Indwelling needle

Abstract

The present invention is an indwelling needle characterized by comprising: an inner needle that punctures a body; an outer needle that is inserted into the body together with the inner needle as the inner needle penetrates the outer needle and punctures the body; a hub that has a passage in communication with the interior of the outer needle once the base end of the outer needle is secured and the inner needle is removed; and an elastic member that is disposed within the hub, is penetrated by the inner needle, and blocks the base end side of the hub once the inner needle is removed, wherein a port through which a fluid flows to the passage is provided to a side surface of the hub, the passage includes a switching part that switches the flow direction of the fluid that has flowed in from the axial direction of the outer needle to the axial direction of the port or switches the flow direction of the fluid that has flowed in from the axial direction of the port to the axial direction of the outer needle, and the passage in the switching part is at least partially formed from the elastic member and has a circular cross section.

Description

[Technical field]

[0001] The present invention relates to an indwelling needle having an outer needle that is inserted into a living body and left indwelling. [Background technology]

[0002] As medical instruments used in dialysis, indwelling needles and catheter tubes (e.g., Patent Document 1) have been developed. The indwelling needle is equipped with an inner needle that is inserted into the blood vessel of a patient undergoing dialysis, and an outer needle that is inserted into the patient's blood vessel together with the inner needle by penetrating the inner needle and puncturing the living body. The outer needle is then placed in the patient's blood vessel, and blood is drawn from the patient through the outer needle, or dialyzed blood is returned to the patient's body. [Prior art documents] [Patent documents]

[0003] [Patent Document 1] Special Publication No. 2009-534090 Summary of the Invention [Problem to be solved by the invention]

[0004] It is conceivable that a port communicating with the hollow part of the outer needle and allowing blood supplied from an external device such as an artificial dialysis device to flow into the hollow part of the outer needle may be provided on the side of the body of the indwelling needle as in Patent Document 1. However, if there is a flow path outside the blood flow formed by the inlet and outlet in the indwelling needle body (for example, the flow path between the port and the seal rubber in Patent Document 1), blood will stagnate in the flow path. As a result, it is conceivable that inconveniences will occur, such as blood coagulating in the flow path and the solidified blood clot being returned to the patient's body.

[0005] Therefore, an object of the present application is to provide a technique for suppressing blood retention inside an indwelling needle. [Means for solving the problem]

[0006] In order to solve the above-mentioned problems, the present invention employs the following configuration.

[0007] That is, an indwelling needle according to one aspect of the present invention comprises an inner needle which is inserted into a living body, an outer needle which is inserted into the living body together with the inner needle as the inner needle penetrates and punctures the living body, a hub to which the base end of the outer needle is fixed and which has a flow path which communicates with the interior of the outer needle when the inner needle is removed, and an elastic member which is disposed inside the hub and through which the inner needle penetrates and which blocks the base end side of the hub when the inner needle is removed, wherein a port is provided on a side of the hub to allow fluid to circulate through the flow path, and the flow path has a conversion section which changes the flow direction of fluid flowing in from the axial direction of the outer needle to the axial direction of the port, or which changes the flow direction of fluid flowing in from the axial direction of the port to the axial direction of the outer needle, and wherein the flow path in the conversion section is at least partially formed by the elastic member and has a circular cross section.

[0008] According to this configuration, when the flow direction of blood is converted from the patient's blood vessel to the port, the blood flows smoothly in the flow direction because the axis around the flow direction is smooth, and the formation of a blood stagnation portion in a part of the flow path in the conversion portion is suppressed. Conversely, when blood supplied to the patient's blood vessel flows from the port to the inside of the outer needle, the blood is also suppressed from stagnating in the conversion portion. In addition, the circular shape here does not mean only a perfect circle, but also includes a shape close to a circle. More specifically, the concept includes an elliptical shape, an oval shape, an egg shape, and also a roughly circular shape with a slight variation in radius.

[0009] and an elastic member that is disposed inside the hub and through which the inner needle penetrates, and that closes the base end side of the hub when the inner needle is removed, wherein a port is provided on a side surface of the hub for circulating a fluid through the flow path, at least a portion of the flow path is formed by the elastic member and has a conversion portion that converts the flow direction of fluid that has flowed in from the axial direction of the outer needle to the axial direction of the port, at least a portion of a connection portion between the flow path and the port is formed by the elastic member, and a cross-sectional shape of an opening of the port relative to the flow path at the connection portion is identical to a cross-sectional shape of an opening of the flow path relative to the port.

[0010] According to this configuration, the elastic member can easily match the cross-sectional shape of the opening of the flow path to the port with the cross-sectional shape of the opening of the port to the flow path. As a result, the side wall forming the flow path and the side wall inside the port can be smoothly connected at the connection portion. Therefore, blood is prevented from stagnating at the connection portion. The opening of the flow path to the port may be formed by the elastic member and the hub or a separate member inserted into the hub, or may be formed by the elastic member alone.

[0011] Moreover, an indwelling needle according to one aspect of the present invention may be an indwelling needle comprising: an inner needle to be inserted into a living body; an outer needle which is inserted into the living body together with the inner needle as the inner needle penetrates and punctures the living body; a hub to which the base end of the outer needle is fixed and which has a flow path which communicates with the interior of the outer needle when the inner needle is removed; and an elastic member which is disposed inside the hub and through which the inner needle penetrates, which closes the base end side of the hub when the inner needle is removed and which connects to the base end of the outer needle at its tip, wherein a port is provided on a side of the hub to allow a fluid to circulate through the flow path, the flow path being at least partially formed by the elastic member and having a conversion section which converts the flow direction of fluid flowing in from the axial direction of the outer needle to the axial direction of the port, and the tip of the elastic member extends further towards the tip side than the port.

[0012] According to this configuration, the outer needle base end and the elastic valve body are positioned close to each other, and the space between the outer needle base end and the elastic valve body can be made small, thereby preventing fluid from stagnation.

[0013] Moreover, an indwelling needle according to one aspect of the present invention may be an indwelling needle comprising an inner needle which is inserted into a living body, an outer needle which is inserted into the living body together with the inner needle as the inner needle penetrates and punctures the living body, a hub to which the base end of the outer needle is fixed and which has a flow path which communicates with the interior of the outer needle when the inner needle is removed, and an elastic member which is disposed inside the hub and through which the inner needle penetrates and which blocks the base end side of the hub when the inner needle is removed, wherein a port is provided on a side of the hub to allow a fluid to circulate through the flow path, and at least a portion of the flow path is a tunnel-shaped flow path formed in the elastic member.

[0014] According to this configuration, at least a portion of the flow path is a tunnel-shaped flow path formed in the elastic member, and the side walls of the flow path are formed only from the surface of the elastic member. This makes it possible to reduce the space in which blood can stagnate in the flow path between the outer needle and the port, and allows fluid to flow smoothly within the flow path.

[0015] Moreover, an indwelling needle according to one aspect of the present invention comprises an inner needle which is inserted into a living body, an outer needle which is inserted into the living body together with the inner needle as the inner needle penetrates and punctures the living body, a hub to which the base end of the outer needle is fixed and which has a flow path which communicates with the interior of the outer needle when the inner needle is removed, and an elastic member which is disposed inside the hub and through which the inner needle penetrates and which blocks the base end side of the hub when the inner needle is removed, wherein a port is provided on a side of the hub to allow a fluid to circulate through the flow path, the flow path is at least partially formed by the elastic member and has a conversion section which converts the flow direction of fluid flowing in from the axial direction of the outer needle to the axial direction of the port, and the inner wall of the wall surface on the port side or the outer needle side of the flow path is formed by the elastic member.

[0016] According to this configuration, the space in which blood can stagnate in the flow path between the outer needle and the port can be reduced, allowing fluid to flow smoothly within the flow path.

[0017] and an elastic member that is disposed inside the hub and through which the inner needle penetrates, and that closes the base end side of the hub when the inner needle is removed, wherein a port is provided on a side surface of the hub for circulating a fluid through the flow path, and the flow path is at least partially formed by the elastic member and has a conversion section that converts the flow direction of fluid that has flowed in from the axial direction of the outer needle to the axial direction of the port, and wherein when the conversion section is viewed from a direction perpendicular to both the axis of the outer needle and the axis of the port, a wall surface on the outer needle side in the flow path and a wall surface opposite the outer needle both have curved shapes that are convex toward the opposite side of the outer needle.

[0018] According to this configuration, it is possible to reduce the space in which blood can stagnate on the opposite side of the conversion section that changes the flow direction of the flow channel, and it is possible to allow the fluid to flow smoothly within the flow channel.

[0019] Moreover, the indwelling needle in the above-mentioned aspect may be characterized in that a determining means is provided for determining the relative circumferential position of the elastic member within the hub when viewed from the axial direction of the outer needle.

[0020] According to this configuration, when the elastic member has an opening for allowing fluid to flow through the flow path, the opening of the elastic member can be aligned with the opening of the port provided on the side surface of the hub. In other words, when an external tube is connected to the port, the indwelling needle can be easily assembled so that fluid can flow from the external tube through the port to the flow path of the elastic member. Effect of the Invention

[0021] According to the present invention, a technique for suppressing blood retention inside an indwelling needle can be provided. [Brief description of the drawings]

[0022] [Figure 1] FIG. 1 shows a perspective view of an indwelling needle. [Diagram 2] FIG. 2 shows three views of the indwelling needle. [Diagram 3] FIG. 3 shows a partially enlarged view of the cross section taken along the line AA in FIG. [Figure 4] FIG. 4 shows a perspective view of the seal rubber. [Diagram 5] FIG. 5 shows four views of the seal rubber. [Figure 6A] FIG. 6A shows a cross-sectional view of the seal rubber taken along the line CC in FIG. [Figure 6B] FIG. 6B shows a cross-sectional view of the seal rubber taken along the line DD in FIG. [Figure 6C] FIG. 6C shows the relationship between the port axis direction, the direction perpendicular to the port axis direction, and each curvature. [Figure 7] FIG. 7 shows an example of a cross section perpendicular to the central axis direction in a state in which the seal rubber is fitted into the hollow portion of the main body. [Figure 8] FIG. 8 shows a perspective view of the indwelling needle. [Figure 9] FIG. 9 shows three views of the indwelling needle. [Figure 10] FIG. 10 is a partially enlarged view of the cross section taken along the arrows A--A in FIG. [Figure 11] FIG. 11 shows a cross section perpendicular to the central axis direction of the hub of an indwelling needle that is not provided with ribs and grooves. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0023] DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS The following describes an embodiment of the present invention. The embodiment described below is an example of the present invention, and the technical scope of the present invention is not limited to the following aspect.

[0024] <Overview of indwelling catheter> 1 to 3 show an example of an outline of an indwelling needle 1 according to an embodiment of the present invention. Fig. 1 shows a perspective view of the indwelling needle 1. Fig. 2 shows a three-view diagram of the indwelling needle 1. Fig. 3 shows a partially enlarged view of the cross section indicated by the arrows A-A in Fig. 2.

[0025] First, an outline of the indwelling needle 1 will be described with reference to Figures 1 and 2. As shown in Figures 1 and 2, the indwelling needle 1 comprises a hollow inner needle 2 and a cylindrical outer needle 3 that is provided so as to cover the outer surface of the inner needle 2. The inner needle 2 protrudes from an opening at the tip of the outer needle 3, and is inserted into the blood vessel of the patient to be punctured. In the following description, the end (side-direction) from which the inner needle 2 protrudes in the indwelling needle 1 is referred to as the tip (side-direction), and the opposite end is referred to as the rear end (side-direction). The direction in which the inner needle 2 protrudes is also referred to as the puncture direction.

[0026] In addition, an outer needle hub 4 is connected to the rear end of the outer needle 3. A hollow portion communicating with the hollow portion of the outer needle 3 is provided inside this outer needle hub 4. As shown in Figs. 1 and 2, the outer needle hub 4 includes a main body 40 extending linearly in the puncture direction, and a branch portion (port) 41 branching in a Y-shape from the main body 40 in the opposite direction to the puncture direction. A hollow portion is provided inside both the main body 40 and the branch portion 41, and the respective hollow portions are in communication. The outer needle hub 4 may be formed of one member or multiple members. A flexible soft tube may be provided between the tip and base ends of the outer needle hub 4.

[0027] An extension tube 6 through which blood supplied from an external device such as an artificial dialysis device passes is connected to the rear end of the branched portion 41 of the indwelling needle 1. Note that a connector may be provided at the port end without providing the extension tube 6.

[0028] Next, the details of the inside of the indwelling needle 1 will be described with reference to FIG. 3. As can be seen from FIG. 3, a seal rubber 5 is disposed in the hollow portion of the main body 40 of the outer needle hub 4. This seal rubber 5 prevents blood from leaking from the rear end of the main body 40, and constitutes a blood flow path as described below. Here, the seal rubber 5 is an example of the "elastic member" of the present invention, and the shape and configuration are not important as long as it can prevent blood from leaking from the rear end of the main body 40. In this embodiment, the seal rubber 5 is compressed in the radial direction to suitably prevent blood from leaking.

[0029] 3, the branching portion 41 is connected to the main body portion 40 at the connection portion 405. The hollow portion of the branching portion 41 is provided with a connection hollow portion 413 near the connection portion 405, and an extension tube fitting portion 410 having an inner diameter larger than that of the connection hollow portion 413 and into which the extension tube 6 is inserted and fitted. A tapered rear end hollow portion 412 is provided in the region between the connection hollow portion 413 and the extension tube fitting portion 410, the inner diameter of which expands from the same inner diameter as the connection hollow portion 413 to the same inner diameter as the extension tube 6.

[0030] The distal end of the hollow part of the main body 40 is provided with an outer needle holding part 401 for holding the rear end of the outer needle 3. The distal end of the outer needle holding part 401 is provided with a distal end opening 402 that opens in the puncture direction. The outer needle 3 is insert molded into the outer needle holding part 401 so that its distal end protrudes from the distal end opening 402. The outer needle holding part 401 may be molded as a separate member and used as a crimping pin that crimps between the outer needle 3 and the outer needle hub 4. The outer needle holding part 401 may be an adhesive instead of a member. The hollow part of the outer needle 3 tapers from the rear end toward the distal end. The distal end of the seal rubber 5 is extrapolated onto the base end of the outer needle 3, and the distal end of the seal rubber 5 extends distally beyond the port.

[0031] Furthermore, the main body portion 40 of the outer needle hub 4 is provided with a rear end opening 403. The size of the rear end opening 403 is set so that the seal rubber 5 can be inserted into the hollow portion of the outer needle hub 4.

[0032] 4 to 6 show an example of the outline of the seal rubber 5. FIG. 4 shows a perspective view of the seal rubber 5. FIG. 5 shows four-sided views of the seal rubber 5. FIG. 6A shows a cross-sectional view taken along the arrows CC in FIG. 5. FIG. 6B shows a cross-sectional view taken along the arrows DD in FIG. 5. FIG. 6C shows the relationship between the port axial direction, the direction perpendicular to the port axial direction, and each of the curvatures R1-R3.

[0033] The seal rubber 5 is made of an elastic material such as silicon, and has a generally cylindrical outer shape as shown in Figures 4 and 5. As can be seen from Figure 6, the seal rubber 5 is provided with a flow path portion 53 for internally connecting its side surface and tip surface. The rear end of the flow path portion 53 opens on the side surface of the seal rubber 5, forming an inlet 51 that allows blood to flow into the flow path portion 53 from the outside.

[0034] Here, the cross section of inlet 51 perpendicular to the inflow direction of blood is circular. The inner diameter of the cross section of inlet 51 and the inner diameter of connecting hollow portion 413 are approximately the same.

[0035] On the other hand, as shown in Figs. 6A and 6B, the tip side of the seal rubber 5 is provided with an outer needle fitting portion 56, which is a cylindrical recess into which the rear end of the outer needle 3 fits. In the venous indwelling needle, an outlet 52 is provided as an opening for the outer needle fitting portion 56 at the boundary between the flow path portion 53 and the outer needle fitting portion 56. That is, blood that has passed through the flow path portion 53 passes through the outlet 52 and flows into the hollow portion of the outer needle 3 that fits with the outer needle fitting portion 56. The inner diameter of the outlet 52 is approximately the same as the inner diameter of the opening at the rear end of the outer needle 3 that fits with the outer needle fitting portion 56. Here, the flow path portion 53 changes the flow direction of the circulating blood between the inlet 51 and the outlet 52, and is an example of the "conversion portion" in the present invention. Here, in this embodiment, the entire conversion portion is formed of the seal rubber 5, but a part of the conversion portion may be formed of the seal rubber 5. In addition, in the arterial indwelling needle, the blood flow direction is opposite to that of the venous indwelling needle, and the outlet port 52 as an opening to the outer needle fitting portion 56 serves as the entrance for blood to flow from the outer needle 3 into the seal rubber 5.

[0036] 6A, in a cross section parallel to the inflow direction of blood flowing in from inlet 51, flow path section 53 is formed by sidewall 54 having a unidirectional curvature without meandering between inlet 51 and outlet 52. In addition, flow path section 53 has a circular cross section perpendicular to the inflow direction of blood, and is formed in a tunnel shape with a substantially constant diameter of the circle.

[0037] 6A, when viewed in a cross section parallel to the inflow direction of blood flowing in from the inlet 51, the side walls 54A and 54B which are parts of the side wall 54 of the flow path section 53 change with a predetermined curvature so as not to cause blood to stagnate with respect to the central axial direction of the outer needle 3. That is, when viewed from the axial direction of the outer needle 3, the side walls 54A and 54B have curved surfaces which change with predetermined curvatures (R1, R2) around a direction perpendicular to the opening direction of the inlet 51 (the axial direction of the port). Moreover, both the side walls 54A and 54B are convex on the opposite side to the outer needle 3.

[0038] Furthermore, as shown in Figure 6B, when viewed from the axial direction of the outer needle 3, the side wall 54C of the flow path portion 53 is formed from a curved surface that changes at a predetermined curvature R3 around the opening direction of the inlet 51 (the axial direction of the port).

[0039] Here, the above-mentioned predetermined curvatures R1, R2, and R3 are values ​​at which blood does not stagnate. The values ​​at which blood does not stagnate may be calculated by, for example, a simulation, or may be determined based on the results of a measurement experiment.

[0040] The same can be said about the curvatures of the side walls 54A, 54B, and 54C when the side walls 54A, 54B, and 54C are viewed from the opening direction (axial direction of the port) of the inlet 51. That is, as shown in Fig. 6A, the side walls 54A and 54B, which are part of the side wall 54 of the flow path section 53, have a curved surface that changes with a predetermined curvature (R1, R2) around the direction perpendicular to the axial direction of the outer needle 3, even when viewed from the opening direction of the inlet 51 (axial direction of the port).

[0041] Also, when viewed from the opening direction of the inlet 51 (the axial direction of the port), the side wall 54C of the flow path section 53 is formed of a curved surface that changes with a predetermined curvature R3 around the axial direction of the outer needle 3 (in Figure 6B, the side wall 54C of the flow path section 53 also has a curved surface with a curvature R3 in the front-to-back direction of the page).

[0042] In this embodiment, as shown in FIG. 6A, the side walls 54B on the inlet 51 side (port side) and the outer needle 3 side (outer needle side) of the flow path portion 53 are formed of sealing rubber 5 (elastic member).

[0043] As shown in FIG. 3, the sealing rubber 5 is configured so that the inner needle 2 can pass through it, and a recess 55 is provided inside the sealing rubber 5 near the rear end thereof, into which the inner needle 2 is inserted when the inner needle 2 passes through the sealing rubber 5.

[0044] Furthermore, on the outer surface near the rear end of the seal rubber 5, two ribs 57 are provided at 180 degree intervals, which protrude perpendicularly to the central axis direction and are formed along the central axis direction. Here, a groove 404 is provided along the central axis direction on the inner wall of the hollow part of the main body 40 of the outer needle hub 4, and the position of the seal rubber 5 around the central axis inside the main body 40 can be determined by fitting the rib 57 of the seal rubber 5 into the groove 404.

[0045] 7 shows an example of a cross section perpendicular to the central axis (cross section along the arrow BB in FIG. 2) in a state in which the seal rubber 5 is inserted into the hollow portion of the main body 40. Here, the positions at which the rib 57 and the groove 404 are provided are determined so that the position of the inlet 51 of the seal rubber 5 coincides with the position of the opening of the connecting hollow portion 413 when the seal rubber 5 is inserted into the hollow portion of the main body 40. Here, the rib 57 and the groove 404 are an example of the "defining means" of the present invention.

[0046] As described above, the inner diameter of the portion of the rear end hollow portion 412 that opens toward the rear end is set to be approximately the same as the inner diameter of the extension tube 6. With this structure, the connecting hollow portion 413 of the branching portion 41 and the hollow portion of the extension tube 6 are smoothly connected to each other.

[0047] (Assembly procedure for indwelling needle 1) Next, an example of an outline of the assembly procedure of the indwelling needle 1 will be shown. First, the seal rubber 5 is inserted into the hollow part of the main body part 40 from the rear end opening 403 provided at the rear end of the outer needle hub 4. When the seal rubber 5 is inserted, it is inserted so that the rib 57 provided on the outer surface of the seal rubber 5 and the groove 404 provided on the inner surface of the outer needle hub 4 fit together. Then, the outer needle fitting part 56 of the seal rubber 5 inserted into the hollow part of the main body part 40 fits into the rear end of the outer needle 3 insert-molded into the outer needle holding part 401. Note that the outer needle 3 and the seal rubber 5 may be assembled to the outer needle hub 4 by inserting the outer needle 3, which is molded separately, into the outer needle hub 4 in a state where it is assembled to the outer needle fitting part 56 of the seal rubber 5.

[0048] Here, the inner diameter of the outlet 52 of the seal rubber 5 is set to be approximately the same as the inner diameter of the outer needle 3 that fits into the outer needle fitting portion 56. Therefore, the side wall 54 that forms the flow path portion 53 and the side wall that forms the hollow portion of the outer needle 3 are smoothly continuous via the outlet 52. Furthermore, when the outer needle fitting portion 56 fits into the rear end of the outer needle 3, the tip of the seal rubber 5 enters into the gap between the outer shape of the outer needle 3, the outer needle hub 4, and the inner wall. This seals the gap between the outer needle 3 and the outer needle hub 4. Here, the seal rubber 5 that enters into the gap between the outer needle 3 and the outer needle hub 4 is an example of the "seal portion" of the present invention.

[0049] Furthermore, when the insertion of the seal rubber 5 into the hollow portion of the main body 40 is completed, the position of the inlet 51 coincides with the opening of the connecting hollow portion 413 inside the branch portion 41. Therefore, the side wall 54 and the side wall of the connecting hollow portion 413 are smoothly continuous with each other via the inlet 51.

[0050] Furthermore, the extension tube 6 is inserted into the extension tube fitting portion 410. Thus, the hollow portion of the extension tube 6 and the connecting hollow portion 413 of the branch portion 41 communicate with each other via the rear end hollow portion 412. Here, the inner diameter of the rear end of the rear end hollow portion 412 is set to be approximately the same as the inner diameter of the extension tube 6. Thus, the side wall of the rear end hollow portion 412 and the side wall of the hollow portion of the extension tube 6 are smoothly continuous with each other.

[0051] Next, the inner needle 2 is inserted into a predetermined location in the recess 55 of the seal rubber 5 through the rear end opening 403 of the outer needle hub 4. Then, the tip of the inner needle 2 protrudes into the flow path portion 53 from a predetermined location in the side wall 54 that forms the flow path portion 53. The inner needle 2 then passes directly through the inside of the flow path portion 53, enters the hollow portion of the outer needle 3, and protrudes from the opening at the tip of the outer needle 3. With the inner needle 2 protruding from the opening at the tip of the outer needle 3 in this manner, the inner needle 2 becomes capable of puncturing the patient's blood vessel.

[0052] (Procedure for using indwelling needle 1) Next, an example of an outline of the procedure for using the indwelling needle 1 will be shown. After the inner needle 2 is inserted into the patient's blood vessel, it is removed in the opposite direction to the insertion direction. Figures 8 to 10 show an example of the indwelling needle 1 with the inner needle 2 removed. Figure 8 shows a perspective view of the indwelling needle 1. Figure 9 shows a three-view diagram of the indwelling needle 1. Figure 10 shows a partially enlarged view of the cross section indicated by the arrows A-A in Figure 9.

[0053] Dialysis treatment is performed by flowing blood from the blood vessels into an extracorporeal circuit (bleeding out) and returning the blood that has passed through a blood purifier in the extracorporeal circuit to the blood vessels (blood return). An arterial indwelling needle that is inserted into the artery and a venous indwelling needle that is inserted into the vein are used for the treatment. The present invention is used for at least one or both of the arterial indwelling needle and the venous indwelling needle.

[0054] When the indwelling needle 1 is inserted into a blood vessel and the inner needle 2 is removed, the outer needle 3 is left in the patient's blood vessel. In addition, the through hole of the seal rubber 5 through which the inner needle 2 was inserted is blocked by the elasticity of the seal rubber 5. This prevents blood in the patient's blood vessel from flowing back through the outer needle 3 and leaking to the outside through the through hole of the seal rubber 5 through which the inner needle 2 was inserted.

[0055] After the inner needle 2 is removed, the extracorporeal circuit is connected to the connector of the extension tube 6, and a flow path is formed between the arterial blood vessel, the blood purifier, and the venous blood vessel. In the arterial indwelling needle, blood flows from the outer needle 3 toward the branching part 41, and at that time, blood flows smoothly from the outer needle 3 to the branching part 41 via the flow path part 53.

[0056] Then, the dialyzed blood that has passed through the blood purifier flows from the branching part 41 into the hollow part of the outer needle 3. In the indwelling needle on the venous side, blood flows from the branching part 41 toward the outer needle 3, and at that time, the blood flows smoothly from the branching part 41 to the outer needle 3 via the flow path part 53. In the hollow part of the outer needle 3, the diameter tapers from the end toward the tip, so that the speed at which the dialyzed blood flows increases. Then, the dialyzed blood is supplied into the patient's blood vessel through the opening at the tip of the outer needle 3 that is indwelled in the patient's blood vessel.

[0057] [Actions and Effects] According to the indwelling needle 1 as described above, blood flows smoothly from the inlet to the outlet through the flow path portion 53, so that blood is less likely to stagnate. In addition, the side walls 54A and 54B of the flow path portion 53 are both convex on the side opposite to the outer needle 3. In other words, the side walls 54A and 54B forming the flow path portion 53 do not have a complex shape such as a meandering shape, so that blood is prevented from stagnation in the flow path portion 53. In addition, in the flow path portion 53 forming a flow path that changes the flow path direction, the cross section perpendicular to the inflow direction of blood is circular, and the inner diameter of the circle is approximately constant. Therefore, blood is prevented from stagnation in the flow path portion 53. By preventing blood from stagnation, the formation of a thrombus in the flow path portion 53 is prevented. In addition to an elliptical, oval, or egg shape, the flow path can also be approximately circular with a slight variation in radius. In this case, since the flow path cross section is also circular, blood can be guided to the center of the flow path cross section, and it is possible to prevent a stagnation portion from occurring in a part of the flow path. Also, the cross section of the flow path portion 53 can be formed by the seal rubber and the outer needle hub.

[0058] 6A, when viewed in a cross section parallel to the inflow direction of blood flowing in from the inlet 51, the side walls 54A and 54B which are part of the side wall 54 of the flow path section 53 change at a predetermined curvature so as not to cause blood to stagnate, relative to the central axial direction of the outer needle 3. In other words, the side walls 54A and 54B have curved surfaces which change at predetermined curvatures (R1, R2) around a direction perpendicular to the opening direction of the inlet 51 (the axial direction of the port) when viewed from the axial direction of the outer needle 3.

[0059] Furthermore, as shown in Figure 6B, when viewed from the axial direction of the outer needle 3, the side wall 54C of the flow path portion 53 is formed from a curved surface that changes with a predetermined curvature R3 around the opening direction of the inlet 51 (the axial direction of the port).

[0060] Here, the above-mentioned predetermined curvatures R1, R2, and R3 are values ​​at which blood does not stagnate. Therefore, with the indwelling needle 1 as described above, blood is prevented from stagnation in the flow path portion 53.

[0061] Moreover, according to the indwelling needle 1 as described above, the flow path section 53 of the seal rubber 5 is formed in a tunnel shape, and a smooth flow path without any steps can be realized. This makes it possible to prevent blood from stagnating, and also prevents the formation of blood clots due to stagnancy. Furthermore, the side wall 54 of the flow path section 53 is not formed from the surface of any member other than the seal rubber 5. This prevents blood from stagnating at the joint of the side wall 54 with the surface of another member.

[0062] Moreover, according to the above-mentioned indwelling needle 1, the inner diameter of the inflow port 51 and the inner diameter of the connecting hollow portion 413 of the connecting portion 405 of the outer needle hub 4 are approximately the same. Moreover, according to the above-mentioned indwelling needle 1, the positions at which the rib 57 of the sealing rubber 5 and the groove 404 of the outer needle hub 4 are provided are such that when the sealing rubber 5 is inserted into the hollow portion of the main body portion 40 of the outer needle hub 4, the inflow port 51 coincides with the connecting hollow portion 413. Moreover, the cross-sectional shape of the opening of the connecting hollow portion 413 relative to the flow path portion 53 is the same as the opening shape of the inflow port 51 relative to the connecting hollow portion 413.

[0063] Therefore, the side wall 54 forming the flow path portion 53 and the side wall inside the connecting hollow portion 413 are smoothly continuous. This prevents blood from accumulating at the connection portion between the flow path portion 53 and the connecting hollow portion 413. Furthermore, according to the above-mentioned indwelling needle 1, it can be easily assembled so that blood is circulated from the extension tube 6 to the flow path portion 53 via the connecting hollow portion 413.

[0064] Furthermore, according to the indwelling needle 1 as described above, the side wall 54 forming the flow path portion 53 of the sealing rubber 5 is smoothly continuous with the side wall forming the hollow portion of the outer needle 3 on the outlet port 52 side. Therefore, blood supplied to the patient's blood vessel is prevented from accumulating at the joint between the side wall 54 of the sealing rubber 5 and the side wall forming the hollow portion of the outer needle 3.

[0065] Moreover, according to the indwelling needle 1 as described above, the gap between the outer needle 3 and the inner wall of the outer needle hub 4 is sealed by the seal rubber 5. Therefore, blood passing through the flow path portion 53 of the seal rubber 5 toward the inside of the outer needle 3 is prevented from flowing into and stagnating in the gap between the outer needle 3 and the inner wall of the outer needle hub 4. Also, unlike the above embodiment, even when blood is collected from a patient's blood vessel, blood passing through the inside of the outer needle 3 toward the flow path portion 53 of the seal rubber 5 is prevented from flowing into and stagnating in the gap between the outer needle 3 and the inner wall of the outer needle hub 4.

[0066] Furthermore, according to the indwelling needle 1 as described above, the side walls 54B on the inlet 51 side (port side) of the flow path section 53 and on the outer needle 3 side (outer needle side) are formed of a seal rubber 5 (elastic member). Therefore, the joint between the flow path section 53 and the port and the joint between the flow path section 53 and the outer needle 3 can be smoothly continuous by the elastic member. Therefore, blood is prevented from accumulating at the joint between the flow path section 53 and the port and the joint between the flow path section 53 and the outer needle 3.

[0067] Furthermore, with the indwelling needle 1 as described above, it is possible to shorten the length from the outer needle 3 to the base end of the outer needle hub 4. This prevents the overall needle from becoming large even when a safety mechanism for preventing accidental puncture by the inner needle 2 after removal of the inner needle 2 is provided between the outer needle hub 4 and the inner needle hub. Note that the safety mechanism is not limited to a configuration provided between the outer needle hub 4 and the inner needle hub, and another safety mechanism used in an indwelling needle having an inner needle 2 and an outer needle 3 may be adopted.

[0068] Furthermore, the shape or position of the rib 57 and groove 404 is not limited to the above embodiment, and the groove may be provided on the outer surface of the seal rubber, and the rib may be provided on the inner surface of the outer needle hub. When the seal rubber 5 is inserted into the hollow part of the main body part 40, it is preferable that the inlet 51 of the seal rubber 5 has a shape or position that matches the opening of the connection hollow part 413 inside the connection part 405 from the main body part 40 of the outer needle hub 4, but is not limited to this. Furthermore, the relative positions of the outer needle hub and the seal rubber in the circumferential direction may be specified without providing the rib 57 and groove 404.

[0069] FIG. 11 shows a cross section perpendicular to the central axis direction of the outer needle hub 4A in an indwelling needle 1A in which the rib 57 and the groove 404 are not provided. In the case of the indwelling needle 1A shown in FIG. 11, the shapes of the hollow part of the main body part 40A of the outer needle hub 4A and the seal rubber 5A are not rotationally symmetrical around the central axis. In other words, the relative position of the seal rubber 5A in the circumferential direction within the outer needle hub 4A is specified. Therefore, when the seal rubber 5A is inserted into the hollow part of the main body part 40A as shown in FIG. 11, the main body part 40A and the seal rubber 5A may be manufactured so that the inlet 51A of the seal rubber 5A of the indwelling needle 1A matches the opening of the connection hollow part 413A inside the connection part 405A from the main body part 40A.

[0070] Alternatively, the seal rubber 5 may be surrounded by a hard member that is relatively harder than the seal rubber 5, and ribs and grooves may be provided on the outer surface of the hard member, while an engagement mechanism that engages with the ribs and grooves provided on the outer surface of the hard member may be provided on the inner surface of the outer needle hub 4. Then, when the ribs and grooves on the outer surface of the hard member engage with the engagement mechanism on the inner surface of the outer needle hub 4 and the seal rubber 5 is inserted into the hollow portion of the main body part 40, the inlet 51 of the seal rubber 5 may be made to match the opening of the connection hollow part 413 inside the connection part 405 from the main body part 40 of the outer needle hub 4.

[0071] Furthermore, the above embodiment may be provided with a mechanism for facilitating flashback. For example, if a side hole is provided in the inner needle 2 so that the inner needle 2 communicates with the extension tube 6, the user can confirm that the indwelling needle 1 has been inserted into the blood vessel by the movement of blood between the inner needle 2 and the outer needle hub 4 or the movement of blood in the extension tube 6. A luer connector is provided at the end of the extension tube 6, and a valve may also be provided in the luer connector. A cap may also be provided on the luer connector, or a clamp may also be provided on the extension tube 6. A known ventilation mechanism may also be provided so that blood can be removed up to the end of the extension tube 6.

[0072] The embodiments and modifications disclosed above can be combined with each other. [Explanation of symbols]

[0073] 1, 1A··Indwelling needle 2. Inner needle 3...Outer needle 4, 4A··Outer needle hub 5, 5A··Seal rubber 6. Extension tube 40, 40A Main unit 41 Branch section 51, 51A...Inlet 52·Outlet 53 Flow path section 54, 54A, 54B, 54C...Side wall 55 Recess 56...Outer needle fitting part 57 Rib 401...Outer needle holding part 402 Tip opening 403...Rear end opening 404...Groove 405, 405A Connection 410 Extension tube fitting 412...Hollow part at rear end 413, 413A Connection Hollow Section

Claims

1. An inner needle that is inserted into a living body; an outer needle that is inserted into the living body together with the inner needle by the inner needle penetrating and puncturing the living body; a hub having a flow path that communicates with the inside of the outer needle when the base end of the outer needle is fixed and the inner needle is removed; an elastic member that is disposed inside the hub, through which the inner needle passes, and that closes a base end side of the hub when the inner needle is removed, A port is provided on a side surface of the hub to allow fluid to flow through the flow path, the flow path has a conversion section which converts the flow direction of a fluid flowing in from the axial direction of the outer needle into the axial direction of the port, or converts the flow direction of a fluid flowing in from the axial direction of the port into the axial direction of the outer needle, The flow path in the conversion portion is formed in a tunnel shape by the elastic member and has a circular cross section, when the conversion section is viewed from a direction perpendicular to both the axis of the outer needle and the axis of the port, a wall surface on the outer needle side and a wall surface on the opposite side to the outer needle in the flow path both have a curved shape that is convex toward the opposite side to the outer needle. Indwelling needle.

2. At least a portion of the connection between the flow path and the port is formed by the elastic member, A cross-sectional shape of an opening of the port relative to the flow path in the connecting portion is the same as a cross-sectional shape of an opening of the flow path relative to the port. The indwelling needle according to claim 1.

3. An inner needle that is inserted into a living body; an outer needle that is inserted into the living body together with the inner needle by the inner needle penetrating and puncturing the living body; a hub having a flow path that communicates with the inside of the outer needle when the base end of the outer needle is fixed and the inner needle is removed; an elastic member that is disposed inside the hub, through which the inner needle passes, and that closes the base end side of the hub when the inner needle is removed, and that is coupled at its tip to the base end of the outer needle, A port is provided on a side surface of the hub to allow fluid to flow through the flow path, the flow path has a conversion section at least a portion of which is formed by the elastic member and which converts the flow direction of the fluid that has flowed in from the axial direction of the outer needle to the axial direction of the port, a tip of the elastic member extends distally beyond the port; The distal end of the elastic member is fitted onto the proximal end of the outer needle. Indwelling needle.

4. The inner circumferential wall of the wall surface on the port side or the outer needle side of the flow path is formed by the elastic member. The indwelling needle according to any one of claims 1 to 3.

5. a defining means for defining a relative position in a circumferential direction of the elastic member within the hub when viewed from an axial direction of the outer needle, The indwelling needle according to any one of claims 1 to 4.

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