WO2014196243A1 - Catheter assembly - Google Patents

Catheter assembly Download PDF

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Publication number
WO2014196243A1
WO2014196243A1 PCT/JP2014/058489 JP2014058489W WO2014196243A1 WO 2014196243 A1 WO2014196243 A1 WO 2014196243A1 JP 2014058489 W JP2014058489 W JP 2014058489W WO 2014196243 A1 WO2014196243 A1 WO 2014196243A1
Authority
WO
WIPO (PCT)
Prior art keywords
protrusion
cylinder
catheter assembly
guide
catheter
Prior art date
Application number
PCT/JP2014/058489
Other languages
French (fr)
Japanese (ja)
Inventor
石田昌弘
山下真之介
Original Assignee
テルモ株式会社
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 テルモ株式会社 filed Critical テルモ株式会社
Publication of WO2014196243A1 publication Critical patent/WO2014196243A1/en

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Classifications

    • 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06Body-piercing guide needles or the like
    • A61M25/0612Devices for protecting the needle; Devices to help insertion of the needle, e.g. wings or holders
    • A61M25/0631Devices for protecting the needle; Devices to help insertion of the needle, e.g. wings or holders having means for fully covering the needle after its withdrawal, e.g. needle being withdrawn inside the handle or a cover being advanced over the needle

Definitions

  • the present invention relates to a catheter assembly that is punctured and placed in a blood vessel when, for example, infusion is performed on a patient.
  • a catheter assembly is used to form an introduction portion of the infusion into the body.
  • the catheter assembly has a puncture portion in which an inner needle and an outer needle (catheter) are stacked. After the user punctures the puncture portion into the body, the user pulls out the inner needle from the catheter and constructs an infusion line for administering the infusion agent into the body through the catheter.
  • the inner needle is housed in the housing member of the catheter assembly when the catheter is withdrawn, thereby ensuring safety during handling.
  • International Publication No. WO94 / 13341 discloses a catheter assembly including a plurality of cylinders (accommodating members) that accommodate inner needles.
  • This catheter assembly includes an elastic piece that is elastically inclined toward the inside of the cylinder as a mechanism for preventing the advancement of the inner needle.
  • the elastic piece engages with another cylindrical body, thereby maintaining the expanded state of the cylindrical body itself and preventing the inner needle from advancing.
  • the present invention has been made in order to solve the above-described problems, and can easily assemble a plurality of cylinders that house the inner needles, and maintain a good stretched state between the cylinders.
  • An object of the present invention is to provide a catheter assembly that can prevent the advancement of the inner needle.
  • the present invention provides a catheter set comprising an inner needle, a catheter through which the inner needle is inserted, and a housing member that houses the inner needle when the inner needle is removed from the catheter.
  • the housing member is a first cylinder having a projection projecting in a radial direction, and is connected to the first cylinder, and is moved to the projection at a stage where it is retracted by a predetermined amount with respect to the first cylinder.
  • Including a second cylinder having an engagement portion that engages to prevent the first cylinder from being detached and restricts the advancement of the first cylinder, and the wall portion constituting the second cylinder includes: A first guide part capable of guiding the protrusion to a position behind the engagement part while avoiding the engagement part; and a second guide part capable of guiding the protrusion from the back side position to the engagement part; Is provided.
  • the catheter assembly includes the first guide body and the second cylinder body by including the first guide portion that can guide the protrusion at a position deeper than the engagement portion while avoiding the engagement portion.
  • the catheter assembly includes the second guide portion that can guide the protrusion to the engaging portion from the back side position, so that the protrusion can be smoothly guided to the engaging portion when the second cylinder is retracted. . Therefore, the protrusion and the engaging portion can be reliably engaged, and the first cylinder and the second cylinder can be prevented from being detached and maintained in the extended state.
  • the first guide portion includes a first protrusion and a second protrusion that protrude from the wall portion toward the first cylinder, and the first protrusion includes the first cylinder.
  • the projection is provided so as to be deflected to the side of the engagement portion between the end portion on the side where the first cylinder body is inserted and the engagement portion when assembled to the second cylinder body,
  • the two protrusions preferably extend so as to be able to guide the protrusions to the back side position where the circumferential position coincides with the engagement part at a position shifted in the circumferential direction with respect to the first protrusion.
  • the first guide portion is configured by the first protrusion and the second protrusion, so that the protrusion is easily guided to the back side position when the first cylinder and the second cylinder are assembled. be able to.
  • the first protrusion disengages the protrusion from the engaging portion to cut off the engagement with the engaging portion
  • the second protrusion has the protrusion shifted in the circumferential direction with respect to the engaging portion on the back side. Can be guided to the position.
  • the first protrusion surround at least the near side of the engagement portion opposite to the back side position.
  • the first protrusion surrounds the front side of the engaging portion, so that the protrusion can be more reliably prevented from moving toward the engaging portion during assembly.
  • first protrusion extends laterally of the engaging part, contacts the second protrusion, and includes a contact portion with the second protrusion. May have an inclined portion whose protruding height gradually decreases along the circumferential direction and the separating direction from the engaging portion side.
  • the inclined portion is formed on the base end side of the first protrusion, the protrusion passes through the inclined portion when being guided along the second protrusion.
  • the part can be easily overcome.
  • the inclined portion can prevent the protrusion from being displaced in the circumferential direction when the protrusion moves to the engaging portion when the second cylinder is retracted.
  • the second guide part may be constituted by a third protrusion capable of guiding the protrusion obliquely from a position shifted in the circumferential direction with respect to the engaging part.
  • the catheter assembly has the third protrusion capable of guiding the protrusion obliquely, so that the second cylinder moves backward even when the second cylinder rotates in the circumferential direction with respect to the first cylinder.
  • the protrusion can be guided to the engaging portion along the third protrusion.
  • the second protrusion and the third protrusion may be formed so as to protrude from each other.
  • the second protrusion and the third protrusion are configured to be connected to each other, so that the second protrusion and the third protrusion can be formed as a series of raised portions (land portions). Molding can be performed easily.
  • the engaging portion protrudes in a direction in which the first cylindrical body relatively moves when the second cylindrical body is retracted and partially covers the opening portion when the protrusion enters and is caught.
  • an elastic piece that is elastically displaceable in the radial direction of the second cylindrical body may be included.
  • the catheter assembly can firmly engage the protrusion and the engaging portion by configuring the engaging portion by the opening and the elastic piece.
  • the elastic piece can be easily hooked to the protrusion entering the opening while allowing the protrusion to elastically deform when guiding the protrusion.
  • the elastic piece may have a recess into which the protrusion entering the opening can enter.
  • the elastic piece has the recess, the protrusion entering the opening and the recess can be fitted together. Therefore, it is possible to suppress rotation in the mutual rotation direction when the first cylinder and the second cylinder are engaged.
  • the elastic piece has a convex portion extending along a protruding direction of the elastic piece on a surface side facing the first cylindrical body.
  • the elastic piece has the convex portion, it is possible to reliably prevent the protrusion from moving in the circumferential direction of the second cylindrical body.
  • the present invention it is possible to easily assemble a plurality of cylinders that house the inner needle, and it is possible to prevent the advancement of the inner needle by maintaining the extended state between the cylinders satisfactorily.
  • FIG. 2 is an exploded perspective view of the catheter assembly of FIG. 1.
  • 3A is a first cross-sectional view for explaining the operation of the catheter assembly of FIG. 1
  • FIG. 3B is a second cross-sectional view for explaining the operation of the catheter assembly of FIG.
  • FIG. 6 is a third cross-sectional view for explaining the operation of the catheter assembly of FIG. 1.
  • FIG. 5B is a side sectional view of the relay cylinder of FIG.
  • FIG. 8A is a perspective view showing a protrusion according to the first modified example
  • FIG. 8B is a perspective view showing an elastic piece according to the second modified example.
  • FIG. 9A is a plan sectional perspective view showing an elastic piece according to a third modified example
  • FIG. 9B is a partial sectional perspective view showing an engagement avoiding protrusion according to the fourth modified example.
  • the catheter assembly according to the present invention is used at a connection portion with a patient in an infusion line for infusing the patient. Specifically, when the infusion line is constructed, the catheter assembly is punctured with respect to the patient and partly indwelled, and then the infusion agent is introduced into the body through the part indwelled (in the infusion). Configured.
  • a catheter assembly 10 includes a tubular inner needle 12 having a sharp needle tip 12a at the tip and an inner needle 12 inserted as a puncture portion to be punctured into a patient's body. And a tubular catheter 14 configured as an outer needle. Further, the catheter assembly 10 includes an inner needle hub 20 that holds the inner needle 12, a catheter hub 30 that holds the catheter 14, and a needle of the inner needle 12 when the inner needle 12 is withdrawn as an operation portion in the puncture of the puncture portion. A needle cover 40 covering the tip 12a.
  • the direction of the catheter assembly 10 may be indicated based on the direction instruction shown in FIG. That is, the axial direction of the catheter assembly 10 is referred to as the X direction (the distal direction with the needle tip 12a is the X1 direction, and the proximal direction with the proximal end of the inner needle hub 20 is the X2 direction). Further, the width direction of the catheter assembly 10 is also referred to as a Y direction (a diagonally left direction in FIG. 1 is a Y1 direction and a diagonally right direction is a Y2 direction). Further, the vertical direction of the catheter assembly 10 is also referred to as the Z direction (the upward direction in FIG. 1 is the Z1 direction and the downward direction is the Z2 direction). Note that these directions are for convenience of explanation, and it is a matter of course that the catheter assembly 10 can be used in an arbitrary direction.
  • the inner needle hub 20 is gripped by a user (such as a doctor or nurse), and the puncture portion is punctured.
  • the puncture portion In the initial state before use (before puncturing the patient), the puncture portion has a double tube structure in which the inner needle 12 is inserted into the catheter 14 and the inner needle 12 protrudes from the distal end of the catheter 14 by a predetermined length.
  • the initial state of the catheter assembly 10 may be referred to as a “puncture enabled state”.
  • the inner needle hub 20 and the catheter hub 30 are connected via a needle cover 40.
  • the catheter assembly 10 is in a puncturable state (see FIG. 3A), and the inner needle 12 and the catheter 14 are both inserted into the patient's blood vessel by the user's puncturing action.
  • the user fixes the positions of the catheter 14 and the catheter hub 30 and moves the inner needle hub 20 backward in the proximal direction, thereby performing an extraction operation of the inner needle 12.
  • the inner needle 12 and the needle cover 40 held by the inner needle hub 20 are moved backward, and the catheter hub 30 is detached from the needle cover 40 by moving backward by a predetermined amount (see FIGS. 3B and 3C).
  • the inner needle 12, the inner needle hub 20, and the needle cover 40 are separated from the patient side, and only the catheter 14 and the catheter hub 30 are indwelled on the patient side.
  • the user constructs an infusion line by connecting a connector of an infusion tube (not shown) to the proximal end side of the indwelling catheter hub 30, and supplies the infusion agent (medical solution) to the patient.
  • the inner needle hub 20 and the needle cover 40 perform the accommodating operation of the inner needle 12.
  • the needle cover 40 extends with respect to the inner needle hub 20, and the inner needle 12 is accommodated in the inner needle hub 20 and the needle cover 40, thereby preventing the inner needle 12 from being exposed to the outside.
  • the state of the inner needle hub 20 and the needle cover 40 after the operation of removing the inner needle 12 may be referred to as a “state after removal”.
  • the inner needle 12 of the catheter assembly 10 is a tubular member having rigidity capable of puncturing the patient's skin.
  • the needle tip 12 a protrudes from the distal end opening of the catheter 14 in a state where puncture is possible, a midway portion in the longitudinal direction is inserted through the inside of the catheter hub 30, and a proximal end side is held inside the inner needle hub 20. It is formed in length.
  • the constituent material of the inner needle 12 include a metal material such as stainless steel, aluminum or an aluminum alloy, titanium or a titanium alloy.
  • the catheter 14 that constitutes the puncture section together with the inner needle 12 is a flexible thin tubular member, and is formed to a length that can be reliably introduced and placed in the patient's body.
  • a lumen 14 a is formed through the catheter 14 along the axial direction of the catheter 14.
  • the lumen 14a has an inner diameter through which the inner needle 12 can be inserted.
  • a resin material particularly a soft resin material is suitable.
  • a fluororesin such as polytetrafluoroetherene (PTFE), an ethylene / tetrafluoroetherene copolymer (ETFE), or a belfluoroalkoxy fluororesin (PFA), an olefin resin such as polyethylene or polypropylene, or A mixture thereof, polyurethane, polyester, polyamide, polyether nylon resin, a mixture of the olefin resin and an ethylene-vinyl acetate copolymer, and the like can be given.
  • the catheter 14 may be made of a resin having transparency so that the whole or a part of the inside can be visually recognized.
  • the catheter hub 30 is connected and fixed to the proximal end of the catheter 14.
  • the catheter hub 30 is formed in a tapered cylindrical shape, and has an internal space 32 corresponding to the cylindrical outer shape.
  • the inner needle 12 is disposed along the axial direction of the catheter hub 30 in a puncturable state (see FIG. 3A).
  • a connection mechanism for example, a caulking pin (not shown) that provides a liquid-tight connection between the proximal end portion of the catheter 14 and the distal end portion of the catheter hub 30 is provided on the distal end side of the internal space 32.
  • a connection mechanism for example, a caulking pin
  • a flange 34 that protrudes outward and extends in the circumferential direction is provided on the outer peripheral surface of the proximal end of the catheter hub 30.
  • the catheter hub 30 When the catheter assembly 10 is used, the catheter hub 30 is left on the patient's body surface with the catheter 14 punctured into a blood vessel, and is stuck to the skin with a tape or the like.
  • the catheter hub 30 is preferably made of a material harder than the catheter 14.
  • the constituent material of the catheter hub 30 is not particularly limited.
  • a thermoplastic resin such as polypropylene, polycarbonate, polyamide, polysulfone, polyarylate, methacrylate-butylene-styrene copolymer can be suitably used. .
  • the catheter hub 30 when the catheter hub 30 is placed on the patient side, the connector of the infusion tube is connected as described above. For this reason, it is preferable that the internal space 32 accommodates a connection mechanism (for example, a valve portion, a seal member, a plug, etc.) (not shown) that can construct a route for an infusion line as the connector is inserted.
  • a connection mechanism for example, a valve portion, a seal member, a plug, etc.
  • the inner needle hub 20 of the catheter assembly 10 partially covers the proximal end side of the catheter hub 30 in a puncturable state. Further, the inner needle hub 20 functions as a housing member 21 that houses the inner needle 12 together with the needle cover 40 in the state after being removed. That is, the housing member 21 is constituted by the inner needle hub 20 and the needle cover 40.
  • the inner needle hub 20 includes a hub main body 50 that constitutes the proximal end side of the catheter assembly 10, and a hollow inner needle fixing member 60 that fits inside the proximal end side of the hub main body 50.
  • the hub body 50 is an elongated cylindrical body (outer shell), and is formed in an appropriate size (thickness, length) so that the user can easily perform a gripping operation when using the catheter assembly 10.
  • An inner needle hub side hollow portion 52 that accommodates the needle cover 40 is provided inside the hub body 50.
  • the inner peripheral surface 52 a constituting the inner needle hub side hollow portion 52 has a hub main body side protruding portion 54 protruding radially inward, and the inner peripheral surface 52 a on the proximal end side of the hub main body side protruding portion 54 is radially outward. And a hub main body side groove portion 55 that is notched.
  • the inner needle fixing member 60 is housed and fixed on the proximal end side of the inner needle hub side hollow portion 52.
  • the inner needle fixing member 60 has a cylindrical shape that gradually decreases in diameter toward the distal end side in the inner needle hub side hollow portion 52.
  • the narrowest distal end portion is configured as a holding portion 62 that holds (fixes and fixes) the proximal end side of the inner needle 12, and the largest diameter proximal end portion is fitted to the inner peripheral surface 52 a of the hub body 50. It is comprised as the fitting part 64 to be.
  • the needle cover 40 of the catheter assembly 10 is puncturable as shown in FIG. 3A, and most of the proximal end side is accommodated in the inner needle hub 20 and holds the catheter hub 30 on the distal end side.
  • the needle cover 40 includes three cylinders, an inner cylinder 70, an outer cylinder 80 (first cylinder), and a relay cylinder 90 (second cylinder).
  • the inner cylinder 70, the outer cylinder 80, and the relay cylinder 90 are designed so that the shapes of the respective cylinder portions are sequentially thickened, and are assembled so that the mutual axial centers of the cylinder portions are coaxial.
  • the inner cylinder 70 has its proximal end inserted into the outer cylinder 80 and is movable in the axial direction relative to the outer cylinder 80.
  • the outer cylinder 80 has a proximal end inserted into the relay cylinder 90 and is movable in the axial direction relative to the relay cylinder 90.
  • the entire relay cylinder 90 is inserted into the hub body 50 and is movable in the axial direction relative to the hub body 50.
  • the needle cover 40 includes the inner needle 12 including the hub body 50 by moving the inner cylinder 70 relative to the outer cylinder 80, the outer cylinder 80 relative to the relay cylinder 90, and the relay cylinder 90 relative to the hub body 50. To a length that can be accommodated.
  • the inner cylinder 70 of the needle cover 40 functions as a needle tip protecting member that covers the needle tip 12a of the inner needle 12 when the inner needle 12 is accommodated.
  • the distal end of the inner cylinder 70 is in a puncturable state and is located at a proximal end position relative to the distal end of the outer cylinder 80, and is displaced so as to protrude from the distal end of the outer cylinder 80 as the inner needle 12 is removed.
  • the inner cylinder 70 includes a hollow inner cylinder main body 72 having a predetermined length in the axial direction, and an arm 74 integrally formed with the inner cylinder main body 72. Further, an insertion hole 73 through which the inner needle 12 can be passed is formed through the inner cylinder main body 72 along the axial direction of the inner cylinder main body 72.
  • the inner cylinder main body 72 includes an intermediate cylinder part 75 to which an arm 74 is connected, a distal end cylinder part 76 protruding from the intermediate cylinder part 75 toward the distal end side, and a proximal end cylinder part 77 protruding from the intermediate cylinder part 75 toward the proximal end side. And have.
  • the intermediate cylinder part 75 is formed in a size larger than the distal end cylinder part 76 and the proximal end cylinder part 77, and a pair of arms 74 are connected to both sides in the width direction (Y direction).
  • the pair of arms 74 includes a support portion 74a that is continuous with the intermediate cylinder portion 75, an arm base portion 74b that is continuous with the support portion 74a and extends in parallel with the distal end direction (X1 direction), and is continuous with the arm base portion 74b and protrudes outward in the width direction and in the distal direction.
  • Arm protrusion 74c The arm 74 is formed such that the arm protrusion 74 c extends outward in the width direction of the outer cylinder 80 in a natural state where no external force acts. Then, in a state where puncturing is possible (in a state where the inner cylinder 70 and the outer cylinder 80 overlap), the outer cylinder 80 is elastically pressed toward the inside by the side wall.
  • a protrusion 74d that protrudes inward in the width direction is provided at the tip of the pair of arm protrusions 74c.
  • the pair of protrusions 74d are hooked to the flange portion 34 of the catheter hub 30 by the arm protruding portions 74c approaching inward in a puncture enabled state.
  • the inner cylinder 70 sandwiches the catheter hub 30 between the distal end cylindrical portion 76 inserted into the proximal end side of the inner space 32 of the catheter hub 30 and the protrusion 74d, and the catheter hub 30 is firmly connected and held. To do.
  • the distal end cylinder portion 76 of the inner cylinder 70 is formed in a cylindrical shape having an outer diameter that substantially matches the inner diameter of the inner space 32 of the catheter hub 30.
  • the proximal end cylinder part 77 of the inner cylinder 70 is formed in a cylindrical shape that is longer in the axial direction than the distal end cylinder part 76 and smaller than the inner diameter of the outer cylinder side hollow part 85 of the outer cylinder 80.
  • a stopper part 77b that prevents the inner cylinder 70 and the outer cylinder 80 from being detached in a punctureable state, and a stopper part A displacement-permissible space 77c that can displace 77b is provided.
  • an inner cylinder side protrusion 77a is provided on the outer peripheral surface of the proximal end cylinder part 77 on the proximal end side with respect to the stopper part 77b.
  • the inner cylinder side protrusion 77a is inserted into the elongated hole 86 of the outer cylinder 80 in a punctureable state, and when the inner cylinder 70 and the outer cylinder 80 are relatively moved, the inner cylinder 70 and the outer cylinder 80 are displaced relative to each other by a predetermined amount. regulate. Thereby, it is prevented that the inner cylinder 70 is completely removed from the outer cylinder 80.
  • the outer cylinder 80 of the needle cover 40 is a member disposed outside the inner cylinder 70 and functions as a needle tip protecting member that covers the tip of the inner needle 12 when the inner needle 12 is accommodated.
  • the outer cylinder 80 has an arm accommodating portion 82 that can accommodate the arm 74 on the distal end side, and a cylindrical portion 84 that extends a predetermined length from the proximal end of the arm accommodating portion 82 in the proximal direction. Further, an outer cylinder side hollow portion 85 is formed through the cylindrical portion 84 along the axial direction.
  • the arm accommodating portion 82 is formed in a relatively large box shape with an upper portion and a tip portion opened.
  • the proximal end of the catheter hub 30 and the distal end side of the inner cylinder 70 (such as the pair of arms 74 and the intermediate cylinder part 75) are arranged inside the arm housing part 82.
  • On both side surfaces in the Y direction of the arm accommodating portion 82 there are provided concave grooves 82a that are formed in parallel to the axial direction of the outer cylinder 80 and open at the tip side.
  • the arm 74 is slidably inserted into the concave groove 82a, and the arm 74 is guided by the concave groove 82a when the inner cylinder 70 and the outer cylinder 80 are relatively moved.
  • the cylindrical portion 84 of the outer cylinder 80 is formed to have a longer axial length than the proximal end cylinder portion 77 of the inner cylinder 70.
  • a long hole 86 communicating with the outer cylinder side hollow portion 85 is formed at a distal end side of the cylindrical portion 84 with a predetermined length.
  • a part of a separation preventing mechanism for preventing separation of the outer cylinder 80 and the relay cylinder 90 is provided on the proximal end side of the cylindrical portion 84. Specifically, a protrusion 87 having a predetermined shape is formed to protrude.
  • a pair of protrusions 87 are provided on the upper and lower sides of the outer peripheral surface 84 a of the cylindrical portion 84.
  • the pair of protrusions 87 are located at opposite positions across the axis of the outer cylinder 80 and are formed in the same shape.
  • One protrusion 87 protrudes from the outer peripheral surface 84a by a predetermined amount radially outward (height close to the inner peripheral surface 92b of the relay cylinder 90), and has a peripheral wall 87a perpendicular to the outer peripheral surface 84a.
  • the projection 87 is formed in a substantially elliptical shape having a major axis in the axial direction of the outer cylinder 80 and a minor axis in the circumferential direction in plan view. Further, the protruding surface 87b of the protrusion 87 is flat.
  • the relay cylinder 90 of the needle cover 40 is a member arranged outside the outer cylinder 80 and functions as a needle tip protecting member that covers the body portion of the inner needle 12 when the inner needle 12 is accommodated.
  • a relay cylinder-side hollow portion 92 is formed through the relay cylinder 90 along the axial direction. Further, the other part of the separation preventing mechanism corresponding to the protrusion 87 of the outer cylinder 80 is provided on the distal end side of the relay cylinder 90.
  • the separation preventing mechanism smoothly inserts the outer cylinder 80 into the relay cylinder 90 when the outer cylinder 80 and the relay cylinder 90 are assembled, and reliably prevents separation when the outer cylinder 80 and the relay cylinder 90 are moved relative to each other. It is configured as follows. Specifically, an engaging portion 93, a first guide portion 94, and a second guide portion 95 are provided on the wall portion 92 a constituting the relay cylinder side hollow portion 92.
  • the engaging portion 93 has a function of hooking (engaging) the protrusion 87 when the relay cylinder 90 is retracted from the outer cylinder 80 in order to prevent the outer cylinder 80 and the relay cylinder 90 from being detached.
  • the engaging portion 93 includes a pair of engaging ports 100 (opening portions) provided on the upper and lower sides of the wall portion 92 a and a pair of upper and lower elastic pieces 110 that partially cover the engaging port 100.
  • the engagement port 100 communicates with the relay cylinder side hollow portion 92 and is formed sufficiently larger than the protrusion 87.
  • the lip 101 constituting the engagement port 100 is formed in an arc shape having a top portion 101a on the tip (X1 direction) side in a plan view, and both sides (Y direction) connected to the tip side are formed in a straight line. Yes.
  • An elastic piece 110 is provided on the base end (X2 direction) side of the lip 101.
  • the elastic piece 110 is connected to the wall portion 92a so as to be elastically displaceable in the radial direction of the relay cylinder 90, and protrudes from the engagement port 100 toward the tip side.
  • a gap 102 is formed on both sides of the elastic piece 110 so as not to contact the edge 101 of the engagement port 100.
  • the distal end side of the elastic piece 110 is formed with a relatively wide space from the top portion 101a of the lip 101, and the engaging portion 93 is between the distal end side of the elastic piece 110 and the lip 101 (hereinafter referred to as an engagement space). 103), the protrusion 87 can be exposed.
  • a passage 150 of a second guide portion 95 described later is provided on the proximal end side of the elastic piece 110.
  • the elastic piece 110 is formed in a rectangular shape in plan view, and is continuous with the wall 92a. Therefore, the elastic piece 110 has a gentle arc shape in the width direction (Y direction) in front sectional view. Further, the elastic piece 110 is formed such that, in a side sectional view (see FIG. 5A), the thickness of the protruding portion 112 on the distal end side is thicker than the thickness of the proximal end coupling portion 111 that is continuous with the wall portion 92a. That is, the protruding portion 112 on the distal end side slightly bulges inward in the radial direction. Furthermore, the tip wall 113 of the protrusion 112 facing the arcuate mouth edge 101 is formed in a straight line.
  • the first guide portion 94 has a function of guiding the movement of the protrusion 87 when the outer cylinder 80 is inserted into the relay cylinder 90.
  • the first guide portion 94 includes a pair of engagement avoidance protrusions 120 (first protrusions) provided on the upper and lower sides of the relay cylinder 90 and a standby direction guide protrusion 130 (first protrusion) provided on the left and right sides of the relay cylinder 90. 2 protrusions).
  • the engagement avoiding protrusion 120 restricts the protrusion 87 from moving toward the engagement port 100 by surrounding the front end side (front side) of the engagement port 100.
  • the engagement avoiding protrusion 120 is formed to protrude radially inward from the inner peripheral surface 92b of the wall 92a. Further, the engagement avoiding protrusion 120 is also a step raised from the inner peripheral surface 92b, and the engagement portion 93 (engagement port 100) is provided at this step, whereby the width of the lip 101 is the thickness of the wall portion 92a. Is bigger than.
  • One engagement avoiding protrusion 120 has an avoidance guide top 121 located on the distal end side in a plan sectional view (see FIG. 5B) and a pair of avoidance guide sides 122 that are separated from the avoidance guide top 121 in the circumferential direction.
  • the avoidance guide top 121 is provided at a position spaced from the engagement port 100 toward the front end side by a predetermined distance and in the same phase in the circumferential direction as the top portion 101a on the front end side of the engagement port 100. That is, the avoidance guide top 121 is located between the tip of the relay cylinder 90 and the engaging portion 93. In the avoidance guide top 121, a pair of avoidance guide sides 122 intersect at a predetermined angle. This angle is preferably set to 120 ° or less, for example, so that the protrusion 87 can be surely deflected from the engaging portion 93.
  • the pair of avoidance guide sides 122 guide the protrusion 87 moving in the proximal direction so as to go around in the circumferential direction when the outer cylinder 80 is inserted.
  • the pair of avoidance guide sides 122 extend from one end (avoidance guide top 121) where they intersect each other so as to be spaced apart in the base end direction (X2 direction) and in the circumferential direction, and from the position 122a separated by a predetermined distance, the axis of the relay cylinder 90 And extend in the X2 direction.
  • the width between the positions 122 a of the pair of avoidance guide sides 122 is wider than the width of the engagement port 100. Further, the other ends of the pair of avoidance guide sides 122 are connected to the standby direction guide protrusion 130.
  • the pair of standby direction guide protrusions 130 has a function of guiding the protrusion 87 whose phase is shifted in the circumferential direction to the proximal end side (back side position) of the engaging portion 93 when the outer cylinder 80 is inserted. .
  • the pair of standby direction guide protrusions 130 are formed so as to spread in the proximal direction on the wall portions 92a on both sides in the Y direction. Further, the standby direction guide protrusion 130 is formed so as to protrude from the wall 92a inward in the radial direction with a protrusion height higher than that of the engagement avoidance protrusion 120.
  • One standby direction guide protrusion 130 is a side cross sectional view (see FIG. 5A), a standby direction guide top 131 located on the front end side of the relay cylinder 90, and a pair of standbys separated from the standby direction guide top 131 in the circumferential direction. It has a direction guide side 132.
  • the standby direction guide top 131 is provided at a position that is 90 ° out of phase in the circumferential direction with the avoidance guide top 121 and at a position that substantially coincides (overlaps) in the axial direction.
  • a pair of standby direction guide sides 132 intersect at an angle smaller than the intersection angle of the avoidance guide side 122 in the avoidance guide top 121.
  • the pair of standby direction guide sides 132 are formed so as to face the circumferential direction of the pair of avoidance guide sides 122, and the protrusion 87 that moves in the proximal direction when the outer cylinder 80 is inserted is opposite to the avoidance guide sides 122. Guide to the circumferential direction.
  • the pair of standby direction guide sides 132 extend from one end (standby direction guide top 131) where they intersect with each other so as to be spaced apart in the proximal direction and the circumferential direction, and are curved so as to be slightly warped inward.
  • the other end of the avoidance guide side 122 is connected at the position 132a on the base end side of the standby direction guide side 132.
  • the standby direction guide side 132 further extends from the position 132a in the proximal direction and the circumferential direction to reach the passage 150.
  • the second guide part 95 has a function of guiding the protrusion 87 to the engaging part 93 when the relay cylinder 90 is moved backward with respect to the outer cylinder 80 during the extraction operation of the inner needle 12.
  • the second guide part 95 is constructed by the engagement guide protrusions 140 (third protrusions) provided as a pair on the left and right sides of the relay cylinder 90 and the distal end sides of the engagement guide protrusions 140 approaching each other. And a pair of upper and lower passages 150.
  • the pair of engagement guide protrusions 140 function to guide the protrusion 87 toward the engagement portion 93 when the protrusion 87 is in a phase shifted in the circumferential direction of the engagement portion 93 when the relay cylinder 90 is retracted. have.
  • the pair of engagement guide protrusions 140 are provided at positions opposite to the standby direction guide protrusion 130 in the axial direction so that the circumferential phase coincides with the standby direction guide protrusion 130. That is, one standby direction guide protrusion 130 and one engagement guide protrusion 140 are formed as a series of land portions 96 (protrusion portions) protruding radially inward from the wall portion 92a.
  • the pair of engagement guide protrusions 140 are formed so as to spread in the tip direction in the wall portions 92a on both sides in the Y direction.
  • One engagement guide protrusion 140 has an engagement guide top portion 141 located on the base end side of the land portion 96 in a side sectional view, and a pair of engagement guide sides 142 separated from the engagement guide top portion 141 in the circumferential direction. And a passage side 143 that continues to the tip of the pair of engagement guide sides 142.
  • the engagement guide top 141 is provided at a position where the phase in the circumferential direction coincides with the standby direction guide top 131.
  • a pair of engagement guide sides 142 intersect at a predetermined angle.
  • the pair of engagement guide sides 142 guide the protrusion 87 toward the passage 150 when the relay cylinder 90 moves backward.
  • the pair of engagement guide sides 142 extend from one end (engagement guide top 141) where they intersect with each other so as to be spaced apart in the distal direction and the circumferential direction.
  • the length in the axial direction of the pair of engagement guide sides 142 is longer than the length in the axial direction of the standby direction guide side 132.
  • path side 143 is connected with the front end side.
  • the passage side 143 is a side that constitutes the passage 150, and is connected to the standby direction guide side 132 on the distal end side and is connected to the engagement guide side 142 on the proximal end side.
  • the passage side 143 extends linearly between the standby direction guide side 132 and the engagement guide side 142, thereby forming the passage 150 along the axial direction of the relay cylinder 90.
  • the passage 150 is a groove formed between the passage sides 143 of the pair of engagement guide protrusions 140 and corresponds to the inner peripheral surface 92 b of the relay cylinder 90.
  • the width of the passage 150 is set so as to substantially coincide with the width of the elastic piece 110 on the front end side (or become narrower than the width of the elastic piece 110).
  • the passage 150 is also a path when the projection 87 moves in the proximal direction when the outer cylinder 80 is inserted, and thus the projection 87 is placed on the proximal side so that the phase coincides with the circumferential direction of the engaging portion 93. Can be guided to.
  • the relay cylinder 90 includes the engaging portion 93 and the first and second guide portions 94 and 95 described above, so that when the outer tube 80 is inserted, the relay tube 90 is retracted from the outer tube 80 without hooking the protrusion 87 on the engaging portion 93. Sometimes the protrusion 87 can be guided to the engaging portion 93.
  • a pair of upper and lower hook portions 97 are provided on the proximal end side of the relay cylinder 90.
  • the hook portion 97 is formed by cutting a predetermined amount from the proximal end of the relay cylinder 90 to the distal end side, and has a claw portion 97a on the proximal end side.
  • the claw portion 97a is elastically deformable in the radial direction of the relay cylinder 90. Yes.
  • the claw portion 97a is configured to be caught by the hub body side protrusion 54 when the hub body 50 moves backward relative to the relay cylinder 90.
  • the catheter assembly 10 is basically configured as described above, and the effects thereof will be described below based on the operation of the catheter assembly 10 during assembly and use.
  • the inner needle fixing member 60 is inserted from the proximal end side of the hub body 50.
  • the relay cylinder 90 is inserted from the front end side of the hub body 50.
  • the hook portion 97 of the relay cylinder 90 is elastically bent with respect to the hub main body side protrusion 54 of the hub main body 50, so that the relay cylinder 90 can be easily inserted into the inner needle hub side hollow portion 52. .
  • the outer cylinder 80 is inserted from the front end side of the accommodated relay cylinder 90.
  • the outer cylinder 80 can be easily inserted no matter how it faces the relay cylinder 90 in the circumferential direction. That is, the circumferential position of the protrusion 87 before insertion is not related to the arrangement of the engaging portion 93 and the first and second guide portions 94 and 95 of the relay cylinder 90. Therefore, the outer cylinder 80 and the relay cylinder 90 can be efficiently connected.
  • the protrusion 87 when the protrusion 87 is inserted in the proximal direction from the position facing the avoidance guide top 121, the protrusion 87 is guided by the displacement of the outer cylinder 80 in the proximal direction. Contact the top 121. Thereby, the protrusion 87 is guided to one of the pair of avoidance guide sides 122 from the avoidance guide top 121.
  • the protrusion 87 moves in the circumferential direction (for example, the movement position A1) so as to deviate from the engagement port 100 along one avoidance guide side 122. Then, the protrusion 87 that has moved to the movement position A1 moves to the position 122a of the avoidance guide side 122, moves in the proximal direction while maintaining its circumferential position, and near the position 132a that intersects the standby direction guide side 132 (Moving position A2).
  • the standby direction guide protrusion 130 protrudes radially inward from the engagement avoidance protrusion 120. For this reason, the protrusion 87 moved to the position 132 a is next guided to the standby direction guide side 132 of the standby direction guide protrusion 130.
  • the projection 87 gets over the avoidance guide side 122 under the guide action of the standby direction guide side 132, and advances to the movement position A3 on the tip side of the passage 150.
  • the position of the position 132a in the axial direction is on the proximal end side of the elastic piece 110, and even if the protrusion 87 gets over the avoidance guide side 122, it is not caught by the elastic piece 110. Therefore, the protrusion 87 can surely enter the passage 150 without being engaged with the engaging portion 93.
  • This moving position A3 corresponds to the base end position of the engaging portion 93, and the protrusion 87 further enters the back side position of the relay cylinder 90 as the outer cylinder 80 is inserted. Basically, the movement is finished at the standby position A4 where the phase in the circumferential direction coincides with the engaging portion 93, and the standby state is entered.
  • the protrusion 87 is not necessarily arranged at the standby position A4 in which the phase in the circumferential direction coincides with that of the engaging portion 93, and may be arranged with the circumferential phase shifted from the engaging portion 93. That is, in this specification, the “back side position” of the relay cylinder 90 to which the protrusion 87 moves may be the base end side of the engaging section 93 in the relay cylinder 90 and may be taken at any position in the circumferential direction. obtain.
  • the proximal end cylinder portion 77 of the inner cylinder 70 is inserted into the outer cylinder 80, and the inner needle 12 with the catheter 14 and the catheter hub 30 disposed on the distal end side is inserted after a certain amount of insertion. Insert from the tip. At this stage, the distal end of the inner cylinder 70 is closer to the distal end side than the distal end of the outer cylinder 80, and the pair of arms 74 are expanded.
  • the inner needle 12 is inserted from the proximal end into the insertion hole 73 opened in the distal end cylindrical portion 76 of the inner cylinder 70, moves in the outer cylinder side hollow portion 85 in the axial direction, and moves to the inner needle fixing member 60.
  • the holding part 62 is reached.
  • the proximal end portion of the inner needle 12 is fixedly held by the holding portion 62 while being inserted into the inner needle fixing member 60 from the distal end of the holding portion 62 and passing through a packing (not shown) provided in the holding portion 62.
  • the catheter hub 30 is attached to the distal end cylinder portion 76, and the inner cylinder 70 is pushed toward the proximal end of the outer cylinder 80.
  • the arm 74 of the inner cylinder 70 is closed by the outer cylinder 80, and the protrusion 74 d is caught by the flange portion 34 of the catheter hub 30.
  • the catheter assembly 10 is in a puncturable state in which the inner needle 12 and the catheter 14 have a double tube structure, and the inner needle hub 20, the catheter hub 30 and the needle cover 40 are integrated. In this puncturable state, the catheter assembly 10 is provided with a user with external environmental protection means such as sterilization.
  • the user integrally punctures the patient's blood vessel with the inner needle 12 and the catheter 14 in a puncturable state, and after the puncture, performs an operation of removing the inner needle 12.
  • the catheter hub 30 is fixed with one hand, and the inner needle hub 20 (hub body 50) is grasped and retracted with the other hand.
  • the hub body 50 moves backward with respect to the relay cylinder 90, and the relay cylinder 90 moves backward with respect to the outer cylinder 80.
  • the catheter assembly 10 can be removed from the outer cylinder 80 even if the hub body 50 is twisted in the circumferential direction during the extraction operation. Will not change the posture of the tip side part. Therefore, the inner needle 12 can be easily pulled out while maintaining the postures of the catheter 14 and the catheter hub 30.
  • the catheter assembly 10 can guide the protrusion 87 to the engagement portion 93 by the engagement guide protrusion 140 even when the phases of the protrusion 87 and the engagement portion 93 are shifted as described above. That is, when the relay cylinder 90 moves backward with respect to the outer cylinder 80, the protrusion 87 comes into contact with the engagement guide top portion 141 and the engagement guide side 142, and is displaced in the distal direction along the engagement guide side 142. When the relay cylinder 90 moves backward by a predetermined amount, the protrusion 87 enters the passage 150 and moves linearly in the axial direction of the relay cylinder 90 under the guidance of the passage side 143.
  • the protrusion 87 moves to the elastic piece 110 on the front end side of the passage 150, and the inner surface is further displaced in the front end direction along the arc-shaped elastic piece 110.
  • the elastic piece 110 is pushed by the protrusion 87 and elastically deforms radially outward.
  • the protrusion 87 receives a pressing force from the elastic piece 110, so that the posture of the protrusion 87 is suppressed, and the protrusion 87 is guided into the engagement space 103 without being shaken in the circumferential direction.
  • the peripheral wall 87 a of the protrusion 87 guided to the engagement space 103 is hooked on the edge 101 of the engagement port 100. Thereby, the outer cylinder 80 and the relay cylinder 90 are prevented from being separated from each other, and the relay cylinder 90 can pull out the outer cylinder 80 in the proximal direction.
  • the stopper portion 77b can move into the displacement allowable space 77c of the inner cylinder 70, and the retraction of the outer cylinder 80 with respect to the inner cylinder 70 is allowed. .
  • the hole edge of the elongated hole 86 is caught by the inner cylinder-side protrusion 77 a of the inner cylinder 70.
  • the inner cylinder 70 is pulled out by the outer cylinder 80 and moves in the proximal direction.
  • the pair of arms 74 are released from the arm accommodating portion 82 and expand outward in the width direction. Therefore, the catheter hub 30 hooked on the protrusion 74d is smoothly detached from the inner cylinder 70, and the catheter 14 and the catheter hub 30 are left on the patient side. After indwelling, an infusion tube is connected to the catheter hub 30.
  • the separated inner needle 12, inner needle hub 20, and needle cover 40 are subjected to medical disposal.
  • the inner needle hub 20 and the needle cover 40 act so as to maintain the extended state so that the inner needle 12 used for puncturing is not exposed to the outside. That is, the outer cylinder 80 and the relay cylinder 90 prevent the relay cylinder 90 from moving forward (reversely) by the engagement of the engaging portion 93 and the protrusion 87, and the relay cylinder 90 and the hub main body 50 are connected to the hook portion 97 and the hub main body side groove.
  • the hub body 50 is prevented from moving forward (reversely) by the engagement of the portion 55.
  • the peripheral wall 87a of the protrusion 87 inserted into the engagement port 100 and the tip wall 116 of the elastic piece 110 come into contact with each other. Since the tip wall 116 has a sufficient thickness due to the protrusion 112, the peripheral wall 87a can be firmly hooked. Therefore, in the connection portion between the outer cylinder 80 and the relay cylinder 90, the engagement state of the protrusion 87 and the engaging portion 93 is maintained firmly. Thereby, it is possible to satisfactorily prevent the inner needle 12 from jumping out due to the reverse return.
  • the catheter assembly 10 includes the first guide portion 94 that can guide the protrusion 87 while avoiding the engaging portion 93, so that the protrusion 87 is engaged when the outer tube 80 and the relay tube 90 are assembled.
  • the inconvenience of engaging with the joint portion 93 can be prevented. Therefore, the outer cylinder 80 and the relay cylinder 90 can be prevented from being damaged and can be easily assembled.
  • the catheter assembly 10 includes the second guide portion 95 that can guide the protrusion 87, so that the protrusion 87 can be smoothly guided to the engaging portion 93 when the outer tube 80 is retracted with respect to the relay tube 90. . Therefore, the protrusion 87 and the engaging portion 93 can reliably establish the separation of the outer cylinder 80 and the relay cylinder 90 and the maintenance of the extended state.
  • the first guide portion 94 is configured by the engagement avoidance protrusion 120 and the standby direction guide protrusion 130, so that when the engagement avoidance protrusion 120 and the standby direction guide protrusion 130 are assembled, the protrusion 87. Can be easily guided to the rear side position. That is, the engagement avoiding protrusion 120 can block the engagement with the engaging portion 93 by causing the protrusion 87 to deviate from the engaging portion 93. Then, the standby direction guide protrusion 130 can guide the protrusion 87 shifted in the circumferential direction with respect to the engaging portion 93 to the standby position A4.
  • the catheter assembly 10 has the standby direction guide protrusion 130 protruding from the engagement avoidance protrusion 120 so that the protrusion 87 displaced in the circumferential direction by the engagement avoidance protrusion 120 is 130 can guide to the standby position A4. At this time, it is possible to guide the protrusion 87 so as to get over the engagement avoiding protrusion 120.
  • the standby direction guide protrusion 130 and the engagement guide protrusion 140 can be formed as a series of land portions 96. Thus, molding can be performed easily.
  • the catheter assembly 10 can firmly engage the protrusion 87 and the engaging portion 93.
  • the elastic piece 110 can be easily hooked by the protrusion 87 that has entered the engagement port 100 while allowing the protrusion 87 to pass by elastic deformation when guiding the protrusion 87.
  • each structure (protrusion 87, engaging part 93, 1st and 2nd guide part 94, 95) of the catheter assembly 10 of this invention is not limited to said structure, Various modifications and applications Take an example. Hereinafter, some of these modifications will be described.
  • symbol is attached
  • the protrusion 88 according to the first modification shown in FIG. 8A is formed to be slightly wider than the protrusion 87 described above.
  • the peripheral wall 88 a of the protrusion 88 has a front end surface 88 b that matches the arc shape on the front end side of the engagement port 100.
  • the distal end surface 88b comes into close contact with a wide area of the distal end edge 101 when the projection 88 enters the engagement port 100, and thus the outer cylinder 80 and the relay cylinder 90 can be more reliably prevented from being detached. .
  • a taper surface 88d that is inclined radially inward toward the base end side of the outer cylinder 80 is formed on the base end side protrusion surface 88c of the protrusion 88.
  • the inclination of the tapered surface 88d is gentle and does not hinder the engagement of the peripheral wall 88a on the proximal end side and the distal end wall 113 of the elastic piece 110.
  • the elastic piece 115 according to the second modification shown in FIG. 8B is formed in a concave portion 116a in which the central portion in the width direction (Y direction) of the distal end wall 116 is recessed in the proximal direction. Since the engaging portion 93 has the concave portion 116a as described above, the base end portion of the protrusion 87 that has entered the engaging port 100 (engagement space 103) can be guided to the concave portion 116a.
  • the relay cylinder 90 when the relay cylinder 90 is moved forward (reversely returned) with respect to the outer cylinder 80, the protrusion 87 and the recess 116a can be hooked, and the inner needle 12 can be prevented from popping out more reliably. Further, when the base end portion of the protrusion 87 is fitted in the recess 116a, the outer cylinder 80 and the relay cylinder 90 can be prevented from rotating in the rotation direction, and the engagement state can be maintained more firmly. Can do.
  • the elastic piece 117 according to the third modified example shown in FIG. 9A includes a pair of rails 118 (convex portions) on both sides in the width direction (Y direction) on the inner peripheral surface side.
  • the pair of rails 118 slightly project inward in the radial direction of the relay cylinder 90 and are linearly formed on the elastic piece 117 along the X direction (the protruding direction of the elastic piece 117).
  • the pair of rails 118 can reliably prevent the protrusion 87 from being displaced from the elastic piece 117 in the circumferential direction when the protrusion 87 moves to the elastic piece 117 through the passage 150 as the inner needle 12 is pulled out.
  • the protrusion 87 can be smoothly guided to the engagement port 100.
  • the engagement avoidance protrusion 124 according to the third modification is formed to protrude to a predetermined position on the base end side, and does not come into contact with the standby direction guide protrusion 130. Therefore, a region 125 (that is, the inner peripheral surface 92b) through which the protrusion 87 can pass is present between the engagement avoidance protrusion 124 and the standby direction guide protrusion 130. Thereby, the protrusion 87 can be smoothly guided to the passage 150 through the region 125 when the outer cylinder 80 is inserted.
  • the engagement avoidance protrusion 126 extends to the side of the engagement portion 93 until it comes into contact with the standby direction guide protrusion 130, but the proximal end side including the contact portion is extended.
  • the region 127 is formed in an inclined portion having a right triangle shape in sectional view. That is, the region 127 includes a wall surface 127a that is continuous with the lip 101 and protrudes in the radial direction, and an inclined surface 127b whose protrusion height gradually decreases from the top of the wall surface 127a toward the outer side in the circumferential direction (in the direction away from the engaging portion 93).
  • the protrusion 87 moves in the proximal direction when the outer cylinder 80 and the relay cylinder 90 are assembled, the protrusion 87 moves along the inclined surface 127b, so that the engagement avoiding protrusion 126 can be easily overcome.
  • the wall surface 127a regulates the circumferential displacement of the projection 87, so that the projection 87 can be smoothly guided to the engagement port 100.
  • the base end portion of the protrusion 87 may be formed in a flat shape so as to be reliably hooked by the distal end wall 113 of the elastic piece 110.
  • the first and second guide portions 94 and 95 may be formed on a barrier (rib) of the protrusion.
  • the protrusion 87 can be deflected along the barrier by forming a barrier so as to surround the periphery of the engagement port 100.
  • the formation relationship between the protrusion 87 of the outer cylinder 80, the engaging portion 93 of the relay cylinder 90, and the first and second guide portions 94 and 95 may be reversed.
  • the wall portion of the outer cylinder 80 includes the engaging portion, the first and second guide portions, and the relay cylinder 90 includes a protrusion on the inner peripheral surface.
  • the catheter assembly 10 may be configured such that the relay cylinder 90 is inserted into the outer cylinder-side hollow portion 85 of the outer cylinder 80. In this case, a protrusion is provided on either the outer cylinder 80 or the relay cylinder 90, What is necessary is just to set it as the structure which provided the engaging part and the 1st and 2nd guide part in the other.

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  • Life Sciences & Earth Sciences (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
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  • Media Introduction/Drainage Providing Device (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

This catheter assembly (10) is provided with an internal needle (12), a catheter (14), an internal needle hub (20), and a needle cover (40). The needle cover (40) includes an outer cylinder (80) having a protrusion (87), and a linked cylinder (90) connected to the outer cylinder (80), and having an engaging part (93) adapted to engage the protrusion (87) at a point at which the outer cylinder (80) has been relatively retracted by a prescribed amount, preventing the outer cylinder (80) from detaching, as well as regulating advance of the outer cylinder (80). The linked cylinder (90) is furnished with a first guide part (94) capable of guiding the protrusion (87) further back from the engaging part (93) while avoiding the engaging part (93), and a second guide part (95) capable of guiding the protrusion (87) into the engaging part (93).

Description

カテーテル組立体Catheter assembly
 本発明は、例えば患者に対して輸液を行う際に、血管に穿刺して留置するカテーテル組立体に関する。 The present invention relates to a catheter assembly that is punctured and placed in a blood vessel when, for example, infusion is performed on a patient.
 従来、患者に輸液を行う際には、体内への輸液の導入部を形成するためにカテーテル組立体が使用される。例えば、カテーテル組立体は、内針と外針(カテーテル)を重ねた穿刺部を有する。ユーザは、この穿刺部を体内に穿刺した後に、カテーテルから内針を引き抜き、カテーテルを介して輸液剤を体内に投与する輸液ラインを構築する。 Conventionally, when an infusion is performed on a patient, a catheter assembly is used to form an introduction portion of the infusion into the body. For example, the catheter assembly has a puncture portion in which an inner needle and an outer needle (catheter) are stacked. After the user punctures the puncture portion into the body, the user pulls out the inner needle from the catheter and constructs an infusion line for administering the infusion agent into the body through the catheter.
 一方、内針は、カテーテルの引抜時に、カテーテル組立体の収容部材に収容されることで、取扱時の安全性が図られている。例えば、国際公開第WO94/13341号パンフレットには、内針を収容する複数の筒体(収容部材)を備えたカテーテル組立体が開示されている。このカテーテル組立体は、内針の進出防止機構として、筒体の内側に向かって弾性的に傾く弾性片を備える。弾性片は、他の筒体に係合することで、筒体自体の伸長状態を維持し、内針の進出を防止する。 On the other hand, the inner needle is housed in the housing member of the catheter assembly when the catheter is withdrawn, thereby ensuring safety during handling. For example, International Publication No. WO94 / 13341 discloses a catheter assembly including a plurality of cylinders (accommodating members) that accommodate inner needles. This catheter assembly includes an elastic piece that is elastically inclined toward the inside of the cylinder as a mechanism for preventing the advancement of the inner needle. The elastic piece engages with another cylindrical body, thereby maintaining the expanded state of the cylindrical body itself and preventing the inner needle from advancing.
 ところで、国際公開第WO94/13341号パンフレットに開示のカテーテル組立体は、筒体に設けられた弾性片が内側に傾いているため、この筒体に他の筒体を挿入する際に弾性片が邪魔となる。すなわち、カテーテル組立体を組み立てる際に、筒体同士の組み付けに手間がかかることになり、また場合によっては筒体の構成に損傷等を生じさせる可能性もある。 By the way, in the catheter assembly disclosed in the pamphlet of International Publication No. WO94 / 13341, since the elastic piece provided on the cylindrical body is inclined inward, the elastic piece is not inserted when another cylindrical body is inserted into the cylindrical body. It gets in the way. That is, when assembling the catheter assembly, it takes time to assemble the cylinders, and in some cases, the structure of the cylinders may be damaged.
 本発明は、上記の課題を解決するためになされたものであって、内針を収容する複数の筒体を容易に組み付けることができ、且つ筒体同士の伸長状態を良好に維持することで内針の進出を防止することができるカテーテル組立体の提供を目的とする。 The present invention has been made in order to solve the above-described problems, and can easily assemble a plurality of cylinders that house the inner needles, and maintain a good stretched state between the cylinders. An object of the present invention is to provide a catheter assembly that can prevent the advancement of the inner needle.
 前記の目的を達成するために、本発明は、内針と、前記内針が挿通されるカテーテルと、前記カテーテルから前記内針を抜去した時に前記内針を収容する収容部材とを備えるカテーテル組立体であって、前記収容部材は、径方向に突出する突起を有する第1筒体と、前記第1筒体に接続し、前記第1筒体に対して所定量後退した段階で前記突起に係合して前記第1筒体の離脱を防ぐと共に前記第1筒体の前進を規制する係合部を有する第2筒体とを含み、前記第2筒体を構成する壁部には、前記係合部を避けて該係合部よりも奥側位置に前記突起を案内可能な第1案内部と、前記奥側位置から前記係合部に前記突起を案内可能な第2案内部とが設けられることを特徴とする。 In order to achieve the above object, the present invention provides a catheter set comprising an inner needle, a catheter through which the inner needle is inserted, and a housing member that houses the inner needle when the inner needle is removed from the catheter. The housing member is a first cylinder having a projection projecting in a radial direction, and is connected to the first cylinder, and is moved to the projection at a stage where it is retracted by a predetermined amount with respect to the first cylinder. Including a second cylinder having an engagement portion that engages to prevent the first cylinder from being detached and restricts the advancement of the first cylinder, and the wall portion constituting the second cylinder includes: A first guide part capable of guiding the protrusion to a position behind the engagement part while avoiding the engagement part; and a second guide part capable of guiding the protrusion from the back side position to the engagement part; Is provided.
 上記によれば、カテーテル組立体は、係合部を避けて該係合部よりも奥側位置に突起を案内可能な第1案内部を備えることで、第1筒体と第2筒体を組み付ける際に、突起が係合部に係合する不都合を防ぐことができる。よって、第1筒体と第2筒体の損傷等を抑止して、両部材を簡単に組付けることができる。また、カテーテル組立体は、奥側位置から係合部に突起を案内可能な第2案内部を備えることで、第2筒体の後退時に、突起を係合部にスムーズに案内することができる。よって、突起と係合部を確実に係合状態として、第1筒体と第2筒体の離脱防止及び伸長状態の維持を良好に構築することができる。 According to the above, the catheter assembly includes the first guide body and the second cylinder body by including the first guide portion that can guide the protrusion at a position deeper than the engagement portion while avoiding the engagement portion. When assembling, it is possible to prevent inconvenience that the protrusion engages with the engaging portion. Therefore, damage to the first cylinder and the second cylinder can be suppressed, and both members can be assembled easily. Further, the catheter assembly includes the second guide portion that can guide the protrusion to the engaging portion from the back side position, so that the protrusion can be smoothly guided to the engaging portion when the second cylinder is retracted. . Therefore, the protrusion and the engaging portion can be reliably engaged, and the first cylinder and the second cylinder can be prevented from being detached and maintained in the extended state.
 この場合、前記第1案内部は、前記壁部から前記第1筒体に向かって突出する第1突部及び第2突部により構成され、前記第1突部は、前記第1筒体が前記第2筒体に組み付けられる際に前記第1筒体が挿入される側の端部と前記係合部の間で前記突起を前記係合部の側方に逸らすように設けられ、前記第2突部は、前記第1突部に対して周方向にずれる位置で、前記係合部と周方向位置が一致する前記奥側位置に前記突起を案内可能に延在することが好ましい。 In this case, the first guide portion includes a first protrusion and a second protrusion that protrude from the wall portion toward the first cylinder, and the first protrusion includes the first cylinder. The projection is provided so as to be deflected to the side of the engagement portion between the end portion on the side where the first cylinder body is inserted and the engagement portion when assembled to the second cylinder body, The two protrusions preferably extend so as to be able to guide the protrusions to the back side position where the circumferential position coincides with the engagement part at a position shifted in the circumferential direction with respect to the first protrusion.
 このように、第1案内部は、第1突部と第2突部により構成されることで、第1筒体と第2筒体の組付け時に、突起を奥側位置に容易に案内することができる。すなわち、第1突部は、突起を係合部から逸らせることで、係合部への係合を遮断し、第2突部は、係合部に対し周方向にずれた突起を奥側位置に案内することができる。 As described above, the first guide portion is configured by the first protrusion and the second protrusion, so that the protrusion is easily guided to the back side position when the first cylinder and the second cylinder are assembled. be able to. In other words, the first protrusion disengages the protrusion from the engaging portion to cut off the engagement with the engaging portion, and the second protrusion has the protrusion shifted in the circumferential direction with respect to the engaging portion on the back side. Can be guided to the position.
 また、前記第1突部は、少なくとも前記係合部の前記奥側位置と反対側の手前側を囲うことが好ましい。 In addition, it is preferable that the first protrusion surround at least the near side of the engagement portion opposite to the back side position.
 このように、第1突部が係合部の手前側を囲うことで、組み付け時に突起が係合部に向かうことをより確実に防ぐことができる。 As described above, the first protrusion surrounds the front side of the engaging portion, so that the protrusion can be more reliably prevented from moving toward the engaging portion during assembly.
 さらに、前記第1突部は、前記係合部の側方を延在して前記第2突部に接触し、前記第2突部との接触部分を含む前記第1突部の基端側は、前記係合部側から周方向且つ離間方向に沿って突出高さが漸減する傾斜部を有するとよい。 Further, the first protrusion extends laterally of the engaging part, contacts the second protrusion, and includes a contact portion with the second protrusion. May have an inclined portion whose protruding height gradually decreases along the circumferential direction and the separating direction from the engaging portion side.
 このように、第1突部の基端側に傾斜部が形成されていることで、突起は、第2突部に沿って案内される際に、傾斜部を通過することになり第1突部を容易に乗り越えることができる。また、傾斜部は、第2筒体の後退時に突起が係合部に移動する際に、突起が周方向にずれることを防ぐことができる。 As described above, since the inclined portion is formed on the base end side of the first protrusion, the protrusion passes through the inclined portion when being guided along the second protrusion. The part can be easily overcome. Further, the inclined portion can prevent the protrusion from being displaced in the circumferential direction when the protrusion moves to the engaging portion when the second cylinder is retracted.
 さらに、前記第2案内部は、前記係合部に対して周方向にずれる位置から前記突起を斜めに案内可能な第3突部により構成されるとよい。 Furthermore, the second guide part may be constituted by a third protrusion capable of guiding the protrusion obliquely from a position shifted in the circumferential direction with respect to the engaging part.
 このように、カテーテル組立体は、突起を斜めに案内可能な第3突部を有することで、第2筒体が第1筒体に対し周方向に回転した場合でも、第2筒体を後退移動した際に、第3突部に沿って突起を係合部に案内することができる。 Thus, the catheter assembly has the third protrusion capable of guiding the protrusion obliquely, so that the second cylinder moves backward even when the second cylinder rotates in the circumferential direction with respect to the first cylinder. When moved, the protrusion can be guided to the engaging portion along the third protrusion.
 またさらに、前記第2突部と前記第3突部は、相互に連なるように突出形成されるとよい。 Furthermore, the second protrusion and the third protrusion may be formed so as to protrude from each other.
 このように、第2突部と第3突部が相互に連なるように構成されることで、第2突部と第3突部を一連の隆起部(ランド部)として形成することが可能となり、成型を容易に行うことができる。 As described above, the second protrusion and the third protrusion are configured to be connected to each other, so that the second protrusion and the third protrusion can be formed as a series of raised portions (land portions). Molding can be performed easily.
 ここで、前記係合部は、前記突起が入り込んで引っ掛かる開口部と、前記第2筒体の後退時に前記第1筒体が相対的に移動する方向に突出して前記開口部を部分的に覆うと共に、前記第2筒体の径方向に弾性的に変位可能な弾性片とを含む構成であるとよい。 Here, the engaging portion protrudes in a direction in which the first cylindrical body relatively moves when the second cylindrical body is retracted and partially covers the opening portion when the protrusion enters and is caught. In addition, an elastic piece that is elastically displaceable in the radial direction of the second cylindrical body may be included.
 このように、係合部が開口部及び弾性片により構成されることで、カテーテル組立体は、突起と係合部を強固に係合させることができる。特に、弾性片は、突起を案内する際に弾性変形して突起の通過を許容する一方で、開口部に進入した突起に容易に引っ掛かることができる。 Thus, the catheter assembly can firmly engage the protrusion and the engaging portion by configuring the engaging portion by the opening and the elastic piece. In particular, the elastic piece can be easily hooked to the protrusion entering the opening while allowing the protrusion to elastically deform when guiding the protrusion.
 この場合、前記弾性片は、前記開口部に入り込んだ前記突起が進入可能な凹部を有していてもよい。 In this case, the elastic piece may have a recess into which the protrusion entering the opening can enter.
 このように、弾性片が凹部を有することで、開口部に入り込んだ突起と凹部を嵌め合うことができる。よって、第1筒体と第2筒体の係合時に相互の回転方向の回転を抑止することができる。 Thus, since the elastic piece has the recess, the protrusion entering the opening and the recess can be fitted together. Therefore, it is possible to suppress rotation in the mutual rotation direction when the first cylinder and the second cylinder are engaged.
 また、前記弾性片は、前記第1筒体に対向する面側に前記弾性片の突出方向に沿って延在する凸部を有することが好ましい。 Further, it is preferable that the elastic piece has a convex portion extending along a protruding direction of the elastic piece on a surface side facing the first cylindrical body.
 このように、弾性片が凸部を有することで、突起が移動する際に、第2筒体の周方向にずれることを確実に防ぐことができる。 Thus, since the elastic piece has the convex portion, it is possible to reliably prevent the protrusion from moving in the circumferential direction of the second cylindrical body.
 本発明によれば、内針を収容する複数の筒体を容易に組み付けることができ、且つ筒体同士の伸長状態を良好に維持することで内針の進出を防止することができる。 According to the present invention, it is possible to easily assemble a plurality of cylinders that house the inner needle, and it is possible to prevent the advancement of the inner needle by maintaining the extended state between the cylinders satisfactorily.
本発明の一実施形態に係るカテーテル組立体の全体構成を示す斜視図である。It is a perspective view showing the whole catheter assembly composition concerning one embodiment of the present invention. 図1のカテーテル組立体の分解斜視図である。FIG. 2 is an exploded perspective view of the catheter assembly of FIG. 1. 図3Aは、図1のカテーテル組立体の動作を説明するための第1断面図であり、図3Bは、図1のカテーテル組立体の動作を説明するための第2断面図であり、図3Cは、図1のカテーテル組立体の動作を説明するための第3断面図である。3A is a first cross-sectional view for explaining the operation of the catheter assembly of FIG. 1, and FIG. 3B is a second cross-sectional view for explaining the operation of the catheter assembly of FIG. FIG. 6 is a third cross-sectional view for explaining the operation of the catheter assembly of FIG. 1. 図1のカテーテル組立体の外筒と中継筒の係合状態を拡大して示す斜視図である。It is a perspective view which expands and shows the engagement state of the outer cylinder and relay cylinder of the catheter assembly of FIG. 図5Aは、図2の中継筒の平面断面図であり、図5Bは、図2の中継筒の側面断面図である。5A is a plan sectional view of the relay cylinder of FIG. 2, and FIG. 5B is a side sectional view of the relay cylinder of FIG. カテーテル組立体の外筒と中継筒を組み付ける際の突起の動作を示す説明図である。It is explanatory drawing which shows operation | movement of the protrusion at the time of assembling the outer cylinder and relay cylinder of a catheter assembly. カテーテル組立体の中継筒の後退時の突起の動作を示す説明図である。It is explanatory drawing which shows operation | movement of the processus | protrusion at the time of the retraction of the relay cylinder of a catheter assembly. 図8Aは、第1変形例に係る突起を示す斜視図であり、図8Bは、第2変形例に係る弾性片を示す斜視図である。FIG. 8A is a perspective view showing a protrusion according to the first modified example, and FIG. 8B is a perspective view showing an elastic piece according to the second modified example. 図9Aは、第3変形例に係る弾性片を示す平面断面斜視図であり、図9Bは、第4変形例に係る係合回避突部を示す部分断面斜視図である。FIG. 9A is a plan sectional perspective view showing an elastic piece according to a third modified example, and FIG. 9B is a partial sectional perspective view showing an engagement avoiding protrusion according to the fourth modified example.
 以下、本発明に係るカテーテル組立体について好適な実施形態を挙げ、添付の図面を参照して詳細に説明する。 Hereinafter, preferred embodiments of the catheter assembly according to the present invention will be described and described in detail with reference to the accompanying drawings.
 本発明に係るカテーテル組立体は、患者に輸液を行う輸液ラインにおいて患者との接続部分に使用される。具体的に、カテーテル組立体は、輸液ラインの構築時に、患者に対し穿刺されて一部が留置されて、その後(輸液中)に留置された一部を介して輸液剤を体内に導入するように構成される。 The catheter assembly according to the present invention is used at a connection portion with a patient in an infusion line for infusing the patient. Specifically, when the infusion line is constructed, the catheter assembly is punctured with respect to the patient and partly indwelled, and then the infusion agent is introduced into the body through the part indwelled (in the infusion). Configured.
 図1に示すように、本実施形態に係るカテーテル組立体10は、患者の体内に穿刺される穿刺部として、鋭利な針先12aを先端に有する管状の内針12と、内針12が挿入される外針として構成される管状のカテーテル14とを有する。また、カテーテル組立体10は、穿刺部の穿刺における操作部として、内針12を保持する内針ハブ20と、カテーテル14を保持するカテーテルハブ30と、内針12の抜去時に内針12の針先12aを覆う針カバー40とを備える。 As shown in FIG. 1, a catheter assembly 10 according to this embodiment includes a tubular inner needle 12 having a sharp needle tip 12a at the tip and an inner needle 12 inserted as a puncture portion to be punctured into a patient's body. And a tubular catheter 14 configured as an outer needle. Further, the catheter assembly 10 includes an inner needle hub 20 that holds the inner needle 12, a catheter hub 30 that holds the catheter 14, and a needle of the inner needle 12 when the inner needle 12 is withdrawn as an operation portion in the puncture of the puncture portion. A needle cover 40 covering the tip 12a.
 なお、以下の説明では、図1に記載の方向指示に基づき、カテーテル組立体10の方向を示すこともある。すなわち、カテーテル組立体10の軸方向をX方向(針先12aがある先端方向をX1方向、内針ハブ20の基端がある基端方向をX2方向)と呼ぶ。また、カテーテル組立体10の幅方向をY方向(図1中の斜め左方向をY1方向、斜め右方向をY2方向)とも呼ぶ。さらに、カテーテル組立体10の上下方向をZ方向(図1中の上方向をZ1方向、下方向をZ2方向)とも呼ぶ。なお、これらの方向は説明の便宜上のものであり、カテーテル組立体10を任意の向きで使用できることは勿論である。 In the following description, the direction of the catheter assembly 10 may be indicated based on the direction instruction shown in FIG. That is, the axial direction of the catheter assembly 10 is referred to as the X direction (the distal direction with the needle tip 12a is the X1 direction, and the proximal direction with the proximal end of the inner needle hub 20 is the X2 direction). Further, the width direction of the catheter assembly 10 is also referred to as a Y direction (a diagonally left direction in FIG. 1 is a Y1 direction and a diagonally right direction is a Y2 direction). Further, the vertical direction of the catheter assembly 10 is also referred to as the Z direction (the upward direction in FIG. 1 is the Z1 direction and the downward direction is the Z2 direction). Note that these directions are for convenience of explanation, and it is a matter of course that the catheter assembly 10 can be used in an arbitrary direction.
 先ず、本発明の理解の容易化のため、カテーテル組立体10の使用方法について概略的に説明する。カテーテル組立体10は、ユーザ(医師や看護師等)により内針ハブ20が把持操作されて、穿刺部の穿刺が行われる。穿刺部は、使用前(患者への穿刺前)の初期状態では、内針12がカテーテル14に挿通され且つ内針12がカテーテル14の先端から所定長だけ突出した2重管構造となっている。以下では、カテーテル組立体10の初期状態のことを「穿刺可能状態」ということもある。また、カテーテル組立体10の初期状態では、内針ハブ20とカテーテルハブ30が、針カバー40を介して接続されている。 First, in order to facilitate understanding of the present invention, a method of using the catheter assembly 10 will be schematically described. In the catheter assembly 10, the inner needle hub 20 is gripped by a user (such as a doctor or nurse), and the puncture portion is punctured. In the initial state before use (before puncturing the patient), the puncture portion has a double tube structure in which the inner needle 12 is inserted into the catheter 14 and the inner needle 12 protrudes from the distal end of the catheter 14 by a predetermined length. . Hereinafter, the initial state of the catheter assembly 10 may be referred to as a “puncture enabled state”. In the initial state of the catheter assembly 10, the inner needle hub 20 and the catheter hub 30 are connected via a needle cover 40.
 カテーテル組立体10は、穿刺可能状態(図3A参照)で、ユーザの穿刺行為により、内針12及びカテーテル14が共に患者の血管内に挿入されていく。患者への穿刺後、ユーザは、カテーテル14及びカテーテルハブ30の位置を固定して、内針ハブ20を基端方向に後退移動することにより、内針12の抜去操作を行う。これにより、内針ハブ20に保持された内針12及び針カバー40が後退移動し、所定量後退移動することで、カテーテルハブ30が針カバー40から離脱する(図3B及び図3C参照)。 The catheter assembly 10 is in a puncturable state (see FIG. 3A), and the inner needle 12 and the catheter 14 are both inserted into the patient's blood vessel by the user's puncturing action. After puncturing the patient, the user fixes the positions of the catheter 14 and the catheter hub 30 and moves the inner needle hub 20 backward in the proximal direction, thereby performing an extraction operation of the inner needle 12. Thereby, the inner needle 12 and the needle cover 40 held by the inner needle hub 20 are moved backward, and the catheter hub 30 is detached from the needle cover 40 by moving backward by a predetermined amount (see FIGS. 3B and 3C).
 その結果、カテーテル組立体10のうち、内針12、内針ハブ20及び針カバー40が患者側から離され、カテーテル14とカテーテルハブ30だけが患者側に留置された状態となる。内針12の抜去操作後、ユーザは、留置されたカテーテルハブ30の基端側に図示しない輸液チューブのコネクタを接続することで輸液ラインを構築し、患者への輸液剤(薬液)の供給を行う。 As a result, in the catheter assembly 10, the inner needle 12, the inner needle hub 20, and the needle cover 40 are separated from the patient side, and only the catheter 14 and the catheter hub 30 are indwelled on the patient side. After the operation of removing the inner needle 12, the user constructs an infusion line by connecting a connector of an infusion tube (not shown) to the proximal end side of the indwelling catheter hub 30, and supplies the infusion agent (medical solution) to the patient. Do.
 一方、内針12の抜去操作に際して、内針ハブ20及び針カバー40は、内針12の収容動作を行う。この場合、内針ハブ20に対し針カバー40が伸長して、内針ハブ20及び針カバー40内に内針12を収容することにより、内針12の外部への露出を防止する。以下では、内針12の抜去操作後の内針ハブ20及び針カバー40の状態のことを「抜去後状態」ということもある。 On the other hand, when the inner needle 12 is removed, the inner needle hub 20 and the needle cover 40 perform the accommodating operation of the inner needle 12. In this case, the needle cover 40 extends with respect to the inner needle hub 20, and the inner needle 12 is accommodated in the inner needle hub 20 and the needle cover 40, thereby preventing the inner needle 12 from being exposed to the outside. Hereinafter, the state of the inner needle hub 20 and the needle cover 40 after the operation of removing the inner needle 12 may be referred to as a “state after removal”.
 以下、このカテーテル組立体10の各構成について、図1、図2及び図3A~図3Cを参照して具体的に説明する。 Hereinafter, each configuration of the catheter assembly 10 will be specifically described with reference to FIGS. 1, 2, and 3A to 3C.
 カテーテル組立体10の内針12は、患者の皮膚を穿刺可能な剛性を有する管状部材である。内針12は、穿刺可能状態で、針先12aがカテーテル14の先端開口から突出し、長手方向の途中部位がカテーテルハブ30の内部を挿通し、基端側が内針ハブ20の内部で保持される長さに形成されている。内針12の構成材料としては、例えば、ステンレス鋼、アルミニウム又はアルミニウム合金、チタン又はチタン合金のような金属材料が挙げられる。 The inner needle 12 of the catheter assembly 10 is a tubular member having rigidity capable of puncturing the patient's skin. In the inner needle 12, the needle tip 12 a protrudes from the distal end opening of the catheter 14 in a state where puncture is possible, a midway portion in the longitudinal direction is inserted through the inside of the catheter hub 30, and a proximal end side is held inside the inner needle hub 20. It is formed in length. Examples of the constituent material of the inner needle 12 include a metal material such as stainless steel, aluminum or an aluminum alloy, titanium or a titanium alloy.
 内針12と共に穿刺部を構成するカテーテル14は、可撓性を有する細径の管状部材であり、患者の体内に確実に導入及び留置される長さに形成されている。カテーテル14の内部には、カテーテル14の軸線方向に沿って内腔14aが貫通形成されている。内腔14aは、内針12を挿通可能な内径を有する。 The catheter 14 that constitutes the puncture section together with the inner needle 12 is a flexible thin tubular member, and is formed to a length that can be reliably introduced and placed in the patient's body. A lumen 14 a is formed through the catheter 14 along the axial direction of the catheter 14. The lumen 14a has an inner diameter through which the inner needle 12 can be inserted.
 カテーテル14の構成材料としては、樹脂材料、特に、軟質樹脂材料が好適である。この場合、例えば、ポリテトラフルオロエテレン(PTFE)、エチレン・テトラフルオロエテレン共重合体(ETFE)、ベルフルオロアルコキシフッ素樹脂(PFA)等のフッ素系樹脂、ポリエチレン、ポリプロピレン等のオレフィン系樹脂又はこれらの混合物、ポリウレタン、ポリエステル、ポリアミド、ポリエーテルナイロン樹脂、前記オレフィン系樹脂とエチレン-酢酸ビニル共重合体との混合物等が挙げられる。カテーテル14は、全部又は一部の内部を視認できるように、透明性を有する樹脂で構成されてもよい。 As the constituent material of the catheter 14, a resin material, particularly a soft resin material is suitable. In this case, for example, a fluororesin such as polytetrafluoroetherene (PTFE), an ethylene / tetrafluoroetherene copolymer (ETFE), or a belfluoroalkoxy fluororesin (PFA), an olefin resin such as polyethylene or polypropylene, or A mixture thereof, polyurethane, polyester, polyamide, polyether nylon resin, a mixture of the olefin resin and an ethylene-vinyl acetate copolymer, and the like can be given. The catheter 14 may be made of a resin having transparency so that the whole or a part of the inside can be visually recognized.
 カテーテル14の基端には、カテーテルハブ30が接続固定される。カテーテルハブ30は、先細りとなる筒状に形成され、この筒状の外形に応じた内部空間32を有する。内部空間32には、穿刺可能状態(図3A参照)で、カテーテルハブ30の軸方向に沿って内針12が配置される。内部空間32の先端側には、カテーテル14の基端部とカテーテルハブ30の先端部を液密に接続する図示しない接続機構(例えば、かしめピン等)が設けられる。また、カテーテルハブ30の基端外周面には、外方に突出し且つ周方向に延在するフランジ部34が設けられている。 The catheter hub 30 is connected and fixed to the proximal end of the catheter 14. The catheter hub 30 is formed in a tapered cylindrical shape, and has an internal space 32 corresponding to the cylindrical outer shape. In the internal space 32, the inner needle 12 is disposed along the axial direction of the catheter hub 30 in a puncturable state (see FIG. 3A). On the distal end side of the internal space 32, a connection mechanism (for example, a caulking pin) (not shown) that provides a liquid-tight connection between the proximal end portion of the catheter 14 and the distal end portion of the catheter hub 30 is provided. In addition, a flange 34 that protrudes outward and extends in the circumferential direction is provided on the outer peripheral surface of the proximal end of the catheter hub 30.
 カテーテルハブ30は、カテーテル組立体10の使用に際し、カテーテル14が血管に穿刺された状態で患者の体表に残され、テープ等により皮膚に貼り付けられて留置される。このカテーテルハブ30は、カテーテル14よりも硬質の材料によって構成されることが好ましい。カテーテルハブ30の構成材料は、特に限定されるものではないが、例えば、ポリプロピレン、ポリカーボネート、ポリアミド、ポリサルホン、ポリアリレート、メタクリレート-ブチレン-スチレン共重合体等の熱可塑性樹脂を好適に用いることができる。 When the catheter assembly 10 is used, the catheter hub 30 is left on the patient's body surface with the catheter 14 punctured into a blood vessel, and is stuck to the skin with a tape or the like. The catheter hub 30 is preferably made of a material harder than the catheter 14. The constituent material of the catheter hub 30 is not particularly limited. For example, a thermoplastic resin such as polypropylene, polycarbonate, polyamide, polysulfone, polyarylate, methacrylate-butylene-styrene copolymer can be suitably used. .
 また、カテーテルハブ30は、患者側に留置される際に、上述したように輸液チューブのコネクタが接続される。このため、内部空間32には、コネクタの挿入にともない輸液ラインの経路を構築し得る図示しない接続機構(例えば、弁部、シール部材、プラグ等)が収容されることが好ましい。 Further, when the catheter hub 30 is placed on the patient side, the connector of the infusion tube is connected as described above. For this reason, it is preferable that the internal space 32 accommodates a connection mechanism (for example, a valve portion, a seal member, a plug, etc.) (not shown) that can construct a route for an infusion line as the connector is inserted.
 一方、カテーテル組立体10の内針ハブ20は、穿刺可能状態で、カテーテルハブ30の基端側を部分的に覆っている。また、内針ハブ20は、抜去後状態では、針カバー40と共に内針12を収容する収容部材21として機能する。つまり、収容部材21は、内針ハブ20と針カバー40により構成される。内針ハブ20は、カテーテル組立体10の基端側を構成するハブ本体50と、ハブ本体50の基端側内部に嵌合される中空状の内針固定部材60とを備える。 On the other hand, the inner needle hub 20 of the catheter assembly 10 partially covers the proximal end side of the catheter hub 30 in a puncturable state. Further, the inner needle hub 20 functions as a housing member 21 that houses the inner needle 12 together with the needle cover 40 in the state after being removed. That is, the housing member 21 is constituted by the inner needle hub 20 and the needle cover 40. The inner needle hub 20 includes a hub main body 50 that constitutes the proximal end side of the catheter assembly 10, and a hollow inner needle fixing member 60 that fits inside the proximal end side of the hub main body 50.
 ハブ本体50は、細長い筒状体(外殻)であり、カテーテル組立体10の使用に際してユーザが把持操作し易いように適度な大きさ(太さ、長さ)に形成されている。ハブ本体50の内部には、針カバー40を収容する内針ハブ側中空部52が設けられている。内針ハブ側中空部52を構成する内周面52aには、径方向内側に突出するハブ本体側突部54と、ハブ本体側突部54の基端側で内周面52aを径方向外側に切り欠いたハブ本体側溝部55とが設けられている。 The hub body 50 is an elongated cylindrical body (outer shell), and is formed in an appropriate size (thickness, length) so that the user can easily perform a gripping operation when using the catheter assembly 10. An inner needle hub side hollow portion 52 that accommodates the needle cover 40 is provided inside the hub body 50. The inner peripheral surface 52 a constituting the inner needle hub side hollow portion 52 has a hub main body side protruding portion 54 protruding radially inward, and the inner peripheral surface 52 a on the proximal end side of the hub main body side protruding portion 54 is radially outward. And a hub main body side groove portion 55 that is notched.
 内針固定部材60は、内針ハブ側中空部52の基端側に収容固定される。この内針固定部材60は、内針ハブ側中空部52内において、先端側に向かって段階的に細径となる筒状を呈する。最も細径な先端部は、内針12の基端側を保持(密着固定)する保持部62として構成され、最も大径な基端部は、ハブ本体50の内周面52aに嵌合される嵌合部64として構成されている。 The inner needle fixing member 60 is housed and fixed on the proximal end side of the inner needle hub side hollow portion 52. The inner needle fixing member 60 has a cylindrical shape that gradually decreases in diameter toward the distal end side in the inner needle hub side hollow portion 52. The narrowest distal end portion is configured as a holding portion 62 that holds (fixes and fixes) the proximal end side of the inner needle 12, and the largest diameter proximal end portion is fitted to the inner peripheral surface 52 a of the hub body 50. It is comprised as the fitting part 64 to be.
 カテーテル組立体10の針カバー40は、図3Aに示す穿刺可能状態で、その基端側の大部分が内針ハブ20に収容され、先端側においてカテーテルハブ30を保持している。この針カバー40は、内筒70、外筒80(第1筒体)、中継筒90(第2筒体)の3つの筒体により構成される。内筒70、外筒80、中継筒90は、各々の筒部分の形状が順に太くなるように設計されており、また筒部分の相互の軸心が同軸上となるように組み付けられる。 The needle cover 40 of the catheter assembly 10 is puncturable as shown in FIG. 3A, and most of the proximal end side is accommodated in the inner needle hub 20 and holds the catheter hub 30 on the distal end side. The needle cover 40 includes three cylinders, an inner cylinder 70, an outer cylinder 80 (first cylinder), and a relay cylinder 90 (second cylinder). The inner cylinder 70, the outer cylinder 80, and the relay cylinder 90 are designed so that the shapes of the respective cylinder portions are sequentially thickened, and are assembled so that the mutual axial centers of the cylinder portions are coaxial.
 すなわち、内筒70は、その基端側が外筒80の内部に挿入されて外筒80と相対的に軸方向に移動自在となっている。外筒80は、その基端側が中継筒90の内部に挿入されて中継筒90と相対的に軸方向に移動自在となっている。さらに、中継筒90は、その全体がハブ本体50の内部に挿入されてハブ本体50と相対的に軸方向に移動自在となっている。針カバー40は、内筒70が外筒80に対し、外筒80が中継筒90に対し、中継筒90がハブ本体50に対しそれぞれ相対移動することで、ハブ本体50を含めて内針12を収容可能な長さに伸長する。 That is, the inner cylinder 70 has its proximal end inserted into the outer cylinder 80 and is movable in the axial direction relative to the outer cylinder 80. The outer cylinder 80 has a proximal end inserted into the relay cylinder 90 and is movable in the axial direction relative to the relay cylinder 90. Further, the entire relay cylinder 90 is inserted into the hub body 50 and is movable in the axial direction relative to the hub body 50. The needle cover 40 includes the inner needle 12 including the hub body 50 by moving the inner cylinder 70 relative to the outer cylinder 80, the outer cylinder 80 relative to the relay cylinder 90, and the relay cylinder 90 relative to the hub body 50. To a length that can be accommodated.
 針カバー40の内筒70は、内針12の収容時に内針12の針先12aを覆う針先保護部材として機能する。内筒70の先端は、穿刺可能状態で、外筒80の先端よりも基端位置にあり、内針12の抜去操作にともない外筒80の先端から突出するように変位する。 The inner cylinder 70 of the needle cover 40 functions as a needle tip protecting member that covers the needle tip 12a of the inner needle 12 when the inner needle 12 is accommodated. The distal end of the inner cylinder 70 is in a puncturable state and is located at a proximal end position relative to the distal end of the outer cylinder 80, and is displaced so as to protrude from the distal end of the outer cylinder 80 as the inner needle 12 is removed.
 内筒70は、軸方向に所定長さ有する中空状の内筒本体72と、この内筒本体72に一体形成されたアーム74とを備える。また、内筒本体72の内部には、内針12を通すことが可能な挿通孔73が、内筒本体72の軸線方向に沿って貫通形成されている。 The inner cylinder 70 includes a hollow inner cylinder main body 72 having a predetermined length in the axial direction, and an arm 74 integrally formed with the inner cylinder main body 72. Further, an insertion hole 73 through which the inner needle 12 can be passed is formed through the inner cylinder main body 72 along the axial direction of the inner cylinder main body 72.
 内筒本体72は、アーム74が連結された中間筒部75と、中間筒部75から先端側に突出する先端筒部76と、中間筒部75から基端側に突出する基端筒部77とを有する。中間筒部75は、先端筒部76や基端筒部77よりも大きなサイズに形成され、その幅方向(Y方向)両側部にアーム74が一対連結されている。 The inner cylinder main body 72 includes an intermediate cylinder part 75 to which an arm 74 is connected, a distal end cylinder part 76 protruding from the intermediate cylinder part 75 toward the distal end side, and a proximal end cylinder part 77 protruding from the intermediate cylinder part 75 toward the proximal end side. And have. The intermediate cylinder part 75 is formed in a size larger than the distal end cylinder part 76 and the proximal end cylinder part 77, and a pair of arms 74 are connected to both sides in the width direction (Y direction).
 一対のアーム74は、中間筒部75に連なる支持部74aと、支持部74aに連なり先端方向(X1方向)に平行に延びるアーム基部74bと、アーム基部74bに連なり幅方向外側且つ先端方向に突出するアーム突出部74cとを有する。アーム74は、外力が作用しない自然状態では、アーム突出部74cが外筒80の幅方向よりも外側に拡がるように形成されている。そして、穿刺可能状態(内筒70と外筒80が重なり合った状態)で、外筒80の側壁により内側に寄るように弾性的に押さえられる。 The pair of arms 74 includes a support portion 74a that is continuous with the intermediate cylinder portion 75, an arm base portion 74b that is continuous with the support portion 74a and extends in parallel with the distal end direction (X1 direction), and is continuous with the arm base portion 74b and protrudes outward in the width direction and in the distal direction. Arm protrusion 74c. The arm 74 is formed such that the arm protrusion 74 c extends outward in the width direction of the outer cylinder 80 in a natural state where no external force acts. Then, in a state where puncturing is possible (in a state where the inner cylinder 70 and the outer cylinder 80 overlap), the outer cylinder 80 is elastically pressed toward the inside by the side wall.
 一対のアーム突出部74cの先端部には、幅方向内側に突出する突起74dが設けられている。一対の突起74dは、穿刺可能状態で、内側に寄ったアーム突出部74cによりカテーテルハブ30のフランジ部34に引っ掛かる。これにより、内筒70は、カテーテルハブ30の内部空間32の基端側に挿入された先端筒部76と突起74dとの間で、カテーテルハブ30を挟み込み、該カテーテルハブ30を強固に接続保持する。内針12の抜去操作時には、内筒70と外筒80の相対移動により、内筒70が外筒80の先端側に変位することで一対のアーム突出部74cを弾性的に拡開させ、突起74dによるフランジ部34の引っ掛かりを解除する。その結果、カテーテルハブ30は内筒70(針カバー40)からの離脱が許容される。 A protrusion 74d that protrudes inward in the width direction is provided at the tip of the pair of arm protrusions 74c. The pair of protrusions 74d are hooked to the flange portion 34 of the catheter hub 30 by the arm protruding portions 74c approaching inward in a puncture enabled state. As a result, the inner cylinder 70 sandwiches the catheter hub 30 between the distal end cylindrical portion 76 inserted into the proximal end side of the inner space 32 of the catheter hub 30 and the protrusion 74d, and the catheter hub 30 is firmly connected and held. To do. When the inner needle 12 is withdrawn, the inner cylinder 70 is displaced toward the distal end side of the outer cylinder 80 by the relative movement of the inner cylinder 70 and the outer cylinder 80, so that the pair of arm protrusions 74c are elastically expanded, The catch of the flange part 34 by 74d is cancelled | released. As a result, the catheter hub 30 is allowed to be detached from the inner cylinder 70 (needle cover 40).
 内筒70の先端筒部76は、カテーテルハブ30の内部空間32の内径に略一致する外径を有した円筒状に形成される。一方、内筒70の基端筒部77は、先端筒部76に比べて軸方向に長く、且つ外筒80の外筒側中空部85の内径よりも小さい円筒状に形成される。基端筒部77の先端側(中間筒部75と基端筒部77の連結箇所)には、穿刺可能状態で、内筒70と外筒80の離脱を防止するストッパ部77bと、ストッパ部77bを変位可能とする変位許容空間77cとが設けられている。 The distal end cylinder portion 76 of the inner cylinder 70 is formed in a cylindrical shape having an outer diameter that substantially matches the inner diameter of the inner space 32 of the catheter hub 30. On the other hand, the proximal end cylinder part 77 of the inner cylinder 70 is formed in a cylindrical shape that is longer in the axial direction than the distal end cylinder part 76 and smaller than the inner diameter of the outer cylinder side hollow part 85 of the outer cylinder 80. At the distal end side of the base end cylinder part 77 (where the intermediate cylinder part 75 and the base end cylinder part 77 are connected), a stopper part 77b that prevents the inner cylinder 70 and the outer cylinder 80 from being detached in a punctureable state, and a stopper part A displacement-permissible space 77c that can displace 77b is provided.
 また、基端筒部77のストッパ部77bよりも基端側の外周面には、内筒側突部77aが設けられている。この内筒側突部77aは、穿刺可能状態で外筒80の長孔86に挿入され、内筒70と外筒80の相対移動時に、内筒70と外筒80の所定以上の相対変位を規制する。これにより、内筒70が外筒80から完全に抜けることが防止される。 Also, an inner cylinder side protrusion 77a is provided on the outer peripheral surface of the proximal end cylinder part 77 on the proximal end side with respect to the stopper part 77b. The inner cylinder side protrusion 77a is inserted into the elongated hole 86 of the outer cylinder 80 in a punctureable state, and when the inner cylinder 70 and the outer cylinder 80 are relatively moved, the inner cylinder 70 and the outer cylinder 80 are displaced relative to each other by a predetermined amount. regulate. Thereby, it is prevented that the inner cylinder 70 is completely removed from the outer cylinder 80.
 針カバー40の外筒80は、内筒70の外側に配置される部材であり、内針12の収容時に内針12の先端寄りを覆う針先保護部材として機能する。外筒80は、先端側においてアーム74を収容可能なアーム収容部82と、アーム収容部82の基端から基端方向に所定長さ延びる筒状部84とを有する。また、筒状部84の内部には、軸方向に沿って外筒側中空部85が貫通形成されている。 The outer cylinder 80 of the needle cover 40 is a member disposed outside the inner cylinder 70 and functions as a needle tip protecting member that covers the tip of the inner needle 12 when the inner needle 12 is accommodated. The outer cylinder 80 has an arm accommodating portion 82 that can accommodate the arm 74 on the distal end side, and a cylindrical portion 84 that extends a predetermined length from the proximal end of the arm accommodating portion 82 in the proximal direction. Further, an outer cylinder side hollow portion 85 is formed through the cylindrical portion 84 along the axial direction.
 アーム収容部82は、上部及び先端部が開口する比較的大きな箱状に形成されている。カテーテル組立体10の穿刺可能状態では、アーム収容部82の内部に、カテーテルハブ30の基端と内筒70の先端側(一対のアーム74及び中間筒部75等)が配置される。アーム収容部82のY方向の両側面には、外筒80の軸方向に対し平行に形成され、先端側が開口する凹溝82aが設けられる。凹溝82aには、アーム74が摺動可能に挿入され、内筒70と外筒80の相対移動時には、凹溝82aによりアーム74が案内される。 The arm accommodating portion 82 is formed in a relatively large box shape with an upper portion and a tip portion opened. In a state where the catheter assembly 10 can be punctured, the proximal end of the catheter hub 30 and the distal end side of the inner cylinder 70 (such as the pair of arms 74 and the intermediate cylinder part 75) are arranged inside the arm housing part 82. On both side surfaces in the Y direction of the arm accommodating portion 82, there are provided concave grooves 82a that are formed in parallel to the axial direction of the outer cylinder 80 and open at the tip side. The arm 74 is slidably inserted into the concave groove 82a, and the arm 74 is guided by the concave groove 82a when the inner cylinder 70 and the outer cylinder 80 are relatively moved.
 外筒80の筒状部84は、内筒70の基端筒部77よりも長い軸長を有するように形成されている。筒状部84の先端側には、外筒側中空部85に連通する長孔86が所定長さで形成されている。 The cylindrical portion 84 of the outer cylinder 80 is formed to have a longer axial length than the proximal end cylinder portion 77 of the inner cylinder 70. A long hole 86 communicating with the outer cylinder side hollow portion 85 is formed at a distal end side of the cylindrical portion 84 with a predetermined length.
 さらに、筒状部84の基端側には、外筒80と中継筒90の離脱を防止する離脱防止機構の一部が設けられている。具体的には、所定形状を呈する突起87が突出形成されている。 Further, a part of a separation preventing mechanism for preventing separation of the outer cylinder 80 and the relay cylinder 90 is provided on the proximal end side of the cylindrical portion 84. Specifically, a protrusion 87 having a predetermined shape is formed to protrude.
 突起87は、図3A及び図4に示すように、筒状部84の外周面84aの上下に一対設けられている。一対の突起87は、外筒80の軸心を挟んだ対向位置にあり、且つ同形状に形成されている。1つの突起87は、外周面84aから径方向外側に所定量(中継筒90の内周面92bに近接する高さ)突出しており、外周面84aに対し垂直となった周壁87aを有する。突起87は、平面視で、外筒80の軸方向に長軸を有し、周方向に短軸を有する略楕円形状に形成されている。また、突起87の突出面87bは平坦状となっている。 As shown in FIGS. 3A and 4, a pair of protrusions 87 are provided on the upper and lower sides of the outer peripheral surface 84 a of the cylindrical portion 84. The pair of protrusions 87 are located at opposite positions across the axis of the outer cylinder 80 and are formed in the same shape. One protrusion 87 protrudes from the outer peripheral surface 84a by a predetermined amount radially outward (height close to the inner peripheral surface 92b of the relay cylinder 90), and has a peripheral wall 87a perpendicular to the outer peripheral surface 84a. The projection 87 is formed in a substantially elliptical shape having a major axis in the axial direction of the outer cylinder 80 and a minor axis in the circumferential direction in plan view. Further, the protruding surface 87b of the protrusion 87 is flat.
 針カバー40の中継筒90は、外筒80の外側に配置される部材であり、内針12の収容時に内針12の胴体部分を覆う針先保護部材として機能する。中継筒90の内部には、軸方向に沿って中継筒側中空部92が貫通形成されている。また、中継筒90の先端側には、外筒80の突起87に対応する離脱防止機構の他部が設けられている。 The relay cylinder 90 of the needle cover 40 is a member arranged outside the outer cylinder 80 and functions as a needle tip protecting member that covers the body portion of the inner needle 12 when the inner needle 12 is accommodated. A relay cylinder-side hollow portion 92 is formed through the relay cylinder 90 along the axial direction. Further, the other part of the separation preventing mechanism corresponding to the protrusion 87 of the outer cylinder 80 is provided on the distal end side of the relay cylinder 90.
 この離脱防止機構は、外筒80と中継筒90の組付時に、中継筒90内に外筒80をスムーズに挿入させると共に、外筒80と中継筒90の相対移動時に離脱を確実に防止するように構成されている。具体的には、中継筒側中空部92を構成する壁部92aには、係合部93、第1案内部94及び第2案内部95が設けられている。 The separation preventing mechanism smoothly inserts the outer cylinder 80 into the relay cylinder 90 when the outer cylinder 80 and the relay cylinder 90 are assembled, and reliably prevents separation when the outer cylinder 80 and the relay cylinder 90 are moved relative to each other. It is configured as follows. Specifically, an engaging portion 93, a first guide portion 94, and a second guide portion 95 are provided on the wall portion 92 a constituting the relay cylinder side hollow portion 92.
 係合部93は、外筒80と中継筒90の離脱を防止するために、外筒80に対し中継筒90が後退した際に、突起87を引っ掛ける(係合する)機能を有している。この係合部93は、壁部92aの上下に一対設けられた係合口100(開口部)と、係合口100を部分的に覆う上下一対の弾性片110とを含む。 The engaging portion 93 has a function of hooking (engaging) the protrusion 87 when the relay cylinder 90 is retracted from the outer cylinder 80 in order to prevent the outer cylinder 80 and the relay cylinder 90 from being detached. . The engaging portion 93 includes a pair of engaging ports 100 (opening portions) provided on the upper and lower sides of the wall portion 92 a and a pair of upper and lower elastic pieces 110 that partially cover the engaging port 100.
 係合口100は、中継筒側中空部92と連通し、突起87と比較して充分に大きく形成されている。係合口100を構成する口縁101は、平面視で、その先端(X1方向)側が頂部101aを有する円弧状に形成され、この先端側に連なる両側方(Y方向)が直線状に形成されている。また、口縁101の基端(X2方向)側には、弾性片110が設けられている。 The engagement port 100 communicates with the relay cylinder side hollow portion 92 and is formed sufficiently larger than the protrusion 87. The lip 101 constituting the engagement port 100 is formed in an arc shape having a top portion 101a on the tip (X1 direction) side in a plan view, and both sides (Y direction) connected to the tip side are formed in a straight line. Yes. An elastic piece 110 is provided on the base end (X2 direction) side of the lip 101.
 弾性片110は、中継筒90の径方向に対し弾性的に変位可能に壁部92aに連結され、係合口100内を先端側に突出している。弾性片110の両側は、係合口100の口縁101に対し非接触となるように隙間102が形成されている。弾性片110の先端側は、口縁101の頂部101aとの間隔が比較的広く形成されており、係合部93は、弾性片110の先端側と口縁101の間(以下、係合空間103という)において突起87を露出可能としている。また、弾性片110の基端側には、後述する第2案内部95の通路150が設けられている。 The elastic piece 110 is connected to the wall portion 92a so as to be elastically displaceable in the radial direction of the relay cylinder 90, and protrudes from the engagement port 100 toward the tip side. A gap 102 is formed on both sides of the elastic piece 110 so as not to contact the edge 101 of the engagement port 100. The distal end side of the elastic piece 110 is formed with a relatively wide space from the top portion 101a of the lip 101, and the engaging portion 93 is between the distal end side of the elastic piece 110 and the lip 101 (hereinafter referred to as an engagement space). 103), the protrusion 87 can be exposed. Further, a passage 150 of a second guide portion 95 described later is provided on the proximal end side of the elastic piece 110.
 弾性片110は、平面視で矩形状に形成され、壁部92aに対し面一に連なる。そのため、弾性片110は、正面断面視で、幅方向(Y方向)に緩やかな円弧状を呈している。また、弾性片110は、側面断面視(図5A参照)で、壁部92aに連なる基端連結部111の肉厚に比べて、先端側の突出部112の肉厚が厚く形成されている。すなわち、先端側の突出部112は、径方向内側に若干膨出している。さらに、円弧状の口縁101に対向する突出部112の先端壁113は、直線状に形成されている。 The elastic piece 110 is formed in a rectangular shape in plan view, and is continuous with the wall 92a. Therefore, the elastic piece 110 has a gentle arc shape in the width direction (Y direction) in front sectional view. Further, the elastic piece 110 is formed such that, in a side sectional view (see FIG. 5A), the thickness of the protruding portion 112 on the distal end side is thicker than the thickness of the proximal end coupling portion 111 that is continuous with the wall portion 92a. That is, the protruding portion 112 on the distal end side slightly bulges inward in the radial direction. Furthermore, the tip wall 113 of the protrusion 112 facing the arcuate mouth edge 101 is formed in a straight line.
 一方、第1案内部94は、外筒80を中継筒90内に挿入する際に、突起87の移動を案内する機能を有している。この第1案内部94は、中継筒90の上下に一対で設けられる係合回避突部120(第1突部)と、中継筒90の左右に一対で設けられる待機方向案内突部130(第2突部)とを含む。 On the other hand, the first guide portion 94 has a function of guiding the movement of the protrusion 87 when the outer cylinder 80 is inserted into the relay cylinder 90. The first guide portion 94 includes a pair of engagement avoidance protrusions 120 (first protrusions) provided on the upper and lower sides of the relay cylinder 90 and a standby direction guide protrusion 130 (first protrusion) provided on the left and right sides of the relay cylinder 90. 2 protrusions).
 係合回避突部120は、係合口100の先端側(手前側)を囲うことにより、突起87が係合口100に向かうことを規制する。この係合回避突部120は、壁部92aの内周面92bから径方向内側に突出形成されている。また、係合回避突部120は、内周面92bから隆起した段差でもあり、この段差に係合部93(係合口100)が設けられることにより、口縁101の幅は壁部92aの厚みよりも大きくなっている。1つの係合回避突部120は、平面断面視(図5B参照)で、先端側に位置する回避案内頂部121と、この回避案内頂部121から周方向に分かれる一対の回避案内辺122を有する。 The engagement avoiding protrusion 120 restricts the protrusion 87 from moving toward the engagement port 100 by surrounding the front end side (front side) of the engagement port 100. The engagement avoiding protrusion 120 is formed to protrude radially inward from the inner peripheral surface 92b of the wall 92a. Further, the engagement avoiding protrusion 120 is also a step raised from the inner peripheral surface 92b, and the engagement portion 93 (engagement port 100) is provided at this step, whereby the width of the lip 101 is the thickness of the wall portion 92a. Is bigger than. One engagement avoiding protrusion 120 has an avoidance guide top 121 located on the distal end side in a plan sectional view (see FIG. 5B) and a pair of avoidance guide sides 122 that are separated from the avoidance guide top 121 in the circumferential direction.
 回避案内頂部121は、係合口100から所定間隔先端側に離間した位置、且つ係合口100先端側の頂部101aと周方向の位相が一致して設けられている。つまり、回避案内頂部121は、中継筒90の先端と係合部93の間に位置している。回避案内頂部121では、一対の回避案内辺122が所定角度で交わっている。この角度は、突起87を確実に係合部93から逸らすことができるように、例えば120°以下に設定されることが好ましい。 The avoidance guide top 121 is provided at a position spaced from the engagement port 100 toward the front end side by a predetermined distance and in the same phase in the circumferential direction as the top portion 101a on the front end side of the engagement port 100. That is, the avoidance guide top 121 is located between the tip of the relay cylinder 90 and the engaging portion 93. In the avoidance guide top 121, a pair of avoidance guide sides 122 intersect at a predetermined angle. This angle is preferably set to 120 ° or less, for example, so that the protrusion 87 can be surely deflected from the engaging portion 93.
 一対の回避案内辺122は、外筒80の挿入時に、基端方向に移動する突起87を周方向に回り込むように案内する。一対の回避案内辺122は、相互が交わる一端(回避案内頂部121)から、基端方向(X2方向)且つ周方向に離間するように延び、所定間隔離れた位置122aからは中継筒90の軸線と平行になってX2方向に延びている。一対の回避案内辺122の位置122a同士の幅は、係合口100の幅よりも広い。また、一対の回避案内辺122の他端部は、待機方向案内突部130に連なっている。 The pair of avoidance guide sides 122 guide the protrusion 87 moving in the proximal direction so as to go around in the circumferential direction when the outer cylinder 80 is inserted. The pair of avoidance guide sides 122 extend from one end (avoidance guide top 121) where they intersect each other so as to be spaced apart in the base end direction (X2 direction) and in the circumferential direction, and from the position 122a separated by a predetermined distance, the axis of the relay cylinder 90 And extend in the X2 direction. The width between the positions 122 a of the pair of avoidance guide sides 122 is wider than the width of the engagement port 100. Further, the other ends of the pair of avoidance guide sides 122 are connected to the standby direction guide protrusion 130.
 一対の待機方向案内突部130は、外筒80の挿入時に、周方向に位相がずれた突起87を、係合部93の基端側(奥側位置)に案内する機能を有している。一対の待機方向案内突部130は、Y方向両側の壁部92aにおいて基端方向に広がるように形成されている。また、待機方向案内突部130は、壁部92aから径方向内側に向かって、係合回避突部120よりも高い突出高さで突出形成されている。1つの待機方向案内突部130は、側面断面視(図5A参照)で、中継筒90の先端側に位置する待機方向案内頂部131と、この待機方向案内頂部131から周方向に分かれる一対の待機方向案内辺132を有する。 The pair of standby direction guide protrusions 130 has a function of guiding the protrusion 87 whose phase is shifted in the circumferential direction to the proximal end side (back side position) of the engaging portion 93 when the outer cylinder 80 is inserted. . The pair of standby direction guide protrusions 130 are formed so as to spread in the proximal direction on the wall portions 92a on both sides in the Y direction. Further, the standby direction guide protrusion 130 is formed so as to protrude from the wall 92a inward in the radial direction with a protrusion height higher than that of the engagement avoidance protrusion 120. One standby direction guide protrusion 130 is a side cross sectional view (see FIG. 5A), a standby direction guide top 131 located on the front end side of the relay cylinder 90, and a pair of standbys separated from the standby direction guide top 131 in the circumferential direction. It has a direction guide side 132.
 待機方向案内頂部131は、回避案内頂部121と周方向に位相が90°ずれる位置、且つ軸方向に略一致する(重なる)位置に設けられている。この待機方向案内頂部131では、回避案内頂部121における回避案内辺122の交差角よりも小さい角度で一対の待機方向案内辺132が交わっている。 The standby direction guide top 131 is provided at a position that is 90 ° out of phase in the circumferential direction with the avoidance guide top 121 and at a position that substantially coincides (overlaps) in the axial direction. In the standby direction guide top 131, a pair of standby direction guide sides 132 intersect at an angle smaller than the intersection angle of the avoidance guide side 122 in the avoidance guide top 121.
 一対の待機方向案内辺132は、一対の回避案内辺122の周方向に対向するように形成され、外筒80の挿入時に、基端方向に移動する突起87を、回避案内辺122と逆側の周方向に向けて案内する。一対の待機方向案内辺132は、相互が交わる一端(待機方向案内頂部131)から、基端方向且つ周方向に離間するように延び、且つ内側に多少反るように湾曲形成されている。そして、待機方向案内辺132の基端側の位置132aでは、回避案内辺122の他端が連結されている。待機方向案内辺132は、この位置132aからさらに基端方向且つ周方向に延びて通路150に至っている。 The pair of standby direction guide sides 132 are formed so as to face the circumferential direction of the pair of avoidance guide sides 122, and the protrusion 87 that moves in the proximal direction when the outer cylinder 80 is inserted is opposite to the avoidance guide sides 122. Guide to the circumferential direction. The pair of standby direction guide sides 132 extend from one end (standby direction guide top 131) where they intersect with each other so as to be spaced apart in the proximal direction and the circumferential direction, and are curved so as to be slightly warped inward. The other end of the avoidance guide side 122 is connected at the position 132a on the base end side of the standby direction guide side 132. The standby direction guide side 132 further extends from the position 132a in the proximal direction and the circumferential direction to reach the passage 150.
 一方、第2案内部95は、内針12の抜去操作時に外筒80に対し中継筒90を後退する際に、突起87を係合部93に案内する機能を有している。この第2案内部95は、中継筒90の左右に一対で設けられる係合案内突部140(第3突部)と、この係合案内突部140の先端側が相互に寄ることによって構築された上下一対の通路150とを含む。 On the other hand, the second guide part 95 has a function of guiding the protrusion 87 to the engaging part 93 when the relay cylinder 90 is moved backward with respect to the outer cylinder 80 during the extraction operation of the inner needle 12. The second guide part 95 is constructed by the engagement guide protrusions 140 (third protrusions) provided as a pair on the left and right sides of the relay cylinder 90 and the distal end sides of the engagement guide protrusions 140 approaching each other. And a pair of upper and lower passages 150.
 一対の係合案内突部140は、中継筒90の後退時に、突起87が係合部93の周方向にずれた位相である場合に、係合部93に向かうように突起87を案内する機能を有している。この一対の係合案内突部140は、待機方向案内突部130の軸方向反対位置で、周方向の位相が待機方向案内突部130に一致するように設けられる。すなわち、1つの待機方向案内突部130と1つの係合案内突部140は、壁部92aから径方向内側に突出する一連のランド部96(隆起部)として形成されたものである。 The pair of engagement guide protrusions 140 function to guide the protrusion 87 toward the engagement portion 93 when the protrusion 87 is in a phase shifted in the circumferential direction of the engagement portion 93 when the relay cylinder 90 is retracted. have. The pair of engagement guide protrusions 140 are provided at positions opposite to the standby direction guide protrusion 130 in the axial direction so that the circumferential phase coincides with the standby direction guide protrusion 130. That is, one standby direction guide protrusion 130 and one engagement guide protrusion 140 are formed as a series of land portions 96 (protrusion portions) protruding radially inward from the wall portion 92a.
 一対の係合案内突部140は、Y方向両側の壁部92aにおいて先端方向に広がるように形成されている。1つの係合案内突部140は、側面断面視で、ランド部96の基端側に位置する係合案内頂部141と、この係合案内頂部141から周方向に分かれる一対の係合案内辺142と、一対の係合案内辺142の先端に連なる通路辺143とを有する。 The pair of engagement guide protrusions 140 are formed so as to spread in the tip direction in the wall portions 92a on both sides in the Y direction. One engagement guide protrusion 140 has an engagement guide top portion 141 located on the base end side of the land portion 96 in a side sectional view, and a pair of engagement guide sides 142 separated from the engagement guide top portion 141 in the circumferential direction. And a passage side 143 that continues to the tip of the pair of engagement guide sides 142.
 係合案内頂部141は、待機方向案内頂部131と周方向の位相が一致する位置に設けられている。この係合案内頂部141では、一対の係合案内辺142が所定角度で交わっている。 The engagement guide top 141 is provided at a position where the phase in the circumferential direction coincides with the standby direction guide top 131. In the engagement guide top 141, a pair of engagement guide sides 142 intersect at a predetermined angle.
 一対の係合案内辺142は、中継筒90の後退時に、突起87を通路150に向かうように案内する。一対の係合案内辺142は、相互が交わる一端(係合案内頂部141)から、先端方向且つ周方向に離間するように延びている。一対の係合案内辺142の軸方向長さは、待機方向案内辺132の軸方向長さよりも長く形成されている。そして、先端側に通路辺143が連結されている。 The pair of engagement guide sides 142 guide the protrusion 87 toward the passage 150 when the relay cylinder 90 moves backward. The pair of engagement guide sides 142 extend from one end (engagement guide top 141) where they intersect with each other so as to be spaced apart in the distal direction and the circumferential direction. The length in the axial direction of the pair of engagement guide sides 142 is longer than the length in the axial direction of the standby direction guide side 132. And the channel | path side 143 is connected with the front end side.
 通路辺143は、通路150を構成する辺であり、先端側にて待機方向案内辺132に連なり、基端側にて係合案内辺142に連なっている。この通路辺143は、待機方向案内辺132と係合案内辺142との間を直線状に延びることで、通路150を中継筒90の軸方向に沿うように形成している。 The passage side 143 is a side that constitutes the passage 150, and is connected to the standby direction guide side 132 on the distal end side and is connected to the engagement guide side 142 on the proximal end side. The passage side 143 extends linearly between the standby direction guide side 132 and the engagement guide side 142, thereby forming the passage 150 along the axial direction of the relay cylinder 90.
 通路150は、一対の係合案内突部140の通路辺143の間に形成された溝部であり、中継筒90の内周面92bに相当する。通路150の幅は、先端側の弾性片110の幅に略一致する(又は弾性片110の幅より狭くなる)ように設定されている。この通路150は、外筒80の挿入時に、突起87が基端方向に移動する際の経路でもあり、これにより係合部93の周方向に位相が一致するように、突起87を基端側に案内することができる。 The passage 150 is a groove formed between the passage sides 143 of the pair of engagement guide protrusions 140 and corresponds to the inner peripheral surface 92 b of the relay cylinder 90. The width of the passage 150 is set so as to substantially coincide with the width of the elastic piece 110 on the front end side (or become narrower than the width of the elastic piece 110). The passage 150 is also a path when the projection 87 moves in the proximal direction when the outer cylinder 80 is inserted, and thus the projection 87 is placed on the proximal side so that the phase coincides with the circumferential direction of the engaging portion 93. Can be guided to.
 中継筒90は、以上の係合部93、第1及び第2案内部94、95を有することで、外筒80の挿入時には係合部93に突起87を引っ掛けることなく、外筒80に対する後退時には係合部93に突起87を案内することができる。 The relay cylinder 90 includes the engaging portion 93 and the first and second guide portions 94 and 95 described above, so that when the outer tube 80 is inserted, the relay tube 90 is retracted from the outer tube 80 without hooking the protrusion 87 on the engaging portion 93. Sometimes the protrusion 87 can be guided to the engaging portion 93.
 なお、中継筒90の基端側には、図2に示すように、上下一対のフック部97が設けられている。フック部97は、中継筒90の基端から先端側に所定量切り込むことにより形成され、基端側に爪部97aを有し、この爪部97aを中継筒90の径方向に弾性変形自在としている。この爪部97aは、中継筒90に対するハブ本体50の後退移動時に、ハブ本体側突部54に引っ掛かるように構成される。 In addition, as shown in FIG. 2, a pair of upper and lower hook portions 97 are provided on the proximal end side of the relay cylinder 90. The hook portion 97 is formed by cutting a predetermined amount from the proximal end of the relay cylinder 90 to the distal end side, and has a claw portion 97a on the proximal end side. The claw portion 97a is elastically deformable in the radial direction of the relay cylinder 90. Yes. The claw portion 97a is configured to be caught by the hub body side protrusion 54 when the hub body 50 moves backward relative to the relay cylinder 90.
 本実施形態に係るカテーテル組立体10は、基本的には以上のように構成されており、以下、カテーテル組立体10の組立及び使用時の動作に基づき、その効果を説明する。 The catheter assembly 10 according to the present embodiment is basically configured as described above, and the effects thereof will be described below based on the operation of the catheter assembly 10 during assembly and use.
 カテーテル組立体10の組み立てでは、内針固定部材60をハブ本体50の基端側から挿入する。そして、ハブ本体50の先端側から中継筒90を挿入していく。この際、中継筒90のフック部97がハブ本体50のハブ本体側突部54に対し弾性的に撓むことで、中継筒90を内針ハブ側中空部52に容易に挿入することができる。 In assembling the catheter assembly 10, the inner needle fixing member 60 is inserted from the proximal end side of the hub body 50. Then, the relay cylinder 90 is inserted from the front end side of the hub body 50. At this time, the hook portion 97 of the relay cylinder 90 is elastically bent with respect to the hub main body side protrusion 54 of the hub main body 50, so that the relay cylinder 90 can be easily inserted into the inner needle hub side hollow portion 52. .
 次に、収容された中継筒90の先端側から外筒80を挿入していく。この場合、外筒80は、中継筒90に対し周方向にどのように向いていても容易に挿入することができる。つまり、挿入前の突起87の周方向位置は、中継筒90の係合部93、第1及び第2案内部94、95の配置に関係しない。そのため、外筒80と中継筒90を効率的に接続することができる。 Next, the outer cylinder 80 is inserted from the front end side of the accommodated relay cylinder 90. In this case, the outer cylinder 80 can be easily inserted no matter how it faces the relay cylinder 90 in the circumferential direction. That is, the circumferential position of the protrusion 87 before insertion is not related to the arrangement of the engaging portion 93 and the first and second guide portions 94 and 95 of the relay cylinder 90. Therefore, the outer cylinder 80 and the relay cylinder 90 can be efficiently connected.
 例えば、図6に示すように、突起87がちょうど回避案内頂部121に対向する位置から基端方向に挿入した場合について述べると、突起87は、外筒80の基端方向の変位にともない回避案内頂部121に接触する。これにより、突起87は、回避案内頂部121から一対の回避案内辺122のいずれかに案内されることになる。 For example, as shown in FIG. 6, when the protrusion 87 is inserted in the proximal direction from the position facing the avoidance guide top 121, the protrusion 87 is guided by the displacement of the outer cylinder 80 in the proximal direction. Contact the top 121. Thereby, the protrusion 87 is guided to one of the pair of avoidance guide sides 122 from the avoidance guide top 121.
 突起87は、一方の回避案内辺122に沿って係合口100から逸れるように周方向(例えば、移動位置A1)に移動していく。そして、移動位置A1に移動した突起87は、回避案内辺122の位置122aまで移動して、その周方向位置が維持されたまま基端方向に移動し、待機方向案内辺132と交わる位置132a付近(移動位置A2)に至る。ここで、待機方向案内突部130は、係合回避突部120よりも径方向内側に突出している。このため、位置132aに移動した突起87は、次に待機方向案内突部130の待機方向案内辺132に案内されることになる。 The protrusion 87 moves in the circumferential direction (for example, the movement position A1) so as to deviate from the engagement port 100 along one avoidance guide side 122. Then, the protrusion 87 that has moved to the movement position A1 moves to the position 122a of the avoidance guide side 122, moves in the proximal direction while maintaining its circumferential position, and near the position 132a that intersects the standby direction guide side 132 (Moving position A2). Here, the standby direction guide protrusion 130 protrudes radially inward from the engagement avoidance protrusion 120. For this reason, the protrusion 87 moved to the position 132 a is next guided to the standby direction guide side 132 of the standby direction guide protrusion 130.
 突起87は、待機方向案内辺132の案内作用下に回避案内辺122を乗り越えることになり、通路150先端側の移動位置A3に進出する。ここで、位置132aの軸方向位置は、弾性片110の基端側にあり、突起87が回避案内辺122を乗り越えても弾性片110に引っ掛かることがない。よって、突起87は、係合部93に係合することなく通路150に確実に進入することができる。この移動位置A3は、係合部93の基端位置に相当し、突起87は、外筒80の挿入にともないさらに中継筒90の奥側位置に進入していく。そして、基本的には係合部93と周方向の位相が一致する待機位置A4で移動が終了し待機状態となる。 The projection 87 gets over the avoidance guide side 122 under the guide action of the standby direction guide side 132, and advances to the movement position A3 on the tip side of the passage 150. Here, the position of the position 132a in the axial direction is on the proximal end side of the elastic piece 110, and even if the protrusion 87 gets over the avoidance guide side 122, it is not caught by the elastic piece 110. Therefore, the protrusion 87 can surely enter the passage 150 without being engaged with the engaging portion 93. This moving position A3 corresponds to the base end position of the engaging portion 93, and the protrusion 87 further enters the back side position of the relay cylinder 90 as the outer cylinder 80 is inserted. Basically, the movement is finished at the standby position A4 where the phase in the circumferential direction coincides with the engaging portion 93, and the standby state is entered.
 なお、突起87は、必ずしも係合部93と周方向の位相が一致する待機位置A4に配置される必要はなく、係合部93に対し周方向の位相がずれて配置されてもよい。すなわち、本明細書において、突起87が移動する中継筒90の「奥側位置」とは、中継筒90において係合部93よりも基端側であればよく、周方向のいずれの位置でもとり得る。 Note that the protrusion 87 is not necessarily arranged at the standby position A4 in which the phase in the circumferential direction coincides with that of the engaging portion 93, and may be arranged with the circumferential phase shifted from the engaging portion 93. That is, in this specification, the “back side position” of the relay cylinder 90 to which the protrusion 87 moves may be the base end side of the engaging section 93 in the relay cylinder 90 and may be taken at any position in the circumferential direction. obtain.
 待機状態となった後、組立では、外筒80に対し内筒70の基端筒部77を挿入し、ある程度挿入した段階で、カテーテル14及びカテーテルハブ30を先端側に配した内針12を先端方向から挿入していく。この段階では、内筒70の先端が外筒80の先端よりも先端側にあり、一対のアーム74が拡開している。 After the standby state is reached, in assembly, the proximal end cylinder portion 77 of the inner cylinder 70 is inserted into the outer cylinder 80, and the inner needle 12 with the catheter 14 and the catheter hub 30 disposed on the distal end side is inserted after a certain amount of insertion. Insert from the tip. At this stage, the distal end of the inner cylinder 70 is closer to the distal end side than the distal end of the outer cylinder 80, and the pair of arms 74 are expanded.
 内針12は、内筒70の先端筒部76に開口している挿通孔73に対し、基端から挿入され、外筒側中空部85内を軸方向に移動して、内針固定部材60の保持部62に到達する。内針12の基端部は、保持部62の先端から内針固定部材60の内部に挿入されることで保持部62内に設けられた図示しないパッキンを貫通しつつ保持部62に固定保持される。 The inner needle 12 is inserted from the proximal end into the insertion hole 73 opened in the distal end cylindrical portion 76 of the inner cylinder 70, moves in the outer cylinder side hollow portion 85 in the axial direction, and moves to the inner needle fixing member 60. The holding part 62 is reached. The proximal end portion of the inner needle 12 is fixedly held by the holding portion 62 while being inserted into the inner needle fixing member 60 from the distal end of the holding portion 62 and passing through a packing (not shown) provided in the holding portion 62. The
 内針12の固定後は、カテーテルハブ30を先端筒部76に装着し、さらに内筒70を外筒80の基端方向に押し込む。この内筒70の基端方向の移動にともない、内筒70のアーム74が外筒80により閉じられ、突起74dがカテーテルハブ30のフランジ部34に引っ掛かる。これにより、カテーテル組立体10は、内針12とカテーテル14が2重管構造をとり、且つ内針ハブ20、カテーテルハブ30及び針カバー40が一体化した穿刺可能状態となる。カテーテル組立体10は、この穿刺可能状態において、滅菌等の外部環境保護手段が施されてユーザに提供される。 After the inner needle 12 is fixed, the catheter hub 30 is attached to the distal end cylinder portion 76, and the inner cylinder 70 is pushed toward the proximal end of the outer cylinder 80. As the inner cylinder 70 moves in the proximal direction, the arm 74 of the inner cylinder 70 is closed by the outer cylinder 80, and the protrusion 74 d is caught by the flange portion 34 of the catheter hub 30. As a result, the catheter assembly 10 is in a puncturable state in which the inner needle 12 and the catheter 14 have a double tube structure, and the inner needle hub 20, the catheter hub 30 and the needle cover 40 are integrated. In this puncturable state, the catheter assembly 10 is provided with a user with external environmental protection means such as sterilization.
 ユーザは、図3A~図3Cに示すように、穿刺可能状態の内針12及びカテーテル14を、患者の血管に一体的に穿刺し、穿刺後は、内針12の抜去操作を実施する。抜去操作では、カテーテルハブ30を一方の手で固定し、他方の手で内針ハブ20(ハブ本体50)を把持して後退させる。これによりハブ本体50が中継筒90に対し後退し、中継筒90が外筒80に対し後退する。 3A to 3C, the user integrally punctures the patient's blood vessel with the inner needle 12 and the catheter 14 in a puncturable state, and after the puncture, performs an operation of removing the inner needle 12. In the extraction operation, the catheter hub 30 is fixed with one hand, and the inner needle hub 20 (hub body 50) is grasped and retracted with the other hand. As a result, the hub body 50 moves backward with respect to the relay cylinder 90, and the relay cylinder 90 moves backward with respect to the outer cylinder 80.
 この際、カテーテル組立体10は、外筒80に対し中継筒90が周方向に回転自在となっていることで、仮に、抜去操作時にハブ本体50を周方向に捻っても、外筒80よりも先端側部分の姿勢を変えることがない。よって、カテーテル14及びカテーテルハブ30の姿勢を維持したまま、内針12を容易に引き抜くことができる。 At this time, since the relay cylinder 90 is rotatable in the circumferential direction with respect to the outer cylinder 80, the catheter assembly 10 can be removed from the outer cylinder 80 even if the hub body 50 is twisted in the circumferential direction during the extraction operation. Will not change the posture of the tip side part. Therefore, the inner needle 12 can be easily pulled out while maintaining the postures of the catheter 14 and the catheter hub 30.
 また、ハブ本体50の捻り等により中継筒90が周方向に回転した場合、図7に示すように、外筒80の突起87に対する係合部93の周方向位置がずれることになる。なお、図7では、説明の便宜のため、突起87が待機位置A4から周方向にずれた位置B1に移動した状態を図示している。 Further, when the relay cylinder 90 rotates in the circumferential direction due to twisting of the hub body 50 or the like, the circumferential position of the engaging portion 93 with respect to the protrusion 87 of the outer cylinder 80 is shifted as shown in FIG. In FIG. 7, for convenience of explanation, a state in which the protrusion 87 has moved from the standby position A4 to the position B1 that is shifted in the circumferential direction is illustrated.
 カテーテル組立体10は、このように突起87と係合部93の位相がずれた場合でも、係合案内突部140により突起87を係合部93に案内することができる。すなわち、中継筒90が外筒80に対し後退すると、突起87は係合案内頂部141や係合案内辺142に接触し、係合案内辺142に沿って先端方向に変位していく。中継筒90が所定量後退すると、突起87は、通路150に進入することになり、通路辺143の案内下に中継筒90の軸方向に直線的に移動する。 The catheter assembly 10 can guide the protrusion 87 to the engagement portion 93 by the engagement guide protrusion 140 even when the phases of the protrusion 87 and the engagement portion 93 are shifted as described above. That is, when the relay cylinder 90 moves backward with respect to the outer cylinder 80, the protrusion 87 comes into contact with the engagement guide top portion 141 and the engagement guide side 142, and is displaced in the distal direction along the engagement guide side 142. When the relay cylinder 90 moves backward by a predetermined amount, the protrusion 87 enters the passage 150 and moves linearly in the axial direction of the relay cylinder 90 under the guidance of the passage side 143.
 そのため、突起87は、通路150の先端側にある弾性片110に移動し、内面が円弧状の弾性片110に沿ってさらに先端方向に変位する。弾性片110は、突起87が基端連結部111から突出部112に移動すると、突起87に押されて径方向外側に弾性変形する。突起87は、弾性片110から押圧力を受けることで、その姿勢が押さえられ、そのまま周方向にぶれずに係合空間103内に案内される。係合空間103に案内された突起87は、その周壁87aが係合口100の口縁101に引っ掛かる。これにより、外筒80と中継筒90は、相互の離脱が防止されることになり、中継筒90は外筒80を基端方向に引き出すことができる。 Therefore, the protrusion 87 moves to the elastic piece 110 on the front end side of the passage 150, and the inner surface is further displaced in the front end direction along the arc-shaped elastic piece 110. When the protrusion 87 moves from the proximal end connecting portion 111 to the protruding portion 112, the elastic piece 110 is pushed by the protrusion 87 and elastically deforms radially outward. The protrusion 87 receives a pressing force from the elastic piece 110, so that the posture of the protrusion 87 is suppressed, and the protrusion 87 is guided into the engagement space 103 without being shaken in the circumferential direction. The peripheral wall 87 a of the protrusion 87 guided to the engagement space 103 is hooked on the edge 101 of the engagement port 100. Thereby, the outer cylinder 80 and the relay cylinder 90 are prevented from being separated from each other, and the relay cylinder 90 can pull out the outer cylinder 80 in the proximal direction.
 中継筒90が外筒80を引き出す段階では、図3Bに示すように、ストッパ部77bが内筒70の変位許容空間77c内に移動可能となり、内筒70に対する外筒80の後退が許容される。外筒80は、所定量後退すると、長孔86の孔縁が内筒70の内筒側突部77aに引っ掛かる。これにより、内筒70が外筒80に引き出されて基端方向に移動する。また、この段階では、一対のアーム74がアーム収容部82から開放されて幅方向外側に拡開する。よって、突起74dに引っ掛けられていたカテーテルハブ30は、内筒70からスムーズに離脱され、カテーテル14及びカテーテルハブ30が患者側に留置される。留置後、カテーテルハブ30には輸液チューブが接続される。 At the stage where the relay cylinder 90 pulls out the outer cylinder 80, as shown in FIG. 3B, the stopper portion 77b can move into the displacement allowable space 77c of the inner cylinder 70, and the retraction of the outer cylinder 80 with respect to the inner cylinder 70 is allowed. . When the outer cylinder 80 is retracted by a predetermined amount, the hole edge of the elongated hole 86 is caught by the inner cylinder-side protrusion 77 a of the inner cylinder 70. Thereby, the inner cylinder 70 is pulled out by the outer cylinder 80 and moves in the proximal direction. Further, at this stage, the pair of arms 74 are released from the arm accommodating portion 82 and expand outward in the width direction. Therefore, the catheter hub 30 hooked on the protrusion 74d is smoothly detached from the inner cylinder 70, and the catheter 14 and the catheter hub 30 are left on the patient side. After indwelling, an infusion tube is connected to the catheter hub 30.
 一方、分離した内針12、内針ハブ20及び針カバー40は、医療廃棄処理がなされる。この際、内針ハブ20及び針カバー40は、穿刺に用いた内針12を外部に露出しないように、その伸長状態を維持するように作用する。すなわち、外筒80と中継筒90は、係合部93と突起87の係合により中継筒90の前進(逆戻り)を防止し、中継筒90とハブ本体50は、フック部97とハブ本体側溝部55の係合によりハブ本体50の前進(逆戻り)を防止する。 On the other hand, the separated inner needle 12, inner needle hub 20, and needle cover 40 are subjected to medical disposal. At this time, the inner needle hub 20 and the needle cover 40 act so as to maintain the extended state so that the inner needle 12 used for puncturing is not exposed to the outside. That is, the outer cylinder 80 and the relay cylinder 90 prevent the relay cylinder 90 from moving forward (reversely) by the engagement of the engaging portion 93 and the protrusion 87, and the relay cylinder 90 and the hub main body 50 are connected to the hook portion 97 and the hub main body side groove. The hub body 50 is prevented from moving forward (reversely) by the engagement of the portion 55.
 具体的に、中継筒90を外筒80に対し前進させた場合には、係合口100に挿入されている突起87の周壁87aと弾性片110の先端壁116が接触する。この先端壁116は、突出部112により充分な厚みを有しているため、周壁87aを強固に引っ掛けることができる。そのため、外筒80と中継筒90の接続部分は、突起87及び係合部93の係合状態が強固に維持され続ける。これにより逆戻しにともなう内針12の飛び出しを良好に防止することができる。 Specifically, when the relay cylinder 90 is moved forward with respect to the outer cylinder 80, the peripheral wall 87a of the protrusion 87 inserted into the engagement port 100 and the tip wall 116 of the elastic piece 110 come into contact with each other. Since the tip wall 116 has a sufficient thickness due to the protrusion 112, the peripheral wall 87a can be firmly hooked. Therefore, in the connection portion between the outer cylinder 80 and the relay cylinder 90, the engagement state of the protrusion 87 and the engaging portion 93 is maintained firmly. Thereby, it is possible to satisfactorily prevent the inner needle 12 from jumping out due to the reverse return.
 以上のように、カテーテル組立体10は、係合部93を避けて突起87を案内可能な第1案内部94を備えることで、外筒80と中継筒90を組み付ける際に、突起87が係合部93に係合してしまう不都合を防ぐことができる。よって、外筒80と中継筒90の損傷等を抑止して組付けを簡単に行うことができる。また、カテーテル組立体10は、突起87を案内可能な第2案内部95を備えることで、中継筒90に対する外筒80の後退時に、突起87を係合部93にスムーズに案内することができる。よって、突起87と係合部93により、外筒80と中継筒90の離脱防止及び伸長状態の維持を確実に構築することができる。 As described above, the catheter assembly 10 includes the first guide portion 94 that can guide the protrusion 87 while avoiding the engaging portion 93, so that the protrusion 87 is engaged when the outer tube 80 and the relay tube 90 are assembled. The inconvenience of engaging with the joint portion 93 can be prevented. Therefore, the outer cylinder 80 and the relay cylinder 90 can be prevented from being damaged and can be easily assembled. Further, the catheter assembly 10 includes the second guide portion 95 that can guide the protrusion 87, so that the protrusion 87 can be smoothly guided to the engaging portion 93 when the outer tube 80 is retracted with respect to the relay tube 90. . Therefore, the protrusion 87 and the engaging portion 93 can reliably establish the separation of the outer cylinder 80 and the relay cylinder 90 and the maintenance of the extended state.
 この場合、第1案内部94は、係合回避突部120と待機方向案内突部130により構成されることで、係合回避突部120と待機方向案内突部130の組付け時に、突起87を奥側位置に容易に案内することができる。すなわち、係合回避突部120は、突起87を係合部93から逸らせることで、係合部93への係合を遮断することができる。そして、待機方向案内突部130は、係合部93に対し周方向にずれた突起87を待機位置A4に案内することができる。 In this case, the first guide portion 94 is configured by the engagement avoidance protrusion 120 and the standby direction guide protrusion 130, so that when the engagement avoidance protrusion 120 and the standby direction guide protrusion 130 are assembled, the protrusion 87. Can be easily guided to the rear side position. That is, the engagement avoiding protrusion 120 can block the engagement with the engaging portion 93 by causing the protrusion 87 to deviate from the engaging portion 93. Then, the standby direction guide protrusion 130 can guide the protrusion 87 shifted in the circumferential direction with respect to the engaging portion 93 to the standby position A4.
 また、カテーテル組立体10は、待機方向案内突部130が係合回避突部120よりも突出していることで、係合回避突部120により周方向にずれた突起87を、待機方向案内突部130によって待機位置A4に案内することができる。この際、突起87が係合回避突部120を乗り越えるように案内することも可能となる。 In addition, the catheter assembly 10 has the standby direction guide protrusion 130 protruding from the engagement avoidance protrusion 120 so that the protrusion 87 displaced in the circumferential direction by the engagement avoidance protrusion 120 is 130 can guide to the standby position A4. At this time, it is possible to guide the protrusion 87 so as to get over the engagement avoiding protrusion 120.
 さらに、待機方向案内突部130の反対側に係合案内突部140が形成されることで、待機方向案内突部130と係合案内突部140を一連のランド部96として形成することが可能となり、成型を容易に行うことができる。 Further, by forming the engagement guide protrusion 140 on the opposite side of the standby direction guide protrusion 130, the standby direction guide protrusion 130 and the engagement guide protrusion 140 can be formed as a series of land portions 96. Thus, molding can be performed easily.
 またさらに、係合部93が係合口100及び弾性片110により構成されることで、カテーテル組立体10は、突起87と係合部93を強固に係合することができる。特に、弾性片110は、突起87を案内する際に弾性変形して突起87の通過を許容する一方で、係合口100に進入した突起87に容易に引っ掛かることができる。 Furthermore, since the engaging portion 93 is configured by the engaging port 100 and the elastic piece 110, the catheter assembly 10 can firmly engage the protrusion 87 and the engaging portion 93. In particular, the elastic piece 110 can be easily hooked by the protrusion 87 that has entered the engagement port 100 while allowing the protrusion 87 to pass by elastic deformation when guiding the protrusion 87.
 なお、本発明のカテーテル組立体10の各構成(突起87、係合部93、第1及び第2案内部94、95)は、上記の構成に限定されるものではなく種々の変形例及び応用例をとり得る。以下、これらの変形例について、幾つか挙げて説明する。なお、以下の説明において、本実施形態に係るカテーテル組立体10と同一の構成、又は同一の機能を有する構成については同一の符号を付しその詳細な説明については省略する。 In addition, each structure (protrusion 87, engaging part 93, 1st and 2nd guide part 94, 95) of the catheter assembly 10 of this invention is not limited to said structure, Various modifications and applications Take an example. Hereinafter, some of these modifications will be described. In addition, in the following description, the same code | symbol is attached | subjected about the structure same as the catheter assembly 10 which concerns on this embodiment, or the structure which has the same function, and the detailed description is abbreviate | omitted.
 図8Aに示す第1変形例に係る突起88は、上述した突起87よりも多少幅広に形成されている。この突起88の周壁88aは、係合口100の先端側の円弧形状に一致する先端面88bを有する。先端面88bは、突起88が係合口100内に入り込んだ段階で先端側の口縁101の広い範囲にわたって密着し、これにより、外筒80と中継筒90の離脱を一層確実に防ぐことができる。 The protrusion 88 according to the first modification shown in FIG. 8A is formed to be slightly wider than the protrusion 87 described above. The peripheral wall 88 a of the protrusion 88 has a front end surface 88 b that matches the arc shape on the front end side of the engagement port 100. The distal end surface 88b comes into close contact with a wide area of the distal end edge 101 when the projection 88 enters the engagement port 100, and thus the outer cylinder 80 and the relay cylinder 90 can be more reliably prevented from being detached. .
 また、突起88の基端側の突出面88cには、外筒80の基端側に向かって径方向内側に傾斜するテーパ面88dが形成されている。テーパ面88dの傾斜は緩やかであり、基端側の周壁88aと弾性片110の先端壁113の係合を妨げない。このテーパ面88dは、外筒80の挿入時に、突起88が係合回避突部120に案内されて待機方向案内突部130の案内に切り換わる際に、突起88が係合回避突部120を容易に乗り越えるように作用する。これにより、外筒80と中継筒90の組付けを一層容易に行うことができる。 Also, a taper surface 88d that is inclined radially inward toward the base end side of the outer cylinder 80 is formed on the base end side protrusion surface 88c of the protrusion 88. The inclination of the tapered surface 88d is gentle and does not hinder the engagement of the peripheral wall 88a on the proximal end side and the distal end wall 113 of the elastic piece 110. When the outer cylinder 80 is inserted, the tapered surface 88d is guided by the engagement avoiding protrusion 120 and switched to the guide of the standby direction guiding protrusion 130. It works to get over easily. Thereby, the outer cylinder 80 and the relay cylinder 90 can be assembled more easily.
 図8Bに示す第2変形例に係る弾性片115は、先端壁116の幅方向(Y方向)中央部が基端方向に窪む凹部116aに形成されている。係合部93は、このように凹部116aを有することで、係合口100(係合空間103)内に入り込んだ突起87の基端部を凹部116aに案内することができる。 The elastic piece 115 according to the second modification shown in FIG. 8B is formed in a concave portion 116a in which the central portion in the width direction (Y direction) of the distal end wall 116 is recessed in the proximal direction. Since the engaging portion 93 has the concave portion 116a as described above, the base end portion of the protrusion 87 that has entered the engaging port 100 (engagement space 103) can be guided to the concave portion 116a.
 よって、外筒80に対し中継筒90を前進(逆戻し)しようとした際に、突起87と凹部116aを引っ掛けることができ、より確実に内針12の飛び出しを防ぐことができる。また、突起87の基端部が凹部116aに嵌った状態では、外筒80と中継筒90が相互に回転方向に回転することを抑止することができ、より強固に係合状態を維持することができる。 Therefore, when the relay cylinder 90 is moved forward (reversely returned) with respect to the outer cylinder 80, the protrusion 87 and the recess 116a can be hooked, and the inner needle 12 can be prevented from popping out more reliably. Further, when the base end portion of the protrusion 87 is fitted in the recess 116a, the outer cylinder 80 and the relay cylinder 90 can be prevented from rotating in the rotation direction, and the engagement state can be maintained more firmly. Can do.
 図9Aに示す第3変形例に係る弾性片117は、内周面側の幅方向(Y方向)両側に一対のレール118(凸部)を備える。一対のレール118は、中継筒90の径方向内側に若干量突出し、X方向(弾性片117の突出方向)に沿って弾性片117上に直線状に形成されている。この一対のレール118は、内針12の抜去操作にともない突起87が通路150を通って弾性片117に移動した際に、弾性片117から周方向に突起87をずらすことを確実に防ぐことができ、係合口100に突起87を円滑に案内することができる。 The elastic piece 117 according to the third modified example shown in FIG. 9A includes a pair of rails 118 (convex portions) on both sides in the width direction (Y direction) on the inner peripheral surface side. The pair of rails 118 slightly project inward in the radial direction of the relay cylinder 90 and are linearly formed on the elastic piece 117 along the X direction (the protruding direction of the elastic piece 117). The pair of rails 118 can reliably prevent the protrusion 87 from being displaced from the elastic piece 117 in the circumferential direction when the protrusion 87 moves to the elastic piece 117 through the passage 150 as the inner needle 12 is pulled out. The protrusion 87 can be smoothly guided to the engagement port 100.
 また、第3変形例に係る係合回避突部124は、基端側の所定位置まで突出形成され、待機方向案内突部130と接触しない構成となっている。そのため、係合回避突部124と待機方向案内突部130の間には、突起87が通過可能な領域125(すなわち内周面92b)が存在している。これにより、外筒80の挿入時に、領域125を介して、突起87を通路150にスムーズに案内することができる。 In addition, the engagement avoidance protrusion 124 according to the third modification is formed to protrude to a predetermined position on the base end side, and does not come into contact with the standby direction guide protrusion 130. Therefore, a region 125 (that is, the inner peripheral surface 92b) through which the protrusion 87 can pass is present between the engagement avoidance protrusion 124 and the standby direction guide protrusion 130. Thereby, the protrusion 87 can be smoothly guided to the passage 150 through the region 125 when the outer cylinder 80 is inserted.
 図9Bに示す第4変形例に係る係合回避突部126は、待機方向案内突部130に接触するまで係合部93の側方を延びているが、その接触部分を含む基端側の領域127が断面視で直角三角形状の傾斜部に形成されている。すなわち、領域127は、口縁101に連なり径方向に突出する壁面127aと、壁面127aの頂部から周方向外側(係合部93から離間方向)に向かって突出高さが漸減する傾斜面127bとを有する。 The engagement avoidance protrusion 126 according to the fourth modification shown in FIG. 9B extends to the side of the engagement portion 93 until it comes into contact with the standby direction guide protrusion 130, but the proximal end side including the contact portion is extended. The region 127 is formed in an inclined portion having a right triangle shape in sectional view. That is, the region 127 includes a wall surface 127a that is continuous with the lip 101 and protrudes in the radial direction, and an inclined surface 127b whose protrusion height gradually decreases from the top of the wall surface 127a toward the outer side in the circumferential direction (in the direction away from the engaging portion 93). Have
 これにより、外筒80と中継筒90の組み付け時に突起87が基端方向に移動する際には、突起87が傾斜面127bに沿って移動することで、係合回避突部126を容易に乗り越える。また、中継筒90の後退時に突起87が先端方向に移動する際には、壁面127aが突起87の周方向のずれを規制するため、係合口100に突起87を円滑に案内することができる。 Thereby, when the protrusion 87 moves in the proximal direction when the outer cylinder 80 and the relay cylinder 90 are assembled, the protrusion 87 moves along the inclined surface 127b, so that the engagement avoiding protrusion 126 can be easily overcome. . Further, when the projection 87 moves in the distal direction when the relay cylinder 90 is retracted, the wall surface 127a regulates the circumferential displacement of the projection 87, so that the projection 87 can be smoothly guided to the engagement port 100.
 なお、上記以外の他の変形例としては、突起87の基端部を平坦状に形成することで弾性片110の先端壁113により確実に引っ掛けるように構成してもよい。また、第1及び第2案内部94、95は、突条の障壁(リブ)に形成されてもよい。例えば、係合口100の周囲を囲うように障壁を形成することで、突起87を障壁に沿って逸らすことができる。 In addition, as another modification other than the above, the base end portion of the protrusion 87 may be formed in a flat shape so as to be reliably hooked by the distal end wall 113 of the elastic piece 110. Further, the first and second guide portions 94 and 95 may be formed on a barrier (rib) of the protrusion. For example, the protrusion 87 can be deflected along the barrier by forming a barrier so as to surround the periphery of the engagement port 100.
 さらに、カテーテル組立体10は、外筒80の突起87と、中継筒90の係合部93、第1及び第2案内部94、95との形成関係が逆であってもよい。すなわち、外筒80の壁部に係合部、第1及び第2案内部を備え、中継筒90の内周面に突起を備えた構成とすることができる。またさらに、カテーテル組立体10は、外筒80の外筒側中空部85に中継筒90が挿入される構成でもよく、この場合も外筒80と中継筒90のいずれか一方に突起を設け、他方に係合部、第1及び第2案内部を設けた構成とすればよい。 Further, in the catheter assembly 10, the formation relationship between the protrusion 87 of the outer cylinder 80, the engaging portion 93 of the relay cylinder 90, and the first and second guide portions 94 and 95 may be reversed. In other words, the wall portion of the outer cylinder 80 includes the engaging portion, the first and second guide portions, and the relay cylinder 90 includes a protrusion on the inner peripheral surface. Furthermore, the catheter assembly 10 may be configured such that the relay cylinder 90 is inserted into the outer cylinder-side hollow portion 85 of the outer cylinder 80. In this case, a protrusion is provided on either the outer cylinder 80 or the relay cylinder 90, What is necessary is just to set it as the structure which provided the engaging part and the 1st and 2nd guide part in the other.
 上記において、本発明について好適な実施形態を挙げて説明したが、本発明は前記実施形態に限定されるものではなく、本発明の要旨を逸脱しない範囲において、種々の改変が可能なことは言うまでもない。 In the above description, the present invention has been described with reference to preferred embodiments. However, the present invention is not limited to the above-described embodiments, and various modifications can be made without departing from the scope of the present invention. Yes.

Claims (9)

  1.  内針(12)と、前記内針(12)が挿通されるカテーテル(14)と、前記カテーテル(14)から前記内針(12)を抜去した時に前記内針(12)を収容する収容部材(21)とを備えるカテーテル組立体(10)であって、
     前記収容部材(21)は、径方向に突出する突起(87、88)を有する第1筒体(80)と、
     前記第1筒体(80)に接続し、前記第1筒体(80)に対して所定量後退した段階で前記突起(87、88)に係合して前記第1筒体(80)の離脱を防ぐと共に前記第1筒体(80)の前進を規制する係合部(93)を有する第2筒体(90)とを含み、
     前記第2筒体(90)を構成する壁部(92a)には、前記係合部(93)を避けて該係合部(93)よりも奥側位置に前記突起(87、88)を案内可能な第1案内部(94)と、前記奥側位置から前記係合部(93)に前記突起(87、88)を案内可能な第2案内部(95)とが設けられる
     ことを特徴とするカテーテル組立体(10)。
    An inner needle (12), a catheter (14) through which the inner needle (12) is inserted, and a housing member that houses the inner needle (12) when the inner needle (12) is removed from the catheter (14) (21) a catheter assembly (10) comprising:
    The housing member (21) includes a first cylinder (80) having protrusions (87, 88) protruding in a radial direction,
    The first cylinder (80) is connected to the first cylinder (80), and is engaged with the protrusions (87, 88) at a stage where the first cylinder (80) is retracted by a predetermined amount. And a second cylinder (90) having an engaging portion (93) for preventing detachment and restricting advance of the first cylinder (80),
    The protrusions (87, 88) are formed on the wall (92a) constituting the second cylindrical body (90) at a position farther from the engaging portion (93), avoiding the engaging portion (93). A first guide part (94) capable of guiding and a second guide part (95) capable of guiding the projections (87, 88) from the back side position to the engaging part (93) are provided. A catheter assembly (10).
  2.  請求項1記載のカテーテル組立体(10)において、
     前記第1案内部(94)は、前記壁部(92a)から前記第1筒体(80)に向かって突出する第1突部(120、124、126)及び第2突部(130)により構成され、
     前記第1突部(120、124、126)は、前記第1筒体(80)が前記第2筒体(90)に組み付けられる際に前記第1筒体(80)が挿入される側の端部と前記係合部(93)の間で前記突起(87、88)を前記係合部(93)の側方に逸らすように設けられ、
     前記第2突部(130)は、前記第1突部(120、124、126)に対して周方向にずれる位置で、前記係合部(93)と周方向位置が一致する前記奥側位置に前記突起(87、88)を案内可能に延在する
     ことを特徴とするカテーテル組立体(10)。
    The catheter assembly (10) of claim 1,
    The first guide part (94) is formed by a first protrusion (120, 124, 126) and a second protrusion (130) protruding from the wall part (92a) toward the first cylinder (80). Configured,
    The first protrusions (120, 124, 126) are located on the side where the first cylinder (80) is inserted when the first cylinder (80) is assembled to the second cylinder (90). Between the end portion and the engaging portion (93), the protrusions (87, 88) are provided to deflect to the side of the engaging portion (93),
    The second protrusion (130) is a position shifted in the circumferential direction with respect to the first protrusion (120, 124, 126), and the rear side position where the circumferential position coincides with the engagement part (93). A catheter assembly (10), wherein the protrusions (87, 88) extend in a guideable manner.
  3.  請求項2記載のカテーテル組立体(10)において、
     前記第1突部(120、124、126)は、少なくとも前記係合部(93)の前記奥側位置と反対側の手前側を囲う
     ことを特徴とするカテーテル組立体(10)。
    Catheter assembly (10) according to claim 2,
    The catheter assembly (10), wherein the first protrusion (120, 124, 126) surrounds at least a front side opposite to the back side position of the engagement portion (93).
  4.  請求項3記載のカテーテル組立体(10)において、
     前記第1突部(126)は、前記係合部(93)の側方を延在して前記第2突部(130)に接触し、
     前記第2突部(130)との接触部分を含む前記第1突部(126)の基端側は、前記係合部(93)側から周方向且つ離間方向に沿って突出高さが漸減する傾斜部(127b)を有する
     ことを特徴とするカテーテル組立体(10)。
    Catheter assembly (10) according to claim 3,
    The first protrusion (126) extends laterally of the engagement part (93) and contacts the second protrusion (130).
    The protrusion height of the proximal end side of the first protrusion (126) including the contact portion with the second protrusion (130) gradually decreases from the engagement part (93) side in the circumferential direction and the separation direction. A catheter assembly (10) having an inclined portion (127b).
  5.  請求項2~4のいずれか1項に記載のカテーテル組立体(10)において、
     前記第2案内部(95)は、前記係合部(93)に対して周方向にずれる位置から前記突起(87、88)を斜めに案内可能な第3突部(140)により構成される
     ことを特徴とするカテーテル組立体(10)。
    The catheter assembly (10) according to any one of claims 2 to 4,
    The second guide part (95) includes a third protrusion (140) capable of guiding the protrusions (87, 88) obliquely from a position shifted in the circumferential direction with respect to the engagement part (93). A catheter assembly (10) characterized in that.
  6.  請求項5記載のカテーテル組立体(10)において、
     前記第2突部(130)と前記第3突部(140)は、相互に連なるように突出形成される
     ことを特徴とするカテーテル組立体(10)。
    The catheter assembly (10) according to claim 5,
    The catheter assembly (10), wherein the second protrusion (130) and the third protrusion (140) are formed to protrude from each other.
  7.  請求項1~6のいずれか1項に記載のカテーテル組立体(10)において、
     前記係合部(93)は、前記突起(87、88)が入り込んで引っ掛かる開口部(100)と、
     前記第2筒体(90)の後退時に前記第1筒体(80)が相対的に移動する方向に突出して前記開口部(100)を部分的に覆うと共に、前記第2筒体(90)の径方向に弾性的に変位可能な弾性片(110、115、117)とを含む
     ことを特徴とするカテーテル組立体(10)。
    A catheter assembly (10) according to any one of the preceding claims,
    The engaging portion (93) includes an opening (100) into which the protrusion (87, 88) enters and is hooked,
    When the second cylinder (90) is retracted, the first cylinder (80) protrudes in a relatively moving direction to partially cover the opening (100), and the second cylinder (90). A catheter assembly (10) comprising: an elastic piece (110, 115, 117) that is elastically displaceable in the radial direction.
  8.  請求項7記載のカテーテル組立体(10)において、
     前記弾性片(115)は、前記開口部(100)に入り込んだ前記突起(87、88)が進入可能な凹部(116a)を有する
     ことを特徴とするカテーテル組立体(10)。
    The catheter assembly (10) according to claim 7,
    The catheter assembly (10), wherein the elastic piece (115) has a recess (116a) into which the protrusions (87, 88) entering the opening (100) can enter.
  9.  請求項7又は8記載のカテーテル組立体(10)において、
     前記弾性片(117)は、前記第1筒体(80)に対向する面側に前記弾性片(117)の突出方向に沿って延在する凸部(118)を有する
     ことを特徴とするカテーテル組立体(10)。
    A catheter assembly (10) according to claim 7 or 8,
    The elastic piece (117) has a convex part (118) extending along the protruding direction of the elastic piece (117) on the surface facing the first cylinder (80). Assembly (10).
PCT/JP2014/058489 2013-06-06 2014-03-26 Catheter assembly WO2014196243A1 (en)

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