Xの幅を狭めてしまったりすることを防止することができる。 A flat grip portion 100A is provided on the right side wall of the guide member 100 so as to extend in the radial direction. The user can easily hold the guide member 100 by pinching the grip portion 100A. Further, with such a configuration, it is possible to prevent the user from deforming the guide member 100 main body or narrowing the width of the notch 100X by pinching the main body of the guide member 100. .
 さらに、ガイド部材100の右側面には、把持部100Aの前端部と後端部から、周方向に沿って、補強用のリブ100B,100Bが形成されている。この構成によって、ガイド部材100を射出成形した後や使用者がガイド部材100をつまんだときなどに、ガイド部材100の本体が変形してしまったり、切り欠き100Xの幅が狭まったりすることを防止することができる。 Further, reinforcing ribs 100B and 100B are formed on the right side surface of the guide member 100 along the circumferential direction from the front end portion and the rear end portion of the grip portion 100A. With this configuration, it is possible to prevent the main body of the guide member 100 from being deformed or the width of the notch 100X from being reduced after the guide member 100 is injection molded or when the user pinches the guide member 100. can do.
 ガイド部材100の前端部の周囲には、テーパ状のリブ100Cが形成されている。これによって、ガイド部材100の先端を鼻腔に挿入する際にリブ100Cが鼻腔の先端に接触するようになり、使用者が誤ってガイド部材100を鼻の奥へ差し込み過ぎることを防止している。 A tapered rib 100 </ b> C is formed around the front end portion of the guide member 100. As a result, the rib 100C comes into contact with the tip of the nasal cavity when the tip of the guide member 100 is inserted into the nasal cavity, thereby preventing the user from accidentally inserting the guide member 100 too deeply into the nose.
 ガイド部材100の後端部の外壁には、ロック用の突起100Eが形成されている。突起100Eは、後述するスライダ200の突起と接触するものである。突起100Eによって、スライダ200をガイド部材100の後部に固定することができる。すなわち、突起100Eによって、鼻腔挿入具300の前端部がガイド部材100の前端からはみ出さない範囲に、スライダ200の動きが制限される。さらに、換言すれば、使用者は、スライダ200を所定以上の力で前方へ押すことによって、スライダ200の突起に突起100Eを乗り越えさせることができ、鼻腔挿入具300の前端部をガイド部材100の前端からはみ出させることができる。 A locking projection 100E is formed on the outer wall of the rear end portion of the guide member 100. The protrusion 100E is in contact with a protrusion of the slider 200 described later. The slider 200 can be fixed to the rear portion of the guide member 100 by the protrusion 100E. In other words, the movement of the slider 200 is limited by the protrusion 100 </ b> E so that the front end portion of the nasal cavity insertion tool 300 does not protrude from the front end of the guide member 100. Further, in other words, the user can push the slider 200 forward with a predetermined force or more to get over the protrusion 100E on the protrusion of the slider 200, and the front end portion of the nasal cavity insertion tool 300 can be moved over the guide member 100. Can protrude from the front end.
 好ましくは、後述するチューブ本体301Aの表面に潤滑剤が塗布されていることが好ましい。そして、たとえば、図8に示すように、チューブ挿入器セット1000は、当該チューブ本体301Aを前方から覆うためのカバー400を有していることが好ましい。 Preferably, a lubricant is preferably applied to the surface of the tube body 301A described later. For example, as shown in FIG. 8, the tube inserter set 1000 preferably has a cover 400 for covering the tube main body 301A from the front.
 このような場合に備えて、切り欠き100Xの各々の対抗面には、突起100Y,100Yが形成されている。突起100Y,100Yは、後述するスライダ200の連結部材または後述する鼻腔挿入具300のストッパースプリング305と接触するように構成されており、スライダ200のスライドを制限するものである。なお、突起100Yは、切り欠き100Xの片側だけに形成されていてもよい。 In preparation for such a case, protrusions 100Y and 100Y are formed on the opposing surfaces of the notch 100X. The protrusions 100Y and 100Y are configured to contact a connecting member of the slider 200 described later or a stopper spring 305 of the nasal cavity insertion tool 300 described later, and limit the sliding of the slider 200. The protrusion 100Y may be formed only on one side of the notch 100X.
 より詳細には、使用者がガイド部材100からカバー400を引き出す際に、チューブ本体301の前端部およびカバー400がガイド部材100から少しはみ出した位置に停止するように、すなわちチューブ本体301やスライダ200がガイド部材100からはみ出し過ぎないように、突起100Y,100Yがスライダ200または鼻腔挿入具300の前進を制限するように構成されていることが好ましい。使用者は、スライダ200を所定以上の力で前方へ押すことによって、スライダ200または鼻腔挿入具300に突起100Y,100Yを乗り越えさせることができ、鼻腔挿入具300をさらに前進させることができる。 More specifically, when the user pulls out the cover 400 from the guide member 100, the front end portion of the tube main body 301 and the cover 400 are stopped at a position slightly protruding from the guide member 100, that is, the tube main body 301 or the slider 200. It is preferable that the protrusions 100Y and 100Y are configured to limit the advancement of the slider 200 or the nasal cavity insertion tool 300 so that the protrusions 100Y and 100Y do not protrude too far from the guide member 100. The user can move the slider 200 or the nasal cavity insertion tool 300 over the protrusions 100Y and 100Y by pushing the slider 200 forward with a predetermined force or more, and can further advance the nasal cavity insertion tool 300.
 <スライダ>
 次に、図9および図10を参照しながら、本実施の形態にかかるスライダ200について説明する。
<Slider>
Next, the slider 200 according to the present embodiment will be described with reference to FIGS. 9 and 10.
 スライダ200は、内側部材(第1部材)200Aと外側部材(第2部材)200Cと連結部材200Eとを有する。本実施の形態においては、これらの部材が一体形成されている。 The slider 200 includes an inner member (first member) 200A, an outer member (second member) 200C, and a connecting member 200E. In the present embodiment, these members are integrally formed.
 内側部材200Aは、鼻腔挿入具300がガイド部材100に収納されている際に、ガイド部材100の内側に位置する。内側部材200Aの前端部には突起200Bが形成されている。突起200Bは、後述する鼻腔挿入具300のストッパーピン302とストッパーカバー303(図11および図12を参照。)の孔302A,303Aにはめ込むことができる。 The inner member 200 </ b> A is located inside the guide member 100 when the nasal cavity insertion tool 300 is accommodated in the guide member 100. A protrusion 200B is formed at the front end of the inner member 200A. The protrusion 200B can be fitted into holes 302A and 303A of a stopper pin 302 and a stopper cover 303 (see FIGS. 11 and 12) of the nasal cavity insertion tool 300 described later.
 外側部材200Cは、鼻腔挿入具300がガイド部材100に収納されている際に、ガイド部材100の外側に位置する。外側部材200Cの前端部には突起200Dが形成されている。突起200Dは、後述する鼻腔挿入具300のストッパーアンカー304(図13を参照。)の孔304Aにはめ込むことができる。 The outer member 200 </ b> C is positioned outside the guide member 100 when the nasal cavity insertion tool 300 is stored in the guide member 100. A protrusion 200D is formed at the front end of the outer member 200C. The protrusion 200D can be fitted into a hole 304A of a stopper anchor 304 (see FIG. 13) of the nasal cavity insertion tool 300 described later.
 なお、突起200B,200Dの太さ、ストッパーピン302およびストッパーカバー303の孔302A,303Aの内径、ストッパーアンカー304の孔304Aの内径は、突起200Bがストッパーピン302およびストッパーカバー303にはめ込まれ、突起200Dがストッパーアンカー304にはめ込まれた際に、鼻腔挿入具300の重みのみによって鼻腔挿入具300がスライダ200から外れない程度に設計されることが好ましい。 The thickness of the protrusions 200B and 200D, the inner diameters of the holes 302A and 303A of the stopper pin 302 and the stopper cover 303, and the inner diameter of the hole 304A of the stopper anchor 304 are such that the protrusion 200B is fitted into the stopper pin 302 and the stopper cover 303. It is preferable that the nasal cavity insertion tool 300 is designed so as not to be detached from the slider 200 only by the weight of the nasal cavity insertion tool 300 when the 200D is fitted into the stopper anchor 304.
 内側部材200Aと外側部材200Cとは、連結部材200Eを介して連結されている。本実施の形態においては、連結部材200Eの一部の太さが内側部材200Aおよび外側部材200Cの大きさと比較して非常に小さくなるように、スライダ200が一体成形されている。 The inner member 200A and the outer member 200C are connected via a connecting member 200E. In the present embodiment, the slider 200 is integrally formed so that the thickness of a part of the connecting member 200E is much smaller than the size of the inner member 200A and the outer member 200C.
 換言すれば、鼻腔挿入具300がガイド部材100に収納されている際(スライダ200と鼻腔挿入具300とがガイド部材100に収納されている際)には、連結部材200Eが切り欠き100Xに挟まれる。そのため、連結部材200Eの少なくとも一部の太さは、ガイド部材100の切り欠き100Xの幅と等しいかそれよりも小さくする必要がある。 In other words, when the nasal cavity insertion tool 300 is stored in the guide member 100 (when the slider 200 and the nasal cavity insertion tool 300 are stored in the guide member 100), the connecting member 200E is sandwiched between the notches 100X. It is. Therefore, the thickness of at least a part of the connecting member 200E needs to be equal to or smaller than the width of the notch 100X of the guide member 100.
 本実施の形態においては、スライダ200は、ガイド部材100の外側に、ガイド部材100に平行な板状部材200Fを有する。スライダ200は弾性材料から成形されており、板状部材200Fと外側部材200Cとの境界部分が撓むことによって、外側部材200Cが内側部材200Aに対して相対的に回動する。 In the present embodiment, the slider 200 has a plate-like member 200F parallel to the guide member 100 outside the guide member 100. The slider 200 is formed of an elastic material, and the outer member 200C rotates relative to the inner member 200A when the boundary portion between the plate-like member 200F and the outer member 200C is bent.
 より詳細には、使用者が、外側部材200Cの後部(接触部)200Xを、内側部材200Aの方へ(すなわち、ガイド部材100の方へ)押すと、内側部材200Aの前端と外側部材200Cの前端との距離が広がる。そして、使用者が、外側部材200Cの後部200Xを押す力を弱めると、内側部材200Aの前端と外側部材200Cの前端との距離が縮まる。 More specifically, when the user pushes the rear part (contact part) 200X of the outer member 200C toward the inner member 200A (that is, toward the guide member 100), the front end of the inner member 200A and the outer member 200C Increases the distance from the front edge. When the user weakens the force pushing the rear part 200X of the outer member 200C, the distance between the front end of the inner member 200A and the front end of the outer member 200C is reduced.
 また、板状部材200Fの後部の内側部材200A側には、ロック用の突起200Gが形成されている。突起200Gは、ガイド部材100の外側の突起100Eと接触するものである。すなわち、板状部材200Fの突起200Gとガイド部材100の突起100Eとによって、スライダ200をガイド部材100の後部に仮固定することができる。 Also, a locking projection 200G is formed on the inner member 200A side of the rear portion of the plate-like member 200F. The protrusion 200G comes into contact with the protrusion 100E on the outer side of the guide member 100. That is, the slider 200 can be temporarily fixed to the rear portion of the guide member 100 by the protrusion 200G of the plate-like member 200F and the protrusion 100E of the guide member 100.
 <鼻腔挿入具>
 次に、図1、図2、図11~図13を参照しながら、本実施の形態にかかる鼻腔挿入具300について説明する。
<Nasal cavity insertion tool>
Next, a nasal cavity insertion tool 300 according to the present embodiment will be described with reference to FIGS. 1, 2, and 11 to 13. FIG.
 鼻腔挿入具300は、チューブ本体(鼻腔挿入チューブ)301と、ストッパーピン302と、ストッパーカバー303と、ストッパーアンカー304と、ストッパースプリング305とを有する。 The nasal cavity insertion tool 300 includes a tube body (nasal cavity insertion tube) 301, a stopper pin 302, a stopper cover 303, a stopper anchor 304, and a stopper spring 305.
 チューブ本体301の構造および性質は、実施の形態1のそれと同様であるため、ここでは説明を繰り返さない。 Since the structure and properties of the tube main body 301 are the same as those of the first embodiment, description thereof will not be repeated here.
 ストッパーピン302は、チューブ本体301の後端部に挿入される。ストッパーピン302には、ストッパースプリング305の一端が連結される。ストッパーピン302には、後部からストッパーカバー303が被せられる。ストッパーピン302には、孔302Aが形成されている。孔302Aには、内側部材200Aの突起200Bが嵌め込み可能である。孔302Aの内径と、内側部材200Aの突起200Bの太さとの関係は、前述した通りである。 The stopper pin 302 is inserted into the rear end portion of the tube main body 301. One end of a stopper spring 305 is connected to the stopper pin 302. A stopper cover 303 is put on the stopper pin 302 from the rear. The stopper pin 302 is formed with a hole 302A. The protrusion 200B of the inner member 200A can be fitted into the hole 302A. The relationship between the inner diameter of the hole 302A and the thickness of the protrusion 200B of the inner member 200A is as described above.
 ストッパーカバー303には、孔303Aが形成されている。孔303Aには、ストッパーピン302および内側部材200Aの突起200Bが挿入可能である。ストッパーピン302とストッパーカバー303とは、チューブ本体301が連結されるための連結部材の役割を果たす。 The stopper cover 303 has a hole 303A. The stopper pin 302 and the protrusion 200B of the inner member 200A can be inserted into the hole 303A. The stopper pin 302 and the stopper cover 303 serve as a connecting member for connecting the tube main body 301.
 ストッパーアンカー(鼻挿入部材)304は、チューブ本体301が使用者の一方の鼻腔に挿入された際に、他方の鼻腔に挿入されるものである。ストッパーアンカー304には、ストッパースプリング305の他端が連結される。ストッパーアンカー304には、孔304Aが形成されている。孔304Aには、外側部材200Cの突起200Dが嵌め込み可能である。孔304Aの内径と、外側部材200Cの突起200Dの太さとの関係は、前述した通りである。 The stopper anchor (nasal insertion member) 304 is inserted into the other nasal cavity when the tube body 301 is inserted into one nasal cavity of the user. The other end of the stopper spring 305 is connected to the stopper anchor 304. The stopper anchor 304 is formed with a hole 304A. The protrusions 200D of the outer member 200C can be fitted into the holes 304A. The relationship between the inner diameter of the hole 304A and the thickness of the protrusion 200D of the outer member 200C is as described above.
 ストッパースプリング305は、一端がストッパーピン302に固設され、他端がストッパーアンカー304に固設される。ストッパースプリング305は、弾性部材であって、チューブ本体301(およびストッパーピン302、ストッパーカバー303)の軸方向と、ストッパーアンカー304の軸方向とが平行になるように付勢されている。 The stopper spring 305 has one end fixed to the stopper pin 302 and the other end fixed to the stopper anchor 304. The stopper spring 305 is an elastic member and is urged so that the axial direction of the tube main body 301 (and the stopper pin 302 and the stopper cover 303) is parallel to the axial direction of the stopper anchor 304.
 そのため、内側部材200Aの突起200Bと外側部材200Cの突起200Dとがストッパーピン302およびストッパーカバー303の孔302A,303Aとストッパーアンカー304の孔304Aとに嵌め込まれている状態において、使用者は、ストッパースプリング305の付勢力に抗して、外側部材200Cの後部200Xを内側部材200Aの後部の方向へ押し込むことによって、チューブ本体301(およびストッパーピン302、ストッパーカバー303)の軸方向と、ストッパーアンカー304との軸方向との間の角度を広げることができる。すなわち、使用者は、ストッパーピン302の先端とストッパーアンカー304の先端との間隔を広げることができる。これにより、使用者が、チューブ本体301とストッパーアンカー304とで鼻柱を挟み易くすることができる。 Therefore, in a state where the protrusion 200B of the inner member 200A and the protrusion 200D of the outer member 200C are fitted into the stopper pin 302 and the holes 302A and 303A of the stopper cover 303 and the hole 304A of the stopper anchor 304, the user can The axial direction of the tube body 301 (and the stopper pin 302 and the stopper cover 303) and the stopper anchor 304 are pushed by pushing the rear part 200X of the outer member 200C against the urging force of the spring 305 in the direction of the rear part of the inner member 200A. The angle between the axis direction and the axis direction can be widened. That is, the user can widen the distance between the tip of the stopper pin 302 and the tip of the stopper anchor 304. As a result, the user can easily pinch the nose column between the tube main body 301 and the stopper anchor 304.
 チューブ本体301とストッパーピン302とストッパーカバー303とは、患者の一方の鼻に挿入され、ストッパーアンカー304は他方の鼻に挿入される。そして、使用者が外側部材200Cの後部200Xから指を離すと、ストッパースプリング305の付勢力によって、チューブ本体301の後端部(ストッパーピン302、ストッパーカバー303)とストッパーアンカー304とが鼻柱を挟み込む。 The tube body 301, the stopper pin 302, and the stopper cover 303 are inserted into one nose of the patient, and the stopper anchor 304 is inserted into the other nose. When the user releases his / her finger from the rear part 200X of the outer member 200C, the rear end part (the stopper pin 302, the stopper cover 303) and the stopper anchor 304 of the tube main body 301 push the nose column by the biasing force of the stopper spring 305. Sandwich.
 <チューブ挿入器セットの使用方法>
 次に、図1~図13を参照しながら、チューブ挿入器セット1000の使用方法について説明する。
<How to use the tube inserter set>
Next, a method of using the tube inserter set 1000 will be described with reference to FIGS.
 一般的に出荷時には、鼻腔挿入具300の後端がスライダ200に取り付けられている。また、鼻腔挿入具300とスライダ200の内側部材200Aとが、ガイド部材100の内部に収納されている。 Generally, the rear end of the nasal cavity insertion tool 300 is attached to the slider 200 at the time of shipment. Further, the nasal cavity insertion tool 300 and the inner member 200 </ b> A of the slider 200 are housed inside the guide member 100.
 まず、使用者は、製品のカバーまたは箱などから、チューブ挿入器セット1000を取り出す。使用者は、一方の手で把持部100Aをつかみながら、他方の手でスライダ200を前進させる。このとき、使用者は、スライダ200の突起200Gにガイド部材100の突起100Eを乗り越えさせることによって、スライダ200を前進させる。 First, the user takes out the tube inserter set 1000 from the product cover or box. The user moves the slider 200 forward with the other hand while holding the grip portion 100A with one hand. At this time, the user moves the slider 200 forward by causing the protrusion 200G of the slider 200 to get over the protrusion 100E of the guide member 100.
 スライダ200の連結部材200Eまたはストッパースプリング305が、ガイド部材100の切り欠き100Xの突起100Y,100Yに接触すると、スライダ200が停止する。このとき、チューブ本体301の前端とカバー400(特に、図8を参照。)の前端とがガイド部材100からはみ出している。使用者は、把持部100Aをつかみながら、カバー400をガイド部材100から引き抜く。 When the connecting member 200E of the slider 200 or the stopper spring 305 contacts the protrusions 100Y and 100Y of the notch 100X of the guide member 100, the slider 200 stops. At this time, the front end of the tube main body 301 and the front end of the cover 400 (see particularly FIG. 8) protrude from the guide member 100. The user pulls out the cover 400 from the guide member 100 while holding the grip portion 100A.
 使用者は、一方の手で把持部100Aをつかみながら、他方の手でスライダ200をさらに前進させる。このとき、使用者は、比較的強い力でスライダ200を前方に押すことによって、スライダ200の連結部材200Eまたは鼻腔挿入具300のストッパースプリング305にガイド部材100の突起100Y,100Yを乗り越えさせる。 The user further moves the slider 200 forward with the other hand while holding the grip portion 100A with one hand. At this time, the user pushes the slider 200 forward with a relatively strong force, thereby causing the connecting member 200E of the slider 200 or the stopper spring 305 of the nasal cavity insertion tool 300 to get over the protrusions 100Y and 100Y of the guide member 100.
 使用者は、チューブ本体301の前端を一方の鼻腔に挿入する。チューブ本体301の前端が一方の鼻腔に挿入された状態で、使用者は、一方の手で把持部100Aをつかみながら、他方の手でスライダ200をさらに前進させる。これによって、チューブ本体301が咽頭部まで挿入される。 The user inserts the front end of the tube body 301 into one nasal cavity. In a state where the front end of the tube main body 301 is inserted into one nasal cavity, the user further advances the slider 200 with the other hand while holding the grip portion 100A with one hand. Thereby, the tube main body 301 is inserted to the pharynx.
 チューブ本体301が咽頭部まで達すると、使用者は、鼻腔挿入具300とスライダ200とをガイド部材100から取り外す。より詳細には、チューブ本体301が咽頭部に達する前後に、使用者は、外側部材200Cの後部200Xをガイド部材100側に押し込むことによって、ストッパーピン302とストッパーアンカー304との距離を広げる。使用者は、鼻腔挿入具300を前進させることによって、当該一方の鼻腔にストッパーピン302とストッパーカバー303とを挿入し、他方の鼻腔にストッパーアンカー304を挿入する。 When the tube body 301 reaches the pharynx, the user removes the nasal cavity insertion tool 300 and the slider 200 from the guide member 100. More specifically, the user widens the distance between the stopper pin 302 and the stopper anchor 304 by pushing the rear portion 200X of the outer member 200C toward the guide member 100 before and after the tube body 301 reaches the pharynx. The user advances the nasal cavity insertion tool 300 to insert the stopper pin 302 and the stopper cover 303 into the one nasal cavity, and inserts the stopper anchor 304 into the other nasal cavity.
 使用者がスライダ200の外側部材200Cを押し込む力を弱めると、ストッパースプリング305の付勢力によってストッパーピン302とストッパーアンカー304が鼻柱を挟む。これによって、鼻腔挿入具300が鼻に対して固定される。使用者は、スライダ200(およびガイド部材)を鼻から離すことによって、鼻腔挿入具300からスライダ200を外す。 When the user weakens the force for pushing the outer member 200C of the slider 200, the stopper pin 302 and the stopper anchor 304 sandwich the nose column by the biasing force of the stopper spring 305. Thereby, the nasal cavity insertion tool 300 is fixed with respect to the nose. The user removes the slider 200 from the nasal cavity insertion tool 300 by moving the slider 200 (and the guide member) away from the nose.
 <変形例>
 以上、本発明の実施形態および実施例について図面に基づいて説明したが、具体的な構成は、これらの実施形態に限定されるものでないと考えられるべきである。本発明の範囲は、上記した実施形態の説明だけではなく特許請求の範囲によって示され、さらに特許請求の範囲と均等の意味及び範囲内でのすべての変更が含まれる。
<Modification>
As mentioned above, although embodiment and the Example of this invention were described based on drawing, it should be thought that a specific structure is not limited to these embodiment. The scope of the present invention is indicated not only by the above description of the embodiments but also by the scope of claims for patent, and further includes all modifications within the meaning and scope equivalent to the scope of claims for patent.
 たとえば、上記した本実施の形態においては、ガイド部材100を円筒形状としているが、このような形態には限られない。ガイド部材100は、角柱形状であってもよい。また、ガイド部材100は、円筒の半分、円筒の一部、角柱の半分、角柱の一部であってもよい。つまり、ガイド部材100は、スライダ200をスライド可能に保持できればよいものである。 For example, in the above-described embodiment, the guide member 100 has a cylindrical shape, but is not limited to such a form. The guide member 100 may have a prismatic shape. The guide member 100 may be a half of a cylinder, a part of a cylinder, a half of a prism, or a part of a prism. That is, the guide member 100 only needs to hold the slider 200 so as to be slidable.
 また、上記した本実施の形態においては、ガイド部材100に切り欠き100Xを形成し、切り欠き100Xの反対側に把持部100Aを形成しているが、このような形態には限られない。また、把持部100Aは、ガイド部材100の軸方向に長い扁平形状である必要もない。つまり、把持部100Aは、使用者によって、ガイド部材100(特に、切り欠き100X)の形状が変形させられ難くなるという目的を達成できればよいものである。 In the above-described embodiment, the notch 100X is formed in the guide member 100, and the grip portion 100A is formed on the opposite side of the notch 100X. However, the present invention is not limited to such a form. Further, the grip portion 100 </ b> A does not need to be a flat shape that is long in the axial direction of the guide member 100. That is, the gripper 100A only needs to achieve the purpose of making it difficult for the user to deform the shape of the guide member 100 (particularly, the notch 100X).
 上記した本実施の形態においては、チューブ挿入器セット1000の各部の色について言及しなかったが、鼻腔挿入具300が装着時に目立たなくなるように、鼻腔挿入具300の色が透明色であっても良いし、鼻腔挿入具300の色が肌色であっても良いし、鼻腔挿入具300の色がピンク色であっても良いし、鼻腔挿入具300の色が黒色であっても良い。 In the above-described embodiment, the color of each part of the tube inserter set 1000 is not mentioned, but even if the color of the nasal cavity insertion tool 300 is transparent so that the nasal cavity insertion tool 300 is not noticeable when worn. The color of the nasal cavity insertion tool 300 may be a skin color, the color of the nasal cavity insertion tool 300 may be pink, or the color of the nasal cavity insertion tool 300 may be black.
 また、本実施の形態にかかるチューブ挿入器セット1000の材料として、シリコーン樹脂を例示したが、本発明はこれに限らず、シリコーン樹脂の他に以下の材料として適用可能である。具体的には、ABS樹脂(アクリロニトリル-ブタジエン-スチレン),ブタジエン-スチレンゴム,ポリエステル共重合体,エチレン-プロピレンゴム(エチレン-プロピレン-ターポリマーラバー),EVA樹脂(エチレン-酢酸ビニル共重合体),高密度ポリエチレン,高密度ポリプロピレン,耐衝撃性ポリスチレン,低密度ポリエチレン,メチルメタクリレート-アクリロニトリル-ブタジエン-スチレン共重合体,クロロプレンゴム,ニトリルブタジエンゴム,ポリアミド樹脂,PETG樹脂,ポリアセタール樹脂,ポリブチレンテレフタレート樹脂,ポリカーボネート樹脂,ポリエーテルサルホン樹脂,ポリエチレン樹脂,ポリエチレンテレフタレート樹脂,ポリイミド樹脂,イソブチレン-イソプレン共重合体,ポリプロピレン樹脂,ポリスチレン樹脂,ポリスルホン樹脂,ポリテトラフルオロエチレン樹脂,ポリウレタン樹脂,ポリビニルアセテート樹脂,ポリ塩化ビニル樹脂,スチレン-ブタジエン共重合体樹脂,スチレン-ブタジエンゴム,アクリル変性シリコーン樹脂,一液性RTV(Room emperature lcanizable:常温加硫)ゴム、が挙げられる。 In addition, although the silicone resin is exemplified as the material of the tube inserter set 1000 according to the present embodiment, the present invention is not limited to this and can be applied as the following materials in addition to the silicone resin. Specifically, ABS resin (acrylonitrile-butadiene-styrene), butadiene-styrene rubber, polyester copolymer, ethylene-propylene rubber (ethylene-propylene-terpolymer rubber), EVA resin (ethylene-vinyl acetate copolymer) , High-density polyethylene, high-density polypropylene, high-impact polystyrene, low-density polyethylene, methyl methacrylate-acrylonitrile-butadiene-styrene copolymer, chloroprene rubber, nitrile butadiene rubber, polyamide resin, PETG resin, polyacetal resin, polybutylene terephthalate resin , Polycarbonate resin, polyethersulfone resin, polyethylene resin, polyethylene terephthalate resin, polyimide resin, isobutylene-isoprene copolymer, polypropylene Resin, polystyrene resin, polysulfone resin, polytetrafluoroethylene resin, polyurethane resin, polyvinyl acetate resin, polyvinyl chloride resin, styrene-butadiene copolymer resin, styrene-butadiene rubber, acrylic-modified silicone resin, one-component RTV (Room emperature lcanizable: normal temperature vulcanization).
 なお、本実施の形態にかかるチューブ挿入器セット1000の材料としては、特に、耐ガンマ線グレードポリプロピレンを使用することが好ましい。特に、スライダ200の一部を変形し易く(撓ませやすく)するために、スライダ200には低弾性率の耐ガンマ線グレードポリプロピレンを採用することが好ましい。 In addition, as a material of the tube inserter set 1000 according to the present embodiment, it is particularly preferable to use gamma ray resistant polypropylene. In particular, in order to easily deform (easily bend) a part of the slider 200, it is preferable to employ a low elastic modulus gamma ray resistant polypropylene for the slider 200.
実施例と比較例Examples and comparative examples
 以下、第1および第2の実施の形態にかかるチューブ本体301の性質について詳細に説明する。表1は、チューブ本体301に関する複数の実施例毎の、100%引張応力(MPa)と、内径(mm)と、外径(mm)と、厚み(mm)と、引張応力×厚み÷内径の値と、違和感の大きさと、空気の通り具合(換気量)との関係を示したものである。また、表2は、チューブ本体301に関する複数の比較例毎の、100%引張応力(MPa)と、内径(mm)と、外径(mm)と、厚み(mm)と、引張応力×厚み÷内径の値と、違和感の大きさと、空気の通り具合(換気量)との関係を示したものである。なお、表1および表2における、二重丸◎は「非常に良い」という意味であり、一重丸○は「良い」という意味であり、三角形△は「普通」という意味であり、バツ×は「悪い」という意味である。また、本実施例においては、本体部111およびチューブ本体301には、スチレン系熱可塑性エラストマーEARNESTONE(登録商標)CJ103(クラレプラスチック株式会社製)を用いている。 Hereinafter, the properties of the tube main body 301 according to the first and second embodiments will be described in detail. Table 1 shows 100% tensile stress (MPa), inner diameter (mm), outer diameter (mm), thickness (mm), and tensile stress × thickness / inner diameter for each of a plurality of examples related to the tube main body 301. It shows the relationship between the value, the size of the uncomfortable feeling, and the air condition (ventilation volume). Table 2 shows 100% tensile stress (MPa), inner diameter (mm), outer diameter (mm), thickness (mm), and tensile stress × thickness ÷ for each of a plurality of comparative examples related to the tube body 301. It shows the relationship between the value of the inner diameter, the size of the uncomfortable feeling, and the air passage (ventilation volume). In Tables 1 and 2, the double circle ◎ means “very good”, the single circle ○ means “good”, the triangle △ means “ordinary”, and the cross × It means “bad”. In the present embodiment, the main body 111 and the tube main body 301 are made of styrene thermoplastic elastomer EARNESTONE (registered trademark) CJ103 (manufactured by Kuraray Plastic Co., Ltd.).
Figure JPOXMLDOC01-appb-T000001
Figure JPOXMLDOC01-appb-T000001
Figure JPOXMLDOC01-appb-T000002
Figure JPOXMLDOC01-appb-T000002
 (引張応力についての説明)
 表1を参照して、チューブ本体301は、その100%引張応力が0.10MPa以上0.70MPa以下の範囲内であることが好ましい。100%引張応力がこの範囲内であるときは、チューブ本体301が気道内の陰圧に耐えることができ、またプッシャビリティー性も有しながら、嚥下運動やチューブの挿入の際に鼻腔内の軟組織に損傷を与える可能性を低くすることができる。より詳細には、柔らかすぎてチューブ本体301が押しつぶされたり、チューブ本体301の挿入時の違和感が大きかったり、などの不具合を共に解消することができる。
(Explanation about tensile stress)
Referring to Table 1, the tube body 301 preferably has a 100% tensile stress in the range of 0.10 MPa to 0.70 MPa. When the 100% tensile stress is within this range, the tube body 301 can withstand negative pressure in the airway and has pushability, while swallowing and inserting the tube, The possibility of damaging soft tissue can be reduced. More specifically, it is possible to eliminate both problems such as being too soft and the tube body 301 being crushed or having a sense of incongruity when the tube body 301 is inserted.
 当該効果を高めるためには、チューブ本体301の100%引張応力が0.23MPa以上0.39MPa以下の範囲内であることが好ましい。当該効果をさらに高めるためには、チューブ本体301の100%引張応力が0.26MPa以上0.36MPa以下の範囲内であることが好ましい。なお、鼻腔挿入具300を繰り返し使用するためには硬度(JIS K6253 タイプA)が40以下であることが好ましい。 In order to enhance the effect, it is preferable that the 100% tensile stress of the tube main body 301 is in the range of 0.23 MPa to 0.39 MPa. In order to further enhance the effect, it is preferable that the 100% tensile stress of the tube body 301 is in the range of 0.26 MPa to 0.36 MPa. In order to repeatedly use the nasal cavity insertion tool 300, the hardness (JIS K6253 type A) is preferably 40 or less.
 (内径についての説明)
 表1を参照して、チューブ本体301は、その内径が3.0mm以上9.2mm以下の範囲内であることが好ましい。内径がこの範囲内にあるときは、成人男性が一定時間に必要とする換気量を満足しつつ、強度を維持するための厚みを確保してもチューブ本体301の挿入時の違和感を低減することができる。より詳細には、換気量が足りずに使用者が睡眠中に覚醒したり、外径が大きくなり過ぎて使用者が鼻腔内の痛みに耐えられなかったり、などの不具合を共に解消することができる。
(Explanation about inner diameter)
Referring to Table 1, the tube body 301 preferably has an inner diameter in the range of 3.0 mm or more and 9.2 mm or less. When the inner diameter is within this range, the adult male can satisfy the ventilation required for a certain period of time and reduce the uncomfortable feeling when inserting the tube body 301 even if the thickness is maintained to maintain the strength. Can do. In more detail, it is possible to solve problems such as awakening during sleep due to insufficient ventilation and the user's inability to withstand pain in the nasal cavity due to the outside diameter becoming too large. it can.
 当該効果を高めるためには、チューブ本体301の内径が3.5mm以上8.3mm以下の範囲内であることが好ましい。当該効果をさらに高めるためには、チューブ本体301の内径が4.0mm以上7.0mm以下の範囲内であることが好ましい。 In order to enhance the effect, it is preferable that the inner diameter of the tube body 301 is in the range of 3.5 mm to 8.3 mm. In order to further enhance the effect, the inner diameter of the tube main body 301 is preferably within a range of 4.0 mm or greater and 7.0 mm or less.
 (外径についての説明)
 表1を参照して、チューブ本体301は、その外径が3.3mm以上10mm以下の範囲内であることが好ましい。外径がこの範囲内にあるときは、チューブ本体301の挿入時の違和感を低減しつつ、強度を維持するための厚みを確保しても成人男性が一定時間に必要とする換気量を満足することができる。より詳細には、換気量が足りずに使用者が睡眠中に覚醒したり、外径が大きくなり過ぎて使用者が鼻腔内の痛みに耐えられなかったり、などの不具合を共に解消することができる。
(Explanation about outer diameter)
Referring to Table 1, the tube body 301 preferably has an outer diameter in the range of 3.3 mm to 10 mm. When the outer diameter is within this range, it reduces the uncomfortable feeling when the tube body 301 is inserted, and satisfies the ventilation amount that adult men need for a certain time even if the thickness is maintained to maintain the strength. be able to. In more detail, it is possible to solve problems such as awakening during sleep due to insufficient ventilation and the user's inability to withstand pain in the nasal cavity due to the outside diameter becoming too large. it can.
 当該効果を高めるためには、チューブ本体301の外径が3.6mm以上9.6mm以下の範囲内であることが好ましい。当該効果をさらに高めるためには、チューブ本体301の外径が4.8mm以上8.4mm以下の範囲内であることが好ましい。 In order to enhance the effect, the outer diameter of the tube body 301 is preferably in the range of 3.6 mm or more and 9.6 mm or less. In order to further enhance the effect, the outer diameter of the tube body 301 is preferably in the range of 4.8 mm or more and 8.4 mm or less.
 (厚みについての説明)
 表1を参照して、チューブ本体301は、その厚みが0.19mm以上2.85mm以下の範囲内であることが好ましい。厚みがこの範囲内にあるときは、チューブ本体301が気道内の陰圧に耐えることができ、チューブ本体301の軸方向や半径方向の柔軟性を確保することができる。すなわち、チューブ本体301の先端が咽頭の軟組織に強く押し付けられたり、チューブ本体301の周囲が気道内面に強く押し当てられたりすることを防止することができる。なお、内径を小さくした場合には、成人男性が一定時間に必要とする換気量を満足することができない可能性がある。
(Explanation about thickness)
Referring to Table 1, the tube body 301 preferably has a thickness in the range of 0.19 mm to 2.85 mm. When the thickness is within this range, the tube body 301 can withstand the negative pressure in the airway, and the flexibility of the tube body 301 in the axial direction and the radial direction can be ensured. That is, it is possible to prevent the distal end of the tube main body 301 from being strongly pressed against the soft tissue of the pharynx or the periphery of the tube main body 301 being strongly pressed against the inner surface of the airway. When the inner diameter is reduced, there is a possibility that the adult male cannot satisfy the ventilation required for a certain time.
 (引張応力と厚みと内径との関係についての説明)
 表1を参照して、チューブ本体301は、以下の式を満たすことが好ましい。
 0.030≦100%引張応力(MPa)×厚み(mm)÷内径(mm)≦0.067
 上記の条件が満たされるときは、チューブ本体301が気道内の陰圧によって押しつぶされることを防止しながら、違和感を低減することができる。
(Explanation of relationship between tensile stress, thickness and inner diameter)
Referring to Table 1, the tube body 301 preferably satisfies the following formula.
0.030 ≦ 100% tensile stress (MPa) × thickness (mm) ÷ inner diameter (mm) ≦ 0.067
When the above conditions are satisfied, the discomfort can be reduced while preventing the tube body 301 from being crushed by the negative pressure in the airway.
 当該効果を高めるためには、以下の式を満たすことが好ましい。
 0.031≦100%引張応力(MPa)×厚み(mm)÷内径(mm)≦0.063
 当該効果をさらに高めるためには、以下の式を満たすことが好ましい。
 0.038≦100%引張応力(MPa)×厚み(mm)÷内径(mm)≦0.052
In order to enhance the effect, it is preferable to satisfy the following formula.
0.031 ≦ 100% tensile stress (MPa) × thickness (mm) ÷ inner diameter (mm) ≦ 0.063
In order to further enhance the effect, it is preferable to satisfy the following expression.
0.038 ≦ 100% tensile stress (MPa) × thickness (mm) ÷ inner diameter (mm) ≦ 0.052
 (曲率半径についての説明)
 表1を参照して、チューブ本体301は、少なくとも一部が湾曲しており、当該湾曲部の曲率半径が120mm以上160mm以下の範囲内であることが好ましい。曲率半径がこの範囲内にあるときは、チューブ本体301が軟口蓋に強く接触することも、チューブ本体301が咽頭の背面側に強く接触して咽頭の軟組織に炎症を引き起こすことも、その可能性を低減することができる。また、気道に比べて真っ直ぐな鼻腔内でチューブ本体301の先端が迷走することも防止することもできる。
(Explanation about radius of curvature)
Referring to Table 1, it is preferable that at least a part of the tube main body 301 is curved, and the radius of curvature of the curved portion is in the range of 120 mm or more and 160 mm or less. When the radius of curvature is within this range, the tube body 301 may come into strong contact with the soft palate, or the tube body 301 may come into strong contact with the back side of the pharynx and cause inflammation in the soft tissue of the pharynx. Can be reduced. It is also possible to prevent the tip of the tube body 301 from straying in a straight nasal cavity compared to the airway.
 (湾曲部の位置についての説明)
 また、チューブ本体301が鼻腔に挿入された際におけるチューブ本体301の咽頭側の端部から、湾曲部の長手方向の中心301Xまでの長さが、チューブ本体301の全長の1/5以上1/2以下の範囲内であることが好ましい。その長さがこの範囲内にあるときは、チューブ本体301の先端を鼻腔から気道の奥へとスムーズに挿入することができる。
(Explanation about the position of the bending portion)
Further, when the tube body 301 is inserted into the nasal cavity, the length from the pharyngeal end of the tube body 301 to the center 301X in the longitudinal direction of the curved portion is 1/5 or more of the total length of the tube body 301. It is preferably within the range of 2 or less. When the length is within this range, the distal end of the tube body 301 can be smoothly inserted from the nasal cavity to the back of the airway.
100 ガイド部材
100A 把持部
100B (補強用)リブ
100C (テーパ状)リブ
100E 突起
100X 把持部
100Y 突起
200 スライダ
200A 内側部材
200B 突起
200C 外側部材
200D 突起
200E 連結部材
200F 板状部材
200G 突起
300 鼻腔挿入チューブ
301 チューブ本体
302 ストッパーピン
302A 孔
303 ストッパーカバー
303A 孔
304 ストッパーアンカー
304A 孔
305 ストッパースプリング
1000 チューブ挿入器セット
100 guide member 100A gripping part 100B (for reinforcement) rib 100C (tapered) rib 100E protrusion 100X gripping part 100Y protrusion 200 slider 200A inner member 200B protrusion 200C outer member 200D protrusion 200E connecting member 200F plate member 200G protrusion 300 nasal cavity insertion tube 301 Tube body 302 Stopper pin 302A Hole 303 Stopper cover 303A Hole 304 Stopper anchor 304A Hole 305 Stopper spring 1000 Tube inserter set

Claims (6)

  1.  鼻腔に挿入されるための鼻腔挿入チューブであって、
     100%引張応力が0.10MPa以上0.70MPa以下の範囲内であって、
     内径が3.0mm以上9.2mm以下の範囲内である、鼻腔挿入チューブ。
    A nasal insertion tube for insertion into the nasal cavity,
    100% tensile stress is in the range of 0.10 MPa to 0.70 MPa,
    A nasal cavity insertion tube having an inner diameter in a range of 3.0 mm or more and 9.2 mm or less.
  2.  以下の式を満たす、請求項1に記載の鼻腔挿入チューブ。
     0.030≦100%引張応力(MPa)×厚み(mm)÷内径(mm)≦0.067
    The nasal cavity insertion tube according to claim 1, satisfying the following formula.
    0.030 ≦ 100% tensile stress (MPa) × thickness (mm) ÷ inner diameter (mm) ≦ 0.067
  3.  少なくとも一部が湾曲しており、当該湾曲部の曲率半径が120mm以上160mm以下の範囲内である、請求項1または2に記載の鼻腔挿入チューブ。 The nasal cavity insertion tube according to claim 1 or 2, wherein at least a portion is curved, and a radius of curvature of the curved portion is in a range of 120 mm or more and 160 mm or less.
  4.  前記鼻腔挿入チューブが鼻腔に挿入された際における前記鼻腔挿入チューブの咽頭側の端部から、前記湾曲部の軸方向の中心までの距離が、前記鼻腔挿入チューブの全長の1/5以上1/2以下の範囲内である、請求項3に記載の鼻腔挿入チューブ。 When the nasal cavity insertion tube is inserted into the nasal cavity, the distance from the pharyngeal end of the nasal cavity insertion tube to the axial center of the curved portion is 1/5 or more of the total length of the nasal cavity insertion tube. The nasal cavity insertion tube according to claim 3, which is within a range of 2 or less.
  5.  厚みが0.19mm以上2.85mm以下の範囲内である、請求項1から4のいずれか1項に記載の鼻腔挿入チューブ。 The nasal cavity insertion tube according to any one of claims 1 to 4, wherein the thickness is in a range of 0.19 mm to 2.85 mm.
  6.  外径が3.3mm以上10mm以下の範囲内である、請求項1から5のいずれか1項に記載の鼻腔挿入チューブ。

     
    The nasal cavity insertion tube according to any one of claims 1 to 5, wherein an outer diameter is in a range of 3.3 mm to 10 mm.

PCT/JP2014/059744 2013-04-02 2014-04-02 Nasal intubation tube WO2014163110A2 (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ITUB20159256A1 (en) * 2015-12-23 2017-06-23 Deas S R L CANNULA NASOFARINGEA
CN107158539A (en) * 2017-06-28 2017-09-15 四川省肿瘤医院 A kind of high gas flow flow velocity prevents the nasopharyngeal air duct of nasal mucosa damage

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH11244389A (en) * 1997-12-20 1999-09-14 Smiths Ind Plc Reinforced tube and its manufacturing method
JP2009072582A (en) * 2007-08-30 2009-04-09 Ist Corp Obstructive sleep apnea syndrome dissolving device
JP2009072581A (en) * 2007-08-30 2009-04-09 Ist Corp Obstructive sleep apnea syndrome dissolving tube
JP5148878B2 (en) * 2004-11-26 2013-02-20 三井化学株式会社 Medical tube

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH11244389A (en) * 1997-12-20 1999-09-14 Smiths Ind Plc Reinforced tube and its manufacturing method
JP5148878B2 (en) * 2004-11-26 2013-02-20 三井化学株式会社 Medical tube
JP2009072582A (en) * 2007-08-30 2009-04-09 Ist Corp Obstructive sleep apnea syndrome dissolving device
JP2009072581A (en) * 2007-08-30 2009-04-09 Ist Corp Obstructive sleep apnea syndrome dissolving tube

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ITUB20159256A1 (en) * 2015-12-23 2017-06-23 Deas S R L CANNULA NASOFARINGEA
WO2017108940A1 (en) * 2015-12-23 2017-06-29 Deas S.R.L. Nasopharyngeal cannula
CN107158539A (en) * 2017-06-28 2017-09-15 四川省肿瘤医院 A kind of high gas flow flow velocity prevents the nasopharyngeal air duct of nasal mucosa damage

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