BACKGROUND OF THE INVENTION
FIELD OF THE INVENTION
[0001] The present invention relates to an indwelling needle assembly usable for introducing
a catheter into a vascular system of a patient at a time of infusion.
DESCRIPTION OF THE RELATED ART
[0002] A catheter is a thin tubular medical device or any device including a thin tube used
to permit infusion or withdrawal of fluid into a vascular system or any cavity of
a patient's body. To introduce such a catheter into a vascular system of a patient,
a needle assembly with a needle slidably fitted in the catheter is frequently used.
A medical personnel pierces a patient's body with the needle along with the catheter.
Thereafter the needle may be extracted but the catheter is left indwelled in the patient's
body. The catheter is connected to an infusion device and thereby comes to be available
for infusion. Some needle assemblies are comprised of telescopically extensible sleeves
as a safety guard for covering the needles so as to prevent accidental sticking.
SUMMARY OF THE INVENTION
[0003] Nowadays medical devices are desired to reduce loads on patients. Reduction in diameter
of the needle may be a latent solution to reduction of a pain at a time of piercing
the patient' s body. However, the thinner the needle is formed, the more the needle
is susceptible to buckling. Further, reduction in diameter of the needle necessarily
leads to reduction in inner diameter of the catheter because the catheter must closely
fit on the needle. Therefore, diameter of a needle of an indwelling needle assembly
had a minimum limit in view from a practical standpoint.
[0005] The present invention is intended for providing an indwelling needle assembly with
a safety guard, which enables application of a thinner needle than ever.
[0006] According to an aspect of the invention, an indwelling needle assembly is usable
in combination with an infusion system for infusion into a patient's body. The indwelling
needle assembly is comprised of: a needle having a needlepoint insertable into the
patient's body; a sleeve slidably fitted on the needle; a catheter including a catheter
tube slidably fitted on the sleeve; a base body fixed to a proximal end of the needle;
and a slider fixed to the sleeve and slidably engaged with the base body so as to
be movable between a first position to have the needlepoint projecting out of the
sleeve and a second position to have the needlepoint retracted in the sleeve, wherein
the needle, the sleeve, the base body and the slider are unitarily extractable from
the catheter, wherein the catheter is comprised of a distal end portion fitted on
the needle, and a taper portion continuously tapering from the catheter tube toward
the distal end portion.
[0007] Preferably, the sleeve is comprised of a taper end or an obliquely cutoff end. The
end projects from the catheter toward the needlepoint. More preferably, the sleeve
is so formed as to fill a space held between the needle and the catheter.
[0008] Morepreferably, the indwelling needle assembly is further comprised of a latch for
holding the slider at the first position.
[0009] Still preferably, the indwelling needle assembly is further comprised of a stopper
latch for stopping the slider at the second position.
[0010] Further preferably, the indwelling needle assembly is further comprised of an elastic
body for urging the slider toward the second position; and a release for releasing
the slider from the first position, the release being fixed to the base body to allow
operation from an exterior of the base body.
[0011] Still preferably, the sleeve is comprised of a first sleeve and a second sleeve fitting
on the first sleeve.
[0012] Still preferably, the needle is comprised of a hollow piercing portion and a translucent
body portion, and the sleeve is made of a translucent material.
BRIEF DESCRIPTION OF THE DRAWINGS
[0013]
Fig. 1 is a cross sectional view of an indwelling needle assembly according to the
prior art.
Fig. 2 is a partial cross sectional view of the indwelling needle assembly in which
a portion II of Fig. 1 is magnified; and
Figs. 3A and 3B are perspective views around needlepoints of hollow and solid-core
needles applied to the indwelling needle assembly;
Figs. 4A and 4B are cross sectional views of the needle and its attachments extracted
from a catheter, where Fig. 4A shows a state of exposing the needlepoint and Fig.
4B shows a state of retracting the needlepoint;
Fig. 5 is a partial cross sectional view of an indwelling needle assembly in accordance
with a first embodiment of the present invention, in which a needlepoint is magnified;
Fig. 6 is a partial cross sectional view of an indwelling needle assembly in accordance
with a second embodiment of the present invention, in which a needlepoint is magnified;
Fig. 7 is an elevational view of a needle in accordance with a third embodiment of
the present invention;
Fig. 8 is an elevational view of an indwelling needle assembly in accordance with
the third embodiment as showing a gist thereof;
Fig. 9 is a partial cross sectional view of an indwelling needle assembly in accordance
with a fourth embodiment of the present invention, in which a needlepoint is magnified;
Fig. 10 is an elevational view of a sleeve in accordance with the fourth embodiment;
Fig. 11 is a partial cross sectional view of an indwelling needle assembly in accordance
with a fifth embodiment of the present invention, in which a needlepoint is magnified;
Figs. 12A and 12B are cross sectional view of a needle and its attachments extracted
from a catheter in accordance with an sixth embodiment of the present invention, where
Fig. 12A shows a state of exposing the needlepoint and Fig. 12B shows a state of retracting
the needlepoint;
Fig. 13A is an elevational view of a needle base of an exemplary modification and
Fig. 13B is a cross sectional view taken along a line XVB-XVB of Fig. 13A;
Figs. 14A and 14B are cross sectional view of a needle and its attachments extracted
from a catheter of the exemplary modification, where Fig. 14A shows a state of exposing
the needlepoint and Fig. 14B shows a state of retracting the needlepoint; and
Figs. 15A-15C are side views of a needle base and a release button viewed in a direction
along a longitudinal direction of the needle assembly.
DETAILED DESCRIPTION OF THE EXEMPLARY EMBODIMENTS
[0014] Exemplary embodiments of the present invention will be described hereinafter with
reference to Figs. 4 to 15C. Throughout the specification and claims, a relative term"distal"
is defined and used as toward a needlepoint, and "proximal" is opposite thereto.
[0015] Indwelling needle assemblies described hereinafter are usable in combination with
any infusion system for infusion into a patient's body.
PRIOR ART
[0016] Referring to Fig. 1, an indwelling needle assembly 10 according to the prior art
is comprised of a needle 11 for piercing a patient's body, a base body 12 fixed to
a proximal end of the needle 11, a sleeve 19 fitted on the needle 11, a slider 20
fixed to the sleeve 19, and a catheter 15 having a catheter tube 13 fitted on the
sleeve 19.
[0017] The needle 11 is inserted in the sleeve 19 and the catheter 15. An outer diameter
of the needle 11 is substantially corresponding to an inner diameter of the sleeve
19, thereby the needle 11 is fitted in and made slidable relative to the sleeve 19.
The needle 11 may be made of, but not limited to, any metal such as stainless steels,
aluminum, titanium or its alloys. The needle 11 has an enough length to have a needlepoint
thereof projecting out of the sleeve 19 and the catheter 15. The needlepoint is an
obliquely cutoff and sharp end of the needle 11 so as to enable piercing the patient's
skin with small resistance. The diameter of the needle 11 should be preferably set
smaller for the purpose of reducing a pain of piercing.
[0018] The base body 12 is comprised of a grip 121 which is used for handling the indwelling
needle assembly 10, and a needle base 122 to which a proximal end of the needle 11
is fixed. The grip 121 is formed into a cylindrical shape and has a through hole therein.
The needle base 122 is housed in the through hole of the grip 121 and is thereby fixed
to the grip 121. The through hole of the grip 121 further houses an elastic latch
201 of a slider 20 described later. For the purpose of being latched by the elastic
latch 201, the grip 121 is comprised of a groove 123 formed on the inner periphery
of the through hole.
[0019] When a medical personnel pierce a patient's body with the needle 11, the medical
personnel may use the base body 12 for handling. After piercing, the medical personnel
can extract the base body 12 to detach the needle 11 from the indwelling needle assembly
10. Then the needle 11, the sleeve 19, the base body 12 and the slider 20 are unitarily
extracted from the catheter 15. A hemostatic valve 18 is provided for the purpose
of preventing blood from leaking out at the time of extracting.
[0020] The catheter 15 is comprised of the catheter tube 13 and a catheter adapter 14 for
connection with the main body of the indwelling needle assembly 10. The catheter tube
13 should be made of any soft resin so as to avoid inflicting a blood vessel wall.
[0021] As the sleeve 19 closely fits on the needle 11, a total structure of the needle 11
and the sleeve 19 is reinforced and/or stiffened as compared with a structure of the
needle 11 without the sleeve 19. Further, the sleeve 19 can slide relative to the
needle 11 so that the needlepoint can be retracted in the sleeve 19. Details of these
functions will be described hereinafter.
[0022] The sleeve 19 may be made of, but not limited to, any metals or resins. Further,
translucent resins are more preferable. The sleeve 19 may be formed into a tube-like
shape or, instead, a spiral shape enclosing the needle 11.
[0023] The slider 20 is formed into a short cylindrical shape having a flange. The slider
20 has a through hole which receives the needle 11 and a distal portion of the needle
base 122 therein. A rear end of the sleeve 19 is inserted in the through hole and
temporarily fixed. The slider 20 is further comprised of a pair of elastic latches
201 for engaging with the groove 123.
[0024] Narrowing the paired elastic latches 201 elastically, the slider 20 is inserted into
the base body 12. Thereby the latches 201 have outward repulsive force. In accordance
with this insertion, the distal portion of the needle base 122 is inserted into the
through hole of the slider 20. Thereby the slider 20 is slidably engaged with the
base body 12.
[0025] The indwelling needle assembly 10 is further comprised of a cramp tube 16 and a connector
17, both of which are interposed between the catheter 15 and the hemostatic valve
18. The needle 11 and the sleeve 19 penetrate, and are capable of being extracted
from, the cramp tube 16, the connector 17 and the hemostatic valve 18, and then the
cramp tube 16 is connected with the catheter adapter 14 . The needle 11 and the sleeve
19 penetrate are capable of being extracted from the cramp tube 16, the connector
17 and the hemostatic valve 18. After extracting the needle 11 and the sleeve 19,
the catheter 13 along with the cramp tube 16, the connector 17 and the hemostatic
valve 18 is usually left indwelled.
[0026] As the sleeve 19 is fixed to the slider 20 and the needle 11 is fixed to the base
body 12, positions of the slider 20 relative to the base body 12 regulates positional
relation between the distal end of the sleeve 19 and the needlepoint of the needle
11. When the slider 20 is at an initial position, the slider 20 has the needlepoint
projecting out of the sleeve 19. In contrast, when the slider 20 slightly moves toward
the needlepoint and thereby reaches a next position where the latches 201 latch on
the groove 123 of the grip 121, the slider 20 has the needlepoint retracted in the
sleeve 19.
[0027] Referring to Fig. 2, the structure around the needlepoint will be described hereinafter.
[0028] The sleeve 19 has a taper end 191 projecting out from a distal end 131 of the catheter
tube 13. The taper end 191 tapers toward the needlepoint. The needlepoint of the needle
11 projects out from the end 191 by a predetermined length L2 when the slider 20 is
at the initial position.
[0029] The needle 11 may be a hollow needle as shown in Fig. 3A or, alternatively, a solid-core
needle 11A as shown in Fig. 3B.
[0030] The extracted needle 11 is initially in a state shown in Fig. 4A. The needlepoint
of the needle 11 is still projecting out of the sleeve 19. The medical personnel may
then pick the base body 12 with fingers of one hand and can pick the slider 20 with
finger of another hand. As the medical personnel slightly moves both hands to separate
the slider 20 from the base body 12, the slider 20 moves toward the needlepoint. Then
the needlepoint of the needle 11 is retracted in the sleeve 19 as shown in Fig. 4B.
[0031] When movement of the slider 20 reaches a length L1, the latches 201 come to the groove
123. Then the narrowed latches 201 widen outward by these own repulsive forces to
latch on the groove 123. Thereby the slider 20 is held immovable relative to the base
body 12 . This state effectively prevents accidental sticking.
[0032] The aforementioned members are formed into a particular dimensional relation to satisfy
the inequality of L1>L2. However, since L2 may be set into a very small value, L1
may be also set into a relatively small value. More specifically, the base body 12
is merely so structured as to allow small movement of the slider 20. Therefore, a
compact structure may be applied to the assembly of the slider 20 and the base body
12.
[0033] When the needle 11 of the indwelling needle assembly 10 as structured as above is
inserted into a vascular system of a patient, the catheter tube 13 accompanies the
needle 11 and the sleeve 19 to enter into the vascular system. When the medical personnel
verifies that the catheter tube 13 properly enters into the vascular system by a predetermined
length, the medical personnel extracts the needle 11 and the sleeve 19 from the catheter
15. Then the catheter tube 13 is left indwelled in the vascular system. To start infusion,
the hemostatic valve 18 is detached therefrom and an infusion system is connected
to the connector 17.
[0034] As the sleeve 19 closely fits on the needle 11, a total structure of the needle 11
and the sleeve 19 is reinforced and/or stiffened. Therefore, even if the needle 11
is formed into a thinner shape, the needle 11 is insusceptible to buckling. More specifically,
the aforementioned structure enables reduction in diameter of the needle 11 without
deterioration of facility inpiercing. Reduced diameter of the needle 11 leads to reduction
of a pain at a time of piercing the patient' s body as described above. Further, the
taper end 191 of the sleeve 19 also reduces the pain.
[0035] The catheter tube 13 closely fits not on the needle 11 but on the sleeve 19. Therefore,
even if the needle 11 is formed in a thin shape, the inner diameter of the catheter
tube 13 is not necessarily reduced. As the catheter tube 13 can have a sufficient
inner diameter, sufficient flow rate of an infusion fluid can be assured.
[FIRST EMBODIMENT]
[0036] The aforementioned prior art embodiment may be modified into a first embodiment of
the invention described hereinafter. Referring to Fig. 5, a distal end of a catheter
tube 23 is slightly elongated toward the needlepoint. The elongated distal end portion
of the catheter tube 23 includes a taper portion 24 continuously smoothly tapering
from the catheter tube 23 toward the distal end portion. Therefore, the distal end
and its vicinity of the catheter tube 23 have smaller diameters than that of the remainder
of the catheter tube 23. Further, the distal end portion fits on the needle 11. The
distal end portion of the catheter tube 23 projects toward the needlepoint from the
end of the sleeve 19 as shown in Fig. 5.
[0037] The needlepoint of the needle 11 projects out from the end of the sleeve 19 by a
predetermined length L3 when the slider 20 is at the initial position. Also in this
embodiment, related members are formed to have a particular dimensional relation to
satisfy the inequality of L1>L3 so that movement of the slider 20 by a length L1 has
the needlepoint retracted in sleeve 19.
[0038] The first embodiment also enables reduction in diameter of the needle 11 without
deterioration of facility in piercing. Further, because the distal end portion of
the catheter tube 23 fitting on the needle 11 and the taper portion 24 smoothly tapering
enables smooth insertion of the catheter 15 along with the needle 11, a pain at a
time of piercing the patient's body may be reduced.
[SECOND EMBODIMENT]
[0039] The first embodiment may be modified into a second embodiment described hereinafter.
According to the present embodiment, a sleeve 19 is comprised of a first sleeve 291
fitting on the needle 11 and a second sleeve 292 fitting on the first sleeve 291 as
shown in Fig. 6. Respective ends of the first sleeve 291 and the second sleeve 292
are made into taper ends to reduce friction against the patient's skin.
[0040] The end of the second sleeve 292 slightly projects from the end of the catheter tube
13 and the end of the first sleeve 291 slightly projects from the end of the second
sleeve 292. The needlepoint of the needle 11 projects out of the ends of the first
sleeve 291 and the second sleeve 292. The catheter tube 13 has a taper portion. Further,
the catheter tube 13 is extended to cover ends of the first sleeve 291 and the second
sleeve 292.
[0041] In accordance with the second embodiment, whereas the needlepoint and its vicinity
are sufficiently thin, the remainder of the needle 11 is doubly reinforced and stiffened
by the first sleeve 291 and the second sleeve 292 with sufficient thicknesses. While
the structure of the needle 11 and its attachments provides sufficient strength and
stiffness, the needle 11 gives small pain to a patient.
[THIRD EMBODIMENT]
[0042] A third embodiment of the present invention will be described hereinafter with reference
to Figs. 7 and 8.
[0043] Referring to Fig. 7, a needle 21 of an indwelling needle assembly of the third embodiment
is comprised of a head part 211 including a needlepoint for piercing, which is made
of a metal, and a body part 212 connected with the head part 211.
[0044] The head part 211 is made into a short hollow needle. Examples of the metal applied
to the head part 211 are stainless steels, aluminum, titanium and these alloys.
[0045] The body part 212 is a thin and long tube made of any translucent and relatively
hard material to allow a visual check of blood flashback therethrough. As such a material,
polystyrene,polyethylene and polypropylene may be exemplified.
[0046] The surface of the head part 211 should be smoothly continuous to the surface of
the body part 212.
[0047] In accordance with the third embodiment, as soon as flashback of blood through the
needle 21 passes a point B (see Fig. 8), the blood flashback becomes visible from
the exterior. This may be applicable to visual check of whether the needle is properly
positioned within the vascular system or not. In general, the part ranging from the
point B to the catheter adapter 14 is not concealed by either the patient's skin or
the medical personnel's hand in the course of the action of inserting the catheter
tube 13 into the vascular system. Therefore, that this part is available for visual
check is advantageous in view of easiness of checking properness of the position of
the needle.
[FOURTH EMBODIMENT]
[0048] A fourth embodiment of the present invention will be described hereinafter with reference
to Figs. 9 and 10.
[0049] In accordance with the fourth embodiment, a modification to the catheter tube is
made as compared with the above embodiments. The catheter tube 23 of the fourth embodiment
has a taper portion 24 which continuously smoothly tapers from a main portion of the
catheter tube 23 toward a distal end thereof. As a result of the tapering, the distal
end and its vicinity may closely fit on the needle 11.
[0050] The sleeve 19 is retracted in the catheter tube 23. Further, the distal end of the
sleeve 19 is obliquely cut off. The obliquely cutoff end is faced to the same direction
of the oblique face of the needlepoint.
[0051] The present fourth embodiment, as similar to the first embodiment, enables smooth
insertion of the catheter tube 23 along with the needle 11 because the sleeve 19 is
covered with the catheter tube 23. This leads to reduction in a pain of piercing.
[0052] If a space 30 is held between the needle 11 and the catheter tube 23, because the
catheter tube 23 is made of a soft material, a portion around the space 30 is susceptible
to deformation. The deformation deteriorates easiness of piercing and increases a
pain of piercing. The obliquely cutoff end reduces volume of the space 30, and thereby
the deformation of the catheter tube 23 is suppressed. In particular, at a time of
piercing, the needlepoint is oriented downward and therefore the cutoff face is correspondingly
oriented. The space 30 at the side facing the patient's skin is relatively small.
Therefore, deformation of the catheter tube 23 at the side facing to the patient'
s skin is suppressed. More specifically, the fourth embodiment improves easiness of
piercing and reduces a pain of piercing.
[FIFTH EMBODIMENT]
[0053] A fifth embodiment of the present invention will be described hereinafter with reference
to Fig. 11.
[0054] In accordance with the fifth embodiment, a modification to the catheter tube and
the sleeve is made as compared with the above embodiments. The catheter tube 23 of
the fifth embodiment has a taper portion 24 which tapers toward the needlepoint. Therefore,
the distal end and its vicinity of the catheter tube 23 have smaller diameters than
that of the remainder of the catheter tube 23. Further, the distal end portion of
the catheter tube 23 fits on the needle 11. The sleeve 19 is retracted in the catheter
tube 23.
[0055] The distal end of the sleeve 19 is so formed as to fill a space held between the
needle 11 and the catheter tube 23.
[0056] The present fifth embodiment, as similar to the first embodiment, enables smooth
insertion of the catheter tube 23 along with the needle 11 because the sleeve 19 is
covered with the catheter tube 23. This leads to reduction in a pain of piercing.
[0057] Further, as the space held between the needle 11 and the catheter tube 23 is filled
with the distal end of the sleeve 19, deformation of the catheter tube 23 caused by
existence of the space is prevented. Therefore, the fifth embodiment improves easiness
of piercing.
[SIXTH EMBODIMENT]
[0058] An sixth embodiment of the present invention will be described hereinafter with reference
to Figs. 12A and 12B.
[0059] In accordance with the present sixth embodiment, a means for actuating the slider
is added. An elastic body 32 such as a spring is compressively interposed between
the needle base and the slider 20 so as to urge the slider 20 to project outward (toward
the needlepoint) . Thereby, if the slider 20 is released from an initial position
as shown in Fig. 12A, repulsive force of the elastic body (the spring) 32 moves the
slider 20 toward the next position as shownin Fig. 12B without medical personnel's
manual actuation.
[0060] Latching means may be also modified. The slider 20 may be comprised of a first latch
221 for latching on the slider 20 at an initial position and a second latch 222 for
latching on the slider 20 at a next position, instead of the pair of elastic latches
201 shown in Figs. 4A and 4B. Further, according thereto, the base body 12 may be
comprised of a hook 124 for catching the first latch 221 and a release button 31 capable
of being pressed. The release button 31 has a projection projecting into the interior
of the base body 12. The base body 12 is further comprised of an opening 33 through
which the projection of the release button 31 projects into the interior.
[0061] Initially, the first latch 221 is caught by the hook 124, thereby the slider 20 is
at the initial position where the needlepoint is made to project out of the sleeve
19. When the release button 31 is pressed down, the first latch 221 is pressed by
the projection of the release button 31 and therefore goes beyond the hook 124. Then
the slider 20 is released from the initial position and moved by the elastic body
(the spring) 32 toward the next position where the needlepoint is made retracted in
the sleeve 19. Then the second latch 222 is caught by the projection of the release
button 31 so that the slider 20 is held at this position as shown in Fig. 12B.
[0062] The aforementioned means for actuating the slider may be further modified into another
version as shown in Figs. 13A-15C.
[0063] Referring to Fig. 13A, a pair of slots 122A are cut out from both sides of a needle
base 122. Each cross section of the slots 122A has a shape defined by a straight line
and an arc as shown in Fig. 13B.
[0064] A base body 12 used in combination with the needle base 122 is comprised of a release
button 35 capable of being pressed. The release button 35 has a through hole 311 formed
into a keyhole shape to have a short keyway 312 as shown in Fig. 15A.
[0065] The through hole 311 with the keyway 312 are so formed as to be engageable with the
slots 122A of the needle base 122 when the release button 35 is not pressed down as
shown in Fig. 15B. The through hole 311 is further so formed as to allow free movement
of the needle base 122 therethrough when the release button 35 is fully pressed down
as shown in Fig. 15C.
[0066] An elastic body 34 such as a spring is interposed between the needle base 122 and
the base body 12 so as to draw the needle base 122 toward a direction where the needle
11 is retracted in the sleeve 19.
[0067] The needle base 122 and the base body 12 are initially in a state shown in Fig. 14A.
The needle base 122 is engaged with the release button 35 as shown in Fig. 15B and
the needlepoint of the needle 11 is still projecting out of the sleeve 19. When the
release button 35 is pressed down, engagement between the needle base 122 and the
release button 35 is canceled as shown in Fig. 15C and the needle base 122 is released
from the aforementioned initial position. The elastic body (the spring) 34 moves the
needle base 122 toward the next position as shown in Fig. 14B where the needlepoint
of the needle 11 is retracted in the sleeve 19.
[0068] The present invention will be enabled by any of or any combination of the aforementioned
exemplary embodiments.
[0069] Although the invention has been described above by reference to a certain embodiment
of the invention, the invention is not limited to the embodiments described above.
Modifications and variations of the embodiment described above will occur to those
skilled in the art, in light of the above teachings.
1. An indwelling needle assembly (10) usable in combination with an infusion system for
infusion into a patient's body, the indwelling needle assembly (10) comprising:
- a needle (11; 21) having a needlepoint insertable into the patient's body;
- a sleeve (19; 29) slidably fitted on the needle (11; 21);
- a catheter (15) including a catheter tube (13; 23) slidably fitted on the sleeve
(19; 29);
- a base body (12) fixed to a proximal end of the needle (11; 21); and
- a slider (20) fixed to the sleeve (19; 29) and slidably engaged with the base body
(12) so as to be movable between a first position to have the needlepoint projecting
out of the sleeve (19; 29) and a second position to have the needlepoint retracted
in the sleeve (19; 29),
- wherein the needle (11; 21), the sleeve (19; 29), the base body (12) and the slider
(20) are unitarily extractable from the catheter (15),
characterized in that
- the catheter (15) includes
-- a distal end portion fitted on the needle (11; 21) and
-- a taper portion (24) continuously tapering from the catheter tube (13; 23) toward
the distal end portion.
2. The indwelling needle assembly (10) of claim 1, wherein the sleeve (19; 29) includes
an end selected from the group of a taper end (191) and an obliquely cutoff end, the
end projecting from the catheter (15) toward the needlepoint.
3. The indwelling needle assembly (10) of claim 1, wherein the sleeve (19; 29) is so
formed as to fill a space held between the needle (11,21) and the catheter (15).
4. The indwelling needle assembly (10) of any of claims 1 to 3, further comprising a
latch (221) for holding the slider (20) at the first position.
5. The indwelling needle assembly (10) of any of claims 1 to 4, further comprising a
stopper latch (201; 222) for stopping the slider (20) at the second position.
6. The indwelling needle assembly (10) of claim 4 or 5, further comprising
- an elastic body (32; 34) for urging the slider (20) toward the second position;
and
- a release (31; 35) for releasing the slider (20) from the first position, the release
(35) being fixed to the base body (12) to allow operation from an exterior of the
base body (12).
7. The indwelling needle assembly (10) of any of claims 1-6, wherein the sleeve (19;
29) includes a first sleeve (291) and a second sleeve (292) fitting on the first sleeve
(291).
8. The indwelling needle assembly (10) of any of claims 1-7, wherein the needle (21)
includes a hollow piercing portion (211) and a translucent body portion (212), and
the sleeve (19; 29) includes a translucent material.
1. Verweilnadelanordnung (10), die zusammen mit einem Infusionssystem für die Infusion
in den Körper eines Patienten verwendbar ist, wobei die Verweilnadelanordnung (10)
umfaßt:
- eine Nadel (11; 21), die eine in den Körper des Patienten einführbare Nadelspitze
besitzt;
- eine verschieblich auf der Nadel (11; 21) befestigte Hülse (19; 29),
- einen verschieblich auf der Hülse (19; 29) befestigten Katheter (15) mit einem Katheterrohr
(13; 23),
- einen Grundkörper (19), der an einem proximalen Ende der Nadel (11; 21) befestigt
ist, und
- einen Schieber (20), der an der Hülse (19; 29) befestigt ist und den Grundkörper
(12) verschieblich belegt, so daß er zwischen einer ersten Position, in welcher die
Nadelspitze aus der Hülse (19; 29) vorsteht, und einer zweiten Position, in welcher
die Nadelspitze in die Hülse (19; 29) zurückgezogen ist, beweglich ist,
- wobei die Nadel (11; 21), die Hülse (19; 29), der Grundkörper (12) und der Schieber
(20) gemeinsam von dem Katheter (15) ausziehbar sind,
dadurch gekennzeichnet, daß
- der Katheter (15) umfaßt
-- einen distalen Endabschnitt, der auf die Nadel (11; 21) aufgesetzt ist, und
-- einen konischen Abschnitt (24), der sich kontinuierlich konisch von dem Katherrohr
(13; 23) in Richtung auf den distalen Endabschnitt erstreckt.
2. Verweilnadelanordnung (10) nach Anspruch 1, wobei die Hülse (19; 29) ein Ende umfaßt,
das aus der aus einem konischen Ende (191) und einem schräg abgeschnittenen Ende bestehenden
Gruppe ausgewählt ist, wobei das Ende von dem Katheter (15) in Richtung auf die Nadelspitze
vorsteht.
3. Verweilnadelanordnung (10) nach Anspruch 1, wobei die Hülse (19; 29) so geformt ist,
daß sie einen zwischen der Nadel (11; 21) und dem Katheter (15) freigehaltenen Raum
ausfüllt.
4. Verweilnadelanordnung (10) nach einem der Ansprüche 1 bis 3, ferner umfassend eine
Klinke (221) zum Halten des Schiebers (20) in der ersten Position.
5. Verweilnadelanordnung (10) nach einem der Ansprüche 1 bis 4, ferner umfassend eine
Stoppklinke (201; 222) zum Stoppen des Schiebers (20) in der zweiten Position.
6. Verweilnadelanordnung (10) nach einem der Ansprüche 4 oder 5, ferner umfassend
- einen elastischen Körper (32; 34), um den Schieber (20) in die zweite Position zu
drängen, und
- einen Freigeber (31; 35), um den Schieber (20) aus der ersten Position freizugeben,
wobei der Freigeber (35) an dem Grundkörper (12) befestigt ist, um eine Betätigung
von einer Außenseite des Grundkörpers (12) aus zu ermöglichen.
7. Verweilnadelanordnung (10) nach einem der Ansprüche 1 bis 6, wobei die Hülse (19;
29) eine erste Hülse (291) und eine zweite Hülse (292) umfaßt, die auf die erste Hülse
(291) aufgesetzt ist.
8. Verweilnadelanordnung (10) nach einem der Ansprüche 1 bis 7, wobei die Nadel (21)
einen hohlen Eindringabschnitt (211) und einen lichtdurchlässigen Körperabschnitt
(212) umfaßt, und wobei die Hülse (19; 29) ein lichtdurchlässiges Material umfaßt.
1. Ensemble d'aiguille à demeure (10) pouvant être utilisé en combinaison avec un système
de perfusion, pour la perfusion dans le corps d'un patient, l'ensemble d'aiguille
à demeure (10) comprenant :
- une aiguille (11 ; 21) ayant une pointe d'aiguille pouvant être insérée dans le
corps du patient ;
- un manchon (19 ; 29) monté de manière coulissante sur l'aiguille (11 ; 21) ;
- un cathéter (15) comprenant un tube de cathéter (13 ; 23) monté de manière coulissante
sur le manchon (19 ; 29) ;
- un corps de base (12) fixé sur une extrémité proximale de l'aiguille (11 ; 21) ;
et
- un coulisseau (20) fixé sur le manchon (19 ; 29) et mis en prise de manière coulissante
avec le corps de base (12) afin d'être mobile entre une première position pour avoir
la pointe de l'aiguille qui fait saillie à l'extérieur du manchon (19 ; 29) et une
seconde position pour avoir la pointe de l'aiguille rétractée dans le manchon (19
; 29),
- dans lequel l'aiguille (11 ; 21), le manchon (19 ; 29), le corps de base (12) et
le coulisseau (20) peuvent être extraits de manière unitaire du cathéter (15),
caractérisé en ce que :
- le cathéter (15) comprend :
-- une partie d'extrémité distale montée sur l'aiguille (11 ; 21), et
-- une partie de rétrécissement progressif (24) se rétrécissant progressivement de
manière continue à partir du tube de cathéter (13 ; 23) vers la partie d'extrémité
distale.
2. Ensemble d'aiguille à demeure (10) selon la revendication 1, dans lequel le manchon
(19 ; 29) comprend une extrémité sélectionnée dans le groupe comprenant une extrémité
de rétrécissement progressif (191) et une extrémité coupée de manière oblique, l'extrémité
faisant saillie à partir du cathéter (15) vers la pointe d'aiguille.
3. Ensemble d'aiguille à demeure (10) selon la revendication 1, dans lequel le manchon
(19 ; 29) est formé afin de remplir un espace maintenu entre l'aiguille (11, 21) et
le cathéter (15).
4. Ensemble d'aiguille à demeure (10) selon l'une quelconque des revendications 1 à 3,
comprenant en outre un verrou (221) pour maintenir le coulisseau (20) dans la première
position.
5. Ensemble d'aiguille à demeure (10) selon l'une quelconque des revendications 1 à 4,
comprenant en outre un verrou de butée (201 ; 222) pour arrêter le coulisseau (20)
dans la seconde position.
6. Ensemble d'aiguille à demeure (10) selon la revendication 4 ou 5, comprenant en outre
:
- un corps élastique (32 ; 34) pour pousser le coulisseau (20) vers la seconde position
; et
- un dispositif de libération (31 ; 35) pour libérer le coulisseau (20) de la première
position, le dispositif de libération (35) étant fixé sur le corps de base (12) pour
permettre le fonctionnement à partir d'un extérieur du corps de base (12).
7. Ensemble d'aiguille à demeure (10) selon l'une quelconque des revendications 1 à 6,
dans lequel le manchon (19 ; 29) comprend un premier manchon (291) et un second manchon
(292) qui se monte sur le premier manchon (291).
8. Ensemble d'aiguille à demeure (10) selon l'une quelconque des revendications 1 à 7,
dans lequel l'aiguille (21) comprend une partie de perçage creuse (211) et une partie
de corps translucide (212), et le manchon (19 ; 29) comprend un matériau translucide.