JP3608984B2 - Chemical solution continuous infusion device - Google Patents
Chemical solution continuous infusion device Download PDFInfo
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- JP3608984B2 JP3608984B2 JP20516399A JP20516399A JP3608984B2 JP 3608984 B2 JP3608984 B2 JP 3608984B2 JP 20516399 A JP20516399 A JP 20516399A JP 20516399 A JP20516399 A JP 20516399A JP 3608984 B2 JP3608984 B2 JP 3608984B2
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- Prior art keywords
- balloon
- chemical solution
- chemical
- liquid
- infusion device
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- 239000000126 substance Substances 0.000 title claims description 60
- 238000001802 infusion Methods 0.000 title claims description 13
- 239000000243 solution Substances 0.000 claims description 53
- 239000007788 liquid Substances 0.000 claims description 34
- 238000002347 injection Methods 0.000 claims description 16
- 239000007924 injection Substances 0.000 claims description 16
- 239000000463 material Substances 0.000 claims description 7
- 230000008602 contraction Effects 0.000 claims description 6
- 239000003814 drug Substances 0.000 description 14
- 229940079593 drug Drugs 0.000 description 14
- 230000007423 decrease Effects 0.000 description 3
- 230000001052 transient effect Effects 0.000 description 3
- 238000001746 injection moulding Methods 0.000 description 2
- 239000008155 medical solution Substances 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 235000017166 Bambusa arundinacea Nutrition 0.000 description 1
- 235000017491 Bambusa tulda Nutrition 0.000 description 1
- 241001330002 Bambuseae Species 0.000 description 1
- 235000015334 Phyllostachys viridis Nutrition 0.000 description 1
- 208000004550 Postoperative Pain Diseases 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 229940035676 analgesics Drugs 0.000 description 1
- 239000000730 antalgic agent Substances 0.000 description 1
- 239000002246 antineoplastic agent Substances 0.000 description 1
- 239000011425 bamboo Substances 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 238000000071 blow moulding Methods 0.000 description 1
- 238000000748 compression moulding Methods 0.000 description 1
- 238000007598 dipping method Methods 0.000 description 1
- 238000001647 drug administration Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 229920001971 elastomer Polymers 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 238000001125 extrusion Methods 0.000 description 1
- 229920003049 isoprene rubber Polymers 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 229920002635 polyurethane Polymers 0.000 description 1
- 239000004814 polyurethane Substances 0.000 description 1
- 229920000915 polyvinyl chloride Polymers 0.000 description 1
- 239000004800 polyvinyl chloride Substances 0.000 description 1
- 239000002994 raw material Substances 0.000 description 1
- 229920002379 silicone rubber Polymers 0.000 description 1
- 239000004945 silicone rubber Substances 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
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- Infusion, Injection, And Reservoir Apparatuses (AREA)
Description
【0001】
【発明の属する技術分野】
本発明は術後疼痛に対する麻酔、鎮痛剤の投与や抗癌剤の投与に使用する薬液持続注入器具に関する。
【0002】
【従来の技術】
体内への薬液の投与は、体内に留置したカテーテルを経由するか、あるいは、静脈等に穿刺した針を経由して行われ、その際注入は濃度を一定に保つために、一定の速度で行われる。薬液を体内に持続注入するためにカテーテルや針に接続する器具は機械式とディスポーザブル式に大別できる。
【0003】
ディスポーザブル式の多くはゴム製バルーンに薬液を注入し、バルーンの収縮力を駆動力として薬液を注入する器具(特開平6−296688号公報)である。器具は薬液注入口とバルーン、薬液出口にバルーンを覆うハウジング、送液用のチューブ、流速制御管により構成されるのが一般的である。薬液持続注入器具を使用する場合は、まず薬液注入口よりバルーン内部に薬液を注入することでバルーンを拡張させる。拡張したバルーンは素材の弾性力により収縮しようとして薬液を加圧し、これが薬液を送液する駆動力となる。流速は流速制御管により調節される。バルーン内に充填した薬液がなくなるとバルーンが薬液注入前の形状に戻り、収縮力がなくなり送液は終了する。ディスポーザブル式はコンパクトで携帯性が良く安価である為、機械式に比べ普及しておりよく使用される。しかしながら、注入終了間際に薬液注入速度の一過性の上昇が起こる事が問題となっていた。
【0004】
薬液注入終了間際の注入速度の一過性の上昇を抑制する目的で、定荷重バネをガスケットに装着しバネの伸張力にて薬液を注入する装置(特開平7−194701号公報)も知られている。定荷重バネを使用すると、上記の薬液終了間際の薬液注入速度の上昇は見られないが、用具の寸法が大きくなるため、携帯性が低下したり、バネが金属であるため使用後の廃棄処理が面倒であった。また同じ目的で陰圧を用いた注入装置が他にも開発されている。これも薬液注入終了間際の薬液注入流速の一過性の上昇は抑制されているが陰圧発生機構を備える為に余分なスペースが必要となり携帯性が良くなかった。
【0005】
【発明が解決しようとする課題】
本発明の目的は薬液投与終了間際に流速の一過性の上昇が起こらないコンパクトな薬液持続注入器具を提供する事である。
【0006】
【課題を解決するための手段】
即ち本発明は、薬液注入口、バルーン、薬液出口を備え、バルーン内部に薬液を充填しバルーンを拡張変形させ、バルーンの収縮力を送液の駆動力とする薬液持続注入器具において、摺動可能な内筒により、薬液注入前のバルーンの形状より拡張した状態で充填した薬液の送液が終了することを特徴とする薬液持続注入器具である。又、薬液の送液が終了する時にバルーン素材が降伏点以上に拡張している薬液持続注入器具である。
【0007】
薬液の流速はハーゲン−ポアズイユの法則に従って決まり、円管を流れる液体の流量は流れる液体の粘度、管の直径、圧力差により決まる。バルーン式薬液持続注入器具の場合、流速変化に関与する主な変動因子は圧力変化であり、薬液の残存量によりバルーンの収縮力が変化することである。言い換えると、流速変化の主な原因はバルーン使用範囲において素材の応力歪み曲線が一定でないことによる。バルーン素材の応力歪み曲線は材料の種類により異なるが、おおむね、最初の変曲点(降伏点)まで急勾配であり、そこから徐々に上昇し次の変曲点(破断点)より再び急勾配となり破断する。従来のバルーンを駆動力とした薬液持続注入器具は、薬液充填前及び投与終了時のバルーン形状は応力が全くかかっておらず歪んでいない状態である。その為、バルーンの使用範囲に最初の変曲点を含んでいる。この為に、一定の速度でバルーン内の薬液が減少し歪みが減少していくと、変曲点付近でバルーンの圧力が急激に変化する為、流速の変化が起きてしまう。本発明によると、薬液流速が上昇し始めるバルーンの応力歪み曲線の変曲点付近(降伏点)より拡張した状態で送液は終了する為、薬液の一過性の上昇は見られない。バルーンを拡張した状態で送液を終了させるためにバルーン内に挿入する物質を従来バルーンの外側に設ける部分(薬液注入口や薬液出口等)とすれば、特別なスペースをとることなくコンパクトな寸法にすることができる。
【0008】
【発明の実施の形態】
薬液はまず薬液注入口よりバルーン内部へ注入される。薬液が注入されるとバルーンは拡張する。その後、薬液注入口を備える内筒等をバルーン内部に挿入し排除体積とする。薬液はバルーン内部より薬液出口を通じて送液される。薬液投与終了時にはバルーンは内部に挿入された円筒の容積分だけ変形した状態となる。
【0009】
以下図面で本発明を詳細に説明する。図1は本発明の概略となる薬液自動注入器具を示す。装置はバルーン(1)とバルーン(1)が装着されたハウジング(4)、蓋(5)が接続されるバルーン把持具(2)、バルーン把持具(2)に摺動可能で液密に固定される内筒(3)、蓋(5)さらに送液チューブ(6)より構成される。内筒(3)は薬液注入口(7)と送液チューブ(6)に接続する薬液出口(8)を有する。薬液注入口(7)はシリンジと接続可能で一方弁(9)を有する。また内筒(3)はバルーン把持具(2)と液密に摺動するためにOリング(10)を有する。バルーン(1)はシリコーンゴムあるいはイソプレンゴム製等であることが望ましい。バルーン(1)は円筒形あるいはバスタブ形状のものが均等に拡張するために望ましい。図1の実施例は円筒形である。バルーン(1)は押出成形により管状に成形した後、片方を溶着して成形しても良いし、ディッピングにより成形しても良く、また圧縮成形等でも成形される。バルーン把持具(2)、蓋(3)は、望ましくは射出成形により成形される。バルーン把持具(2)はバルーン(1)を接続する為、リブ、タケノコ状に設計することが望ましい。バルーン(1)とバルーン把持具(2)との接続は、接続面を接着しても良いが、タイバンド等のバルーン止具(11)でバルーン(1)の外側より締め付けても良い。
【0010】
ハウジング(4)は望ましくはブロー成形により成形するが射出成形等でも良い。バルーンの状態を確認できるように、透明であることが望ましい。また、バルーン内の薬液残量を確認するために、目盛等を印刷することが望ましい。送液チューブ(6)は耐キンク性に優れるよう肉厚のものが望ましい。更には気泡等の混入が確認できるように透明であることが望ましく、使用する材料としては、ポリ塩化ビニル、ポリウレタン等が望ましい。次に図1にて本発明の使用方法について説明する。薬液はシリンジ等を薬液注入口(7)に接続してバルーン(1)内に注入し充填する。次に内筒(3)を押しバルーン把持具(2)に固定する。薬液はバルーン(1)の収縮力により薬液出口(8)、送液チューブ(6)を介し送液される。バルーン(1)は内筒(3)を挿入した体積だけ送液終了時には拡張した状態で送液を終了する。
【0011】
【0012】
図2は本発明と、従来の薬液持続注入器の流速の経時変化を比較した結果を示すものである。実験は本発明のバルーン2(16)に液を注入したものと液を注入しないものとで行った。また実験系は37℃に保ち行った。流速の測定は超音波血流計により行った。図2に示す如く、本発明による一実施例は投与終了まで流速がほぼ一定であり、従来問題であった送液終了間際の流速の上昇が抑制されている。
【0013】
【発明の効果】
以上より明らかなように、薬液注入前のバルーンの形状より拡張した状態で薬液の送液を終了する本発明の薬液持続注入器具は、これまで問題となっていた送液終了間際の流速の変化を抑制する。送液終了間際の流速の上昇が無いため、少量の薬液充填でも設定値の流速を確保できる。
【図面の簡単な説明】
【 図1】本発明の一実施例を示す。内筒がスライド挿入されることでバルーンが基の初期の状態に戻る前に薬液投与が終了することを示す。
【 図2】本発明と従来の持続注入器との流速の経時変化を示す。
【符号の説明】
1 バルーン
2 バルーン把持具
3 内筒
4 ハウジング
5 蓋
6 送液チューブ
7 薬液注入口
8 薬液出口
9 一方弁
10 Oリング
11 バルーン止具[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a chemical solution continuous infusion device used for anesthesia for postoperative pain, administration of analgesics and administration of anticancer agents.
[0002]
[Prior art]
Administration of the drug solution into the body is performed via a catheter placed in the body or via a needle punctured into a vein or the like, and infusion is performed at a constant rate in order to keep the concentration constant. Is called. Devices that are connected to catheters and needles to continuously inject a drug solution into the body can be broadly divided into mechanical types and disposable types.
[0003]
Most of the disposable types are devices (Japanese Patent Laid-Open No. 6-296688) for injecting a chemical solution into a rubber balloon and injecting the chemical solution using the contraction force of the balloon as a driving force. Generally, the instrument is composed of a chemical solution inlet and a balloon, a housing that covers the balloon at the chemical solution outlet, a tube for liquid feeding, and a flow rate control tube. When using a chemical solution continuous infusion device, the balloon is first expanded by injecting the chemical solution into the balloon from the chemical solution inlet. The expanded balloon pressurizes the chemical solution in an attempt to contract due to the elastic force of the material, and this becomes a driving force for feeding the chemical solution. The flow rate is adjusted by a flow rate control tube. When the drug solution filled in the balloon is exhausted, the balloon returns to the shape before the drug solution is injected, the contraction force is lost, and the liquid feeding is finished. Since the disposable type is compact, portable and inexpensive, it is more popular than the mechanical type and is often used. However, there has been a problem that a transient increase in the chemical injection rate occurs just before the end of the injection.
[0004]
An apparatus (Japanese Patent Laid-Open No. 7-194701) in which a constant load spring is attached to a gasket and a chemical liquid is injected by the extension force of the spring for the purpose of suppressing a temporary increase in the injection speed just before the end of the chemical liquid injection is also known. ing. When a constant load spring is used, there is no increase in the chemical injection rate just before the end of the chemical, but the size of the tool increases, so the portability decreases, and the disposal process after use because the spring is metal. Was troublesome. Other injection devices using negative pressure have been developed for the same purpose. Although the transient rise of the chemical solution injection flow rate just before the end of the chemical solution injection was suppressed, the extra pressure was required to provide the negative pressure generating mechanism, and the portability was not good.
[0005]
[Problems to be solved by the invention]
An object of the present invention is to provide a compact chemical solution continuous infusion device in which a transient increase in flow rate does not occur just before the end of chemical solution administration.
[0006]
[Means for Solving the Problems]
That is, the present invention is slidable in a chemical solution continuous infusion device having a chemical solution injection port, a balloon, and a chemical solution outlet, filling the balloon with a chemical solution, expanding and deforming the balloon, and using the contraction force of the balloon as the driving force of the liquid supply The chemical liquid continuous infusion device is characterized in that the feeding of the chemical liquid filled in a state expanded from the shape of the balloon before the chemical liquid injection is completed by the inner cylinder . Moreover, it is a chemical | medical solution continuous injection | pouring apparatus with which the balloon raw material is expanded beyond the yield point when liquid supply of a chemical | medical solution is complete | finished.
[0007]
The flow rate of the chemical solution is determined according to Hagen-Poiseuille's law, and the flow rate of the liquid flowing through the circular tube is determined by the viscosity of the flowing liquid, the diameter of the tube, and the pressure difference. In the case of a balloon type chemical solution continuous infusion device, the main variable factor involved in the flow rate change is a pressure change, and the contraction force of the balloon changes depending on the remaining amount of the chemical solution. In other words, the main cause of the change in the flow velocity is that the stress-strain curve of the material is not constant in the balloon use range. The stress-strain curve of the balloon material varies depending on the type of material, but it is generally steep up to the first inflection point (yield point), then gradually rises from there and then steep again from the next inflection point (break point). And breaks. In the conventional drug solution continuous infusion device using a balloon as a driving force, the balloon shape before filling with the drug solution and at the end of the administration is not stressed and distorted. Therefore, the first inflection point is included in the use range of the balloon. For this reason, when the drug solution in the balloon decreases at a constant speed and the strain decreases, the pressure of the balloon rapidly changes in the vicinity of the inflection point, so that the flow rate changes. According to the present invention, since the liquid delivery is completed in a state where it is expanded from the vicinity of the inflection point (yield point) of the stress-strain curve of the balloon in which the chemical liquid flow rate starts to rise, there is no temporary increase in the chemical liquid. If the material to be inserted into the balloon in order to finish the delivery of the balloon in the expanded state is a part that is conventionally provided outside the balloon (chemical solution inlet, chemical solution outlet, etc.), it is compact without taking up any special space. Can be.
[0008]
DETAILED DESCRIPTION OF THE INVENTION
The drug solution is first injected into the balloon from the drug solution inlet. When the drug solution is injected, the balloon expands. Thereafter, an inner cylinder or the like equipped with a chemical solution inlet is inserted into the balloon to obtain an excluded volume. The drug solution is sent from the inside of the balloon through the drug solution outlet. At the end of drug administration, the balloon is deformed by the volume of the cylinder inserted therein.
[0009]
Hereinafter, the present invention will be described in detail with reference to the drawings. FIG. 1 shows an automatic chemical solution injection device according to the present invention. The device is slidable and liquid-tightly fixed to the balloon (1), the housing (4) to which the balloon (1) is mounted, the balloon gripping tool (2) to which the lid (5) is connected, and the balloon gripping tool (2). An inner cylinder (3), a lid (5), and a liquid feeding tube (6). The inner cylinder (3) has a chemical solution inlet (7) and a chemical solution outlet (8) connected to the liquid feeding tube (6). The chemical solution injection port (7) can be connected to a syringe and has a one-way valve (9). The inner cylinder (3) has an O-ring (10) for sliding in a liquid-tight manner with the balloon gripping tool (2). The balloon (1) is preferably made of silicone rubber or isoprene rubber. The balloon (1) is preferably cylindrical or bathtub-shaped in order to expand evenly. The embodiment of FIG. 1 is cylindrical. The balloon (1) may be formed into a tubular shape by extrusion, and then welded on one side, may be formed by dipping, or may be formed by compression molding or the like. The balloon gripping tool (2) and the lid (3) are desirably formed by injection molding. The balloon gripping tool (2) is preferably designed in the shape of a rib or a bamboo shoot to connect the balloon (1). The connection between the balloon (1) and the balloon gripping tool (2) may be performed by bonding the connecting surface, or may be tightened from the outside of the balloon (1) with a balloon stopper (11) such as a tie band.
[0010]
The housing (4) is preferably molded by blow molding, but may be injection molding or the like. It is desirable to be transparent so that the state of the balloon can be confirmed. In addition, it is desirable to print a scale or the like in order to check the remaining amount of the chemical in the balloon. The liquid feeding tube (6) is preferably thick so as to have excellent kink resistance. Furthermore, it is desirable to be transparent so that air bubbles and the like can be confirmed, and the material used is preferably polyvinyl chloride, polyurethane or the like. Next, a method of using the present invention will be described with reference to FIG. The drug solution is injected and filled into the balloon (1) by connecting a syringe or the like to the drug solution injection port (7). Next, the inner cylinder (3) is pushed and fixed to the balloon gripping tool (2). The chemical liquid is fed through the chemical liquid outlet (8) and the liquid feeding tube (6) by the contraction force of the balloon (1). The balloon (1) ends the liquid supply in the expanded state by the volume into which the inner cylinder (3) has been inserted.
[0011]
[0012]
FIG. 2 shows the result of comparing the change over time of the flow rate of the present invention with that of the conventional chemical solution continuous injector. The experiment was performed with the liquid injected into the balloon 2 (16) of the present invention and with the liquid not injected. The experimental system was kept at 37 ° C. The flow rate was measured with an ultrasonic blood flow meter. As shown in FIG. 2 , in one embodiment according to the present invention, the flow rate is substantially constant until the end of administration, and an increase in the flow rate just before the end of liquid feeding, which has been a problem in the past, is suppressed.
[0013]
【The invention's effect】
As is clear from the above, the chemical solution continuous infusion device of the present invention that terminates the delivery of the chemical solution in a state expanded from the shape of the balloon before the chemical solution injection is a change in the flow rate immediately before the end of the liquid delivery, which has been a problem until now. Suppress. Since there is no increase in the flow rate just before the end of liquid feeding, the set flow rate can be secured even with a small amount of chemical solution filling.
[Brief description of the drawings]
FIG. 1 shows an embodiment of the present invention. This shows that the medicinal solution administration is finished before the balloon returns to the initial state by sliding the inner cylinder.
FIG. 2 shows the change in flow rate over time between the present invention and a conventional continuous injector.
[Explanation of symbols]
DESCRIPTION OF
Claims (2)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP20516399A JP3608984B2 (en) | 1999-07-19 | 1999-07-19 | Chemical solution continuous infusion device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP20516399A JP3608984B2 (en) | 1999-07-19 | 1999-07-19 | Chemical solution continuous infusion device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JP2001029461A JP2001029461A (en) | 2001-02-06 |
| JP3608984B2 true JP3608984B2 (en) | 2005-01-12 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP20516399A Expired - Fee Related JP3608984B2 (en) | 1999-07-19 | 1999-07-19 | Chemical solution continuous infusion device |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JP3608984B2 (en) |
Families Citing this family (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2003111839A (en) * | 2001-10-02 | 2003-04-15 | Daiken Iki Kk | Chemical injection device with filling assist function |
| EP1691440A1 (en) | 2005-02-07 | 2006-08-16 | Fuji Photo Film Co., Ltd. | Solid electrolyte, method for producing the solid electrolyte, membrane, membrane electrode assembly and fuel cell comprising the solid electrolyte |
| JP5060829B2 (en) * | 2007-05-25 | 2012-10-31 | オーベクス株式会社 | Chemical injector |
| JP5228997B2 (en) * | 2008-03-24 | 2013-07-03 | 住友ベークライト株式会社 | Chemical solution continuous infusion device and medicinal solution continuous infusion device |
| JP2013189552A (en) | 2012-03-14 | 2013-09-26 | Dow Corning Toray Co Ltd | Silicone elastomer composition, elastic member for medical appliance, and balloon for medical use |
| KR101705236B1 (en) * | 2016-01-11 | 2017-02-10 | (주)이화바이오메딕스 | Drug solution infuser with balloon |
-
1999
- 1999-07-19 JP JP20516399A patent/JP3608984B2/en not_active Expired - Fee Related
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| JP2001029461A (en) | 2001-02-06 |
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