WO2017150125A1 - Medical stopcock - Google Patents

Medical stopcock Download PDF

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Publication number
WO2017150125A1
WO2017150125A1 PCT/JP2017/004687 JP2017004687W WO2017150125A1 WO 2017150125 A1 WO2017150125 A1 WO 2017150125A1 JP 2017004687 W JP2017004687 W JP 2017004687W WO 2017150125 A1 WO2017150125 A1 WO 2017150125A1
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WO
WIPO (PCT)
Prior art keywords
flow path
conduit
main body
pipe line
pipe
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Application number
PCT/JP2017/004687
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French (fr)
Japanese (ja)
Inventor
裕之 中神
慎吾 阪本
一樹 松本
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ニプロ株式会社
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Publication date
Application filed by ニプロ株式会社 filed Critical ニプロ株式会社
Priority to JP2018502989A priority Critical patent/JP6864838B2/en
Publication of WO2017150125A1 publication Critical patent/WO2017150125A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/22Valves or arrangement of valves

Definitions

  • the present disclosure relates to a medical stopcock, and more particularly to a medical stopcock that can be used for injection of a chemical solution.
  • a medical stopcock such as a three-way stopcock may be connected to a medical circuit such as an infusion circuit or a blood circuit.
  • a medical circuit such as an infusion circuit or a blood circuit.
  • a general three-way stopcock has a first pipe line and a second pipe line arranged linearly, and a third pipe line arranged in a direction crossing the first pipe line and the second pipe line.
  • the three pipe lines are connected to a cylindrical main body, and a columnar plug is rotatably inserted inside the main body.
  • the plug body is provided with a T-shaped flow hole that penetrates the inside of the plug body. By rotating the plug body and adjusting the position of the flow hole, the three pipe lines can be placed in a flow state or blocked. (For example, refer to Patent Document 1).
  • a dead space is generated by a T-shaped flow hole penetrating the stopper, so that, for example, a part of the chemical injected from the third pipe line stays in the dead space.
  • a three-way stopcock having a configuration in which a groove is provided on the outer peripheral surface of the plug and the third pipeline is flushed with the chemical solution from the first pipeline (for example, (See Patent Document 2).
  • a partition wall is provided in the third pipeline so that the drug solution or blood flowing from the first pipeline crosses the partition wall and flows into the second pipeline.
  • a three-way cock with a simple structure has been studied (for example, see Patent Document 3).
  • the conventional three-way stopcock cannot flow from the first pipe to the second pipe unless the chemical solution flowing from the first pipe to the second pipe passes over the partition wall. For this reason, the flow of the chemical solution is once blocked by the partition wall, the flow rate to the second conduit is reduced, and the chemical solution is sufficiently supplied into the patient's body through a catheter or the like connected to the end of the second conduit. There is a problem that it cannot be administered.
  • the problem of the present disclosure is to make it possible to realize a medical stopcock in which a chemical solution is unlikely to stay in the pipeline and the flow rate of the chemical solution or the like flowing to the second pipeline is difficult to decrease.
  • One aspect of the medical stopcock includes a cylindrical main body, a first pipe line, a second pipe line, and a third pipe line that are connected to a side surface of the main body at intervals in the circumferential direction, and an inner circumference of the main body.
  • the outer peripheral surface is supported by the surface, and includes a columnar plug body that is rotatable relative to the main body, the third pipeline has a partition wall that partitions the inside of the third pipeline,
  • the first pipe and the second pipe are formed by the groove and the inner wall surface of the main body when the plug body is in the first position, and the first pipe and the second pipe are provided on the outer peripheral surface.
  • the first pipe and the second pipe are connected not only by the third flow path but also by the fourth flow path at the first position of the plug body.
  • a decrease in flow rate from the road to the second pipe line can be prevented.
  • the third pipe line can be sufficiently flushed with the liquid flowing through the third flow path.
  • the extension line of the portion that becomes the first flow path in the groove reaches the side surface of the partition on the first conduit side, and the second line in the groove You may make it the extension line of the part used as a flow path reach the side surface by the side of the 2nd pipe line of a partition.
  • the portion that becomes the first flow path in the groove portion may extend in a direction intersecting with the partition wall. By doing in this way, it can make it difficult to retain a chemical
  • the third flow path has a first portion on the first conduit side and a second portion on the second conduit side, and the groove portion when the stopper is in the first position.
  • the end portion on the third pipe line side of the portion that becomes the first flow path may be located within a range in which the first portion of the third flow path is extended into the main body.
  • the third conduit may have a reduced diameter portion that gradually decreases in inner diameter toward the main body side. By providing the reduced diameter portion, no step is generated in the third pipeline, and the retention of the chemical liquid can be made more difficult to occur.
  • the width of the groove may be equal to or greater than the width of the end on the main body side in the third conduit.
  • the third pipe line can be sufficiently flushed.
  • the width of the groove can be 1.5 mm or more and 4.0 mm or less.
  • the third conduit can be inserted with a male connector from the end opposite to the main body, and the tip of the inserted male connector may be in contact with the end face of the partition wall. .
  • a partition becomes a stopper which restrict
  • the first conduit may be reduced in diameter toward the main body.
  • the outer end of the first flow path may be provided at a position lower than the lower surface of the end of the first conduit.
  • FIG. 1 is a perspective view showing a medical stopcock according to an embodiment.
  • FIG. 2 is a sectional view taken along line II-II in FIG. 3 is a cross-sectional view taken along line III-III in FIG.
  • FIG. 4 is a cross-sectional view showing a case where the plug is in the first position.
  • FIG. 5 is a cross-sectional view showing a case where the plug is in the second position.
  • FIG. 6 is an enlarged cross-sectional view showing a portion of the first flow path.
  • FIG. 7 is a cross-sectional view showing a modification of the plug.
  • FIG. 8 is a sectional view showing a modification of the medical stopcock.
  • the medical stopcock of the present embodiment is a three-way stopcock, and a cylindrical main body 101 and a first conduit 111 connected to the side surface of the main body 101 at intervals in the circumferential direction.
  • the second pipe 112 and the third pipe 113 and the cylindrical plug body 102 whose outer peripheral surface is supported by the inner peripheral surface of the main body 101 and rotatable relative to the main body 101 are provided. .
  • the first pipe line 111 and the second pipe line 112 are linearly provided with the main body 101 interposed therebetween, and the third pipe line 113 includes the first pipe line 111 and the second pipe line 112. It is provided in a direction orthogonal to the pipe line 112.
  • FIG. 1 shows an example in which the first pipe line 111 is a female luer connector, the second pipe line 112 is a male luer connector with a coupler, and the third pipe line 113 is a needleless connector having a valve body 134.
  • the three-way cock of the present embodiment can be used by being arranged in an arbitrary direction. However, in the following description, it is assumed that the third pipe 113 is arranged upward.
  • Each pipe line will be described with the side connected to the main body 101 as the base end and the opposite side as the end.
  • a partition wall 133 that divides the third pipeline 113 into two parts along the axial direction of the cylindrical main body 101 is provided at the proximal end of the third pipeline 113.
  • the plug body 102 has a groove 121 provided on the outer peripheral surface. The plug 102 is integrated with the handle 105 and can be rotated together with the handle 105.
  • the first pipeline 111 and the third pipeline 113 are formed by the groove 121 and the inner wall of the main body 101.
  • a second flow path 124 is formed to connect the second pipe 112 and the third pipe 113.
  • a third flow path 127 that connects the first flow path 123 and the second flow path 124 is formed by the outer peripheral surface of the partition wall 133 and the inner wall surface of the third pipeline 113, and the groove portion 121 and the main body 101 of the partition wall 133 are formed.
  • a fourth flow path 128 that connects the first flow path 123 and the second flow path 124 is formed by the end on the side.
  • the first flow path 123 and the second flow path 124 are connected by the third flow path 127 that passes through the inside of the third pipe 113 and also by the fourth flow path 127 that passes through the inside of the main body 101.
  • the third flow path 127 is divided by a partition wall 133 into a first portion 131 on the first conduit 111 side and a second portion 132 on the second conduit 112 side. The chemical solution or the like flowing through the third flow path 127 passes through the first portion 131 and the second portion 132.
  • the first pipe 111 and the second pipe 112 include the groove 121 and the main body 101 by setting the plug 102 to the second position rotated about 180 degrees from the first position. Are connected by a fifth flow path 129 formed by the inner wall surface, but are not connected to the third conduit 113 and the third flow path 127 is closed. Note that the first pipe 111 and the third pipe 113 can be connected by setting the plug 102 to the third position rotated about 90 degrees clockwise from the first position. The second pipe 112 and the third pipe 113 can be connected by setting the fourth position rotated about 90 degrees around.
  • the fourth channel 128 is blocked and the third channel 113 is provided with the third channel 113. If only the three flow paths 127 are opened, the resistance of the flow paths increases, and the flow rate to the second pipe 112 decreases. However, in the three-way cock of the present embodiment, the first pipe line 111 and the second pipe line 112 are connected not only by the third flow path 127 but also by the fourth flow path 128. Thus, it is possible to secure a flow rate from the first pipe 112 to the second pipeline 112 and to prevent a decrease in the flow rate.
  • the width along the axial direction at the base end portion of the third conduit 113 coincides with the width of the groove 121 that is the first flow path 123 and the second flow path 124.
  • medical solution which flowed through the 1st flow path 123 from the 1st pipe line 111 side smoothly into the 1st part 131 of the 3rd flow path 127 not only in the 4th flow path 128 side. Led. Further, it flows from the second portion 132 to the second flow path 124. For this reason, it is possible to make it difficult for the chemical liquid to stay in the third pipe 113.
  • the three-way stopcock is used for infusion, anesthesia, enteral nutrition, and the like.
  • the width of the groove 121 is preferably 1.5 mm to 4.0 mm in order to ensure an appropriate flow rate for each application.
  • the width of the end is preferably 1.5 mm to 4.0 mm.
  • the third conduit 113 can be provided with a reduced diameter portion 135 that gradually decreases in inner diameter from the distal side toward the proximal side.
  • a proximal end side narrowed in accordance with the width of the groove portion 121 which is the first flow path 123 and the second flow path 124, and a distal end side having an inner diameter into which an injection cylinder or the like can be inserted It is possible to connect without a step, to ensure a sufficient amount of liquid flowing through the third flow path 127, and to make it difficult for the chemical liquid to stay.
  • the partition wall 133 can be a stopper that limits the insertion depth of the male luer connector.
  • the male luer connector may be designed so that the distal end of the male luer connector contacts the end face of the partition wall 133 when the male luer connector is inserted to an appropriate position.
  • the terminal side of the partition wall 133 has a curved surface shape such as a hemisphere. By constituting in this way, it becomes easy to prevent staying in the 3rd pipe line 113 compared with the case where the end side is square shape.
  • the top of the fourth flow path 128 of the groove 121 is flat.
  • the middle portion of the fifth flow path 129 is greatly raised.
  • a bottleneck does not arise easily in the 5th flow path 129, and sufficient flow volume from the 1st pipe line 111 to the 2nd pipe line 112 can be secured.
  • the top portion may not be completely flat but may have a slight bulge.
  • it can be a curved surface substantially parallel to the inner periphery of the main body 101.
  • At least the connecting portion between the slope and the top that is the first flow path 123 and the connecting portion between the slope and the top that are the second flow path 124 should be curved surfaces extending in the direction of the third flow path 127. preferable. With this configuration, the flow to the third flow path is promoted, and a sufficient flow rate from the first pipe line 111 to the second pipe line 112 can be secured.
  • the upper end of the first flow path 123 is preferably provided above the upper end of the base end of the first conduit 111 at the first position.
  • the three-way stopcock is used for infusion, anesthesia, enteral nutrition, and the like, and the inner diameter ⁇ of the main body 101 can be 4.5 mm to 10.5 mm in order to ensure an appropriate flow rate for each application.
  • the stopper 102 is set to the first position, the bottom surface of the groove 121 and the end surface of the partition wall 133 on the main body 101 side are secured in order to ensure a sufficient amount of the chemical solution passing through the third conduit 113. Is preferably about 0.8 mm to 2.8 mm.
  • the flow rate between the first pipe line 111 and the second pipe line 112 can be sufficiently secured when the plug body 102 is set to the second position.
  • the maximum height difference h of the groove 121 can be about 2.0 mm to 5.0 mm.
  • the bottom surface and the main body of the groove 121 in the first flow path 123 and the second flow path 124 are preferably about 1.0 mm to 2.5 mm.
  • the extension line of the portion constituting the first flow path 123 in the groove 121 is the outermost side surface of the partition wall 133 on the first pipeline 111 side.
  • the extension line of the portion that reaches the lower end and forms the second flow path 124 can reach the lowermost end of the side surface of the partition wall 133 on the second conduit 112 side.
  • the three-way cock of the present embodiment is designed such that the extended line of the slope that is the first flow path 123 and the extended line of the slope that is the second flow path 124 in the groove portion 121 reach the lowest end of the side surface of the partition wall 133. Has been. For this reason, the flow of the chemical liquid from the first pipe 111 toward the third pipe 113 through the first flow path 123 hits the side surface of the partition wall 133, and enters the first portion 131 of the third flow path 127 along the partition wall 133. It becomes easy to invade. In addition, the flow of the chemical solution from the second portion 132 hits the second flow path 124 and easily flows toward the second conduit 112. For this reason, it is possible to ensure a sufficient amount of the chemical solution that passes through the third pipeline 113.
  • the end portion (upper end portion) 123a on the third conduit side 113 side of the portion constituting the first flow path 123 in the groove portion 121 is The first portion 131 of the third flow path 127 can be positioned in a range extending into the main body 101. Since the upper end portion 123a of the first flow path 123 is located within the range in which the first portion 131 is extended, a sufficient flow rate can be ensured from the first flow path 123 to the third flow path 127.
  • the end portion (upper end portion) 124a on the third conduit side 113 side of the portion constituting the second flow path 124 in the groove 121 is the third flow path 127.
  • the second portion 132 can be positioned in a range extending into the main body 101.
  • the portions that become the first flow path 123 and the second flow path 124 in the groove 121 are curved in the direction in which the partition wall 133 is present. May be.
  • the upper end portion 123a of the portion constituting the first flow path 123 in the groove portion 121 causes the first portion 131 of the third flow path 127 to be the main body 101. It can be located in a range extended inward.
  • the number of portions where the sign of curvature near the top of the slope of the first flow path 121 changes from positive to negative or from negative to positive is one.
  • the extension line of the first flow path 123 and the extension line of the second flow path 124 reach the lowest end of the side surface of the partition wall 133.
  • the extension line of a certain part and the extension line of the part which is the 2nd flow path 124 should just be able to cross
  • the outer end of the first flow path 123 is the lower end (lower end face) at the base end of the first conduit 111. It is preferable that the outer end portion of the second flow path 124 is located slightly below the lower surface of the end portion of the second conduit 112. When the surgeon operates the plug body 102, it is difficult to align the positions so as not to cause a complete shift, and a shift of a degree larger than 0 ° and smaller than ⁇ 6 ° is usually generated.
  • the ends of the first flow path 123 and the first conduit 111 and the ends of the second flow path 124 and the second conduit 112 are If they are completely matched, a slight difference in alignment may cause a step that closes the proximal end of the first pipeline 111. If a level difference that blocks the proximal end of the first pipe line 111 occurs, the flow rate is limited, which causes retention.
  • the outer end of the fifth channel 129 on the second conduit 112 side is the upper side at the base end of the second conduit 112.
  • the outer end of the fifth channel 129 on the first conduit 111 side is slightly above the front of the end at the base end of the first conduit 111. It is preferable to be located at.
  • the valve body 134 provided in the third conduit 113 can be a slit valve having a slit.
  • a male luer connector such as a luer syringe can be inserted into the third conduit 113 and the chemical solution can be easily injected.
  • the terminal of the 3rd pipe line 113 can be closed again by extracting a male luer connector.
  • valve body 134 that closes the end of the third pipe 113 is sandwiched between the outer housing 137 and the inner housing 136 is shown, but the fixing method of the valve body 134 is not limited thereto. You can do anything.
  • the thread 138 for engaging the coupler with the outer housing 137 is provided, the structure without the thread 138 may be employed.
  • the third conduit 113 can be a connector other than the needleless connector as long as it can inject a chemical solution and close the end.
  • it can be set as the structure which provides a valve body without a slit and inject
  • FIG. 8 it is also possible to use a simple female connector to which a luer syringe or the like can be connected.
  • the first pipe line 111 is a female luer connector and the second pipe line 112 is a male luer connector is shown, but what kind of connector is used for the first pipe line 111 and the second pipe line 112? It is good. For example, even if a female luer connector and a male luer connector are interchanged, both may be a male luer connector or a female luer connector. Moreover, you may be directly connected with the pipe etc. instead of the connector.
  • the upstream pipe line can be gradually reduced in diameter toward the main body. By adopting such a configuration, it is possible to make it difficult for the liquid to stay in the upstream pipe line.
  • the medical stopcock is a three-way stopcock.
  • the present invention is not limited to a three-way stopcock, and a medical stopcock having a branch for injecting a chemical solution can be configured similarly.
  • it can also be set as the structure by which the 4th pipe line was provided in the opposite side to the 3rd pipe line.
  • the medical stopcock of the present embodiment is less likely to cause retention of the chemical solution in the pipeline, and is useful as a medical stopcock connected to a medical circuit such as an infusion circuit.

Abstract

A medical stopcock is provided with: a cylindrical body 101; a first conduit 111, a second conduit 112, and a third conduit 113 connected to sides of the body 101; and a columnar stopper 102 capable of rotating relative to the body 101, an external peripheral surface of the stopper 102 being supported by an internal peripheral surface of the body 101. The third conduit 113 has a partition wall 133 for dividing the inside of the third conduit 113. The stopper 102 has a groove part 121 provided to the external peripheral surface thereof. The first conduit 111 and the second conduit 112 are connected to a third passage 127 formed by an external peripheral surface of the partition wall 133 and an inside wall surface of the inside of the third conduit 113, and a fourth passage 128 formed by the groove part 121 and an inside wall surface of the body 101 when the stopper 102 is in a first position.

Description

医療用活栓Medical stopcock
 本開示は医療用活栓に関し、特に薬液の注入に用いることができる医療用活栓に関する。 The present disclosure relates to a medical stopcock, and more particularly to a medical stopcock that can be used for injection of a chemical solution.
 輸液回路及び血液回路等の医療用回路に、流路を切り換えるための三方活栓等の医療用活栓が接続されている場合がある。三方活栓を接続することにより、例えば、点滴等の際に、主流路を流れる薬液に側流路から別の薬液を容易に導入することができる。 A medical stopcock such as a three-way stopcock may be connected to a medical circuit such as an infusion circuit or a blood circuit. By connecting the three-way stopcock, for example, in the case of infusion or the like, another chemical solution can be easily introduced from the side channel into the chemical solution flowing through the main channel.
 一般的な三方活栓は、直線的に配置された第1の管路及び第2の管路と、これに交差する方向に配置された第3の管路とを有している。3つの管路は円筒形の本体に接続され、本体の内側には円柱状の栓体が回転可能に挿入されている。栓体には内部を貫通するT字状の流通孔が設けられており、栓体を回転させて流通孔の位置を調整することにより、3つの管路の間を流通状態にしたり、遮断状態にしたりすることができる(例えば、特許文献1を参照。)。 A general three-way stopcock has a first pipe line and a second pipe line arranged linearly, and a third pipe line arranged in a direction crossing the first pipe line and the second pipe line. The three pipe lines are connected to a cylindrical main body, and a columnar plug is rotatably inserted inside the main body. The plug body is provided with a T-shaped flow hole that penetrates the inside of the plug body. By rotating the plug body and adjusting the position of the flow hole, the three pipe lines can be placed in a flow state or blocked. (For example, refer to Patent Document 1).
 しかし、このような三方活栓は、栓体を貫通するT字状の流通孔によってデッドスペースが生じるため、例えば第3の管路から注入した薬液の一部がデッドスペースに滞留してしまう。 However, in such a three-way stopcock, a dead space is generated by a T-shaped flow hole penetrating the stopper, so that, for example, a part of the chemical injected from the third pipe line stays in the dead space.
 薬液の滞留を防止することを目的として、栓体の外周面に溝を設け、第1の管路からの薬液により第3の管路をフラッシングする構成の三方活栓が検討されている(例えば、特許文献2を参照。)。 For the purpose of preventing the retention of the chemical solution, a three-way stopcock having a configuration in which a groove is provided on the outer peripheral surface of the plug and the third pipeline is flushed with the chemical solution from the first pipeline (for example, (See Patent Document 2).
 しかし、栓体の外周面に溝部を設けた場合においても、第3管路の本体側の部分にしか薬液が流れず、第3管路全体をフラッシングすることは困難である。このため、薬液の滞留を解消する効果が十分ではない。三方活栓に限らず他の医療用活栓についても同様である。 However, even when a groove is provided on the outer peripheral surface of the plug, the chemical solution flows only to the main body side portion of the third conduit, and it is difficult to flush the entire third conduit. For this reason, the effect of eliminating the retention of the chemical solution is not sufficient. The same applies to other medical stopcocks as well as three-way stopcocks.
 そこで、薬液の滞留を防止することを目的として、第3の管路内に隔壁を設け、第1の管路から流れてきた薬液や血液が隔壁を乗り越えて、第2の管路に流れるような構成の三方活栓が検討されている(例えば、特許文献3を参照。)。 Therefore, for the purpose of preventing the retention of the chemical solution, a partition wall is provided in the third pipeline so that the drug solution or blood flowing from the first pipeline crosses the partition wall and flows into the second pipeline. A three-way cock with a simple structure has been studied (for example, see Patent Document 3).
特開2005-046349号公報JP 2005-046349 A 特開2008-511371号公報JP 2008-511371 A 特開2010-142438号公報JP 2010-142438 A
 しかしながら、従来の三方活栓は、第1の管路から第2の管路に流れる薬液等が隔壁を乗り越えなければ、第1の管路から第2の管路に流れることができない。このため、隔壁によって薬液の流れが一旦堰き止められ、第2の管路への流量が減少してしまい、第2の管路の末端に接続されたカテーテル等を通して、患者の体内に薬液を十分に投与することができないという問題がある。 However, the conventional three-way stopcock cannot flow from the first pipe to the second pipe unless the chemical solution flowing from the first pipe to the second pipe passes over the partition wall. For this reason, the flow of the chemical solution is once blocked by the partition wall, the flow rate to the second conduit is reduced, and the chemical solution is sufficiently supplied into the patient's body through a catheter or the like connected to the end of the second conduit. There is a problem that it cannot be administered.
 本開示の課題は、管路内における薬液の滞留が生じにくく、第2の管路へ流れる薬液等の流量が減少しにくい医療用活栓を実現できるようにすることである。 The problem of the present disclosure is to make it possible to realize a medical stopcock in which a chemical solution is unlikely to stay in the pipeline and the flow rate of the chemical solution or the like flowing to the second pipeline is difficult to decrease.
 医療用活栓の一態様は、円筒状の本体と、本体の側面に周方向に互いに間隔をおいてそれぞれ接続された第1管路、第2管路及び第3管路と、本体の内周面により外周面が支持され、本体に対して相対的に回転可能な柱状の栓体とを備え、第3管路は、第3管路内を区画する隔壁を有し、栓体は、その外周面に設けられた溝部を有し、第1管路と第2管路とは、栓体を前記第1の位置とした際に、溝部と本体の内壁面とにより構成され、第1管路と第3管路とを接続する第1流路と、溝部と本体の内壁面とにより構成され、第2管路と第3管路とを接続する第2流路と、隔壁の外周面と第3管路の内壁面とにより構成され、第1流路と第2流路とを接続する第3流路と、溝部と隔壁の本体側の端面とにより構成され、第1流路と第2流路とを接続する第4流路とにより接続される。 One aspect of the medical stopcock includes a cylindrical main body, a first pipe line, a second pipe line, and a third pipe line that are connected to a side surface of the main body at intervals in the circumferential direction, and an inner circumference of the main body. The outer peripheral surface is supported by the surface, and includes a columnar plug body that is rotatable relative to the main body, the third pipeline has a partition wall that partitions the inside of the third pipeline, The first pipe and the second pipe are formed by the groove and the inner wall surface of the main body when the plug body is in the first position, and the first pipe and the second pipe are provided on the outer peripheral surface. A first channel that connects the channel and the third pipeline, a second channel that connects the second channel and the third pipeline, and an outer peripheral surface of the partition wall. And the inner wall surface of the third pipe line, the third flow path connecting the first flow path and the second flow path, the groove section and the end face on the main body side of the partition wall, The second flow path and It is connected by a fourth flow path to be connected.
 このような構成とすることにより、栓体の第1の位置において、第3流路だけでなく第4流路によっても第1管路と第2管路とが接続されるため、第1管路から第2管路への流量減少を防止できる。また、第3流路を流れる液により第3管路を十分にフラッシングすることも可能となる。 By adopting such a configuration, the first pipe and the second pipe are connected not only by the third flow path but also by the fourth flow path at the first position of the plug body. A decrease in flow rate from the road to the second pipe line can be prevented. In addition, the third pipe line can be sufficiently flushed with the liquid flowing through the third flow path.
 医療用活栓の一態様において、栓体を第1の位置とした場合に、溝部における第1流路となる部分の延長線は、隔壁の第1管路側の側面に達し、溝部における第2の流路となる部分の延長線は、隔壁の第2管路側の側面に達するようにしてもよい。また、栓体を第1の位置とした場合に、溝部における第1流路となる部分は、隔壁と交差する方向に延びていてもよい。このようにすることにより、第1流路と第2流路との間において、薬液をさらに滞留しにくくすることができる。 In one aspect of the medical stopcock, when the plug body is in the first position, the extension line of the portion that becomes the first flow path in the groove reaches the side surface of the partition on the first conduit side, and the second line in the groove You may make it the extension line of the part used as a flow path reach the side surface by the side of the 2nd pipe line of a partition. Further, when the plug body is in the first position, the portion that becomes the first flow path in the groove portion may extend in a direction intersecting with the partition wall. By doing in this way, it can make it difficult to retain a chemical | medical solution between a 1st flow path and a 2nd flow path.
 医療用活栓の一態様において、第3流路は、第1管路側の第1の部分と第2管路側の第2部分とを有し、栓体を第1の位置とした場合に、溝部における第1流路となる部分の第3管路側の端部は、第3流路の第1の部分を本体内に延長した範囲内に位置するようにしてもよい。このような構成とすることにより第1流路から第3流路へ液が十分に流れるようにすることができる。 In one aspect of the medical stopcock, the third flow path has a first portion on the first conduit side and a second portion on the second conduit side, and the groove portion when the stopper is in the first position. The end portion on the third pipe line side of the portion that becomes the first flow path may be located within a range in which the first portion of the third flow path is extended into the main body. With such a configuration, the liquid can sufficiently flow from the first flow path to the third flow path.
 医療用活栓の一態様において、第3管路は、本体側に向かって次第に内径が小さくなる縮径部を有していてもよい。縮径部を設けることにより、第3管路内に段差が生じず、薬液の滞留をより生じにくくすることができる。 In one aspect of the medical stopcock, the third conduit may have a reduced diameter portion that gradually decreases in inner diameter toward the main body side. By providing the reduced diameter portion, no step is generated in the third pipeline, and the retention of the chemical liquid can be made more difficult to occur.
 医療用活栓の一態様において、溝部の幅は、第3管路における本体側の端部の幅以上としてもよい。このような構成とすることにより、第3管路を十分にフラッシングすることが可能となる。この場合、溝部の幅は1.5mm以上、4.0mm以下とすることができる。 In one aspect of the medical stopcock, the width of the groove may be equal to or greater than the width of the end on the main body side in the third conduit. By adopting such a configuration, the third pipe line can be sufficiently flushed. In this case, the width of the groove can be 1.5 mm or more and 4.0 mm or less.
 医療用活栓の一態様において、第3管路は、本体と反対側の端部からオスコネクタを挿入可能であり、挿入されたオスコネクタの先端は、隔壁の端面と当接するようにしてもよい。これにより、隔壁がオスコネクタの挿入深さを制限するストッパとなり、オスコネクタの接続が容易となると共に、弁体の脱落を生じにくくすることができる。 In one aspect of the medical stopcock, the third conduit can be inserted with a male connector from the end opposite to the main body, and the tip of the inserted male connector may be in contact with the end face of the partition wall. . Thereby, a partition becomes a stopper which restrict | limits the insertion depth of a male connector, and while connecting a male connector becomes easy, it can make it difficult to produce dropout of a valve body.
 医療用活栓の一態様において、第1管路は本体側に向かって縮径していてもよい。このような構成とすることにより、第1管路における液の滞留を少なくすることができる。 In one aspect of the medical stopcock, the first conduit may be reduced in diameter toward the main body. By setting it as such a structure, the retention of the liquid in a 1st pipe line can be decreased.
 医療用活栓の一態様において、第1の位置において、第1流路の外側端部は、第1管路の端部下面よりも低い位置となるように設けられていてもよい。このような構成とすることにより、位置合わせのずれが生じた場合にも第1の管路における液の滞留が生じにくくすることができる。 In one aspect of the medical stopcock, at the first position, the outer end of the first flow path may be provided at a position lower than the lower surface of the end of the first conduit. By adopting such a configuration, it is possible to make it difficult for liquid to stay in the first pipe line even when misalignment occurs.
 本開示の医療用活栓によれば、管路内における薬液の滞留を生じにくくすることができる。 According to the medical stopcock of the present disclosure, it is possible to make it difficult for the chemical liquid to stay in the pipeline.
図1は一実施形態に係る医療用活栓を示す斜視図である。FIG. 1 is a perspective view showing a medical stopcock according to an embodiment. 図2は図1のII-II線における断面図である。FIG. 2 is a sectional view taken along line II-II in FIG. 図3は図2のIII-III線における断面図である。3 is a cross-sectional view taken along line III-III in FIG. 図4は栓体が第1の位置にある場合を示す断面図である。FIG. 4 is a cross-sectional view showing a case where the plug is in the first position. 図5は栓体が第2の位置にある場合を示す断面図である。FIG. 5 is a cross-sectional view showing a case where the plug is in the second position. 図6は第1流路の部分を拡大して示す断面図である。FIG. 6 is an enlarged cross-sectional view showing a portion of the first flow path. 図7は栓体の変形例を示す断面図である。FIG. 7 is a cross-sectional view showing a modification of the plug. 図8は医療用活栓の変形例を示す断面図である。FIG. 8 is a sectional view showing a modification of the medical stopcock.
 図1~3に示すように、本実施形態の医療用活栓は三方活栓であり、円筒状の本体101と、本体101の側面に周方向に互いに間隔をおいて接続された第1管路111、第2管路112及び第3管路113と、本体101の内周面により外周面が支持され、本体101に対して相対的に回転可能な円柱状の栓体102とを有している。 As shown in FIGS. 1 to 3, the medical stopcock of the present embodiment is a three-way stopcock, and a cylindrical main body 101 and a first conduit 111 connected to the side surface of the main body 101 at intervals in the circumferential direction. The second pipe 112 and the third pipe 113 and the cylindrical plug body 102 whose outer peripheral surface is supported by the inner peripheral surface of the main body 101 and rotatable relative to the main body 101 are provided. .
 本実施形態の三方活栓は、第1管路111と第2管路112とが、本体101を挟んで直線的に設けられており、第3管路113は、第1管路111及び第2管路112と直交する方向に設けられている。図1においては、第1管路111がメスルアコネクタであり、第2管路112がカプラ付オスルアコネクタであり、第3管路113が弁体134を有するニードルレスコネクタである例を示している。本実施形態の三方活栓は任意の方向に配置して使用することができるが、以下においては、第3管路113を上側に向けて配置されているとして説明を行う。また、各管路について、本体101と接続されている側を基端、反対側を末端として説明する。 In the three-way cock of the present embodiment, the first pipe line 111 and the second pipe line 112 are linearly provided with the main body 101 interposed therebetween, and the third pipe line 113 includes the first pipe line 111 and the second pipe line 112. It is provided in a direction orthogonal to the pipe line 112. FIG. 1 shows an example in which the first pipe line 111 is a female luer connector, the second pipe line 112 is a male luer connector with a coupler, and the third pipe line 113 is a needleless connector having a valve body 134. ing. The three-way cock of the present embodiment can be used by being arranged in an arbitrary direction. However, in the following description, it is assumed that the third pipe 113 is arranged upward. Each pipe line will be described with the side connected to the main body 101 as the base end and the opposite side as the end.
 第3管路113の基端部には、筒状の本体101の軸方向に沿って第3管路113を2つの部分に区画する隔壁133が設けられている。栓体102は、外周面に設けられた溝部121を有している。栓体102はハンドル105と一体となっており、ハンドル105と共に回転させることができる。 A partition wall 133 that divides the third pipeline 113 into two parts along the axial direction of the cylindrical main body 101 is provided at the proximal end of the third pipeline 113. The plug body 102 has a groove 121 provided on the outer peripheral surface. The plug 102 is integrated with the handle 105 and can be rotated together with the handle 105.
 図4に示すように、栓体102を本体101に対して相対回転させて第1の位置とした際に、溝部121と本体101の内壁とにより第1管路111と第3管路113とを接続する第1の通路123と、第2管路112と第3管路113とを接続する第2流路124とが形成される。また、隔壁133の外周面と第3管路113の内壁面とにより第1流路123と第2流路124とを接続する第3流路127が形成され、溝部121と隔壁133の本体101側の端部とにより第1流路123と第2流路124とを接続する第4流路128が形成される。 As shown in FIG. 4, when the plug body 102 is rotated relative to the main body 101 to the first position, the first pipeline 111 and the third pipeline 113 are formed by the groove 121 and the inner wall of the main body 101. Are formed, and a second flow path 124 is formed to connect the second pipe 112 and the third pipe 113. In addition, a third flow path 127 that connects the first flow path 123 and the second flow path 124 is formed by the outer peripheral surface of the partition wall 133 and the inner wall surface of the third pipeline 113, and the groove portion 121 and the main body 101 of the partition wall 133 are formed. A fourth flow path 128 that connects the first flow path 123 and the second flow path 124 is formed by the end on the side.
 このため、第1流路123と第2流路124とは、第3管路113内を通過する第3流路127により接続されると共に、本体101内を通過する第4流路127によっても接続される。さらに、第3流路127は、隔壁133により第1管路111側の第1部分131と第2管路112側の第2部分132とに区切られている。第3流路127を流れる薬液等は、第1部分131と第2部分132とを通過する。 For this reason, the first flow path 123 and the second flow path 124 are connected by the third flow path 127 that passes through the inside of the third pipe 113 and also by the fourth flow path 127 that passes through the inside of the main body 101. Connected. Further, the third flow path 127 is divided by a partition wall 133 into a first portion 131 on the first conduit 111 side and a second portion 132 on the second conduit 112 side. The chemical solution or the like flowing through the third flow path 127 passes through the first portion 131 and the second portion 132.
 図5に示すように、栓体102を第1の位置から180度程度回転させた第2の位置とすることにより、第1管路111と第2管路112とは、溝部121と本体101の内壁面とにより形成される第5流路129により接続されるが、第3管路113とは接続されず第3流路127は閉鎖される。なお、栓体102を第1の位置から時計回りに90度程度回転させた第3の位置とすることにより、第1管路111と第3管路113とを接続することができ、反時計回りに90度程度回転させた第4の位置とすることにより第2管路112と第3管路113とを接続することができる。 As shown in FIG. 5, the first pipe 111 and the second pipe 112 include the groove 121 and the main body 101 by setting the plug 102 to the second position rotated about 180 degrees from the first position. Are connected by a fifth flow path 129 formed by the inner wall surface, but are not connected to the third conduit 113 and the third flow path 127 is closed. Note that the first pipe 111 and the third pipe 113 can be connected by setting the plug 102 to the third position rotated about 90 degrees clockwise from the first position. The second pipe 112 and the third pipe 113 can be connected by setting the fourth position rotated about 90 degrees around.
 栓体102を第1の位置として、第1管路111から第2管路112側へ薬液等を流す場合に、第4流路128が塞がれ、第3管路113に設けられた第3流路127だけが開通していると、流路の抵抗が大きくなり、第2管路112への流量が減少してしまう。しかし、本実施形態の三方活栓は、第3流路127だけでなく第4の流路128によっても第1管路111と第2管路112とが接続されているため、第1管路111から第2管路112への流量を確保し、流量減少を発生しにくくできる。第1流路123から第3流路127に流れ込んだ薬液は、第1部分131側を末端側に流れ、第3管路113の末端側において隔壁133を乗り越え第2部分132を通って第2流路124へ流れる。このため、隔壁133が無い場合と比べて、第3管路113の全体をフラッシングすることができる。従って、第3管路113から別の薬液を注入した場合に、第3管路113から注入した薬液が第3管路113内にほとんど滞留しないようにできる。 When the plug 102 is in the first position and a chemical solution or the like is flowed from the first pipeline 111 to the second pipeline 112 side, the fourth channel 128 is blocked and the third channel 113 is provided with the third channel 113. If only the three flow paths 127 are opened, the resistance of the flow paths increases, and the flow rate to the second pipe 112 decreases. However, in the three-way cock of the present embodiment, the first pipe line 111 and the second pipe line 112 are connected not only by the third flow path 127 but also by the fourth flow path 128. Thus, it is possible to secure a flow rate from the first pipe 112 to the second pipeline 112 and to prevent a decrease in the flow rate. The chemical liquid that has flowed into the third flow path 127 from the first flow path 123 flows to the end side on the first portion 131 side, passes over the partition wall 133 on the end side of the third conduit 113, passes through the second portion 132, and passes through the second portion 132. It flows to the flow path 124. For this reason, compared with the case where there is no partition 133, the whole 3rd pipe line 113 can be flushed. Therefore, when another chemical solution is injected from the third pipeline 113, the chemical solution injected from the third pipeline 113 can be hardly retained in the third pipeline 113.
 図3に示すように、第3管路113の基端部における軸方向に沿った幅は、第1流路123及び第2流路124である溝部121の幅と一致している。このため、第1管路111側から第1流路123を流れてきた第1の薬液は、第4流路128側だけでなく、第3流路127の第1部分131内へもスムーズに導かれる。また、第2部分132内から第2流路124へ流れる。このため、第3管路113内における薬液の滞留をより生じにくくすることができる。なお、三方活栓は輸液、麻酔及び経腸栄養等に使用され、それぞれの用途で適切な流量を確保するために溝部121の幅は1.5mm~4.0mmであることが好ましく、本体側の端部の幅は1.5mm~4.0mmであることが好ましい。 As shown in FIG. 3, the width along the axial direction at the base end portion of the third conduit 113 coincides with the width of the groove 121 that is the first flow path 123 and the second flow path 124. For this reason, the 1st chemical | medical solution which flowed through the 1st flow path 123 from the 1st pipe line 111 side smoothly into the 1st part 131 of the 3rd flow path 127 not only in the 4th flow path 128 side. Led. Further, it flows from the second portion 132 to the second flow path 124. For this reason, it is possible to make it difficult for the chemical liquid to stay in the third pipe 113. The three-way stopcock is used for infusion, anesthesia, enteral nutrition, and the like. The width of the groove 121 is preferably 1.5 mm to 4.0 mm in order to ensure an appropriate flow rate for each application. The width of the end is preferably 1.5 mm to 4.0 mm.
 なお、上記のような寸法は特に限定されるものでなく、用途によって適宜変更することができる。 In addition, the above dimensions are not particularly limited, and can be appropriately changed depending on the application.
 第3管路113には、末端側から基端側に向かって次第に内径が小さくなる縮径部135を設けることができる。縮径部135を設けることにより、第1流路123及び第2流路124である溝部121の幅に合わせて狭くなった基端側と、注射筒等が挿入できる内径を有する末端側とを段差無く接続することができ、第3流路127を流れる液量を十分に確保でき、薬液の滞留をより生じにくくすることができる。 The third conduit 113 can be provided with a reduced diameter portion 135 that gradually decreases in inner diameter from the distal side toward the proximal side. By providing the reduced diameter portion 135, a proximal end side narrowed in accordance with the width of the groove portion 121 which is the first flow path 123 and the second flow path 124, and a distal end side having an inner diameter into which an injection cylinder or the like can be inserted It is possible to connect without a step, to ensure a sufficient amount of liquid flowing through the third flow path 127, and to make it difficult for the chemical liquid to stay.
 第3管路113にオスルアコネクタを挿入する場合、隔壁133は、オスルアコネクタの挿入深さを制限するストッパとすることができる。この場合、オスルアコネクタを適切な位置まで挿入した際に、オスルアコネクタの先端が、隔壁133の末端側の端面と当接するように設計すればよい。例えば、標準的なカプラ付オスルアコネクタの場合、4.0mm~8.0mm程度挿入できるようにすることが好ましい。 When the male luer connector is inserted into the third conduit 113, the partition wall 133 can be a stopper that limits the insertion depth of the male luer connector. In this case, the male luer connector may be designed so that the distal end of the male luer connector contacts the end face of the partition wall 133 when the male luer connector is inserted to an appropriate position. For example, in the case of a standard male luer connector with a coupler, it is preferable to be able to insert about 4.0 mm to 8.0 mm.
 また、隔壁133の末端側は半球状等の曲面形状を有することが好ましい。このように構成することで、末端側が角形状である場合に比べて第3管路113内での滞留を防止しやすくなる。 Moreover, it is preferable that the terminal side of the partition wall 133 has a curved surface shape such as a hemisphere. By constituting in this way, it becomes easy to prevent staying in the 3rd pipe line 113 compared with the case where the end side is square shape.
 本実施形態において、栓体102を第1の位置とした状態において、図4に示すように、溝部121の第4流路128を構成する頂上部は平坦となっていることが好ましい。このような構成とすることにより、図5に示すように栓体102を第1の位置から180度回転させた第2の位置とした場合に、第5流路129の中間部に大きく盛り上がった凸部が生じている場合と比べて、第5流路129にボトルネックが生じにくく、第1管路111から第2管路112への十分な流量を確保できる。なお、頂上部は、完全に平らではなく若干の膨らみが設けられていてもよい。例えば、本体101の内周とほぼ平行な曲面等とすることができる。少なくとも、第1流路123である斜面と頂上部との接続部分及び第2流路124である斜面と頂上部との接続部分は、第3流路127方向へ伸びる曲面となっていた方が好ましい。このように構成することで、第3流路への流れが促され、第1管路111から第2管路112への十分な流量を確保できる。 In the present embodiment, in the state where the plug body 102 is in the first position, as shown in FIG. 4, it is preferable that the top of the fourth flow path 128 of the groove 121 is flat. By adopting such a configuration, as shown in FIG. 5, when the plug body 102 is set to the second position rotated 180 degrees from the first position, the middle portion of the fifth flow path 129 is greatly raised. Compared with the case where the convex part has arisen, a bottleneck does not arise easily in the 5th flow path 129, and sufficient flow volume from the 1st pipe line 111 to the 2nd pipe line 112 can be secured. Note that the top portion may not be completely flat but may have a slight bulge. For example, it can be a curved surface substantially parallel to the inner periphery of the main body 101. At least the connecting portion between the slope and the top that is the first flow path 123 and the connecting portion between the slope and the top that are the second flow path 124 should be curved surfaces extending in the direction of the third flow path 127. preferable. With this configuration, the flow to the third flow path is promoted, and a sufficient flow rate from the first pipe line 111 to the second pipe line 112 can be secured.
 また、図4に示すように、第1の位置において、第1流路123の上端部は、第1管路111の基端における上側の端部よりも上側に設けられることが好ましい。このように構成することで、第1部分131への流れが促され、その結果滞留を生じにくくすることができる。 As shown in FIG. 4, the upper end of the first flow path 123 is preferably provided above the upper end of the base end of the first conduit 111 at the first position. By comprising in this way, the flow to the 1st part 131 is promoted, As a result, it can make it difficult to produce a stay.
 なお、三方活栓は輸液、麻酔及び経腸栄養等に使用され、それぞれの用途で適切な流量を確保するために本体101の内径Φは4.5mm~10.5mmとすることができる。栓体102を第1の位置とした際に、第3管路113を通る薬液の量を十分に確保するために、第4流路128における溝部121の底面と隔壁133の本体101側の端面との最小間隔d1は、0.8mm~2.8mm程度とすることが好ましい。d1をこのような値とすることにより、栓体102を第2の位置とした際に、第1管路111と第2管路112との間の流量も十分に確保できる。また、溝部121の最大高低差hを2.0mm~5.0mm程度とすることもできる。 The three-way stopcock is used for infusion, anesthesia, enteral nutrition, and the like, and the inner diameter Φ of the main body 101 can be 4.5 mm to 10.5 mm in order to ensure an appropriate flow rate for each application. When the stopper 102 is set to the first position, the bottom surface of the groove 121 and the end surface of the partition wall 133 on the main body 101 side are secured in order to ensure a sufficient amount of the chemical solution passing through the third conduit 113. Is preferably about 0.8 mm to 2.8 mm. By setting d1 to such a value, the flow rate between the first pipe line 111 and the second pipe line 112 can be sufficiently secured when the plug body 102 is set to the second position. Further, the maximum height difference h of the groove 121 can be about 2.0 mm to 5.0 mm.
 栓体102を第1の位置とした際に、第1流路123及び第2流路124の流量を確保するために、第1流路123及び第2流路124における溝部121の底面と本体101の内壁面との最小間隔d2及びd3は、1.0mm~2.5mm程度とすることが好ましい。d2及びd3をこのような値とすることにより、栓体120を第2の位置とした際に、第1管路111と第2管路112との間の流量も十分に確保できる。 In order to ensure the flow rate of the first flow path 123 and the second flow path 124 when the plug body 102 is set to the first position, the bottom surface and the main body of the groove 121 in the first flow path 123 and the second flow path 124 The minimum distances d2 and d3 from the inner wall surface of 101 are preferably about 1.0 mm to 2.5 mm. By setting d2 and d3 to such values, the flow rate between the first pipe line 111 and the second pipe line 112 can be sufficiently secured when the plug body 120 is set to the second position.
 なお、上記のような寸法は特に限定されるものでなく、用途によって適宜変更することができる。 In addition, the above dimensions are not particularly limited, and can be appropriately changed depending on the application.
 図4に示すように、栓体102を第1の位置とした状態において、溝部121における第1流路123を構成する部分の延長線が、隔壁133の第1管路111側の側面の最下端に達し、第2流路124を構成する部分の延長線が、隔壁133の第2管路112側の側面の最下端に達するようにできる。栓体102を第2の位置とした際に十分な流量を確保できるように第4流路128を大きくすると、栓体102を第1の位置とした場合に、第1管路111から第2管路112へ流れる薬液の大部分が隔壁133の下側の第4流路128を通過してしまい、第3管路113をフラッシングできないおそれがある。しかし、本実施形態の三方活栓は、溝部121における第1流路123である斜面の延長線及び第2流路124である斜面の延長線が、隔壁133の側面の最下端に達するように設計されている。このため、第1管路111から第1流路123により第3管路113に向かう薬液の流れは、隔壁133の側面に当たり、隔壁133に沿って第3流路127の第1部分131内に侵入しやすくなる。また、第2部分132からの薬液の流れは、第2流路124に当たり、第2管路112側へ流れやすくなる。このため、第3管路113を通る薬液の量を十分に確保することができる。 As shown in FIG. 4, in the state where the plug body 102 is in the first position, the extension line of the portion constituting the first flow path 123 in the groove 121 is the outermost side surface of the partition wall 133 on the first pipeline 111 side. The extension line of the portion that reaches the lower end and forms the second flow path 124 can reach the lowermost end of the side surface of the partition wall 133 on the second conduit 112 side. When the fourth flow path 128 is enlarged so that a sufficient flow rate can be ensured when the plug body 102 is set to the second position, the second pipe 111 is connected to the second flow path when the plug body 102 is set to the first position. Most of the chemical liquid flowing to the pipe line 112 passes through the fourth flow path 128 below the partition wall 133, and the third pipe line 113 may not be flushed. However, the three-way cock of the present embodiment is designed such that the extended line of the slope that is the first flow path 123 and the extended line of the slope that is the second flow path 124 in the groove portion 121 reach the lowest end of the side surface of the partition wall 133. Has been. For this reason, the flow of the chemical liquid from the first pipe 111 toward the third pipe 113 through the first flow path 123 hits the side surface of the partition wall 133, and enters the first portion 131 of the third flow path 127 along the partition wall 133. It becomes easy to invade. In addition, the flow of the chemical solution from the second portion 132 hits the second flow path 124 and easily flows toward the second conduit 112. For this reason, it is possible to ensure a sufficient amount of the chemical solution that passes through the third pipeline 113.
 なお、図6に示すように、栓体102を第1の位置とした状態において、溝部121における第1流路123を構成する部分の第3管路側113側の端部(上端部)123aは、第3流路127の第1の部分131を本体101内に延長した範囲に位置するようにすることができる。第1流路123の上端部123aが、第1の部分131を延長した範囲内に位置することにより、第1流路123から第3流路127へ流れる流量を十分に確保することができる。同様に、栓体102を第1の位置とした状態において、溝部121における第2流路124を構成する部分の第3管路側113側の端部(上端部)124aは、第3流路127の第2の部分132を本体101内に延長した範囲に位置するようにすることができる。 As shown in FIG. 6, in the state where the plug body 102 is in the first position, the end portion (upper end portion) 123a on the third conduit side 113 side of the portion constituting the first flow path 123 in the groove portion 121 is The first portion 131 of the third flow path 127 can be positioned in a range extending into the main body 101. Since the upper end portion 123a of the first flow path 123 is located within the range in which the first portion 131 is extended, a sufficient flow rate can be ensured from the first flow path 123 to the third flow path 127. Similarly, in the state where the plug body 102 is in the first position, the end portion (upper end portion) 124a on the third conduit side 113 side of the portion constituting the second flow path 124 in the groove 121 is the third flow path 127. The second portion 132 can be positioned in a range extending into the main body 101.
 また、図7に示すように、栓体102を第1の位置とした場合に、溝部121における第1流路123及び第2流路124となる部分は、隔壁133がある方向へ湾曲していてもよい。この場合にも、栓体102を第1の位置とした状態において、溝部121における第1流路123を構成する部分の上端部123aは、第3流路127の第1の部分131を本体101内に延長した範囲に位置するようにすることができる。このような構成とすることで、栓体102を第1の位置とした場合に、第1流路123の流量を十分に確保しやすくなり、第1流路123から第3流路127へ流れ込む流量及び第1流路123から第4流路128へ流れ込む流量を確保しやすくなる。また、栓体102を第2の位置とした場合に、第1管路111から第2管路112への流量も確保しやすくなる。 As shown in FIG. 7, when the plug body 102 is in the first position, the portions that become the first flow path 123 and the second flow path 124 in the groove 121 are curved in the direction in which the partition wall 133 is present. May be. Also in this case, in the state where the plug body 102 is in the first position, the upper end portion 123a of the portion constituting the first flow path 123 in the groove portion 121 causes the first portion 131 of the third flow path 127 to be the main body 101. It can be located in a range extended inward. With such a configuration, when the plug body 102 is set to the first position, it becomes easy to sufficiently secure the flow rate of the first flow path 123 and flows from the first flow path 123 into the third flow path 127. It becomes easy to ensure the flow rate and the flow rate that flows from the first flow path 123 to the fourth flow path 128. Further, when the plug body 102 is set to the second position, it is easy to secure a flow rate from the first pipeline 111 to the second pipeline 112.
 また、図6、図7に示すように、第1流路121の斜面の頂部付近における曲率の符号が正から負、又は負から正に変化する部分は1カ所であることが好ましい。曲率が変化する部分を1ヶ所とすることにより、第1流路121において段差を生じさせず、段差による滞留を生じにくくできる。 Also, as shown in FIGS. 6 and 7, it is preferable that the number of portions where the sign of curvature near the top of the slope of the first flow path 121 changes from positive to negative or from negative to positive is one. By making the portion where the curvature changes one place, a step is not generated in the first flow path 121, and it is difficult to cause a stay due to the step.
 本実施形態の三方活栓は、第1流路123の延長線及び第2流路124の延長線が、隔壁133の側面の最下端に達するようにしたが、溝部121における第1流路123である部分の延長線及び第2流路124である部分の延長線が、隔壁133と交差するようにできればよく、隔壁133の側面の最下端よりも上側に達するようにすることともできる。この場合においても、第1流路123の延長線及び第2流路124の延長線が隔壁133の基端面に達している場合と比べて、第3管路113へ薬液を導くことができる。但し、第1流路123の延長線及び第2流路124の延長線が、隔壁133の側面の最下端に達している場合の方が、流路となる溝部121の深さを確保しやすく、流量の確保が容易となる。 In the three-way cock of the present embodiment, the extension line of the first flow path 123 and the extension line of the second flow path 124 reach the lowest end of the side surface of the partition wall 133. The extension line of a certain part and the extension line of the part which is the 2nd flow path 124 should just be able to cross | intersect the partition 133, and can also be made to reach the upper side rather than the lowest end of the side surface of the partition 133. Even in this case, compared with the case where the extension line of the first flow path 123 and the extension line of the second flow path 124 reach the base end surface of the partition wall 133, the chemical solution can be guided to the third conduit 113. However, when the extension line of the first flow path 123 and the extension line of the second flow path 124 reach the lowermost end of the side surface of the partition wall 133, it is easier to secure the depth of the groove 121 that becomes the flow path. Securing the flow rate is easy.
 図4に示すように、栓体102を第1の位置とした場合に、第1流路123の外側端部が、第1管路111の基端における下側の端部(端部下面)よりも若干下側に位置し、第2流路124の外側端部が、第2管路112の端部下面よりも若干下側に位置することが好ましい。術者が栓体102を操作する際に、完全にずれが生じないように位置を合わせることは困難であり、通常は0°より大きく±6°より小さい程度のずれが生じる。栓体102を完全に第1の位置に合わせた場合に、第1流路123と第1管路111との端部同士及び第2流路124と第2管路112との端部同士が完全に一致するようにすると、位置合わせの僅かなずれによっても、第1管路111の基端を塞ぐような段差が生じるおそれがある。第1管路111の基端を塞ぐような段差が生じると、流量が制限され、滞留の原因となる。一方、栓体102を完全に第1の位置に合わせた場合に、第1流路123の外側端部が第1管路111の端部下面よりも若干下側に位置するようにすれば、位置合わせがずれた場合においても第1管路111の端部を塞ぐような段差を生じにくくすることができる。第2流路124と第2管路112との関係においても同様である。 As shown in FIG. 4, when the plug body 102 is set to the first position, the outer end of the first flow path 123 is the lower end (lower end face) at the base end of the first conduit 111. It is preferable that the outer end portion of the second flow path 124 is located slightly below the lower surface of the end portion of the second conduit 112. When the surgeon operates the plug body 102, it is difficult to align the positions so as not to cause a complete shift, and a shift of a degree larger than 0 ° and smaller than ± 6 ° is usually generated. When the plug body 102 is completely aligned with the first position, the ends of the first flow path 123 and the first conduit 111 and the ends of the second flow path 124 and the second conduit 112 are If they are completely matched, a slight difference in alignment may cause a step that closes the proximal end of the first pipeline 111. If a level difference that blocks the proximal end of the first pipe line 111 occurs, the flow rate is limited, which causes retention. On the other hand, when the stopper 102 is completely aligned with the first position, if the outer end of the first flow path 123 is positioned slightly below the lower surface of the end of the first conduit 111, Even in the case of misalignment, it is possible to make it difficult to generate a step that closes the end of the first pipeline 111. The same applies to the relationship between the second flow path 124 and the second pipe line 112.
 また、図5に示すように、栓体102を第2の位置とした場合に、第5流路129の第2管路112側の外側端部が、第2管路112の基端における上側の端部(端部上面)よりも若干上側に位置し、第5流路129の第1管路111側の外側端部が、第1管路111の基端における端部正面よりも若干上側に位置することが好ましい。このような配置とすることにより、栓体102が第2の位置から若干ずれた場合においても、第1管路111の端部を塞ぐような段差が生じにくく、第1管路111と第2管路112との間を第5流路129を介してスムーズに薬液が流れるようにできる。 Further, as shown in FIG. 5, when the plug body 102 is in the second position, the outer end of the fifth channel 129 on the second conduit 112 side is the upper side at the base end of the second conduit 112. The outer end of the fifth channel 129 on the first conduit 111 side is slightly above the front of the end at the base end of the first conduit 111. It is preferable to be located at. By adopting such an arrangement, even when the plug body 102 is slightly deviated from the second position, a step that closes the end of the first pipeline 111 is unlikely to occur, and the first pipeline 111 and the second pipeline The chemical solution can flow smoothly between the pipe 112 and the fifth channel 129.
 本実施形態において、第3管路113に設ける弁体134は、スリットを有するスリット弁とすることができる。スリット弁とすることにより、第3管路113にルアシリンジ等のオスルアコネクタを挿入し、薬液を容易に注入することができる。また、オスルアコネクタを抜き取ることにより再び第3管路113の末端を閉止できる。 In the present embodiment, the valve body 134 provided in the third conduit 113 can be a slit valve having a slit. By using the slit valve, a male luer connector such as a luer syringe can be inserted into the third conduit 113 and the chemical solution can be easily injected. Moreover, the terminal of the 3rd pipe line 113 can be closed again by extracting a male luer connector.
 本実施形態において、第3管路113の末端を閉止する弁体134が外部ハウジング137と内部ハウジング136との間に挟み込まれている例を示したが、弁体134の固定方法はこれに限らずどのようにしてもよい。また、外部ハウジング137にカプラを係合するためのねじ山138が設けられている構成としたが、ねじ山138が無い構成としてもよい。第3管路113は、薬液等の注入及び末端の閉止ができれば、ニードルレスコネクタ以外のコネクタとすることもできる。例えば、スリットの無い弁体を設け、注射針を用いて薬液を注入する構成とすることができる。また、図8に示すように、ルアシリンジ等が接続できる単純なメスコネクタとすることも可能である。 In the present embodiment, the example in which the valve body 134 that closes the end of the third pipe 113 is sandwiched between the outer housing 137 and the inner housing 136 is shown, but the fixing method of the valve body 134 is not limited thereto. You can do anything. In addition, although the thread 138 for engaging the coupler with the outer housing 137 is provided, the structure without the thread 138 may be employed. The third conduit 113 can be a connector other than the needleless connector as long as it can inject a chemical solution and close the end. For example, it can be set as the structure which provides a valve body without a slit and inject | pours a chemical | medical solution using an injection needle. Moreover, as shown in FIG. 8, it is also possible to use a simple female connector to which a luer syringe or the like can be connected.
 本実施形態において、第1管路111がメスルアコネクタであり、第2管路112がオスルアコネクタである例を示したが、第1管路111及び第2管路112はどのようなコネクタとしてもよい。例えば、メスルアコネクタとオスルアコネクタを入れ替えても、両方をオスルアコネクタ又はメスルアコネクタとしてもよい。また、コネクタではなく、パイプ等と直結されていてもよい。本実施形態において、上流側の管路は、本体部に向かって次第に縮径しているようにすることができる。このような構成とすることにより、上流側の管路内における液の滞留を生じにくくすることができる。 In the present embodiment, an example in which the first pipe line 111 is a female luer connector and the second pipe line 112 is a male luer connector is shown, but what kind of connector is used for the first pipe line 111 and the second pipe line 112? It is good. For example, even if a female luer connector and a male luer connector are interchanged, both may be a male luer connector or a female luer connector. Moreover, you may be directly connected with the pipe etc. instead of the connector. In the present embodiment, the upstream pipe line can be gradually reduced in diameter toward the main body. By adopting such a configuration, it is possible to make it difficult for the liquid to stay in the upstream pipe line.
 本実施形態において、医療用活栓が三方活栓である例を示したが、三方活栓に限らず、薬液の注入を行う分岐を有している医療用活栓を同様の構成とすることができる。例えば、第3管路と反対側に第4管路が設けられた構成とすることもできる。 In the present embodiment, an example in which the medical stopcock is a three-way stopcock has been shown. However, the present invention is not limited to a three-way stopcock, and a medical stopcock having a branch for injecting a chemical solution can be configured similarly. For example, it can also be set as the structure by which the 4th pipe line was provided in the opposite side to the 3rd pipe line.
 本実施形態の医療用活栓は、管路内における薬液の滞留が生じにくく、輸液回路等の医療用回路に接続する医療用活栓として有用である。 The medical stopcock of the present embodiment is less likely to cause retention of the chemical solution in the pipeline, and is useful as a medical stopcock connected to a medical circuit such as an infusion circuit.
101   本体
102   栓体
105   ハンドル
111   第1管路
112   第2管路
113   第3管路
121   溝部
123   第1流路
124   第2流路
127   第3流路
128   第4流路
129   第5流路
131   第1部分
132   第2部分
133   隔壁
134   弁体
135   縮径部
136   内部ハウジング
137   外部ハウジング
138   ねじ山
101 Main Body 102 Plug 105 Handle 111 First Pipe 112 112 Second Pipe 113 Third Pipe 121 Groove 123 First Channel 124 Second Channel 127 Third Channel 128 Fourth Channel 129 Fifth Channel 131 First part 132 Second part 133 Partition 134 Valve element 135 Reduced diameter part 136 Internal housing 137 External housing 138 Thread

Claims (10)

  1.  円筒状の本体と、
     前記本体の側面に周方向に互いに間隔をおいてそれぞれ接続された第1管路、第2管路及び第3管路と、
     前記本体の内周面により外周面が支持され、前記本体に対して相対的に回転可能な柱状の栓体とを備え、
     前記第3管路は、前記第3管路内を区画する隔壁を有し、
     前記栓体は、その外周面に設けられた溝部を有し、
     前記第1管路と前記第2管路とは、前記栓体を第1の位置とした際に、前記溝部と前記本体の内壁面とにより構成され、前記第1管路と前記第3管路とを接続する第1流路と、前記溝部と前記本体の内壁面とにより構成され、前記第2管路と前記第3管路とを接続する第2流路と、前記隔壁の外周面と前記第3管路の内壁面とにより構成され、前記第1流路と前記第2流路とを接続する第3流路と、前記溝部と前記隔壁の前記本体側の端面とにより構成され、前記第1流路と前記第2流路とを接続する第4流路とにより接続される、医療用活栓。
    A cylindrical body;
    A first pipe line, a second pipe line, and a third pipe line connected to the side surface of the main body at intervals in the circumferential direction;
    The outer peripheral surface is supported by the inner peripheral surface of the main body, and includes a columnar plug body that is rotatable relative to the main body,
    The third pipe line has a partition wall that divides the inside of the third pipe line,
    The plug has a groove provided on the outer peripheral surface thereof,
    The first conduit and the second conduit are constituted by the groove and an inner wall surface of the main body when the plug body is in the first position, and the first conduit and the third tube A first flow path for connecting a path, the groove and the inner wall surface of the main body, a second flow path for connecting the second pipe and the third pipe, and an outer peripheral surface of the partition wall And an inner wall surface of the third pipe line, a third flow path connecting the first flow path and the second flow path, a groove portion, and an end surface of the partition wall on the main body side. A medical stopcock connected by a fourth flow path connecting the first flow path and the second flow path.
  2.  前記栓体を前記第1の位置とした場合に、前記溝部における前記第1流路となる部分の延長線は、前記隔壁の前記第1管路側の側面に達し、前記溝部における前記第2流路となる部分の延長線は、前記隔壁の前記第2管路側の側面に達する、請求項1に記載の医療用活栓。 When the plug body is in the first position, an extension line of a portion that becomes the first flow path in the groove portion reaches a side surface of the partition on the first conduit side, and the second flow in the groove portion. The medical stopcock according to claim 1, wherein an extension line of a portion that becomes a path reaches a side surface of the partition wall on the second conduit side.
  3.  前記栓体を前記第1の位置とした場合に、前記溝部における前記第1流路となる部分は、前記隔壁と交差し、前記第3管路に向かう方向に延びている、請求項1に記載の医療用活栓。 2. When the plug body is in the first position, a portion to be the first flow path in the groove portion intersects the partition wall and extends in a direction toward the third pipe line. Medical stopcock as described.
  4.  前記第3流路は、前記第1管路側の第1の部分と、前記第2管路側の第2の部分とを有し、
     前記栓体を前記第1の位置とした場合に、前記溝部における前記第1流路となる部分の前記第3管路側の端部は、前記第3流路の第1の部分を前記本体内に延長した範囲内に位置する、請求項1に記載の医療用活栓。
    The third flow path has a first portion on the first conduit side and a second portion on the second conduit side,
    When the plug body is in the first position, the end portion on the third pipe line side of the portion that becomes the first flow path in the groove portion has the first portion of the third flow path in the main body. The stopcock for medical use according to claim 1, which is located within a range extended to the above.
  5.  前記第3管路は、前記本体側に向かって次第に内径が小さくなる縮径部を有している、請求項1~4のいずれか1項に記載の医療用活栓。 The medical stopcock according to any one of claims 1 to 4, wherein the third conduit has a reduced diameter portion that gradually decreases in inner diameter toward the main body.
  6.  前記第3管路における前記本体側の端部の幅は、前記溝部の幅以上である、請求項1~5のいずれか1項に記載の医療用活栓。 The medical stopcock according to any one of claims 1 to 5, wherein a width of the end portion on the main body side in the third conduit is equal to or greater than a width of the groove portion.
  7.  前記溝部の幅は1.5mm以上、4.0mm以下である、請求項6に記載の医療用活栓。 The medical stopcock according to claim 6, wherein the groove has a width of 1.5 mm or more and 4.0 mm or less.
  8.  前記第3管路は、前記本体と反対側の端部からオスコネクタを挿入可能であり、
     挿入された前記オスコネクタの先端は、前記隔壁の端面と当接する、請求項1~7のいずれか1項に記載の医療用活栓。
    The third pipe line can be inserted with a male connector from the end opposite to the main body,
    The medical stopcock according to any one of claims 1 to 7, wherein a distal end of the inserted male connector comes into contact with an end face of the partition wall.
  9.  前記第1管路は前記本体側に向かって縮径している、請求項1~8のいずれか1項に記載の医療用活栓。 The medical stopcock according to any one of claims 1 to 8, wherein the diameter of the first conduit is reduced toward the main body.
  10.  前記第1の位置において、前記第1流路の外側端部は、前記第1管路の端部下面よりも低い位置となるように設けられている、請求項1~9のいずれか1項に記載の医療用活栓。 10. The outer edge of the first flow path at the first position is provided so as to be lower than the lower surface of the end of the first pipe line. A stopcock for medical use according to 1.
PCT/JP2017/004687 2016-03-02 2017-02-09 Medical stopcock WO2017150125A1 (en)

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Cited By (3)

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Publication number Priority date Publication date Assignee Title
KR20220063270A (en) * 2019-09-27 2022-05-17 가부시키가이샤 후지킨 valve
KR102643448B1 (en) 2019-09-27 2024-03-06 가부시키가이샤 후지킨 valve
WO2023141729A1 (en) 2022-01-26 2023-08-03 Silberspross Gmbh Medical fluid control device

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JP6864838B2 (en) 2021-04-28
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