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JP4723267B2 - Indwelling needle set - Google Patents
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JP4723267B2 - Indwelling needle set - Google Patents

Indwelling needle set Download PDF

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JP4723267B2
JP4723267B2 JP2005081788A JP2005081788A JP4723267B2 JP 4723267 B2 JP4723267 B2 JP 4723267B2 JP 2005081788 A JP2005081788 A JP 2005081788A JP 2005081788 A JP2005081788 A JP 2005081788A JP 4723267 B2 JP4723267 B2 JP 4723267B2
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needle
engagement
connector
housing
hole
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JP2006262979A (en
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一博 阿部
重彰 船村
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日本シャーウッド株式会社
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Description

本発明は、血液透析等を行う際に血管に留置される留置針を備えた留置針セットに関する。   The present invention relates to an indwelling needle set including an indwelling needle that is placed in a blood vessel when performing hemodialysis or the like.

従来から、留置針セットを用いて、患者の血管に対して、血液透析を行ったり、所定の薬液等を供給したりする処置が行われている。このような場合に用いられる留置針セットは、患者の血管内に留置するための外針と、外針の内部に挿入され、外針を患者の血管に穿刺する処置をスムーズにするための内針とを備えている。そして、使用の際には、内針を外針内に挿入し、内針の先端部を外針の先端部から僅かに突出させた状態で、外針を内針とともに血管に穿刺する。ついで、外針を血管に留置した状態で、内針を外針(血管)から抜き取り、外針の後端部に所定の血液や薬液等を供給するためのチューブ部材等を接続することによって血液透析や薬液等の供給が行われる。   Conventionally, treatment using a set of indwelling needles such as hemodialysis or supply of a predetermined drug solution or the like is performed on a patient's blood vessel. The indwelling needle set used in such a case includes an outer needle for placement in the patient's blood vessel and an inner needle for smooth insertion of the outer needle into the patient's blood vessel. With a needle. In use, the inner needle is inserted into the outer needle, and the outer needle is punctured into the blood vessel together with the inner needle while the distal end of the inner needle is slightly protruded from the distal end of the outer needle. Next, with the outer needle indwelled in the blood vessel, the inner needle is removed from the outer needle (blood vessel), and blood is obtained by connecting a tube member or the like for supplying predetermined blood or a chemical solution to the rear end of the outer needle. Dialysis and chemicals are supplied.

また、このような留置針セットが備える留置針の中には、外針から内針を抜き取る際に、血液が外針の後端部から吐出することを防止するための弁体や、外針とチューブ部材等を接続するためのコネクターを備えたものがある(例えば、特許文献1参照)。この留置針では、外針の後端部に弁体が取り付けられており、この弁体に、内針を液密的に挿通させるとともに、内針を抜いたときには閉塞する開閉孔が設けられている。そして、コネクターは、弁体の開閉孔に挿通可能な挿通管と内周面にねじが形成された筒状のスクリューアダプターとで構成されており、スクリューアダプターのねじを、外針の後端外周部に形成された環状突起に螺合させることにより、外針に対して位置変更可能な状態で取り付けられている。
特開2001―46507号公報
Further, among the indwelling needles provided in such an indwelling needle set, when extracting the inner needle from the outer needle, a valve body for preventing blood from being discharged from the rear end portion of the outer needle, and the outer needle And a connector for connecting a tube member and the like (for example, see Patent Document 1). In this indwelling needle, a valve body is attached to the rear end portion of the outer needle. The valve body is provided with an opening / closing hole through which the inner needle is inserted in a liquid-tight manner and closed when the inner needle is removed. Yes. The connector is composed of an insertion tube that can be inserted into the opening / closing hole of the valve body and a cylindrical screw adapter having a screw formed on the inner peripheral surface thereof. It is attached in a state in which the position can be changed with respect to the outer needle by screwing into an annular protrusion formed on the portion.
Japanese Patent Laid-Open No. 2001-46507

しかしながら、前述した従来の留置針セットでは、コネクターの外針への取り付けを、外針の環状突起とコネクターのねじとの螺合によって行うため操作が面倒であるという問題がある。また、従来の留置針の中には、単に、外針の後端部に挿通管を挿し込むだけでコネクターを外針に取り付けるものもあるが、これによると、使用中にコネクターが緩んでしまう恐れがある。   However, the conventional indwelling needle set described above has a problem that the operation is troublesome because the connector is attached to the outer needle by screwing the annular protrusion of the outer needle and the screw of the connector. In addition, some conventional indwelling needles simply attach the insertion tube to the rear end of the outer needle and attach the connector to the outer needle, but this will loosen the connector during use. There is a fear.

本発明はこのような事情に鑑みなされたのもで、その目的は、外針への取り付けが容易で、かつ不用意に外針から外れることを防止できるコネクターを備えた留置針セットを提供することにある。   The present invention has been made in view of such circumstances, and an object thereof is to provide an indwelling needle set including a connector that can be easily attached to the outer needle and can be prevented from being inadvertently detached from the outer needle. is there.

前述した目的を達成するため、本発明に係る留置針セットの構成上の特徴は、内腔を備えたカニューレと、カニューレの基部に連結され内部にカニューレの内腔に連通する流路が設けられたハウジングとからなる外針と、内腔を備えカニューレの先端開口部から先端部を突出させた状態で外針内に挿入可能な金属針と、金属針の基部に連結されたハブとからなる内針と、ハウジング内に設けられ外針内に挿入される金属針を液密的に通すことができるとともに金属針が挿通していないときには流路を閉塞する開閉孔を有する弁体と、弁体の開閉孔に液密的に挿通できる挿通管を備え、内針が外針から取り外されているときに、挿通管を開閉孔に挿通させた状態で、外針のハウジングに連結できるコネクターとを備えた留置針セットであって、ハウジングとコネクターとに、係合突部と係合凹部とからなり、係合突部と係合凹部のうちの一方側をハウジングまたはコネクターの外周面側から中心軸側に向けて押圧することにより解除できる係合機構を複数個設けるとともに、係合突部と係合凹部との一方側をハウジングまたはコネクターの外周面側から中心軸側に押圧するための係合解除部を設けたことにある。   In order to achieve the above-described object, the indwelling needle set according to the present invention is characterized in that a cannula having a lumen and a flow path connected to the base of the cannula and communicating with the lumen of the cannula are provided. An outer needle comprising a housing, a metal needle that has a lumen and can be inserted into the outer needle with the tip protruding from the tip opening of the cannula, and a hub connected to the base of the metal needle A valve body having an opening and closing hole for closing the flow path when the metal needle is inserted through the inner needle and the metal needle that is provided in the housing and inserted into the outer needle can be liquid-tightly passed; A connector that can be connected to the housing of the outer needle while the insertion tube is inserted into the opening / closing hole when the inner needle is removed from the outer needle when the inner needle is removed from the outer needle. An indwelling needle set comprising It consists of an engagement protrusion and an engagement recess on the wing and the connector, and by pressing one side of the engagement protrusion and the engagement recess from the outer peripheral surface side of the housing or connector toward the central axis. A plurality of engagement mechanisms that can be released are provided, and an engagement release portion is provided for pressing one side of the engagement protrusion and the engagement recess from the outer peripheral surface side of the housing or the connector toward the central axis. .

前述したように構成した本発明の留置針セットでは、ハウジングとコネクターとに、互いに係合する係合突部と係合凹部とからなる係合機構を設けて、コネクターを外針に連結できるようにしている。この場合、例えば、コネクターをハウジング内に差し込むことにより外針に連結することができる。したがって、外針へのコネクターの取り付けが容易になるとともに、コネクターが外針から外れることを防止できるようになる。   In the indwelling needle set of the present invention configured as described above, the housing and the connector are provided with the engaging mechanism including the engaging protrusion and the engaging recess that engage with each other so that the connector can be connected to the outer needle. I have to. In this case, for example, the connector can be connected to the outer needle by being inserted into the housing. Therefore, it is easy to attach the connector to the outer needle, and it is possible to prevent the connector from being detached from the outer needle.

また、コネクターを外針から外す際には、係合解除部を押圧することにより係合突部と係合凹部との係合を解除できるため、その操作も容易になる。また、係合機構および係合解除部は複数個で構成されているため、すべての係合解除部を押圧しなければ係合機構の係合解除が行われず、不用意にコネクターが外針から外れることがなくなる。この場合、ハウジングに係合凹部を設けて、コネクターに係合突部を設けてもよいし、ハウジングに係合突部を設けて、コネクターに係合凹部を設けてもよい。また、本発明において、液密的とは、弁体の開閉孔の周面が金属針の周面に密着した状態になり、その間に液体が浸入できない状態とする。   Further, when the connector is removed from the outer needle, the engagement between the engagement protrusion and the engagement recess can be released by pressing the engagement release portion, which facilitates the operation. Further, since the engagement mechanism and the disengagement part are configured in plural, the engagement mechanism is not disengaged unless all the disengagement parts are pressed, and the connector is inadvertently disconnected from the outer needle. It will not come off. In this case, the housing may be provided with an engagement recess, and the connector may be provided with an engagement projection, or the housing may be provided with an engagement projection and the connector may be provided with an engagement recess. In the present invention, liquid-tight means that the peripheral surface of the opening / closing hole of the valve body is in close contact with the peripheral surface of the metal needle, and the liquid cannot enter during that time.

また、本発明に係る留置針セットの他の構成上の特徴は、係合機構を、ハウジングにおけるコネクターの挿入口側端部からカニューレ側に向かって設けられたガイド溝と、ガイド溝の奥端部に連通して設けられガイド溝の奥端部の幅よりも大きな幅を有する係合穴とからなる係合凹部と、コネクターに設けられハウジング内に挿入可能であるとともにコネクターの中心軸に向かって撓むことのできる可撓性片と、可撓性片の外側面に設けられガイド溝の奥端部の幅よりも大きな幅を備えているとともに係合穴内に入って係合穴に係合できる係合突起とからなる係合突部とで構成し、係合解除部を、係合突起の外側端面に設けられガイド溝を通過できる押圧部で構成し、押圧部を押圧して可撓性片をコネクターの中心軸側に撓ませることにより係合凹部と係合突部を係合させたり、その係合を解除させたりすることができるようにしたことにある。 Further, another structural feature of the indwelling needle set according to the present invention is that the engagement mechanism includes a guide groove provided from the insertion port side end portion of the connector toward the cannula side in the housing, and a back end of the guide groove. An engagement recess formed by an engagement hole provided in communication with the connector and having a width larger than the width of the back end of the guide groove, and is provided in the connector and can be inserted into the housing and is directed toward the central axis of the connector. And a flexible piece that can be bent by the outer surface of the flexible piece and has a width that is larger than the width of the back end of the guide groove, and enters the engagement hole and engages with the engagement hole. The engagement protrusion is composed of an engagement protrusion that can be engaged, and the engagement release portion is formed of a pressing portion that is provided on the outer end surface of the engagement protrusion and can pass through the guide groove, and the pressing portion can be pressed. by deflecting the FLEXIBLE piece toward the central axis of the connector The engagement concave portion and the engaging projection or engaged, in that to be able to or allowed to release the engagement.

このように構成した留置針セットでは、係合機構の係合突部を、可撓性片と可撓性片の外側面に設けられた係合突起とで構成し、係合凹部を、ガイド溝とガイド溝の奥端部に設けられた係合穴とで構成している。そして、係合突起の幅をガイド溝の奥端部の幅よりも大きく、係合穴の幅よりも小さくしている。したがって、係合突起は、係合穴内に入って係合穴に係合し、コネクターをハウジングに固定することはできるが、ガイド溝の奥端部を通過することはできなくなっている。このため、係合突起が係合穴に係合した状態で、コネクターをハウジングから引き抜こうとしてもコネクターはハウジングから外れない。   In the indwelling needle set configured as described above, the engagement protrusion of the engagement mechanism is configured by a flexible piece and an engagement protrusion provided on the outer surface of the flexible piece, and the engagement recess is formed as a guide. It is comprised by the groove | channel and the engagement hole provided in the back end part of the guide groove. The width of the engaging protrusion is larger than the width of the inner end of the guide groove and smaller than the width of the engaging hole. Therefore, the engagement protrusion can enter the engagement hole and engage with the engagement hole to fix the connector to the housing, but cannot pass through the inner end of the guide groove. For this reason, even if it tries to pull out a connector from a housing in the state where an engagement protrusion engaged with an engagement hole, a connector does not remove from a housing.

また、係合解除部を、係合突起の外側端面に設けられた押圧部で構成し、この押圧部がガイド溝の奥端部を通過できるようにしている。このため、押圧部をコネクターの中心軸側に押すことにより可撓性片を撓ませて係合突起と係合穴との係合を解除することができる。この場合、係合突起は、ハウジングの内部側に位置し、押圧部が係合穴に位置するようになる。したがって、この状態で、コネクターをハウジングの開口から引き出すように移動させることにより、押圧部がガイド溝内を通過するため、コネクターをハウジングから取り外すことができる。   Further, the disengagement portion is constituted by a pressing portion provided on the outer end surface of the engaging projection, and this pressing portion can pass through the inner end portion of the guide groove. For this reason, it is possible to release the engagement between the engaging protrusion and the engaging hole by bending the flexible piece by pressing the pressing portion toward the central axis of the connector. In this case, the engaging protrusion is positioned on the inner side of the housing, and the pressing portion is positioned in the engaging hole. Therefore, in this state, by moving the connector so as to be pulled out from the opening of the housing, the pressing portion passes through the guide groove, so that the connector can be removed from the housing.

また、コネクターをハウジングに取り付ける際にも、押圧部を押さえた状態で、ガイド溝内を通過させることにより、コネクターをハウジング内に挿入することができる。そして、押圧部が係合穴に位置したときに押圧部を放すことにより、可撓性片が、その弾性によって元の押圧されてない状態に復元し、係合突起と係合穴とが係合する。この結果、コネクターを引っ張っても、係合突起がガイド溝を通過できないため、コネクターはハウジング内に係合された状態を維持する。また、係合機構が複数個設けられているため、例え、係合機構の1個が不注意で解除されても、他の係合機構は係合した状態を維持し、コネクターがハウジングから外れることはない。   Also, when the connector is attached to the housing, the connector can be inserted into the housing by passing through the guide groove while pressing the pressing portion. Then, by releasing the pressing portion when the pressing portion is positioned in the engaging hole, the flexible piece is restored to the original unpressed state by its elasticity, and the engaging protrusion and the engaging hole are engaged. Match. As a result, even if the connector is pulled, the engaging protrusion cannot pass through the guide groove, so that the connector is kept engaged in the housing. In addition, since a plurality of engagement mechanisms are provided, even if one of the engagement mechanisms is inadvertently released, the other engagement mechanisms remain engaged and the connector is detached from the housing. There is nothing.

また、本発明に係る留置針セットにおいては、ハウジング内における内針の挿入口側に針先保護具を設置し、この針先保護具に、金属針に対して係合可能な金属針挿通孔と、金属針が金属針挿通孔内に位置しているときには、金属針の側部によってハウジングの所定部分に押圧されて針先保護具をハウジング内に固定した状態に維持し、金属針が金属針挿通孔から引き抜かれるとハウジングの所定部分への押圧が解除されて針先保護具を移動可能な状態にする弾性部材とを設け、金属針が金属針挿通孔から引きぬかれるときに、針先保護具が金属針の先端部を被覆した状態で、金属針とともに、ハウジングから引き出されるようにすることもできる。   Further, in the indwelling needle set according to the present invention, a needle tip protector is installed on the inner needle insertion port side in the housing, and a metal needle insertion hole that can be engaged with the metal needle in the needle tip protector. When the metal needle is located in the metal needle insertion hole, the side of the metal needle is pressed against a predetermined portion of the housing to keep the needle tip protector fixed in the housing. When the metal needle is pulled out from the metal needle insertion hole, an elastic member that releases the pressure on the predetermined portion of the housing when pulled out from the needle insertion hole and makes the needle tip protector movable is provided. The tip protector may be pulled out of the housing together with the metal needle in a state where the tip of the metal needle is covered.

このように構成すると、患者の血管に外針および内針の先端部を穿刺したのちに、外針から内針を抜き取ると、針先保護具が内針の先端部を被覆した状態で内針とともに外針から抜き取られる。このため、操作者が内針の先端部で怪我をすることがなくなり安全性が向上する。   With this configuration, when the inner needle is removed from the outer needle after puncturing the patient's blood vessel with the tip of the outer needle and the inner needle, the needle tip protector covers the inner needle with the tip of the inner needle covered. At the same time, it is removed from the outer needle. For this reason, the operator is not injured at the tip of the inner needle, and safety is improved.

以下、本発明に係る留置針セットを図面を用いて説明する。図1は、同実施形態に係る留置針セットAを示しており、この留置針セットAは、患者の血管に留置される留置針等で構成されている。すなわち、留置針セットAは、収容ケース10と、患者の血管に刺し込まれる外針20と、外針20の内部に挿入可能な先端部を有する内針30と、外針20の後端部に接続可能なコネクター40とで構成されている。収容ケース10は、図2に示したように組み付けられた外針20と内針30とを収容するケース本体11と、コネクター40を収容するコネクター収容部12とを備えている。   Hereinafter, an indwelling needle set according to the present invention will be described with reference to the drawings. FIG. 1 shows an indwelling needle set A according to the embodiment, and the indwelling needle set A is configured by an indwelling needle or the like placed in a patient's blood vessel. That is, the indwelling needle set A includes an accommodation case 10, an outer needle 20 that is inserted into a patient's blood vessel, an inner needle 30 having a tip portion that can be inserted into the outer needle 20, and a rear end portion of the outer needle 20. It is comprised with the connector 40 which can be connected to. The housing case 10 includes a case main body 11 that houses the outer needle 20 and the inner needle 30 assembled as shown in FIG. 2, and a connector housing portion 12 that houses the connector 40.

ケース本体11は、一端が閉塞された長い筒状の容器で構成され、他端開口部にケース本体11の開口を開閉する長いキャップ状の蓋部13が着脱可能に取り付けられている。また、蓋部13の他端は、コネクター収容部12の一端に着脱可能になっている。コネクター収容部12は、一端が閉塞された短い筒状の容器で構成され、他端開口部にコネクター収容部12の開口を開閉する短いキャップ状の蓋部14が着脱可能に取り付けられている。このため、収容ケース10は、ケース本体11と蓋部13との内部に、組み付けられた状態の外針20と内針30とを出し入れ自在に収容し、コネクター収容部12と蓋部14との内部にコネクター40を出し入れ自在に収容している。そして、蓋部13とコネクター収容部12とを組み付けることにより、これらを一体的にすることができる。   The case body 11 is composed of a long cylindrical container with one end closed, and a long cap-shaped lid portion 13 that opens and closes the opening of the case body 11 is detachably attached to the other end opening. The other end of the lid 13 is detachable from one end of the connector housing 12. The connector accommodating part 12 is comprised by the short cylindrical container by which the end was obstruct | occluded, and the short cap-shaped cover part 14 which opens and closes the opening of the connector accommodating part 12 to the other end opening part is attached so that attachment or detachment is possible. For this reason, the housing case 10 houses the outer needle 20 and the inner needle 30 in an assembled state in the case main body 11 and the lid portion 13 so as to be freely inserted and removed, and the connector housing portion 12 and the lid portion 14 The connector 40 is accommodated inside and out. Then, by assembling the lid portion 13 and the connector housing portion 12, they can be integrated.

外針20は、図3および図4に示したように、細管状のカニューレ21と、カニューレ21の基部(図示の右側に位置する後端部)に連結されたハウジング22とを備えている。そして、ハウジング22は、中央に位置しハウジング22の本体部分を構成するハウジング本体22aと、カニューレ21とハウジング本体22aとを接続する接続部22bと、ハウジング本体22aの後端部に形成され、外針20にコネクター40を連結するための連結部22cとで構成されている。   As shown in FIGS. 3 and 4, the outer needle 20 includes a thin tubular cannula 21 and a housing 22 connected to the base of the cannula 21 (the rear end located on the right side in the drawing). The housing 22 is formed at the center of the housing main body 22a constituting the main body portion of the housing 22, the connecting portion 22b connecting the cannula 21 and the housing main body 22a, and the rear end of the housing main body 22a. The connection part 22c for connecting the connector 40 to the needle | hook 20 is comprised.

カニューレ21の先端部は、患者の血管内に留置されて、血管から血液を取り出したり、血管に薬液等を供給したりする。接続部22bは、先端側が細くなった先細りの筒状に形成されており、細径側先端部にカニューレ21の後端部が接続され、大径側後端部にハウジング本体22aが接続されている。ハウジング本体22aは、接続部22bの後端部外周を覆うようにして接続部22bに接続されており、後端部内周には、内径が接続部22bの内径と略同一に設定されたフランジ状の突部23が形成されている。そして、ハウジング本体22aの内部における接続部22bの後端面と突部23との間には、フィルター24と弁体25とが並んで設けられている。   The tip of the cannula 21 is placed in the blood vessel of the patient, and blood is taken out from the blood vessel or a chemical solution or the like is supplied to the blood vessel. The connecting portion 22b is formed in a tapered cylindrical shape with a thin front end, the rear end portion of the cannula 21 is connected to the small diameter side front end portion, and the housing main body 22a is connected to the large diameter side rear end portion. Yes. The housing main body 22a is connected to the connection portion 22b so as to cover the outer periphery of the rear end portion of the connection portion 22b, and the inner periphery of the rear end portion is a flange shape whose inner diameter is set to be substantially the same as the inner diameter of the connection portion 22b. The protrusion 23 is formed. A filter 24 and a valve body 25 are provided side by side between the rear end surface of the connection portion 22b and the protrusion 23 inside the housing body 22a.

フィルター24は、疎水性材料をリング状に形成したものであり、空気等の気体は通過させるが血液等の液体は通過させない性質を有している。また、弁体25は、弾性を備えたイソプレンゴムからなっており中心軸に沿った部分に開閉孔25a形成されている。この開閉孔25aは通常時には、図5に示したように閉塞状態を維持しているが、図1および図2に示したように、外針20内に内針30を挿入したときや、後述するように、外針20にコネクター40を挿入したときには、内針30の先端側挿入部分やコネクター40の先端側挿入部分を液密的に通すことができる。また、ハウジング本体22aと接続部22bとの境界部には、接続部22bの内部側からフィルター24を通過した気体を外部に放出するための気体通路26が形成されている。   The filter 24 is formed by forming a hydrophobic material into a ring shape, and has a property of allowing a gas such as air to pass through but not a liquid such as blood. The valve body 25 is made of isoprene rubber having elasticity, and an opening / closing hole 25a is formed in a portion along the central axis. The opening / closing hole 25a is normally kept closed as shown in FIG. 5, but when the inner needle 30 is inserted into the outer needle 20 as shown in FIGS. As described above, when the connector 40 is inserted into the outer needle 20, the distal end side insertion portion of the inner needle 30 and the distal end side insertion portion of the connector 40 can be liquid-tightly passed. In addition, a gas passage 26 is formed at the boundary between the housing body 22a and the connection portion 22b to discharge the gas that has passed through the filter 24 from the inside of the connection portion 22b to the outside.

連結部22cは、内径がハウジング本体22aの外径と略同じ大きさに設定された軸方向の長さが短い円筒状に形成されている。そして、連結部22cの上部および下部には、連結部22cの後端縁部から連結部22cの軸方向に沿った中央側に延びるガイド溝27がそれぞれ形成され、ガイド溝27の奥端部に係合穴28が形成されている。図6に示したように、ガイド溝27は、後端側が幅広で先端側に行くほど徐々に幅が狭くなるように形成されており、係合穴28は、ガイド溝27の最狭部27aの幅よりも直径が大きくなった略円形の穴部で構成されている。   The connecting portion 22c is formed in a cylindrical shape having a short axial length whose inner diameter is set to be approximately the same as the outer diameter of the housing body 22a. And the guide groove 27 extended in the center side along the axial direction of the connection part 22c from the rear-end edge part of the connection part 22c is formed in the upper part and the lower part of the connection part 22c, respectively, and the back end part of the guide groove 27 is formed. An engagement hole 28 is formed. As shown in FIG. 6, the guide groove 27 is formed so that the rear end side is wide and gradually becomes narrower toward the front end side, and the engagement hole 28 has the narrowest portion 27 a of the guide groove 27. It is comprised by the substantially circular hole which became larger in diameter than the width | variety.

内針30は、図7に示したように、ステンレス製の金属針31と、金属針31の基端側部分(図示の右側に位置する後端部)に固定されたハブ32と、ハブ32の後端部に着脱可能に取り付けられたプラグ33とで構成されている。金属針31は細管状の注射針からなっており、先端部31aが軸方向に対して傾斜して形成された先鋭部で構成されている。また、金属針31における先端部31aよりもやや後端側部分に、段部31bが形成されており、この段部31bを挟んで先端側の直径が後端側の直径よりもやや大きくなるように設定されている。この金属針31は、カニューレ21の先端部を患者の血管に刺し込む際に、その刺し込みがスムーズに行えるようにするためのもので、外針20の後端部から差し込まれ、弁体25の開閉孔25aを通過してカニューレ21の先端開口から先端部31aを外部に突出させた状態で使用される。   As shown in FIG. 7, the inner needle 30 includes a stainless steel metal needle 31, a hub 32 fixed to a proximal end portion of the metal needle 31 (a rear end located on the right side in the drawing), and a hub 32. And a plug 33 that is detachably attached to the rear end portion. The metal needle 31 is made of a thin tubular injection needle, and is composed of a pointed portion formed with an end portion 31a inclined with respect to the axial direction. Further, a step portion 31b is formed in the rear end portion of the metal needle 31 slightly from the front end portion 31a, and the diameter on the front end side is slightly larger than the diameter on the rear end side across the step portion 31b. Is set to The metal needle 31 is used to smoothly insert the distal end portion of the cannula 21 into the patient's blood vessel. The metal needle 31 is inserted from the rear end portion of the outer needle 20 and the valve body 25 is inserted. The distal end portion 31a is projected from the distal end opening of the cannula 21 through the open / close hole 25a.

ハブ32は、内針30を持つための把持部として機能する部分であり、金属針31の後端部の外周部を被覆するようにして金属針31に固定されている。このハブ32は、中央部に位置して金属針31を固定するハブ本体32aと、金属針31の周面から所定間隔を保った状態でハブ本体32aの前部側に形成された筒状の収容部32bと、ハブ本体32aの後部側に形成され、後方に向って開口した凹部を備えた筒状のプラグ取付部32cとで構成されている。そして、収容部32bの前端周縁部にフランジ状の鍔部32dが形成されている。   The hub 32 is a portion that functions as a grip portion for holding the inner needle 30, and is fixed to the metal needle 31 so as to cover the outer peripheral portion of the rear end portion of the metal needle 31. The hub 32 is located in the center portion and has a hub main body 32a for fixing the metal needle 31, and a cylindrical shape formed on the front side of the hub main body 32a with a predetermined distance from the peripheral surface of the metal needle 31. The housing part 32b and the cylindrical plug attachment part 32c provided with the recessed part formed in the rear part side of the hub main body 32a and opened toward back are comprised. A flange-shaped flange 32d is formed on the peripheral edge of the front end of the accommodating portion 32b.

プラグ33は、プラグ取付部32cの開口を開閉するための蓋として用いられるもので、プラグ取付部32cの凹部内に着脱可能に押し込むことのできる円筒状の栓部33aと、栓部33aの後端部に固定され、後方に向って開口した凹部を備えた把持部33bとで構成されている。そして、把持部33bの凹部内の奥端部にはセルロース製のフィルター33cが設けられている。このフィルター33cは、空気は通すが血液は通さないように構成されている。   The plug 33 is used as a lid for opening and closing the opening of the plug attachment portion 32c, and a cylindrical plug portion 33a that can be detachably pushed into the recess of the plug attachment portion 32c, and a plug portion 33a. It is comprised by the holding part 33b provided with the recessed part fixed to the edge part and opening toward back. And the filter 33c made from a cellulose is provided in the back end part in the recessed part of the holding part 33b. The filter 33c is configured to allow air to pass but not blood.

このように構成された外針20と内針30とは、使用前には、図2に示したように組み付けられており、その際には、外針20と内針30との境界部に、針先保護具35が設置されている。この針先保護具35は、図8に示したように構成されており、外針20の連結部22c内に挿入可能な円筒箱状のばね収容部36と、内針30の収容部32b内に挿入可能な筒状の挿入部37とを備えている。そして、ばね収容部36内の上下方向の中央よりもやや下方部分に係止部36aが設けられ、ばね収容部36の上面には突出用孔36bが設けられている。また、ばね収容部36の前面における略中央には、金属針31が挿通できる挿通孔36cが設けられている。   The outer needle 20 and the inner needle 30 configured in this way are assembled as shown in FIG. 2 before use, and at that time, at the boundary between the outer needle 20 and the inner needle 30. A needle point protector 35 is installed. The needle tip protector 35 is configured as shown in FIG. 8, and includes a cylindrical box-shaped spring accommodating portion 36 that can be inserted into the connecting portion 22 c of the outer needle 20, and an inner portion 32 b of the inner needle 30. And a cylindrical insertion portion 37 that can be inserted into the housing. A locking portion 36 a is provided at a portion slightly below the center in the vertical direction in the spring accommodating portion 36, and a protruding hole 36 b is provided on the upper surface of the spring accommodating portion 36. In addition, an insertion hole 36c through which the metal needle 31 can be inserted is provided at the approximate center of the front surface of the spring accommodating portion 36.

また、ばね収容部36内における係止部36aとばね収容部36の上面部との間に、昇降台38aと、昇降台38aの上面中央から上方に向かって延び突出用孔36bから外部に向って突出できる突出棒38bとからなる昇降部材38が設けられている。そして、突出棒38bの外周に、ステンレス製のコイルばね39が取り付けられている。このコイルばね39の直径は突出用孔36bの直径よりも大きく設定され、突出用孔36bから突出できなくなっている。したがって、昇降台38aを上方に移動させたときには、突出棒38bが突出用孔36bから外部に突出し、コイルばね39は、昇降台38aを上方に移動させる力に抗して収縮する。   Further, between the locking portion 36a in the spring accommodating portion 36 and the upper surface portion of the spring accommodating portion 36, the elevating platform 38a, extending upward from the center of the upper surface of the elevating platform 38a and extending outward from the projecting hole 36b. An elevating member 38 comprising a protruding bar 38b that can be protruded is provided. And the stainless steel coil spring 39 is attached to the outer periphery of the protrusion bar 38b. The diameter of the coil spring 39 is set larger than the diameter of the projecting hole 36b, and cannot protrude from the projecting hole 36b. Therefore, when the lifting platform 38a is moved upward, the projecting bar 38b projects outward from the projecting hole 36b, and the coil spring 39 contracts against the force that moves the lifting platform 38a upward.

また、挿入部37の内部には、内径が金属針31の先端側部分の外径と略等しく設定された挿通孔37aが形成されている。そして、この挿通孔37aの後端部には、内径がやや小さくなった小径部37bが形成されており、この小径部37bの端に形成される段が、金属針31の段部31bと係合可能になっている。この挿通孔37aは、ばね収容部36内の空間部を介して挿通孔36cに連通している。このように構成された針先保護具35は、挿通孔37a,36cに金属針31を挿通させ、挿入部37を収容部32b内に挿入させた状態で内針30に組み付けられる。その際、金属針31によって昇降部材38が上方に押し上げられ、突出棒38bをハウジング22の係合穴28内に係合させた状態で、針先保護具35は、外針20の連結部22c内に設置される。この突出棒38bと係合穴28との係合によって、針先保護具35は、ハウジング22内に固定された状態を維持する。   Further, an insertion hole 37 a having an inner diameter set to be substantially equal to the outer diameter of the distal end portion of the metal needle 31 is formed inside the insertion portion 37. A small diameter portion 37b having a slightly smaller inner diameter is formed at the rear end portion of the insertion hole 37a, and the step formed at the end of the small diameter portion 37b is associated with the step portion 31b of the metal needle 31. Is possible. The insertion hole 37a communicates with the insertion hole 36c through a space in the spring accommodating portion 36. The needle tip protector 35 thus configured is assembled to the inner needle 30 in a state where the metal needle 31 is inserted through the insertion holes 37a and 36c and the insertion portion 37 is inserted into the housing portion 32b. At that time, the needle tip protector 35 is connected to the connecting portion 22c of the outer needle 20 in a state where the elevating member 38 is pushed upward by the metal needle 31 and the protruding bar 38b is engaged in the engagement hole 28 of the housing 22. Installed inside. The needle tip protector 35 is maintained in a fixed state in the housing 22 by the engagement between the protruding bar 38 b and the engagement hole 28.

コネクター40は、図9に示したように、基管41と、基管41の先端部から前方に延びる細径の挿通管42と、基管41の先端外周部の上下部分から前方に延びる一対の係合突部43と、基管41の先端外周部の左右部分から前方に延びる一対の弾性ガイド部44とで構成されている。コネクター40は、外部のチューブ部材46(図14および図15参照)等に接続されて、チューブ部材46等から供給される薬液等を外針20に送るためのもので、基管41の後端外周部には、チューブ部材46等の端部を接続するためのねじ部41aが形成されている。   As shown in FIG. 9, the connector 40 includes a base tube 41, a small-diameter insertion tube 42 extending forward from the distal end portion of the base tube 41, and a pair extending forward from the upper and lower portions of the outer peripheral portion of the distal end of the base tube 41. And a pair of elastic guide portions 44 extending forward from the left and right portions of the outer peripheral portion of the distal end of the base tube 41. The connector 40 is connected to an external tube member 46 (see FIGS. 14 and 15) and the like, and is used to send a chemical solution or the like supplied from the tube member 46 or the like to the outer needle 20. A threaded portion 41a for connecting ends of the tube member 46 and the like is formed on the outer peripheral portion.

挿通管42は、内径が均一で外径が基管41側の基部42aが大きく、先端側の挿入部42bが小さく設定された段状の管で構成されており、挿入部42bは、弁体25の開閉孔25aに液密的に挿入可能になっている。また、係合突部43は、それぞれ基管41の先端外周部から延びる弾性を備えた薄板状の可撓片43aと、可撓片43aの外側面から外部側に向って突出した短い円柱状の係合突起43bとで構成されている。そして、係合突起43bの端面中央部から外側に向って、係合突起43bよりも細径に形成された円柱状の本発明の係合解除部としての押圧部45が突出している。また、弾性ガイド部44は、基管41の先端外周部から延びる四角状の薄板で構成されている。   The insertion tube 42 is composed of a stepped tube having a uniform inner diameter, a large outer diameter 42a on the base tube 41 side, and a small insertion portion 42b on the distal end side. The insertion portion 42b has a valve body. 25 can be liquid-tightly inserted into the opening / closing hole 25a. In addition, the engaging protrusion 43 is a thin plate-like flexible piece 43a having elasticity extending from the outer periphery of the distal end of the base tube 41, and a short columnar shape protruding from the outer surface of the flexible piece 43a toward the outside. The engaging projection 43b. And the pressing part 45 as the engagement release part of the column-shaped this invention formed in the diameter smaller than the engagement protrusion 43b protrudes toward the outer side from the center part of the end surface of the engagement protrusion 43b. Further, the elastic guide portion 44 is formed of a rectangular thin plate extending from the outer peripheral portion of the distal end of the base tube 41.

コネクター40は、挿入部42bを弁体25の開閉孔25aに挿入させ、可撓片43aおよび弾性ガイド部44を連結部22c内に挿入させた状態でハウジング22に連結される。その際、図10に示したように、係合突起43bが、係合穴28に係合し、押圧部45が連結部22cの外部に突出した状態になる。また、ハウジング22にコネクター40を取り付ける場合や、ハウジング22からコネクター40を取り外す際には、図11に示したように、押圧部45を連結部22cの内部側に押して、係合突起43bを連結部22cの内部側に位置させる。これによって、押圧部45の太さがガイド溝27の最狭部27aの幅よりも小さいため、押圧部45はガイド溝27内を移動可能になり、コネクター40のハウジング22への取り付けや取り外しが可能になる。   The connector 40 is connected to the housing 22 with the insertion part 42b inserted into the opening / closing hole 25a of the valve body 25 and the flexible piece 43a and the elastic guide part 44 inserted into the connection part 22c. At that time, as shown in FIG. 10, the engagement protrusion 43 b engages with the engagement hole 28, and the pressing portion 45 protrudes to the outside of the coupling portion 22 c. Further, when the connector 40 is attached to the housing 22 or when the connector 40 is detached from the housing 22, as shown in FIG. 11, the pressing portion 45 is pushed to the inner side of the connecting portion 22c to connect the engaging protrusion 43b. It is located inside the portion 22c. Accordingly, since the thickness of the pressing portion 45 is smaller than the width of the narrowest portion 27a of the guide groove 27, the pressing portion 45 can move in the guide groove 27, and the connector 40 can be attached to and removed from the housing 22. It becomes possible.

なお、ガイド溝27と係合穴28とで本発明に係る係合凹部が構成され、可撓片43aと係合突起43bとで本発明に係る係合突部が構成される。そして、この係合凹部と係合突部とで本発明に係る係合機構が構成される。また、外針20とコネクター40とで留置針が構成される。さらに、留置針セットAを構成する収容ケース10はポリスチレンで構成され、外針20、内針30の金属針31以外の部分、針先保護具35のコイルばね39以外の部分およびコネクター40は、透明または半透明のポリプロピレンで構成されている。また、内針30のハブ32は、金属針31を介して内部に血液が入ったときにその確認ができるように透明材料で構成されている。   The guide groove 27 and the engagement hole 28 constitute an engagement recess according to the present invention, and the flexible piece 43a and the engagement projection 43b constitute an engagement projection according to the present invention. The engagement recess and the engagement protrusion constitute an engagement mechanism according to the present invention. Further, the outer needle 20 and the connector 40 constitute an indwelling needle. Further, the housing case 10 constituting the indwelling needle set A is made of polystyrene, and the outer needle 20, the portion other than the metal needle 31 of the inner needle 30, the portion other than the coil spring 39 of the needle tip protector 35, and the connector 40 are: Consists of transparent or translucent polypropylene. The hub 32 of the inner needle 30 is made of a transparent material so that it can be confirmed when blood enters the inside through the metal needle 31.

この構成において、留置針セットAを使用する場合には、まず、図1に示したように、収容ケース10内に収容された外針20等を取り出して、外針20と内針30とを組み合わせた状態で、カニューレ21の先端部を金属針31の先端部31aとともに患者の例えば腕に穿刺して血管まで到達させる。これによって、血管内の血液が、金属針31内に浸入して、ハブ32のハブ本体32a内に入り込む。この結果、ハブ32の色が赤くなるため、金属針31の先端部31aが血管に到達したことを確認することができる。この際、金属針31内の空気は、血液によって金属針31内の後端側に押し込まれ、フィルター33cを通過して外部に放出される。   In this configuration, when the indwelling needle set A is used, first, as shown in FIG. 1, the outer needle 20 and the like housed in the housing case 10 are taken out, and the outer needle 20 and the inner needle 30 are attached. In the combined state, the tip of the cannula 21 is punctured into the patient's arm, for example, together with the tip 31a of the metal needle 31 to reach the blood vessel. As a result, blood in the blood vessel enters the metal needle 31 and enters the hub body 32 a of the hub 32. As a result, since the color of the hub 32 becomes red, it can be confirmed that the distal end portion 31a of the metal needle 31 has reached the blood vessel. At this time, the air in the metal needle 31 is pushed into the rear end side in the metal needle 31 by blood, passes through the filter 33c, and is discharged to the outside.

ついで、外針20を患者の血管に留置したままの状態で、図12に示したように、内針30を外針20の後部側に引いていく。これによって、内針30の収容部32bから針先保護具35の挿入部37が抜け、金属針31が弁体25の開閉孔25aや挿入部37の挿通孔37aの周面に摺接しながら外針20から後退していく。さらに、内針30を外針20の後部側に引いていき、金属針31の先端部31aが、針先保護具35のばね収容部36内を通過すると、コイルばね39の復元力によって、昇降部材38が下降し、突出棒38bと係合穴28との係合が解除される。   Next, with the outer needle 20 left in the patient's blood vessel, the inner needle 30 is pulled toward the rear side of the outer needle 20 as shown in FIG. As a result, the insertion portion 37 of the needle tip protector 35 is removed from the housing portion 32b of the inner needle 30, and the metal needle 31 is removed while sliding on the peripheral surfaces of the opening / closing hole 25a of the valve body 25 and the insertion hole 37a of the insertion portion 37. Retreat from the needle 20. Further, the inner needle 30 is pulled toward the rear side of the outer needle 20, and when the distal end portion 31 a of the metal needle 31 passes through the spring accommodating portion 36 of the needle tip protector 35, it is lifted and lowered by the restoring force of the coil spring 39. The member 38 is lowered, and the engagement between the protruding bar 38b and the engagement hole 28 is released.

これによって、針先保護具35は移動可能な状態になり、金属針31の段部31bと挿入部37の挿通孔37aの小径部37bの端に形成される段との係合によって、針先保護具35は金属針31とともにハウジング22から抜け出て、図13の状態になる。この場合、金属針31は、弁体25の開閉孔25a内を通過して出ていくが、金属針31と開閉孔25aの内周面とは液密的に密着しているため、開閉孔25aから血液が外部に漏れ出ることがない。また、外針20から内針30を抜き取ったのちには、開閉孔25aは閉塞状態になるため、ハウジング22の後端部から血液が吐出することもない。   As a result, the needle tip protector 35 becomes movable, and the needle tip is engaged by the engagement between the step portion 31b of the metal needle 31 and the step formed at the end of the small diameter portion 37b of the insertion hole 37a of the insertion portion 37. The protector 35 comes out of the housing 22 together with the metal needle 31, and is in the state shown in FIG. In this case, the metal needle 31 passes through the inside of the opening / closing hole 25a of the valve body 25, but the metal needle 31 and the inner peripheral surface of the opening / closing hole 25a are in close contact with each other. Blood does not leak out from 25a. In addition, after the inner needle 30 is extracted from the outer needle 20, the opening / closing hole 25 a is in a closed state, so that blood is not discharged from the rear end portion of the housing 22.

つぎに、図14に示したように、コネクター40の基管41にチューブ部材46の接続部47を接続する。この接続は、基管41のねじ部41aに接続部47の内周面に設けられた突部47aを係合させることにより行う。そして、ハウジング22内に、コネクター40を挿し込んで、図15の状態にする。この場合、前述したように、コネクター40の両押圧部45を押さえた状態で、コネクター40をハウジング22内に押し込む。そして、チューブ部材46に接続された薬液等の供給装置を作動させて、薬液等を血管に供給する。以上のようにして、留置針セットAの使用が行われる。なお、コネクター40をハウジング22に連結する際に、予め、少量の薬液等を挿入部42bから出しておく。これによって、カニューレ21内に空気が入ることを防止できる。   Next, as shown in FIG. 14, the connecting portion 47 of the tube member 46 is connected to the base tube 41 of the connector 40. This connection is performed by engaging a threaded portion 41 a of the base tube 41 with a protrusion 47 a provided on the inner peripheral surface of the connecting portion 47. Then, the connector 40 is inserted into the housing 22 to obtain the state shown in FIG. In this case, as described above, the connector 40 is pushed into the housing 22 with both the pressing portions 45 of the connector 40 being pressed. Then, a chemical liquid supply device connected to the tube member 46 is operated to supply the chemical liquid or the like to the blood vessel. The indwelling needle set A is used as described above. When connecting the connector 40 to the housing 22, a small amount of chemical solution or the like is taken out from the insertion portion 42 b in advance. Thereby, air can be prevented from entering the cannula 21.

このように、この留置針セットAでは、ハウジング22にガイド溝27と係合穴28を設け、コネクター40に、中心軸側に撓むことのできる可撓片43aと、可撓片43aの外側面に設けられ係合穴28に係合できるがガイド溝27内を通過できない係合突起43bとを設けている。さらに、係合突起43bの端面中央部に突部からなる押圧部45を設けている。したがって、押圧部45を押して可撓片43aを撓ませた状態で、コネクター40をハウジング22内に差し込むことにより容易に外針20に連結することができる。また、係合突起43bと係合穴28との係合により、コネクター40が外針20から外れることを防止できる。   Thus, in this indwelling needle set A, the guide groove 27 and the engagement hole 28 are provided in the housing 22, the connector 40 has a flexible piece 43 a that can be bent toward the central axis side, and an outer side of the flexible piece 43 a. An engagement protrusion 43b that is provided on the side surface and can be engaged with the engagement hole 28 but cannot pass through the guide groove 27 is provided. Furthermore, the pressing part 45 which consists of a protrusion is provided in the center part of the end surface of the engagement protrusion 43b. Therefore, the connector 40 can be easily connected to the outer needle 20 by inserting the connector 40 into the housing 22 in a state where the pressing portion 45 is pressed and the flexible piece 43a is bent. Further, it is possible to prevent the connector 40 from being detached from the outer needle 20 by the engagement between the engagement protrusion 43 b and the engagement hole 28.

さらに、コネクター40を外針20から外す際には、押圧部45を押圧することにより係合突起43bと係合穴28との係合を解除できるため、押圧部45を押した状態で、コネクター40をハウジング22から引き出すことにより容易に外針20から外すことができる。また、係合突部と係合凹部とからなる係合機構を2組設けているため、双方の押圧部45を押圧しなければ係合機構の係合解除が行われず、不用意にコネクター40が外針20から外れることがなくなる。   Further, when the connector 40 is removed from the outer needle 20, the engagement between the engagement protrusion 43 b and the engagement hole 28 can be released by pressing the pressing portion 45. By pulling 40 out of the housing 22, it can be easily removed from the outer needle 20. In addition, since two sets of engagement mechanisms each including the engagement protrusion and the engagement recess are provided, the engagement mechanism is not released unless both the pressing portions 45 are pressed, and the connector 40 is carelessly formed. Does not come off the outer needle 20.

また、本発明に係る留置針セットは、前述した実施形態に限定するものでなく、適宜変更して実施することができる。例えば、前述した実施形態では、係合凹部をガイド溝27と係合穴28とで構成しているが、このガイド溝27は省略することができるし、上下に貫通したものでなく、ハウジング22の内面に形成された溝部で構成することもできる。この場合、押圧部45がハウジング22の内部側を通過するようにする。また、前述した実施形態では、コネクター40に設けられた押圧部45を押圧することにより係合突起43bと係合穴28との係合を解除するようにしているが、ハウジングに係合穴を備えた可撓片を設けるとともに、コネクターの内周面に係合穴と係合可能な係合突起を設けることもできる。この場合、係合解除部はハウジング側に設ける。   Further, the indwelling needle set according to the present invention is not limited to the above-described embodiment, and can be implemented with appropriate modifications. For example, in the above-described embodiment, the engaging concave portion is constituted by the guide groove 27 and the engaging hole 28. However, the guide groove 27 can be omitted and does not penetrate vertically, but the housing 22 It can also be comprised by the groove part formed in the inner surface. In this case, the pressing portion 45 passes through the inner side of the housing 22. In the above-described embodiment, the engagement between the engagement protrusion 43b and the engagement hole 28 is released by pressing the pressing portion 45 provided on the connector 40. However, the engagement hole is provided in the housing. In addition to providing the provided flexible piece, an engagement protrusion capable of engaging with the engagement hole can be provided on the inner peripheral surface of the connector. In this case, the engagement release portion is provided on the housing side.

さらに、前述した実施形態では、外針20、内針30の金属針31以外の部分、針先保護具35のコイルばね39以外の部分およびコネクター40をポリプロピレンで構成しているが、これらを構成する材料についても、適宜変更することができる。例えば、ハウジング22、ハブ32、コネクター40については、ポリカーボネート、ポリウレタン、ナイロン、シリコーン、ポリエーテルイミド、ポリエーテルエーテルケトン、ABS樹脂、ポリエチレン等の各材料を用いて形成することができる。   Further, in the above-described embodiment, the outer needle 20, the portion other than the metal needle 31 of the inner needle 30, the portion other than the coil spring 39 of the needle tip protector 35, and the connector 40 are made of polypropylene. The material to be used can be changed as appropriate. For example, the housing 22, hub 32, and connector 40 can be formed using materials such as polycarbonate, polyurethane, nylon, silicone, polyetherimide, polyetheretherketone, ABS resin, and polyethylene.

また、カニューレ21は、フッ素樹脂、ポリウレタン等の材料を用いて形成することができる。さらに、弁体25については、シリコーン、ポリ塩化ビニール、軟質ウレタン等の材料を用いて形成することができ、コイルばね39については、チタン、ポリエーテルエーテルケトン、ポリカーボネート等の材料を用いて形成することができる。さらに、本発明に係る留置針セットは、血管に限らず、十二指腸等の腸、腎盂、膀胱などの体内の部位に対しても使用することができる。   The cannula 21 can be formed using a material such as fluororesin or polyurethane. Further, the valve body 25 can be formed using a material such as silicone, polyvinyl chloride, or soft urethane, and the coil spring 39 is formed using a material such as titanium, polyether ether ketone, or polycarbonate. be able to. Furthermore, the indwelling needle set according to the present invention can be used not only for blood vessels but also for intestinal sites such as the duodenum, renal pelvis, bladder and the like.

本発明の一実施形態に係る留置針セットを示した断面図である。It is sectional drawing which showed the indwelling needle set which concerns on one Embodiment of this invention. 外針と内針を組み付けた状態を示した断面図である。It is sectional drawing which showed the state which assembled | attached the outer needle and the inner needle. 外針を示した側面図である。It is the side view which showed the outer needle. 図3に示した外針の断面図である。It is sectional drawing of the outer needle shown in FIG. 図3の5−5断面図である。FIG. 5 is a sectional view taken along line 5-5 in FIG. ガイド溝と係合穴を示した平面図である。It is the top view which showed the guide groove and the engagement hole. 内針を示した断面図である。It is sectional drawing which showed the inner needle. 針先保護具を示した断面図である。It is sectional drawing which showed the needlepoint protector. コネクターを示しており、(a)は平面図、(b)は側面図、(c)は断面図である。The connector is shown, (a) is a top view, (b) is a side view, (c) is sectional drawing. 係合穴に係合突起を係合させた状態を示しており、(a)は平面図、(b)は断面図である。The state which engaged the engagement protrusion with the engagement hole is shown, (a) is a top view, (b) is sectional drawing. 係合穴と係合突起とを係合またはその係合を解除する状態を示した断面図である。It is sectional drawing which showed the state which engages an engagement hole and an engagement protrusion, or cancels | releases the engagement. 外針から内針を引き抜いていく状態を示した断面図である。It is sectional drawing which showed the state which pulls out an inner needle from an outer needle. 外針から内針を引き抜いた状態を示した断面図である。It is sectional drawing which showed the state which pulled out the inner needle from the outer needle. コネクターにチューブ部材を接続させた状態を示した断面図である。It is sectional drawing which showed the state which connected the tube member to the connector. コネクターを外針に接続させた状態を示した断面図である。It is sectional drawing which showed the state which connected the connector to the outer needle.

符号の説明Explanation of symbols

20…外針、21…カニューレ、22…ハウジング、22a…ハウジング本体、22b…接続部、22c…連結部、25…弁体、25a…開閉孔、27…ガイド溝、27a…最狭部、28…係合穴、30…内針、31…金属針、31a…先端部、32…ハブ、32a…ハブ本体、32b…収容部、32c…プラグ取付部、40…コネクター、41…基管、42…挿通管、42b…挿入部、43…係合突部、43a…可撓片、43b…係合突起、45…押圧部、A…留置針セット。
DESCRIPTION OF SYMBOLS 20 ... Outer needle, 21 ... Cannula, 22 ... Housing, 22a ... Housing main body, 22b ... Connection part, 22c ... Connection part, 25 ... Valve body, 25a ... Opening / closing hole, 27 ... Guide groove, 27a ... Narrowest part, 28 ... Engagement hole, 30... Inner needle, 31. Metal needle, 31 a. Tip portion, 32. Hub, 32 a. Hub body, 32 b .. housing portion, 32 c. Plug mounting portion, 40. ... insertion tube, 42b ... insertion part, 43 ... engagement protrusion, 43a ... flexible piece, 43b ... engagement protrusion, 45 ... pressing part, A ... indwelling needle set.

Claims (2)

内腔を備えたカニューレ(21)と、前記カニューレの基部に連結され内部に前記カニューレの内腔に連通する流路が設けられたハウジング(22)とからなる外針(20)と、
内腔を備え前記カニューレの先端開口部から先端部を突出させた状態で前記外針内に挿入可能な金属針(31)と、前記金属針の基部に連結されたハブ(32)とからなる内針(30)と、
前記ハウジング内に設けられ、前記外針内に挿入される金属針を液密的に通すことができるとともに前記金属針が挿通していないときには前記流路を閉塞する開閉孔(25a)を有する弁体(25)と、
前記弁体の開閉孔に液密的に挿通できる挿通管(42)を備え、前記内針が前記外針から取り外されているときに、前記挿通管を前記開閉孔に挿通させた状態で、前記外針のハウジングに連結できるコネクター(40)とを備えた留置針セット(A)であって、
前記ハウジングと前記コネクターとに、係合突部(43)と係合凹部(27,28)とからなり、前記係合突部と前記係合凹部のうちの一方側を前記ハウジングまたは前記コネクターの外周面側から中心軸側に向けて押圧することにより解除できる係合機構を複数個設けるとともに、前記係合突部と前記係合凹部との一方側を前記ハウジングまたは前記コネクターの外周面側から中心軸側に押圧するための係合解除部(45)を設けたことを特徴とする留置針セット。
An outer needle (20) comprising a cannula (21) having a lumen, and a housing (22) connected to the base of the cannula and provided therein with a flow path communicating with the lumen of the cannula;
It comprises a metal needle (31) that has a lumen and can be inserted into the outer needle with the tip protruding from the tip opening of the cannula, and a hub (32) connected to the base of the metal needle. An inner needle (30) ;
A valve provided in the housing and capable of fluid-tightly passing a metal needle inserted into the outer needle and having an opening / closing hole (25a) for closing the flow path when the metal needle is not inserted. Body (25) ,
An insertion tube (42) that can be fluid-tightly inserted into the opening / closing hole of the valve body, and when the inner needle is removed from the outer needle, the insertion tube is inserted through the opening / closing hole, An indwelling needle set (A) comprising a connector (40) connectable to the housing of the outer needle,
The housing and the connector include an engagement protrusion (43) and an engagement recess (27, 28), and one side of the engagement protrusion and the engagement recess is connected to the housing or the connector. A plurality of engagement mechanisms that can be released by pressing from the outer peripheral surface side toward the central axis side are provided, and one side of the engagement protrusion and the engagement recess is formed from the outer peripheral surface side of the housing or the connector. An indwelling needle set provided with an engagement release portion (45) for pressing toward the central axis.
前記係合機構を、前記ハウジングにおける前記コネクターの挿入口側端部から前記カニューレ側に向かって設けられたガイド溝(27)と、前記ガイド溝の奥端部に連通して設けられ前記ガイド溝の奥端部の幅よりも大きな幅を有する係合穴(28)とからなる係合凹部と、
前記コネクターに設けられ、前記ハウジング内に挿入可能であるとともに、前記コネクターの中心軸に向かって撓むことのできる可撓性片(43a)と、前記可撓性片の外側面に設けられ前記ガイド溝の奥端部の幅よりも大きな幅を備えているとともに、前記係合穴内に入って前記係合穴に係合できる係合突起(43b)とからなる係合突部(43)とで構成し、
前記係合解除部を、前記係合突起の外側端面に設けられ、前記ガイド溝を通過できる押圧部(45)で構成し、前記押圧部を押圧して前記可撓性片を前記コネクターの中心軸側に撓ませることにより前記係合凹部と前記係合突部を係合させたり、その係合を解除させたりすることができるようにした請求項1に記載の留置針セット。
The engaging mechanism is provided in communication with the guide groove (27) provided from the insertion port side end of the connector toward the cannula side in the housing and the back end of the guide groove. An engagement recess comprising an engagement hole (28) having a width greater than the width of the back end of
A flexible piece (43a) that is provided on the connector and can be inserted into the housing and can be bent toward the central axis of the connector, and provided on an outer surface of the flexible piece. together and a width greater than the width of the inner end portion of the guide groove, the engagement projection consisting of said engaging engagement protrusion engageable with the engagement hole enters the engagement hole (43 b) and (43) Consisting of
The engagement releasing portion is provided on the outer end face of the engaging projection, the guide groove is constituted by the pressing portion (45) capable of crossing the center of the friendly FLEXIBLE piece by pressing the pressing portion and the connector The indwelling needle set according to claim 1, wherein the engagement concave portion and the engagement protrusion can be engaged with each other by being bent toward the shaft side, or the engagement can be released.
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