The present invention relates to a syringe-like hand switch employed for controlling introduction of a chemical liquid into an injector head for injecting the chemical liquid into a patient.
In order to cure an ischemic heart disease according to catheterization, coronary angioplasty has recently been employed. The coronary angioplasty denotes an intravascular operation of dilating an occluded or stenosed lesion in the cardiac artery (coronary artery) by catheterization, and is referred to as percutaneous transluminal angioplasty (PCTA) or percutaneous coronary intervention (PCI).
As instruments employed for this coronary angioplasty, a balloon (balloon catheter), a mesh metal (stent), a high-speed-rotating olivary drill (rotor blater), a DCA (dee cee éi) excising an arteriosclerotic tissue by pressing a cutter and the like are employed. A cure employing each of these instruments is performed under angiography with a contrast medium injector referred to as an injector head.
While it follows that a proper injection rate is appropriately selected under the judgment of an operator in injection of a contrast media into a patient, a hand switch disclosed in International Patent Laying-Open No. WO2004-086438 (Patent Document 1) can be listed as such a one that the operator controls the injection rate of the contrast medium.
In this hand switch disclosed in Patent Document 1, the injection rate of the contrast medium is controlled by controlling the quantity of light with a photosensor technique, in order to provide an explosion-proof hand switch.
In the aforementioned hand switch, however, the injection speed for the contrast medium is controlled on the basis of the quantity of light responsive to the quantity of pressing, and the injection rate cannot be simultaneously controlled by the hand switch. The contrast medium is injected from the injector head with the hand switch mainly because the injection pressure is high and a constant contrast medium must be stably injected within a constant time.
Patent Document 1: International Patent Laying-Open No. WO2004-086438
A problem to be solved by the present invention resides in such a point that a conventional hand switch controls only the injection speed for a chemical liquid and cannot simultaneously control the injection rate when controlling introduction of the chemical liquid into an injector head for injecting the chemical liquid such as a contrast medium into a patient. Accordingly, an object of the present invention is to provide a syringe-like hand switch enabling control of both parameters of the injection speed and the injection rate with a sense of using a conventional syringe when controlling introduction of a chemical liquid into an injector head for injecting the chemical liquid such as a contrast medium into a patient.
The syringe-like hand switch based on the present invention is a syringe-like hand switch employed for controlling introduction of a chemical liquid into an injector head for injecting the chemical liquid into a patient, and comprises a cylinder portion provided to extend in one direction, a plunger portion provided to be pressable into and extractable from the aforementioned cylinder portion, a slit region provided on the aforementioned plunger portion to move following movement of the aforementioned plunger portion, on which light transmission regions and light shielding regions are alternately arranged, and a photosensor provided on the aforementioned cylinder portion and having light transmission means for transmitting light and photoreceiving means receiving light emitted from the aforementioned light transmission means and transmitted through the said slit region, which are opposed to each other through the aforementioned slit region.
The aforementioned slit region and the aforementioned photosensor are provided with a positioning mechanism mutually positioning the aforementioned photosensor and the aforementioned slit region so that the aforementioned photosensor is located on a position for sensing movement of the aforementioned slit region when the aforementioned plunger portion is inserted and moved into the aforementioned cylinder portion and located on a position for retreating from the aforementioned slit region when the aforementioned plunger portion is extracted from the aforementioned cylinder portion.
According to the syringe-like hand switch based on the present invention, the photosensor is located on the position for sensing movement of the slit region when the plunger portion is inserted and moved into the cylinder portion. Consequently, it follows that the light transmission regions and the light shielding regions alternately formed on the slit region are sensed by the photosensor when the plunger portion is pressed by an operator.
When a control portion of the injector head recognizes a signal passing through the light transmission regions as “1” and a signal passing through the light shielding regions as “0” in the signal from the photosensor, the “injection rate” and the “injection speed” of the chemical liquid can be decided in correspondence to the “quantity” and the “speed” of the signal “1” passing through the light transmission regions in a unit time, for example.
Consequently, the hand switch according to the present invention has the syringe-like shape comprising the cylinder portion and the plunger portion, whereby the operator is enabled to control introduction of the chemical liquid (control the “injection rate” and the “injection speed”) into the injector head for injecting the chemical liquid such as a contrast medium into a patient with a sense of pressing a syringe.
1,2,3 syringe-like hand switch, 100,300,400 cylinder portion, 110 finger hook portion, 150 guide hole, 151 guide member, 152 rotating shaft, 153 pinion gear, 156 rear stopper, 157 front stopper, 180,380,480 plunger portion, 181 bar portion, 182 finger pad portion, 183 rack, 187 rotating disc, 187a retreat region, 187b slit region, 190 coil spring, 200 optical fiber cable, 201 photosensor, 201a light transmission means, 201b photoreceiving means, 301,401 cover, 350,450 base plate, 350a,450a finger hook hole, 351,351 outer sidewall, outer guide wall, 351g,351g guide protrusion, 381,481 bar portion, 381a,482 finger receiving portion, 382 guide shaft portion, 383,383 guide groove, 384,384 inner guide wall, 384a notched region, 384s guide slit, 384z support portion, 385 block, 385a through-hole, 385g guide protrusion, 386 O-ring, 387 plate, 387a light shielding region, 387b light transmission region, 451,451 outer sidewall, 451a,451a guide rail, 451b recessed groove, 451c protrusion, 451d elastic section, 452 first recessed groove, 453 second recessed groove, 454 third recessed groove, 455 fourth recessed groove, 456,457 photosensor support post, 481 thread groove, 481b,481b guide groove, 490 rotary block, 491 rotating nut, 491a first outer surface region, 491b second outer surface region, 491c third outer surface region, 491d fourth outer surface region, 491e circumferential groove, 491f positioning protrusion, 492 cylindrical guide portion, 492a thread, 493 rotating disc, 493a ring plate, 493b light shielding region, 493c light transmission region, 493d recessed notch, 493s slit region, 494 control disc, 494a shutter plate, 494b light shielding film, 494c,494c control protrusion, 494d elastic section, 501 pivoting member, 502 rotating shaft, S1,S2 space.
Syringe-like hand switches according to respective embodiments based on the present invention are now described with reference to the drawings. Portions identical or corresponding to each other in the respective embodiments are denoted by the same reference signs, and redundant description may not be repeated.
The structure of a syringe-like hand switch 1 according to this embodiment is now described with reference to
First, referring to
The internal structure of syringe-like hand switch 1 is now described with reference to
A guide member 151 is engaged with the outer peripheral surface of bar portion 181 of plunger portion 180. Guide member 151 has a gatelike longitudinal sectional shape as shown in
Guide member 151 is provided with a rotating shaft 152 extending in a direction orthogonal to the axial direction of bar portion 181, and a pinion gear 153 is coupled to rotating shaft 152. As shown in
As shown in
As shown in
An operating mechanism of syringe-like hand switch 1 having the aforementioned structure and a positioning mechanism for mutually positioning photosensor 201 and slit region 187b are now described with reference to
First, the state shown in
Therefore, when a control portion of an injector head recognizes a signal passing through the light transmission regions as “1” and a signal passing through the light shielding regions as “0” in the signal from photosensor 201, therefore, the signal recognized in the control portion of the injector head enters a state generating no pulse signal at all as shown in
Then, when the operator presses plunger portion 180, guide member 151 advances until the same comes into contact with front stopper 157 on the basis of frictional force between the same and plunger portion 180, as shown in
Thus, photosensor 201 is located on the position for sensing movement of slit region 187b when plunger portion 180 is pressed and moved into cylinder portion 100. Consequently, when the control portion of the injector head recognizes the signal passing through the light transmission regions as “1” and the signal passing through the light shielding regions as “0” in the signal from photosensor 201, a pulse signal shown in
Consequently, the “injection rate” and the “injection speed” of the chemical liquid can be decided correspondingly to the “quantity” and the “speed” of the signal “1” passing through the light transmission regions in a unit time. More specifically, the pulse signal shown in
When the operator terminates the introduction of the chemical liquid and separates his/her hand from plunger portion 180, plunger portion 180 is pushed back in a direction for extracting the same from cylinder portion 100 in response to the urging force of coil spring 190. At this time, guide member 151 retreats along with plunger portion 180 until the same comes into contact with rear stopper 156, on the basis of the frictional force between the same and plunger portion 180. Thus, when plunger portion 180 is extracted from cylinder portion 100, photosensor 201 is displaced from slit region 181b and located on a position for retreating to retreat region 187b. Consequently, the signal enters a state similar to the case shown in
Also when the movement of plunger portion 180 is stopped on an intermediate position, an operating mechanism and a positioning mechanism similar to the above function.
According to syringe-like hand switch 1 in this embodiment, photosensor 201 is located on the position for sensing movement of slit region 187b when plunger portion 180 is inserted and moved into cylinder portion 100. Consequently, it follows that photosensor 201 senses the light transmission regions and the light shielding regions alternately formed on slit region 187b when the operator presses plunger portion 180.
Syringe-like hand switch 1 has the syringe-like shape including cylinder portion 100 and plunger portion 180, whereby the operator can control introduction of the chemical liquid into the injector head (control the “injection rate” and the “injection speed”) for injecting the chemical liquid such as a contrast medium into a patient with a sense of pressing a syringe.
The structure of a syringe-like hand switch 2 in this embodiment is now described with reference to
First, referring to
The internal structure of syringe-like hand switch 2 is now described with reference to
Plunger portion 380 includes a bar portion 381 and a ring-shaped finger receiving portion 381a provided on the rear end side of bar portion 381. A guide shaft portion 382 having a gatelike cross section is provided on the forward end side of bar portion 381. Guide grooves 383 and 383 extending in the axial direction are formed on both side surfaces of guide shaft portion 382. Guide protrusions 351g provided on outer sidewalls 351 engage with guide grooves 383, thereby guiding and sliding plunger portion 380 in the anteroposterior direction.
Inner guide walls 384 and 384 extending in the axial direction are formed on the upper surface side of guide shaft portion 382 to define a guide space S2 at a constant interval. Guide slits 384s are anteroposteriorly provided on two portions of each inner guide wall 384. Guide slits 384s are provided to be inclined toward the rear end sides. A notched region 384a is provided between front and rear guide slits 384s.
A bar block 385 is arranged in guide space S2 defined by opposed inner guide walls 384 and 384. Block 385 has a substantially rectangular cross section. A plate 387 extending in the anteroposterior direction is fixed to the upper surface of block 385 in an upright state, to be along the longitudinal direction of plunger portion 380. Plate 387 constitutes a slit region, and light shielding regions 387a blocking light and light transmission regions 387b transmitting light are alternately arranged thereon. Light transmission regions 387b are provided to be inclined toward the front end sides.
On the side surfaces of block 385, guide protrusions 385g engaging with guide slits 384s are formed on four portions in total. Transversely passing through-holes 385a are formed between front and rear guide protrusions 385g. O-rings 386 made of elastic members of rubber or a resin material engage with through-holes 385a. When O-rings 386 are inserted into through-holes 385a, O-rings 386 come into contact with the inner surfaces of outer guide walls 351 (described later) provided on base plate 350 to generate constant frictional force, as shown in
As shown in
An operating mechanism of syringe-like hand switch 2 having the aforementioned structure and a positioning mechanism for mutually positioning photosensor 201 and plate 387 are now described with reference to
First, the state shown in
Therefore, a control portion of an injector head enters a state of regularly receiving a photoreceiving signal in relation to a signal from photosensor 201 dissimilarly to the signal waveform shown in
Then, when an operator presses plunger portion 380, block 385 is inhibited from advancing on the basis of the frictional force between O-rings 386 and outer guide walls 351, as shown in
Thus, when plunger portion 380 is pressed and moved into cylinder portion 100, photosensor 201 is located on a position for sensing movement of plate 387. Further, it follows that plunger portion 380 moves at a speed responsive to the pressing speed of the operator.
Guide slits 384s and guide protrusions 385g, provided to be inclined toward the rear end sides respectively, do not uprightly move up but move up toward the rear end sides also when block 385 moves up. If light transmission regions 387b provided on plate 387 are uprightly provided in the vertical direction, it follows that photosensor 201 senses plurality of light transmission regions 387b when plate 387 moves up, and the signal may be disturbed. Therefore, light transmission regions 387b are provided to be inclined toward the front end sides, in order to prevent disturbance of the signal resulting from upward movement of plate 387.
The control portion of the injector head recognizes the pulse signal shown in
A case where the operator terminates the introduction of the chemical liquid and extracts plunger portion 380 is now described with reference to
Thus, photosensor 201 is displaced from plate 387 and located on a position for retreating to the retreat region. Consequently, the photoreceiving signal is regularly received when plunger portion 380 is extracted from cylinder portion 100, and hence no chemical liquid is introduced into the injector head.
Also when the movement of plunger 380 is stopped on an intermediate position, an operating mechanism and a positioning mechanism similar to the above function.
According to syringe-like hand switch 2 in this embodiment, photosensor 201 is located on the position for sensing movement of plate 387 when plunger portion 380 is inserted and moved into cylinder portion 300. Consequently, it follows that photosensor 201 senses light shielding regions 387a and light transmission regions 387b alternately formed on plate 387 when the operator presses plunger portion 380.
Further, syringe-like hand switch 2 has the syringe-like shape including cylinder portion 300 and plunger portion 380, whereby the operator can control introduction of the chemical liquid into the injector head (control the “injection rate” and the “injection speed”) for injecting the chemical liquid such as a contrast medium into a patient with a sense of pressing a syringe.
While photosensor 201 works the mechanism of moving block 385 up or down on the basis of the mesh relation between guide slits 384s and guide protrusions 385g as the mechanism for sensing movement of plate 387 when plunger portion 380 is inserted and moved into cylinder portion 300 in the aforementioned embodiment, employment of the mechanism of moving block 385 up or down can be rendered unnecessary by employing a mechanism shown in
First, plate 387 is arranged to be uprighted on the upper surface of block 385 integrally formed on bar portion 381, as shown in
As shown in
When plunger portion 380 is extracted from cylinder portion 300, on the other hand, the photosensor holding portion of pivoting member 501 is pivoted in a direction for separating from the surface side of block 385 on the basis of the contact between pivoting member 501 and the surface of block 385 as shown in
The structure of a syringe-like hand switch 3 according to this embodiment is now described with reference to
Syringe-like hand switch 3 according to this embodiment has a syringe-like appearance shape as a whole, and includes a long and narrow cylinder portion 400 provided to extend in one direction and a plunger portion 480 provided to be pressable into and extractable from cylinder portion 400. Cylinder portion 400 includes a cover 401 and a base plate 450. Substantially circular finger hook holes 450a for engaging with fingers of an operator are formed on two portions on the side of base plate 450 provided with plunger portion 480. An optical fiber cable 200 for a photosensor 201 described later is extracted from the forward end side of cylinder portion 400.
The internal structure of syringe-like hand switch 3 is now described with reference to
Plunger portion 480 includes a bar portion 481 and a ring-shaped finger receiving portion 482 provided on the rear end side of bar portion 481. Thread grooves 481 are spirally provided on the surface of bar portion 481, and guide grooves 481b and 481b extending in the axial direction are provided on both side surfaces.
Outer sidewalls 451 and 451 extending in the anteroposterior direction and arranged at a prescribed interval are formed on base plate 450 of cylinder portion 400. A recessed groove 451b along the outer surface shape of bar portion 481 of plunger portion 480 is provided on base plate 450 held between both outer sidewalls 451 and 451. Guide rails 451a and 451a extending inside are formed on intermediate portions of both outer sidewalls 451 and 451. Guide rails 451a and 451a so engage with guide grooves 481b and 481b provided on bar portion 481 of plunger portion 480 that plunger portion 480 can slide along the axial direction of bar portion 481 with respect to base plate 450.
In order to adjust insertion strength of plunger portion 480, a certain degree of coefficient of friction is preferably provided between plunger portion 480 and guide grooves 481b and 481b. A proper coefficient of friction can be generated by interposing rubber members or the like between guide grooves 481b and 481b and guide rails 451a and 451a, for example. The structure of inserting an elastic member such as the coil spring into the forward end portion of plunger portion 480 employed in the aforementioned first embodiment can also be employed. Thus, the optimum operating sense for plunger portion 480 is obtained, and fine position control of plunger portion 480 can be implemented.
In regions of outer sidewalls 451 and 451 of base plate 450 close to finger hook holes 450a, a first recessed groove 452, a second recessed groove 453, a third recessed groove 454 and a fourth recessed groove 455 are provided in a direction intersecting with the extensional direction of outer sidewalls 451 and 451, in order to allow pivoting of rotary block 490 described later. These grooves may have any shapes, unless the same exert influence on pivoting of rotary block 490.
Elastic sections 451d are provided on end surface portions of outer sidewalls 451 and 451 facing the aforementioned grooves, and protrusions 451c are provided on the forward end portions of elastic sections 451d. As shown in
Photosensor support posts 456 and 457 are opposed and arranged on the surface of base plate 450 to hold second recessed groove 453 therebetween, light transmission means 201a (an end surface of the optical fiber cable) of photosensor 201 is arranged on photosensor support post 456, and photoreceiving means 201b (another end surface of the optical fiber cable) is arranged on photosensor support post 457.
Rotary block 490 has a rotating nut 491, a rotating disc 493 and a control disc 494, as shown in
A first outer surface region 491a consisting of an inclined surface, a second outer surface region 491b consisting of a flat surface, a third outer surface region 491c consisting of a flat surface and having a larger diameter than second outer surface region 491b and a third outer surface region 491d consisting of a flat surface and having a smaller diameter than third outer surface region 491c are provided on the outer surface of rotating nut 491. A circumferential groove 491e is provided between first outer surface region 491a and second outer surface region 491b. Positioning protrusions 491f are provided on prescribed positions (two portions on positions opposed to each other by 180 degrees in this embodiment) of second outer surface region 491b.
Rotating disc 493 has an annular ring plate 493a formed by a transparent member, and an annular slit region 493s on which light transmission regions 493c and light shielding regions 493b made of the body of ring plate 493a are alternately provided is formed on ring plate 493a. Recessed notches 493d engaging with positioning protrusions 491f of second outer surface region 491b are provided on two portions of the inner diametral portion of ring plate 493a.
Control disc 494 also has an annular shutter plate 494a formed by a transparent member similarly to rotating disc 493, and a light shielding film 494b forming a non-transmission region is arranged on a prescribed position. Therefore, the remaining region other than that provided with light shielding film 494b constitutes a transmission region. Control protrusions 494c and 494c are provided on the outer peripheral surface of shutter plate 494a at a prescribed interval in the circumferential direction, while a plurality of outwardly warping elastic sections 494d are provided on the inner peripheral surface of shutter plate 494a at prescribed pitch intervals.
If control disc 494 has such a structure that only a region corresponding to light shielding film 494b forms a non-transmission region by protruding outward in the radial direction and covering slit region 493s of rotating disc 493 and the remaining region does not cover slit region 493s of rotating disc 493, shutter plate 494a may not necessarily be constituted of a transparent member.
In rotary block 490 constituted of the aforementioned structure, rotating disc 493 is arranged on second outer surface region 491b of rotating nut 491, and recessed notches 493d of ring plate 493a engage with positioning protrusions 491f, thereby positioning rotating disc 493 and fixing the position in the rotational direction, as shown in
An operating mechanism of syringe-like hand switch 3 constituted of the aforementioned structure and a positioning mechanism for mutually positioning photosensor 201 and rotary block 490 are described with reference to
First, when an operator presses plunger portion 480, rotary block 490 rotates along arrow A1 in the groove, as shown in
When the operator extracts plunger portion 480, rotary block 490 rotates along arrow A2 in the groove, as shown in
According to syringe-like hand switch 3 in this embodiment, photosensor 201 is located on the position for sensing movement of slit region 493s when plunger portion 480 is inserted and moved into cylinder portion 400. Consequently, it follows that photosensor 201 senses the light transmission regions and the light shielding regions alternately formed on slit region 493s when the operator presses plunger portion 480.
Further, syringe-like hand switch 3 has the syringe-like shape including cylinder portion 400 and plunger portion 480, whereby the operator can control introduction of a chemical liquid into an injector head (control the “injection rate” and the “injection speed”) for injecting the chemical liquid such as a contrast medium into a patient with a sense of pressing a syringe, similarly to the aforementioned first and second embodiments.
While the respective embodiments based on the present invention have been described, the embodiments disclosed this time must be considered as illustrative in all points and not restrictive. The range of the present invention is shown by the scope of claims for patent, and it is intended that all modifications within the meaning and range equivalent to the scope of claims for patent are included.
Filing Document | Filing Date | Country | Kind | 371c Date |
---|---|---|---|---|
PCT/JP2006/326237 | 12/28/2006 | WO | 00 | 6/24/2009 |