Puncture instrument

• US 8,372,105 B2
• Filed: 08/22/2008
• Issued: 02/12/2013
• Est. Priority Date: 08/23/2007
• Status: Active Grant

• Current Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Original Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Inventors: Nishiuchi, Daisuke, Sugiyama, Takayuki
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): NGUYEN, TIN DUC
• Application Number:
  US12/673,281
• Publication Number:
  US 20110137203A1
• Time in Patent Office: 1,635 Days
• Field of Search: 606/181, 606/182, 606/185, 606/167, 606/183, 606/184, 600/583, 604/22, 604/110, 604/117, 604/207, 604/208, 604/210
• US Class Current: 606/181
• CPC Class Codes: A61B 5/150022 for capillary blood or interstitial fluid
• CPC Class Codes: A61B 5/150183 Depth adjustment mechanism using end caps mounted at the distal end of the sampling device, i.e. the end-caps are adjustably positioned relative to the piercing device housing for example by rotating or screwing
• CPC Class Codes: A61B 5/150259 Improved gripping, e.g. with high friction pattern or projections on the housing surface or an ergonometric shape
• CPC Class Codes: A61B 5/150335 by radiation
• CPC Class Codes: A61B 5/150412 Pointed piercing elements, e.g. needles, lancets for piercing the skin blade-like piercing elements A61B5/150442
• CPC Class Codes: A61B 5/150519 Details of construction of hub, i.e. element used to attach the single-ended needle to a piercing device or sampling device
• CPC Class Codes: A61B 5/150549 Protectors removed by rotational movement, e.g. torsion or screwing
• CPC Class Codes: A61B 5/15061 by material engagement, e.g. welding, bonding
• CPC Class Codes: A61B 5/150717 manually removed
• CPC Class Codes: A61B 5/150916 by blocking components, e.g. piston, driving device or fluid passageway
• CPC Class Codes: A61B 5/15105 Purely manual piercing, i.e. the user pierces the skin without the assistance of any driving means or driving devices
• 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 5/15125 comprising a vacuum or compressed fluids
• CPC Class Codes: A61B 5/15128 comprising 2D- or 3D-shaped elements, e.g. cams, curved guide rails or threads comprising tooth-shaped elements A61B5/15132
• CPC Class Codes: A61B 5/1513 comprising linear sliding guides comprising tooth-shaped elements A61B5/15132
• CPC Class Codes: A61B 5/15142 Devices intended for single use, i.e. disposable
• CPC Class Codes: A61B 5/15144 comprising driving means, e.g. a spring, for retracting the piercing unit into the housing

Abstract

A puncture instrument includes a needle assembly, a hub passage for axially guiding a hub, a needle passage communicating with the hub passage and having a distal end opening for allowing the tip end of a needle to project instantaneously therethrough, two arms having first junctions connected to the hub and inclined rearward in a direction away from the hub in an initial state, two push rods connected to second junctions of the arms and extending rearward, a button for pushing the push rods forwardly, and fulcrum members disposed more closely to the distal end than the arms for abutment against portions of the arms when the arms are moved. When the push rods are pushed forwardly by the button, the arms push the needle assembly forwardly, thereafter have portions thereof brought into abutment against the fulcrum members, and turn to pull the needle assembly rearward.

Claims

1. A puncture instrument comprising:

a case;

a needle assembly movably disposed in the case and including a needle and a hub holding the needle;

a hub passage for axially guiding the hub, the hub passage being disposed in the case;

a needle passage disposed in the case and communicating with the hub passage, the needle passage having a distal end opening for allowing a tip end of the needle to project therethrough;

at least one arm having a first junction on an end thereof connected to the hub and a second junction on another end thereof, the arm being inclined from the first junction toward a proximal end of the case in an initial state;

a push rod joined to the second junction and extending toward the proximal end;

a pusher for pushing the push rod toward a distal end of the case; and

a fulcrum member separate from the arm in the initial state and abutting against a portion of the arm when the arm moves;

wherein when the push rod is pushed toward the distal end by the pusher, the arm pushes the needle assembly toward the distal end, brings the portion thereof into abutment with the fulcrum member, and turns about the fulcrum member, so that the arm is inclined from the first junction toward the distal end thereby to pull back the needle assembly toward the proximal end.

2. A puncture instrument according to claim 1, wherein the push rod comprises a leaf spring which is elastically deformable under force applied from the arm when the push rod is pushed toward the distal end by the pusher.

3. A puncture instrument according to claim 1, wherein the arm is inclined toward the proximal end in a direction away from the hub in the initial state, and when the push rod is pushed toward the distal end as the pusher is pushed, the arm turns about the fulcrum member and inclined toward the distal end in a direction away from the hub.

4. A puncture instrument according to claim 1, wherein at least one of the first junction and the second junction is narrower than the arm and is plastically deformable when the arm turns and changes its inclination direction.

5. A puncture instrument according to claim 1, wherein the hub includes a base on a proximal end portion thereof and having a flat surface parallel to a plane in which the arm turns, the first junction being rotatably connected to the base at a position which is spaced a predetermined distance from a longitudinal axis of the hub.

6. A puncture instrument according to claim 1, wherein the pusher includes a convex or concave engaging portion, and the case includes a first engageable portion for engaging the engaging portion when the pusher is in an initial position and a second engageable portion for engaging the engaging portion when the pusher is in a stroke end position.

7. A puncture instrument according to claim 6, wherein the pusher is movably disposed in an inner cavity formed in the case and has a proximal end projecting from the case by a distance ranging from 5 to 30 mm when the pusher is in an initial position, and projecting from the case by a distance of less than 5 mm when the pusher is in a stroke end position.

8. A puncture instrument according to claim 1, wherein the needle passage is narrower than the hub passage, and a step is provided between the needle passage and the hub passage, for abutting a distal end surface of the hub on the step to limit the needle assembly against movement.

9. A puncture instrument according to claim 1, wherein the arm comprises two arms and the push rod comprises two push rods, the two arms and the two push rods being symmetrical about a longitudinal axis of the hub.

10. A puncture instrument according to claim 1, further comprising:

biasing means for biasing the pusher to be pushed toward the distal end; and

a stopper for limiting the pusher biased by the biasing means against movement toward the distal end and releasing the pusher in response to operation of a trigger.

11. A puncture instrument according to claim 1, wherein the case is of a hollow cylindrical shape, further comprising:

a protective cap removably mounted on the distal end of the case for holding and sealing the needle in the needle passage.

12. A puncture instrument comprising:

a case;

a needle assembly movably disposed in the case and including a needle and a hub holding the needle;

a hub passage for axially guiding the hub, the hub passage being disposed in the case;

a needle passage disposed in the case and communicating with the hub passage, the needle passage having a distal end opening for allowing a tip end of the needle to project therethrough;

at least one arm having a first junction on an end thereof connected to the hub and a second junction on another end thereof, the arm being inclined from the first junction toward a proximal end of the case in an initial state;

a push rod joined to the second junction and extending toward the proximal end;

a pusher for pushing the push rod toward a distal end of the case; and

a fulcrum member positioned distally of the first junction in the initial state and abutting against a portion of the arm when the arm moves;

wherein when the push rod is pushed toward the distal end by the pusher, the arm pushes the needle assembly toward the distal end, brings the portion thereof into abutment with the fulcrum member, and turns about the fulcrum member, so that the arm is inclined from the first junction toward the distal end thereby to pull back the needle assembly toward the proximal end.

13. A puncture instrument according to claim 12, wherein the at least one arm comprises two arms spaced apart from one another on opposite sides of a longitudinal axis of the hub and each connected to the hub at a respective first junction located at one end of the arm and each possessing a respective second junction at an opposite end of the arm, each of the arms being inclined in the initial state so that the first junction of each arm is positioned distally of the second junction of the respective arm, the fulcrum member abutting against a portion of each arm when the arms move from the initial state toward the fulcrum in response to pushing of the push rod to turn each arm about the fulcrum and cause the second junction of each arm to be positioned distally of the first junction of the respective arm.

14. A puncture instrument according to claim 12, wherein the arm is inclined toward the proximal end in a direction away from the hub in the initial state, and when the push rod is pushed toward the distal end as the pusher is pushed, the arm turns about the fulcrum member and changes inclination so that the arm is inclined toward the distal end in a direction away from the hub.

15. A puncture instrument according to claim 12, wherein at least one of the first junction and the second junction is narrower than the arm and is plastically deformable when the arm turns and changes its inclination direction.

16. A puncture instrument according to claim 12, wherein the hub includes a base on a proximal end portion of the hub and having a flat surface parallel to a plane in which the arm turns, the first junction being rotatably connected to the base at a position spaced a predetermined distance from a longitudinal axis of the hub.

17. A puncture instrument according to claim 12, wherein the pusher includes a convex or concave engaging portion, and the case includes a first engageable portion configured to engage the engaging portion when the pusher is in an initial position and a second engageable portion configured to engage the engaging portion when the pusher is in a stroke end position.

18. A puncture instrument according to claim 12, wherein the needle passage is narrower than the hub passage, and a step is provided between the needle passage and the hub passage, for abutting a distal end surface of the hub on the step to limit the needle assembly against movement.

19. A puncture instrument according to claim 12, wherein the at least one arm comprises two spaced apart arms each connected to the hub at respective first junctions spaced apart from one another.

20. A puncture instrument comprising:

a case;

a needle assembly movably disposed in the case and including a needle and a hub holding the needle;

a hub passage for axially guiding the hub, the hub passage being disposed in the case;

a needle passage disposed in the case and communicating with the hub passage, the needle passage having a distal end opening for allowing a tip end of the needle to project therethrough;

at least one arm connected to the hub at a first junction located at one end of the at least one arm, the at least one arm also including a second junction on an opposite end of the at least one arm, the arm being inclined from the first junction toward a proximal end of the case in an initial state so that the first junction is positioned distally of the second junction;

a push rod joined to the second junction and extending toward the proximal end;

a pusher for pushing the push rod toward a distal end of the case;

a fulcrum member for abutting against a portion of the arm when the arm moves; and

the push rod being movable toward the distal end by the pusher to cause the arm to push the needle assembly toward the distal end, to bring the portion of the arm into abutment with the fulcrum member and turn the arm about the fulcrum member so the arm is inclined from the first junction toward the distal end such that the second junction is positioned distally of the first junction to thereby pull back the needle assembly toward the proximal end.