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1. 发明专利

JP2009254579A Insertion attachment for indwelling catheter 审中-公开
标题翻译：用于连接导管的插入附件
公开(公告)号：JP2009254579A
公开(公告)日：2009-11-05
申请号：JP2008107100
申请日：2008-04-16
申请人： Top:Kk , 株式会社トップ
发明人： NAKAMURA MASAKI , NAKAGAWA DAISUKE
IPC分类号： A61M25/02
摘要： PROBLEM TO BE SOLVED: To provide an insertion attachment for an indwelling catheter which inserts an indwelling catheter credibly into the body cavity via a fistula. SOLUTION: The insertion attachment 1 comprises a cylindrical member 2 made of stainless steel, a locking member 3 made of a synthetic resin and attached to the distal part of the cylindrical member, and a handle part 4 arranged on the rear end of the cylindrical member 2. The locking member 3 comprises an extended part 3a extending forward from the cylindrical member 2 and a step part 3b having a larger diameter than the extended part 3a. A guide passage 5 for inserting a guide wire G is formed in the inside of the cylindrical member 2 and the locking member 3. A lead-out passage 6 extending from the proximal end of the guide passage 5 to the lower end of the handle part 4 is formed in the inside of the handle part 4. The guide wire G is also inserted into the lead-out passage 6. A narrow grip groove 7 having a diameter smaller than the outer diameter of a tube unit of a gastric fistula catheter is formed on the upper part of the handle part 4. The extended part 3a is inserted into a penetrating hole formed in a bumper of the gastric fistula catheter. COPYRIGHT: (C)2010,JPO&INPIT
摘要翻译：要解决的问题：提供一种用于留置导管的插入附件，其将留置导管通过瘘管可信地插入体腔。解决方案：插入附件1包括由不锈钢制成的圆柱形构件2，由合成树脂制成并附接到圆柱形构件的远端部分的锁定构件3和布置在圆柱形构件的后端上的把手部分4 圆柱形构件2.锁定构件3包括从圆柱形构件2向前延伸的延伸部分3a和具有比延伸部分3a更大的直径的台阶部分3b。用于插入导丝G的引导通道5形成在圆柱形构件2和锁定构件3的内部。引出通道6从引导通道5的近端延伸到手柄部分的下端 4形成在把手部分4的内部。导丝G也插入引出通道6.直径小于胃瘘导管的管单元外径的窄握持槽7是形成在把手部4的上部。延伸部3a插入形成在胃瘘导管的保险杠中的贯穿孔中。版权所有（C）2010，JPO＆INPIT

2. 发明专利

JP2009254578A Indwelling catheter 审中-公开
标题翻译：独立导管
公开(公告)号：JP2009254578A
公开(公告)日：2009-11-05
申请号：JP2008107099
申请日：2008-04-16
申请人： Top:Kk , 株式会社トップ
发明人： NAKAMURA MASAKI , NAKAGAWA DAISUKE
IPC分类号： A61M25/02 , A61J15/00
摘要： PROBLEM TO BE SOLVED: To provide an indwelling catheter which is inserted credibly into the body cavity via a fistula by means of a guiding member such as a guide wire or the like and an insertion attachment. SOLUTION: A gastric fistula catheter 1 is provided which comprises a tube unit 2 and a bowl-shaped bumper 3 fixed to the distal part of the tube unit 2. The bumper 3 has a locked part 4 that locked to the insertion attachment and a through-hole 5 that penetrates from the front to the back thereof. A notch 3a is formed on the back side of the through-hole 5. The extended part 8a of a locking member 8 arranged on the distal part of the insertion attachment 6 is inserted into the through-hole 5, and the tube unit 2 is pulled in the back direction of the insertion attachment 6 and is locked to a locking groove 12. The guide wire G is then inserted from the extended part 8a into a guiding passage 10 and is derived from a lead-out passage 11 and from the lower end of the insertion attachment. The gastric fistula catheter 1 is then inserted into a gastric fistula A using the insertion attachment 6 and the guide wire G. After the bumper 3 is inserted into the inside of the gastric wall C, the insertion attachment 6 and the guide wire G is drawn out from the gastric fistula A. COPYRIGHT: (C)2010,JPO&INPIT
摘要翻译：要解决的问题：提供一种通过诸如导丝等的引导构件和插入附件经由瘘可信地插入体腔的留置导管。解决方案：提供胃瘘导管1，其包括固定到管单元2的远端部分的管单元2和碗形缓冲器3.保险杠3具有锁定部分4，锁定部分4锁定到插入附件以及从前方向后方贯通的通孔5。在通孔5的背面形成有切口3a。布置在插入装置6的远端部的锁定构件8的延伸部8a插入到通孔5中，管单元2为沿着插入附件6的后方向被拉动并被锁定到锁定槽12.然后，导丝G从延伸部8a插入到引导通道10中，并且从引出通道11和下部插入附件的末端。然后使用插入附件6和导丝G将胃瘘导管1插入胃瘘A.在保险杠3插入胃壁C的内部之后，插入附件6和导丝G被拉出从胃瘘A出来。版权所有（C）2010，JPO＆INPIT

3. 发明专利

JP2009072344A Gastrostoma tube insertion assist 审中-公开
标题翻译： GASTROSTOMA管插入辅助
公开(公告)号：JP2009072344A
公开(公告)日：2009-04-09
申请号：JP2007243526
申请日：2007-09-20
申请人： Top:Kk , 株式会社トップ
发明人： NAKAMURA MASAKI , NAKAGAWA DAISUKE
IPC分类号： A61M25/08 , A61J15/00
摘要： PROBLEM TO BE SOLVED: To provide a gastrostoma tube insertion assist facilitating the insertion of a gastrostoma tube having a spherical pull-out prevention member, in a fistula immediately after the gastrostomy. SOLUTION: This insertion assist 1 for assisting the insertion of the gastrostoma tube having the spherical pull-out prevention member 30 is provided with an inner tube 2 and a soft resin outer tube 3. The inner tube 2 has a hole portion 4 allowing the free insertion of a guide wire 28, and a tapered portion 5. The outer tube 3 has a hole portion 8 allowing the free insertion of the inner tube 2 or the gastrostoma tube 29, a pair of thin-wall portions 9 provided on the outer face, and a check valve 10 provided at the end in the side to be inserted into the stomach. The check valve 10 is adapted to be opened when the inner tube 2 is projected from the outer tube 3 and closely stuck to the outer circumferential face of the inner tube 2 and to be closed when the inner tube 2 is pulled out. The check valve 10 is provided along a ridge portion 13 formed at a part crossing with a pair of slope faces 12 and 12, which are mutually oppositely provided and symmetric to the axis, and has a slit 14 adapted to be opened/closed by virtue of elasticity of the soft resin. COPYRIGHT: (C)2009,JPO&INPIT
摘要翻译：要解决的问题：提供胃瘘管插入辅助，其有助于在胃造口后立即在瘘管中插入具有球形拔出部件的胃瘘管。解决方案：用于辅助插入具有球形防拔出构件30的胃瘘管的插入辅助件1设置有内管2和软树脂外管3.内管2具有孔部4 允许引导线28和锥形部分5的自由插入。外管3具有允许内管2或胃瘘管29自由插入的孔部分8，一对薄壁部9设置在外表面和设置在插入胃的一侧的端部的止回阀10。当内管2从外管3突出并紧贴在内管2的外周面上时，止回阀10被打开，并且当内管2被拉出时被关闭。止回阀10沿着形成在与一对倾斜面12和12相交的部分的脊部13设置，该一对倾斜面12和12彼此相对地设置并对称于轴线，并且具有适于以美德打开/关闭的狭缝14 软树脂的弹性。版权所有（C）2009，JPO＆INPIT

4. 发明专利

JP2009261650A Removal assist appliance of indwelling catheter 有权
标题翻译：拆卸导管的拆卸辅助装置
公开(公告)号：JP2009261650A
公开(公告)日：2009-11-12
申请号：JP2008115015
申请日：2008-04-25
申请人： Top:Kk , 株式会社トップ
发明人： NAKAGAWA DAISUKE
IPC分类号： A61M25/00 , A61M25/02
摘要： PROBLEM TO BE SOLVED: To provide a removal assist appliance of an indwelling catheter capable of surely deforming a fixture in a body cavity and pulling it out from a stoma at a little force. SOLUTION: This removal assist appliance is provided with an inner tube 3 allowing the insertion of a tube body 41 of a gastrostomy catheter 4 in its inside, and an outer tube 2 mounted around the peripheral face of the inner tube 3. The outer tube body 21 and the inner tube body 31 have an outer tube cutout portion and an inner tube cutout portion 32 inclined toward the distal end respectively. The outer tube 2 and the inner tube 3 are relatively rotatably assembled axially by 180°. The gastrostomy catheter 4 is inserted in the interior of the inner tube 3 with the cutout directions of the outer cutout portion and the inner cutout portion 32 fitted to each other, and the outer tube 2 and the inner tube 3 are inserted in the stoma A. The inner tube 3 is rotated to clamp a bumper 42 between the outer tube cutout portion and the inner tube cutout portion 32. After that, the removal assist appliance 1 is removed along with the gastrostomy catheter 4 with a guide wire 5 indwelled in the stoma A. This method can reduce the burden applied to a patient by the procedure. COPYRIGHT: (C)2010,JPO&INPIT
摘要翻译：要解决的问题：提供一种留置导管的去除辅助装置，其能够使体腔内的固定装置可靠地变形，并以一定的力将其从造口中拉出。解决方案：该去除辅助装置设置有允许胃内造口导管4的管体41插入其内部的内管3和围绕内管3的周面安装的外管2。外管体21和内管体31具有分别朝向远端倾斜的外管切除部和内管切口部32。外管2和内管3相对可旋转地组装180度。胃造口导管4插入到内管3的内部，外切口部和内切口部32的切口方向相互嵌合，外管2和内管3插入造口A 内管3旋转以在外管切口部分和内管切口部分32之间夹紧保险杠42.之后，除去辅助器具1与胃造口术导管4一起移除，其中导丝5留在造口术A.这种方法可以减轻手术对患者的负担。版权所有（C）2010，JPO＆INPIT

5. 发明专利

JP2010063816A Removal assist appliance of indwelling catheter 有权
标题翻译：拆卸导管的拆卸辅助装置
公开(公告)号：JP2010063816A
公开(公告)日：2010-03-25
申请号：JP2008235507
申请日：2008-09-12
申请人： Top Corp , 株式会社トップ
发明人： NAKAGAWA DAISUKE
IPC分类号： A61M25/00 , A61M25/02
摘要： PROBLEM TO BE SOLVED: To provide a removal assist appliance of an indwelling catheter, which surely stores a fixture in a body cavity inside an outer tube and pulls it out from a stoma at little force without trouble. SOLUTION: The removal assist appliance 1 is provided with: the outer tube 2 to be inserted to the stoma A; and an inner tube 3 for removal to be inserted to the outer tube 2 and to allow the insertion of a tube body 41 in its inside. The outer tube 2 is provided with: an outer tube cutout portion 23 facing the fixture 42 in a body cavity; and a cam 25 helically formed at the rear end. The inner tube 3 for removal includes: an inner tube cutout portion 23 facing the fixture 42 in a body cavity; and an engagement portion 34 to be engaged with the cam 25. The inner tube 3 for removal is inserted to the outer tube 2 which is inserted to the body cavity via the stoma A, so as to be axially rotated and the engagement portion 34 is slid along the cam 25. The inner tube 3 for removal is retracted with respect to the outer tube 2, the fixture 42 in the body cavity is stored inside the outer tube 2, and then, the removal assist appliance 1 is removed from the body cavity. Consequently, the burden applied to a patient due to the procedure is reduced. COPYRIGHT: (C)2010,JPO&INPIT
摘要翻译：要解决的问题：提供一种留置导管的去除辅助装置，其可靠地将固定装置存储在外管内的体腔内，并且在没有麻烦的情况下以很小的力将其从造口中拉出。解决方案：移除辅助装置1设置有：插入到造口A的外管2; 以及用于拆卸的内管3，以插入外管2并允许管体41插入其内部。外管2设置有：在体腔内面向固定件42的外管切口部23; 以及在后端螺旋形地形成的凸轮25。用于去除的内管3包括：在体腔内面向固定件42的内管切口部23; 以及与凸轮25接合的接合部34.将用于移除的内管3插入到经由造口A插入体腔的外管2中，以便轴向旋转，并且接合部34为用于移除的内管3相对于外管2缩回，体腔内的固定件42被储存在外管2的内部，然后，移除辅助装置1从主体腔。因此，由于该过程而施加给患者的负担降低。版权所有（C）2010，JPO＆INPIT

6. 发明专利

JP2015024276A 留置カテーテル交換用器具有权
标题翻译：独立导管更换装置
公开(公告)号：JP2015024276A
公开(公告)日：2015-02-05
申请号：JP2014222256
申请日：2014-10-31
申请人：株式会社トップ , Top Co Ltd
发明人： NAKAMURA MASAKI , NAKAGAWA DAISUKE
IPC分类号： A61M25/02
摘要：【課題】留置カテーテルを容易に交換することができる交換器具を提供する。【解決手段】交換器具1は、留置カテーテル40を体腔D内から抜去し、交換用の留置カテーテル40を挿入するために用いられ、外筒10と、外筒10内に挿入され内部にチューブ41を挿通可能な内筒20とを有する。内筒20は、可撓性部材からなり、長さ方向に沿って形成された複数のスリット24を備える。外筒10は、内筒20の外方への展開を抑制する弾性部材からなる。外筒10の先端には、内部に折返された折返し部12を備える。折返し部12は、内筒20が挿入されているときに内筒20の先端から内周面に位置する。【選択図】図6
摘要翻译：要解决的问题：提供便于更换置换导管的更换装置。解决方案：替换装置1用于从体腔D提取留置导管40并插入留置导管40以进行更换。替换装置包括外管10和插入到外管10中并且可以插入管41的内管20。内管20由柔性构件形成，并且具有沿着长度方向形成的多个狭缝24。外管10由抑制内管20的向外展开的弹性部件构成。外管10的前端包括通过向内折叠而形成的折叠部12。当内管20插入其中时，折叠部分12从内管20的远端到其内周表面。

7. 发明专利

JP2012143462A Assistive device for replacing indwelling catheter 有权
标题翻译：用于替换导管的辅助装置
公开(公告)号：JP2012143462A
公开(公告)日：2012-08-02
申请号：JP2011005247
申请日：2011-01-13
申请人： Top Corp , 株式会社トップ
发明人： NAKAMURA MASAKI , NAKAGAWA DAISUKE
IPC分类号： A61M25/00 , A61M25/02
摘要： PROBLEM TO BE SOLVED: To provide an assistive device for replacing an indwelling catheter capable of reducing a load applied on a fistula when replacing the indwelling catheter.SOLUTION: The assistive device for replacing the indwelling catheter includes: an outer casing 1 to be inserted into the fistula A; an inner casing 2 to be inserted into the outer casing 1; and a hollow grip 3 attachably/detachably communicated with the inner casing 2. When removing the indwelling catheter X, an operator inserts the distal end of a tube body Z into the outer casing 1, the inner casing 2 and the grip 3, inserts the outer casing 1 and the inner casing 2 into the fistula A with the tube body Z used as a guide, pulls the tube body Z with the hand holding the grip 3, deforms a bumper Y via the outer casing 1 and the inner casing 2 to store it in the grip 3, and takes out the inner casing 2 from the grip 3 so as to remove the indwelling catheter X.
摘要翻译：要解决的问题：提供一种辅助装置，用于在更换留置导管时更换能够减少施加在瘘上的负荷的留置导管。解决方案：用于更换留置导管的辅助装置包括：插入瘘A的外壳1; 插入外壳1的内壳2; 以及与内壳2可拆卸地连通的中空把手3.当移除留置导管X时，操作者将管体Z的前端插入外壳1，内壳2和把手3中，外壳1和内壳2进入瘘管A，管体Z用作引导件，用握住手柄3的手拉动管体Z，通过外壳1和内壳2将保险杠Y变形为将其存放在把手3中，并从把手3取出内壳2，以便移除留置导管X.版权所有（C）2012，JPO＆INPIT

8. 发明专利

JP2011193924A Indwelling catheter changing instrument 有权
标题翻译：连接导管更换仪
公开(公告)号：JP2011193924A
公开(公告)日：2011-10-06
申请号：JP2010061307
申请日：2010-03-17
申请人： Top Corp , 株式会社トップ
发明人： NAKAMURA MASAKI , NAKAGAWA DAISUKE
IPC分类号： A61M25/00 , A61M25/02
摘要： PROBLEM TO BE SOLVED: To provide a changing instrument by which an indwelling catheter is easily changed.SOLUTION: The changing instrument 1 is used for removing the indwelling catheter 40 from the inside of a body cavity D and for inserting the indwelling catheter 40 for the replacement and includes an outer cylinder 10 and an inner cylinder 20 which is inserted into the outer cylinder 10 to make a tube 41 penetrate through the inside. The inner cylinder 20 is made of a flexible member and includes a plurality of slits 24 formed along a length direction. The outer cylinder 10 is made of an elastic member for suppressing the outward expansion of an inner cylinder body 21. The inner cylinder 20 is equipped with a long hole 25 on the proximal end side of the slit 24.
摘要翻译：要解决的问题：提供一种可以容易地改变留置导管的改变装置。解决方案：改变仪器1用于从体腔D的内部移除留置导管40，并且用于将留置导管40插入用于并且包括外筒10和插入外筒10中的内筒20，以使管41穿过内部。内筒20由柔性构件制成，并且包括沿着长度方向形成的多个狭缝24。外筒10由用于抑制内筒体21的向外膨胀的弹性构件制成。内筒20在狭缝24的基端侧配备有长孔25。

9. 发明专利

JP2017086610A 汚染防止用カバー审中-公开
公开(公告)号：JP2017086610A
公开(公告)日：2017-05-25
申请号：JP2015222375
申请日：2015-11-12
申请人：花ヶ崎和夫 , Kazuo Hanagasaki , 花ヶ崎和夫 , 株式会社トップ , Top Co Ltd
发明人： HANAGASAKI KAZUO , NAKAGAWA DAISUKE
IPC分类号： A61M25/01 , A61M39/16
摘要：【課題】患者への負担を増加させることなく胃瘻チューブを引き抜き易い汚染防止用カバーを提供する。【解決手段】汚染防止用カバー1は、胃瘻チューブ9を患者Pの口腔11から胃へ挿入するときに胃瘻チューブ9が汚染されることを防止するために胃瘻チューブ9を覆うものである。汚染防止用カバー1は、挿入側の先端から内側へ折り返された折返部4を備え、胃瘻チューブ9は折返部4に収容される。これにより、汚染防止用カバー1を胃瘻チューブ9の外径に合わせて従来よりも小径に作ることができ、患者Pへの負担も少なく抑えて負担増加を防止することができ、且つ容易に胃瘻チューブ9を引き抜くことができる汚染防止用カバー1を提供することができる。【選択図】図1

10. 发明专利

JP2014217703A 留置カテーテル挿入補助具有权
标题翻译：插入式辅助工具
公开(公告)号：JP2014217703A
公开(公告)日：2014-11-20
申请号：JP2013100733
申请日：2013-05-10
申请人：株式会社トップ , Top Co Ltd
发明人： NAKAMURA MASAKI , NAKAGAWA DAISUKE , KAMIGATAKUCHI NORIHISA
IPC分类号： A61J15/00 , A61M25/06
CPC分类号： A61J15/00 , A61M25/00
摘要：【課題】先端が固定された抜け止め部材を有する留置カテーテルに適した留置カテーテル挿入補助具を提供する。【解決手段】留置カテーテル挿入補助具としての胃瘻チューブ挿入補助具11は、ガイド部14及び指掛け部15を有する補助具本体12と、ガイド部14を覆うカバー部材13とを備える。ガイド部14には開放部20が設けられ、カバー部材13は、開放部20に沿った切り取り予定部22を備える。補助具本体12を抜去するとき、開放部20と、切り離される切り取り予定部22とにより、胃瘻チューブ1との干渉が回避される。【選択図】図1
摘要翻译：要解决的问题：提供一种用于留置导管的插入辅助工具，该插入辅助工具适合于具有滑脱止动构件的留置导管，该止动构件的端部固定在其上。解决方案：用于胃造口管11的插入辅助工具作为用于留置导管的插入辅助工具包括：辅助工具主体12，其包括引导部14和指钩部15; 以及用于覆盖引导部14的盖部件13.引导部14设置有开口部20，盖部件13设置有沿着开口部20切断的部分22.当辅助工具主体如图12所示，通过从盖构件切出的开口部20和切断部22避免引导部和盖构件与胃造口管1的干涉。

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