The present invention relates to a sensor insertion device that inserts a sensor for measuring biological information into a patient's body to perform continuous blood glucose measurement, for example.
The configuration of a conventional sensor insertion device is as follows.
Specifically, a conventional sensor insertion device comprises a lower case that has an upper surface opening, an upper case that covers the outer periphery of the lower case from above, a sensor base that is disposed inside the lower case and holds a sensor, a needle holder that is disposed above the sensor base so as to be movable up and down and in which a guide needle of the sensor is held, and a needle holder raising mechanism that raises the needle holder.
The needle holder raising mechanism is disposed inside the upper case, and includes a spring that is compressed when the upper case is pushed down. After the needle holder has been lowered, the stored energy in this spring is released to raise the needle holder (for example, Patent Literature 1).
Patent Literature 1: Japanese Unexamined Patent Application Publication No. 2015-509011
A problem encountered with the conventional example given above is that when the guide needle is pulled out from the upper arm of the patient, the patient ends up experiencing more discomfort.
That is, with a conventional sensor insertion device, the guide needle is pulled out from the upper arm of the patient by the release of the stored energy of the spring, and the guide needle that has been pulled out hits a stopper and comes to a stop. The loud snap produced when the guide needle and the stopper collide increases discomfort (fear) on the part of the patient.
In view of this, it is an object of the present invention to reduce patient discomfort when using a sensor insertion device.
In order to achieve this object, the sensor insertion device of the present invention comprises a lower case that has an upper surface opening; an upper case that is disposed around the outer periphery of the lower case, covering from above, and slidably with respect to the lower case, and that is operated downward by a user when performing a needle insertion operation; a sensor base that is disposed inside the lower case and that holds a sensor for acquiring biological information; a needle holder that is disposed above the sensor base so as to be movable up and down, and that holds a guide needle which is to be inserted into a patient's body in order to guide the sensor into the body; and a needle holder raising mechanism that raises the needle holder holding the guide needle that has been inserted into the patient's body, wherein the needle holder raising mechanism has a pinion gear that raises the needle holder; a first rack gear that is provided to the needle holder and is engaged with the pinion gear; and a second rack gear that is provided to the upper case and is engaged with the pinion gear. As the upper case descends, the pinion gear raises the needle holder by engagement with the second rack gear.
The present invention achieves its intended purpose by this configuration.
As described above, with the present invention, after the guide needle of the needle holder has been inserted, the needle holder is raised by the pinion gear provided to the needle holder raising mechanism, so there is no snap noise produced by a spring, and patient discomfort (fear) can be reduced.
Embodiments of the present invention will now be described in detail with reference to the drawings.
In Embodiment 1, “upper” and “lower” refer to “upper” and “lower” in the usage state of the sensor insertion device 1 shown in
In this embodiment, the biological information to be measured is the blood glucose level. For example, so-called continuous blood glucose measurement is performed in which a patient's blood glucose level is continuously measured every five minutes for one or two weeks. This makes it possible to spot any tendencies of the glucose level of the patient within a certain period, and to ascertain the glucose level during sleep.
As shown in
The lower case 7 and the upper case 8 have a rectangular shape that is wider than it is long in plan view.
As shown in
As shown in
As shown in
The slide guides 14 are provided to the two long side surfaces 15 of the lower case 7 disposed opposite each other, and are formed so as to protrude in a stepped shape from the inner surface, in the central portion in the longitudinal direction, from top to bottom. In a state in which the rear surfaces of the grip portions 13 of the upper case 8 are in contact with the surface of the slide guides 14, these rear surfaces are slid in the up and down direction (usage state).
Because the long side surfaces 12 of the upper case 8 are thus provided with the grip portions 13 that are recessed toward the inner surface side, the grip portions 13 are smaller, and do not protrude out from the outer surface of the upper case 8. Therefore, as shown in
The user of the sensor insertion device 1 may be the patient himself, or may be a third party such as a nurse or a caregiver.
The detailed configurations of the various components will be described below.
As shown in
As mentioned above, the sensor base 4 is disposed at the bottom outlet 10 portion in the interior of the antibacterial wall 17. The antibacterial wall 17 has in its interior a needle unit 19 held by a sensor holder 18, above the sensor base 4. More precisely, as shown in
In this state, the sensor unit 3 of the sensor 6 (see
The sensor base 4 has formed in it a through-hole 21 for moving the guide needle 20 up and down in a state of being inserted.
One of the main features of this embodiment is that, as shown in
Also, as shown in
That is, an antibacterial chamber 25 has the upper opening 16 on the upper side, and the bottom outlet 10 (an example of the lower opening of the antibacterial chamber 25) on the lower side. The upper opening 16 is sealed by the antibacterial sheet 22, and the bottom outlet 10 is sealed by the antibacterial sheet 24. Consequently, the space inside the antibacterial wall 17 becomes the antibacterial chamber 25.
In the state prior to the use of the sensor insertion device 1, the sensor unit 3, the sensor holder 18, the sensor base 4, the needle unit 19, the guide needle 20, and the like are housed inside the antibacterial chamber 25 as mentioned above.
In a state in which the space inside the antibacterial wall 17 has been sealed by the antibacterial sheet 22 and the antibacterial sheet 24, it is irradiated from the outside with an electron beam. Consequently, the sensor unit 3, the sensor holder 18, the sensor base 4, the needle unit 19, and the guide needle 20 disposed within the antibacterial wall 17 are subjected to a sterilization treatment, and are kept in a sterile state.
Meanwhile, as shown in
The engaging arms 27 are engaged with engagement holes 28 (see
As will be described in detail below, during descent of the upper case 8, needle holder 26 is holding the needle unit 19 (see
The sensor insertion device 1 of this embodiment is provided with the needle holder raising mechanism 30A that raises the needle holder 26 in order to pull the guide needle 20 (see
More specifically, as shown in
As shown in
Also, as shown in
Rack gears (first rack gears) 33 that engage with the pinion gears 30 are provided along the up and down direction on the inner surface side of the upper case 8. The rack gears 33 are disposed at the portions opposite the pinion gears 30 on the inner surface side of the short side surfaces 29. The lower portions of the rack gears 33 are engaged with the two pinion gears 30.
Rack gears (second rack gears) 34 are provided on the outer surface side of the needle holder 26, along the up and down direction on both side surfaces opposite the pinion gears 30. The two pinion gears 30 are engaged with the upper portions of the rack gears 34 at both side surfaces of the needle holder 26.
As shown in
The two pinion gears 30 are disposed so as to be sandwiched on both sides by the rack gears 33 and 34, and do not rotate until the needle insertion operation shown in
That is, the pinion gears 30, the rack gears 33, and the rack gears 34 constitute the needle holder raising mechanism 30A that raises the needle holder 26. With this configuration, after the needle insertion operation shown in
Accordingly, the user can perform the needle insertion operation and the needle extraction operation with the guide needle 78 using the sensor insertion device 1 by the same operation as when pushing down on the upper case 8 (in the direction of inserting the needle into the patient 2). This makes the device more convenient for the user.
Also, the needle holder 26 is provided with a needle carrier 36 whose lower end side is cylindrical, as shown in
As described above, because the grip portions 13, which are recessed inward, are provided to the long side surfaces 12 of the upper case 8, the grip portions 13 are smaller, so that it is easier for the user to grasp the grip portions 13. In this embodiment, the pinion gears 30 are disposed in the upper case 8 at the positions of the long side surfaces 12 of the upper case 8 where the grip portions 13 are not formed, that is, at both side portions of the grip portions 13 on the long side surfaces 12. Thus, pinion gears 30 are provided at positions away from the recessed part of the grip portions 13 of the upper case 8. Accordingly, the grip portions 13 can be favorably recessed inward, allowing the upper case 8 to have a compact shape that is easy to hold.
Engagement protrusions 37 (see
As discussed above, when the upper case 8 is placed over the lower case 7, the four engagement protrusions 37 (see
When using the sensor insertion device 1 configured as above, the user lifts up the sensor insertion device 1 by grasping the grip portions 13 of the upper case 8 shown in
The lower end side of the needle carrier 36 is disposed opposite the upper end side of the needle unit 19, with the antibacterial sheet 22 in between.
Furthermore, the lower end portion of the needle carrier 36 has a cylindrical shape which holds an outer peripheral surface of the needle unit 19 as shown in
When the user pushes down on the upper case 8 with at least a specific amount of force from the state shown in
As shown in
With the needle carrier 36 of the needle holder 26, as shown in
That is, in this embodiment, the antibacterial chamber 25 is provided inside the lower case 7 that is unitized with the upper case 8. Therefore, the sterile state of the antibacterial chamber 25 is maintained until the time of its actual use, so a hygienic state can be maintained.
Also, the needle unit 19 has a conical portion 40 (or a truncated conical portion) protruding upward at its upper end. Accordingly, the antibacterial sheet 22 broken by the blades 39 is pushed into an antibacterial sheet holder 41 provided in the needle carrier 36, by the conical portion 40 of the needle unit 19.
When the upper case 8 is further depressed, as shown in
In this embodiment, in a state in which the needle carrier 36 holds the needle unit 19, the top of the conical portion 40 of the needle unit 19 is inserted into the antibacterial sheet holder 41 of the needle carrier 36.
Therefore, the broken antibacterial sheet 22 is pushed into the antibacterial sheet holder 41 by the conical portion 40 of the needle unit 19. In this state, the antibacterial sheet 22 is then pressed against the inner wall surface of the antibacterial sheet holder 41 by an O-ring 42 provided on the side surface of the needle unit 19.
As a result, the broken antibacterial sheet 22 is held inside the antibacterial sheet holder 41, and therefore does not hinder the operation of the sensor insertion device 1.
When the upper case 8 is further depressed in a state in which the needle holder 26 holds the needle unit 19, the sensor unit 3 held by the sensor holder 18 is mounted on the upper surface side of the sensor base 4 as shown in
At this point, the sensor 6 protrudes downward from the bottom surface 23 of the lower case 7 along with the guide needle 20, and the skin is punctured by the guide needle 20. The sensor base 4 is attached to the patient's body 2 by an adhesive portion 43 provided on the lower surface of the sensor base 4. That is, the sensor 6 is inserted into the body 2 along with the guide needle 20.
When the guide needle 20 is inserted, the shafts 31 of the pinion gears 30 move downward in the shaft support grooves 32 and until reaching shaft supports 35 provided to the lower case 7.
The operation of extracting the guide needle 20 will now be described.
In this embodiment, as shown in
This will be described in detail below.
When the user further depresses the upper case 8 after the needle insertion operation shown in
On the other hand, when the upper case 8 slides further downward, the rack gears 33 inside the upper case 8 slide downward. Therefore, the pinion gears 30 engaged with the rack gears 33 on the upper case 8 side rotate on both sides of the needle holder 26. This rotational force is transmitted to the rack gears 34 on the lower case 7 side that are engaged with the pinion gears 30.
Therefore, the needle holder 26 is lifted up by receiving an upward drive force from the rack gears 34 disposed on both sides, and slides upward (rises) from the state shown in
As a result, the guide needle 20 held by the needle holder 26 is extracted from the patient's body 2 and stowed in the lower case 7 as shown in
The pinion gears 30 rotate while sliding in the upper case 8 along the shaft support grooves 32 with which the shafts 31 on both sides are engaged.
The force by which the pinion gears 30 lift the needle holder 26 is greater than the force of engagement between the engaging arms 27 of the upper case 8 and the engagement holes 28 of the needle holder 26. Therefore, the engagement between the upper case 8 and the needle holder 26 is released, and the needle holder 26 can rise through the upper case 8.
After this, when the user lifts up the upper case 8, as shown in
As a result, as shown in
As described above, the sensor insertion device 1 of this embodiment comprises the lower case 7, the upper case 8, the sensor base 4, the needle holder 26, and the needle holder raising mechanism 30A. The lower case 7 has the upper surface opening 9. The upper case 8 is placed over the outer periphery of the lower case 7 and is disposed slidably with respect to the lower case, and is operated downward by the user when performing a needle insertion operation. The sensor base 4 is disposed in the lower case 7 and holds the sensor 6. The needle holder raising mechanism 30A raises the needle holder 26, which is disposed so as to be movable up and down above the sensor base 4 and holds the guide needle 20 of the sensor 6. The needle holder raising mechanism 30A has the pinion gears 30, the rack gears 34, and the rack gears 33. The pinion gears 30 raise the needle holder 26. The rack gears 34 are provided to the needle holder 26 and engage with the pinion gears 30. The rack gears 33 are provided to the upper case 8 and engage with the pinion gears 30. As the upper case 8 descends, the pinion gears 30 raise the needle holder 26 by engagement with the rack gears 33.
Therefore, after the guide needle 20 of the needle holder 26 has been inserted, the needle holder 26 can be raised by the pinion gears 30 provided in the upper case 8 by further lowering the upper case 8. As a result, no snapping sound is generated by a spring, and patient discomfort (fear) can be reduced.
Also, the sensor insertion device 1 of this embodiment comprises the lower case 7, the upper case 8, the antibacterial chamber 25, the antibacterial sheet 22, the antibacterial sheet 24, and the needle carrier 36. The lower case 7 has the upper surface opening 9 and the bottom outlet 10. The upper case 8 is placed over the outer periphery of the lower case 7 from above and is disposed slidably with respect to the lower case 7, and is operated downward by the user when performing a needle insertion operation. The antibacterial chamber 25 is provided in the lower case 7 and houses the needle unit 19, which includes the guide needle 20 to be inserted into the patient's body 2, and the sensor unit 3, which includes the sensor 6 for acquiring a blood glucose level. The antibacterial sheet 22 is attached to the upper opening of the antibacterial chamber 25. The antibacterial sheet 24 is attached to the bottom outlet 10 corresponding to the lower opening of the antibacterial chamber 25. The needle carrier 36 is provided to the portion in the upper case 8 that is opposite the upper surface of the antibacterial sheet 22, and engages with the needle unit 19 in the antibacterial chamber 25 when the upper case 8 is lowered.
That is, since the antibacterial chamber is provided in the lower case 7 that is unitized with the upper case 8, the sterile state of the antibacterial chamber is maintained until the time of its actual use, and as a result, a hygienic state can be maintained.
The sensor insertion device of the present invention can be specified as follows.
That is, the sensor insertion device according to the first invention comprises:
a lower case having an upper surface opening:
an upper case that is placed over the outer periphery of the lower case from above, is disposed slidably with respect to the lower case, and is operated downward by a user when performing a needle insertion operation;
a needle unit and a sensor unit that are disposed in the lower case;
a needle holder that is disposed movably in the up and down direction in the upper case;
a needle holder raising mechanism that is provided movably in the up and down direction and has pinion gears that raise the needle holder holding the guide needle that has been inserted;
an outlet of the sensor unit provided on the bottom surface of the lower case;
an engagement mechanism that is disposed on the upper case and the needle holder and that engages the upper case and the needle holder when the upper case is lowered;
first rack gears that are provided to the upper case and engage with the pinion gears; and
second rack gears that are provided to the needle holder and engage with the pinion gears,
wherein
the lower case has shaft supports that support the shafts of the pinion gears, and
when the pinion gears move downward and reach the shaft supports, the needle holder is raised by the engagement of the pinion gears with the first rack gears and the second rack gears.
The sensor insertion device according to the second invention is the sensor insertion device according to the first invention,
wherein the shafts of the pinion gears reach the shaft supports in a state in which the operation of inserting the guide needle into the patient's body is complete.
The sensor insertion device according to the third invention is the sensor insertion device according to the first or second invention,
wherein the upper case is provided with shaft support grooves that are formed along the up and down direction of the upper case, and that hold the shafts of the pinion gears.
The sensor insertion device according to the fourth invention is the sensor insertion device according to the third invention,
wherein the shafts of the pinion gears are disposed at the lower ends of the shaft support grooves when the upper case moves downward until the operation for inserting the guide needle into the patient's body is complete.
The sensor insertion device according to the fifth invention is the sensor insertion device according to any of the first to fourth inventions,
wherein the upper case has a rectangular shape that is wider than it is long in plan view, is formed on the opposed long surfaces of the upper case, and has grip portions that are recessed stepwise from top to bottom, and inward protrusions that protrude stepwise at positions on the inner surface side corresponding to the grip portions, and
the lower case has slide guides that are provided at the portions corresponding to the grip portions and over which the inward protrusions of the grip portions slide.
The sensor insertion device according to the sixth invention is the sensor insertion device according to the fifth invention,
wherein the grip portions are provided on the long sides of the upper case in the central portion in the longitudinal direction, from above to below, and the pinion gears are disposed on both sides of the grip portions in the upper case.
The sensor insertion device according to the seventh invention is the sensor insertion device according to the sixth invention,
wherein the second rack gears are provided on both side surfaces of the needle holder.
The sensor insertion device according to the eighth invention is the sensor insertion device according to any of the fifth to seventh inventions,
wherein the engagement mechanism has a first engagement portion provided to the inside of the grip portions of the upper case, and a second engagement portion provided to the portion of the needle holder opposite the first engagement portion.
The sensor insertion device of the present invention can be specified as follows.
That is, the sensor insertion device according to the eleventh invention comprises:
a cylindrical lower case having an upper surface opening and a bottom outlet;
an upper case that has a lower surface opening, is placed over the outer periphery of the lower case from above, is disposed slidably with respect to the lower case, and is operated downward by the user when performing a needle insertion operation:
an antibacterial chamber that is provided in the lower case, and in is housed a sensor unit that includes a needle unit including a guide needle to be inserted into a patient's body, and a sensor for acquiring biological information about the patient's body;
a first antibacterial sheet that is attached to an upper opening of the antibacterial chamber;
a second antibacterial sheet that is attached to the bottom outlet corresponding to the lower opening of the antibacterial chamber; and
a needle carrier that is provided in a portion of the upper case that is opposite the upper surface of the first antibacterial sheet, and that engages with the needle unit in the antibacterial chamber when the upper case is lowered.
The sensor insertion device according to the twelfth invention is the sensor insertion device according to the eleventh invention,
wherein the needle carrier has blades that break the first antibacterial sheet when the upper case is lowered.
The sensor insertion device according to the thirteenth invention is the sensor insertion device according to the twelfth invention,
wherein the needle carrier has a cylindrical shape for holding the outer periphery of the needle unit.
The sensor insertion device according to the fourteenth invention is the sensor insertion device according to the thirteenth invention, wherein the blades are formed at the cylindrical lower opening edge of the needle carrier.
The sensor insertion device according to the fifteenth invention is the sensor insertion device according to any of the twelfth to fourteenth inventions,
wherein the needle unit has a conical portion or a truncated conical portion protruding upward at its upper end portion, and in a state in which the needle unit is held by the needle carrier, the top of the conical portion or the truncated conical portion of the needle unit is inserted into the needle carrier.
As shown in
As shown in
This will now be described in detail with reference to the drawings.
In Embodiment 2, “upper” and “lower” refer to “upper” and “lower” in the usage state of the sensor insertion device 51 shown in
In this embodiment, the biological information to be measured is the blood glucose level. For example, so-called continuous blood glucose measurement is performed in which a patient's blood glucose level is continuously measured every five minutes for one or two weeks. This makes it possible to spot any tendencies of the glucose level of the patient within a certain period, and to ascertain the glucose level during sleep.
As shown in
As shown in
As shown in
As shown in
That is, the upper case 58 has a cylindrical shape like the lower case 57, and these are put together so as to be stacked one above the other. The outer peripheral surface of the upper case 58 is provided with grip portions 62 that are gripped by the user. Furthermore, a contact portion 64 that makes contact with the user's palm during use is provided on the upper surface portion 63 of the upper case 58. Also, cylindrical slide guides 65 are provided on the outer peripheral surface of the lower case 57 at the portions corresponding to the grip portions 62 of the upper case 58.
As a result, during use of the sensor insertion device 51, the user can use the five fingers of the left hand to grasp the grip portions 62 of the upper case in a state in which the palm of the right hand is in contact with the contact portion 64. This makes the usage state (discussed below) extremely stable.
The user of the sensor insertion device 51 may be the patient himself, or may be a third party such as a nurse or a caregiver.
The detailed configurations of the various components will be described below.
As shown in
As shown in
The base holder 66 is such that three base engaging portions 69 provided at substantially equal angular intervals along the outer peripheral portion engage with first engaging prongs 70 provided at substantially equal angular intervals in the middle of the lower case 57 (see A in
The needle holder 67 is substantially disk shaped, and is provided movably in the lower case 57 in the up and down direction (the insertion direction). The pinion gear 71, the first rack gear 72, and the second rack gear 73 constituting the needle holder raising mechanism 74 for raising the needle holder 67 are disposed on the upper surface side of the needle holder 67, as shown in
The needle holder raising mechanism 74 is disposed near the center of the lower case 57 and the needle holder 67. More precisely, the pinion gear 71 is provided near the center axis of the cylindrical lower case 57 and the substantially disk-shaped needle holder 67.
The pinion gear 71 is connected to a shaft 75 extending from the left and right ends of the gear portion.
The shaft 75 is provided as the rotational axis of the pinion gear 71, and is disposed in a state in which its longitudinal direction is perpendicular to the central axis of the lower case 57. The ends of the shaft 75 are supported by shaft supports 76 provided on the inner surface of the lower case 57. Therefore, the pinion gear 71 rotates in the middle of the lower case 57 while being supported by the shaft supports 76.
The first rack gear 72, which has a substantially quadrangular prism shape, is engaged with the pinion gear 71. The first rack gear 72 is provided so as to protrude upward from the upper surface of the needle holder 67. The first rack gear 72 is engaged with the pinion gear 71 on the lower side of the gear portion in the pre-use state shown in
Also, as shown in
The guide needle 78 includes the sensor 56 for measuring biological information (blood glucose level, etc.).
In the pinion gear 71, as shown in
The upper end side of the second rack gear 73 is a fixed end that is fixed to the ceiling of the upper case 58, and the lower end side is a flexible free end. Accordingly, the lower end side of the second rack gear 73 is movable outward in the radial direction from the center axis of the upper case 58. The second rack gear 73 is disposed so as to sandwich the pinion gear 71 from the left and right sides along with the first rack gear 72. That is, the first rack gear 72 and the second rack gear 73 are disposed such that their engaging teeth face each other in a state in which the upper case 58 has been lowered (see
Thus, the needle holder raising mechanism 74 is disposed near the central axis of the lower case 57 and the needle holder 67. This allows the needle holder 67 that has undergone the needle insertion operation to be pulled up stably. This needle extraction operation will be described below.
The needle holder 67 is provided with three (a plurality of) needle holder engaging portions 79 at equal angular intervals along the outer peripheral portion of its upper surface. Needle holder pressing portions 80 are provided on the inner surface of the upper case 58 at the portions opposite the needle holder engaging portions 79 (see the B portion in
That is, since the needle holder pressing portions 80 are engaged with the needle holder engaging portions 79, when the upper case 58 is lowered, the needle holder 67 is pushed (slid) downward.
Furthermore, as shown in
When using the sensor insertion device 51 configured as above, the user grasps the upper case 58 and lifts up the sensor insertion device 51, and presses the bottom outlet 60 of the lower case 57 against his body 52.
From here, the operation of inserting the guide needle 78 is performed.
More specifically, the user presses the upper case 58 downward (toward his body 52) from the state shown in
At this point, as shown in
Consequently, in the base holder 66, the three base engaging portions 69 on the outer periphery are disengaged from the first engaging prongs 70, and the hold of the base holder 66 on the lower case 57 is released. Therefore, as the needle holder 67 held by the upper case 58 descends, the base holder 66 and the sensor base 54 descend all at once.
That is, the engagement force between the needle holder pressing portions 80 on the upper case 58 side and the needle holder engaging portions 79 on the needle holder 67 side greater than the engagement force between the base engaging portions 69 on the base holder 66 side and the first engaging prongs 70 on the lower case 57 side.
Consequently, the engagement between the needle holder pressing portions 80 on the upper case 58 side and the needle holder engaging portions 79 on the needle holder 67 side is maintained, while the engagement of the base holder 66 with the lower case 57 is released, allowing the base holder 66 to be lowered.
When the needle holder 67 is lowered, the first rack gear 72 fixed to the upper surface of the needle holder 67 rotates the engaged pinion gear 71 counterclockwise, going from the state shown in
In the state prior to the needle insertion operation shown in
At this point, as shown in
At this point, as shown in
At this point, as shown in
Specifically, when the needle insertion operation shown in
In this state, the operation of inserting the guide needle 78 ends.
Next, the operation of extracting the guide needle 78 will be described.
In this embodiment, as shown in
The needle extraction operation will now be described in specific terms.
When the user further presses the upper case 58 down from the state in which the needle insertion operation shown in
Accordingly, the second rack gear 73 fixed to the upper case 58 moves downward, engages with the pinion gear 71 from the lower end (the free end side), and rotates the pinion gear 71 clockwise. This rotational force is transmitted through the pinion gear 71 to the first rack gear 72. As a result, as shown in
As a result, the guide needle 78 held by the needle holder 67 is pulled out of the patient's body 52 and stowed in a needle accommodation portion 84 provided to the base holder 66, leaving the sensor 56 in the patient's body 52. Therefore, the guide needle 78 protruding from the bottom outlet 60 of the lower case 57 is stowed in the lower case 57. The sensor 56 is left inside the patient's body 52.
After this, when the user lifts up the upper case 58, as shown in
As a result of the above operation, the sensor base 54 is mounted on the patient's body 52 in a state in which the sensor 56 is inserted into the patient's body 52, as shown in
This concludes the series of operations (needle insertion operation and needle extraction operation) by the sensor insertion device 51.
Accordingly, the user can perform the needle insertion operation and the needle extraction operation of the guide needle 78 using the sensor insertion device 51 by the same operation, namely, pushing down on the upper case 58 (the direction of inserting the needle into patient's body 52). This makes the device more convenient for the user to use.
At this point, the guide needle 78 extracted from the patient's body 52 is stowed in the needle accommodation portion 84 provided to the base holder 66, so that it is protected by the base holder 66. That is, the base holder 66 becomes a lid that covers the bottom outlet 60, and the guide needle 78 is covered by the base holder 66. This means that the user or another person will not accidentally touch the guide needle 78, which lowers the risk of blood infection.
As described above, with the sensor insertion device 51 in this embodiment, after the guide needle 78 is inserted into the patient's body 52, the needle holder 67 is raised by the pinion gear 71 provided to the lower case 57. This avoids the generation of a snapping sound made by a spring during a conventional needle extraction operation, which reduces patient discomfort (fear).
Furthermore, with the sensor insertion device 51 in this embodiment, the pinion gear 71, the first rack gear 72, and the second rack gear 73 constituting the needle holder raising mechanism 74 are disposed near the center axis of the cylindrical lower case 57 and near the center axis of the needle holder 67, as shown in
As a result, a stable needle extraction operation can be performed.
With the sensor insertion device 51 in this embodiment, the lower end side of the second rack gear 73 fixed to the upper case 58 is formed as a flexible free end, as shown in
As a result, a stable needle extraction operation can be performed.
Furthermore, with the sensor insertion device 51 in this embodiment, as shown in
Accordingly, during the needle insertion operation, since the first rack gear 72 is provided between two adjacent needle holder engaging portions 79, the first rack gear 72 can be lowered stably. Therefore, the first rack gear 72 that has been lowered in a stable state rotates the pinion gear 71, so a stable needle insertion operation can be performed.
Furthermore, with the sensor insertion device 51 in this embodiment, as shown in
Therefore, during the needle insertion operation, the needle unit 77 also descends in a stable state directly below the first rack gear 72 that is lowered in a stable state. As a result, a stable needle insertion operation can be performed.
Furthermore, in the sensor insertion device 51 in this embodiment, the needle holder engaging portions 79 of the needle holder 67 are provided at three places at equal angular intervals along the outer peripheral portion of the needle holder 67. That is, the needle holder engaging portions 79 are disposed so as to form an equilateral triangle.
Therefore, since the three needle holder engaging portions 79 press the needle holder 67 down at equal angular intervals, a more stable needle insertion operation can be performed.
Furthermore, with the sensor insertion device 51 in this embodiment, as shown in
Therefore, the user can press down the upper case 58 with the palm, with which it is easy to apply force, in the needle insertion operation and the needle extraction operation, and thus can perform stable needle insertion and needle extraction.
The second rack gear 73 here may be configured such that its lower end side is inclined to the opposite side from the pinion gear 71, that is, to the side farther away from the pinion gear 71, as shown in the portion D in
That is, the second rack gear 73 is inclined so as to move away from the pinion gear 71 as it proceeds downward.
With this configuration, since the lower end side of the second rack gear 73 is inclined away from the pinion gear 71, the lower end side of the second rack gear 73 can be gradually engaged with the pinion gear 71.
As a result, proper engagement can be achieved between the second rack gear 73 and the pinion gear 71, so a stable needle extraction operation can be performed.
The height of the engaging teeth formed on the lower end side of the second rack gear 73 may be lower than the height of the engaging teeth formed above the second rack gear 73.
With this configuration, since the lower end side of the second rack gear 73 is engaged with the pinion gear 71 from engaging teeth that are lower in height, the lower end side of the second rack gear 73 can be gradually engaged with the pinion gear 71.
As a result, just as described above, since proper engagement can be achieved between the second rack gear 73 and the pinion gear 71, a stable needle extraction operation can be performed.
As described above, the sensor insertion device 51 in this embodiment comprises the lower case 57, the upper case 58, the sensor base 54, the needle holder 67, and the needle holder raising mechanism 74. The lower case 57 has the upper surface opening 59. The upper case 58 is placed over the outer periphery of the lower case 57 from above, is disposed slidably with respect to the lower case, and is pressed downward by the user when a needle insertion operation is performed. The sensor base 54 is disposed in the lower case 57, and holds the sensor 56 for acquiring biological information. The needle holder 67 is disposed movably in the up and down direction above the sensor base 54, and holds the guide needle 78 that is inserted into the patient's body to guide the sensor 56 into the body. The needle holder raising mechanism 74 raises the needle holder 67 that holds the guide needle that has been inserted into the patient's body. The needle holder raising mechanism 74 has the pinion gear 71, the first rack gear 72, and the second rack gear 73. The pinion gear 71 raises the needle holder 67. The first rack gear 72 is provided to the needle holder 67 and is engaged with the pinion gear 71. The second rack gear 73 is provided to the upper case 58 and is engaged with the pinion gear 71. As the upper case 58 descends, the pinion gear 71 raises the needle holder 67 by engaging with the second rack gear 73.
That is, with the sensor insertion device 51 in this embodiment, after the guide needle 78 of the needle holder 67 has been inserted the upper case 58 is pressed further downward, so that the needle holder 67 is raised by the pinion gear 71 and the first and second rack gears 72 and 73 included in the needle holder raising mechanism 74. Therefore, no snapping sound is produced by a spring, and patient discomfort (fear) can be reduced.
The present invention is anticipated to find use as a sensor insertion device for inserting a sensor for measuring biological information into a patient's body, for performing continuous blood glucose measurement, for example.
Number | Date | Country | Kind |
---|---|---|---|
2018-056500 | Mar 2018 | JP | national |
2018-056582 | Mar 2018 | JP | national |
2018-124530 | Jun 2018 | JP | national |
Filing Document | Filing Date | Country | Kind |
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PCT/JP2019/002656 | 1/28/2019 | WO | 00 |