1. Field of the Invention
The present invention relates to an adapter, which is mounted on a syringe when dispensing a liquid substance such as blood, and a dispensing kit and a needle kit provided therewith.
2. Description of the Related Art
Blood which has been collected from a patient (including a human and another animal) is dispensed into a container such as Spitz, and is then subjected to treatment such as centrifugation. At this time, in some cases, an anticoagulant is mixed with blood in order to prevent coagulation of blood.
Examples of the method of mixing an anticoagulant with blood include: (1) a method of collecting blood using a vacuum blood collection tube in which an anticoagulant is sealed in advance, and then, mixing the collected blood with inversion (JP1983-38536A (JP-558-38536A)); (2) a method of collecting blood using a syringe in which an anticoagulant is applied to the inner wall thereof, and then, mixing the collected blood with inversion (JP2001-224575A); and (3) a method of dispensing blood, after being collected, into an examination container (for example, Microtina trace blood collection tube manufactured by Becton, Dickinson and Company (registered trademark)) in which an anticoagulant is sealed, and mixing the dispensed blood with inversion.
However, in the above-described method of (1), in some cases, when blood is collected from an infant or a small animal, it is impossible to collect enough blood for a specified collection amount of a vacuum blood collection tube. In addition, in the method of (2), in some cases, the anticoagulant is mixed with all of the collected blood, and therefore, such a sample cannot be used in other examinations. In this case, it is necessary to collect blood again using another syringe, which is an inefficient operation. In addition, increase in the number of times (in particular, the number of times of piercing with a needle) of collecting blood increases a burden on a patient (in particular, on an animal), which is not preferable.
In addition, in the above-described method of (3), blood comes into contact with the air when dispensing blood into the examination container from a syringe. Therefore, coagulation easily occurs, and there is a restriction on an operation in that dispensing of blood needs to be promptly performed and mixing blood with inversion needs to be promptly performed after the dispensing. At this time, in a case where the dispensing is performed by, for example, a person who is not familiar with the dispensing operation, coagulation may not be able to be effectively prevented.
The present invention has been made from the viewpoint of above-described problems, and an object of the present invention is to provide an adapter for blood sample dispensing which enables change of the presence and absence of a medicine to be mixed in a blood sample or the type of the medicine thereof during dispensing while suppressing contact of the blood sample with the air, and a dispensing kit and a needle kit provided therewith.
In order to solve the above-described problems, there is provided an adapter for blood sample dispensing which is mounted on a distal portion of a syringe and has a piping structure, in which the adapter has a fitting portion fitted to the distal portion of the syringe at one end, a nozzle portion at the other end, and a flange portion on an outer circumference surface, and in which the adapter has a medicine, to be mixed in the blood sample, on the inside of the nozzle portion.
Moreover, in the adapter of the present invention, it is preferable that the inner wall surface of the nozzle portion is a bumpy surface. In addition, it is preferable that the adapter has an inner wall projection portion, which is formed in a spiral shape, on the inner wall surface of the nozzle portion.
In addition, in the adapter of the present invention, it is possible to employ a structure in which the medicine is applied to the inner wall of the nozzle portion or a structure in which the medicine is supported by a support.
In addition, in the adapter of the present invention, it is preferable that an outer wall projection portion is erected on the outer wall surface of the nozzle portion, and a gap is caused between the flange portion and an opening portion by bringing the outer wall projection portion and a dispensing container into contact with each other when the nozzle portion is inserted into the opening portion which is formed in the dispensing container into which the blood sample is dispensed. In this case, it is preferable that the effective diameter of a distal portion of the nozzle portion, which is an effective diameter of the nozzle portion and a diameter of a minimum circumscribed circle of the nozzle portion and the outer wall projection portion, is a size allowing the distal portion to be inserted into the opening portion. In addition, the outer wall projection portion has a tapered shape which tapers.
It is possible to employ a configuration in which the outer wall projection portion extends in an axial direction of the nozzle portion. In this case, it is preferable that the outer wall projection portion has a step portion in which the effective diameter of the nozzle portion changes from a value greater than the inner diameter of the opening portion to a value which allows the adapter to be fitted to the opening portion, toward a distal end. In addition, it is preferable that there are three or more outer wall projection portions which are disposed in parallel in a circumferential direction of the nozzle portion.
It is possible to employ a configuration in which the outer wall projection portion extends in a spiral shape along the circumferential surface of the nozzle portion.
In addition, in the adapter of the present invention, the length L between a distal end of the outer wall projection portion and the distal end of the nozzle portion satisfies the following Formula 1 when the inner diameter of the opening portion is set to W, the depth of the opening portion is set to D, the outer diameter of the distal end of the nozzle portion is set to φ1, and the effective diameter of the nozzle portion in a section, in which a gap for the nozzle portion inclining in the opening due to the difference between the inner diameter of the opening portion and the effective diameter of the nozzle portion is formed between the opening portion and the section, out of sections of the nozzle portion and the outer wall projection portion, is set to φ2.
In addition, in a case where the adapter of the present invention is provided with the outer wall projection portion, it is possible to employ a configuration in which the effective diameter of a distal portion of the nozzle portion is larger than the inner diameter of the opening portion.
In addition, in the adapter of the present invention, the flange portion may have a through port or a notch.
In addition, in the adapter of the present invention, it is preferable that the length of the nozzle portion is 3 mm to 30 mm and the outer diameter of the flange portion is 8 mm to 30 mm.
In addition, in the adapter of the present invention, it is preferable that the volume of an internal space of the nozzle portion is 10 μL to 1 mL.
In addition, in the adapter of the present invention, it is preferable that the adapter has a specific color corresponding to the type of the medicine.
A dispensing kit of the present invention includes: the adapter described above which is provided with the outer wall projection portion; and a dispensing container having an opening portion which is fitted to the outer wall projection portion.
Furthermore, a needle kit of the present invention includes: the adapter described above; and a needle having a needle base which is fitted to the distal portion of the syringe. The nozzle portion of the adapter also capable of being fitted to the needle base. Moreover, the needle kit of the present invention may also include the syringe having the distal portion which is fitted to the fitting portion of the adapter.
The adapter for blood sample dispensing of the present invention, and the dispensing kit and the needle kit provided wherewith include a medicine, which is to be mixed in a blood sample, on the inside of the nozzle portion. Therefore, it is possible to mix the medicine in the blood sample by simply mounting the adapter on the syringe for dispensing only when it is necessary to mix the medicine in the blood sample. As a result, due to the attachment/detachment of the adapter, it is possible to change the presence and absence of a medicine to be mixed in a blood sample or the type of the medicine thereof during dispensing while suppressing the contact of the blood sample with the air.
Hereinafter, embodiments of the present invention will be described using the drawings, but the present invention is not limited thereto. In order to allow easy visibility, the scale or the like of each of the components in the drawing is appropriately different from reality.
In the following embodiments, a syringe, which is used during blood collection and a blood examination, and an adapter and a dispensing container corresponding to the syringe will be described in order to provide clear explanation.
First, a first embodiment of an adapter will be described.
As shown in
In addition, the syringe kit according to the present embodiment is constituted of the adapter according to the present embodiment; and the syringe 7 which is formed of, for example, the syringe main body 20 and a plunger 21 as shown in
The nozzle portion 2 is a section of the piping structure which the distal portion 20a of the syringe 7 does not reach when the adapter 1 is mounted on the syringe 7. The inner wall surface of the nozzle portion 2 is coated with the anticoagulant 5. When blood S in the syringe 7 flows out from the nozzle portion 2, the blood S and the anticoagulant 5 come into contact with each other, and therefore, the anticoagulant 5 is mixed in the blood S. The outer diameter of a distal end 2a of the nozzle portion 2 is preferably smaller than the inner diameter (smallest inner diameter out of inner diameters of spots) of the fitting portion 3. The inner diameter of the fitting portion 3 reflects the outer diameter of the distal portion 20a of the syringe 7, and this is because the outer diameter of the distal end 2a of the nozzle portion 2 becomes smaller than that of the distal portion 20a as the outer diameter of the distal end 2a of the nozzle portion 2 is smaller than the inner diameter of the fitting portion 3. Accordingly, an operation of inserting the nozzle portion 2 into a container becomes easy. In addition, the inner diameter of the distal end 2a of the nozzle portion 2 is preferably greater than or equal to 0.5 mm in order to prevent hemolysis while blood passes the nozzle portion. The nozzle portion 2 preferably has a tapered shape which tapers toward the distal end.
The length of the nozzle portion 2 is particularly preferably 3 mm to 30 mm. This is because the blood S and the anticoagulant 5 enter a state of being sufficiently mixed with each other (for example, in view of the amount of the anticoagulant 5 mixed in and evenness of the mixing) while the blood passes the nozzle portion if the length of the nozzle portion is longer than or equal to 3 mm, and handling of the adapter becomes easy during dispensing if the length of the nozzle portion is shorter than or equal to 30 mm. The length of the nozzle portion is the same length as that of a commercially available disposable chip for a pipette. In addition, the volume of the internal space of the nozzle portion 2 is preferably greater than or equal to 10 μL in view of not wasting a small amount of blood, and is preferably less than or equal to 1 mL in order to sufficiently mix blood with the anticoagulant.
The fitting portion 3 is a section of the piping structure which is fitted to the distal portion 20a of the syringe 7, and the shape, the inner diameter, and the length of the fitting portion, are designed to be suitable for the shape, the size, and the length of the distal portion 20a to be mounted on. For example, the fitting portion 3 is designed to be suitable for a syringe such as JIS T-3210 of the JIS standard. The adapter 1 is mounted on the syringe 7 through insertion of the distal portion 20a from an end portion 3a of the fitting portion 3 (refer to
The flange portion 4 has a function of preventing blood S from adhering to the hand when the adapter 1 is mounted on the syringe 7 using the hand, and a function of fixing the posture of the adapter 1 to a container 30 by bringing the adapter into contact with an opening portion of the container 30 as shown in
The material of the adapter 1 is preferably a resin such as polyethylene (PE), polypropylene (PP), and polystyrene (PS). In addition, the adapter 1 is manufactured through, for example, integral molding using a resin as described above.
An examination using the adapter of the present invention is carried out as follows, for example. First, after collecting blood using a syringe, in a case of preparing an examination sample which is mixed with no anticoagulant, the blood in the syringe is dispensed into an examination container as it is without mounting an adapter. Then, after a required number of examination samples which are mixed with no anticoagulant are prepared, the process moves to preparation of examination samples which are mixed with an anticoagulant. In a case of preparing examination samples which are mixed with an anticoagulant, blood is dispensed into an examination container such as Spitz by mounting the adapter on the syringe. Then, the syringe and the adapter are discarded as they are after the completion of the preparation of all of the examination samples mixed with an anticoagulant. It is possible to easily prepare the examination samples which are mixed with an anticoagulant while suppressing the contact of blood with the air, by mounting the adapter on the syringe after the preparation of the examination samples which are mixed with no anticoagulant as described above. The same also applies to a case of examining a general blood sample (for example, a sample in which a medicine having no effect on all of examination results is mixed in blood in advance).
As described above, the adapter for blood sample dispensing according to the present embodiment includes an anticoagulant, which is to be mixed in blood, on the inside of the nozzle portion. Therefore, it is possible to mix the anticoagulant in blood by simply mounting the adapter on the syringe for dispensing only when it is necessary to mix the anticoagulant in blood. As a result, due to the attachment/detachment of the adapter, it is possible to change the presence and absence of an anticoagulant to be mixed in blood during dispensing while suppressing the contact of blood with the air.
In the present invention, the “medicine” refers to a compound to be mixed with blood. Accordingly, in the first embodiment, the case in which the medicine is an anticoagulant has been described. However, the medicine in the present invention is not limited thereto, and a coagulation accelerant or a separating agent (including a serum separating agent and a blood plasma separating agent) may be used. For example, as the medicine, it is possible to use at least one kind of ethylenediaminetetraacetic acid (EDTA), heparin sodium, heparin lithium, sodium citrate, trisodium citrate, fluoride, and potassium oxalate as an anticoagulant, or at least one kind of silica, thrombin, and diatomaceous earth as a coagulation accelerant. In addition, examples of the separating agent include a polyester gel.
In addition, in the first embodiment, the case in which the presence and absence of a medicine is changed has been described. However, the adapter of the present invention may be used in order to change the type of the medicine. For example, a dispensing method of performing dispensing using an adapter to which a type A medicine has been applied after first performing dispensing without adapter, and then, exchanging the adapter, to which the type A medicine has been applied, with an adapter to which a type B medicine has been applied for dispensing can be considered. Furthermore, in a case of applying different types of medicines as described above to adapters, if the colors of the adapters are set to specific colors corresponding to the types of the medicines, it becomes easy to visually recognize the types of the medicines, and therefore, it is possible to prevent a mistake. The color scheme complies with, for example, a color code of JIS T3233 of the JIS standard. The place to which color is applied may be the entire adapter or only a part of the adapter (for example, the flange portion, or an outer wall projection portion to be described below).
In addition, in the first embodiment, the case in which a medicine is applied to the inner wall of the nozzle portion has been described, but the present invention is not limited thereto. That is, in the present invention, provision of a medicine “on the inside of the nozzle portion” includes a case in which a medicine is held in an internal space of the nozzle portion as well as a case in which a medicine is applied only to the inner wall of the nozzle portion. For example, a support 15 (for example, a sheet formed of cotton or a non-woven fabric which can adsorb a medicine) supporting a medicine may be installed inside a nozzle portion 11 as shown in
In addition, in the adapter of the present invention, a structure causing a turbulent flow may be formed on the inner wall of the nozzle portion in order to promote the mixing of a medicine with blood. For example,
In addition, in the adapter of the present invention, in order to secure difficulty of dripping of a medicine when the nozzle portion faces downward, a projection portion 18b protruding toward the center may be provided at an end portion 18a of a nozzle portion 18 as shown in
Next, a second embodiment of an adapter will be described. The adapter according to the present embodiment is mainly different from the adapter according to the first embodiment in that the adapter according to the present embodiment has an outer wall projection portion on the outer wall surface of the nozzle portion. Accordingly, the detailed description of the same configuration as that in the first embodiment will not be repeated unless particularly necessary.
As shown in
The outer wall projection portion 36 is constituted of three ribs (straight ribs) extending straight in an axial direction (direction along the central axis of the nozzle portion 32) of the nozzle portion 32 from the flange portion 34. The three ribs are erected at even intervals in a circumferential direction of the nozzle portion. In the outer wall projection portion 36, at least a part of the effective diameter of the nozzle portion on at least a distal side is set to a size such that the part of the outer wall projection portion is inserted into the opening 40a. The effective diameter of the nozzle portion at a certain position means an overall thickness (outer diameter) of the nozzle portion considering the size of the outer wall projection portion as well (that is, considering the existence of the outer wall projection portion), and is set to a diameter (refer to
The outer wall projection portion 36 preferably has a tapered shape which tapers as shown in
As described above, the adapter for blood sample dispensing according to the present embodiment and the dispensing kit provided therewith include a medicine, to be mixed in a blood sample, on the inside of the nozzle portion, and therefore, the same effect as that of the first embodiment is exhibited. In addition, the adapter according to the present embodiment includes the outer wall projection portion which forms a ventilation passage on the outer wall surface of the nozzle portion when the nozzle portion is inserted into the opening of the dispensing container, and therefore, it is possible to smoothly perform the dispensing operation.
In the second embodiment, the case in which a medicine is supported by a support has been described. However, needless to say, a medicine in the present embodiment may also be applied to the inner wall of the nozzle portion 32. In addition, the ribs constituting the outer wall projection portion in the present invention is not limited to the three straight ribs. That is, the number of ribs may be one, two, or greater than or equal to four. Alternately, the ribs may extend so as to be twisted in an axial direction of the nozzle portion. However, the number of ribs is preferably greater than or equal to 3 in view of safety when an adapter is inserted into a dispensing container. In addition, in a case where there are a plurality of ribs, it is unnecessary for the plurality of ribs to be arranged at even intervals. In addition, the plate-like ribs have been described in the present embodiment. However, the shapes of the ribs are not limited thereto, and may be, for example, a triangular pyramid. Furthermore, it is unnecessary for the ribs to be connected to the flange portion.
Furthermore,
In addition,
In addition,
In addition,
Next, a third embodiment of an adapter will be described. An adapter 51 according to the present embodiment is mainly different from the adapter according to the second embodiment in that the length L between a distal end 56a of an outer wall projection portion 56 and a distal end 52a of a nozzle portion 52 is set to be within a predetermined range. Accordingly, the detailed description of the same configuration as that in the second embodiment will not be repeated unless particularly necessary.
Specifically,
As shown in
Similarly to the second embodiment, the outer wall projection portion 56 is constituted of three ribs (straight ribs) extending straight in an axial direction of the nozzle portion 52 from the flange portion 54. The three ribs are erected at even intervals in a circumferential direction of the nozzle portion. In addition, the outer wall projection portion 56 has a step portion 56b in which the effective diameter of the nozzle portion 52 changes from a value greater than the size of the above-described opening 40a to a value which allows the adapter 51 to be fitted to the above-described opening 40a, toward the distal end. Furthermore, the outer wall projection portion 56 has a tapering portion, in which the effective diameter of the nozzle portion 52 decreases toward the distal end of the nozzle portion 52, and extends up to the vicinity of the distal end 52a of the nozzle portion 52 while maintaining the effective diameter at the position at which the tapering ends, even after the position at which the tapering portion ends. The effective diameter of the nozzle portion 52 at a certain position is a diameter of a minimum circumscribed circle 57 including the nozzle portion 52 and the outer wall projection portion 56 at the position as described above.
The length L between the distal end 56a of the outer wall projection portion 56 and the distal end 52a of the nozzle portion 52 (which is a distance between the distal ends along an central axis of the nozzle portion 52; refer to
In a case where the effective diameter φ2 of the nozzle portion of the above-described section R1 is constant along an axial direction of the nozzle portion, the effective diameter is set to a constant value thereof, and in a case where the effective diameter changes along the axial direction of the nozzle portion, the effective diameter is set to a minimum effective diameter in a region R2 which is one-third of the above-described section R1 on the flange portion side. The reason that the region R2 which is one-third of the section R1 on the flange portion side is considered when the effective diameter changes along the axial direction of the nozzle portion is that, in many cases, in an operation in which the adapter is pulled out of the opening from a state (fitted state) in which the adapter is fitted to the opening, the nozzle portion is inclined in an initial stage of the pulling operation. The reason that there are many cases in which the nozzle portion is inclined in the initial stage of the pulling operation is that the adapter is swung from side to side when, for example, releasing the fitted state of the adapter, or the adapter is swung in order to drop blood remaining at a distal end of the nozzle portion within a dispensing container before the adapter is removed after the fitted state is released.
Accordingly, in the present embodiment, the effective diameter of the nozzle portion 52 in a terminal position A on the distal side of the region R2 in
The upper limit of the above-described Formula 2 is based on the following reason.
In contrast, the lower limit of the above-described Formula 2 is based on the following reason.
A specific lower limit value is determined through the following method.
In the above-described Formula 3, if θ is approximated to cos θ≈1 as a small value, the following Formula 4 can be obtained.
In contrast, in a case where the nozzle portion 52 is inclined at an angle θ as shown in
For example, the inner diameter W of the opening portion of a general dispensing container is 6 mm and the depth D thereof is 2.5 mm. In the adapter corresponding to the above-described dispensing container, the outer diameter φ1 of the distal end of the nozzle portion is 2.4 mm and the effective diameter φ2 of the nozzle portion of the section in which the above-described gap is formed is 5.2 mm. In this case, in the above-described calculation, the nozzle portion is inclined about 18 degrees, and the distance L between the distal end of the outer wall projection portion and the distal end of the nozzle portion is set to be within a range of greater than or equal to 0.8 mm and less than 2.5 mm.
As described above, the adapter for blood sample dispensing according to the present embodiment and the dispensing kit provided therewith include a medicine, to be mixed in a blood sample, on the inside of the nozzle portion, and therefore, the same effect as that of the first embodiment is exhibited. In addition, the adapter according to the present embodiment includes the outer wall projection portion which forms a ventilation passage on the outer wall surface of the nozzle portion when the nozzle portion is inserted into the opening of the dispensing container, and therefore, the same effect as that of the second embodiment is exhibited. Furthermore, in the adapter according to the present embodiment, the distance between the distal end of the outer wall projection portion and the distal end of the nozzle portion is set to be within the above-described predetermined range, and therefore, it is possible to reduce the phenomenon of adhesion of blood remaining at the distal end of the nozzle portion to the adapter and the dispensing container.
In the third embodiment, the case in which the outer wall projection portion is constituted of the straight ribs has been described, but the outer wall projection portion may be formed of spiral ribs. That is, the distance between a distal end of a spiral rib and the distal end of the nozzle portion is set to be within the above-described predetermined range.
In the third embodiment, the case in which a medicine is supported by the support has been described. However, needless to say, the medicine may be applied to the inner wall of the nozzle portion 52. In addition, the ribs constituting the outer wall projection portion in the present embodiment are not limited to the three straight ribs, and the description of the ribs is the same as that in the second embodiment.
Next, a fourth embodiment of an adapter will be described. An adapter 61 according to the present embodiment is mainly different from the adapter according to the third embodiment in that a distal end 62a of a nozzle portion 62 can be fitted to a needle base 69b of a needle 69 which is attached to a syringe. Accordingly, the detailed description of the same configuration as that in the third embodiment will not be repeated unless particularly necessary.
The needle kit according to the present embodiment is constituted of the adapter 61, the syringe 67, and the needle 69 as shown in
The needle 69 is constituted of a needle main body 69a (needle pipe) and the needle base 69b which holds the needle main body 69a. The material or the size of the needle main body 69a is not particularly limited. For example, the material of the needle main body 69a is stainless alloy and the diameter of the pipe thereof is 0.4 mm to 1.2 mm. The material of the needle base 69b is, for example, resins such as PE, PP, and PS, and the needle base 69b has an opening portion which can be fitted to a distal portion 67a of the syringe 67. The needle 69 is used such that a fitting portion of the needle base 69b and the distal portion 67a of the syringe 67 are fitted to each other (refer to
The adapter 61 is the same as, for example, the adapter 51 (refer to
In the related art, when collection of blood is finished, the needle 69 is removed from the syringe 67 and is discarded as it is. In addition, when the dispensing is finished, the adapter 61 and the syringe 67 are discarded as they are in a state in which the adapter and the syringe are fitted to each other. However, if the needle kit according to the present embodiment is used, it is possible to integrally discard the needle 69, the adapter 61, and the syringe 67 in a state in which the needle 69 and the adapter 61 are fitted to each other and the adapter 61 and the syringe 67 are fitted to each other as shown in
In the fourth embodiment, the case in which the section of the distal end 62a of the nozzle portion 62 in which no outer wall projection portion 66 exists, and the needle base 69b can be fitted to each other has been described. However, a section of the distal end 62a of the nozzle portion 62 in which the outer wall projection portion 66 exists, and the needle base 69b may be fitted to each other. That is, in this case, the effective diameter of the nozzle portion 62 in which the outer wall projection portion 66 exists is set to a value which coincides with the inner diameter φ4 of the fitting portion of the needle base 69b so as to be fitted thereto.
Number | Date | Country | Kind |
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2013-138606 | Jul 2013 | JP | national |
2014-046086 | Mar 2014 | JP | national |
2014-133768 | Jun 2014 | JP | national |
This application is a Continuation of PCT International Application No. PCT/JP2014/067535 filed on Jul. 1, 2014, which claims priority under 35 U.S.C. §119(a) to Japanese Patent Application No. 2013-138606 filed on Jul. 2, 2013, Japanese Patent Application No. 2014-046086 filed on Mar. 10, 2014 and Japanese Patent Application No. 2014-133768 filed on Jun. 30, 2014. Each of the above application(s) is hereby expressly incorporated by reference, in its entirety, into the present application.
Number | Date | Country | |
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Parent | PCT/JP2014/067535 | Jul 2014 | US |
Child | 14972404 | US |