CN103006284B - Hemostatic device adapter, fluid supply appts and hemostatic device - Google Patents

Hemostatic device adapter, fluid supply appts and hemostatic device Download PDF

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Publication number
CN103006284B
CN103006284B CN201210292686.7A CN201210292686A CN103006284B CN 103006284 B CN103006284 B CN 103006284B CN 201210292686 A CN201210292686 A CN 201210292686A CN 103006284 B CN103006284 B CN 103006284B
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CN
China
Prior art keywords
housing
path
hemostatic device
air
interconnected
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Expired - Fee Related
Application number
CN201210292686.7A
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Chinese (zh)
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CN103006284A (en
Inventor
日野贤树
内山靖二郎
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Goodman Co Ltd
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Goodman Co Ltd
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Publication of CN103006284A publication Critical patent/CN103006284A/en
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Publication of CN103006284B publication Critical patent/CN103006284B/en
Expired - Fee Related legal-status Critical Current
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/10Tube connectors; Tube couplings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/132Tourniquets
    • A61B17/1322Tourniquets comprising a flexible encircling member
    • A61B17/1325Tourniquets comprising a flexible encircling member with means for applying local pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/132Tourniquets
    • A61B17/135Tourniquets inflatable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/10Tube connectors; Tube couplings
    • A61M2039/1033Swivel nut connectors, e.g. threaded connectors, bayonet-connectors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/10Tube connectors; Tube couplings
    • A61M2039/1072Tube connectors; Tube couplings with a septum present in the connector
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/10Tube connectors; Tube couplings
    • A61M2039/1077Adapters, e.g. couplings adapting a connector to one or several other connectors

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention provides a kind of hemostatic device adapter, fluid supply appts and the hemostatic device that easily can carry out the operation to air bag fluid replacement.The air bag that hemostatic device expands by making the supply of the air via air feed pipe arrangement because air supply pump carries out is pressed against hemostasis object position and stops blooding.The adapter (20) that air feed pipe arrangement is connected with air supply pump possess be connected with air feed pipe arrangement the first housing (21), to be connected with the syringe of air supply pump (24) and to be assembled in the second housing (22) on the first housing in the mode that can install and remove.Switch between the connection position that the second housing can be communicated with the alternate path (50) of the second housing at first path (40) of the first housing relative to the relative position of the first housing and described two paths (40,50) disconnected non-interconnected position, when relative position is in non-interconnected position, the assembling of two bodies (21,22) is removed and is limited, and air can flow into alternate path (50).

Description

Hemostatic device adapter, fluid supply appts and hemostatic device
Technical field
The present invention relates to hemostatic device, be applicable to the hemostatic device adapter of this hemostatic device and fluid supply appts.
Background technology
In the past, as the method that conduit is imported to Ink vessel transfusing, there will be a known and first guiding cover is inserted into Ink vessel transfusing, then imported the method for conduit by the inner chamber of guiding cover.Described guiding cover is inserted into Ink vessel transfusing by thrusting blood vessel.Therefore, when being extracted from blood vessel by guiding cover, usually use hemostatic device to stop blooding to the position (thrusting position) of thrusting guiding cover.
As this hemostatic device, such as there will be a known following utensil, it possesses: be wrapped in the above-mentioned belt body thrust on position as hemostasis object; Be arranged on the air bag (balloon) on this belt body; For the air feed pump (for example, referring to patent documentation 1) to air bag air supply (fluid).According to above-mentioned hemostatic device, by making airbag inflation to air bag air supply, thus the balloon tamponade of this expansion hemostasis object position can be utilized and stop blooding.
In described hemostatic device, be connected with an end of air feed pipe arrangement relative to air bag, and be connected with the adapter that can be connected with air feed pump in the other end of air feed pipe arrangement.At this, the syndeton of adapter and air feed pump being described, being built-in with the check-valves for preventing the air inversion in air bag in the connectors.Check-valves such as has elastic raw material by silicone rubber etc. and is formed as tabular, and has the through slit to be opened/closed of through-thickness.On the other hand, air feed pump is included in the syringe that leading section has nozzle and the piston be disposed in syringe.At this, when by being connected with adapter by air feed pump through the slit of check-valves by the nozzle of the syringe of air feed pump, syringe is communicated with air feed pipe arrangement.In this case, by piston is pressed into the operation in syringe, the air of syringe inside is supplied to air bag via air feed pipe arrangement.In contrast, when taking off air feed pump by extracting the nozzle of syringe from the slit of check-valves from adapter, the slit of check-valves is closed and syringe and air feed pipe arrangement become unconnected state.In this case, owing to preventing the air in air bag externally to leak from adapter via air feed pipe arrangement, so the swelling state of air bag is maintained.
[look-ahead technique document]
[patent documentation]
[patent documentation 1] Japan Patent No. 4398747 publication
Wherein, in above-mentioned hemostatic device, in order to according to becoming the position of hemostasis object and the level of compression that changes this position, the various air bags that internal capacity is different can have been prepared.Such as, in the hemostatic device of the hemostasis for upper arm parts, more large-sized air bag is used.For this large-sized air bag, by air feed pump to air bag air supply time, exist by means of only carrying out once the push operation of this air supplying operation and piston and the situation that air cannot be filled in air bag.Therefore, air is filled by carrying out repeatedly air supplying operation to air bag.
In this case, undertaken by air feed pump, once after the air supplying operation of air bag, needing again to fill air in syringe.Now, if pull piston under making the nozzle of syringe through the state of check-valves, then the air of air bag can adverse current, is therefore temporarily taken off from adapter by syringe (nozzle) and pulls piston, thus again fills air in syringe.Then, syringe is connected again with adapter and (supplementing) air is supplied to air bag.But, like this syringe to be taken off from adapter or the operation that syringe and adapter is again connected probably also becomes when requiring the hemostasis disposed fast the main cause that disposal is postponed.
In addition, in above-mentioned hemostatic device, after filling air to air bag, by syringe to be taken off the swelling state maintaining air bag from adapter.Therefore, when being adjusted the level of compression to hemostasis object position by air bag, such as when improving level of compression, needing syringe is connected again with adapter and supplies (supplementing) air to air bag, and then syringe is taken off from adapter.That is, when carrying out the adjustment of level of compression, also syringe again connecting and taking off operation loaded down with trivial details like this relative to adapter is produced.
Summary of the invention
The present invention makes in view of the foregoing, and its main purpose is to provide a kind of hemostatic device adapter, fluid supply appts and the hemostatic device that easily can carry out the operation to air bag fluid replacement.
In order to solve above-mentioned problem, the hemostatic device adapter of a first aspect of the present invention is applicable to hemostatic device, the movement possessed by being housed in the piston in syringe of described hemostatic device carrys out the liquid feed pump of the fluid in exhaustjet device, utilize the air bag supply that fluid expands to the injection by fluid via conduit by liquid feed pump, by the described air bag being in swelling state being pressed against hemostasis object position thus stopping blooding, described hemostatic device is arranged on the coupling part be connected with the syringe of described liquid feed pump by described conduit with adapter, it is characterized in that, possess: the first housing, itself and described tubes connection, the second housing, it is connected with the syringe of described liquid feed pump, and assemble in the mode that can install and remove relative to the described first housing, the described first housing is formed the first path be communicated with described conduit, the described second housing is formed the alternate path be communicated with described syringe, under the assembled state of described two bodies, the connection position that the described second housing can be communicated with described alternate path at described first path relative to the relative position of the described first housing and switching between described first path and the disconnected non-interconnected position of described alternate path, when described relative position is in described non-interconnected position, in the described second housing, described fluid can flow into relative to described alternate path.
According to the present invention, when the second housing switches to connection position relative to the relative position of the first housing, the first path is communicated with alternate path, and then the conduit communicated with air bag is communicated with the syringe of liquid feed pump.Now, by liquid feed pump, the fluid in syringe can be supplied to air bag via conduit.In addition, when the second housing switches to non-interconnected position relative to the relative position of the first housing, the first path is not communicated with alternate path, and then conduit is not communicated with syringe.Under this non-interconnected state, fluid can be flowed in syringe by alternate path.Thus, when injecting to the fluid carried out air bag during air bag fluid replacement after second time, under the state of maintenance two body assembling, the second housing can be switched to non-interconnected position relative to the relative position of the first housing and to fill fluid in syringe, then above-mentioned relative position be switched to and be communicated with position and supply the fluid in (supplementing) syringe to air bag.Therefore, when carrying out supplementing to the fluid of air bag, syringe being taken off from adapter without the need to carrying out or again connects operation loaded down with trivial details like this, easily can carry out the operation to air bag fluid replacement.
On the basis of first aspect, the feature of the hemostatic device adapter of a second aspect of the present invention is, possess assembling to lift restrictions mechanism, this assembling mechanism that lifts restrictions is in the releasing of the assembling of two bodies described in the limit of described non-interconnected position at described relative position.
According to the present invention, when the second housing is in non-interconnected position relative to the relative position of the first housing, because the releasing of the assembling of described two bodies is limited, therefore, it is possible to above-mentioned relative position is remained on non-interconnected position.Thus, after filling air to air bag, due under the state that can be connected with syringe at adapter (second housing), syringe and air bag are held in unconnected state, therefore can be described as and after the stipulated time, supplementing the preferred structure of air to air bag from filling air to air bag.
First or second aspect basis on, the feature of the hemostatic device adapter of a third aspect of the present invention is, possess and be communicated with position side limiting unit and non-interconnected position side limiting unit, under the assembled state of described two bodies, described connection position side limiting unit crosses the displacement of this connection position to described connection position displacement limit from described non-interconnected position at described relative position, described non-interconnected position side limiting unit crosses the displacement of this non-interconnected position to described non-interconnected position displacement limit from described connection position at described relative position.
According to the present invention, when being switched between connection position and non-interconnected position relative to the relative position of the first housing by the second housing, can suitably carry out this switching operation.
On the basis of the third aspect, the feature of the hemostatic device adapter of a fourth aspect of the present invention is, the body of the side in described two bodies is provided with path of navigation, the body of the opposing party is provided with the directed section guided by described path of navigation, described path of navigation is the path that described relative position is conjugated between described connection position and described non-interconnected position, on the body of one, specify that the path end face of the tunnel end of a side of described path of navigation is formed as described connection position side limiting unit, specify that the path end face of the tunnel end of the opposing party is formed as described non-interconnected position side limiting unit.
According to the present invention, each path end face specified by the tunnel end of the both sides to path of navigation is limited the second housing respectively and crosses the displacement being communicated with position and the displacement of crossing non-interconnected position relative to the relative position of the first housing.Now, the effect of the above-mentioned third aspect can be obtained while the simplification realizing structure.
On the basis of fourth aspect, the feature of the hemostatic device adapter of a fifth aspect of the present invention is, the body of the side in described two bodies is provided with cylindrical portion, under the assembled state of described two bodies, the body of the opposing party is contained in the inner side of described cylindrical portion, the surrounding wall portion forming described cylindrical portion is provided with the described path of navigation along the through slit-shaped of its thickness direction, the peripheral part of the body of described the opposing party is provided with the jut as described directed section, when described relative position becomes described non-interconnected position, described alternate path is communicated with the inner space in described cylindrical portion.
According to the present invention, owing to being provided with along the through path of navigation of its thickness direction in the surrounding wall portion of cylindrical portion, the inner space therefore in cylindrical portion is communicated with adapter exterior lateral area (such as air) via path of navigation.And, in described structure, when the second housing becomes non-interconnected position relative to the relative position of the first housing, because alternate path is communicated with the inner space in cylindrical portion, therefore fluid can carry out to the inflow of syringe relative to the inflow of alternate path and fluid in the second housing.In this case, path of navigation is also used as the introducing port for being guided to alternate path by fluid, can realize the multifunction of path of navigation.
In in first to the 5th either side basis on, the feature of the hemostatic device adapter of a sixth aspect of the present invention is, the described first housing is provided with the closure member of closed described first path, the described second housing is provided with and is formed with described alternate path and the spray nozzle part extended towards described closure member, described hemostatic device adapter is configured to, when described relative position becomes described non-interconnected position, described spray nozzle part is not through described closure member, when described relative position becomes described connection position, described spray nozzle part is through described closure member.
According to the present invention, when the second housing switches to connection position relative to the relative position of the first housing, spray nozzle part is through closure member, and the first path is communicated with alternate path, and then syringe is communicated with conduit.In this case, the fluid in syringe can be supplied to air bag via conduit.On the other hand, when above-mentioned relative position switches to non-interconnected position, become spray nozzle part not through the state of closure member, the first path is closed component enclosure.In this case, can anti-fluid from the air bag adverse current being in swelling state.Therefore, based on above situation, above-mentioned structure to can be described as when the state of fluid supply can be carried out to air bag and prevent from switching between the state from the adverse current of air bag practical in preferred structure.
The feature of the fluid supply appts of a seventh aspect of the present invention is to possess: the hemostatic device adapter of either side in the first to the 6th aspect; There is the described liquid feed pump of described syringe and the described piston be connected with the described second housing of adapter with described hemostatic device.
According to the present invention, can realize playing the fluid supply appts with the first to the 6th aspect effect same.
The feature of the hemostatic device of a eighth aspect of the present invention is to possess: for being wrapped in the belt body on limbs; Be arranged on the described air bag on described belt body; The hemostatic device adapter of either side in be connected with described air bag via described conduit first to the 6th aspect; There is the described liquid feed pump of described syringe and the described piston be connected with the described second housing of adapter with described hemostatic device.
According to the present invention, can realize playing the hemostatic device with the first to the 6th aspect effect same.
Accompanying drawing explanation
Fig. 1 is the structure chart of the structure of the hemostatic device representing the first embodiment.
Fig. 2 is the axonometric chart of the structure representing adapter.
Fig. 3 represents the structure of the first housing, and (a) is the front view representing this structure, (b) be from the unilateral observation of axis to side view, (c) decomposes front view.
Fig. 4 represents the structure of the second housing, and (a) is the front view representing this structure, and (b) is longitudinal sectional view.
Fig. 5 (a-1) is the front view of the structure of adapter when representing that the second housing is in non-interconnected position relative to the relative position of the first housing, (a-2) be the longitudinal sectional view representing this structure, (b-1) be represent that above-mentioned relative position is in the front view of the structure of adapter when being communicated with position, (b-2) is the longitudinal sectional view representing this structure.
Fig. 6 is the axonometric chart of the structure of the adapter represented in the second embodiment.
Fig. 7 (a-1) is the front view of the structure of adapter when representing that the second housing is in non-interconnected position relative to the relative position of the first housing, (a-2) be the longitudinal sectional view representing this structure, (b-1) be represent that above-mentioned relative position is in the front view of the structure of adapter when being communicated with position, (b-2) is the longitudinal sectional view representing this structure.
Fig. 8 is the figure representing the situation guiding linking part in linking part path.
Fig. 9 is the sketch of the adapter represented in other embodiments.
Figure 10 is the sketch of the adapter represented in other embodiments.
Figure 11 is the sketch of the adapter represented in other embodiments.
[symbol description]
10 ... hemostatic device
13 ... air bag
16 ... air feed pipe arrangement
20 ... adapter
21 ... the first housing
22 ... the second housing
24 ... air supply pump
25 ... syringe
26 ... piston
30 ... valve member
37 ... jut
40 ... first path
50 ... alternate path
53 ... path of navigation
51 ... surrounding wall portion
56a, 56b ... path end face
70 ... adapter
71 ... the first housing
72 ... the second housing
Detailed description of the invention
[the first embodiment]
Below, be described the present invention being specialized the embodiment obtained with reference to accompanying drawing.In the present embodiment, the hemostatic device of the hemostasis for upper arm parts is specialized.Fig. 1 (a) and (b) are the structure charts of the structure representing hemostatic device 10.
As shown in Fig. 1 (a) and (b), hemostatic device 10 possesses belt body 11, twisted plate 12 and air bag 13.Belt body 11 is the sheet materials with flexible band shape, for being wrapped in position limbs becoming hemostasis object.Face button 14 is respectively arranged with at the both ends of belt body 11.Face button 14a (positive side) of the side in each button 14a, 14b is arranged on the surface of belt body 11, and face button 14b (cloudy side) of the opposing party is arranged on the back side.By described button 14a, 14b are engaged each other, thus belt body 11 can be kept with the state be wrapped on hemostasis object position.
Twisted plate 12 is the tabular components formed by transparent resins such as acrylic resin, Merlon, ABS resin, is formed as the curved shape in arc-shaped bend.Twisted plate 12 is arranged on the central part of the length direction of belt body 11.The both ends of belt body 11 length direction on twisted plate 12 are formed with the slit pore 12a extended along the direction orthogonal with the length direction of belt body 11 respectively.By making belt body 11 by described each slit pore 12a, thus twisted plate 12 is installed on belt body 11.
Air bag 13 is arranged on belt body 11 or twisted plate 12 with the state of the rear side being configured in twisted plate 12.Air bag 13 expands by internally injecting air, oppresses this position by being compressed to hemostasis object position by this air bag 13 being in swelling state.In the present embodiment, the capacity of the air that air bag 13 is become required for the swelling state of regulation is set as 70cm 3, become the capacity (35cm of the syringe 25 than air supply pump 24 described later 3) large value.
Air bag 13 is connected with an end of the air feed pipe arrangement 16 be made up of resin pipe, is connected with adapter 20 in the other end of air feed pipe arrangement 16.Adapter 20 is connected with for the air fed air supply pump 24 of air bag 13.The piston 26 that air supply pump 24 possesses syringe 25 and is disposed in syringe 25.Air in syringe 25 is discharged by being pressed in syringe 25 by piston 26 and is supplied to air bag 13 via air feed pipe arrangement 16 by this air by air supply pump 24.It should be noted that, the capacity of syringe 25 is set as such as 35cm 3.
Adapter 20 possesses the first housing 21 be connected with air feed pipe arrangement 16 and the second housing 22 be connected with the syringe 25 of air supply pump 24.Below, the structure of described adapter 20 is described in detail according to Fig. 2 to Fig. 4.Fig. 2 is the axonometric chart of the structure representing adapter 20.Fig. 3 represents the structure of the first housing 21, and (a) is the front view representing this structure, (b) be from the unilateral observation of axis to side view, (c) decomposes front view.Fig. 4 represents the structure of the second housing 22, and (a) is the front view representing this structure, and (b) is longitudinal sectional view.
As shown in Figure 2, adapter 20 possesses the first housing 21 and the second housing 22, and by described each body 21,22 can being linked with installing and removing and forming.As shown in Fig. 3 (a) ~ (c), the first housing 21 possesses main part 28, cap 29 and valve member 30.Main part 28 is formed as cylindric by resin material, have two parts, i.e. large-diameter portion 32 and minor diameter part 33 that external diameter is different.In main part 28, the end (end of the opposition side of minor diameter part 33) of large-diameter portion 32 side becomes the portion that is inserted into 38 be inserted in the expanding hole portion 36a of cap 29 described later.
The internal path 34 of this main part 28 through is in the axial direction formed in main part 28.The end of large-diameter portion 32 side (being inserted into side, portion 38) of internal path 34 is expanding, and this expanding part becomes the accommodating recess 35 for accommodating valve member 30.It should be noted that, for the purpose of strengthening, the outer peripheral face of minor diameter part 33 is provided with multiple rib 45.
Cap 29 is made up of the resin material identical with main part 28, and what be formed as having with large-diameter portion 32 same diameter of main part 28 is discoideus.Cap 29 is formed along the through through hole portion 36 of its thickness direction.The end side in through hole portion 36 is by expanding and become expanding hole portion 36a, and the above-mentioned portion 38 that is inserted into being configured to main part 28 is inserted in the portion 36a of this expanding hole.
The outer peripheral face of cap 29 is provided with from outstanding a pair jut 37 of this outer peripheral face.Described each jut 37 is formed as cylindric, and is configured in respectively on the position roughly symmetrical relative to the axis of cap 29.It should be noted that, at this, jut 37 is equivalent to directed section.
Valve member 30 has elastic material by silicone rubber etc. and forms.Valve member 30 is formed as discoideus, and its external diameter is roughly the same with the internal diameter of the accommodating recess 35 of main part 28.Valve member 30 is formed along the through valve port 39 (with reference to Fig. 3 (a)) of its thickness direction.Valve port 39 is made up of the otch extended along a straight line, becomes state inaccessible at ordinary times under the elastic effect of valve member 30.It should be noted that, the kerf of valve port 39 is non-essential is a linearity, also can be other the shape such as crosswise.
Valve member 30 is housed in the accommodating recess 35 of this main part 28 with the state of the through direction of valve port 39 towards the axis direction of main part 28.Further, under described housed state, cap 29 with the state being inserted with the portion that is inserted into 38 of main part 28 in the portion 36a of its expanding hole by bonding, deposition or be chimericly inserted into portion 38 with this and engage.In this case, valve member 30 becomes the state that a part enters into the expanding hole portion 36a of cap 29, and is sandwiched with the state compressed in the axial direction by main part 28 and cap 29.It should be noted that, in cap 29 (expanding hole portion 36a) and the bonding part being inserted into portion 38, implementing the encapsulation process for preventing air from being passed in and out by this part.
Under the engagement state of main part 28 and cap 29, the internal path 34 of main part 28 is communicated with the through hole portion 36 of cap 29.Thus, the first housing 21 is formed the first path 40 be made up of internal path 34 and through hole portion 36.Further, valve member 30 is equipped with in the midway of this first path 40, the state making the first path 40 become inaccessible at ordinary times by this valve member 30.
As shown in Fig. 4 (a) and (b), the resin material that the second housing 22 is identical by the main part 28 (and cap 29) with the first housing 21 is formed, and entirety is formed as cylindric.The second housing 22 has external diameter different two parts, i.e. large-diameter portion 42 and minor diameter part 43.Large-diameter portion 42 is formed the cylinder recess 44 of a side opening contrary with minor diameter part 43 on axis direction.The internal diameter of cylinder recess 44 is formed as the size slightly less than the external diameter of the large-diameter portion 32 (and cap 29) of the main part 28 of the first housing 21.In addition, in large-diameter portion 42, the wall portion of surrounding cylinder recess 44 becomes surrounding wall portion 51, forms cylindrical portion by this surrounding wall portion 51.
Large-diameter portion 42 is provided with spray nozzle part 48 in the mode that the bottom surface from cylinder recess 44 is outstanding.Spray nozzle part 48 be formed as along the axis direction of large-diameter portion 42 extend cylindric, it is thinner that its leading section is formed as more past head.Thereby, it is possible to make spray nozzle part 48 through the valve port 39 of valve member 30 as described later.The total length of spray nozzle part 48 is shorter than the length of the surrounding wall portion 51 on the axis direction of large-diameter portion 42, and thus, the entirety of spray nozzle part 48 is housed in cylinder recess 44.
The second housing 22 is formed with alternate path 50 in the mode extended along its axis direction.A part for alternate path 50 is formed in the inside of spray nozzle part 48, and one end of alternate path 50 is at the front opening of spray nozzle part 48.In addition, with the large-diameter portion 42 contrary side (described later connecting portion 49 side) of the other end of alternate path 50 in minor diameter part 43 is open-ended.
The end of the side contrary with large-diameter portion 42 side in minor diameter part 43 becomes the connecting portion 49 of the oral area 25a of the syringe 25 for connecting air supply pump 24.The outer peripheral face of connecting portion 49 is formed external thread part 49a, the internal thread part be formed on the inner peripheral surface of oral area 25a (omitting diagram) can be screwed togather with this external thread part 49a.It should be noted that, connecting portion 49 (external thread part 49a) and oral area 25a (internal thread part) have normalized form in advance.In addition, on the outer peripheral face of minor diameter part 43, leaning on the part of large-diameter portion 42 that the mode outstanding from this part is provided with a pair operating portion 47 than connecting portion 49.
Be formed respectively to a pair jut path 52 (also with reference to Fig. 5) that each jut 37 of the first housing 21 guides in the surrounding wall portion 51 of large-diameter portion 42.Each jut path 52 along surrounding wall portion 51 outer peripheral face and be formed as slit-shaped, and the through surrounding wall portion 51 of through-thickness.Described path 52 all has same structure, and the direction of the axis around large-diameter portion 42 configures with the interval of 180 °.
The mounting or dismounting path 54 that jut path 52 comprises path of navigation 53 and extends continuously from this path of navigation 53.Path of navigation 53 is formed in the mode extended along the axis direction of large-diameter portion 42 in surrounding wall portion 51.Path of navigation 53 is arranged on the pars intermedia of surrounding wall portion 51 on the axis direction of large-diameter portion 42.In this case, the both ends of path of navigation 53 are respectively by clipping path of navigation 53 and a pair opposed in the axial direction path end face 56 specifies in surrounding wall portion 51.In described each path end face 56, the path end face 56a of minor diameter part 43 side (in other words the opposition side of the first housing 21) is equivalent to be communicated with position side limiting unit, and the path end face 56b of the opposition side (in other words the first housing 21 side) of minor diameter part 43 side is equivalent to non-interconnected position side limiting unit.
The mounting or dismounting radial direction of path 54 from the end of the path end face 56b side path of navigation 53 along large-diameter portion 42 extends, and extends from the end that this extends to along axis direction to the opposition side of minor diameter part 43 side and open-ended in this side.In addition, in surrounding wall portion 51, towards being provided with from the outstanding path protuberance 58 of this path face 54a with the interface of path of navigation 53 in the path face 54a of mounting or dismounting path 54.
Next, use Fig. 5 that the connecting structure of the first housing 21 in adapter 20 and the second housing 22 is described.For the adapter 20 of present embodiment, under its connecting state, switch between the non-interconnected position that the connection position that the second housing 22 can be communicated with at the first path 40 and alternate path 50 relative to the relative position of the first housing 21 is not communicated with the first path 40 and alternate path 50.In Figure 5, adapter 20 when () represents that the second housing 22 is in non-interconnected position relative to the relative position of the first housing 21 is a (following, adapter 20 also referred to as non-interconnected state) structure, (a-1) be the front view representing this structure, (a-2) is longitudinal sectional view.On the other hand, in Figure 5, b () represents that the adapter 20 that above-mentioned relative position is in when being communicated with position is (following, adapter 20 also referred to as connected state) structure, (b-1) be the front view representing this structure, (b-2) is longitudinal sectional view.
As shown in Figure 5, the second housing 22 links with the state and this first housing 21 that are inserted with a part for cap 29 side in a part, the specifically first housing 21 of the first housing 21 in the cylinder recess 44 of large-diameter portion 42.Under described connecting state, the jut 37 of the cap 29 of the first housing 21 enters in the path of navigation 53 of the second housing 22, can be directed along this path of navigation 53.In addition, now, the spray nozzle part 48 of the second housing 22 configures in the mode extended towards the valve member 30 of the first housing 21.
In the adapter 20 of said structure, by making the second housing 22 carry out relative movement in the axial direction relative to the first housing 21, thus the second housing 22 can be made to switch between connection position (with reference to Fig. 5 (b)) and non-interconnected position (with reference to Fig. 5 (a)) relative to the relative position of the first housing 21.When carrying out described relative movement, jut 37 moves along path of navigation 53, when above-mentioned relative position is in non-interconnected position, becomes jut 37 and be arranged in the end of the side (first housing 21 side) contrary with minor diameter part 43 side of path of navigation 53 and the state abutted with path end face 56b.In addition, in this case, under the effect of path protuberance 58, the situation that jut 37 enters from path of navigation 53 to mounting or dismounting path 54 is suppressed.On the other hand, when above-mentioned relative position be in be communicated with position, become jut 37 and be arranged in the end of minor diameter part 43 side (opposition side of the first housing 21) of path of navigation 53 and the state abutted with path end face 56a.
Next, the non-interconnected state of adapter 20 and connected state are described respectively.
First, as shown in Fig. 5 (a), when adapter 20 is in non-interconnected state, spray nozzle part 48, relative to valve member 30 configured separate, is formed with the gap of regulation between the leading section of spray nozzle part 48 and valve member 30.Now, spray nozzle part 48 is in not through the state of the valve port 39 of valve member 30, and valve port 39 is in inaccessible state.That is, the first path 40 of the first housing 21 is inaccessible by valve member 30, and the alternate path 50 of this path 40 and the second housing 22 becomes unconnected state.In addition, under described unconnected state, alternate path 50 is communicated with cylinder recess 44, and then via path of navigation 53 and adapter 20 ft connection.
On the other hand, as shown in Fig. 5 (b), when adapter 20 is in connected state, spray nozzle part 48, through the valve port 39 of valve member 30, becomes the state that the first path 40 is interconnected with alternate path 50 thus.Under the state of inserting of described spray nozzle part 48, the valve port 39 of valve member 30 is resisted the elastic force of valve member 30 and is pressed off under the effect of spray nozzle part 48.Now, the inner peripheral surface of the valve port 39 of valve member 30 and the outer peripheral face of spray nozzle part 48 touch mutually, and the air-tightness between described two sides is guaranteed.
As mentioned above, in above-mentioned adapter 20, the first housing 21 is connected with air feed pipe arrangement 16, the second housing 22 is connected with the syringe 25 of air supply pump 24.In the first path 40 of the first housing 21, be inserted with air feed pipe arrangement 16 (with reference to Fig. 3) in the end of the opposition side of the second housing 22.Under described insert state, air feed pipe arrangement 16 is by bonding and be fixed on the inner peripheral surface of the first path 40 of the first housing 21.Thus, the first housing 21 connects air feed pipe arrangement 16, first path 40 to be communicated with air feed pipe arrangement 16.
In addition, the connecting portion 49 of the second housing 22 is connected with the oral area 25a (with reference to Fig. 4) of syringe 25.At the internal thread part of the oral area 25a of the fastening syringe 25 of the external thread part 49a of connecting portion 49, under this tightening state, connecting portion 49 and oral area 25a are by bonding and fixing.Thus, the second housing 22 connects syringe 25, alternate path 50 is communicated with syringe 25.
Next, the using method of hemostatic device 10 is described.At this, suppose to penetrate the situation of carrying out as hemostasis object stopping blooding in position using this under the state that guiding cover is penetrated the tremulous pulse of upper arm parts.In addition, this especially to make air bag 13 expand to air bag 13 air supply time operation centered by be described.
When carrying out hemostasis operation, first, using air bag 13 with as object position of stop blooding penetrate the state that position offsets under belt body 11 is wrapped in upper arm parts, and detain 14 by face belt body 11 fixed.
Next, carry out using air supply pump 24 to fill the operation of air to air bag 13 to air bag 13 air supply.In the present embodiment, as mentioned above, because the inner capacities of air bag 13 is larger than the inner capacities of the syringe 25 of air supply pump 24, therefore fill by carrying out repeatedly (in this case twice) air supply air carried out to air bag 13 to air bag 13.
Specifically, first, as first time air feed operation, under the state that the second housing 22 in adapter 20 is set to non-interconnected position relative to the relative position of the first housing 21, pull the piston 26 of air supply pump 24 and in syringe 25, fill the air of ormal weight.Such as, in syringe 25,35cm is filled 3air.Then, the second housing 22 is switched to connection position relative to the relative position of the first housing 21 from non-interconnected position.Thus, the spray nozzle part 48 of the second housing 22 passes the valve port 39 of valve member 30, and the first path 40 of the first housing 21 is communicated with the alternate path 50 of the second housing 22.Further, under this connected state, by piston 26 is pressed in syringe 25, the air in this syringe 25 is supplied to air bag 13.
Next, as the operation of second time air feed, again the second housing 22 is switched to non-interconnected state relative to the relative position of the first housing 21 from connected state, and fill air, the such as 35cm of ormal weight in syringe 25 3air.Then, the second housing 22 being switched to from non-interconnected position again relative to the relative position of the first housing 21 and is communicated with position, by carrying out push operation to piston 26, the air in syringe 25 being supplied (supplementing) to air bag 13.Thus, the air supplying operation by amounting to twice fills ormal weight (70cm in air bag 13 3) air, air bag 13 becomes the swelling state of regulation.Further, utilize the air bag 13 hemostasis by compression object position of this expansion thus carry out the hemostasis at this position.
Then, the second housing 22 is switched to non-interconnected state relative to the relative position of the first housing 21 from connected state.Thus, the valve port 39 of blocking valve component 30 prevents the adverse current of the air from air bag 13.Therefore, the swelling state of air bag 13 is maintained, and the hemostasis at hemostasis object position proceeds.
From stop blooding the hemostasis at object position to have passed through official hour during this, confirm the haemostatic state at hemostasis object position, and carry out the adjustment of the level of compression of air bag 13 according to this haemostatic state.Such as, when fully not stopping blooding to hemostasis object position, air is supplemented to improve the level of compression of air bag 13 to hemostasis object position to air bag 13.Specifically, under the state that the second housing 22 is set to non-interconnected position relative to the relative position of the first housing 21, in syringe 25, fill air, then above-mentioned relative position is switched to and be communicated with position and the air supplemented in air bag 13 in syringe 25.On the other hand, when making patient pain when crossing by force the compressing at hemostasis object position, the level of compression to hemostasis object position is reduced by a part for the air in removing air bag 13.Specifically, the second housing 22 being switched to relative to the relative position of the first housing 21 and is communicated with position, by pulling piston 26, a part for the air in air bag 13 being attracted in syringe 25.After the adjustment of level of compression terminates, the second housing 22 is switched to non-interconnected position relative to the relative position of the first housing 21.
From starting hemostasis, after the stipulated time (during the confirmation of haemostatic state), the second housing 22 to be taken off from the first housing 21.When taking off, first the second housing 22 being in non-interconnected position is made to rotate centered by its axis, thus make jut 37 enter mounting or dismounting path 54 (being specifically the part radially extended of mounting or dismounting path 54) from path of navigation 53, then side contrary with the first housing 21 on axis direction for the second housing 22 is pulled and jut 37 is pulled out outward to mounting or dismounting path 54 (being specifically the part extended in the axial direction of mounting or dismounting path 54).It should be noted that, when making the second housing 22 rotate, holding operating portion 47 and this second housing 22 is rotated.Thus, take off air supply pump 24 from hemostatic device 10, terminate a series of operation.
According to the structure of present embodiment described above in detail, following excellent results can be obtained.
The adapter 20 of present embodiment is configured to, and possesses the first housing 21 be connected with air feed pipe arrangement 16 and the second housing 22 be connected with the syringe 25 of air supply pump 24, and is assembled in the mode that can install and remove by described each body 21,22.And, under described assembled state, the relative position of the second housing 22 relative to the first housing 21 can be switched between the connection position that the first path 40 and alternate path 50 are communicated with and the disconnected non-interconnected position of described each path 40,50, when above-mentioned relative position is in non-interconnected position, air can flow into relative to alternate path 50.Thus, when the air Injection after second time being carried out to air bag 13 when supplementing air to air bag 13, under the state can assembled at two bodies 21,22, above-mentioned relative position is switched to non-interconnected position and fill air in syringe 25, then, above-mentioned relative position is switched to connection position and the air in syringe 25 is supplied (supplementing) to air bag 13.Now, when carrying out the replenish air to air bag 13, syringe 25 being taken off from adapter 20 without the need to carrying out or again connects operation loaded down with trivial details like this, therefore, it is possible to easily carry out operation air bag 13 being supplemented to air.
In addition, because the first housing 21 and the second housing 22 can be installed and removed mutually, a series of operation for stopping blooding therefore can be implemented under the state keeping the first housing 21 be connected with air feed pipe arrangement 16 side, under the state that keeps the second housing 22 to be connected with syringe 25 side.This for syringe 25 leading section and the medical apparatus beyond hemostatic device being connected such unfavorable condition when preventing from carrying out hemostasis operation by mistake, the mistake of syringe 25 leading section connect for can be described as favourable structure.That is, although the structure of the connecting portion 49 of the oral area 25a of syringe 25 and the second housing 22 as described above for specification conforms to, if specification conform to then also can with hemostatic device beyond medical apparatus link.For this point, by as described above by affixed to syringe 25 and adapter 20 (second housing 22), described connection by mistake just reliably can be prevented.
When the second housing 22 is set to non-interconnected position relative to the relative position of the first housing 21, owing to limiting the releasing of the assembling of two bodies 21,22, therefore air is being filled into after in air bag 13, under the state that can be connected at syringe 25 and adapter 20 (second housing 22), syringe 25 and air bag 13 is being held in unconnected state.In this case, can be described as preferred structure supplementing air to air bag 13 from filling air to air bag 13 after the stipulated time.
The second housing 22 is formed path of navigation 53, the first housing 21 is provided with the jut 37 that directed path 53 guides.And, in the second housing 22, when making the second housing 22 conjugate to connection position from non-interconnected position relative to the relative position of the first housing 21, limit the displacement of crossing this connection position by the path end face 56a of a side in each path end face 56a, 56b of the tunnel end of the both sides of regulation path of navigation 53.Further, when making above-mentioned relative position conjugate from connection position to non-interconnected position, the displacement of crossing this non-interconnected position is limited by the path end face 56b of the opposing party.In this case, can suitably carry out the second housing 22 being communicated with relative to the relative position of the first housing 21 operation switched between position and non-interconnected position.In addition, by the displacement restriction utilizing each path end face 56a, 56b of path of navigation 53 to carry out above-mentioned relative position, thus the simplification of structure can be realized and obtain above-mentioned effect simultaneously.
The adapter 20 of present embodiment is configured to, under the state containing the first housing 21 in the cylinder recess 44 of the second housing 22, two bodies 21,22 are assembled mutually, and be provided with the path of navigation 53 of the through slit-shaped of through-thickness in the surrounding wall portion 51 of surrounding cylinder recess 44.Further, when the second housing 22 becomes non-interconnected position relative to the relative position of the first housing 21, alternate path 50 is communicated with cylinder recess 44.In described structure, make cylinder recess 44 and adapter 20 ft connection via path of navigation 53.Further, when the second housing 22 is in non-interconnected position relative to the relative position of the first housing 21, because alternate path 50 is communicated with cylinder recess 44, therefore air can flow into relative to alternate path 50, namely air can flow into syringe 25.In this case, path of navigation 53 can be also used as the introducing port (blow vent) for being guided to alternate path 50 by air, thus the multifunction of path of navigation 53 can be realized.
[the second embodiment]
In the present embodiment, the structure of adapter 70 is different from above-mentioned first embodiment.Below, according to Fig. 6 or Fig. 7, the structure of described adapter 70 is described.Fig. 6 is the axonometric chart of the structure representing adapter 70.In the figure 7, the structure of the adapter 70 when (a) represents that the second housing 72 is in non-interconnected position relative to the relative position of the first housing 71, (a-1) is the front view representing this structure, and (a-2) is longitudinal sectional view.Relative to this, in the figure 7, b () represents that the second housing 72 is in the structure of the adapter 70 when being communicated with position relative to the relative position of the first housing 71, (b-1) is the front view representing this structure, and (b-2) is longitudinal sectional view.
As shown in FIG. 6 and 7, the adapter 70 of present embodiment possesses the first housing 71 and the second housing 72, and by described each body 71,72 can being linked with installing and removing and forming.The first housing 71 possesses the connecting portion 74 be connected with air feed pipe arrangement 16 and the cylinder portion 75 being fixed on the tubular on connecting portion 74.Connecting portion 74 entirety is in cylindric, and the connecting portion side be connected with air feed pipe arrangement 16 of this connecting portion 74 is towards this pipe arrangement 16 side undergauge.Connecting portion 74 is formed the columned accommodating recess 77 of a side opening contrary with air feed pipe arrangement 16 on its axis direction.Valve member 30 is contained in accommodating recess 77.In addition, connecting portion 74 is formed with the first path 79 that accommodating recess 77 is communicated with air feed pipe arrangement 16.
Cylinder portion 75 is formed as tubular by resin material, and its internal diameter is roughly the same with the external diameter of connecting portion 74.Cylinder portion 75 is configured with connecting portion 74 within it and under the state of extending of the part side more contrary with air feed pipe arrangement 16 on axis direction than connecting portion 74, by bonding and be fixed on this connecting portion 74.The outer peripheral face of surrounding wall portion 76 forming cylinder portion 75 is provided with the multiple ribs 85 extended in the axial direction.Described rib 85 with the configuration of the interval of regulation, has the effect to the guiding piece that the holding section 98 (claw 99) of the second housing 72 described later guides along the axis direction in cylinder portion 75 in the circumference of surrounding wall portion 76.
The part (hereinafter referred to as extension portion 76a) that ratio connecting portion 74 in surrounding wall portion 76 extends further is formed with a pair linking part path 81 guided respectively each linking part 93 of the second housing 72 described later.Each linking part path 81 is formed as the slit-shaped of the outer peripheral face along surrounding wall portion 76, and the through surrounding wall portion 76 of through-thickness.Each linking part path 81 all has identical structure, and the direction of the axis around cylinder portion 75 configures with the interval of 180 °.
Linking part path 81 has the first passage portion 82 and the alternate path portion 83 (also with reference to Fig. 8) from the continuous extension of this first passage portion 82.First passage portion 82 is formed in the mode extended towards the opposition side (in other words the second housing 72 side) of connecting portion 74 from the centre position of axis direction in surrounding wall portion 76, and the open-ended in this side.In addition, in the first passage portion 82, the end of the opposition side of the second housing 72 side is specified by path end face 108.The mode that alternate path portion 83 extends along the circumference of surrounding wall portion 76 with the end of connecting portion 74 side (in other words the opposition side of the second housing 72) from the first passage portion 82 is formed.
The second housing 72 is formed by resin material, and it possesses cylindrical main part 91, has the cylinder portion 92 of the internal diameter larger than the external diameter of main part 91.Main part 91 enters state and this portion 92 arranged coaxial of the inner side in a portion 92 with the end on its axis direction, and links with cylinder portion 92 via linking part 93 under this configuration status.Linking part 93 arranges main part 91 in the axial direction and the overlapping part in cylinder portion 92, is connected by the outer peripheral face of main part 91 (with reference to Fig. 6) with the inner peripheral surface in cylinder portion 92.Linking part 93 is formed as the tabular of width (length on the direction orthogonal with the axis direction) size with regulation, and with 180 ° of intervals, the axis of main part 91 is provided with a pair.In this case, the region not arranging linking part 93 between the outer peripheral face of main part 91 and the inner peripheral surface in cylinder portion 92 becomes the inner space in cylinder portion 92 and the inside and outside open area 87 be communicated with.
The end of the side, cylinder portion 92 (i.e. the first housing 71 side) on the axis direction in main part 91 is provided with spray nozzle part 101 in the mode outstanding towards the first housing 71 side.In addition, main part 91 is formed with alternate path 102 in the mode extended in the axial direction.A part for alternate path 102 is formed in the inside of spray nozzle part 101, and one end of alternate path 102 is at the front opening of spray nozzle part 101.In addition, with the first housing 71 side contrary side of the other end of alternate path 102 in main part 91 is open-ended.
The end of the side contrary with the first housing 71 side in main part 91 is provided with the connecting portion 104 of the oral area 25a of the syringe 25 for connecting air supply pump 24, and the ratio connecting portion 104 in main part 91 is provided with operating portion 105 by the part of the first housing 71 in the mode that the outer peripheral face from main part 91 is outstanding.
Cylinder portion 92 is provided with a pair holding section 98.Each holding section 98 configures with the interval of 180 ° on the direction of the axis around cylinder portion 92.Specifically, the surrounding wall portion 96 in cylinder portion 92 is formed and extends and the slit 97 of side (in other words the first housing 71 side) opening contrary with main part 91 on this axis direction along axis direction, and be formed with holding section 98 in the mode extended towards the first housing 71 side along the axis direction in cylinder portion 92 from the bottom of this slit 97.A part for holding section 98 is more extended to the first housing 71 side than cylinder portion 92.Now, holding section 98 is configured to bend to the radial direction in cylinder portion 92.
In the leading section of holding section 98, the mode that the axis side to cylinder portion 92 is outstanding is provided with claw 99.This claw 99 can engage with the end 75a of side contrary with the second housing 72 side on the axis direction in the cylinder portion 75 of the first housing 71.It should be noted that, at this, this holding section 98 is equivalent to assembling and lifts restrictions mechanism.
Next, the connecting structure of the first housing 71 and the second housing 72 is described.
As shown in Figure 7, link with the first housing 71 under the state that the second housing 72 is inserted with the cylinder portion 75 of the first housing 71 in the inner side in its portion 92.Under described connecting state, by making the second housing 72 carry out relative movement in the axial direction relative to the first housing 71, thus the second housing 72 can be made to switch between non-interconnected position (with reference to Fig. 7 (a)) and connection position (with reference to Fig. 7 (b)) relative to the relative position of the first housing 71.
First, when above-mentioned relative position is in non-interconnected position, as shown in Fig. 7 (a), the spray nozzle part 101 of the second housing 72, relative to valve member 30 configured separate, becomes spray nozzle part 101 not through the state of valve member 30.In this case, the first path 79 of the first housing 71 and the alternate path 102 of the second housing 72 become non-interconnected state.In addition, alternate path 102 is communicated with the inner space in the cylinder portion 92 of the second housing 72, and then by open area 87 and adapter 70 ft connection.In addition, under described non-interconnected state, the holding section 98 (claw 99) of the second housing 72 engages with the end 75a in the cylinder portion 75 of the first housing 71.In contrast, when above-mentioned relative position is in connection position, as shown in Fig. 7 (b), the spray nozzle part 101 of the second housing 72 is through valve member 30 and the first path 79 and alternate path 102 become connected state.
At this, when above-mentioned relative position to be switched to connection position from non-interconnected position, the linking part 93 of the first housing 71 is directed along the linking part path 81 in the cylinder portion 75 of the second housing 72.The situation of this guiding is shown in Figure 8.When carrying out described switching, first as shown in Fig. 8 (a), linking part 93 enters the first passage portion 82 of linking part path 81, is guided along this passage portion 82 by path end face 108 side.Then, as shown in Fig. 8 (b), linking part 93 arrives the end of path end face 108 side of this passage portion 82 and abuts with path end face 108.In this condition, above-mentioned relative position becomes connection position.Further, in this case, because linking part 93 abuts with path end face 108, therefore above-mentioned relative position is crossed and is communicated with position this situation and is limited.
In addition, under this connection position, if make the second housing 72 relative to the first housing 71 with its axis for center of rotation rotate time, as shown in Fig. 8 (c), the linking part 93 of the first housing 71 enters alternate path portion 83 from the first passage portion 82.In this condition, because the relative movement to axis direction of the second housing 72 relative to the first housing 71 is limited, be communicated with position therefore, it is possible to suitably remained on by above-mentioned relative position.
According to the structure of present embodiment described above in detail, following excellent results can be obtained.
When the second housing 72 is in non-interconnected position relative to the relative position of the first housing 71, engaged by the end 75a of holding section 98 with the cylinder portion 75 of the first housing 71, thus the assembling of restriction two bodies 71,72 is removed.In addition, under this non-interconnected position, air can flow into relative to alternate path 102.Therefore, in the same manner as above-mentioned first embodiment, when supplementing air to air bag 13, non-interconnected position is become by making above-mentioned relative position, thus carry out filling to the air in syringe 25, being then communicated with position by making above-mentioned relative position become, air can being supplemented to air bag 13 thus.Thus, when supplementing air to air bag 13, syringe 25 being taken off from adapter 20 without the need to carrying out or again connects operation loaded down with trivial details like this, therefore, it is possible to easily carry out operation air bag 13 being supplemented to air.
[other embodiments]
(1) in the above-described first embodiment, be configured to the moving range being limited jut 37 by path end face 56a, 56b of the tunnel end of regulation path of navigation 53, but also can change this.One example is shown in Figure 9.In the adapter 110 shown in Fig. 9, the second housing 112 is provided with from outstanding holding section 113, the leading section of the inner peripheral surface of surrounding wall portion 114.Whole region of circumferential direction and being formed in surrounding wall portion 114, holding section 113.In the inner space 116 surrounded by surrounding wall portion 114, contain the first housing 21, under this housed state, the first housing 21 and the second housing 112 interconnected.In addition, in this condition, the jut 37 of the first housing 21 configures by the second housing 112 (inner space 116) side than holding section 113 on the axis direction of this body 21.
In the adapter 110 of said structure, by making the second housing 112 carry out relative movement in the axial direction relative to the first housing 21, thus the relative position of the second housing 112 relative to the first housing 21 can be switched between non-interconnected position (with reference to Fig. 9 (a)) and connection position (with reference to Fig. 9 (b)).Further, when making above-mentioned relative position become non-interconnected position, the jut 37 of the first housing 21 engages with the holding section 113 of the second housing 112.On the other hand, when above-mentioned relative position is in connection position, the end face 118 of the second housing 112 side in the first housing 21 abuts with the bottom surface 112a of the bottom of the regulation inner space 116 in this body 112.Now, the second housing 112 crosses relative to the relative position of the first housing 21 displacement being communicated with position and the displacement of crossing non-interconnected position is limited, and therefore suitably can carry out the switching operation of above-mentioned relative position.
In addition, although the diagram of eliminating, on holding section 113, be provided with accordingly respectively along a pair through through hole portion of the axis direction of the second housing 112 with each jut 37.When installing and removing the second housing 112 relative to the first housing 21, can by making each jut 37 of the first housing 21 be installed and removed by described each through hole portion respectively.It should be noted that, in above-mentioned example, holding section 113 is equivalent to non-interconnected position side limiting unit, and bottom surface 112a is equivalent to be communicated with position side limiting unit.In addition, form assembling by holding section 113 and jut 37 to lift restrictions mechanism.
(2) in the above-described first embodiment, the first housing 21 is provided with jut 37, the second housing 22 is formed path of navigation 53, but also can change this, the second housing 22 arranges jut, the first housing 21 forms path of navigation.One example is shown in Figure 10.In the adapter 120 shown in Figure 10, the first housing 121 is provided with cylindrical portion 124, contain in the inner space 129 of this cylindrical portion 124 second housing 122 by resettlement section 125.Further, under described housed state, the first housing 121 and the second housing 122 interconnected.In the cylindrical portion 124 of the first housing 121, be formed with path of navigation 127 in the mode of the surrounding wall portion 128 of this cylindrical portion 124 of through formation, be provided with jut 126 at the second housing 122 by the outer peripheral face of resettlement section 125.Jut 126 is directed along the path of navigation 127 of the first housing 121.
In described structure, as shown in Figure 10 (a), when the second housing 122 is switched to connection position relative to the relative position of the first housing 121, jut 126 abuts with the path end face 133b of the side in each path end face 133a, the 133b at the two ends of regulation path of navigation 127.In addition, as shown in Figure 10 (b), when above-mentioned relative position is switched to non-interconnected position, jut 126 abuts with the path end face 133a of the opposing party of path of navigation 127.Thus, in the same manner as above-mentioned first embodiment, suitably can carry out the switching of above-mentioned relative position.In addition, when above-mentioned relative position becomes non-interconnected position, the alternate path 131 of the second housing 122 is communicated with the inner space 129 of the cylindrical portion 124 of the first housing 121.Thereby, it is possible to make air via path of navigation 127 and inner space 129 flowing into externally to alternate path 131 and then to syringe 25 from adapter 120.
(3) in the above-described first embodiment, path of navigation 53 is formed as slit-shaped by the surrounding wall portion 51 of the second housing 22, but also can changes this, path of navigation 53 is formed as channel-shaped on the inner peripheral surface of surrounding wall portion 51.In this case, the path of navigation 53 along channel-shaped comes guide protrusion portion 37.In addition, the structure that path of navigation 53 (and mounting or dismounting path 54) is not set on the second housing 22 can be also configured to.In this case, in the first housing 21, also jut 37 can not be set.In the case of this kind of construction, the second housing 22 also can be made to switch between connection position and non-interconnected position relative to the relative position of the first housing 21.It should be noted that, in above-mentioned each structure, needing on adapter 20, arrange the vent path by being communicated with inside and outside cylinder recess 44 separately.For vent path, consider to have and such as form along the through passage of its thickness direction or the gap that arranges regulation between the outer peripheral face and the inner peripheral surface of the second housing 22 (surrounding wall portion 51) of the first housing 21 by being formed in surrounding wall portion 51.
(4) in the respective embodiments described above, employ valve member 30 as closure member, but also can use other closure member.Such as, as shown in figure 11, the check-valves 141 of duck-beak type also can be used as closure member.Described check-valves 141 has the valve port 141a of slit-shaped.Valve port 141a becomes at ordinary times inaccessible state under the effect of the elastic force of check-valves 141, the pressure differential in the front and back of check-valves 141 be the pressure in the pressure ratio downstream of the upstream side of timing, i.e. check-valves 141 large time opening.
In fig. 11, in the first housing 21 (main part 28), arrange this check-valves 141 in the midway of alternate path 50, the ratio check-valves 141 in alternate path 50 leans on the end of the second housing 22 side, is specifically provided with the circular containment member 142 be made up of silicone rubber in the end of the second housing 22 side of alternate path 50.The state that containment member 142 touches with the inner peripheral surface of its outer peripheral face and alternate path 50 is arranged, and its internal diameter is less than the external diameter of spray nozzle part 48.It should be noted that, in fig. 11, for convenience of description, spray nozzle part 48 is only illustrated for the second housing 22.
In such a configuration, the second housing 22 can switch relative to the relative position of the first housing 21 between these three positions, the 3rd position shown in the second position shown in the primary importance shown in Figure 11 (a), Figure 11 (b), Figure 11 (c).Further, in order to carry out the switching of described three positions, the structure of path of navigation is also different from the structure of above-mentioned first embodiment.Specifically, as shown in Figure 11 (a-2) ~ (c-2), the path of navigation 146 of this example has the via intermedia 150 radially extended in way wherein, is connected with two the path of navigation portions 148,149 extended in the axial direction via this via intermedia 150.Two path of navigation portions 148,149 extend to opposition side in the axial direction from the both ends of via intermedia 150 respectively, specifically, first path of navigation portion 148 extends to the opposition side of the first housing 21, and the second path of navigation portion 149 extends to the first housing 21 side.
In such a configuration, as shown in Figure 11 (a-1), when above-mentioned relative position is in primary importance, the spray nozzle part 48 of the second housing 22 is separated in the axial direction relative to the first housing 21, and the first path 40 and alternate path 50 become non-interconnected state.Now, the jut 37 of the first housing 21 is arranged in the tunnel end of the first housing 21 side in the second path of navigation portion 149.
In addition, as shown in Figure 11 (b-1), when above-mentioned relative position is in the second position, become the state that spray nozzle part 48 is separated through the inside of containment member 142 and from check-valves 141.Now, the outer peripheral face of spray nozzle part 48 and the inner peripheral surface of containment member 142 become tightlock status, thus, the state that the space (hereinafter referred to as dead-air space 153) in the first path 40 between check-valves 141 and containment member 142 is cut off relative to the ventilation of outside is become.Further, alternate path 50 is communicated with this dead-air space 153.In this condition, when passing through air supply pump 24 to dead-air space 153 air supply, the pressure in this space 153 raises, and the valve port 141a of check-valves 141 opens.Thereby, it is possible to the air carried out to air bag 13 supplies.In addition, under the described second position, the jut 37 of the first housing 21 is arranged in the tunnel end of the first housing 21 side in the first path of navigation portion 148.
In addition, as shown in Figure 11 (c-1), when above-mentioned relative position is in the 3rd position, become spray nozzle part 48 state that first path 40 is communicated with alternate path 50 through the valve port 141a of check-valves 141.In this condition, by pulling the piston 26 of air supply pump 24, thus the air in air bag 13 can be attracted.Thus, when the hemostasis process carried out based on hemostatic device 10 terminates, air bag 13 can be shunk by described attraction.In addition, under described 3rd position, the jut 37 of the first housing 21 is arranged in the tunnel end of the side contrary with the first housing 21 side in the first path of navigation portion 148.

Claims (8)

1. a hemostatic device adapter, it is applicable to hemostatic device, the movement possessed by being housed in the piston in syringe of described hemostatic device carrys out the liquid feed pump of the fluid in exhaustjet device, utilize the air bag supply that fluid expands to the injection by fluid via conduit by liquid feed pump, by the described air bag being in swelling state being pressed against hemostasis object position thus stopping blooding
Described hemostatic device is arranged on the coupling part be connected with the syringe of described liquid feed pump by described conduit with adapter, it is characterized in that, possesses:
The first housing, itself and described tubes connection;
The second housing, it is connected with the syringe of described liquid feed pump, and assembles in the mode that can install and remove relative to the described first housing,
The described first housing is formed the first path be communicated with described conduit,
The described second housing is formed the alternate path be communicated with described syringe,
Under the assembled state of the described first housing and the described second housing, the connection position that the described second housing can be communicated with described alternate path at described first path relative to the relative position of the described first housing and switching between described first path and the disconnected non-interconnected position of described alternate path
When described relative position is in described non-interconnected position, in the described second housing, described fluid can flow into relative to described alternate path.
2. hemostatic device adapter according to claim 1, is characterized in that,
Possess assembling to lift restrictions mechanism, this assembling mechanism that lifts restrictions is in the releasing of the assembling of the first housing and the described second housing described in the limit of described non-interconnected position at described relative position.
3. hemostatic device adapter according to claim 1, is characterized in that,
Possess and be communicated with position side limiting unit and non-interconnected position side limiting unit, under the assembled state of the described first housing and the described second housing, described connection position side limiting unit crosses the displacement of this connection position to described connection position displacement limit from described non-interconnected position at described relative position, described non-interconnected position side limiting unit crosses the displacement of this non-interconnected position to described non-interconnected position displacement limit from described connection position at described relative position.
4. hemostatic device adapter according to claim 3, is characterized in that,
The body of the side in the described first housing and the described second housing is provided with path of navigation, the body of the opposing party is provided with the directed section guided by described path of navigation,
Described path of navigation is the path that described relative position is conjugated between described connection position and described non-interconnected position,
On the body of one, specify that the path end face of the tunnel end of a side of described path of navigation is formed as described connection position side limiting unit, specify that the path end face of the tunnel end of the opposing party is formed as described non-interconnected position side limiting unit.
5. hemostatic device adapter according to claim 4, is characterized in that,
The body of the side in the described first housing and the described second housing is provided with cylindrical portion, under the assembled state of the described first housing and the described second housing, contains the body of the opposing party in the inner side of described cylindrical portion,
The surrounding wall portion forming described cylindrical portion is provided with the described path of navigation along the through slit-shaped of its thickness direction, the peripheral part of the body of described the opposing party is provided with the jut as described directed section,
When described relative position becomes described non-interconnected position, described alternate path is communicated with the inner space in described cylindrical portion.
6. hemostatic device adapter according to any one of claim 1 to 5, is characterized in that,
The described first housing is provided with the closure member of closed described first path,
The described second housing is provided with and is formed with described alternate path and the spray nozzle part extended towards described closure member,
Described hemostatic device adapter is configured to, and when described relative position becomes described non-interconnected position, described spray nozzle part is not through described closure member, and when described relative position becomes described connection position, described spray nozzle part is through described closure member.
7. a fluid supply appts, it is for described hemostatic device, and the feature of described fluid supply appts is to possess:
Hemostatic device adapter according to any one of claim 1 to 6;
There is the described liquid feed pump of described syringe and the described piston be connected with the described second housing of adapter with described hemostatic device.
8. a hemostatic device, is characterized in that, possesses:
For being wrapped in the belt body on limbs;
Be arranged on the air bag on described belt body;
Hemostatic device adapter according to any one of the claim 1 to 6 be connected with described air bag via conduit;
There is the described liquid feed pump of described syringe and the described piston be connected with the described second housing of adapter with described hemostatic device.
CN201210292686.7A 2011-08-23 2012-08-16 Hemostatic device adapter, fluid supply appts and hemostatic device Expired - Fee Related CN103006284B (en)

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CN109350166B (en) * 2018-12-03 2023-11-21 上海长海医院 Hemostatic device
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