Centesis Instrument

• US 20090275860A1
• Filed: 03/20/2006
• Published: 11/05/2009
• Est. Priority Date: 03/31/2005
• Status: Active Grant

• Current Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Original Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Inventors: Nishiuchi, Daisuke, Nakamura, Toshihisa, Takinami, Masao, Yaguchi, Yoshiaki
• Granted Patent: US 8,147,425 B2
• Time in Patent Office: Days
• US Class Current: 600/573
• CPC Class Codes: A61B 5/150022 for capillary blood or interstitial fluid
• CPC Class Codes: A61B 5/150198 Depth adjustment mechanism at the proximal end of the carrier of the piercing element
• CPC Class Codes: A61B 5/150358 Strips for collecting blood, e.g. absorbent optical reagent test strips G01N21/8483; chemical reagent test strips G01N33/4875, G01N33/52
• CPC Class Codes: A61B 5/150435 Specific design of proximal end
• CPC Class Codes: A61B 5/150503 Single-ended needles hollow piercing element tip design A61B5/150396, needle sets for catheters A61M25/06, needles for bringing media into the body A61M5/32
• CPC Class Codes: A61B 5/15113 Manually triggered, i.e. the triggering requires a deliberate action by the user such as pressing a drive button
• CPC Class Codes: A61B 5/15117 comprising biased elements, resilient elements or a spring, e.g. a helical spring, leaf spring, or elastic strap
• CPC Class Codes: A61B 5/15123 comprising magnets or solenoids
• CPC Class Codes: A61B 5/15142 Devices intended for single use, i.e. disposable
• CPC Class Codes: A61B 5/1519 comprising driving means, e.g. a spring, for propelling the piercing unit
• CPC Class Codes: A61B 5/15194 fully automatically retracted, i.e. the retraction does not require a deliberate action by the user, e.g. by terminating the contact with the patient's skin

Abstract

A centesis instrument, wherein a patient applies a contact part to a palm, a finger, or an arm in the state of gripping an outer tube by hand and presses the outer tube against its measured portion. A third coiled spring is compressed to increase spring power. When the outer tube reaches a prescribed position, the tip face of the vertical portion of a centesis button reaches a hole part, and a projected part is allowed to be pressed. When the patient presses a button body from a direction perpendicular to the axis of the button body by using a finger at that position, a locking piece is separated from a locking part and the centesis needle of a centesis needle unit is instantaneously projected from the opening part of the contact part to the measured portion by the spring power of the third coiled spring for centesis. Thus, a prescribed amount of blood can be taken out from the measured portion.

Claims

1. A puncture instrument comprising:

a first tube;

a second tube mounted in said first tube;

a drive mechanism displaceably mounted in said second tube;

a puncture needle unit disposed on a distal end of said drive mechanism and having a puncture needle;

an abutting member for being pushed against a living body surface, said abutting member being disposed on a distal end of said second tube; and

a puncture controller for allowing said puncture needle to puncture said living body surface when a pushing force applied to said living body surface by said abutting member reaches a predetermined value or more.

2. A puncture instrument according to claim 1, wherein said puncture controller includes a push button disposed on said first tube and a hole formed in said second tube for allowing said push button to be displaced, and wherein when said push button moves with said first tube along said second tube to said hole, said push button is displaceable into said hole, confirming that a pushing force applied to the living body surface has reached a predetermined value.

3. A puncture instrument according to claim 2, further comprising a first biasing member disposed in said first tube for biasing said second tube in a direction toward the distal end thereof, a second biasing member disposed in said second tube for displacing said drive mechanism in a direction toward a proximal end thereof, and a third biasing member disposed in said second tube for displacing said drive mechanism in the direction toward the distal end thereof.

4. A puncture instrument according to claim 3, further comprising a lock mechanism disposed on said drive mechanism for locking said drive mechanism on said second tube against a biasing force of said third biasing member and unlocking said drive mechanism from said second tube.

5. A puncture instrument according to claim 4, wherein said lock mechanism comprises a pushed member, said pushed member being capable of abutting against said push button through said hole, said drive mechanism having an engaging piece which is releasable from an engaging portion of said second tube to allow said drive mechanism to be displaced in the direction toward the distal end when said push button pushes said pushed member.

6. A puncture instrument according to claim 5, further comprising a notifying unit for notifying that the pushing force applied to said living body surface by said abutting member reaches the predetermined value or more, through at least one of tactile, visual, and auditory sensations.

7. A puncture instrument according to claim 6, wherein said notifying unit notifies that the pushing force applied to said living body surface by said abutting member reaches the predetermined value or more, through the tactile sensation based on a change in sliding resistance between said push button and said second tube.

8. A puncture instrument according to claim 1, wherein said puncture controller comprises a puncture button disposed on said first tube and an electric control mechanism for controlling displacement of said drive mechanism.

9. A puncture instrument according to claim 8, wherein said electric control mechanism comprises a first switch for opening and closing an electric circuit depending on the position to which said second tube is displaced, a second switch actuatable by said puncture button, and an actuator for displacing said drive mechanism.

10. A puncture instrument according to claim 8, further comprising a notifying unit for notifying that the pushing force applied to said living body surface by said abutting member reaches the predetermined value or more, through at least one of tactile, visual, and auditory sensations.

11. A puncture instrument according to claim 1, further comprising a continuous pushing prompter for prompting a user to keep said abutting member pushed against said living body surface until an appropriate amount of blood seeps out of the living body surface after the living body surface is punctured.

12. A puncture instrument according to claim 1, further comprising a first biasing member disposed in said first tube for biasing said second tube in a direction toward the distal end thereof, a second biasing member disposed in said second tube for displacing said drive mechanism in a direction toward a proximal end thereof, and a third biasing member disposed in said second tube for displacing said drive mechanism in the direction toward the distal end thereof.

13. A puncture instrument according to claim 12, further comprising a lock mechanism disposed on said drive mechanism for locking said drive mechanism on said second tube against a biasing force of said third biasing member and unlocking said drive mechanism from said second tube.

14. A puncture instrument according to claim 1, further comprising a notifying unit for notifying that the pushing force applied to said living body surface by said abutting member reaches the predetermined value or more, through at least one of tactile, visual, and auditory sensations.