JPH10235A - Indwelling double needle syringe with revolving screw for inserting - Google Patents
Indwelling double needle syringe with revolving screw for insertingInfo
- Publication number
- JPH10235A JPH10235A JP8192659A JP19265996A JPH10235A JP H10235 A JPH10235 A JP H10235A JP 8192659 A JP8192659 A JP 8192659A JP 19265996 A JP19265996 A JP 19265996A JP H10235 A JPH10235 A JP H10235A
- Authority
- JP
- Japan
- Prior art keywords
- needle
- indwelling
- blood vessel
- trocar
- indwelling needle
- Prior art date
- Legal status (The legal status 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 status listed.)
- Granted
Links
- 238000003780 insertion Methods 0.000 claims abstract description 11
- 230000037431 insertion Effects 0.000 claims abstract description 11
- 210000004204 blood vessel Anatomy 0.000 claims description 30
- 238000002347 injection Methods 0.000 claims description 2
- 239000007924 injection Substances 0.000 claims description 2
- 230000002792 vascular Effects 0.000 abstract 1
- 210000004369 blood Anatomy 0.000 description 3
- 239000008280 blood Substances 0.000 description 3
- 238000000034 method Methods 0.000 description 2
- 230000017531 blood circulation Effects 0.000 description 1
- 238000009530 blood pressure measurement Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
Landscapes
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Surgical Instruments (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
Description
【0001】[0001]
【産業上の利用分野】現代医療では、点滴、採血や血圧
測定(観血的)などで血管内に柔軟な留置針を刺入する
ことは極めて日常的な医療行為となっている。この発明
は、従来熟練を要し特殊技術の一つと考えられてきた血
管内留置二重針を誰にでも簡単に刺入できるように工夫
発明したものである。BACKGROUND OF THE INVENTION In modern medicine, inserting a flexible indwelling needle into a blood vessel for infusion, blood collection, blood pressure measurement (invasive), etc., is an extremely daily medical practice. The present invention has been devised so that anyone can easily pierce the intravascular indwelling double needle, which has conventionally been required as skill and one of the special techniques.
【0002】[0002]
【従来の技術】この発明で血管内留置二重針とは金属性
の内針とそれに装着された柔らかい外套針の総体を指
し、外套針(留置針)とは柔らかい血管内留置部、内針
とは血管内留置二重針の内側の金属針で外套針(留置
針)を挿入する際の支持体の役割を果たすものである。
柔軟な血管内留置二重針は、金属性の注射針と異なり、
患者の四肢運動制限が不要で血管確保力に格段の向上を
もたらした。しかしながら、その刺入には経験と勘が必
要で、熟練を要する特殊技術の一つと従来考えられてき
た。というのは、血管壁は数十ミクロン単位の薄さであ
り、しかも臨床の現場では、明らかに針の太さよりも内
腔が狭いような小さな静脈にも血管内腔を押し広げなが
ら刺入しなければならない場面が数多くあるからであ
る。そのような場合、針先の10ミクロンの刺入不足や
刺し過ぎにより容易に血管を損傷したり、針がはずれて
しまうことが起こるのである。2. Description of the Related Art In the present invention, the indwelling double needle in a blood vessel refers to the whole of a metallic inner needle and a soft trocar attached to the inner needle, and the trocar (indwelling needle) is a soft indwelling part in a blood vessel and an inner needle. The term “metal needle inside the indwelling double needle in the blood vessel” serves as a support for inserting the trocar (indwelling needle).
Flexible intravascular indwelling double needles, unlike metallic injection needles,
The patient's limb movement was not required, which significantly improved the ability to secure blood vessels. However, the insertion requires experience and intuition, and has conventionally been considered as one of the special techniques requiring skill. This is because the blood vessel wall is as thin as several tens of microns, and at the clinical site, it can be inserted into a small vein that clearly has a smaller lumen than the needle, while pushing the blood vessel lumen open. This is because there are many scenes that must be done. In such a case, insufficient insertion or excessive insertion of the 10-micron tip of the needle may easily damage the blood vessel or cause the needle to come off.
【0003】[0003]
【発明が解決しようとする課題点】本発明は、誘導針で
ある金属性の内針が血管内腔に到達すると、内針内孔を
通じて血液が逆流(図3−7)するので、手技者は内心
が血管内孔に到達したことを確認できる。その時点で内
針のそれ以上の刺入を止め、柔軟な外套針(留置針)だ
けを血管内腔に滑り込ませるように挿入する事を目的と
している。その際、刺し過ぎて対側血管壁を内針で傷つ
けることなく、また、押し戻されて内針が血管壁からは
ずれてしまわないような工夫が必要となった。SUMMARY OF THE INVENTION According to the present invention, when the metallic inner needle, which is the guide needle, reaches the lumen of the blood vessel, blood flows back through the inner needle bore (FIG. 3-7). Can confirm that the inner core has reached the lumen of the blood vessel. At that point, further insertion of the inner needle is stopped, and the purpose is to insert only a flexible trocar (indwelling needle) so as to slide into the blood vessel lumen. At that time, it was necessary to take measures to prevent the contralateral blood vessel wall from being damaged by the inner needle due to excessive piercing and to prevent the inner needle from being pushed back and coming off the blood vessel wall.
【0004】[0004]
【課題を解決するための手段】いま、その構成を説明す
ると、 (イ)二重針の外套針(留置針)表面に溝あるいは突起
による螺旋構造を刻む(図1−5)。 (ロ)外套針(留置針)は、内針カット面(図1−2)
に少し被るように先端の穴を少し小さくする(図1−
3)。これにより流量を減らしたくなければ、小さな側
孔(図1−4)をもうければよい。Means for Solving the Problems Now, the structure will be described. (A) A spiral structure with grooves or projections is carved on the surface of a double needle (indwelling needle) (FIG. 1-5). (B) The outer needle (indwelling needle) is the inner needle cut surface (Fig. 1-2).
The hole at the tip is made a little smaller so that
3). If it is not desired to reduce the flow rate, a small side hole (FIG. 1-4) may be provided.
【0005】[0005]
【作用】上記の課題を解決するためには、内針の刺入は
最小限にして外套針の表面に螺旋型の構造(溝あるいは
螺旋状突起)を付けることを考えた。これにより、 1、対側血管壁の損傷を起こす程過度の刺入の必要がな
くなった。 2、二重針を一緒に半回転させることにより内針のカッ
ト面が血管内腔方向を向き、内針側面が血管壁に直線状
に接するために(図4)、外套針(留置針)に対しての
支持力が強化される。 3、更に外套針(留置針)だけを回転させると、表面の
螺旋により外套針だけが血管内腔に滑る込むように入っ
ていく(図5)。In order to solve the above-mentioned problems, it has been considered that a helical structure (a groove or a spiral projection) is provided on the surface of the outer needle while minimizing the insertion of the inner needle. This eliminates the need for excessive penetration to cause damage to the contralateral vessel wall. 2. The trocar (indwelling needle) because the cut surface of the inner needle faces the blood vessel lumen direction and the side surface of the inner needle comes into linear contact with the blood vessel wall by rotating the double needle half a turn together (FIG. 4). Support is strengthened. 3. When only the trocar (indwelling needle) is further rotated, only the trocar enters the blood vessel lumen due to the spiral of the surface (FIG. 5).
【0006】[0006]
【実施例】なお、螺旋構造は表面に溝を付けても良い
し、螺旋状の突起を刻んでも良い。螺旋の方向も通常は
ネジ回しのイメージで右回しがよいが、左回しでも良
い。また、従来の二重針と異なり、外套針(留置針)の
先端孔を少し小さくすると、螺旋と血管壁の作用(接
触)を早くし(図3)、外套針(留置針)の血管内挿入
がより容易になると期待される。先端孔が小さいことに
よる流量減少には、小さな側孔(図1−4)で対応でき
る。また、内針近位端を回すと同時に外套針(留置針)
も回る方が好都合なので、両針の間には一方向の噛み合
わせ機構(ロック機構)があった方がよい。DESCRIPTION OF THE PREFERRED EMBODIMENTS The spiral structure may have grooves on the surface or may have spiral projections. As for the direction of the helix, it is usually good to turn clockwise with the image of a screwdriver, but it may be counterclockwise. Also, unlike the conventional double needle, when the tip hole of the trocar (indwelling needle) is made slightly smaller, the action (contact) of the spiral and the blood vessel wall is accelerated (FIG. 3), and the trocar (indwelling needle) is inserted into the blood vessel. It is expected that insertion will be easier. The decrease in flow rate due to the small tip hole can be handled by the small side hole (FIGS. 1-4). In addition, while turning the proximal end of the inner needle, the trocar (indwelling needle)
Since it is more convenient to rotate, it is preferable that there is a one-way engagement mechanism (lock mechanism) between both hands.
【0007】[0007]
【発明の効果】上記により、内針での対側血管壁損傷の
リスクが減り、血管を傷つけることなく、外套針(留置
針)だけが安全にかつ容易に血管内腔に挿入されること
が期待できる。つまり、従来熟練を要していた留置針の
刺入が初心者を含めて、安全かつ容易にできるようにな
ると思われる。As described above, the risk of damage to the contralateral blood vessel wall with the inner needle is reduced, and only the trocar (indwelling needle) can be safely and easily inserted into the blood vessel lumen without damaging the blood vessel. Can be expected. That is, it is considered that the insertion of the indwelling needle, which has conventionally required skill, can be performed safely and easily, including for beginners.
【図1】本発明の外観(側面)図FIG. 1 is an external view (side view) of the present invention.
【図2】針先端からの正面図FIG. 2 is a front view from the needle tip.
【図3】血管刺入時、血液の内針内逆流(7)により内
針先端の針内腔が血管内腔と連絡したことが確認できた
時点FIG. 3 shows the time when it is confirmed that the needle lumen at the distal end of the inner needle has communicated with the blood vessel lumen due to backflow of blood into the inner needle (7) at the time of blood vessel insertion.
【図4】内針、外套針(留置針)をその場で一緒に半向
転させると、内針の側面が血管壁に直線状に接し、外套
針(留置針)を誘導する支持体として強固となる。[FIG. 4] When the inner needle and the outer trocar (indwelling needle) are turned halfway together on the spot, the side surface of the inner needle comes into linear contact with the blood vessel wall and serves as a support for guiding the trocar (indwelling needle). Be strong.
【図5】更に、外套針(留置針)を回すことにより外套
針(留置針)だけが血管壁との反作用により血管内腔へ
安全に挿入されることになる。FIG. 5 Further, by turning the trocar (indwelling needle), only the trocar (indwelling needle) is safely inserted into the blood vessel lumen by a reaction with the blood vessel wall.
1は内針 2は内針カット部分 3は外套針被覆部分 4は側孔 5は螺旋構造 6は外套針(留置針) 7は内針内腔後縁からの血液の逆流 8は血管壁 9は血管内腔 1 is an inner needle 2 is an inner needle cut portion 3 is an outer trocar covering portion 4 is a side hole 5 is a helical structure 6 is an trocar (indwelling needle) 7 is a backflow of blood from the trailing edge of the inner needle lumen 8 is a blood vessel wall 9 Is the vessel lumen
Claims (2)
套針(留置針)”と略す)の先端部分に螺旋を付け、刺
入時回転させる事によって、外套針(留置針)が容易に
血管内に誘導されるような構造をもった注射針、言葉を
変えれば螺挿式外套針(留置針)をもった注射針1. A trocar (an indwelling needle) by attaching a spiral to the tip of an indwelling portion of an intravascular double injection needle (hereinafter abbreviated as an "outer needle (indwelling needle)") and rotating it at the time of insertion. Needle with a structure that can be easily guided into blood vessels, in other words, a needle with a screw-in type trocar (indwelling needle)
位に、外套針(留置針)の先端を一部重ねることによ
り、外套針(留置針)が血管内により進入し易く、かつ
血管壁に接し易くなったこと。2. The trocar (indwelling needle) is more advanced into the blood vessel by partially overlapping the tip of the trocar (indwelling needle) near the distal end cut surface (FIG. 1-2) of the inner needle. It is easy to contact the blood vessel wall.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP8192659A JP2995651B2 (en) | 1996-06-17 | 1996-06-17 | Double injection needle |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP8192659A JP2995651B2 (en) | 1996-06-17 | 1996-06-17 | Double injection needle |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JPH10235A true JPH10235A (en) | 1998-01-06 |
| JP2995651B2 JP2995651B2 (en) | 1999-12-27 |
Family
ID=16294918
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP8192659A Expired - Lifetime JP2995651B2 (en) | 1996-06-17 | 1996-06-17 | Double injection needle |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JP2995651B2 (en) |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2006515195A (en) * | 2003-04-28 | 2006-05-25 | エルウィン・デ・ウィンター | Screw fixing device |
| JP2009183441A (en) * | 2008-02-06 | 2009-08-20 | Ken Kondo | Intravenous needle assembly |
| JP2011251081A (en) * | 2010-06-04 | 2011-12-15 | Jms Co Ltd | Indwelling needle device |
| US11273291B2 (en) | 2016-08-04 | 2022-03-15 | Terumo Kabushiki Kaisha | Catheter assembly |
-
1996
- 1996-06-17 JP JP8192659A patent/JP2995651B2/en not_active Expired - Lifetime
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2006515195A (en) * | 2003-04-28 | 2006-05-25 | エルウィン・デ・ウィンター | Screw fixing device |
| JP2009183441A (en) * | 2008-02-06 | 2009-08-20 | Ken Kondo | Intravenous needle assembly |
| JP2011251081A (en) * | 2010-06-04 | 2011-12-15 | Jms Co Ltd | Indwelling needle device |
| US11273291B2 (en) | 2016-08-04 | 2022-03-15 | Terumo Kabushiki Kaisha | Catheter assembly |
Also Published As
| Publication number | Publication date |
|---|---|
| JP2995651B2 (en) | 1999-12-27 |
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