Flow path switching device

Abstract

This flow path switching device comprises an outer cylinder part (101) which has four opening parts (121) disposed equally spaced on an outer surface, a valve (102) which is rotatably accommodated in the outer cylinder part and has two flow paths (122) independent of each other connecting two adjacent ones of the four opening parts, and four tubes (103) respectively connected to the four opening parts. Each tube has, on an end part toward the outer cylinder part, a high rigidity part (136) that is more rigid than the other parts of the tube and is less rigid than the outer cylinder part.

Description

[Technical field]

[0001] The present disclosure relates to a flow path switching device, and more particularly to a flow path switching device that switches a flow path in an extracorporeal circuit. [Background technology]

[0002] There are various medical procedures in which fluids, such as blood, are withdrawn from and administered to a patient using various tubing sets. One such procedure is hemodialysis. In hemodialysis, the patient's blood is withdrawn from the body through a blood access, purified by a dialyzer, and then returned to the patient. During hemodialysis, blood is generally withdrawn from an upstream location of the blood access and the purified blood is returned to a downstream location of the blood access. However, there are cases in which blood is withdrawn from a downstream location of the blood access and returned to an upstream location of the blood access. By flowing blood in this reverse direction, various information, such as the vascular access flow rate, can be obtained. The information obtained can be used, for example, to evaluate the condition of the blood access and to provide advance warning of other health problems, such as access trouble. This can allow for procedures such as repair or replacement of the blood access of a patient who has been undergoing dialysis for several years.

[0003] In order to flow blood in the opposite direction, it is sufficient to change the tube connected to the blood access. However, changing the tube is troublesome and can easily cause medical accidents. As a method for switching the blood flow without changing the tube, a flow path switching device has been considered that has four ports and a rotatable valve with two flow paths connecting the ports, and switches the flow paths by rotating the valve (see, for example, Patent Document 1).

[0004] By providing such a flow path switching device, it is possible to switch between normal extracorporeal circulation and reverse extracorporeal circulation without changing the connection of the tubes. [Prior art documents] [Patent documents]

[0005] [Patent Document 1] International Publication No. 2019 / 070028 Summary of the Invention [Problem to be solved by the invention]

[0006] However, conventional flow path switching devices have the following problems. First, the tubes toward the patient side and the tubes toward the dialysis device side always cross, making the configuration complicated. In addition, the port does not face the patient side or the dialysis device side, and the tubes must be guided in the opposite direction, so the tubes that come into contact with the ends of the hard ports are prone to kinking. There is also a problem that it is difficult to intuitively determine the direction in which blood flows. There is also a problem that blood may stagnate in the flow path switching device. There is also room for improvement in terms of miniaturization of the device.

[0007] The present disclosure aims to solve at least one of these problems existing in conventional flow path switching devices. [Means for solving the problem]

[0008] A first aspect of the flow path switching device comprises an outer tube having openings equally spaced on its outer surface, a valve rotatably housed in the outer tube and having two independent flow paths connecting two adjacent ones of the four openings, and four tubes connected to each of the four openings, wherein the end of the tube facing the outer tube is provided with a high-rigidity section that is more rigid than the rest of the tube but less rigid than the outer tube.

[0009] The first aspect of the flow path switching device has a high-rigidity portion at the end of the tube on the outer cylindrical portion side, so that even when the tube is led to the patient side or the dialysis machine side, kinking of the tube near the connection between the tube and the outer cylindrical portion can be made less likely to occur.

[0010] In this case, for example, the high rigidity portion may be formed by fitting a sleeve tube onto the tube, or by molding the tube to have a large wall thickness.

[0011] A second aspect of the flow path switching device of the present disclosure comprises an outer tube portion having four port portions equally spaced on an outer surface, a valve rotatably housed in the outer tube portion and having two independent flow paths connecting two adjacent ones of the four port portions, four tubes communicating with each of the four port portions, and a sleeve tube fixed to the port portions, having lower rigidity than the port portions, and extending outward from the ends of the port portions.

[0012] A second aspect of the flow path switching device is provided with a sleeve tube that is fixed to the port portion, has a lower rigidity than the port portion, and extends outward from the end of the port portion. Therefore, even when the tube is led to the patient side or the dialysis machine side, kinking of the tube near the connection with the port portion can be made less likely to occur.

[0013] A third aspect of the flow path switching device of the present disclosure comprises an outer tube having four openings equally spaced on its outer surface, a valve rotatably housed in the outer tube and having two independent flow paths connecting two adjacent ones of the four openings, and four tubes connected to each of the four openings, the tubes being guided in the pull-out direction by a guide portion, and two of the four tubes that are not adjacent to each other are pulled out in a first direction along the rotation axis of the valve, and the remaining two tubes are pulled out in a second direction along the rotation axis of the valve.

[0014] In the third embodiment of the flow path switching device, for example, two tubes toward the patient side and two tubes toward the device side are pulled out in opposite directions along the rotation axis of the valve during use, so the tubes can be routed without crossing each other. In addition, the tubes are less likely to become tangled or bent. In addition, the length of the tubes can be shortened, which has the effect of reducing dead volume.

[0015] In a third aspect of the flow path switching device, the guide portion may be a tube guide that is fitted onto the tube. With this configuration, the tube can be easily pulled out in the first direction or the second direction during use. The guide portion may be rotatably fitted onto the tube. With this configuration, the tube can be pulled out in a direction intersecting the rotation axis of the valve and packed in a reduced bulk. When the guide portion is rotatably fitted onto the tube, a temporary stopper may be provided to restrict the relative rotation of the guide portion in the first or second direction. A fixing portion may be provided to fix the two tubes pulled out in the first or second direction in an adjacent state, and the fixing portion may be releasable.

[0016] In the third aspect of the flow path switching device, the guide portion may be a port at least a part of which faces the first direction or the second direction. By adopting such a configuration, the tube connected to the port can be made to face in a predetermined direction.

[0017] A fourth aspect of the flow path switching device includes an outer cylinder having four openings arranged at equal intervals on its outer surface, a valve rotatably housed in the outer cylinder and having two independent flow paths connecting two adjacent ones of the four openings, and four tubes connected to the four openings, respectively, and a guide portion for guiding the tubes so that at least one of the four tubes is pulled out in a direction along the rotation axis of the valve. With this configuration, the pull-out direction of at least one of the four tubes during use can be set to the direction along the rotation axis of the valve, and kinking of the tubes can be prevented.

[0018] The fifth aspect of the flow path switching device includes an outer tube assembly including an outer tube having four openings arranged at equal intervals on the outer surface, a valve rotatably housed in the outer tube and having a shaft having two independent flow paths connecting two adjacent ones of the four openings, and a handle protruding from the shaft and exposed to the outside of the outer tube, a first indicator provided on the outer tube assembly, and a second indicator provided on the handle, in which one of the four openings transitions from a first state in which it is connected to an adjacent opening on one side to a second state in which it is connected to an adjacent opening on the other side, thereby causing the first indicator and the second indicator to transition from a close state in which they are close to each other to a separate state in which they are separated from each other. According to the fourth aspect of the flow path switching device, it becomes easy to intuitively grasp the setting state of the flow paths by visual inspection. In addition, if the first indicator and the second indicator are color-indicated, the state can be grasped only by identifying the color, so that confirmation from a remote position is also easy. The first indicator may be provided on a guide portion assembled to the outer tube.

[0019] A sixth aspect of the flow path switching device includes an outer cylinder having four openings arranged at equal intervals on the outer surface, a shaft rotatably housed in the outer cylinder and having two independent flow paths connecting two adjacent ones of the four openings, a valve having a handle protruding from the shaft and exposed to the outside of the outer cylinder, and four tubes connected to the four openings, respectively, and the handle is provided with a direction indicator that indicates the direction of fluid flow. With this configuration, it becomes easy to intuitively grasp the state of flow path switching by visually checking the direction of blood flow.

[0020] The seventh aspect of the flow path switching device includes an outer cylinder having four openings arranged at equal intervals on the outer surface, a valve rotatably housed in the outer cylinder and having two independent flow paths connecting two adjacent ones of the four openings, and four tubes connected to the four openings, respectively, and the two tubes connected to at least two of the four openings are fixed in a partially adjacent state. According to the sixth aspect of the flow path switching device, the variation of the tubes is suppressed, making it easy to handle. Also, unlike the case where a bundling member is used, there is no part of the tube that is hidden, so the risk of overlooking the occurrence of kinks, blood clots, etc. can be reduced.

[0021] A seventh aspect of the flow path switching device includes an outer cylinder having four openings equally spaced on the outer surface and a port provided at each opening, and a valve rotatably housed in the outer cylinder and having two independent tunnel-shaped flow paths linearly connecting two adjacent ones of the four openings, each port protruding from the outer cylinder such that its extension line intersects within the valve in a plan view. According to the fifth aspect of the flow path switching device, blood stagnation can be prevented. Effect of the Invention

[0022] According to the flow path switching device of the present disclosure, it is possible to solve at least one of the problems associated with conventional flow path switching devices. [Brief description of the drawings]

[0023] [Figure 1] FIG. 1 is a perspective view showing a flow path switching device according to a first embodiment. [Diagram 2] FIG. 1 is an exploded perspective view showing a flow path switching device according to a first embodiment. [Diagram 3] FIG. 2 is a cross-sectional view showing the valve in a first position. [Figure 4] FIG. 4 is a cross-sectional view showing the valve in a second position. [Diagram 5] FIG. 13 is a diagram showing an example of connection of a flow path switching device. [Figure 6] FIG. 13 is a perspective view showing an example of a rotation limiting mechanism of the tube guide. [Figure 7] FIG. 4 is a perspective view showing a modified example of the flow path switching device according to the first embodiment. [Figure 8] FIG. 11 is an enlarged cross-sectional view showing a port portion of a flow path switching device according to a second embodiment. [Figure 9] FIG. 11 is an enlarged cross-sectional view showing a modified example of the flow path switching device according to the second embodiment. [Figure 10] FIG. 13 is a perspective view showing an example of use of a flow path switching device having a high rigidity portion. [Figure 11] FIG. 11 is an exploded perspective view showing a flow path switching device according to a second embodiment. [Figure 12] FIG. 11 is a plan view showing a first position of a valve in the flow path switching device according to the second embodiment. [Figure 13] FIG. 11 is a plan view showing a second position of the valve in the flow path switching device according to the second embodiment. [Figure 14] FIG. 11 is a plan view showing a flow path switching device according to a third embodiment. [Figure 15A] FIG. 1 is a cross-sectional view showing a conventional flow path switching device in a first position. [Figure 15B] FIG. 1 is a cross-sectional view showing a conventional flow path switching device in a first position. [Figure 16A] FIG. 13 is a diagram showing a simulation result of the conventional flow path switching device in the first position. [Figure 16B] FIG. 13 is a diagram showing a simulation result of the conventional flow path switching device in the second position. [Figure 17A] FIG. 11 is a cross-sectional view showing a flow path switching device in which the flow paths are formed as linear notches. [Figure 17B] FIG. 11 is a vertical cross-sectional view showing a flow path switching device in which the flow paths are formed as linear notches. [Figure 17C] 13A and 13B are diagrams showing the results of a simulation of a flow path switching device in which the flow paths are linearly cut out. [Figure 18A] FIG. 11 is a cross-sectional view showing a flow path switching device in which the flow paths are formed as arc-shaped notches. [Figure 18B] FIG. 11 is a vertical cross-sectional view showing a flow path switching device in which the flow paths are formed as arc-shaped notches. [Figure 18C] 13A and 13B are diagrams showing the results of a simulation of a flow path switching device in which the flow paths are formed with arc-shaped notches. [Figure 19A] FIG. 11 is a cross-sectional view showing a flow path switching device in which the flow paths are formed with wave-shaped notches. [Figure 19B] FIG. 11 is a longitudinal sectional view showing a flow path switching device in which the flow paths are formed as wave-shaped notches. [Figure 19C] 13A and 13B are diagrams showing the results of a simulation of a flow channel switching device in which the flow channels are formed as corrugated notches. [Figure 20A] FIG. 11 is a cross-sectional view showing a flow path switching device in which the flow path is formed in a curved tunnel shape. [Figure 20B] FIG. 11 is a longitudinal sectional view showing a flow path switching device in which the flow path is formed in a curved tunnel shape. [Figure 20C] 13A and 13B are diagrams showing the results of a simulation of a flow channel switching device in which the flow channels are curved tunnel-shaped. [Figure 21A] FIG. 11 is a cross-sectional view showing a flow path switching device in which the flow path is a linear tunnel shape. [Figure 21B] FIG. 2 is a vertical cross-sectional view showing a flow path switching device in which the flow path is a linear tunnel shape. [Figure 21C] 13A and 13B are diagrams showing the results of a simulation of a flow channel switching device in which the flow channels are linear tunnel-shaped. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0024] 1 to 4, a flow path switching device 10A of the first embodiment has a flow path switching device main body 100 and four tubes 103 drawn out from the device main body 100. The device main body 100 has an outer tubular portion 101 having four port portions 111 provided at equal intervals on the outer circumferential surface, and a valve 102 accommodated within the outer tubular portion 101 so as to be slidable and rotatable.

[0025] 3 and 4, the port portions 111 are provided protruding radially from the outer surface of the outer cylinder portion 101, with a first port portion 111A, a second port portion 111B, a third port portion 111C, and a fourth port portion 111D being arranged in order at equal intervals, each shifted by 90°. For this reason, the extension lines of the ports 111 intersect at the center position of the valve 102 in a plan view.

[0026] The valve 102 has four openings 121 at equal intervals on the outer circumferential surface. As shown in FIG. 3 and FIG. 4, among the four openings 121, the first opening 121A and the second opening 121B adjacent to each other are connected by the first flow path 122A, and the third opening 121C and the fourth opening 121D are connected by the second flow path 122B. The first flow path 122A and the second flow path 122B are each tunnel-shaped and independent of each other. The valve 102 is provided with the first flow path 122A and the second flow path 122B, and has a shaft portion 126 housed in the outer cylindrical portion 101, and a handle portion 127 exposed to the outside of the outer cylindrical portion 101 and capable of being gripped and rotated. A stopper 128 is attached to the opposite side of the handle portion 127 of the valve 102 to prevent the valve 102 from coming off the outer cylindrical portion 101.

[0027] In the flow path switching device 10A of this embodiment, each port portion 111 is a hard pipe protruding from the outer cylinder portion 101, and a tube 103 is fitted onto each port portion 111. The tube 103 and the port portion are preferably bonded together from the viewpoint of connection strength. The tube 103 is composed of a first tube 131A connected to the first port portion 111A, a second tube 131B connected to the second port portion 111B, a third tube 131C connected to the third port portion 111C, and a fourth tube 131D connected to the fourth port portion 111D.

[0028] In the flow path switching device 10A of the present embodiment, the first tube 131A and the third tube 131C, which are not adjacent to each other among the four tubes 103, constitute a first tube pair 133A, and the second tube 131B and the fourth tube 131D constitute a second tube pair 133B. The first tube pair 133A (the first tube 131A and the third tube 131C) are drawn out in a first direction D1 (toward the handle portion 127) along the rotation axis of the valve 102, and the second tube pair 133B (the second tube 131B and the fourth tube 131D) are drawn out in a second direction D2 (toward the retainer 128) along the rotation axis of the valve 102. Note that the tubes constituting the first tube pair or the tubes constituting the second tube pair may be releasably bundled together so as not to come apart. For example, a clip, tape, or ring sheet may be provided to hold each tube constituting the first tube pair, or each tube may be partially fixed.

[0029] In flow path switching device 10A of this embodiment, when valve 102 is in the first position shown in Fig. 3, first opening 121A overlaps with first port portion 111A, second opening 121B overlaps with second port portion 111B, third opening 121C overlaps with third port portion 111C, and fourth opening 121D overlaps with fourth port portion 111D. Therefore, first port portion 111A and second port portion 111B are connected by first flow path 122A, and third port portion 111C and fourth port portion 111D are connected by second flow path 122B.

[0030] 4, when valve 102 is rotated 90° from the first position to a second position, first opening 121A overlaps with fourth port 111D, second opening 121B overlaps with first port 111A, third opening 121C overlaps with second port 111B, and fourth opening 121D overlaps with third port 111C. Therefore, first port 111A and fourth port 111D are connected by first flow path 122A, and second port 111B and third port 111C are connected by second flow path 122B.

[0031] 5, the first tube 131A constituting the first tube pair 133A is connected to the upstream side 41 of the blood access provided to the patient 40, and the third tube 131C is connected to the downstream side 42 of the blood access. The second tube 131B constituting the second tube pair 133B is connected to the arterial port of the dialyzer 20 via the pump 30, and the fourth tube 131D is connected to the venous port of the dialyzer 20. In this case, when the valve 102 is in the first position, the first tube 131A is connected to the second tube 131B connected to the pump 30, so that a forward connection is established in which blood is withdrawn from the upstream side 41 of the blood access of the patient 40 and returned to the downstream side 42. When the valve 102 is in the second position, the third tube 131C is connected to the second tube 131B connected to the pump 30, resulting in a reverse connection in which blood is drawn from the downstream side 42 of the blood access of the patient 40 and returned to the upstream side 41.

[0032] In the flow path switching device 10A of this embodiment, the first tube 131A and the third tube 131C constituting the first tube pair 133A extending to the patient 40 side, and the second tube 131B and the fourth tube 131D constituting the second tube pair 133B extending to the dialyzer 20 side are pulled out in opposite directions along the rotation axis of the valve 102. When the tubes are pulled out in a direction intersecting the rotation axis, the two tubes constituting the tube pair are pulled out in opposite directions, so at least two of the four tubes must be folded back in the intended direction. This may cause kinking or the user may connect the tubes to the wrong place. In the above cited document 1, a plate with a guide is provided to solve this problem, but the tube becomes large and difficult to handle, and the tube must be folded back at a relatively large radius to prevent kinking or the like from occurring, so the length of the tube becomes long and the dead volume increases. On the other hand, in the flow path switching device 10A of this embodiment, all the tubes are directly pulled out in the desired direction, so that the tubes do not cross each other, and the tubes can be easily handled. In addition, a guide section that guides the tubes in the desired direction and a high-rigidity section that partially suppresses the flexibility of the tubes are provided, so that kinking near the outer cylinder of the tubes is prevented.

[0033] In addition, the first tube pair 133A extending toward the patient 40 can be pulled out toward the stopper 128 (second direction), and the second tube pair 133B extending toward the dialyzer 20 can be pulled out toward the stopper 128 (first direction).

[0034] In order to pull out the first tube 131A and the third tube 131C, and the second tube 131B and the fourth tube 131D in opposite directions, in the flow path switching device 10A of this embodiment, a tube guide 135 is extrapolated to the tube 103 as a guide part that guides the tube in the first direction or the second direction at the connection part with the port part 111 of the tube 103. In the flow path switching device 10A of this embodiment, the tube guide 135 is a tube or pipe harder than the tube 103 that is attached to the tube 103 or a part of the outer cylinder, and is curved so that the direction changes by about 90°.

[0035] The tube guide 135 can slide and rotate around the port portion 111. Therefore, by rotating the tube guide 135, the direction in which the tube 103 extends can be changed as necessary. For example, the tube guide 135 is set so that the tube 103 is pulled out in a direction intersecting the rotation axis of the valve 102, and the flow path switching device 10A is housed in a bag and sterilized. In this way, a flat packaging state can be realized and the tube 103 can be made less likely to bend in the bag. On the other hand, when in use, the tube guide 135 can be rotated by about 90 degrees to pull out the first tube pair 133A in a first direction along the rotation axis of the valve 102 and pull out the second tube pair 133B in a second direction. This makes it easy to handle the tube 103 when in use. The tube guide 135 may be made not to slide and rotate around the port portion 111.

[0036] A limiting mechanism for limiting the rotation range of the tube guide 135 may be provided. By providing the limiting mechanism, it is possible to prevent mistakes such as pulling out the tube in the opposite direction or twisting the tube by rotating it too much. The limiting mechanism can be realized by, for example, two rotation stopper protrusions 141 provided at the base end of the port portion 111 and an engagement protrusion 142 provided at the base end of the tube guide 135, as shown in FIG. 6. The engagement protrusions 142 are prevented from climbing over the rotation stopper protrusions 141, so that the rotation range of the tube guide 135 can be limited to between the two rotation stopper protrusions 141. The mechanism for limiting the rotation range of the tube guide 135 is not limited to the illustrated mechanism. Also, it may be provided as necessary, and may not be provided.

[0037] If the tube guide 135 is rotatable, a temporary stop portion can be provided that regulates the rotation of the tube guide 135 with the tube guide 135 facing in the first direction or the second direction.

[0038] As a specific example of the temporary fastening portion, in FIG. 6, a locking protrusion 143 that the engagement protrusion 142 can get over is provided in front of one of the rotation prevention protrusions 141. By providing the locking protrusion 143, a clicking sensation is provided when the tube guide 135 is rotated to the correct position, and it is possible to intuitively know that it has been rotated to the correct position. It also becomes easy to temporarily fasten it at the correct position. It is also possible to configure the locking protrusion 143 so that it can be overcome only in a predetermined direction. Note that the mechanism for providing the clicking sensation or locking the position is not limited to the mechanism shown in the example. Also, the mechanism for providing the clicking sensation or locking the position may be provided as necessary, or may not be provided.

[0039] 6 shows an example in which a retaining protrusion 145 is provided to prevent the tube guide 135 from coming off the port portion 111. In FIG. 6, the retaining protrusion 145 is rail-shaped connecting two anti-rotation protrusions 141, and prevents the convex portion provided on the engagement protrusion 142 from climbing over it toward the tip side. The retaining mechanism may be a rail-shaped recess extending in an annular shape, and is not limited to the mechanism shown in the example. The retaining mechanism may be provided as necessary, and for example, the tube guide may be allowed to move along the tube without providing a retaining mechanism.

[0040] The tube guide 135 may be cylindrical, but may have any shape, for example, a slit extending in the longitudinal direction on the side surface. Providing a slit extending in the longitudinal direction makes it easier to mold the tube guide 135. The tube guide 135 may be composed of one member or multiple members, and for example, a cylindrical member can be formed by assembling a member divided in half.

[0041] It is preferable that the tube guide 135 is harder than the tube 103. The tube guide can be made of polyvinyl chloride, polyurethane or silicone polyethylene, polypropylene, polyester, or the like.

[0042] In the case of slidably rotatable tube guides, instead of each tube guide rotating independently, two tube guides 135 can be linked to each other and rotate simultaneously. For example, by linking tube guide 135 attached to first tube 131A with tube guide 135 attached to third tube 131C and linking tube guide 135 attached to second tube 131B with tube guide 135 attached to fourth tube 131D, the two linked tube guides can be linked to each other and rotate in the same direction, making it easy to set the pull-out direction.

[0043] Although an example has been shown in which the rotatable tube guide 135 is provided to regulate the pull-out direction of the tube 103, the pull-out direction of the tube 103 can also be regulated by other methods. For example, a shape-retaining inelastic flexible hose or the like can be fitted onto the tube guide 135 to regulate the pull-out direction. Also, instead of using the tube guide 135, the tube 103 itself can be molded into a predetermined shape in advance to regulate the pull-out direction. In this case, the rigidity of the tube 103 may be made higher than usual.

[0044] The pull-out direction of the tube 103 can also be determined by embedding a wire in the tube 103 or by fixing a wire to the outside of the tube 103. When the pull-out direction is determined by using a wire, a wire that has a predetermined shape in advance can be used. If a wire made of a metal or the like having a certain degree of plastic deformability is used, the wire can be curved during use to pull out the tube 103 in a predetermined direction. Note that the present invention is not limited to a wire, and a thin plate-like member or the like can also be used.

[0045] Also, instead of defining the drawing direction by curving the tube 103, the port portion 111 itself can be changed in the extending direction to serve as a guide portion for guiding the drawing direction of the tube 103. For example, as shown in FIG. 7, the first port pair consisting of the first port portion 111A and the third port portion 111C can be tilted and protruded toward the side where the handle portion 127 is provided (first direction), and the second port pair consisting of the second port portion 111B and the fourth port portion 111D can be tilted and protruded toward the side where the retainer 128 is provided (second direction). Note that the port portion 111 itself can be oriented and the tube guide 135 can be used in combination. Also, only one of the first port pair and the second port pair can be tilted and protruded. The tube guide 135 can be provided for the port pair that is not tilted to define the drawing direction of the tube.

[0046] 8 shows a part of a flow path switching device 10B of the second embodiment. In the flow path switching device 10B, the tube 103 is connected to the port portion 111 by abutting the end face of the tube 103 and the end face of the port portion 111 and covering them with a sleeve 151, rather than fitting the tube 103 onto the port portion 111. The inner surface of the sleeve 151 is fixed to the outer surfaces of the tube 103 and the port portion 111 with an adhesive. From the viewpoints of adhesive strength and bulkiness, the sleeve 151 protrudes from the end of the port portion 111 toward the tube side by preferably 5 mm or more and about 100 mm or less, more preferably 10 mm or more and about 80 mm or less.

[0047] By covering the connection part of the tube 103 with the port part 111, a high-rigidity part having higher rigidity than other parts can be provided at the end of the tube 103 on the outer cylinder part 101 side, which is the connection part of the tube 103 with the port part 111. Specifically, in FIG. 8, the tube 103 and the sleeve 151 form a high-rigidity part at the end of the tube 103 on the outer cylinder part side, which has higher rigidity than the opposite side (other parts) of the outer cylinder part of the tube 103 and lower rigidity than the outer cylinder part. By providing a high-rigidity part, it is possible to make it difficult to bend a part where kinking is particularly likely to occur when the tube is pulled out in a predetermined direction, and the occurrence of kinking can be reduced. When kinking occurs, the flow of blood becomes poor, which causes stagnation and increases the risk of thrombus formation. In other words, by providing a high-rigidity part, the risk of thrombus formation can be reduced.

[0048] When the sleeve 151 is placed over the connection portion of the tube 103 with the port portion 111, if the inner diameter of the tube 103 and the inner diameter of the port portion 111 are aligned and butted together as shown in Fig. 8, no large step is generated at the connection portion, so that stagnation and hemolysis can be reduced compared to the case where the tube 103 is connected by internal or external fitting. Furthermore, by covering the connection portion where the tube 103 and the port portion 111 are butted together with the sleeve 151 as shown in Fig. 8, unlike the case where the tube 103 is externally fitted to the port portion 111, it is possible to prevent the tube 103 from expanding and coming out of the port portion 111 when the internal pressure of the flow path increases. Also, unlike the case where the tube 103 is internally fitted to the port portion 111, there is little risk that the blood in the flow path will come into contact with the adhesive that bonds the tube 103 to the port portion 111. In addition, silicone lubricants and the like for facilitating the rotation of the valve 102 can cause poor adhesion between the tube 103 and the port portion 111, but unlike the case of internal fitting, the lubricant and the like are less likely to be affected. It is preferable that the sleeve 151 in FIG. 8 has elasticity. The sleeve 151 and the tube 103 are flexible to improve operability, but on the other hand, there is a possibility that an unintended external force is applied to the tube, causing the cross-sectional shape of the tube to not match the cross-sectional shape of the port. In this case, a step is generated between the tube and the port, but if the sleeve 151 has elasticity, the cross-sectional shape of the tube will instantly return to its original state when the external force is removed, and the cross-sectional shape of the tube can be restored to a state where it matches the cross-sectional shape of the port.

[0049] It is preferable that the outer diameter of tube 103 and the outer diameter of port portion 111 are aligned so that there is no difference in level, but they do not have to be aligned because some difference in level can be absorbed by sleeve 151. The material of sleeve 151 is preferably one that can be easily bonded to tube 103 and port portion 111. In order to reduce kinking, a material with a higher elastic modulus than tube 103 is also preferable.

[0050] In order to prevent kinking of the tube 103, it is only necessary to provide a high-rigidity portion having a higher rigidity than other portions in the portion of the tube 103 connected to the port portion 111. For this reason, the tube 103 can be fitted externally or internally around the port portion 111 and covered with the sleeve 151. The sleeve 151 may be fitted externally across the tube 103 and the port portion 111, or may be fitted externally around the tube 103 in series with the port portion 111, or may be fitted externally around the tube 103 so as to be sandwiched between the port portion 111 and the tube 103.

[0051] Also, as shown in FIG. 9, a high-rigidity portion 136 may be provided near the end of the tube 103 on the outer tube portion 101 side without providing a sleeve. In FIG. 9, the high-rigidity portion 136 is formed by increasing the thickness of the tube 103 itself near the connection portion with the port portion 111 to increase the rigidity. The high-rigidity portion 136 may be a portion having a higher rigidity than the normal portion 137 of the tube 103, and may have various configurations. For example, the high-rigidity portion 136 may be formed by two-color molding the tube portion near the connection portion with the port portion 111 or by embedding a wire. From the viewpoint of facilitating the connection with the port portion 111 and preventing kinking, it is preferable that the high-rigidity portion has a lower rigidity than the outer tube portion 101. It is also preferable that at least a part of the high-rigidity portion is exposed outward from the outer tube portion 101.

[0052] FIG. 10 shows a state where a tube is pulled out in a predetermined direction in a flow path switching device provided with a high-rigidity portion. In FIG. 10, the high-rigidity portion is formed by covering the tube with a sleeve 151, but it may be a high-rigidity portion made high rigidity by thickening the tube. As shown in FIG. 10, when the first tube pair 133A and the second tube pair 133B are pulled out in opposite directions along the rotation axis of the valve, the high-rigidity portion is bent so as not to be crushed, so that each tube is unlikely to kink. The high-rigidity portion can be a normal elastically deformable member, but can also be a plastically deformable member so as to maintain the shape when bent.

[0053] If a first indicator is provided on the outer cylinder assembly including the outer cylinder 101, and a second indicator is provided on the handle 127, and the first and second indicators are switched between a close state in which they are close to each other and a separate state in which they are separated when the handle 127 is rotated to switch the flow path, it becomes easy to intuitively grasp the setting state of the flow path by visual inspection. Also, if the first and second indicators are displayed in different colors, the state can be grasped just by distinguishing the colors, making it easy to check from a distance.

[0054] For example, one of the sleeves 151 assembled to the outer tube portion 101 is colored to be the first indicator, and a predetermined position of the handle portion 127 of the valve 102 is colored to be the second indicator. In the first position shown in FIG. 3, the first indicator and the second indicator are closely overlapped, and in the second position shown in FIG. 4, the first indicator and the second indicator are spaced apart. A plurality of first indicators and second indicators may be provided, rather than one. The first indicator is not limited to a colored sleeve, and may be provided directly on the outer tube portion or on some member fixed to the outer tube portion.

[0055] As shown in Figures 11 to 13, the sleeves 151 assembled to the outer cylinder portion 101 can be color-coded to serve as first indicators. Also, the handle portions 127 having a generally cross shape in plan view as shown in Figures 11 to 13 can be provided with second indicators.

[0056] The color-coded sleeve 151 also functions as a port identification indicator that makes it easy to identify the port 111. For example, in the connection shown in FIG. 5, the first tube 131A and the second tube 131B that are on the blood removal side when connected in the forward direction are provided with a sleeve 151A that is marked in red, and the third tube 131C and the fourth tube 131D that are on the blood return side are provided with a sleeve 151B that is marked in blue. In this way, the red sleeve 151A serves as a first port identification indicator that identifies a first port set consisting of a first port section and a second port section, and the blue sleeve 151B serves as a second port identification indicator that identifies a second port set consisting of a third port section and a fourth port section. This makes it easy to understand the functions of each tube and port section.

[0057] Furthermore, the second indicator provided on the handle portion 127 of the valve 102 clarifies the arrangement of the first flow path 122A and the second flow path 122B, making it easy to grasp the connection state of the flow paths. In the flow path switching device 10B, the handle portion 127 has a generally cross-shaped planar shape having four protrusions 127a. Moreover, the four protrusions 127a of the handle portion 127 are provided at positions corresponding to the four openings of the valve 102, respectively. Therefore, the four protrusions 127a of the handle portion 127 function as opening position indicators that show the positions of the openings.

[0058] The same color as the port identification mark can be used as the opening position mark. For example, in FIG. 11, the two protrusions 127a corresponding to the first and second openings at both ends of the first flow path 122A are displayed in red as the first opening position mark, and the two protrusions 127a corresponding to the third and fourth openings at both ends of the second flow path 122B are displayed in blue as the second opening position mark. In this way, when the protrusions 127a are connected in the forward direction, the color marks of all the protrusions 127a and the sleeve 151 match, and when the protrusions 127a are connected in the reverse direction, there are protrusions 127a and sleeves 151 whose color marks do not match. Therefore, it is possible to know at a glance whether the connection direction is forward or reverse. However, it is sufficient that the first opening position mark and the second opening position mark can be clearly distinguished, and the first opening position mark may be displayed in a color different from the first port identification mark, and the second opening position mark may be displayed in a color different from the second port identification mark.

[0059] Furthermore, if the indication on the protrusion 127a also indicates the direction of blood flow, the connection state can be more intuitively understood. In Fig. 11 to Fig. 13, the protrusion 127a corresponding to the first opening is provided with an inward red arrow indication 129A, the protrusion 127a corresponding to the second opening is provided with an outward red arrow indication 129B, the protrusion 127a corresponding to the third opening is provided with an outward blue arrow indication 129C, and the protrusion 127a corresponding to the fourth opening is provided with an inward blue arrow indication 129D.

[0060] When the circuit is connected as shown in Fig. 5, in the first position, which is a forward connection, the sleeve 151A marked in red overlaps the protruding portion 127a marked in red, and the sleeve 151B marked in blue overlaps the protruding portion 127a marked in blue, as shown in Fig. 12. In addition, the positions of the first tube 131A into which blood flows from the patient side and the fourth tube 131D into which blood flows from the dialyzer side are indicated by inward arrows, and the positions of the second tube 131B into which blood flows out to the dialysis side and the third tube 131C into which blood flows out to the patient side are indicated by outward arrows. Therefore, it can be seen at a glance that the blood removed from the first tube 131A flows in, the blood sent out from the second tube 131B, the blood returned from the fourth tube 131D flows in, and the blood returned from the third tube 131C flows out.

[0061] On the other hand, as shown in FIG. 13, when the valve 102 is rotated 90° to the second position where the valve 102 is connected in the reverse direction, the color of the sleeve 151 and the color of the protrusion 127a do not match at the positions of the second tube 131B and the fourth tube 131D. In addition, an inward arrow is placed at the position of the third tube 131C where blood flows in from the patient side and the fourth tube 131D where blood flows in from the dialyzer side, and an outward arrow is placed at the position of the second tube 131B where blood flows out to the dialyzer side and the first tube 131A where blood flows out to the patient side. Therefore, it can be confirmed at a glance that blood flows in the reverse direction, blood is removed from the normal blood return line, and blood is returned from the blood removal line. In this embodiment, there are four arrows indicating the direction of the flow path, but the direction of the flow path may be displayed with two large arrows. In addition, the direction of the flow path may be displayed by other methods other than arrows.

[0062] When the port identification marking is a color marking provided on the sleeve, the entire sleeve 151 may be colored, or only a portion of it may be colored. Also, while an example of color coding using two colors, red and blue, has been shown, other colors may be used. Also, color coding may be used using four colors instead of two. Not limited to color coding, character coding or symbol coding may also be used. Color coding, character coding, and symbol coding may also be combined in various ways. However, color coding makes it easier to check even from a slight distance away.

[0063] Although an example has been shown in which the length of each protrusion 127a of the handle portion 127 is constant, protrusions of different lengths may be provided to make it easier to grasp the rotational position of the valve 102. Furthermore, by making the shape of the handle portion 127 a cross shape in plan, it is made easier to grip and can be used as an opening position indicator that indicates the position of the opening, but the shape of the handle portion 127 may be other shapes. For example, it may be a single lever shape, or a flat triangular or circular shape. Even with such a shape, an opening position indicator can be provided by various methods.

[0064] In this embodiment, the port unit identification markings are provided so that one set of ports can be distinguished from the other set of ports. Note that the ports themselves do not have to be marked. For example, a marking can be provided adjacent to each port unit. Also, a first port unit identification marking can be provided between the first port unit 111A and the second port unit 111B, and a second port unit identification marking can be provided between the third port unit 111C and the fourth port unit 111D.

[0065] In this embodiment, the opening position indicator can indicate the positions of the four openings 121. It is not necessary to indicate the positions of the four openings 121 themselves. For example, a first opening position indicator can be provided at the midpoint of the first flow path 122A, and a second opening position indicator can be provided at the midpoint of the second flow path 122B, thereby indirectly indicating the positions of the four openings 121 and which port portions 111 are connected by the flow paths. In this case, the first opening position indicator and the second opening position indicator can be displayed as arrows or the like indicating the direction of the fluid flowing through the flow paths.

[0066] It is also possible to make the blood passing through the flow path provided in the valve 102 visible so that the connection state between the port parts can be easily understood. As a method for making the flow path visible, for example, the center part of the valve 102 on the handle part 127 side can be made thin so that the flow path part appears three-dimensionally raised. In addition, the valve 102 and the handle part 127 can be made transparent or semi-transparent. If the valve 102 and the handle part 127 are made transparent or semi-transparent so that the blood passing through the flow path can be visually observed, it is also possible to obtain the effect of making it easier to check for the release of air bubbles in the flow path.

[0067] In the flow path switching device 10B of the second embodiment, the first tube pair 133A can be drawn in a first direction along the rotation axis of the valve 102, and the second tube pair 133B can be drawn in a second direction. In this case, the port part identification mark can be provided on the tube guide 135 instead of or in addition to the sleeve 151. The tube guide 135 can also be made transparent or semi-transparent so that the port part identification mark provided on the sleeve 151 can be visually confirmed. When the tube 103 is drawn in a direction along the rotation axis of the valve 102, the entire handle part 127 with the identification mark can be seen from the drawing direction of the tube 103, so that the flow path switching can be easily confirmed by the identification mark. The port part identification mark can also be provided to prevent it from coming off.

[0068] Also, even in a flow path switching device in which the tube 103 is fitted externally or internally to the port portion 111, a port portion identification mark and an opening portion position mark can be provided.

[0069] FIG. 11 shows an example in which the lower end of the outer tubular portion 101 is housed in a case 104. By providing the case 104, the flow path switching device can be easily gripped and operability is improved. However, the case 104 may be provided as necessary, and does not have to be provided. Also, instead of housing the lower end of the outer tubular portion 101 in the case 104, the outer diameter of the lower end of the outer tubular portion 101 can be made larger or a rib can be provided to make it easier to grip. The flow path switching devices according to the other embodiments and modifications can also be provided with a configuration that makes it easier to grip a case, etc.

[0070] Fig. 14 shows a flow path switching device 10C of the third embodiment. The flow path switching device 10C has a fixing portion that fixes the tubes 103 to each other. Fig. 14 shows an example having a first fixing portion 138A that fixes the first tube 131A and the third tube 131C, which are a first tube pair, a second fixing portion 138B that fixes the second tube 131B and the fourth tube 131D, which are a second tube pair, and a third fixing portion 138C that fixes the third tube 131C and the fourth tube 131D, which belong to different tube pairs.

[0071] In the flow path switching device 10C of the third embodiment, the tubes 103 are supported by each other by having a fixing portion, and the positions of the tubes 103 are fixed to a certain extent. Therefore, the occurrence of kinks is unlikely to occur, and the tubes can be bundled without providing a separate member.

[0072] In the flow path switching device 10C of the third embodiment, two tubes are arranged and fixed in each fixing portion in approximately parallel relation. Therefore, the fixing range is wide and the force is dispersed. This makes it possible to stabilize the arrangement shape of the tubes.

[0073] Methods for bonding the tubes together include adhesion using an adhesive, heat fusion, ultrasonic fusion, and the like. Also, it can be molded as a double lumen tube. When two tubes are bound together using a bundling member or the like, there is a risk that the occurrence of a thrombus or the like will be overlooked because an invisible part is created by the bundling member. In the flow path switching device 10C of the third embodiment, the tubes are bonded together, so that no invisible part is created, making it difficult to overlook the occurrence of a thrombus.

[0074] 14 shows an example in which three fixing parts are provided, but as long as the arrangement of the tubes can be stabilized, only one or two fixing parts may be provided. For example, a first fixing part 138A and a second fixing part 138B may be provided.

[0075] A fixing part can also be provided in the flow path switching device in which the tubes and the ports are connected using the sleeve shown in the second embodiment. Also, a port identification mark and an opening position mark can be provided in the flow path switching device provided with a fixing part. Furthermore, in the case where the third fixing part 138C to which two tubes belonging to different tube pairs are fixed is not provided, the first tube 131A and the third tube 131C belonging to the first tube pair and the second tube 131B and the fourth tube 131D belonging to the second tube pair can be drawn out to the opposite sides of the rotation axis direction of the valve 102.

[0076] In the first to third embodiments and their modifications, the first flow path 122A and the second flow path 122B provided in the valve 102 are shown as being tunnel-shaped, linearly connecting two openings 121 to each other, but the first flow path 122A and the second flow path 122B can also be curved tunnel-shaped, curvedly connecting two openings 121 to each other. Furthermore, instead of being tunnel-shaped, the flow paths can also be formed by cutting out a part of the side surface of the valve 102.

[0077] The retention in the flow paths in the flow path switching device is affected by the position of the port parts and the shape of the flow paths provided in the valve. As shown in Fig. 15A, in the case of a flow path switching device in which one adjacent port part is arranged in parallel and the other port part is arranged in series, in the first position of the valve, the direction in which the port parts connected by the flow path extend coincides with the direction in which the flow path extends, and a linear flow path is formed by the two port parts and the flow path 221. However, as shown in Fig. 15B, when the valve is rotated to the second position, the angle between the direction in which the port parts extend and the direction in which the flow path extends becomes 90°, and a flow path having a 90° bend is formed by the two port parts and the flow path 221 arranged in parallel.

[0078] Blood retention in these two conditions was evaluated by simulation. The simulation used ANSYS Fluent analysis software to analyze the time it took for the liquid that flowed in from the inlet of the flow channel to reach the destination. The solver used the k-ε turbulent flow model, with the flow rate at the inlet of the flow channel set to 200 ml / min, the pressure at the outlet of the flow channel set to 0 Pa, and the fluid model used blood (density 1060 kg / m 3 The outer diameter of the valve was 16.84 mm, and the inner diameter of the port was 3.3 mm.

[0079] 16A and 16B show the analysis results, with the left side of the page being the flow channel inlet and the right side being the flow channel outlet, and the time it takes for the fluid to reach these positions being shown in 10 levels of shading: 0-0.03, 0.03-0.06, 0.06-0.09, 0.09-0.12, 0.12-0.15, 0.15-0.18, 0.18-0.21, 0.21-0.24, 0.24-0.27, and 0.27-0.30. Therefore, areas where the shading is significantly different from the surroundings indicate that stagnation will occur.

[0080] In the first position shown in Fig. 15A, as shown in Fig. 16A, the shading is clearly different depending on the distance from the inlet of the flow channel, indicating that blood flows almost uniformly in the flow channel and does not stagnate easily. On the other hand, in the second position shown in Fig. 15B, as shown in Fig. 16B, there are parts where the shading is locally different at the bent corner, indicating that the flow is non-uniform and stagnation occurs.

[0081] In this way, in the case of a flow path switching device in which two port parts are arranged in parallel, the likelihood of blood retention varies depending on the direction of blood flow. On the other hand, in the case of a flow path switching device in which four port parts are arranged radially with a 90° offset, unlike the case in which two port parts are arranged in parallel as shown in Figures 15A and 15B, the shape of the flow path in the first position of the valve and the shape of the flow path in the second position are the same except for the rotation. Therefore, the angle between the direction in which the port parts extend and the direction in which the flow path extends in the first position coincides with the angle between the direction in which the port parts extend and the direction in which the flow path extends in the second position, and the direction in which the blood flows has almost no effect on the likelihood of blood retention. Therefore, it is preferable that the four port parts are arranged radially on the outer periphery of the outer tubular part with a 90° offset.

[0082] In the case where four ports are arranged radially around the outer periphery of the outer cylinder, shifted by 90° each, and the extension lines of each port protrude from the outer cylinder so as to intersect inside the valve in a plan view, the effect of the shape of the flow path formed in the valve on retention was evaluated by simulation. The simulation conditions were the same as when two ports were arranged in parallel.

[0083] In the case of flow path 222 formed by linearly cutting the side of the valve as shown in Figures 17A and 17B, as shown in Figure 17C, there are areas near the inlet of flow path 222 and in the bulging part at the center of flow path 222 that are significantly different in shade from the surroundings, indicating that stagnation occurs. Note that the simulation was performed assuming that flow path 222 is cut at a position 4.67 mm away from the center so as to be perpendicular to the radial direction.

[0084] In the case of flow path 223 formed by cutting the side of the valve in an arc shape as shown in Figures 18A and 18B, the bulge near the center of the flow path is larger than when the cut is linear. In this case, as shown in Figure 18C, the shading of the bulged part of flow path 223 is significantly different from the other parts of flow path 223, indicating that stagnation occurs. Note that the simulation was performed assuming that flow path 223 is cut in a curve with R11.65.

[0085] 19A and 19B, in the case of flow path 224 formed by cutting out the side of the valve in a wavy shape, as shown in Fig. 19C, there are areas near the outlet of flow path 224 that are significantly different in shade from the surroundings, indicating that stagnation occurs. Note that the simulation was performed assuming that flow path 224 is cut out so that curves of R3.3 are connected alternately.

[0086] As shown in Figures 20A and 20B, in the case of tunnel-shaped flow path 225 that connects two openings on the side of the valve in an arc, as shown in Figure 20C, there are some areas in flow path 225 that are slightly different in shade from the surroundings, but no significant stagnation occurs. Note that the simulation was performed assuming that flow path 225 has an inner diameter of 3.3 mm and is formed to draw a curve with R10 at the center.

[0087] 21A and 21B, in the case of a tunnel-shaped flow path 226 that linearly connects two openings on the side of the valve, as shown in Fig. 21C, there are areas near the inlet of the flow path 226 that are slightly different in shade from the surroundings, but no significant retention occurs. Note that the simulation was performed assuming that the inner diameter of the flow path 226 is 3.3 mm.

[0088] As described above, from the viewpoint of reducing retention, it is preferable that the flow path formed in the valve is a tunnel-shaped flow path connecting two openings. Furthermore, if the cross-sectional area of ​​the tunnel-shaped flow path is constant, blood can flow more uniformly, thereby further reducing retention. The tunnel-shaped flow path may be a flow path that connects two openings in a curved manner or a flow path that connects them in a straight line. In the case of a flow path that connects in a straight line, the shape of the two connected port parts and the flow path is an isosceles trapezoid in both the first position and the second position, and the angle between the direction in which the port parts extend and the direction in which the flow path extends is 135° in both the first position and the second position.

[0089] When the flow path is tunnel-shaped, the side of the valve is present between the flow path and the inner surface of the outer cylinder, except for the opening. This makes it possible to increase the contact area between the inner surface of the outer cylinder and the side of the valve, ensuring a large sealing area. Another advantage is that the outer cylinder can apply appropriate compression to the valve, making it easier to prevent blood from leaking.

[0090] When the flow path is tunnel-shaped, it is preferable that the flow path and the port are connected without any step. Therefore, it is preferable that the shape of the openings at both ends of the flow path matches the shape of the lumen of the port. For example, in the case of a flow path 226 that is connected linearly, if the shape of the openings at both ends is made circular to match the shape of the lumen of the port, the shape of the flow path 226 in the cross section perpendicular to the direction in which the flow path 226 extends will be elliptical as shown in FIG. 21B.

[0091] In the flow path switching devices shown in the respective embodiments and modifications, the flow path provided in the valve can be tunnel-shaped, but in other flow path switching devices, the influence of stagnation can be reduced by providing a tunnel-shaped flow path in the valve. It is more preferable to provide a tunnel-shaped flow path that linearly connects two openings.

[0092] In the flow path switching device shown in each embodiment and modification, the material of the outer cylinder portion 101 and the valve 102 is not particularly limited. For example, polycarbonate, acrylic, polyethersulfone, polyethylene, polypropylene, vinyl chloride, etc. can be used. The outer cylinder portion 101 and the valve 102 can be formed of the same material or different materials. When the valve 102 is compressed, the compression effect of the valve 102 can be improved by forming the valve 102 from a material with a lower hardness than the outer cylinder portion 101. For example, if the valve 102 is formed from a material with a slightly lower hardness such as vinyl chloride, it is possible to smoothly slide and rotate the valve 102 while increasing the compression effect. However, from the viewpoint of making the valve 102 less likely to wear, the outer cylinder portion 101 and the valve 102 can also be formed from materials with the same hardness.

[0093] It is preferable that the inner diameter of the outer cylinder part 101 is slightly smaller than the outer diameter of the valve 102 so that the valve 102 is compressed. By the outer cylinder part 101 appropriately compressing the valve 102, it is possible to make it difficult for liquid to leak. It is possible to make the entire outer circumferential surface of the valve 102 compressed, but it is also possible to provide a portion of the circumferential surface that is not compressed at a height position in the height direction (axial direction) where there is no opening. For example, it is possible to make the middle part of the valve 102 where the opening 121 is present compressed, and to provide a portion that is not compressed at the upper end or lower end other than the middle part. In this way, it is possible to make it difficult for liquid to leak and to make the valve 102 easier to rotate.

[0094] When the valve 102 is compressed by the outer cylinder 101, it is preferable to apply a lubricant or provide a lubricating coating to at least one of the inner surface of the outer cylinder 101 and the outer surface of the valve 102 in order to facilitate rotation. Silicone-based or fluorine-based lubricants or coatings can be used as the lubricant or coating. Note that even when the valve 102 is not compressed, the lubricant can be applied or the lubricating coating can be provided.

[0095] As the silicone-based lubricant, one containing at least one of a first polysiloxane having an amino group in a side chain and a second polysiloxane having alkoxy groups at both ends can be used. By using the first polysiloxane or the second polysiloxane as the lubricant, the frictional resistance of the sliding surface is reduced, and the rotation operation of the valve 102 becomes smooth. The total content of the first polysiloxane and the second polysiloxane is preferably 10% by mass or more, more preferably 25% by mass or more, and may be substantially 100% by mass, based on the total mass of the lubricant. The lubricant may be composed only of the first polysiloxane or may be composed only of the second polysiloxane.

[0096] The first polysiloxane is an organopolysiloxane, which is a type of silicone resin having a siloxane bond (Si-O-Si) as the main skeleton, and has an amino group on the side chain. The first polysiloxane is preferably liquid at room temperature. The first polysiloxane having a highly polar amino group on the side chain has a high affinity for the sliding surface and is strongly adsorbed and retained on the sliding surface, thereby exerting a high lubricating function. The first polysiloxane preferably contains at least one of an alkyl group and an aryl group in addition to the amino group. One type of the first polysiloxane may be used alone, or two or more types may be used in combination.

[0097] The first polysiloxane may have a molecular structure in which there are no amino groups at both ends, but only in the side chains. It may also be a non-crosslinked polysiloxane that does not substantially contain a crosslinking component. Among them, a copolymer of an amino group-containing dialkoxysilane such as 3-aminopropyldimethoxymethylsilane and an amino group-free dialkoxyalkylsilane such as dimethyldimethoxysilane is preferred.

[0098] The first polysiloxane can be, for example, a compound represented by the following formula 1:

[0099] [ka]

[0100] In formula 1, R1 to R3 are each independently an alkyl group or an aryl group having 1 to 18 carbon atoms. Specific examples of R1 to R3 include a methyl group, an ethyl group, a propyl group, an isopropyl group, a butyl group, an isobutyl group, a pentyl group, an isopentyl group, a hexyl group, a cyclopropyl group, a cyclohexyl group, a phenyl group, a naphthyl group, a benzyl group, a tolyl group, a xylyl group, and a phenethyl group. R1 to R3 are preferably an alkyl group having 1 to 5 carbon atoms, and among them, a methyl group and an ethyl group are preferable, and a methyl group is more preferable. R1 to R3 may be the same or different from each other, and for example, all of R1 to R3 can be methyl groups.

[0101] In formula 1, X is an alkylene group having 1 to 5 carbon atoms or a group containing one or more heteroatoms selected from N or O in the middle of the alkyl chain or in the side chain. For example, it can be a methylene group, an ethylene group, an n-propylene group, or an n-butylene group, and an n-propylene group is preferred. It may also be a group having a C-N bond in the middle of the alkyl chain, such as -(CH2)3-NH-(CH2)2-, or a group having a C-O bond in the middle of the alkyl chain, such as -(CH2)3-O-(CH2)2-.

[0102] In formula 1, the ratio of m (m / (n+m)) is preferably 0.03 or more, more preferably 0.05 or more, and is preferably 0.4 or less, more preferably 0.3 or less, and more preferably 0.2 or less, from the viewpoint of easily applying the first polysiloxane to the sliding surface and ensuring good lubricity of the sliding surface. The kinetic viscosity of the first polysiloxane at 25° C. is 2 / s or more is preferable, and 1000 mm 2 / s or more is preferable, and 5000mm 2 / s or more is more preferable. 2 / s or less is preferable, and 50000 mm 2 / s or less is more preferable, and 30,000 mm 2The terminal group of the first polysiloxane may be a trialkylsilyl group, and among these, a trimethylsilyl group is preferable.

[0103] The second polysiloxane is an organopolysiloxane having alkoxy groups at both ends, and is preferably liquid at room temperature. The second polysiloxane undergoes a crosslinking reaction between molecules to increase its molecular weight, and is chemically bonded to the sliding surface to remain on the sliding surface and exert its lubricating function. The second polysiloxane may be used alone or in combination of two or more types.

[0104] The second polysiloxane, which has alkoxy groups at least at both ends, undergoes a crosslinking reaction when heated. Therefore, the second polysiloxane can be applied to the sliding surface and then heated to promote the crosslinking reaction, thereby chemically fixing the second polysiloxane to the sliding surface. In addition, since the second polysiloxane reacts with moisture in the air to crosslink even at room temperature, there is no need to perform a heat treatment after application.

[0105] The second polysiloxane can be a compound represented by formula 2 below:

[0106] [ka]

[0107] In formula 2, R1 is an alkyl group having 1 to 5 carbon atoms, and R2 and R3 are each independently an alkyl group or an aryl group having 1 to 18 carbon atoms. R1 is preferably a methyl group, an ethyl group, or a propyl group, and more preferably a methyl group. Specific examples of R2 and R3 include a methyl group, an ethyl group, a propyl group, an isopropyl group, a butyl group, an isobutyl group, a pentyl group, an isopentyl group, a hexyl group, a cyclopropyl group, a cyclohexyl group, a phenyl group, a naphthyl group, a benzyl group, a tolyl group, a xylyl group, and a phenethyl group. R2 and R3 are preferably an alkyl group having 1 to 5 carbon atoms, and among them, a methyl group and an ethyl group are preferable, and a methyl group is more preferable. R2 and R3 may be the same or different from each other.

[0108] In formula 2, X is an alkylene group having 1 to 18 carbon atoms or a group containing at least one of a C-N bond, a C-O bond, and a C-Si bond in the middle of the alkyl chain or in a side chain.

[0109] The kinematic viscosity of the second polysiloxane at 25° C. is 2 / s or more is preferable, and 1000 mm 2 / s or more is preferable, and 5000mm 2 / s or more is more preferable. 2 / s or less is preferable, and 50000 mm 2 / s or less is more preferable, and 30,000 mm 2 / s or less is even more preferable.

[0110] The lubricant may contain a polyalkylsiloxane containing an alkyl group having 1 to 10 carbon atoms in addition to at least one of the first polysiloxane and the second polysiloxane. Among them, polydimethylsiloxane is preferable. The polyalkylsiloxane may have a part of the side chain substituted with an aryl group such as a phenyl group or hydrogen, but it is preferable that the polyalkylsiloxane does not contain a reactive substituent. The kinetic viscosity of the polyalkylsiloxane at 25°C is 50 mm 2 / s or more is preferable, 80mm 2 / s or more is more preferable. Also, 100,000 mm 2 / s or less is preferable, and 10000mm 2 / s or less is preferable, and 1000mm 2 / s or less is even more preferable.

[0111] When the first polysiloxane and the polyalkylsiloxane are used in combination, the volume ratio of the first polysiloxane to the polyalkylsiloxane is preferably 1:10 to 5:1, more preferably 1:9 to 6:4, and even more preferably 2:8 to 4:6. When the second polysiloxane and the polyalkylsiloxane are used in combination, the volume ratio of the second polysiloxane to the polyalkylsiloxane is preferably 1:5 to 10:1, more preferably 5:5 to 9:1, and even more preferably 6:4 to 8:2.

[0112] The flow path switching device shown in each embodiment and modified example may be provided with a click mechanism that allows a user to sense that the valve is in the first position or the second position. The flow path switching device shown in each embodiment and modified example may be provided with a rotation limiting mechanism that limits the rotation range of the valve to a range of 90° between the first position and the second position.

[0113] The flow path switching devices shown in the respective embodiments and modifications can be used not only in extracorporeal circulation circuits for dialysis but also in a wide range of extracorporeal circulation circuits etc. that require flow path switching. [Industrial Applicability]

[0114] INDUSTRIAL APPLICABILITY The flow path switching device of the present disclosure solves at least one of the problems associated with conventional flow path switching devices, and is useful in extracorporeal circulation circuits and the like that require flow path switching. [Explanation of symbols]

[0115] 20 Dialysis machine 30 Pump 40 patients 41 Upstream 42 Downstream 100 Flow path switching device main body 101 Outer cylinder 102 Valve 103 Tube 111 Port section 111A First Port 111B Second port 111C Third port 111D 4th port 121 Opening 121A First opening 121B Second opening 121C Third Opening 121D Fourth Opening 122A First Flow Path 122B Second flow path 126 Shaft 127 Handle 127a Protrusion 128 Stop 129A Arrow Display 129B Arrow display 129C Arrow display 129D Arrow display 131A 1st tube 131B Second Tube 131C 3rd Tube 131D 4th Tube 133A 1st Tube Pair 133B Second Tube Pair 135 Tube Guide 136 High rigidity part 137 Normal part 138A First Fixation 138B Second fastening part 138C Third Fixation 141 Anti-rotation protrusion 142 Engagement protrusion 143 Locking protrusion 145 Anti-slip protrusion 151 Sleeve 151A Sleeve 151B Sleeve 221 Channel 222 Channel 223 Channel 224 Channel 225 Flow Path 226 Flow Path

Claims

1. an outer cylinder portion having four openings equally spaced on an outer surface thereof; a valve rotatably housed in the outer cylinder and having two independent flow paths connecting two adjacent ones of the four openings; and four tubes of an extracorporeal circuit connected to the four openings, respectively; A flow path switching device, wherein the tube has a high-rigidity portion at an end on the outer tube side, the high-rigidity portion having a higher rigidity than other portions of the tube and a lower rigidity than the outer tube, thereby bending and pulling out the tube.

2. The flow passage switching device according to claim 1 , wherein the high rigidity portion is a portion on which a sleeve tube is fitted.

3. an outer cylinder portion having four ports equally spaced on an outer surface thereof; a valve rotatably housed in the outer cylinder portion and having two independent flow paths connecting two adjacent ones of the four port portions; Four tubes of an extracorporeal circuit communicating with the four port portions, respectively; a sleeve tube that is fixed to the port portion, has a rigidity lower than that of the port portion, and extends outward from an end of the port portion, A flow path switching device, wherein an end face of the port portion and an end face of the tube abut against each other, and the sleeve tube covers the abutting portion between the end face of the port portion and the end face of the tube.

4. an outer cylinder portion having four openings equally spaced on an outer surface thereof; a valve rotatably housed in the outer cylinder and having two independent flow paths connecting two adjacent ones of the four openings; and four tubes of an extracorporeal circuit connected to the four openings, respectively; The tube is guided in the drawing direction by a guide portion, A first pair of the four tubes, each pair consisting of two non-adjacent tubes, are pulled out in a first direction along the axis of rotation of the valve, and a second pair of the four tubes, each pair consisting of the remaining two tubes, are pulled out in a second direction along the axis of rotation of the valve, A flow path switching device, wherein the tubes of the second tube pair do not cross the tubes of the first tube pair while being withdrawn in the second direction.

5. The flow path switching device according to claim 4 , wherein the guide portion is a tube guide curved between both ends and fitted onto the tube.

6. the guide portion has a port for connecting the tube provided in the opening, The flow path switching device of claim 4 , wherein at least some of the ports face in the first direction or the second direction.

7. an outer cylinder portion having four openings equally spaced on an outer surface thereof; a valve rotatably housed in the outer cylinder and having two independent flow paths connecting two adjacent ones of the four openings; Four tubes of an extracorporeal circuit connected to the four openings, respectively; a guide portion that guides one of the four tubes so that the tube is pulled out in a direction along the rotation axis of the valve; A flow path switching device, wherein the guide portion is a tube guide that is curved between both ends and is inserted onto the tube.

8. a barrel assembly including a barrel having four equally spaced openings on an exterior surface thereof; a valve including a shaft portion that is rotatably accommodated in the outer cylinder portion and has two independent flow paths that connect two adjacent ones of the four openings, and a handle portion that protrudes from the shaft portion and is exposed to the outside of the outer cylinder portion; a first indicator portion and a third indicator portion provided on the outer cylinder portion assembly; A second display unit and a fourth display unit are provided on the handle portion, one of the four openings transitions from a first state in which it is connected to an adjacent opening on one side to a second state in which it is connected to an adjacent opening on the other side, thereby transitioning from a state in which the first display unit and the second display unit are close to each other and the third display unit and the fourth display unit are close to each other to a state in which the first display unit and the fourth display unit are close to each other and the third display unit and the second display unit are close to each other, the first display portion and the second display portion are a first color display, The flow path switching device, wherein the third display portion and the fourth display portion are a second color display.

9. an outer cylinder portion having four openings equally spaced on an outer surface thereof; a valve including a shaft portion that is rotatably accommodated in the outer cylinder portion and has two independent flow paths that connect two adjacent ones of the four openings, and a handle portion that protrudes from the shaft portion and is exposed to the outside of the outer cylinder portion; and four tubes of an extracorporeal circuit connected to the four openings, respectively; The flow path switching device, wherein the handle portion has a directional indicator portion that indicates whether a fluid is flowing in or out of each of the four openings.

10. an outer cylinder portion having four openings equally spaced on an outer surface thereof; a valve rotatably housed in the outer cylinder and having two independent flow paths connecting two adjacent ones of the four openings; and four tubes of an extracorporeal circuit connected to the four openings, respectively; Two tubes connected to adjacent first and second openings among the four openings have first fastening portions fixed to each other at positions where they intersect, the tube connected to the first opening has a second fastening portion fastened to a tube connected to a third opening adjacent to the second opening on the opposite side of the first fastening portion from the first opening, A flow path switching device, wherein the tube connected to the second opening has a third fastening portion that is fastened to a tube connected to a fourth opening adjacent to the first opening, across the first fastening portion.

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