WO2023162902A1 - Catheter assembly - Google Patents

Catheter assembly Download PDF

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Publication number
WO2023162902A1
WO2023162902A1 PCT/JP2023/005884 JP2023005884W WO2023162902A1 WO 2023162902 A1 WO2023162902 A1 WO 2023162902A1 JP 2023005884 W JP2023005884 W JP 2023005884W WO 2023162902 A1 WO2023162902 A1 WO 2023162902A1
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WO
WIPO (PCT)
Prior art keywords
catheter
catheter assembly
opening member
inner needle
reinforcing rib
Prior art date
Application number
PCT/JP2023/005884
Other languages
French (fr)
Japanese (ja)
Inventor
水野慎一
市川翔平
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 WO2023162902A1 publication Critical patent/WO2023162902A1/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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06Body-piercing guide needles or the like

Definitions

  • the present invention relates to a medical catheter assembly.
  • the catheter assembly is left in the patient's blood vessel and used for infusion of fluids to the patient.
  • the catheter assembly shown in WO2019/065943 comprises a catheter and an inner needle assembly inserted inside the catheter.
  • the catheter is left in the patient's blood vessel.
  • the inner needle assembly is withdrawn from the catheter after introducing the catheter into the blood vessel.
  • the catheter has a catheter body and a catheter hub.
  • the catheter hub is a portion that supports the base of the catheter body, and has a hemostasis valve and an opening member inside.
  • a hemostasis valve is a valve that prevents backflow of blood when a catheter body is inserted into the body.
  • the opening member also called a plug, is a member that opens the hemostatic valve. When a male connector such as an infusion line or a syringe is connected to the catheter hub, the opening member comes into contact with the distal end of the male connector and advances toward the hemostasis valve to open the hemostasis valve.
  • JP-T-2018-529408 discloses a protective member that covers the tip of the inner needle when the inner needle assembly is removed.
  • the protection member disclosed in JP-T-2018-529408 is housed in the opening member.
  • the opening member does not advance and the hemostasis valve does not open.
  • the hemostasis valve may not open no matter how much the male connector is pushed, requiring replacement of the catheter.
  • An object of the present invention is to solve the above problems.
  • the present invention discloses the following catheter assembly.
  • a catheter body a catheter hub supporting the proximal end of the catheter body, a hemostasis valve disposed inside the catheter hub, and a hemostasis valve inside the catheter hub adjacent to the proximal end of the hemostasis valve an opening member arranged to open the hemostasis valve, wherein the opening member is surrounded by a cylindrical body that slides on the inner peripheral surface of the catheter hub, and the inner peripheral surface of the body; a housing portion extending in the axial direction, a neck portion extending from the body portion toward the distal end with a reduced diameter, a pair of legs extending from the proximal end of the body portion toward the proximal end side, and at least A reinforcing rib having a apex that bulges from the inner peripheral surface of one of the legs toward the center of the opening member, the apex being the thickest among the legs and extending in the axial direction. and a catheter assembly.
  • the reinforcing ribs prevent deformation of the foot of the opening member, so that the opening member can be reliably advanced and the hemostatic valve can be prevented from failing to open.
  • the width of the reinforcing rib is narrower than the width of the foot, and the central position of the reinforcing rib in the width direction A catheter assembly spaced from a line connecting the widthwise center of the foot and the axis of the opening member. This catheter assembly can more effectively prevent contact between the protective member and the reinforcing ribs, and can prevent the occurrence of defective products and the contamination of foreign substances.
  • the catheter assembly according to any one of items [1] to [9], further comprising: an inner needle inserted inside the catheter body; and the inner needle attached to the inner needle. a protective member that covers the needle tip of the inner needle when the catheter assembly is withdrawn, wherein the protective member is housed in the housing portion of the opening member.
  • This catheter assembly can compactly accommodate the protective member.
  • This catheter assembly can prevent contact between the reinforcing ribs of the opening member and the protective member even if the protective member is slightly misaligned in the assembly process.
  • the leg portion of the opening member is provided with a reinforcing rib that protrudes thickly.
  • the reinforcing rib prevents the leg from bending when it comes into contact with the distal end of the male connector, thereby preventing the leg of the opening member from being pressed by the catheter hub and stuck due to frictional force.
  • FIG. 1 is an exploded perspective view of a catheter assembly according to a first embodiment
  • FIG. 2A is a perspective view of the opening member of FIG. 1
  • FIG. 2B is a plan view showing the appearance of the opening member of FIG. 1 when viewed from the proximal end
  • 3 is a cross-sectional view along the axis of the opening member of FIG. 1, showing a cross-section along the widthwise center of a pair of legs.
  • 4A is a perspective view of the protection member in FIG. 1
  • FIG. 4B is a perspective cross-sectional view showing a cross section along the axial direction of the protection member in FIG.
  • FIG. 5 is a perspective view of an opening member containing a protective member;
  • FIG. 1 is an exploded perspective view of a catheter assembly according to a first embodiment
  • FIG. 2A is a perspective view of the opening member of FIG. 1
  • FIG. 2B is a plan view showing the appearance of the opening member of FIG. 1 when viewed from the proxi
  • FIG. 6 is a cross-sectional view for explaining a step of assembling the catheter in the manufacturing method of the catheter assembly of FIG.
  • FIG. 7 is an explanatory view of the process of inserting the inner needle and the protective member into the opening member of the catheter of FIG. 6
  • 8A is a cross-sectional view of a state in which the protection member is accommodated in the opening member
  • FIG. 8B is an explanatory view of the opening member and the protection member in FIG. 8A viewed from the proximal end side.
  • FIG. 9 is a cross-sectional view for explaining the step of attaching the needle hub to the catheter hub in the manufacturing method of the catheter assembly of FIG.
  • FIG. 10A is a diagram for explaining the operation of connecting the male connector to the catheter hub after removing the inner needle, relating to the method of using the catheter assembly of FIG. 1, and FIG. 10B is a contact portion between the opening member and the male connector is a schematic diagram showing the force acting on the .
  • 11A is an explanatory view of the case where there is no angular deviation in the step of housing the protective member in the opening member in the manufacturing method of the catheter assembly of FIG. 1, and FIG. 11B is an illustration in which the protective member is inclined with respect to the opening member. It is an explanatory view of the case.
  • 12A is a perspective view of an opening member according to a second embodiment
  • FIG. 12B is a plan view showing the appearance of the opening member of FIG.
  • FIG. 12A viewed from the proximal side.
  • 13A and 13B are explanatory diagrams of a process of assembling a protective member to the opening member of FIG. 12A.
  • 14A is a perspective view of an opening member according to a third embodiment, and FIG. 14B is a plan view showing the appearance of the opening member of FIG. 14A viewed from the proximal side.
  • 15A and 15B are explanatory diagrams of a process of assembling the protective member to the opening member of FIG. 14A.
  • a catheter assembly 10 has a catheter 12 and an inner needle assembly 14, as shown in FIG.
  • the catheter assembly 10 has a structure in which the inner needle assembly 14 is assembled from the proximal end side of the catheter 12 in the initial state (state of product provision) before use.
  • the catheter 12 is used for fluid transfusion, blood transfusion, and the like.
  • Catheter 12 is, for example, a peripheral venous catheter.
  • catheter 12 may be a central venous catheter, a PICC, or a midline catheter.
  • the catheter 12 is not limited to a venous catheter, and may be an arterial catheter such as a peripheral arterial catheter.
  • the catheter 12 has a catheter body 16 and a catheter hub 18.
  • the catheter body 16 is a hollow body having a lumen 15 inside.
  • the catheter body 16 and lumen 15 extend axially.
  • the catheter body 16 and the lumen 15 have circular cross sections perpendicular to the axial direction.
  • the lumen 15 communicates with a distal opening 15 a formed at the distal end of the catheter body 16 and a proximal opening 15 b formed at the proximal end of the catheter body 16 .
  • the catheter body 16 has flexibility.
  • the material constituting the catheter body 16 is not particularly limited, but a transparent soft resin material can be applied.
  • a catheter hub 18 is fixed to the proximal end of the catheter body 16 .
  • the catheter hub 18 has a tubular shape that tapers in the distal direction.
  • the catheter hub 18 has an internal space 18a inside.
  • the internal space 18a communicates with the lumen 15 of the catheter body 16 on the distal end side.
  • the internal space 18a opens as a proximal open portion 18b on the proximal side.
  • a flange 18 c is formed on the outer peripheral surface of the proximal end of the catheter hub 18 .
  • the flange 18c extends along the circumferential direction.
  • the catheter hub 18 accommodates a hemostasis valve 22, an opening member 24, and a fixing member 26 in an internal space 18a.
  • the hemostasis valve 22 is a valve that blocks blood flowing from the lumen 15 of the catheter body 16 into the internal space 18a from leaking from the proximal end opening 18b.
  • the hemostatic valve 22 is, for example, a duckbill valve, and has a slit 22a on the distal end side.
  • the hemostasis valve 22 is opened by inserting an opening member 24 disposed on the proximal side to open the slit 22a.
  • the opening member 24 is arranged on the proximal side of the hemostatic valve 22 .
  • the opening member 24 has a cylindrical body portion 30, a neck portion 32 connected to the distal end of the body portion 30 and protruding in the distal direction, and a pair of leg portions 34 projecting from the proximal end of the body portion 30 in the proximal direction.
  • a space portion 36 of the opening member 24 is formed inside the body portion 30 and the neck portion 32 .
  • the outer peripheral portion 30a of the body portion 30 has a cylindrical surface.
  • the outer diameter of the outer peripheral portion 30 a is slightly smaller than the inner diameter of the inner space 18 a of the catheter hub 18 .
  • the outer diameter of the outer peripheral portion 30a is constant throughout the axial direction.
  • the trunk portion 30 has an accommodating portion 36a inside.
  • the accommodation portion 36 a is a space surrounded by the inner peripheral portion 30 b and occupies a portion of the space portion 36 .
  • the inner peripheral portion 30b includes a curved portion 30c, a flat portion 30d, and an inclined portion 30e.
  • the flat portion 30d is formed by a flat surface.
  • a pair of flat portions 30d are formed with an interval of 180° in the circumferential direction of the inner peripheral portion 30b.
  • Each flat portion 30d is located on the tip end side of the leg portion 34 in the axial direction and extends in the axial direction.
  • the curved surface portion 30c is arranged between the pair of flat portions 30d.
  • the curved surface portion 30c has a cylindrical surface formed concentrically with the outer peripheral portion 30a.
  • the inclined portion 30e has an inclined surface formed at the proximal end of the curved surface portion 30c. The inclined portion 30e guides the protective member 46 to the space portion 36 when the later-described protective member 46 is attached to the opening member 24. As shown in FIG.
  • the body portion 30 further has a window portion 30f obtained by cutting out a portion of the curved surface portion 30c in a rectangular shape.
  • the window portion 30f accommodates a portion of the protection member 46 in the initial state.
  • the neck portion 32 passes through the slit 22a of the hemostatic valve 22 to open the hemostatic valve 22 when the opening member 24 moves to the distal end side.
  • the neck portion 32 has a cylindrical shape with an outer diameter smaller than that of the body portion 30 . In the initial state, neck 32 is positioned inside hemostasis valve 22 . The step between the neck portion 32 and the body portion 30 prevents the movement of the opening member 24 in the distal direction by being caught by the hemostatic valve 22 when the opening member 24 moves distally.
  • the neck 32 has a neck-side space 36b inside.
  • the neck-side space 36b is connected to the housing portion 36a and constitutes a part of the space portion 36.
  • Neck 32 has a side hole 38 .
  • the side hole 38 penetrates the outer peripheral surface and the inner peripheral surface of the neck portion 32 .
  • the side hole 38 communicates the neck-side space 36b with the outside.
  • the pair of leg portions 34 are integrally connected to the body portion 30 at the proximal end 30g of the body portion 30.
  • One foot portion 34 and the other foot portion 34 are arranged with an interval of 180° in the circumferential direction.
  • the one leg portion 34 and the other leg portion 34 extend from the proximal end 30g of the trunk portion 30 toward the proximal end side in the axial direction by a predetermined length.
  • the one leg portion 34 and the other leg portion 34 have a rectangular shape when viewed from the side.
  • the outer peripheral surfaces 34a of the pair of leg portions 34 are cylindrical surfaces and have the same outer diameter as the outer peripheral portion 30a of the body portion 30.
  • a reinforcing rib 40 is formed on the inner peripheral surface 34 b of the leg portion 34 .
  • the reinforcing rib 40 is a protrusion that protrudes inward from the flat portion 30d of the inner peripheral portion 30b of the body portion 30. As shown in FIG. As shown in FIG. 2B, the reinforcing rib 40 bulges most inward at the center position of the leg portion 34 in the circumferential direction when viewed from the base end side.
  • the reinforcing ribs 40 gradually decrease in swelling toward both ends of the leg portion 34 in the circumferential direction.
  • the inner surface 40a of the reinforcing rib 40 has an arcuate curved shape when viewed from the base end side.
  • the inner surface 40a has a top portion 40c that bulges inward most at the center position in the width direction of the foot portion 34, and curved portions 40d that are located on both sides of the top portion 40c in the circumferential direction and gradually become thinner.
  • the portion of the leg portion 34 where the reinforcing rib 40 is formed is thicker than the flat portion 30d of the body portion 30. As shown in FIG.
  • the distance between the reinforcing rib 40 of one leg 34 and the reinforcing rib 40 of the other leg 34 is smaller than the outer diameter of the tip of the male connector 102 of the medical device 100 (FIG. 10A). With this configuration, it is possible to prevent the male connector 102 from entering between the leg portions 34, and the opening member 24 can be reliably advanced.
  • the reinforcing rib 40 of this embodiment extends from the proximal end 34c of the leg portion 34 to the distal end side of the trunk portion 30 in the axial direction.
  • a tip 40 b of the reinforcing rib 40 is located on the tip side of the base end 30 g of the trunk portion 30 .
  • the reinforcing rib 40 may extend to the tip of the trunk portion 30 .
  • the reinforcing ribs 40 are integrally connected to the body portion 30 and the leg portion 34 and increase the rigidity of the leg portion 34 .
  • the reinforcing rib 40 prevents the curved portion of the distal end of the male connector 102 (FIG. 10A) from entering between the pair of legs 34 and also prevents the legs 34 from being deformed.
  • the fixing member 26 is arranged on the proximal side of the opening member 24 .
  • the fixing member 26 is fixed to the catheter hub 18 by bonding, heat-sealing, crimping, or the like, thereby preventing the opening member 24 from falling off from the catheter hub 18 .
  • the fixing member 26 has a pair of projecting pieces 26a. The projecting piece 26 a prevents the opening member 24 from rotating with respect to the catheter hub 18 by entering between the pair of leg portions 34 of the opening member 24 .
  • the inner needle assembly 14 includes an inner needle 42, a needle hub 44, and a protective member 46.
  • the inner needle 42 is a hollow tube inserted through the lumen 15 of the catheter body 16 .
  • the inner needle 42 has a sharp tip 42a at its tip.
  • the inner needle 42 has a rigidity capable of puncturing the skin of a living body.
  • the material of the inner needle 42 is, for example, metal material, hard resin, or ceramics.
  • Inner needle 42 is secured to needle hub 44 at its proximal end.
  • the needle hub 44 is a part that becomes a grip that the user holds.
  • Needle hub 44 includes a hub body 48 and a needle support 50 .
  • the hub body 48 is a portion that is gripped by the user, and is provided with a ridge 48a for slip prevention.
  • a needle support 50 protrudes from the distal end of the hub body 48 .
  • the needle support portion 50 has a support tube 50a protruding from the hub body 48. As shown in FIG.
  • the support tube 50a supports the inner needle 42 by coming into contact with the outer peripheral portion 42b of the inner needle 42 .
  • the constituent material of the needle hub 44 is, for example, thermoplastic resin such as polypropylene resin.
  • the protective member 46 is arranged on the distal end side of the needle hub 44 and attached to the outer peripheral portion 42 b of the inner needle 42 .
  • the protection member 46 has a base portion 52, a leaf spring 54, a shutter 56, and a sliding portion 58, as shown in FIGS. 4A and 4B.
  • the base portion 52 and the leaf spring 54 are formed of a single metal plate and integrally connected to each other.
  • the base portion 52 and the leaf spring 54 are connected via the bent portion 60 .
  • the base 52 is a flat plate-like portion elongated in the axial direction.
  • a pair of side plates 62 stand upright with an inclination with respect to the base portion 52 .
  • the leaf spring 54 is connected to the base portion 52 via a bent portion 60 on the proximal end side.
  • the leaf spring 54 is arranged between the pair of side plates 62 .
  • the bent portion 60 is positioned at the proximal end of the base portion 52 and has a proximal insertion hole 64 .
  • the leaf springs 54 are located on the distal end side of the bent portion 60 and arranged to face each other in the thickness direction of the base portion 52 .
  • the leaf spring 54 has a tip insertion hole 66 at its tip. In the initial state, the inner needle 42 is inserted through the proximal end insertion hole 64 and the distal end insertion hole 66 .
  • the plate spring 54 is biased toward the base portion 52 (lower side) by the bent portion 60 in the initial state.
  • a shutter 56 and a sliding portion 58 are joined to the leaf spring 54 .
  • the shutter 56 is attached above the leaf spring 54 .
  • the shutter 56 contacts the inner needle 42 from above.
  • the sliding portion 58 is a member arranged between the leaf spring 54 and the base portion 52 and contacts the inner needle 42 from below.
  • the inner needle 42 is inserted through the tip insertion hole 66 while being sandwiched between the shutter 56 and the sliding portion 58 .
  • the shutter 56 has a locking piece 70 at its upper end.
  • the protection member 46 is housed in the housing portion 36a of the opening member 24 in the initial state.
  • the lock piece 70 is arranged in the window portion 30f of the opening member 24.
  • the locking piece 70 prevents the protection member 46 from being pulled out from the opening member 24 by being caught on the window portion 30f.
  • the protective member 46 further has a tubular stopper 72 at the bent portion 60 .
  • the stopper 72 has an inner diameter smaller than the outer diameter of the distal end portion of the inner needle 42 and prevents the distal end portion of the inner needle 42 from being pulled out from the protective member 46 toward the proximal end side. That is, a portion of the inner needle 42 near the tip 42a is intentionally flattened. Since the width of the flattened portion of the needle tip 42a is larger than the inner diameter of the stopper 72, the needle tip 42a is caught on the stopper 72 (protective member 46). As a result, the needle tip 42 a is held inside the protective member 46 .
  • the shutter 56 is supported by the leaf spring 54 and displaced together with the leaf spring 54 .
  • the shutter 56 is displaced toward the base 52 to cover the needle tip 42 a of the inner needle 42 .
  • the locking piece 70 of the protective member 46 is pulled inside the window 30f in FIG. As a result, the protective member 46 can be removed from the catheter hub 18 .
  • the catheter assembly 10 of this embodiment is manufactured by the following assembly process.
  • assembly of catheter 12 includes joining catheter body 16 to catheter hub 18 .
  • a step of attaching the hemostasis valve 22, the opening member 24 and the fixing member 26 to the catheter hub 18 in order is performed.
  • the fixing member 26 is joined to the catheter hub 18 by a method such as gluing, heat sealing, or crimping.
  • the inner needle assembly 14 is assembled by a step of mounting the protective member 46 on the inner needle 42 and a step of joining the inner needle 42 to the needle hub 44 in the order of steps.
  • the process of assembling the inner needle assembly 14 to the catheter 12 shown in FIG. 7 is performed by an automatic assembling machine.
  • the catheter 12 is fixed to a fixing jig (not shown).
  • the inner needle assembly 14 is gripped by an assembly tool.
  • the protection member 46 of the inner needle assembly 14 is held by an assembly tool so that the angle of the lock piece 70 matches the angle of the window portion 30f (catheter 12) of the opening member 24.
  • Inner needle 42 of inner needle assembly 14 is then inserted into lumen 15 of catheter body 16 .
  • the protective member 46 advances toward the distal end together with the inner needle 42 .
  • the protection member 46 is inserted into the receiving portion 36 a of the opening member 24 through the gap between the leg portions 34 .
  • the lock piece 70 of the protection member 46 is inserted into the window portion 30f of the opening member 24 as shown in FIGS. 8A and 8B.
  • the needle support portion 50 of the needle hub 44 is fitted into the catheter hub 18 (fixing member 26), and the assembly of the inner needle assembly 14 and the catheter 12 is completed.
  • the catheter assembly 10 is completed.
  • the catheter assembly 10 of this embodiment works as follows.
  • the catheter 12 is inserted into the patient's blood vessel together with the inner needle assembly 14 .
  • the inner needle assembly 14 is withdrawn from the catheter 12 after the catheter 12 has been inserted into the patient's blood vessel.
  • a male connector 102 of a medical device 100 such as an infusion line is inserted into the catheter hub 18, as shown in FIG. 10A.
  • the male connector 102 abuts on the leg portion 34 of the opening member 24 and presses the opening member 24 toward the distal end. Since the opening member 24 of the present embodiment has the reinforcing ribs 40 on the foot portion 34, the outward deformation of the foot portion 34 can be prevented.
  • the opening member 24 can prevent the feet 34 from being pressed against the inner wall of the catheter hub 18 and prevented from advancing due to frictional force. Therefore, in the catheter assembly 10 of the present embodiment, as shown in FIG. 10B, even if the male connector 102 has a rounded tip, the opening member 24 can be reliably advanced to the distal side, and the hemostasis valve is closed. 22 can be reliably opened.
  • an error may occur in the angular positioning of the protective member 46, and an angular deviation of about 10° may occur.
  • Such angular misalignment may cause the protective member 46 to come into contact with the reinforcing ribs 40 of the foot portion 34 .
  • the protective member 46 comes into contact with the foot portion 34, the protective member 46 is plastically deformed, causing malfunction.
  • the reinforcing rib 40 may be scraped by the protective member 46 to generate foreign matter.
  • the opening member 24A shown in FIG. 12A is applied to the catheter assembly 10 of FIG.
  • the shape of the reinforcing rib 40A of the opening member 24A differs from the shape of the reinforcing rib 40 of the opening member 24.
  • the same components as those of the opening member 24 are denoted by the same reference numerals, and detailed description thereof will be omitted.
  • the reinforcing rib 40A of the present embodiment has a circumferential width narrower than that of the foot portion 34 in the circumferential direction.
  • the reinforcing rib 40A has a rectangular cross-sectional shape when viewed from the base end side.
  • the reinforcing rib 40A is located at a portion deviated from the center of the leg portion 34 in the width direction.
  • a center position 401 of the reinforcing rib 40A is away from a line 341 connecting the center of the pair of legs 34 in the width direction and the axis of the opening member 24A.
  • the reinforcing ribs 40A formed on each of the pair of leg portions 34 are located at sites away from the window portion 30f.
  • the opening member 24A of the present embodiment can widen the gap between the pair of leg portions 34 on the side closer to the window portion 30f.
  • the protective member 46 occupies a trapezoidal range when viewed from the proximal direction. A wide portion at one end of the protective member 46 is arranged at a position away from the reinforcing rib 40A. Also, the narrow portion of the other end of the protective member 46 is arranged at a position close to the reinforcing rib 40A.
  • the opening member 24A can prevent the reinforcement rib 40A and the protection member 46 from coming into contact with each other even if the protection member 46 is slightly misaligned in the process of assembling the catheter assembly 10 .
  • This embodiment describes an alternative patency member 24B that can avoid the aforementioned manufacturing problems of catheter assembly 10 .
  • the same reference numerals are given to the same configurations as those of the opening member 24, and detailed description thereof will be omitted.
  • the opening member 24B has reinforcing ribs 40B on each of the pair of legs 34.
  • the reinforcing rib 40B is positioned at the circumferential end of the leg 34 away from the window 30f.
  • the reinforcing rib 40B has a triangular cross-sectional shape when viewed from the base end side.
  • the reinforcing rib 40B has a circumferential width narrower than the circumferential width of the foot portion 34, is biased with respect to the widthwise center of the foot portion 34, and is spaced apart from the window portion 30f. placed out of position.
  • the reinforcing rib 40B may have the same width as the width of the leg portion 34 in the circumferential direction, as indicated by the two-dot chain line in FIG.
  • the gap formed between the reinforcing ribs 40B may have an inclined shape that gradually widens as it approaches the window 30f.
  • the opening member 24B of this embodiment can widen the gap between the pair of legs 34 on the side near the window 30f. As a result, even if the protective member 46 is slightly misaligned during the assembly process of the catheter assembly 10, the reinforcing rib 40B of the opening member 24B and the protective member 46 are prevented from coming into contact with each other.
  • the present invention is not limited to the above-described embodiments, and can take various configurations without departing from the gist of the present invention.

Abstract

A catheter assembly (10) provided with an opening member (24) that is positioned adjacent to a hemostatic valve (22) positioned inside a catheter hub (18). The opening member (24) comprises: a cylindrical body part (30); a housing part (36a) surrounded by the inner circumferential face of the body part (30) and extending in the axial direction; a neck part (32) extending from the body part (30) toward the tip while being reduced in diameter; a pair of foot parts (34) extending from the base end of the body part (30) toward the base end side; and a reinforcing rib (40) extending in the axial direction from the inner circumferential face of at least one foot part (34) and the inner circumferential face of the body part (30) adjacent to the foot part (34) toward the center of the opening member (24) in a bulged and thickened manner.

Description

カテーテル組立体catheter assembly
 本発明は、医療用のカテーテル組立体に関する。 The present invention relates to a medical catheter assembly.
 カテーテル組立体は、患者の血管に留置されて、患者への輸液等に使用される。例えば、国際公開第2019/065943号に示すカテーテル組立体は、カテーテルと、カテーテルの内部に挿入された内針組立体とを備える。このうち、カテーテルは患者の血管に留置される。内針組立体は、カテーテルを血管に導入した後にカテーテルから抜去される。 The catheter assembly is left in the patient's blood vessel and used for infusion of fluids to the patient. For example, the catheter assembly shown in WO2019/065943 comprises a catheter and an inner needle assembly inserted inside the catheter. Among these, the catheter is left in the patient's blood vessel. The inner needle assembly is withdrawn from the catheter after introducing the catheter into the blood vessel.
 カテーテルは、カテーテル本体と、カテーテルハブとを有する。カテーテルハブは、カテーテル本体の基部を支持する部分であり、内部に止血弁と開通部材とを備える。止血弁は、カテーテル本体を体内に挿入した際の血液の逆流を阻止する弁である。開通部材は、プラグともよばれ、止血弁を開通させる部材である。開通部材は、輸液ライン又はシリンジ等の雄コネクタをカテーテルハブに接続したときに、雄コネクタの先端と当接して止血弁に向けて前進し、止血弁を開通させる。 The catheter has a catheter body and a catheter hub. The catheter hub is a portion that supports the base of the catheter body, and has a hemostasis valve and an opening member inside. A hemostasis valve is a valve that prevents backflow of blood when a catheter body is inserted into the body. The opening member, also called a plug, is a member that opens the hemostatic valve. When a male connector such as an infusion line or a syringe is connected to the catheter hub, the opening member comes into contact with the distal end of the male connector and advances toward the hemostasis valve to open the hemostasis valve.
 また、特表2018-529408号公報は、内針組立体の抜去の際に内針の針先を覆う保護部材を開示する。特表2018-529408号公報の保護部材は、開通部材に収容される。 In addition, Japanese National Publication of International Patent Application No. 2018-529408 discloses a protective member that covers the tip of the inner needle when the inner needle assembly is removed. The protection member disclosed in JP-T-2018-529408 is housed in the opening member.
 従来のカテーテルハブは、稀にではあるが、雄コネクタの先端をカテーテルに接続した場合に、開通部材が前進せずに止血弁が開通しない事象を生ずることがある。このような事象が発生すると、雄コネクタをいくら押し込んでも止血弁が開通せず、カテーテルの取り換えが必要になる場合がある。 With conventional catheter hubs, although rare, when the tip of the male connector is connected to the catheter, the opening member does not advance and the hemostasis valve does not open. When such an event occurs, the hemostasis valve may not open no matter how much the male connector is pushed, requiring replacement of the catheter.
 そこで、止血弁の開通不良を防止でき、量産が容易なカテーテル組立体が求められる。 Therefore, there is a demand for a catheter assembly that can prevent poor opening of the hemostasis valve and that can be easily mass-produced.
 本発明は、上記した課題を解決することを目的とする。 An object of the present invention is to solve the above problems.
 本発明は、以下のカテーテル組立体を開示する。
 [1]カテーテル本体と、前記カテーテル本体の基端を支持するカテーテルハブと、前記カテーテルハブの内部に配置された止血弁と、前記カテーテルハブの内部に前記止血弁の基端側に隣接して配置され、前記止血弁を開通させる開通部材と、を備え、前記開通部材は、前記カテーテルハブの内周面と摺動する筒状の胴部と、前記胴部の内周面に囲まれ、軸線方向に延在する収容部と、前記胴部から先端に向けて縮径して延び出る首部と、前記胴部の基端から基端側に向けて延び出た一対の足部と、少なくとも一方の前記足部の内周面から前記開通部材の中心に向けて膨出した頂部を有し、前記頂部が前記足部の中で最も肉厚に形成され、かつ前記軸線方向に延びる補強リブと、を有する、カテーテル組立体。
The present invention discloses the following catheter assembly.
[1] a catheter body, a catheter hub supporting the proximal end of the catheter body, a hemostasis valve disposed inside the catheter hub, and a hemostasis valve inside the catheter hub adjacent to the proximal end of the hemostasis valve an opening member arranged to open the hemostasis valve, wherein the opening member is surrounded by a cylindrical body that slides on the inner peripheral surface of the catheter hub, and the inner peripheral surface of the body; a housing portion extending in the axial direction, a neck portion extending from the body portion toward the distal end with a reduced diameter, a pair of legs extending from the proximal end of the body portion toward the proximal end side, and at least A reinforcing rib having a apex that bulges from the inner peripheral surface of one of the legs toward the center of the opening member, the apex being the thickest among the legs and extending in the axial direction. and a catheter assembly.
 上記のカテーテル組立体は、補強リブが開通部材の足部の変形を防ぐことにより、開通部材を確実に前進させることができ、止血弁の開通不良を防止する。 In the above-described catheter assembly, the reinforcing ribs prevent deformation of the foot of the opening member, so that the opening member can be reliably advanced and the hemostatic valve can be prevented from failing to open.
 [2]項目[1]記載のカテーテル組立体であって、前記補強リブは、前記一対の足部のそれぞれの内周面に形成される、カテーテル組立体。このカテーテル組立体は、開通部材の外周面への突出部分を設けずに足部を補強できる。 [2] The catheter assembly according to item [1], wherein the reinforcing rib is formed on the inner peripheral surface of each of the pair of legs. This catheter assembly can reinforce the leg without providing a projecting portion to the outer peripheral surface of the opening member.
 [3]項目[1]又は[2]記載のカテーテル組立体であって、前記補強リブは、前記足部の幅と同じである、カテーテル組立体。このカテーテル組立体は、開通部材の足部の剛性を高めて足部の変形を抑制できる。 [3] The catheter assembly according to item [1] or [2], wherein the reinforcing rib has the same width as the foot. This catheter assembly can increase the rigidity of the foot portion of the opening member to suppress deformation of the foot portion.
 [4]項目[3]記載のカテーテル組立体であって、前記補強リブは、前記足部の幅方向の中央位置で最も内方に向けて膨出した頂部と、前記頂部の周方向の両側に位置し徐々に肉薄になる曲面形状部とを有する、カテーテル組立体。このカテーテル組立体は、保護部材を組み立てる際の保護部材と補強リブとの接触を抑制できるため、不良品の発生や異物の混入を防止できる。 [4] The catheter assembly according to item [3], wherein the reinforcing rib includes a top portion that protrudes most inwardly at a center position in the width direction of the foot portion, and both sides of the top portion in the circumferential direction. and a gradually tapering curved contoured portion located at the . Since this catheter assembly can suppress contact between the protective member and the reinforcing ribs when the protective member is assembled, it is possible to prevent the occurrence of defective products and the contamination of foreign substances.
 [5]項目[1]又は[2]記載のカテーテル組立体であって、前記補強リブの幅は、前記足部の幅よりも狭く、かつ、前記補強リブの幅方向の中心位置は、前記足部の幅方向の中心と開通部材の軸線とを結ぶ線から離れている、カテーテル組立体。このカテーテル組立体は、保護部材と補強リブとの接触をより効果的に防止でき、不良品の発生や異物の混入を防止できる。 [5] In the catheter assembly according to item [1] or [2], the width of the reinforcing rib is narrower than the width of the foot, and the central position of the reinforcing rib in the width direction A catheter assembly spaced from a line connecting the widthwise center of the foot and the axis of the opening member. This catheter assembly can more effectively prevent contact between the protective member and the reinforcing ribs, and can prevent the occurrence of defective products and the contamination of foreign substances.
 [6]項目[1]~[5]のいずれか1に記載のカテーテル組立体であって、一方の前記足部の前記補強リブと、他方の前記足部の前記補強リブとの間に形成される間隙の幅は、前記カテーテルハブに接続されるコネクタの先端の外径よりも小さくてもよい。このカテーテル組立体は、開通部材の足部の間への雄コネクタの進入を防止することで、開通部材を確実に前進させる。 [6] The catheter assembly according to any one of items [1] to [5], wherein the reinforcing rib is formed between the reinforcing rib of one leg and the reinforcing rib of the other leg. The width of the gap may be smaller than the outer diameter of the tip of the connector connected to the catheter hub. The catheter assembly ensures advancement of the opening member by preventing entry of the male connector between the legs of the opening member.
 [7]項目[1]~[6]のいずれか1に記載のカテーテル組立体であって、前記胴部の外周部は円筒面を有し、前記足部の外周面は前記胴部の外周部と同一の円筒面を有する、カテーテル組立体。このカテーテル組立体は、足部の外周面とカテーテルハブとの摺動抵抗を抑制できる。 [7] The catheter assembly according to any one of items [1] to [6], wherein the outer peripheral portion of the trunk has a cylindrical surface, and the outer peripheral surface of the foot portion is the outer circumference of the trunk. A catheter assembly having the same cylindrical surface as the section. This catheter assembly can suppress sliding resistance between the outer peripheral surface of the foot and the catheter hub.
 [8]項目[1]~[7]のいずれか1に記載のカテーテル組立体であって、前記補強リブと前記足部と前記胴部とは樹脂によって一体的に成形されている、カテーテル組立体。このカテーテル組立体は製造コストを抑制することができる。 [8] The catheter assembly according to any one of items [1] to [7], wherein the reinforcing rib, the leg portion, and the trunk portion are integrally molded from resin. Three-dimensional. This catheter assembly can reduce manufacturing costs.
 [9]項目[1]~[8]のいずれか1に記載のカテーテル組立体であって、前記補強リブは、前記足部の内周面から前記胴部の内周面にまで延在する、カテーテル組立体。このカテーテル組立体は前記開通部材をより確実に前進させることができる。 [9] The catheter assembly according to any one of items [1] to [8], wherein the reinforcing rib extends from the inner peripheral surface of the leg portion to the inner peripheral surface of the trunk portion. , catheter assembly. This catheter assembly allows the opening member to be advanced more reliably.
 [10]項目[1]~[9]のいずれか1に記載のカテーテル組立体であって、さらに、前記カテーテル本体の内部に挿入された内針と、前記内針に取り付けられて前記内針を抜去した際に前記内針の針先を覆う保護部材と、を備え、前記保護部材は、前記開通部材の前記収容部に収容された、カテーテル組立体。このカテーテル組立体は、保護部材をコンパクトに収容できる。 [10] The catheter assembly according to any one of items [1] to [9], further comprising: an inner needle inserted inside the catheter body; and the inner needle attached to the inner needle. a protective member that covers the needle tip of the inner needle when the catheter assembly is withdrawn, wherein the protective member is housed in the housing portion of the opening member. This catheter assembly can compactly accommodate the protective member.
 [11]項目[5]記載のカテーテル組立体であって、さらに、前記カテーテル本体の内部に挿入された内針と、前記内針に取り付けられて前記内針を抜去した際に前記内針の針先を覆う保護部材と、を備え、前記保護部材は、前記開通部材の前記収容部に収容され、かつ、前記保護部材は、基端方向から見て台形状の範囲を占めており、前記保護部材の一端の幅広部分が前記補強リブから離れた位置に配置され、前記保護部材の他端の幅狭部分が前記補強リブに近い位置に配置された、カテーテル組立体。このカテーテル組立体は、組立工程において、保護部材に多少の角度ずれが生じた場合であっても、開通部材の補強リブと保護部材との接触を防止できる。 [11] The catheter assembly according to item [5], further comprising: an inner needle inserted inside the catheter body; a protective member covering the needle tip, wherein the protective member is accommodated in the accommodating portion of the opening member, and the protective member occupies a trapezoidal range when viewed from the proximal direction, A catheter assembly in which a wide portion at one end of a protective member is positioned away from said reinforcing ribs, and a narrow portion at the other end of said protective member is positioned near said reinforcing ribs. This catheter assembly can prevent contact between the reinforcing ribs of the opening member and the protective member even if the protective member is slightly misaligned in the assembly process.
 上記観点のカテーテル組立体は、開通部材の足部に肉厚に膨出した補強リブを設ける。補強リブは、雄コネクタの先端と当接した際の足部の湾曲を防ぐことで、開通部材の足部がカテーテルハブに押圧されて摩擦力により動かなくなる事象を防止できる。 In the catheter assembly of the above-mentioned viewpoint, the leg portion of the opening member is provided with a reinforcing rib that protrudes thickly. The reinforcing rib prevents the leg from bending when it comes into contact with the distal end of the male connector, thereby preventing the leg of the opening member from being pressed by the catheter hub and stuck due to frictional force.
図1は、第1実施形態に係るカテーテル組立体の分解斜視図である。1 is an exploded perspective view of a catheter assembly according to a first embodiment; FIG. 図2Aは、図1の開通部材の斜視図であり、図2Bは図1の開通部材を基端から見たときの外観を示す平面図である。2A is a perspective view of the opening member of FIG. 1, and FIG. 2B is a plan view showing the appearance of the opening member of FIG. 1 when viewed from the proximal end. 図3は、図1の開通部材の軸線に沿った断面図であり、一対の足部の幅方向中央に沿う断面を示す。3 is a cross-sectional view along the axis of the opening member of FIG. 1, showing a cross-section along the widthwise center of a pair of legs. 図4Aは、図1の保護部材の斜視図であり、図4Bは図1の保護部材の軸線方向に沿った断面を示す斜視断面図である。4A is a perspective view of the protection member in FIG. 1, and FIG. 4B is a perspective cross-sectional view showing a cross section along the axial direction of the protection member in FIG. 図5は、保護部材を収容した開通部材の斜視図である。FIG. 5 is a perspective view of an opening member containing a protective member; 図6は、図1のカテーテル組立体の製造方法において、カテーテルの組立工程を説明する断面図である。FIG. 6 is a cross-sectional view for explaining a step of assembling the catheter in the manufacturing method of the catheter assembly of FIG. 図7は、図6のカテーテルの開通部材に内針及び保護部材を挿入する工程の説明図である。FIG. 7 is an explanatory view of the process of inserting the inner needle and the protective member into the opening member of the catheter of FIG. 6; 図8Aは、開通部材に保護部材が収容された状態の断面図であり、図8Bは図8Aの開通部材及び保護部材を基端側から見たときの説明図である。8A is a cross-sectional view of a state in which the protection member is accommodated in the opening member, and FIG. 8B is an explanatory view of the opening member and the protection member in FIG. 8A viewed from the proximal end side. 図9は、図1のカテーテル組立体の製造方法において、カテーテルハブに針ハブを装着する工程を説明する断面図である。FIG. 9 is a cross-sectional view for explaining the step of attaching the needle hub to the catheter hub in the manufacturing method of the catheter assembly of FIG. 図10Aは、図1のカテーテル組立体の使用方法に関し、内針を抜去した後にカテーテルハブに雄コネクタを接続する操作を説明する図であり、図10Bは開通部材と雄コネクタとの当接部分に作用する力を示す模式図である。10A is a diagram for explaining the operation of connecting the male connector to the catheter hub after removing the inner needle, relating to the method of using the catheter assembly of FIG. 1, and FIG. 10B is a contact portion between the opening member and the male connector is a schematic diagram showing the force acting on the . 図11Aは、図1のカテーテル組立体の製造方法において、保護部材を開通部材に収容する工程における角度ずれが無い場合の説明図であり、図11Bは、保護部材が開通部材に対して傾いた場合の説明図である。11A is an explanatory view of the case where there is no angular deviation in the step of housing the protective member in the opening member in the manufacturing method of the catheter assembly of FIG. 1, and FIG. 11B is an illustration in which the protective member is inclined with respect to the opening member. It is an explanatory view of the case. 図12Aは、第2実施形態に係る開通部材の斜視図であり、図12Bは図12Aの開通部材を基端側から見た外観を示す平面図である。12A is a perspective view of an opening member according to a second embodiment, and FIG. 12B is a plan view showing the appearance of the opening member of FIG. 12A viewed from the proximal side. 図13は、図12Aの開通部材に保護部材を組み付ける工程の説明図である。13A and 13B are explanatory diagrams of a process of assembling a protective member to the opening member of FIG. 12A. 図14Aは、第3実施形態に係る開通部材の斜視図であり、図14Bは図14Aの開通部材を基端側から見た外観を示す平面図である。14A is a perspective view of an opening member according to a third embodiment, and FIG. 14B is a plan view showing the appearance of the opening member of FIG. 14A viewed from the proximal side. 図15は、図14Aの開通部材に保護部材を組み付ける工程の説明図である。15A and 15B are explanatory diagrams of a process of assembling the protective member to the opening member of FIG. 14A.
(第1実施形態)
 本発明の一実施形態に係るカテーテル組立体10は、図1に示すように、カテーテル12と、内針組立体14とを有する。カテーテル組立体10は、使用前の初期状態(製品提供状態)で、カテーテル12の基端側から内針組立体14を組み付けた構造を有する。カテーテル12は、輸液や輸血等に使用される。カテーテル12は、例えば、末梢静脈カテーテルである。なお、カテーテル12は、中心静脈カテーテル、PICC、又はミッドラインカテーテルでもよい。また、カテーテル12は、静脈用カテーテルに限らず、末梢動脈カテーテル等の動脈用カテーテルでもよい。
(First embodiment)
A catheter assembly 10 according to one embodiment of the present invention has a catheter 12 and an inner needle assembly 14, as shown in FIG. The catheter assembly 10 has a structure in which the inner needle assembly 14 is assembled from the proximal end side of the catheter 12 in the initial state (state of product provision) before use. The catheter 12 is used for fluid transfusion, blood transfusion, and the like. Catheter 12 is, for example, a peripheral venous catheter. Note that catheter 12 may be a central venous catheter, a PICC, or a midline catheter. In addition, the catheter 12 is not limited to a venous catheter, and may be an arterial catheter such as a peripheral arterial catheter.
 図1に示すように、カテーテル12は、カテーテル本体16と、カテーテルハブ18とを有する。カテーテル本体16は、内側にルーメン15を有する中空体である。カテーテル本体16及びルーメン15は、軸線方向に延在する。カテーテル本体16及びルーメン15は、軸線方向に直交する断面が、円形状を有する。ルーメン15は、カテーテル本体16の先端に形成された先端開口15aと、カテーテル本体16の基端に形成された基端開口15bとに連通している。カテーテル本体16は、可撓性を有している。カテーテル本体16を構成する材料は、特に限定されるものではないが、透明性を有する軟質樹脂材料を適用できる。 As shown in FIG. 1, the catheter 12 has a catheter body 16 and a catheter hub 18. The catheter body 16 is a hollow body having a lumen 15 inside. The catheter body 16 and lumen 15 extend axially. The catheter body 16 and the lumen 15 have circular cross sections perpendicular to the axial direction. The lumen 15 communicates with a distal opening 15 a formed at the distal end of the catheter body 16 and a proximal opening 15 b formed at the proximal end of the catheter body 16 . The catheter body 16 has flexibility. The material constituting the catheter body 16 is not particularly limited, but a transparent soft resin material can be applied.
 カテーテルハブ18は、カテーテル本体16の基端に固定される。カテーテルハブ18は、先端方向に先細りの筒状の形状を有する。カテーテルハブ18は、内側に内部空間18aを有する。この内部空間18aは、先端側においてカテーテル本体16のルーメン15に連通する。内部空間18aは、基端側において基端開放部18bとして開口する。 A catheter hub 18 is fixed to the proximal end of the catheter body 16 . The catheter hub 18 has a tubular shape that tapers in the distal direction. The catheter hub 18 has an internal space 18a inside. The internal space 18a communicates with the lumen 15 of the catheter body 16 on the distal end side. The internal space 18a opens as a proximal open portion 18b on the proximal side.
 カテーテルハブ18の基端側の外周面には、フランジ18cが形成されている。フランジ18cは、周方向に沿って延在する。カテーテルハブ18は、内部空間18aに、止血弁22と、開通部材24、固定部材26とを収容する。 A flange 18 c is formed on the outer peripheral surface of the proximal end of the catheter hub 18 . The flange 18c extends along the circumferential direction. The catheter hub 18 accommodates a hemostasis valve 22, an opening member 24, and a fixing member 26 in an internal space 18a.
 止血弁22は、カテーテル本体16のルーメン15から内部空間18aに流入する血液が基端開放部18bから漏出することを遮断する弁である。止血弁22は、例えば、ダックビル弁であり、先端側にスリット22aを有する。止血弁22は、基端側に配置された開通部材24が挿入されることで、スリット22aが開いて開通する。 The hemostasis valve 22 is a valve that blocks blood flowing from the lumen 15 of the catheter body 16 into the internal space 18a from leaking from the proximal end opening 18b. The hemostatic valve 22 is, for example, a duckbill valve, and has a slit 22a on the distal end side. The hemostasis valve 22 is opened by inserting an opening member 24 disposed on the proximal side to open the slit 22a.
 開通部材24は、止血弁22の基端側に配置される。開通部材24は、円筒状の胴部30と、胴部30の先端に連なり先端方向に突出する首部32と、胴部30の基端から基端方向に突出する一対の足部34とを有する。胴部30及び首部32の内部には、開通部材24の空間部36が形成されている。 The opening member 24 is arranged on the proximal side of the hemostatic valve 22 . The opening member 24 has a cylindrical body portion 30, a neck portion 32 connected to the distal end of the body portion 30 and protruding in the distal direction, and a pair of leg portions 34 projecting from the proximal end of the body portion 30 in the proximal direction. . A space portion 36 of the opening member 24 is formed inside the body portion 30 and the neck portion 32 .
 図2Aに示すように、胴部30の外周部30aは、円筒面を有する。外周部30aの外径は、カテーテルハブ18の内部空間18aの内径よりも若干小さい寸法を有する。外周部30aの外径は、軸線方向の全域に亘って一定である。胴部30は、内部に収容部36aを有する。収容部36aは、内周部30bによって囲まれた空間であり、空間部36の一部を占める。 As shown in FIG. 2A, the outer peripheral portion 30a of the body portion 30 has a cylindrical surface. The outer diameter of the outer peripheral portion 30 a is slightly smaller than the inner diameter of the inner space 18 a of the catheter hub 18 . The outer diameter of the outer peripheral portion 30a is constant throughout the axial direction. The trunk portion 30 has an accommodating portion 36a inside. The accommodation portion 36 a is a space surrounded by the inner peripheral portion 30 b and occupies a portion of the space portion 36 .
 内周部30bは、曲面部30cと平坦部30dと、傾斜部30eとを含む。平坦部30dは、平坦面によって形成される。平坦部30dは、内周部30bの周方向に180°の間隔を空けて一対形成されている。それぞれの平坦部30dは、足部34の軸線方向の先端側に位置し、軸線方向に延在する。曲面部30cは、一対の平坦部30dの間に配置されている。曲面部30cは、外周部30aと同心円状に形成された円筒面を有する。傾斜部30eは、曲面部30cの基端に形成された傾斜面を有する。傾斜部30eは、後述する保護部材46を開通部材24に組み付ける際に、保護部材46を空間部36に案内する。 The inner peripheral portion 30b includes a curved portion 30c, a flat portion 30d, and an inclined portion 30e. The flat portion 30d is formed by a flat surface. A pair of flat portions 30d are formed with an interval of 180° in the circumferential direction of the inner peripheral portion 30b. Each flat portion 30d is located on the tip end side of the leg portion 34 in the axial direction and extends in the axial direction. The curved surface portion 30c is arranged between the pair of flat portions 30d. The curved surface portion 30c has a cylindrical surface formed concentrically with the outer peripheral portion 30a. The inclined portion 30e has an inclined surface formed at the proximal end of the curved surface portion 30c. The inclined portion 30e guides the protective member 46 to the space portion 36 when the later-described protective member 46 is attached to the opening member 24. As shown in FIG.
 胴部30は、さらに曲面部30cの一部を矩形状に切り欠いた窓部30fを有する。窓部30fは、初期状態において保護部材46の一部を収容する。 The body portion 30 further has a window portion 30f obtained by cutting out a portion of the curved surface portion 30c in a rectangular shape. The window portion 30f accommodates a portion of the protection member 46 in the initial state.
 首部32は、開通部材24が先端側に移動した際に、止血弁22のスリット22aを突き抜けて止血弁22を開通させる。首部32は、胴部30の外径よりも小さな外径の円筒形状を有する。初期状態において、首部32は、止血弁22の内側に配置される。首部32と胴部30との段差は、開通部材24が先端側に移動した際に、止血弁22に引っ掛かることで、開通部材24の先端方向への移動を阻止する。 The neck portion 32 passes through the slit 22a of the hemostatic valve 22 to open the hemostatic valve 22 when the opening member 24 moves to the distal end side. The neck portion 32 has a cylindrical shape with an outer diameter smaller than that of the body portion 30 . In the initial state, neck 32 is positioned inside hemostasis valve 22 . The step between the neck portion 32 and the body portion 30 prevents the movement of the opening member 24 in the distal direction by being caught by the hemostatic valve 22 when the opening member 24 moves distally.
 首部32は、内部に首部側空間36bを有する。首部側空間36bは、収容部36aと繋がっており、空間部36の一部を構成する。首部32は、側孔38を有する。側孔38は、首部32の外周面と内周面とを貫通する。側孔38は、首部側空間36bと外部とを連通させる。 The neck 32 has a neck-side space 36b inside. The neck-side space 36b is connected to the housing portion 36a and constitutes a part of the space portion 36. As shown in FIG. Neck 32 has a side hole 38 . The side hole 38 penetrates the outer peripheral surface and the inner peripheral surface of the neck portion 32 . The side hole 38 communicates the neck-side space 36b with the outside.
 一対の足部34は、胴部30の基端30gで胴部30と一体的に繋がる。一方の足部34と、他方の足部34とは、周方向に180°の間隔を空けて配置される。一方の足部34及び他方の足部34は、胴部30の基端30gから軸線方向の基端側に向けて所定長さで延在する。一方の足部34及び他方の足部34は、側面視して、長方形状の形状を有する。 The pair of leg portions 34 are integrally connected to the body portion 30 at the proximal end 30g of the body portion 30. One foot portion 34 and the other foot portion 34 are arranged with an interval of 180° in the circumferential direction. The one leg portion 34 and the other leg portion 34 extend from the proximal end 30g of the trunk portion 30 toward the proximal end side in the axial direction by a predetermined length. The one leg portion 34 and the other leg portion 34 have a rectangular shape when viewed from the side.
 一対の足部34の外周面34aは円筒面であり、胴部30の外周部30aと同じ外径を有する。足部34の内周面34bには、補強リブ40が形成されている。補強リブ40は、胴部30の内周部30bの平坦部30dよりも内方に突出した突起である。補強リブ40は、図2Bに示すように、基端側から見て、足部34の周方向の中心位置が最も内方に膨出する。 The outer peripheral surfaces 34a of the pair of leg portions 34 are cylindrical surfaces and have the same outer diameter as the outer peripheral portion 30a of the body portion 30. A reinforcing rib 40 is formed on the inner peripheral surface 34 b of the leg portion 34 . The reinforcing rib 40 is a protrusion that protrudes inward from the flat portion 30d of the inner peripheral portion 30b of the body portion 30. As shown in FIG. As shown in FIG. 2B, the reinforcing rib 40 bulges most inward at the center position of the leg portion 34 in the circumferential direction when viewed from the base end side.
 補強リブ40は、足部34の周方向の両端に向かうにつれて徐々に膨出が減少する。補強リブ40の内面40aは、基端側から見て弧状に湾曲した形状を有する。内面40aは、足部34の幅方向の中央位置で最も内方に向けて膨出した頂部40cと、頂部40cの周方向の両側に位置し徐々に肉薄になる曲面形状部40dとを有する。このような補強リブ40が形成された部分の足部34は、胴部30の平坦部30dよりも肉厚となっている。 The reinforcing ribs 40 gradually decrease in swelling toward both ends of the leg portion 34 in the circumferential direction. The inner surface 40a of the reinforcing rib 40 has an arcuate curved shape when viewed from the base end side. The inner surface 40a has a top portion 40c that bulges inward most at the center position in the width direction of the foot portion 34, and curved portions 40d that are located on both sides of the top portion 40c in the circumferential direction and gradually become thinner. The portion of the leg portion 34 where the reinforcing rib 40 is formed is thicker than the flat portion 30d of the body portion 30. As shown in FIG.
 一方の足部34の補強リブ40と、他方の足部34の補強リブ40との間隔は、医療機器100(図10A)の雄コネクタ102の先端の外径よりも小さい。このように構成することで、足部34の間に雄コネクタ102が入り込むことを防止でき、開通部材24を確実に前進させることができる。 The distance between the reinforcing rib 40 of one leg 34 and the reinforcing rib 40 of the other leg 34 is smaller than the outer diameter of the tip of the male connector 102 of the medical device 100 (FIG. 10A). With this configuration, it is possible to prevent the male connector 102 from entering between the leg portions 34, and the opening member 24 can be reliably advanced.
 本実施形態の補強リブ40は、図2A及び図3に示すように、足部34の基端34cから胴部30の軸線方向の先端側に延びる。補強リブ40の先端40bは、胴部30の基端30gよりも先端側に位置する。なお、補強リブ40は、胴部30の先端まで延在してもよい。本実施形態の足部34は、後述する医療機器100の雄コネクタ102をカテーテルハブ18に挿入した際に、雄コネクタ102と当接することにより、開通部材24を先端側に前進させる。補強リブ40は、胴部30及び足部34と一体的に繋がっており、足部34の剛性を高める。補強リブ40は、一対の足部34の間に雄コネクタ102(図10A)の先端の湾曲部分の進入を阻止すると共に、足部34の変形も阻止する。 As shown in FIGS. 2A and 3, the reinforcing rib 40 of this embodiment extends from the proximal end 34c of the leg portion 34 to the distal end side of the trunk portion 30 in the axial direction. A tip 40 b of the reinforcing rib 40 is located on the tip side of the base end 30 g of the trunk portion 30 . In addition, the reinforcing rib 40 may extend to the tip of the trunk portion 30 . When the male connector 102 of the medical device 100 (to be described later) is inserted into the catheter hub 18, the leg 34 of the present embodiment abuts against the male connector 102 to advance the opening member 24 distally. The reinforcing ribs 40 are integrally connected to the body portion 30 and the leg portion 34 and increase the rigidity of the leg portion 34 . The reinforcing rib 40 prevents the curved portion of the distal end of the male connector 102 (FIG. 10A) from entering between the pair of legs 34 and also prevents the legs 34 from being deformed.
 図1に示すように、固定部材26は、開通部材24の基端側に配置される。固定部材26は、カテーテルハブ18に接着、熱融着又は加締め等の方法により固定されることで、開通部材24のカテーテルハブ18からの脱落を防止する。固定部材26は、一対の突起片26aを有する。突起片26aは、開通部材24の一対の足部34の間に入り込むことで、開通部材24のカテーテルハブ18に対する回転を阻止する。 As shown in FIG. 1 , the fixing member 26 is arranged on the proximal side of the opening member 24 . The fixing member 26 is fixed to the catheter hub 18 by bonding, heat-sealing, crimping, or the like, thereby preventing the opening member 24 from falling off from the catheter hub 18 . The fixing member 26 has a pair of projecting pieces 26a. The projecting piece 26 a prevents the opening member 24 from rotating with respect to the catheter hub 18 by entering between the pair of leg portions 34 of the opening member 24 .
 内針組立体14は、内針42と、針ハブ44と、保護部材46とを備える。内針42は、カテーテル本体16のルーメン15に挿通する中空管である。内針42は、その先端に鋭利な針先42aを備える。内針42は、生体の皮膚を穿刺可能な剛性を有する。内針42の材料は、例えば、金属材料、硬質樹脂、又はセラミックスである。内針42は、基端が針ハブ44に固定される。 The inner needle assembly 14 includes an inner needle 42, a needle hub 44, and a protective member 46. The inner needle 42 is a hollow tube inserted through the lumen 15 of the catheter body 16 . The inner needle 42 has a sharp tip 42a at its tip. The inner needle 42 has a rigidity capable of puncturing the skin of a living body. The material of the inner needle 42 is, for example, metal material, hard resin, or ceramics. Inner needle 42 is secured to needle hub 44 at its proximal end.
 針ハブ44は、使用者が把持するグリップとなる部分である。針ハブ44は、ハブ本体48と、針支持部50とを備える。ハブ本体48は、使用者が把持する部分であり、滑り止めのための突条48aを備える。針支持部50は、ハブ本体48の先端から突出する。針支持部50は、ハブ本体48から突出する支持筒50aを有する。支持筒50aは、内針42の外周部42bと当接して内針42を支持する。針ハブ44の構成材料は、例えばポリプロピレン樹脂等の熱可塑性樹脂である。 The needle hub 44 is a part that becomes a grip that the user holds. Needle hub 44 includes a hub body 48 and a needle support 50 . The hub body 48 is a portion that is gripped by the user, and is provided with a ridge 48a for slip prevention. A needle support 50 protrudes from the distal end of the hub body 48 . The needle support portion 50 has a support tube 50a protruding from the hub body 48. As shown in FIG. The support tube 50a supports the inner needle 42 by coming into contact with the outer peripheral portion 42b of the inner needle 42 . The constituent material of the needle hub 44 is, for example, thermoplastic resin such as polypropylene resin.
 保護部材46は、針ハブ44の先端側に配置されると共に、内針42の外周部42bに取り付けられている。保護部材46は、図4A及び図4Bに示すように、基部52と、板バネ54と、シャッタ56と、摺動部58と、を有する。基部52と、板バネ54とは、一枚の金属板で形成され、互いに一体的に繋がる。基部52と板バネ54とは、屈曲部60を介して繋がる。基部52は、軸線方向に細長く延びた平板状の部分である。 The protective member 46 is arranged on the distal end side of the needle hub 44 and attached to the outer peripheral portion 42 b of the inner needle 42 . The protection member 46 has a base portion 52, a leaf spring 54, a shutter 56, and a sliding portion 58, as shown in FIGS. 4A and 4B. The base portion 52 and the leaf spring 54 are formed of a single metal plate and integrally connected to each other. The base portion 52 and the leaf spring 54 are connected via the bent portion 60 . The base 52 is a flat plate-like portion elongated in the axial direction.
 基部52の両側には、一対の側板62が、基部52に対して傾斜して起立する。板バネ54は、基端側の屈曲部60を介して基部52に繋がっている。板バネ54は、一対の側板62の間に配置される。屈曲部60は、基部52の基端に位置し、基端挿通孔64を有する。板バネ54は、屈曲部60の先端側に位置し、基部52の厚さ方向に向かい合うように配置される。板バネ54は、先端に先端挿通孔66を有する。基端挿通孔64及び先端挿通孔66は、初期状態において内針42が挿通する。板バネ54は、初期状態において屈曲部60によって基部52側(下側)に付勢されている。 On both sides of the base portion 52 , a pair of side plates 62 stand upright with an inclination with respect to the base portion 52 . The leaf spring 54 is connected to the base portion 52 via a bent portion 60 on the proximal end side. The leaf spring 54 is arranged between the pair of side plates 62 . The bent portion 60 is positioned at the proximal end of the base portion 52 and has a proximal insertion hole 64 . The leaf springs 54 are located on the distal end side of the bent portion 60 and arranged to face each other in the thickness direction of the base portion 52 . The leaf spring 54 has a tip insertion hole 66 at its tip. In the initial state, the inner needle 42 is inserted through the proximal end insertion hole 64 and the distal end insertion hole 66 . The plate spring 54 is biased toward the base portion 52 (lower side) by the bent portion 60 in the initial state.
 板バネ54には、シャッタ56と摺動部58とが接合されている。シャッタ56は、板バネ54の上側に取り付けられている。初期状態において、シャッタ56は、内針42に上側から当接する。摺動部58は、板バネ54と基部52との間に配置された部材であり、内針42に下側から当接する。内針42は、シャッタ56と摺動部58とによって挟まれた状態で先端挿通孔66を挿通する。 A shutter 56 and a sliding portion 58 are joined to the leaf spring 54 . The shutter 56 is attached above the leaf spring 54 . In the initial state, the shutter 56 contacts the inner needle 42 from above. The sliding portion 58 is a member arranged between the leaf spring 54 and the base portion 52 and contacts the inner needle 42 from below. The inner needle 42 is inserted through the tip insertion hole 66 while being sandwiched between the shutter 56 and the sliding portion 58 .
 シャッタ56は、上端にロック片70を有する。図5に示すように、保護部材46は、初期状態において開通部材24の収容部36aに収容される。初期状態において、ロック片70は、開通部材24の窓部30fに配置される。ロック片70は、窓部30fに引っ掛かることで、開通部材24からの保護部材46の引き抜けを阻止する。 The shutter 56 has a locking piece 70 at its upper end. As shown in FIG. 5, the protection member 46 is housed in the housing portion 36a of the opening member 24 in the initial state. In the initial state, the lock piece 70 is arranged in the window portion 30f of the opening member 24. As shown in FIG. The locking piece 70 prevents the protection member 46 from being pulled out from the opening member 24 by being caught on the window portion 30f.
 図4Bに示すように、保護部材46は、さらに屈曲部60に、筒状のストッパ72を有する。ストッパ72は、内針42の先端部の外径よりも小さな内径を有し、内針42の先端部の保護部材46より基端側へのひき抜けを阻止する。すなわち、内針42の針先42a付近の一部は、意図して偏平化されている。針先42aの偏平化された部分の幅は、ストッパ72の内径よりも大きいため、針先42aはストッパ72(保護部材46)に引っ掛かる。これにより、針先42aは、保護部材46の内部に保持される。 As shown in FIG. 4B, the protective member 46 further has a tubular stopper 72 at the bent portion 60 . The stopper 72 has an inner diameter smaller than the outer diameter of the distal end portion of the inner needle 42 and prevents the distal end portion of the inner needle 42 from being pulled out from the protective member 46 toward the proximal end side. That is, a portion of the inner needle 42 near the tip 42a is intentionally flattened. Since the width of the flattened portion of the needle tip 42a is larger than the inner diameter of the stopper 72, the needle tip 42a is caught on the stopper 72 (protective member 46). As a result, the needle tip 42 a is held inside the protective member 46 .
 シャッタ56は、板バネ54によって支持され、板バネ54と共に変位する。内針42が先端挿通孔66から引き抜かれると、シャッタ56は、基部52に向けて変位し、内針42の針先42aを覆う。この状態では、保護部材46のロック片70が図5の窓部30fの内側に引き込まれる。その結果、保護部材46は、カテーテルハブ18から抜去可能となる。 The shutter 56 is supported by the leaf spring 54 and displaced together with the leaf spring 54 . When the inner needle 42 is pulled out from the tip insertion hole 66 , the shutter 56 is displaced toward the base 52 to cover the needle tip 42 a of the inner needle 42 . In this state, the locking piece 70 of the protective member 46 is pulled inside the window 30f in FIG. As a result, the protective member 46 can be removed from the catheter hub 18 .
 本実施形態のカテーテル組立体10は、以下の組立工程により製造される。 The catheter assembly 10 of this embodiment is manufactured by the following assembly process.
 まず、カテーテル12と、内針組立体14との各々の組立工程が行われる。図6に示すように、カテーテル12の組立は、カテーテルハブ18にカテーテル本体16を接合する工程を有する。その後、カテーテルハブ18に止血弁22、開通部材24及び固定部材26を順に取り付ける工程が行われる。固定部材26は、接着、熱融着、又は加締め等の方法によりカテーテルハブ18に接合される。 First, the steps of assembling the catheter 12 and the inner needle assembly 14 are performed. As shown in FIG. 6, assembly of catheter 12 includes joining catheter body 16 to catheter hub 18 . After that, a step of attaching the hemostasis valve 22, the opening member 24 and the fixing member 26 to the catheter hub 18 in order is performed. The fixing member 26 is joined to the catheter hub 18 by a method such as gluing, heat sealing, or crimping.
 また、内針組立体14は、工程順に、内針42に保護部材46を装着する工程と、針ハブ44に内針42を接合する工程とにより組み立てられる。 In addition, the inner needle assembly 14 is assembled by a step of mounting the protective member 46 on the inner needle 42 and a step of joining the inner needle 42 to the needle hub 44 in the order of steps.
 次に、自動組立機により、図7に示すカテーテル12への、内針組立体14の組み付け工程が行われる。カテーテル12は、不図示の固定治具に固定される。また、内針組立体14は、組立ツールに把持される。内針組立体14の保護部材46は、組立ツールによってロック片70の角度が開通部材24の窓部30f(カテーテル12)の角度と一致するように保持される。その後、内針組立体14の内針42がカテーテル本体16のルーメン15に挿入される。 Next, the process of assembling the inner needle assembly 14 to the catheter 12 shown in FIG. 7 is performed by an automatic assembling machine. The catheter 12 is fixed to a fixing jig (not shown). Also, the inner needle assembly 14 is gripped by an assembly tool. The protection member 46 of the inner needle assembly 14 is held by an assembly tool so that the angle of the lock piece 70 matches the angle of the window portion 30f (catheter 12) of the opening member 24. As shown in FIG. Inner needle 42 of inner needle assembly 14 is then inserted into lumen 15 of catheter body 16 .
 保護部材46は、内針42と共に先端に向けて前進する。保護部材46は、足部34の間の隙間を通って、開通部材24の収容部36aに挿入される。保護部材46のロック片70は、図8A及び図8Bに示されるように、開通部材24の窓部30fに挿入される。その後、針ハブ44の針支持部50がカテーテルハブ18(固定部材26)に嵌合することで、内針組立体14とカテーテル12との組付けが完了する。以上の工程により、カテーテル組立体10が完成する。 The protective member 46 advances toward the distal end together with the inner needle 42 . The protection member 46 is inserted into the receiving portion 36 a of the opening member 24 through the gap between the leg portions 34 . The lock piece 70 of the protection member 46 is inserted into the window portion 30f of the opening member 24 as shown in FIGS. 8A and 8B. After that, the needle support portion 50 of the needle hub 44 is fitted into the catheter hub 18 (fixing member 26), and the assembly of the inner needle assembly 14 and the catheter 12 is completed. Through the above steps, the catheter assembly 10 is completed.
 本実施形態のカテーテル組立体10は以下のように作用する。 The catheter assembly 10 of this embodiment works as follows.
 図1のカテーテル組立体10は、内針組立体14と共にカテーテル12が患者の血管に挿入される。カテーテル12が患者の血管に挿入された後に、内針組立体14がカテーテル12から抜去される。その後、図10Aに示すように、輸液ライン等の医療機器100の雄コネクタ102がカテーテルハブ18に挿入される。雄コネクタ102は、開通部材24の足部34に当接し、開通部材24を先端に向けて押圧する。本実施形態の開通部材24は、足部34に補強リブ40を有するため、足部34の外方への変形を防止できる。 In the catheter assembly 10 of FIG. 1, the catheter 12 is inserted into the patient's blood vessel together with the inner needle assembly 14 . The inner needle assembly 14 is withdrawn from the catheter 12 after the catheter 12 has been inserted into the patient's blood vessel. Thereafter, a male connector 102 of a medical device 100 such as an infusion line is inserted into the catheter hub 18, as shown in FIG. 10A. The male connector 102 abuts on the leg portion 34 of the opening member 24 and presses the opening member 24 toward the distal end. Since the opening member 24 of the present embodiment has the reinforcing ribs 40 on the foot portion 34, the outward deformation of the foot portion 34 can be prevented.
 その結果、一対の足部34の間に雄コネクタ102が入り込みにくくなっている。これにより、開通部材24は、足部34がカテーテルハブ18の内壁に向けて押圧され、摩擦力により前進しなくなる事象を防止できる。したがって、本実施形態のカテーテル組立体10では、図10Bに示すように、先端に丸みを帯びた雄コネクタ102であっても、開通部材24を確実に先端側に前進させることができ、止血弁22を確実に開通できる。 As a result, it is difficult for the male connector 102 to enter between the pair of legs 34 . As a result, the opening member 24 can prevent the feet 34 from being pressed against the inner wall of the catheter hub 18 and prevented from advancing due to frictional force. Therefore, in the catheter assembly 10 of the present embodiment, as shown in FIG. 10B, even if the male connector 102 has a rounded tip, the opening member 24 can be reliably advanced to the distal side, and the hemostasis valve is closed. 22 can be reliably opened.
(第2実施形態)
 図11Aに示すように、第1実施形態のカテーテル組立体10の組立工程において、保護部材46の角度と開通部材24の角度が適正である場合には、保護部材46は、開通部材24の一対の足部34の間を通じてスムーズに組み付けを行うことができる。
(Second embodiment)
As shown in FIG. 11A, in the process of assembling the catheter assembly 10 of the first embodiment, if the angle of the protection member 46 and the angle of the opening member 24 are appropriate, the protection member 46 is attached to the pair of opening members 24. As shown in FIG. It is possible to smoothly assemble through the space between the legs 34.
 ところが、自動組立機を用いた組立工程では、図11Bに示すように、保護部材46の角度方向の位置決めに誤差が生じることがあり、10°程度の角度のずれが生じる場合がある。このような角度のずれが生じていると、保護部材46が足部34の補強リブ40と当接することがある。保護部材46が足部34に当接すると、保護部材46が塑性変形し、動作不良の原因となる。また、保護部材46が塑性変形しない場合であっても、保護部材46によって補強リブ40が削られて異物を発生させる可能性がある。 However, in the assembly process using an automatic assembly machine, as shown in FIG. 11B, an error may occur in the angular positioning of the protective member 46, and an angular deviation of about 10° may occur. Such angular misalignment may cause the protective member 46 to come into contact with the reinforcing ribs 40 of the foot portion 34 . When the protective member 46 comes into contact with the foot portion 34, the protective member 46 is plastically deformed, causing malfunction. Moreover, even if the protective member 46 does not undergo plastic deformation, the reinforcing rib 40 may be scraped by the protective member 46 to generate foreign matter.
 上記の製造上の問題を防ぐために、図12Aに示す開通部材24Aが、図1のカテーテル組立体10に適用される。開通部材24Aは、補強リブ40Aの形状が、開通部材24の補強リブ40の形状と異なる。なお、開通部材24Aにおいて開通部材24と同様の構成には、同一符号を付してその詳細な説明は省略する。 To prevent the manufacturing problems described above, the opening member 24A shown in FIG. 12A is applied to the catheter assembly 10 of FIG. The shape of the reinforcing rib 40A of the opening member 24A differs from the shape of the reinforcing rib 40 of the opening member 24. As shown in FIG. In the opening member 24A, the same components as those of the opening member 24 are denoted by the same reference numerals, and detailed description thereof will be omitted.
 図12A及び図12Bに示すように、本実施形態の補強リブ40Aは、周方向の幅が、足部34の周方向の幅よりも狭い。補強リブ40Aは、基端側から見て、矩形の断面形状を有している。補強リブ40Aは、足部34の幅方向の中心から偏った部位に位置する。補強リブ40Aの中心位置401は、一対の足部34の幅方向の中心と開通部材24Aの軸線とを結んだ線341から離れている。そして、一対の足部34の各々に形成された補強リブ40Aは、窓部30fから離れた部位に位置する。 As shown in FIGS. 12A and 12B, the reinforcing rib 40A of the present embodiment has a circumferential width narrower than that of the foot portion 34 in the circumferential direction. The reinforcing rib 40A has a rectangular cross-sectional shape when viewed from the base end side. The reinforcing rib 40A is located at a portion deviated from the center of the leg portion 34 in the width direction. A center position 401 of the reinforcing rib 40A is away from a line 341 connecting the center of the pair of legs 34 in the width direction and the axis of the opening member 24A. Further, the reinforcing ribs 40A formed on each of the pair of leg portions 34 are located at sites away from the window portion 30f.
 図13に示すように、本実施形態の開通部材24Aは、窓部30fに近い側において、一対の足部34の間隙を広げることができる。保護部材46は、基端方向から見て台形状の範囲を占める。保護部材46の一端の幅広部分は、補強リブ40Aから離れた位置に配置される。また、保護部材46の他端の幅狭部分は、補強リブ40Aに近い位置に配置される。その結果、カテーテル組立体10の組立工程において、保護部材46に多少の角度ずれが生じた場合であっても、開通部材24Aは、補強リブ40Aと保護部材46との接触を防止できる。 As shown in FIG. 13, the opening member 24A of the present embodiment can widen the gap between the pair of leg portions 34 on the side closer to the window portion 30f. The protective member 46 occupies a trapezoidal range when viewed from the proximal direction. A wide portion at one end of the protective member 46 is arranged at a position away from the reinforcing rib 40A. Also, the narrow portion of the other end of the protective member 46 is arranged at a position close to the reinforcing rib 40A. As a result, the opening member 24A can prevent the reinforcement rib 40A and the protection member 46 from coming into contact with each other even if the protection member 46 is slightly misaligned in the process of assembling the catheter assembly 10 .
(第3実施形態)
 本実施形態は、カテーテル組立体10の前述の製造上の問題を避けることができる別の開通部材24Bについて説明する。なお、開通部材24Bにおいて、開通部材24と同様の構成には、同一符号を付してその詳細な説明は省略する。
(Third Embodiment)
This embodiment describes an alternative patency member 24B that can avoid the aforementioned manufacturing problems of catheter assembly 10 . In addition, in the opening member 24B, the same reference numerals are given to the same configurations as those of the opening member 24, and detailed description thereof will be omitted.
 図14Aに示すように、開通部材24Bは、一対の足部34の各々に補強リブ40Bを有する。補強リブ40Bは、足部34において窓部30fから離れた側の周方向の端部に位置する。図14Bに示すように、補強リブ40Bは、基端側から見て、三角形状の断面形状を有する。特に限定されるものではないが、補強リブ40Bは、周方向の幅が足部34の周方向の幅よりも狭く、足部34の幅方向の中心に対して偏り、窓部30fから離れた位置に偏って配置される。 As shown in FIG. 14A, the opening member 24B has reinforcing ribs 40B on each of the pair of legs 34. As shown in FIG. The reinforcing rib 40B is positioned at the circumferential end of the leg 34 away from the window 30f. As shown in FIG. 14B, the reinforcing rib 40B has a triangular cross-sectional shape when viewed from the base end side. Although not particularly limited, the reinforcing rib 40B has a circumferential width narrower than the circumferential width of the foot portion 34, is biased with respect to the widthwise center of the foot portion 34, and is spaced apart from the window portion 30f. placed out of position.
 なお、補強リブ40Bは、図15の二点鎖線に示すように、足部34の周方向の幅と同じ幅を有してもよい。この場合には、補強リブ40Bの間に形成される隙間(一対の足部34の隙間)が、窓部30fに接近するにつれて徐々に広がるように傾斜した形状であってもよい。 It should be noted that the reinforcing rib 40B may have the same width as the width of the leg portion 34 in the circumferential direction, as indicated by the two-dot chain line in FIG. In this case, the gap formed between the reinforcing ribs 40B (the gap between the pair of legs 34) may have an inclined shape that gradually widens as it approaches the window 30f.
 図15に示すように、本実施形態の開通部材24Bは、窓部30fに近い側において、一対の足部34の間隙を広げることができる。その結果、カテーテル組立体10の組立工程において、保護部材46に多少の角度ずれが生じた場合であっても、開通部材24Bの補強リブ40Bと保護部材46との接触が防止される。 As shown in FIG. 15, the opening member 24B of this embodiment can widen the gap between the pair of legs 34 on the side near the window 30f. As a result, even if the protective member 46 is slightly misaligned during the assembly process of the catheter assembly 10, the reinforcing rib 40B of the opening member 24B and the protective member 46 are prevented from coming into contact with each other.
 なお、本発明は、上記した実施形態に限らず、本発明の要旨を逸脱することなく、種々の構成を取り得る。 The present invention is not limited to the above-described embodiments, and can take various configurations without departing from the gist of the present invention.

Claims (11)

  1.  カテーテル本体と、
     前記カテーテル本体の基端を支持するカテーテルハブと、
     前記カテーテルハブの内部に配置された止血弁と、
     前記カテーテルハブの内部に前記止血弁の基端側に隣接して配置され、前記止血弁を開通させる開通部材と、を備え、
     前記開通部材は、
     前記カテーテルハブの内周面と摺動する筒状の胴部と、
     前記胴部の内周面に囲まれ、軸線方向に延在する収容部と、
     前記胴部から先端に向けて縮径して延び出る首部と、
     前記胴部の基端から基端側に向けて延び出た一対の足部と、
     少なくとも一方の前記足部の内周面から前記開通部材の中心に向けて膨出した頂部を有し、前記頂部が前記足部の中で最も肉厚に形成され、かつ前記軸線方向に延びる補強リブと、を有する、カテーテル組立体。
    a catheter body;
    a catheter hub supporting the proximal end of the catheter body;
    a hemostasis valve positioned inside the catheter hub;
    an opening member disposed adjacent to the proximal end of the hemostasis valve inside the catheter hub and opening the hemostasis valve;
    The opening member is
    a cylindrical body that slides on the inner peripheral surface of the catheter hub;
    an accommodating portion surrounded by the inner peripheral surface of the body portion and extending in the axial direction;
    a neck portion extending from the body portion toward the tip with a reduced diameter;
    a pair of legs extending from the proximal end of the trunk toward the proximal end;
    A reinforcement extending in the axial direction and having a apex that bulges from the inner peripheral surface of at least one of the legs toward the center of the opening member, the apex being the thickest among the legs and extending in the axial direction. and ribs.
  2.  請求項1記載のカテーテル組立体であって、前記補強リブは、前記一対の足部のそれぞれの内周面に形成される、カテーテル組立体。 The catheter assembly according to claim 1, wherein the reinforcing ribs are formed on the inner peripheral surface of each of the pair of legs.
  3.  請求項1又は2記載のカテーテル組立体であって、前記補強リブは、前記足部の幅と同じである、カテーテル組立体。 The catheter assembly according to claim 1 or 2, wherein said reinforcing ribs are the same as the width of said foot.
  4.  請求項3記載のカテーテル組立体であって、前記補強リブは、前記足部の幅方向の中央位置で最も内方に向けて膨出した頂部と、前記頂部の周方向の両側に位置し徐々に肉薄になる曲面形状部とを有する、カテーテル組立体。 4. The catheter assembly according to claim 3, wherein the reinforcing ribs are formed at the most inwardly bulging apex at the center position in the width direction of the foot, and at both sides of the apex in the circumferential direction. and a curved contoured portion that tapers into a thin wall.
  5.  請求項1又は2記載のカテーテル組立体であって、前記補強リブの幅は、前記足部の幅よりも狭く、かつ、前記補強リブの幅方向の中心位置は、前記足部の幅方向の中心と前記開通部材の軸線とを結ぶ線から離れている、カテーテル組立体。 3. The catheter assembly according to claim 1, wherein the width of said reinforcing rib is narrower than the width of said leg, and the central position of said reinforcing rib in the width direction is the width of said leg. A catheter assembly spaced from a line connecting the center and the axis of the opening member.
  6.  請求項1記載のカテーテル組立体であって、一方の前記足部の前記補強リブと、他方の前記足部の前記補強リブとの間に形成される間隙の幅は、前記カテーテルハブに接続されるコネクタの先端の外径よりも小さい、カテーテル組立体。 2. The catheter assembly of claim 1, wherein the width of the gap formed between the stiffening rib of one leg and the stiffening rib of the other leg is connected to the catheter hub. a catheter assembly that is smaller than the outer diameter of the tip of the connector that
  7.  請求項1記載のカテーテル組立体であって、前記胴部の外周部は円筒面を有し、前記足部の外周面は前記胴部の外周部と同一の円筒面を有する、カテーテル組立体。 The catheter assembly according to claim 1, wherein the outer circumference of the body has a cylindrical surface, and the outer circumference of the foot has the same cylindrical surface as the outer circumference of the body.
  8.  請求項1記載のカテーテル組立体であって、前記補強リブと前記足部と前記胴部とは樹脂によって一体的に成形されている、カテーテル組立体。 The catheter assembly according to claim 1, wherein said reinforcing rib, said foot portion and said trunk portion are integrally molded from resin.
  9.  請求項1記載のカテーテル組立体であって、前記補強リブは、前記足部の内周面から前記胴部の内周面にまで延在する、カテーテル組立体。 The catheter assembly according to claim 1, wherein the reinforcing rib extends from the inner peripheral surface of the foot portion to the inner peripheral surface of the trunk portion.
  10.  請求項1記載のカテーテル組立体であって、さらに、
     前記カテーテル本体の内部に挿入された内針と、
     前記内針に取り付けられて前記内針を抜去した際に前記内針の針先を覆う保護部材と、を備え、
     前記保護部材は、前記開通部材の前記収容部に収容された、カテーテル組立体。
    The catheter assembly of claim 1, further comprising:
    an inner needle inserted inside the catheter body;
    a protective member attached to the inner needle and covering the tip of the inner needle when the inner needle is removed;
    The catheter assembly, wherein the protection member is housed in the housing portion of the opening member.
  11.  請求項5記載のカテーテル組立体であって、さらに、
     前記カテーテル本体の内部に挿入された内針と、
     前記内針に取り付けられて前記内針を抜去した際に前記内針の針先を覆う保護部材と、を備え、
     前記保護部材は、前記開通部材の前記収容部に収容され、かつ、
     前記保護部材は、基端方向から見て台形状の範囲を占めており、前記保護部材の一端の幅広部分が前記補強リブから離れた位置に配置され、前記保護部材の他端の幅狭部分が前記補強リブに近い位置に配置された、カテーテル組立体。
    6. The catheter assembly of claim 5, further comprising:
    an inner needle inserted inside the catheter body;
    a protective member attached to the inner needle and covering the tip of the inner needle when the inner needle is removed;
    The protection member is housed in the housing portion of the opening member, and
    The protective member occupies a trapezoidal range when viewed from the proximal direction, the wide portion at one end of the protective member is located away from the reinforcing rib, and the narrow portion at the other end of the protective member positioned proximate to said stiffening ribs.
PCT/JP2023/005884 2022-02-25 2023-02-20 Catheter assembly WO2023162902A1 (en)

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2012517327A (en) * 2009-02-11 2012-08-02 ベクトン・ディキンソン・アンド・カンパニー System and method for providing a flow control valve for a medical device
JP2018527984A (en) * 2015-08-18 2018-09-27 ベー・ブラウン・メルズンゲン・アクチエンゲゼルシャフトB.Braun Melsungen Aktiengesellschaft Catheter apparatus with valve and related methods
WO2020195848A1 (en) * 2019-03-28 2020-10-01 テルモ株式会社 Catheter assembly

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2012517327A (en) * 2009-02-11 2012-08-02 ベクトン・ディキンソン・アンド・カンパニー System and method for providing a flow control valve for a medical device
JP2018527984A (en) * 2015-08-18 2018-09-27 ベー・ブラウン・メルズンゲン・アクチエンゲゼルシャフトB.Braun Melsungen Aktiengesellschaft Catheter apparatus with valve and related methods
WO2020195848A1 (en) * 2019-03-28 2020-10-01 テルモ株式会社 Catheter assembly

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