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WO2018221404A1 - Catheter device - Google Patents

Catheter device Download PDF

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Publication number
WO2018221404A1
WO2018221404A1 PCT/JP2018/020145 JP2018020145W WO2018221404A1 WO 2018221404 A1 WO2018221404 A1 WO 2018221404A1 JP 2018020145 W JP2018020145 W JP 2018020145W WO 2018221404 A1 WO2018221404 A1 WO 2018221404A1
Authority
WO
WIPO (PCT)
Prior art keywords
light emitting
infrared light
emitting element
tube
substrate
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/JP2018/020145
Other languages
French (fr)
Japanese (ja)
Inventor
秀樹 上村
永井 勝也
添田 薫
勝 桜井
良 下北
史生 江浦
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Asch Japan Co Ltd
GENIAL LIGHT CO Ltd
Alps Alpine Co Ltd
Original Assignee
Asch Japan Co Ltd
Alps Electric Co Ltd
GENIAL LIGHT CO Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Asch Japan Co Ltd, Alps Electric Co Ltd, GENIAL LIGHT CO Ltd filed Critical Asch Japan Co Ltd
Priority to JP2019522188A priority Critical patent/JP7162896B2/en
Publication of WO2018221404A1 publication Critical patent/WO2018221404A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J15/00Feeding-tubes for therapeutic purposes

Definitions

  • the present invention relates to a catheter device, and more particularly to a catheter device capable of accurately grasping the tip position of a tube to be inserted into the body.
  • the tube feeding catheter device is used to send nutrients and medicines to the stomach of patients who are unable to eat or drink by themselves due to disturbance of consciousness or muscle weakness.
  • a tube is inserted into the body from the mouth or nose to reach the stomach, and a nutrient or the like is sent from outside the body to the stomach through the tube.
  • Infusion alone may cause a decline in the ability of the digestive system such as the stomach and intestine, but there is also a merit that it is possible to suppress the decline in the ability of the digestive system by sending a nutrient or the like directly to the stomach through a tube.
  • Patent Document 1 discloses a catheter including a plurality of visual elements. That is, a catheter system is disclosed that includes a fixed visual element and a movable visual element that allow a user to capture multiple images of a lesion at various angles. In this catheter system, an LED is provided at the tip of the tube to irradiate light and improve the quality of an image captured by a visual element.
  • Patent Document 2 discloses an internal body light-emitting device that is inserted into a thin tube in a living body to emit light.
  • the apparatus includes a main body portion made of a flexible and light-transmitting tubular body sealed at both ends, at least one light emitting portion provided in the main body portion, and a light emitting portion for causing the light emitting portion to emit light.
  • Light emitting means In this in-vivo region light-emitting device, the body and the veterinarian can accurately recognize the position and running state of the tubule in laparoscopic surgery etc. by emitting light after being inserted into the living body. It has become.
  • a light emitting element that emits infrared light that passes through the human body is provided at the tip of the tube, and the device that detects the position of the tube by emitting light after the tube has been inserted into the body depends on the orientation characteristics of the light emitting element. Infrared light may not be detected accurately outside the body. That is, when the tube is inserted into the human body, the tube is made to reach the target position while being bent or rotated by the insertion path. Therefore, it is not known in which direction the light emitting element provided at the distal end portion of the tube is inserted in the human body.
  • An object of the present invention is to provide a catheter device that can accurately detect the position of a tube without making the tip of the tube thicker than necessary.
  • a catheter device includes a tube inserted into the body, a light emitting unit that is provided on the distal end side of the tube and emits infrared light for confirming the position of the tube, Is provided.
  • the light emitting unit is mounted on the base material extending in the extending direction of the tube, the first infrared light emitting element mounted on the base material and having the optical axis in the first direction orthogonal to the extending direction, and the base material,
  • the first infrared light emitting element and the second infrared light emitting element juxtaposed in the extending direction have an optical axis in a second direction orthogonal to the extending direction and different from the first direction.
  • the first infrared light emitting element and the second infrared light emitting element are juxtaposed in the extending direction of the tube as the light emitting portion provided on the distal end side of the tube, and the optical axis directions are different from each other. Therefore, infrared light can be emitted at a wide angle without increasing the outer diameter of the light emitting part.
  • the base material has a plate-like substrate
  • the substrate has a first substrate portion having a mounting surface for the first infrared light emitting element and a second substrate portion having a mounting surface for the second infrared light emitting element.
  • a connecting portion provided between the first substrate portion and the second substrate portion and twisted from the mounting surface of the first substrate portion to the mounting surface of the second substrate portion.
  • the base material has a plate-like substrate
  • the substrate has a first substrate portion having a mounting surface for the first infrared light emitting element and a second substrate portion having a mounting surface for the second infrared light emitting element.
  • a connecting portion that is provided between the first substrate portion and the second substrate portion and connects the mounting surface of the first substrate portion and the mounting surface of the second substrate portion so as to be inclined with respect to each other. Also good.
  • the mounting surface of the first substrate portion and the mounting surface of the second substrate portion are inclined with respect to each other via the connecting portion, and the first infrared light emitting device and the second infrared light emitting device having different optical axis directions from each other. It is possible to configure a light emitting unit mounted with.
  • the base material includes a resin body having a wiring pattern on the surface, and the resin body includes a first resin portion having a first mounting surface on which the first infrared light emitting element is mounted, and a second infrared ray. And a second resin portion having a second mounting surface on which the light emitting element is mounted, and the first mounting surface and the second mounting surface may be provided so as to be inclined with respect to each other. Accordingly, the first infrared light emitting element is mounted on the first mounting surface made of the resin body, and the second infrared light emitting element is mounted on the second mounting surface, so that the first infrared light emitting elements having different optical axis directions from each other are mounted. And the light emission part which mounted the 2nd infrared light emitting element can be comprised.
  • the first resin portion and the second resin portion may be provided integrally.
  • the light emission part which mounted the 1st infrared light emitting element and the 2nd infrared light emitting element from which an optical axis direction mutually differs with one resin body can be comprised.
  • a reflecting member having a higher reflectance than the resin body at the wavelength of light emitted from the first infrared light emitting element and the second infrared light emitting element may be provided on the surface of the resin body.
  • the first direction and the second direction may be different from each other by 30 degrees or more and 150 degrees or less. Thereby, the orientation angle of the infrared light emitted from both the first infrared light emitting element and the second infrared light emitting element can be widened.
  • (A) And (b) is a perspective view which illustrates the manufacturing method of a light emission part. It is a perspective view which shows the structural example (the 2) of a light emission part.
  • (A) And (b) is a perspective view which illustrates the manufacturing method of a light emission part. It is a perspective view which shows the structural example (the 3) of a light emission part. It is a perspective view which shows the structural example (the 4) of a light emission part.
  • FIG. 1 is a schematic view illustrating a catheter device according to this embodiment.
  • the catheter device 1 according to the present embodiment includes a tube 10 to be inserted into a human body 100 and a light emitting unit 20 provided on the distal end side of the tube 10.
  • the catheter device 1 shown in FIG. 1 further includes a light receiving unit 30 and a control unit 50.
  • the catheter device 1 inserts the tube 10 into the body from the mouth or nose, and allows the tip of the tube 10 to reach the stomach via the esophagus. Then, nutrients and medicines are sent to the stomach through the tube 10 from outside the body. Thereby, a nutrient, a medicine, etc. can be sent directly to a patient's stomach.
  • a connector 15 is connected to the rear end side of the tube 10, and a cable C 10 is connected to the connector 15.
  • the cable C10 is connected to the control unit 50.
  • the tube 10 is provided with a wiring 25 such as a power supply line. One end of the wiring 25 is connected to the light emitting unit 20, and the other end of the wiring 25 is connected to the connector 15.
  • the connector 15 serves to conduct the wiring 25 of the tube 10 and the cable C10.
  • the connector 15 is provided with an insertion port 151 that communicates with a mouth on the other end side of the tube 10 (a mouth outside the body). Nutrients, medicines and the like can be put into the tube 10 from the inlet 151.
  • the light emitting unit 20 is provided with an infrared light emitting element to be described later.
  • the wavelength of infrared light emitted from the infrared light emitting element is, for example, about 650 nm to 1000 nm that can pass through the human body 100.
  • infrared light emitted from the light emitting unit 20 provided on the distal end side of the tube 10 can be received outside the body.
  • the position of the tube 10 can be confirmed by the infrared light received outside the body.
  • the light emitting unit 20 is protected by a cap 20c.
  • the inside of the light emitting unit 20 can be waterproofed by the cap 20c, and workability when the tube 10 is inserted into the human body 100 is enhanced by the smooth outer shape of the cap 20c.
  • the light receiving unit 30 is a part that receives infrared light emitted from the light emitting unit 20 and transmitted through the human body 100.
  • the light receiving unit 30 is disposed at a position close to the human body 100 outside the body. For example, when it is desired to make the tip of the tube 10 reach the stomach, the light receiving unit 30 is disposed near the stomach outside the body.
  • the light receiving unit 30 is connected to the control unit 50 by a cable C30. An electrical signal based on the infrared light received by the light receiving unit 30 is sent to the control unit 50 via the cable C30.
  • the control unit 50 is a part that controls each unit such as the light emitting unit 20 and the light receiving unit 30.
  • the control unit 50 includes an operation button 53 and a display 55.
  • the control unit 50 performs energization control to the light emitting unit 20 via the cable C10. That is, the power for operating the light emitting unit 20 is supplied from the control unit 50 to the light emitting unit 20 via the cable C10 and the wiring 25 of the tube 10.
  • the display 55 displays the detection result by the light receiving unit 30. For example, when the signal based on the intensity of the infrared light detected by the light receiving unit 30 exceeds a predetermined value, a display indicating “detected” is performed. In addition, a numerical value, a graph, a picture, or the like corresponding to the signal intensity may be displayed.
  • the control unit 50 may notify the user that “detected” has been made.
  • the operation button 53 is used when switching the display 55 or changing the setting.
  • the tube 10 and the connector 15 are connected, and the cable C10 is connected to the connector 15 to be connected to the control unit 50. Further, the light receiving unit 30 is connected to the control unit 50 by the cable C30.
  • the tube 10 is inserted into the body through the mouth and nose.
  • the light receiving unit 30 is arranged outside the body near the position where the tip of the tube 10 is desired to reach. For example, when it is desired to insert the tube 10 up to the stomach, the light receiving unit 30 is disposed around the stomach (upper abdomen) outside the body.
  • the tube 10 is inserted into the body.
  • the infrared light emitted from the light emitting unit 20 passes through the human body 100 and reaches the light receiving unit 30.
  • a signal corresponding to the amount of light is sent to the control unit 50 via the cable C30.
  • this signal exceeds a preset value, a message indicating that the signal has reached the display 55 of the control unit 50 is displayed.
  • the distal end of the tube 10 does not reach the stomach, the amount of infrared light received by the light receiving unit 30 is small, so that the display 55 is not displayed. Thereby, the user can recognize whether or not the tip of the tube 10 has reached the stomach by the display 55.
  • the tip position is detected while the tube 10 is inserted into the body.
  • the tube 10 may be provided with a scale indicating the length from the tip. In this case, the tube 10 can be inserted into the body using the scale as a guide, and after the insertion to the target length, detection can be performed by applying the light receiving unit 30.
  • FIG. 2 is a perspective view showing a configuration example (No. 1) of the light emitting unit.
  • the light emitting unit 20 of the configuration example (part 1) includes a substrate 200 that is a base material extending in the extending direction D0 of the tube 10, and a first infrared light emitting element 211 and a second infrared light emitting element 212 mounted on the substrate 200. And have.
  • the extending direction D0 of the tube 10 refers to a direction in which the tube 10 extends when the tube 10 is straightened.
  • the substrate 200 is, for example, a flexible substrate on which a wiring pattern is formed.
  • the substrate 200 includes a first substrate portion 210, a second substrate portion 220, and a connecting portion 250.
  • the connecting portion 250 is a portion that is provided between the first substrate portion 210 and the second substrate portion 220 and connects the two.
  • the first substrate portion 210, the second substrate portion 220, and the connecting portion 250 are configured by one substrate 200.
  • the first infrared light emitting element 211 is mounted on the mounting surface 210 a of the first substrate portion 210. In the present embodiment, the first infrared light emitting element 211 is mounted on each of the front and back surfaces of the first substrate portion 210.
  • the second infrared light emitting element 212 is mounted on the mounting surface 220 a of the second substrate portion 220. In the present embodiment, the second infrared light emitting element 212 is mounted on each of the front and back surfaces of the second substrate portion 220.
  • the second substrate portion 220 is juxtaposed with the first substrate portion 210 in the extending direction D0. As a result, the second infrared light emitting element 212 is juxtaposed with the first infrared light emitting element 211 in the extending direction D0.
  • the substrate 200 is twisted at the connecting portion 250 provided between the first substrate portion 210 and the second substrate portion 220.
  • the substrate 200 is twisted about 90 degrees by the connecting portion 250 from the mounting surface 210a of the first substrate portion 210 to the mounting surface 220a of the second substrate portion 220.
  • the direction of the optical axis of the first infrared light emitting element 211 mounted on the mounting surface 210a of the first substrate portion 210 is a first direction D1 orthogonal to the extending direction D0.
  • the direction of the optical axis of the second infrared light emitting element 212 mounted on the mounting surface 220a of the second substrate portion 220 is a second direction D2 that is orthogonal to the extending direction D0 and different from the first direction D1. Since the substrate 200 is twisted by about 90 degrees by the connecting portion 250, the first direction D1 and the second direction D2 are different from each other by 90 degrees.
  • the first infrared light emitting element 211 and the second infrared light emitting element 212 are juxtaposed in the extending direction D0 of the tube 10, so that the light emitting element is not increased without increasing the outer diameter of the light emitting unit 20.
  • the number of can be increased.
  • the optical axis directions (the first direction D1 and the second direction D2) of the first infrared light emitting element 211 and the second infrared light emitting element 212 are different from each other, the light emitting unit 20 as a whole has a wide angle of infrared rays. Light can be emitted.
  • FIG. 3 is a schematic view illustrating the orientation range of the light emitting part.
  • FIG. 3 shows a state in which the light emitting unit 20 is viewed from the extending direction D0.
  • the first infrared light emitting element 211 is indicated by a solid line
  • the second infrared light emitting element 212 is indicated by a two-dot chain line.
  • the infrared light emission range (orientation range S1) of the first infrared light emitting element 211 is set to about 90 degrees
  • the infrared light emission range (orientation range S2) of the second infrared light emitting element 212 is set to about 90 degrees.
  • the first infrared light emitting element 211 is mounted on the front and back of the first substrate portion 210, a range of about 90 degrees on one side (upper side) of the first substrate portion 210 and about 90 on the other side (lower side). Infrared light is emitted in the range of degrees.
  • the second infrared light emitting element 212 is mounted on the front and back of the second substrate portion 220, a range of about 90 degrees on one side (right side) of the second substrate portion 220 and about the other side (left side). Infrared light is emitted in the range of 90 degrees. Therefore, if the optical axis direction (first direction D1) of the first infrared light emitting element 211 and the optical axis direction (second direction D2) of the second infrared light emitting element 212 are 90 degrees different from each other, As a whole, infrared light can be emitted over the entire circumference (360 degrees) around the central axis in the extending direction D0.
  • the orientation range S1 of the first infrared light emitting element 211 and the orientation range S2 of the second infrared light emitting element 212 are grasped by, for example, FFP (Far Field Pattern). Further, the difference between the first direction D1 and the second direction D2 may be determined by the relationship between the orientation range S1 of the first infrared light emitting element 211 and the orientation range S2 of the second infrared light emitting element 212, and is approximately 30 degrees. More than 150 degrees.
  • the tube 10 having such a light emitting unit 20 on the distal end side when the tube 10 is inserted into the body and reaches a target position, the light emitting unit can be used regardless of the orientation of the distal end of the tube 10. 20 emits infrared light in a wide range. Therefore, infrared light can be accurately received by the light receiving unit 30, and the tip position of the tube 10 can be accurately detected.
  • FIG. 4A and 4B are perspective views illustrating a method for manufacturing the light emitting unit.
  • a flat substrate 200 having a plate shape, particularly a thin plate shape is prepared.
  • the substrate 200 is, for example, a flexible substrate, and a wiring pattern is formed on the front and back surfaces in advance.
  • the first infrared light emitting element 211 is mounted on the mounting surface 210 a of the first substrate portion 210
  • the second infrared light emitting element 212 is mounted on the mounting surface 220 a of the second substrate portion 220.
  • the connecting portion 250 of the substrate 200 is twisted.
  • the second substrate portion 220 is twisted 90 degrees with respect to the first substrate portion 210.
  • the periphery of the connecting portion 250 may be hardened with an adhesive or the like. It is desirable to make the width of the connecting portion 250 of the substrate 200 narrower than the width of the first substrate portion 210 and the second substrate portion 220 so that the connecting portion 250 can be easily twisted. Thereby, the light emitting unit 20 is completed.
  • FIG. 5 is a perspective view showing a configuration example (No. 2) of the light emitting unit.
  • the cap 20c is omitted for convenience of explanation.
  • the configuration example (part 2) of the light emitting unit 20 in that the light emitting unit 20 includes the substrate 200 and the first infrared light emitting element 211 and the second infrared light emitting element 212 mounted on the substrate 200. It is the same.
  • the mounting surface 210 a of the first substrate portion 210 and the mounting surface 220 a of the second substrate portion 220 of the substrate 200 are inclined with respect to each other via the connecting portion 250. Thereby, the light emission part 20 which mounted the 1st infrared light emitting element 211 and the 2nd infrared light emitting element 212 from which an optical axis direction mutually differs is comprised.
  • the first substrate portion 210, the second substrate portion 220, and the connecting portion 250 are configured by one substrate 200.
  • the connecting portion 250 is configured by bending a part of the substrate 200.
  • FIG. 6A and 6B are perspective views illustrating a method for manufacturing the light emitting unit.
  • a flat substrate 200 having a plate shape, particularly a thin plate shape is prepared.
  • the substrate 200 is, for example, a flexible substrate, and a wiring pattern is formed on the front and back surfaces in advance.
  • the first infrared light emitting element 211 is mounted on the mounting surface 210 a of the first substrate portion 210
  • the second infrared light emitting element 212 is mounted on the mounting surface 220 a of the second substrate portion 220.
  • the substrate 200 is provided with a first slit SL1 and a second slit SL2.
  • the first slit SL1 is provided between the first substrate portion 210 and the connecting portion 250.
  • the first slit SL1 is formed by making a cut in a direction orthogonal to the side surface from the side surface on one side of the substrate 200 to the center.
  • the second slit SL2 is provided between the second substrate portion 220 and the connecting portion 250.
  • the second slit SL2 is formed by making a cut in a direction orthogonal to the side surface from the other side surface to the center of the substrate 200.
  • half of the connecting portion 250 of the substrate 200 is bent. Since the first slit SL1 and the second slit SL2 are provided by cutting the substrate 200 from the opposite side surface to the center, half of the connecting portion 250 is bent along the center in the extending direction D0 of the substrate 200. Will be.
  • the bending angle is set to 90 degrees, for example.
  • the optical axis direction (second direction D2) of the light emitting element 212 is different from each other (for example, 90 degrees different).
  • the light emitting unit 20 as a whole can emit infrared light at a wide angle.
  • the light emitting unit 20 having different mounting angles 210 a and 220 a can be configured by one flexible substrate.
  • the twisting angle of the connecting portion 250 shown in FIG. 4B and the bending angle of the connecting portion 250 shown in FIG. 6B are not limited to 90 degrees.
  • FIG. 7 is a perspective view showing a configuration example (No. 3) of the light emitting unit.
  • the cap 20c is omitted for convenience of explanation.
  • the light emitting unit 20 includes a resin body 300 that is a base material extending in the extending direction D0 of the tube 10, and a first infrared light emitting element 211 and a second infrared light emitting element 212 mounted on the resin body 300.
  • the resin body 300 is a resin molded product having a wiring pattern on the surface.
  • the resin body 300 is, for example, a MID (Molded Interconnect Device), and is formed by forming a wiring pattern on a resin injection molded product.
  • the resin body 300 includes a first resin portion 310 and a second resin portion 320. That is, the first resin portion 310 and the second resin portion 320 are integrally provided.
  • the first resin portion 310 is provided with a first mounting surface 310a for mounting the first infrared light emitting element 211
  • the second resin portion 320 is provided with a second mounting surface 320a for mounting the second infrared light emitting element 212.
  • the second resin portion 320 is juxtaposed with the first resin portion 310 in the extending direction D0.
  • the first mounting surface 310a and the second mounting surface 320a are provided so as to be inclined with respect to each other.
  • the first infrared light emitting element 211 is mounted on the first mounting surface 310a constituted by the resin body 300, and the second infrared light emitting element 212 is mounted on the second mounting surface 320a, so that the optical axis directions are different from each other.
  • the light emitting unit 20 on which the first infrared light emitting element 211 and the second infrared light emitting element 212 are mounted can be configured.
  • the first mounting surface 310a and the second mounting surface 320a are inclined by 90 degrees.
  • the first direction D1 and the second direction D2 are different from each other by 90 degrees.
  • the first infrared light emitting element 211 and the second infrared light emitting element 212 are juxtaposed in the extending direction D0 of the tube 10, so that the light emitting element is not increased without increasing the outer diameter of the light emitting unit 20.
  • the number of can be increased.
  • the optical axis directions (the first direction D1 and the second direction D2) of the first infrared light emitting element 211 and the second infrared light emitting element 212 are different from each other, the light emitting unit 20 as a whole has a wide angle of infrared rays. Light can be emitted.
  • the first mounting surface 310a and the second mounting surface 320a that are inclined to each other can be configured accurately and easily.
  • FIG. 8 is a perspective view showing a configuration example (No. 4) of the light emitting unit.
  • the cap 20c is omitted for convenience of explanation.
  • the configuration example (No. 4) of the light emitting unit 20 the configuration example (No. 4) is provided in that the light emitting unit 20 includes the resin body 300 and the first infrared light emitting element 211 and the second infrared light emitting element 212 mounted on the resin body 300. Same as 3).
  • the reflecting member 350 is provided on the surface of the resin body 300.
  • the reflection member 350 is made of a material having a higher reflectance than the resin body 300 at the wavelength of light emitted from the first infrared light emitting element 211 and the second infrared light emitting element 212.
  • the area of the reflective member 350 is larger than the area of the wiring pattern provided on the surface of the resin body 300. Accordingly, the infrared light emitted from the first infrared light emitting element 211 and the second infrared light emitting element 212 that has been reflected in the body can be efficiently reflected by the reflecting member 350 on the surface of the resin body 300.
  • the resin body 300 is a molded product, it is mainly composed of a black resin. If the wide range of the surface of the resin body 300 is black, the absorption rate of infrared light increases. Therefore, a reflecting member 350 having a high reflectance of infrared light is formed on the surface of the resin body 300.
  • the reflecting member 350 is formed on the surface of the resin body 300 by plating (for example, gold plating), for example.
  • the reflection member 350 may be configured by providing a wide wiring pattern on the surface of the resin body 300.
  • the reflecting member 350 can provide an infrared light reflector effect. That is, when infrared light is emitted from the light emitting unit 20 with the tube 10 inserted into the body, light that has returned to the resin body 300 side of the emitted infrared light (for example, light reflected by the cap 20c) is reflected. The member 350 can be efficiently reflected. Thereby, compared with the case where the reflection member 350 is not provided, the amount of infrared light reflected by the surface of the resin body 300 can be increased, and the detection accuracy of infrared light at the light receiving unit 30 can be increased. .
  • infrared light can be emitted at a wide angle from the light emitting unit 20 provided at the tip of the tube 10 without making the tip of the tube 10 thicker than necessary.
  • the infrared light can be detected by the light receiving unit 30 outside the body regardless of the direction of the tip of the tube 10. Therefore, it is possible to provide the catheter device 1 that can accurately detect the tip position of the tube 10.
  • the present invention is not limited to these examples.
  • an example in which the tube 10 is inserted into the body from the mouth or nose has been shown.
  • the present invention is applicable even when the tube 10 is inserted from a hole opened in the body by an anus or treatment.
  • the example in which the 1st infrared light emitting element 211 and the 2nd infrared light emitting element 212 were juxtaposed as the light emission part 20 in the extending direction D0 was shown, three or more infrared light emitting elements are juxtaposed in the extending direction D0. May be. In this case, it is desirable that the optical axis directions of the plurality of infrared light emitting elements are different from each other.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)
  • Endoscopes (AREA)

Abstract

The catheter device according to one embodiment of the present invention is provided with: a tube to be inserted in a human body; and a light emission part which is provided to the leading end side of the tube and emits an infrared beam for confirmation of the position of the tube. The light emission part has: a base material that extends in the tube extension direction; a first infrared emission element which is mounted to the base material and which has an optical axis in a first direction orthogonal to the extension direction; and a second infrared emission element which is mounted to the base material, which has an optical axis in a second direction being orthogonal to the extension direction and being different from the first direction, and which is disposed so as to be juxtaposed to the first infrared emission element in the extension direction. This configuration enables detecting of the position of the tube properly without making the leading end of the tube of the catheter device thicker than necessary.

Description

カテーテル装置Catheter device

 本発明は、カテーテル装置に関し、特に体内に挿入するチューブの先端位置を正確に把握することができるカテーテル装置に関する。 The present invention relates to a catheter device, and more particularly to a catheter device capable of accurately grasping the tip position of a tube to be inserted into the body.

 経管栄養カテーテル装置は、意識障害、筋力衰退などにより自ら飲食できなくなった患者の胃まで栄養剤や薬などを送るために用いられる。このカテーテル装置を用いた方法では、口や鼻から体内にチューブを挿入して胃まで到達させて、体外からチューブを介して栄養剤等を胃に送り込んでいる。点滴だけでは胃や腸などの消化器系の能力の衰退が危惧されるが、チューブによって胃に直接栄養剤等を送ることにより消化器系の能力の衰退を抑制できるメリットもある。 The tube feeding catheter device is used to send nutrients and medicines to the stomach of patients who are unable to eat or drink by themselves due to disturbance of consciousness or muscle weakness. In this method using a catheter device, a tube is inserted into the body from the mouth or nose to reach the stomach, and a nutrient or the like is sent from outside the body to the stomach through the tube. Infusion alone may cause a decline in the ability of the digestive system such as the stomach and intestine, but there is also a merit that it is possible to suppress the decline in the ability of the digestive system by sending a nutrient or the like directly to the stomach through a tube.

 このようなカテーテル装置を用いた方法では、チューブが誤って気道に入らないように注意を払う必要がある。そこで、カテーテル装置に造影ラインを入れてX線で確認することが行われている。しかし、X線の取り扱い管理が煩雑であり、装置構成も複雑化してしまう。 In such a method using a catheter device, care must be taken so that the tube does not accidentally enter the airway. In view of this, an imaging line is put in the catheter device and confirmed by X-rays. However, X-ray handling management is complicated and the apparatus configuration is complicated.

 また、pHセンサを用いて胃液を検出できたか否かによってチューブが胃まで届いたかを確認する方法もある。しかし、胃酸の逆流などによってチューブが胃に届く前に胃酸を検出してしまうこともあり、正確な位置検出を行うことはできない。 There is also a method for confirming whether the tube has reached the stomach by detecting whether gastric juice has been detected using a pH sensor. However, gastric acid may be detected before the tube reaches the stomach due to gastric acid reflux or the like, and accurate position detection cannot be performed.

 ここで、特許文献1には、複数の視覚素子を備えるカテーテルが開示される。すなわち、使用者が様々な角度で病巣の複数の画像を取り込むことができる固定式視覚素子と可動式視覚素子とを備えたカテーテルシステムが開示されている。このカテーテルシステムでは、チューブの先端にLEDを設けることで光を照射して、視覚素子で取り込む画像の質を向上させている。 Here, Patent Document 1 discloses a catheter including a plurality of visual elements. That is, a catheter system is disclosed that includes a fixed visual element and a movable visual element that allow a user to capture multiple images of a lesion at various angles. In this catheter system, an LED is provided at the tip of the tube to irradiate light and improve the quality of an image captured by a visual element.

 また、特許文献2には、生体内の細管内に挿入して発光させる体内部位発光装置が開示される。この装置は、両端が封止された可撓性および光透過性を有する管状体からなる本体部と、この本体部に内設される少なくとも1つの発光部と、この発光部を発光させるための発光手段とを有している。この体内部位発光装置では、本体部を発光させて生体内に挿入した後で発光させることにより、腹腔鏡下手術等において、医師や獣医師が細管の位置や走行状態を正確に視認できるようになっている。 Also, Patent Document 2 discloses an internal body light-emitting device that is inserted into a thin tube in a living body to emit light. The apparatus includes a main body portion made of a flexible and light-transmitting tubular body sealed at both ends, at least one light emitting portion provided in the main body portion, and a light emitting portion for causing the light emitting portion to emit light. Light emitting means. In this in-vivo region light-emitting device, the body and the veterinarian can accurately recognize the position and running state of the tubule in laparoscopic surgery etc. by emitting light after being inserted into the living body. It has become.

特表2008-526360号公報Special table 2008-526360 gazette 特開2007-222388公報JP 2007-222388 A

 チューブの先端部に人体を透過する赤外線光を放出する発光素子を設けておき、チューブを体内に挿入した後で発光素子を発光させてチューブの位置を検知する装置では、発光素子の配向特性によって赤外線光を体外で的確に検知できない場合がある。すなわち、チューブを人体に挿入する際、挿入経路によってチューブを曲げたり回転させたりしながら目的の位置まで到達させる。したがって、人体に挿入された状態でチューブの先端部に設けられた発光素子がどの方向に向いているか分からない。このため、発光素子の向きによっては体内の発光素子から放出された赤外線光が体外の受光装置まで十分に到達せず、的確に検知できないという問題が生じる。一方、チューブの先端部の全周を囲むように複数の発光素子を配置すればよいが、チューブの先端部が太くなってしまい、チューブを挿入する際の作業性が悪化し、患者の負担にも繋がる。 A light emitting element that emits infrared light that passes through the human body is provided at the tip of the tube, and the device that detects the position of the tube by emitting light after the tube has been inserted into the body depends on the orientation characteristics of the light emitting element. Infrared light may not be detected accurately outside the body. That is, when the tube is inserted into the human body, the tube is made to reach the target position while being bent or rotated by the insertion path. Therefore, it is not known in which direction the light emitting element provided at the distal end portion of the tube is inserted in the human body. Therefore, depending on the orientation of the light emitting element, there is a problem that infrared light emitted from the light emitting element inside the body does not reach the light receiving device outside the body sufficiently and cannot be detected accurately. On the other hand, it is only necessary to arrange a plurality of light emitting elements so as to surround the entire circumference of the distal end portion of the tube, but the distal end portion of the tube becomes thick and workability when inserting the tube is deteriorated, which is a burden on the patient. Is also connected.

 本発明は、チューブの先端部を必要以上に太くすることなく、チューブの位置を的確に検出することができるカテーテル装置を提供することを目的とする。 An object of the present invention is to provide a catheter device that can accurately detect the position of a tube without making the tip of the tube thicker than necessary.

 上記課題を解決するため、本発明の一態様に係るカテーテル装置は、体内に挿入されるチューブと、チューブの先端側に設けられ、チューブの位置確認のための赤外線光を放出する発光部と、を備える。発光部は、チューブの延出方向に延在する基材と、基材に実装され、延出方向と直交する第1方向に光軸を有する第1赤外線発光素子と、基材に実装され、延出方向と直交し第1方向とは異なる第2方向に光軸を有し、第1赤外線発光素子と延出方向に並置された第2赤外線発光素子と、を有する。 In order to solve the above problems, a catheter device according to one embodiment of the present invention includes a tube inserted into the body, a light emitting unit that is provided on the distal end side of the tube and emits infrared light for confirming the position of the tube, Is provided. The light emitting unit is mounted on the base material extending in the extending direction of the tube, the first infrared light emitting element mounted on the base material and having the optical axis in the first direction orthogonal to the extending direction, and the base material, The first infrared light emitting element and the second infrared light emitting element juxtaposed in the extending direction have an optical axis in a second direction orthogonal to the extending direction and different from the first direction.

 このような構成によれば、チューブの先端側に設けられた発光部として、第1赤外線発光素子と第2赤外線発光素子とがチューブの延出方向に並置され、互いの光軸方向が異なっていることから、発光部の外径を大きくすることなく、広い角度で赤外線光を放出できるようになる。 According to such a configuration, the first infrared light emitting element and the second infrared light emitting element are juxtaposed in the extending direction of the tube as the light emitting portion provided on the distal end side of the tube, and the optical axis directions are different from each other. Therefore, infrared light can be emitted at a wide angle without increasing the outer diameter of the light emitting part.

 上記カテーテル装置において、基材は、板状の基板を有し、基板は、第1赤外線発光素子の実装面を有する第1基板部分と、第2赤外線発光素子の実装面を有する第2基板部分と、第1基板部分と第2基板部分との間に設けられ、第1基板部分の実装面から第2基板部分の実装面にかけて捻られた連結部分と、を有していてもよい。これにより、一つの板状の基板を捻ることで、互いに光軸方向が異なる第1赤外線発光素子および第2赤外線発光素子を実装した発光部を構成することができる。 In the catheter apparatus, the base material has a plate-like substrate, and the substrate has a first substrate portion having a mounting surface for the first infrared light emitting element and a second substrate portion having a mounting surface for the second infrared light emitting element. And a connecting portion provided between the first substrate portion and the second substrate portion and twisted from the mounting surface of the first substrate portion to the mounting surface of the second substrate portion. Thereby, the light emission part which mounted the 1st infrared light emitting element and the 2nd infrared light emitting element from which an optical axis direction mutually differs can be comprised by twisting one plate-shaped board | substrate.

 上記カテーテル装置において、基材は、板状の基板を有し、基板は、第1赤外線発光素子の実装面を有する第1基板部分と、第2赤外線発光素子の実装面を有する第2基板部分と、第1基板部分と第2基板部分との間に設けられ、第1基板部分の実装面と第2基板部分の実装面とが互いに傾斜するよう連結する連結部分と、を有していてもよい。これにより、第1基板部分の実装面と第2基板部分の実装面とが連結部分を介して互いに傾斜するようになって、互いに光軸方向が異なる第1赤外線発光素子および第2赤外線発光素子を実装した発光部を構成することができる。 In the catheter apparatus, the base material has a plate-like substrate, and the substrate has a first substrate portion having a mounting surface for the first infrared light emitting element and a second substrate portion having a mounting surface for the second infrared light emitting element. And a connecting portion that is provided between the first substrate portion and the second substrate portion and connects the mounting surface of the first substrate portion and the mounting surface of the second substrate portion so as to be inclined with respect to each other. Also good. Thereby, the mounting surface of the first substrate portion and the mounting surface of the second substrate portion are inclined with respect to each other via the connecting portion, and the first infrared light emitting device and the second infrared light emitting device having different optical axis directions from each other. It is possible to configure a light emitting unit mounted with.

 上記カテーテル装置において、基材は、表面に配線パターンが設けられた樹脂体を有し、樹脂体は、第1赤外線発光素子を実装する第1実装面を有する第1樹脂部分と、第2赤外線発光素子の実装する第2実装面を有する第2樹脂部分と、を有し、第1実装面と第2実装面とが互いに傾斜するように設けられていてもよい。これにより、樹脂体によって構成された第1実装面に第1赤外線発光素子を実装し、第2実装面に第2赤外線発光素子を実装することで、互いに光軸方向が異なる第1赤外線発光素子および第2赤外線発光素子を実装した発光部を構成することができる。 In the catheter device, the base material includes a resin body having a wiring pattern on the surface, and the resin body includes a first resin portion having a first mounting surface on which the first infrared light emitting element is mounted, and a second infrared ray. And a second resin portion having a second mounting surface on which the light emitting element is mounted, and the first mounting surface and the second mounting surface may be provided so as to be inclined with respect to each other. Accordingly, the first infrared light emitting element is mounted on the first mounting surface made of the resin body, and the second infrared light emitting element is mounted on the second mounting surface, so that the first infrared light emitting elements having different optical axis directions from each other are mounted. And the light emission part which mounted the 2nd infrared light emitting element can be comprised.

 上記カテーテル装置において、第1樹脂部分と第2樹脂部分とが一体的に設けられていてもよい。これにより、一つの樹脂体によって互いに光軸方向が異なる第1赤外線発光素子および第2赤外線発光素子を実装した発光部を構成することができる。 In the catheter device, the first resin portion and the second resin portion may be provided integrally. Thereby, the light emission part which mounted the 1st infrared light emitting element and the 2nd infrared light emitting element from which an optical axis direction mutually differs with one resin body can be comprised.

 上記カテーテル装置において、樹脂体の表面には、第1赤外線発光素子および第2赤外線発光素子から放出される光の波長において樹脂体よりも反射率の高い反射部材が設けられていてもよい。これにより、第1赤外線発光素子および第2赤外線発光素子から放出された赤外線光のうち樹脂体側に戻ってきた光を樹脂体の表面の反射部材で効率良く反射させることができ、発光部から放出される赤外線光の量を増加させることができる。 In the above catheter device, a reflecting member having a higher reflectance than the resin body at the wavelength of light emitted from the first infrared light emitting element and the second infrared light emitting element may be provided on the surface of the resin body. Thereby, the light which returned to the resin body side among the infrared light emitted from the first infrared light emitting element and the second infrared light emitting element can be efficiently reflected by the reflecting member on the surface of the resin body, and is emitted from the light emitting portion. The amount of infrared light emitted can be increased.

 上記カテーテル装置において、第1方向と第2方向とは互いに30度以上150度以下で相違していてもよい。これにより、第1赤外線発光素子および第2赤外線発光素子の両方から放出される赤外線光の配向角度を広くすることができる。 In the catheter device, the first direction and the second direction may be different from each other by 30 degrees or more and 150 degrees or less. Thereby, the orientation angle of the infrared light emitted from both the first infrared light emitting element and the second infrared light emitting element can be widened.

 本発明によれば、チューブの先端部を必要以上に太くすることなく、チューブの位置を的確に検出することができるカテーテル装置を提供することが可能になる。 According to the present invention, it is possible to provide a catheter device that can accurately detect the position of the tube without making the tip of the tube thicker than necessary.

本実施形態に係るカテーテル装置を例示する模式図である。It is a schematic diagram which illustrates the catheter apparatus which concerns on this embodiment. 発光部の構成例(その1)を示す斜視図である。It is a perspective view which shows the structural example (the 1) of a light emission part. 発光部の配向範囲を例示する模式図である。It is a schematic diagram which illustrates the orientation range of a light emission part. (a)および(b)は、発光部の製造方法を例示する斜視図である。(A) And (b) is a perspective view which illustrates the manufacturing method of a light emission part. 発光部の構成例(その2)を示す斜視図である。It is a perspective view which shows the structural example (the 2) of a light emission part. (a)および(b)は、発光部の製造方法を例示する斜視図である。(A) And (b) is a perspective view which illustrates the manufacturing method of a light emission part. 発光部の構成例(その3)を示す斜視図である。It is a perspective view which shows the structural example (the 3) of a light emission part. 発光部の構成例(その4)を示す斜視図である。It is a perspective view which shows the structural example (the 4) of a light emission part.

 以下、本発明の実施形態を図面に基づいて説明する。なお、以下の説明では、同一の部材には同一の符号を付し、一度説明した部材については適宜その説明を省略する。 Hereinafter, embodiments of the present invention will be described with reference to the drawings. In the following description, the same members are denoted by the same reference numerals, and the description of the members once described is omitted as appropriate.

(カテーテル装置の構成)
 図1は、本実施形態に係るカテーテル装置を例示する模式図である。
 本実施形態に係るカテーテル装置1は、人体100に挿入されるチューブ10と、チューブ10の先端側に設けられた発光部20とを備える。図1に示すカテーテル装置1は、受光部30および制御部50をさらに備えている。カテーテル装置1は、一例として、チューブ10を口や鼻から体内に挿入し、食道を経由してチューブ10の先端を胃まで到達させる。そして、体外からチューブ10を通して栄養剤や薬などを胃に送り込む。これにより、患者の胃まで栄養剤や薬などを直接送ることができる。
(Configuration of catheter device)
FIG. 1 is a schematic view illustrating a catheter device according to this embodiment.
The catheter device 1 according to the present embodiment includes a tube 10 to be inserted into a human body 100 and a light emitting unit 20 provided on the distal end side of the tube 10. The catheter device 1 shown in FIG. 1 further includes a light receiving unit 30 and a control unit 50. As an example, the catheter device 1 inserts the tube 10 into the body from the mouth or nose, and allows the tip of the tube 10 to reach the stomach via the esophagus. Then, nutrients and medicines are sent to the stomach through the tube 10 from outside the body. Thereby, a nutrient, a medicine, etc. can be sent directly to a patient's stomach.

 チューブ10の後端側にはコネクタ15が接続され、このコネクタ15にケーブルC10が接続されている。ケーブルC10は制御部50と接続される。チューブ10には電源ライン等の配線25が設けられており、この配線25の一端が発光部20と接続され、配線25の他端がコネクタ15と接続される。コネクタ15は、チューブ10の配線25とケーブルC10とを導通させる役目を果たす。 A connector 15 is connected to the rear end side of the tube 10, and a cable C 10 is connected to the connector 15. The cable C10 is connected to the control unit 50. The tube 10 is provided with a wiring 25 such as a power supply line. One end of the wiring 25 is connected to the light emitting unit 20, and the other end of the wiring 25 is connected to the connector 15. The connector 15 serves to conduct the wiring 25 of the tube 10 and the cable C10.

 また、コネクタ15にはチューブ10の他端側の口(体外側の口)と連通する投入口151が設けられる。投入口151から栄養剤や薬などをチューブ10内に入れることができる。 In addition, the connector 15 is provided with an insertion port 151 that communicates with a mouth on the other end side of the tube 10 (a mouth outside the body). Nutrients, medicines and the like can be put into the tube 10 from the inlet 151.

 発光部20には、後述する赤外線発光素子が設けられている。赤外線発光素子から発光される赤外線光の波長は、人体100を透過可能な例えば650nm~1000nm程度である。これにより、チューブ10が体内に挿入された際、チューブ10の先端側に設けられた発光部20から放出される赤外線光を体外で受けることができる。この体外で受ける赤外線光により、チューブ10の位置確認が可能となる。発光部20はキャップ20cによって保護されている。キャップ20cによって発光部20内を防水できるとともに、キャップ20cの滑らかな外形によってチューブ10を人体100に挿入する際の作業性が高まる。 The light emitting unit 20 is provided with an infrared light emitting element to be described later. The wavelength of infrared light emitted from the infrared light emitting element is, for example, about 650 nm to 1000 nm that can pass through the human body 100. Thereby, when the tube 10 is inserted into the body, infrared light emitted from the light emitting unit 20 provided on the distal end side of the tube 10 can be received outside the body. The position of the tube 10 can be confirmed by the infrared light received outside the body. The light emitting unit 20 is protected by a cap 20c. The inside of the light emitting unit 20 can be waterproofed by the cap 20c, and workability when the tube 10 is inserted into the human body 100 is enhanced by the smooth outer shape of the cap 20c.

 受光部30は、発光部20から放出され人体100を透過した赤外線光を受ける部分である。受光部30は体外の人体100に近い位置に配置される。例えば、チューブ10の先端を胃まで到達させたい場合には、受光部30を体外の胃の近くに配置しておく。受光部30はケーブルC30によって制御部50と接続される。受光部30で受けた赤外線光に基づく電気信号はケーブルC30を介して制御部50へ送られる。 The light receiving unit 30 is a part that receives infrared light emitted from the light emitting unit 20 and transmitted through the human body 100. The light receiving unit 30 is disposed at a position close to the human body 100 outside the body. For example, when it is desired to make the tip of the tube 10 reach the stomach, the light receiving unit 30 is disposed near the stomach outside the body. The light receiving unit 30 is connected to the control unit 50 by a cable C30. An electrical signal based on the infrared light received by the light receiving unit 30 is sent to the control unit 50 via the cable C30.

 制御部50は、発光部20および受光部30など各部を制御する部分である。制御部50は操作ボタン53およびディスプレイ55を備える。制御部50は、ケーブルC10を介して発光部20へ通電制御を行う。すなわち、発光部20を動作させるための電力は、制御部50からケーブルC10およびチューブ10の配線25を介して発光部20へ供給される。 The control unit 50 is a part that controls each unit such as the light emitting unit 20 and the light receiving unit 30. The control unit 50 includes an operation button 53 and a display 55. The control unit 50 performs energization control to the light emitting unit 20 via the cable C10. That is, the power for operating the light emitting unit 20 is supplied from the control unit 50 to the light emitting unit 20 via the cable C10 and the wiring 25 of the tube 10.

 ディスプレイ55は、受光部30による検出結果を表示する。例えば、受光部30で検出した赤外線光の強度に基づく信号が所定の値を超えた場合には「検出」した旨の表示を行う。また、信号強度に応じた数値やグラフ、絵柄などを表示してもよい。制御部50は、「検出」した旨を音によって報知してもよい。操作ボタン53は、ディスプレイ55の表示切り替えや、設定変更などを行う場合に用いられる。 The display 55 displays the detection result by the light receiving unit 30. For example, when the signal based on the intensity of the infrared light detected by the light receiving unit 30 exceeds a predetermined value, a display indicating “detected” is performed. In addition, a numerical value, a graph, a picture, or the like corresponding to the signal intensity may be displayed. The control unit 50 may notify the user that “detected” has been made. The operation button 53 is used when switching the display 55 or changing the setting.

 カテーテル装置1を使用するには、先ず、チューブ10とコネクタ15とを接続し、コネクタ15にケーブルC10を接続して制御部50と繋げる。また、受光部30をケーブルC30によって制御部50と繋げる。 In order to use the catheter device 1, first, the tube 10 and the connector 15 are connected, and the cable C10 is connected to the connector 15 to be connected to the control unit 50. Further, the light receiving unit 30 is connected to the control unit 50 by the cable C30.

 次に、制御部50からケーブルC10およびチューブ10の配線25を介して発光部20に電力を供給して、赤外線光を放出する。この状態でチューブ10を口や鼻から体内に挿入していく。一方、チューブ10の先端を到達させたい位置と近い体外に受光部30を配置しておく。例えば、胃までチューブ10を挿入したい場合には、体外の胃の辺り(上腹部辺り)に受光部30を配置しておく。 Next, power is supplied from the control unit 50 to the light emitting unit 20 via the cable C10 and the wiring 25 of the tube 10, and infrared light is emitted. In this state, the tube 10 is inserted into the body through the mouth and nose. On the other hand, the light receiving unit 30 is arranged outside the body near the position where the tip of the tube 10 is desired to reach. For example, when it is desired to insert the tube 10 up to the stomach, the light receiving unit 30 is disposed around the stomach (upper abdomen) outside the body.

 この状態でチューブ10を体内に挿入していく。そして、チューブ10の先端が胃まで到達すると、発光部20から放出された赤外線光が人体100を透過して受光部30まで達する。受光部30で赤外線光を受けると、その光量に応じた信号をケーブルC30を介して制御部50に送る。この信号が予め設定された値を超えた場合、制御部50のディスプレイ55に到達した旨を表示する。 In this state, the tube 10 is inserted into the body. When the distal end of the tube 10 reaches the stomach, the infrared light emitted from the light emitting unit 20 passes through the human body 100 and reaches the light receiving unit 30. When infrared light is received by the light receiving unit 30, a signal corresponding to the amount of light is sent to the control unit 50 via the cable C30. When this signal exceeds a preset value, a message indicating that the signal has reached the display 55 of the control unit 50 is displayed.

 一方、チューブ10の先端が胃まで到達していない場合には、受光部30で受ける赤外線光の量が少ないため、ディスプレイ55には到達した旨の表示はされない。これにより、使用者は、ディスプレイ55の表示によって、チューブ10の先端が胃まで到達したか否かを認識することができる。
 なお、上記の例では、チューブ10を体内に挿入しながら先端位置の検出を行ったが、チューブ10に先端からの長さを示す目盛が設けられていてもよい。この場合には、その目盛を目安にしてチューブ10を体内に挿入し、目標の長さまで挿入した後に受光部30を当てて検出を行うことができる。
On the other hand, when the distal end of the tube 10 does not reach the stomach, the amount of infrared light received by the light receiving unit 30 is small, so that the display 55 is not displayed. Thereby, the user can recognize whether or not the tip of the tube 10 has reached the stomach by the display 55.
In the above example, the tip position is detected while the tube 10 is inserted into the body. However, the tube 10 may be provided with a scale indicating the length from the tip. In this case, the tube 10 can be inserted into the body using the scale as a guide, and after the insertion to the target length, detection can be performed by applying the light receiving unit 30.

(発光部の構成例:その1)
 図2は、発光部の構成例(その1)を示す斜視図である。なお、図2では、説明の便宜上、キャップ20cは省略されている。
 構成例(その1)の発光部20は、チューブ10の延出方向D0に延在する基材である基板200と、基板200に実装される第1赤外線発光素子211および第2赤外線発光素子212とを有する。ここで、チューブ10の延出方向D0とは、チューブ10を真っ直ぐにした際にチューブ10の延びる方向のことを言う。
(Configuration example of light emitting part: Part 1)
FIG. 2 is a perspective view showing a configuration example (No. 1) of the light emitting unit. In FIG. 2, the cap 20c is omitted for convenience of explanation.
The light emitting unit 20 of the configuration example (part 1) includes a substrate 200 that is a base material extending in the extending direction D0 of the tube 10, and a first infrared light emitting element 211 and a second infrared light emitting element 212 mounted on the substrate 200. And have. Here, the extending direction D0 of the tube 10 refers to a direction in which the tube 10 extends when the tube 10 is straightened.

 基板200は、例えば配線パターンが形成されたフレキシブル基板である。基板200は、第1基板部分210と、第2基板部分220と、連結部分250とを有する。連結部分250は、第1基板部分210と第2基板部分220との間に設けられ、両者を連結している部分である。第1基板部分210、第2基板部分220および連結部分250は一つの基板200によって構成される。 The substrate 200 is, for example, a flexible substrate on which a wiring pattern is formed. The substrate 200 includes a first substrate portion 210, a second substrate portion 220, and a connecting portion 250. The connecting portion 250 is a portion that is provided between the first substrate portion 210 and the second substrate portion 220 and connects the two. The first substrate portion 210, the second substrate portion 220, and the connecting portion 250 are configured by one substrate 200.

 第1赤外線発光素子211は、第1基板部分210の実装面210aに実装される。本実施形態では、第1基板部分210の表裏面のそれぞれに第1赤外線発光素子211が実装される。第2赤外線発光素子212は、第2基板部分220の実装面220aに実装される。本実施形態では、第2基板部分220の表裏面のそれぞれに第2赤外線発光素子212が実装される。第2基板部分220は、第1基板部分210と延出方向D0に並置される。これにより、第2赤外線発光素子212は第1赤外線発光素子211と延出方向D0に並置されることになる。 The first infrared light emitting element 211 is mounted on the mounting surface 210 a of the first substrate portion 210. In the present embodiment, the first infrared light emitting element 211 is mounted on each of the front and back surfaces of the first substrate portion 210. The second infrared light emitting element 212 is mounted on the mounting surface 220 a of the second substrate portion 220. In the present embodiment, the second infrared light emitting element 212 is mounted on each of the front and back surfaces of the second substrate portion 220. The second substrate portion 220 is juxtaposed with the first substrate portion 210 in the extending direction D0. As a result, the second infrared light emitting element 212 is juxtaposed with the first infrared light emitting element 211 in the extending direction D0.

 また、第1基板部分210と第2基板部分220との間に設けられた連結部分250において、基板200は捻られている。本実施形態では、第1基板部分210の実装面210aから第2基板部分220の実装面220aにかけて連結部分250によって基板200が約90度捻られている。 In addition, the substrate 200 is twisted at the connecting portion 250 provided between the first substrate portion 210 and the second substrate portion 220. In the present embodiment, the substrate 200 is twisted about 90 degrees by the connecting portion 250 from the mounting surface 210a of the first substrate portion 210 to the mounting surface 220a of the second substrate portion 220.

 このような第1基板部分210の実装面210aに実装された第1赤外線発光素子211の光軸の方向は、延出方向D0と直交する第1方向D1である。また、第2基板部分220の実装面220aに実装された第2赤外線発光素子212の光軸の方向は、延出方向D0と直交し第1方向D1とは異なる第2方向D2である。連結部分250によって基板200が約90度捻られていることで、第1方向D1と第2方向D2とは互いに90度異なる。 The direction of the optical axis of the first infrared light emitting element 211 mounted on the mounting surface 210a of the first substrate portion 210 is a first direction D1 orthogonal to the extending direction D0. The direction of the optical axis of the second infrared light emitting element 212 mounted on the mounting surface 220a of the second substrate portion 220 is a second direction D2 that is orthogonal to the extending direction D0 and different from the first direction D1. Since the substrate 200 is twisted by about 90 degrees by the connecting portion 250, the first direction D1 and the second direction D2 are different from each other by 90 degrees.

 このような発光部20では、第1赤外線発光素子211と第2赤外線発光素子212とがチューブ10の延出方向D0に並置されることから、発光部20の外径を大きくすることなく発光素子の数を増加できる。また、第1赤外線発光素子211と第2赤外線発光素子212との互いの光軸方向(第1方向D1および第2方向D2)が異なっていることから、発光部20の全体として広い角度で赤外線光を放出できるようになる。 In such a light emitting unit 20, the first infrared light emitting element 211 and the second infrared light emitting element 212 are juxtaposed in the extending direction D0 of the tube 10, so that the light emitting element is not increased without increasing the outer diameter of the light emitting unit 20. The number of can be increased. Moreover, since the optical axis directions (the first direction D1 and the second direction D2) of the first infrared light emitting element 211 and the second infrared light emitting element 212 are different from each other, the light emitting unit 20 as a whole has a wide angle of infrared rays. Light can be emitted.

 図3は、発光部の配向範囲を例示する模式図である。
 図3には、発光部20を延出方向D0からみた状態が示される。説明の便宜上、第1赤外線発光素子211を実線で示し、第2赤外線発光素子212を二点鎖線で示す。
 ここでは、第1赤外線発光素子211の赤外線光の放出範囲(配向範囲S1)が約90度、第2赤外線発光素子212の赤外線光の放出範囲(配向範囲S2)が約90度に設定されているとする。第1基板部分210の表裏には第1赤外線発光素子211が実装されているため、第1基板部分210の一方側(上側)の約90度の範囲と、他方側(下側)の約90度の範囲に赤外線光が放出される。
FIG. 3 is a schematic view illustrating the orientation range of the light emitting part.
FIG. 3 shows a state in which the light emitting unit 20 is viewed from the extending direction D0. For convenience of explanation, the first infrared light emitting element 211 is indicated by a solid line, and the second infrared light emitting element 212 is indicated by a two-dot chain line.
Here, the infrared light emission range (orientation range S1) of the first infrared light emitting element 211 is set to about 90 degrees, and the infrared light emission range (orientation range S2) of the second infrared light emitting element 212 is set to about 90 degrees. Suppose that Since the first infrared light emitting element 211 is mounted on the front and back of the first substrate portion 210, a range of about 90 degrees on one side (upper side) of the first substrate portion 210 and about 90 on the other side (lower side). Infrared light is emitted in the range of degrees.

 また、第2基板部分220の表裏には第2赤外線発光素子212が実装されているため、第2基板部分220の一方側(右側)の約90度の範囲と、他方側(左側)の約90度の範囲に赤外線光が放出される。したがって、第1赤外線発光素子211の光軸方向(第1方向D1)と第2赤外線発光素子212の光軸方向(第2方向D2)とが互いに90度相違していれば、発光部20の全体としては、延出方向D0の中心軸回りの全周(360度)にわたり赤外線光を放出できることになる。 In addition, since the second infrared light emitting element 212 is mounted on the front and back of the second substrate portion 220, a range of about 90 degrees on one side (right side) of the second substrate portion 220 and about the other side (left side). Infrared light is emitted in the range of 90 degrees. Therefore, if the optical axis direction (first direction D1) of the first infrared light emitting element 211 and the optical axis direction (second direction D2) of the second infrared light emitting element 212 are 90 degrees different from each other, As a whole, infrared light can be emitted over the entire circumference (360 degrees) around the central axis in the extending direction D0.

 なお、第1赤外線発光素子211の配向範囲S1および第2赤外線発光素子212の配向範囲S2は、例えばFFP(Far Field Pattern:遠視野像)によって把握される。ま
た、第1方向D1と第2方向D2との相違は、この第1赤外線発光素子211の配向範囲S1および第2赤外線発光素子212の配向範囲S2との関係で決定すればよく、概ね30度以上150度以下である。
The orientation range S1 of the first infrared light emitting element 211 and the orientation range S2 of the second infrared light emitting element 212 are grasped by, for example, FFP (Far Field Pattern). Further, the difference between the first direction D1 and the second direction D2 may be determined by the relationship between the orientation range S1 of the first infrared light emitting element 211 and the orientation range S2 of the second infrared light emitting element 212, and is approximately 30 degrees. More than 150 degrees.

 このような発光部20を先端側に備えたチューブ10を用いることで、チューブ10が体内に挿入されて目的の位置まで到達した際、チューブ10の先端がどのような向きにあっても発光部20から赤外線光が広範囲で放出される。したがって、受光部30によって的確に赤外線光を受けることができ、チューブ10の先端位置の検出を正確に行うことができる。 By using the tube 10 having such a light emitting unit 20 on the distal end side, when the tube 10 is inserted into the body and reaches a target position, the light emitting unit can be used regardless of the orientation of the distal end of the tube 10. 20 emits infrared light in a wide range. Therefore, infrared light can be accurately received by the light receiving unit 30, and the tip position of the tube 10 can be accurately detected.

 図4(a)および(b)は、発光部の製造方法を例示する斜視図である。
 先ず、図4(a)に示すように、板状、特に薄板状の平坦な基板200を用意する。基板200は例えばフレキシブル基板であり、予め表裏面に配線パターンが形成されている。次に、第1基板部分210の実装面210aに第1赤外線発光素子211を実装し、第2基板部分220の実装面220aに第2赤外線発光素子212を実装する。
4A and 4B are perspective views illustrating a method for manufacturing the light emitting unit.
First, as shown in FIG. 4A, a flat substrate 200 having a plate shape, particularly a thin plate shape, is prepared. The substrate 200 is, for example, a flexible substrate, and a wiring pattern is formed on the front and back surfaces in advance. Next, the first infrared light emitting element 211 is mounted on the mounting surface 210 a of the first substrate portion 210, and the second infrared light emitting element 212 is mounted on the mounting surface 220 a of the second substrate portion 220.

 次に、図4(b)に示すように、基板200の連結部分250を捻る。例えば、第1基板部分210に対して第2基板部分220を90度捻る。捻った状態を維持するため、連結部分250の周囲を接着剤などで固めてもよい。連結部分250を捻りやすいように、基板200の連結部分250の幅を、第1基板部分210および第2基板部分220の幅よりも狭くしておくことが望ましい。これにより発光部20が完成する。 Next, as shown in FIG. 4B, the connecting portion 250 of the substrate 200 is twisted. For example, the second substrate portion 220 is twisted 90 degrees with respect to the first substrate portion 210. In order to maintain the twisted state, the periphery of the connecting portion 250 may be hardened with an adhesive or the like. It is desirable to make the width of the connecting portion 250 of the substrate 200 narrower than the width of the first substrate portion 210 and the second substrate portion 220 so that the connecting portion 250 can be easily twisted. Thereby, the light emitting unit 20 is completed.

(発光部の構成例:その2)
 図5は、発光部の構成例(その2)を示す斜視図である。なお、図5では、説明の便宜上、キャップ20cは省略されている。
 発光部20の構成例(その2)では、発光部20として基板200と、基板200に実装される第1赤外線発光素子211および第2赤外線発光素子212とを有する点で構成例(その1)と同様である。構成例(その2)では、基板200の第1基板部分210の実装面210aと第2基板部分220の実装面220aとが連結部分250を介して互いに傾斜するようになっている。これにより、互いに光軸方向が異なる第1赤外線発光素子211および第2赤外線発光素子212を実装した発光部20が構成される。
(Configuration example of light emitting unit: 2)
FIG. 5 is a perspective view showing a configuration example (No. 2) of the light emitting unit. In FIG. 5, the cap 20c is omitted for convenience of explanation.
In the configuration example (part 2) of the light emitting unit 20, the configuration example (part 1) in that the light emitting unit 20 includes the substrate 200 and the first infrared light emitting element 211 and the second infrared light emitting element 212 mounted on the substrate 200. It is the same. In the configuration example (No. 2), the mounting surface 210 a of the first substrate portion 210 and the mounting surface 220 a of the second substrate portion 220 of the substrate 200 are inclined with respect to each other via the connecting portion 250. Thereby, the light emission part 20 which mounted the 1st infrared light emitting element 211 and the 2nd infrared light emitting element 212 from which an optical axis direction mutually differs is comprised.

 構成例(その2)では、第1基板部分210、第2基板部分220および連結部分250は一つの基板200によって構成される。連結部分250は基板200の一部を折り曲げることによって構成されている。これにより、構成例(その1)と同様に、発光部20の外径を大きくすることなく発光素子の数を増加でき、また、第1赤外線発光素子211と第2赤外線発光素子212との互いの光軸方向(第1方向D1および第2方向D2)が異なるため、発光部20の全体として広い角度で赤外線光を放出できるようになる。 In the configuration example (No. 2), the first substrate portion 210, the second substrate portion 220, and the connecting portion 250 are configured by one substrate 200. The connecting portion 250 is configured by bending a part of the substrate 200. Thereby, similarly to the configuration example (No. 1), the number of the light emitting elements can be increased without increasing the outer diameter of the light emitting unit 20, and the first infrared light emitting element 211 and the second infrared light emitting element 212 are mutually connected. Since the optical axis directions (the first direction D1 and the second direction D2) are different, infrared light can be emitted at a wide angle as a whole of the light emitting unit 20.

 図6(a)および(b)は、発光部の製造方法を例示する斜視図である。
 先ず、図6(a)に示すように、板状、特に薄板状の平坦な基板200を用意する。基板200は例えばフレキシブル基板であり、予め表裏面に配線パターンが形成されている。次に、第1基板部分210の実装面210aに第1赤外線発光素子211を実装し、第2基板部分220の実装面220aに第2赤外線発光素子212を実装する。
6A and 6B are perspective views illustrating a method for manufacturing the light emitting unit.
First, as shown in FIG. 6A, a flat substrate 200 having a plate shape, particularly a thin plate shape, is prepared. The substrate 200 is, for example, a flexible substrate, and a wiring pattern is formed on the front and back surfaces in advance. Next, the first infrared light emitting element 211 is mounted on the mounting surface 210 a of the first substrate portion 210, and the second infrared light emitting element 212 is mounted on the mounting surface 220 a of the second substrate portion 220.

 この基板200には、第1スリットSL1および第2スリットSL2が設けられている。第1スリットSL1は、第1基板部分210と連結部分250との間に設けられる。第1スリットSL1は、基板200の一方側の側面から中央まで側面と直交する方向に切れ込みを入れることで構成される。また、第2スリットSL2は、第2基板部分220と連結部分250との間に設けられる。第2スリットSL2は、基板200の他方側の側面から中央まで側面と直交する方向に切れ込みを入れることで構成される。 The substrate 200 is provided with a first slit SL1 and a second slit SL2. The first slit SL1 is provided between the first substrate portion 210 and the connecting portion 250. The first slit SL1 is formed by making a cut in a direction orthogonal to the side surface from the side surface on one side of the substrate 200 to the center. The second slit SL2 is provided between the second substrate portion 220 and the connecting portion 250. The second slit SL2 is formed by making a cut in a direction orthogonal to the side surface from the other side surface to the center of the substrate 200.

 次に、図6(b)に示すように、基板200の連結部分250の半分を折り曲げる。第1スリットSL1および第2スリットSL2は互いに反対側の側面から中央まで基板200に切れ込みを入れて設けられているため、基板200の延出方向D0の中央に沿って連結部分250の半分が折り曲げられることになる。この折り曲げの角度を例えば90度にする。これにより、第1基板部分210の実装面210aに実装された第1赤外線発光素子211の光軸方向(第1方向D1)と、第2基板部分220の実装面220aに実装された第2赤外線発光素子212の光軸方向(第2方向D2)とが、互いに異なる(例えば、90度異なる)ようになる。これによって、発光部20の全体として広い角度で赤外線光を放出できるようになる。 Next, as shown in FIG. 6B, half of the connecting portion 250 of the substrate 200 is bent. Since the first slit SL1 and the second slit SL2 are provided by cutting the substrate 200 from the opposite side surface to the center, half of the connecting portion 250 is bent along the center in the extending direction D0 of the substrate 200. Will be. The bending angle is set to 90 degrees, for example. Thereby, the optical axis direction (first direction D1) of the first infrared light emitting element 211 mounted on the mounting surface 210a of the first substrate portion 210 and the second infrared light mounted on the mounting surface 220a of the second substrate portion 220. The optical axis direction (second direction D2) of the light emitting element 212 is different from each other (for example, 90 degrees different). As a result, the light emitting unit 20 as a whole can emit infrared light at a wide angle.

 図4および図6に示す製造方法によれば、1つのフレキシブル基板によって、実装面210aおよび220aの互いの角度が異なる発光部20を構成することができる。なお、図4(b)に示す連結部分250の捻りの角度や、図6(b)に示す連結部分250の折り曲げの角度は90度に限定されない。 According to the manufacturing method shown in FIGS. 4 and 6, the light emitting unit 20 having different mounting angles 210 a and 220 a can be configured by one flexible substrate. Note that the twisting angle of the connecting portion 250 shown in FIG. 4B and the bending angle of the connecting portion 250 shown in FIG. 6B are not limited to 90 degrees.

(発光部の構成例:その3)
 図7は、発光部の構成例(その3)を示す斜視図である。なお、図7では、説明の便宜上、キャップ20cは省略されている。
 発光部20は、チューブ10の延出方向D0に延在する基材である樹脂体300と、樹脂体300に実装される第1赤外線発光素子211および第2赤外線発光素子212とを有する。
(Configuration example of light emitting part: Part 3)
FIG. 7 is a perspective view showing a configuration example (No. 3) of the light emitting unit. In FIG. 7, the cap 20c is omitted for convenience of explanation.
The light emitting unit 20 includes a resin body 300 that is a base material extending in the extending direction D0 of the tube 10, and a first infrared light emitting element 211 and a second infrared light emitting element 212 mounted on the resin body 300.

 樹脂体300は、表面に配線パターンが設けられた樹脂成形品である。樹脂体300は、例えばMID(Molded Interconnect Device)であり、樹脂の射出成形品に配線パターンを形成したものである。 The resin body 300 is a resin molded product having a wiring pattern on the surface. The resin body 300 is, for example, a MID (Molded Interconnect Device), and is formed by forming a wiring pattern on a resin injection molded product.

 樹脂体300は、第1樹脂部分310と、第2樹脂部分320とを有する。すなわち、第1樹脂部分310と第2樹脂部分320とは一体的に設けられている。第1樹脂部分310には第1赤外線発光素子211を実装する第1実装面310aが設けられ、第2樹脂部分320には第2赤外線発光素子212を実装する第2実装面320aが設けられる。第2樹脂部分320は、延出方向D0に第1樹脂部分310と並置される。また、樹脂体300において、第1実装面310aと第2実装面320aとは互いに傾斜するように設けられている。 The resin body 300 includes a first resin portion 310 and a second resin portion 320. That is, the first resin portion 310 and the second resin portion 320 are integrally provided. The first resin portion 310 is provided with a first mounting surface 310a for mounting the first infrared light emitting element 211, and the second resin portion 320 is provided with a second mounting surface 320a for mounting the second infrared light emitting element 212. The second resin portion 320 is juxtaposed with the first resin portion 310 in the extending direction D0. In the resin body 300, the first mounting surface 310a and the second mounting surface 320a are provided so as to be inclined with respect to each other.

 これにより、樹脂体300によって構成された第1実装面310aに第1赤外線発光素子211を実装し、第2実装面320aに第2赤外線発光素子212を実装することで、互いに光軸方向が異なる第1赤外線発光素子211および第2赤外線発光素子212を実装した発光部20を構成することができる。この構成例(その3)では、第1実装面310aと第2実装面320aとが互いに90度傾斜している。これにより、第1方向D1と第2方向D2とは互いに90度異なる。 Accordingly, the first infrared light emitting element 211 is mounted on the first mounting surface 310a constituted by the resin body 300, and the second infrared light emitting element 212 is mounted on the second mounting surface 320a, so that the optical axis directions are different from each other. The light emitting unit 20 on which the first infrared light emitting element 211 and the second infrared light emitting element 212 are mounted can be configured. In this configuration example (No. 3), the first mounting surface 310a and the second mounting surface 320a are inclined by 90 degrees. Thereby, the first direction D1 and the second direction D2 are different from each other by 90 degrees.

 このような発光部20では、第1赤外線発光素子211と第2赤外線発光素子212とがチューブ10の延出方向D0に並置されることから、発光部20の外径を大きくすることなく発光素子の数を増加できる。また、第1赤外線発光素子211と第2赤外線発光素子212との互いの光軸方向(第1方向D1および第2方向D2)が異なっていることから、発光部20の全体として広い角度で赤外線光を放出できるようになる。 In such a light emitting unit 20, the first infrared light emitting element 211 and the second infrared light emitting element 212 are juxtaposed in the extending direction D0 of the tube 10, so that the light emitting element is not increased without increasing the outer diameter of the light emitting unit 20. The number of can be increased. Moreover, since the optical axis directions (the first direction D1 and the second direction D2) of the first infrared light emitting element 211 and the second infrared light emitting element 212 are different from each other, the light emitting unit 20 as a whole has a wide angle of infrared rays. Light can be emitted.

 また、樹脂体300をモールド成形品で構成することにより、互いに傾斜する第1実装面310aおよび第2実装面320aを正確かつ容易に構成することができる。 In addition, by configuring the resin body 300 with a molded product, the first mounting surface 310a and the second mounting surface 320a that are inclined to each other can be configured accurately and easily.

(発光部の構成例:その4)
 図8は、発光部の構成例(その4)を示す斜視図である。なお、図8では、説明の便宜上、キャップ20cは省略されている。
 発光部20の構成例(その4)では、発光部20として樹脂体300と、樹脂体300に実装される第1赤外線発光素子211および第2赤外線発光素子212とを有する点で構成例(その3)と同様である。構成例(その4)では、樹脂体300の表面に反射部材350が設けられている。
(Configuration example of light emitting part: Part 4)
FIG. 8 is a perspective view showing a configuration example (No. 4) of the light emitting unit. In FIG. 8, the cap 20c is omitted for convenience of explanation.
In the configuration example (No. 4) of the light emitting unit 20, the configuration example (No. 4) is provided in that the light emitting unit 20 includes the resin body 300 and the first infrared light emitting element 211 and the second infrared light emitting element 212 mounted on the resin body 300. Same as 3). In the configuration example (No. 4), the reflecting member 350 is provided on the surface of the resin body 300.

 反射部材350は、第1赤外線発光素子211および第2赤外線発光素子212から放出される光の波長において樹脂体300よりも反射率の高い材料によって構成される。例えば、反射部材350の面積は、樹脂体300の表面に設けられた配線パターンの面積よりも広い。これにより、第1赤外線発光素子211および第2赤外線発光素子212から放出された赤外線光のうち体内で反射してきたものを、樹脂体300の表面の反射部材350で効率良く反射させることができる。 The reflection member 350 is made of a material having a higher reflectance than the resin body 300 at the wavelength of light emitted from the first infrared light emitting element 211 and the second infrared light emitting element 212. For example, the area of the reflective member 350 is larger than the area of the wiring pattern provided on the surface of the resin body 300. Accordingly, the infrared light emitted from the first infrared light emitting element 211 and the second infrared light emitting element 212 that has been reflected in the body can be efficiently reflected by the reflecting member 350 on the surface of the resin body 300.

 例えば、樹脂体300はモールド成形品であるため、主として黒い色の樹脂によって構成される。樹脂体300の表面の広い範囲が黒色になっていると、赤外線光の吸収率が高くなる。そこで、樹脂体300の表面に、赤外線光の反射率の高い反射部材350を形成しておく。反射部材350は、例えば樹脂体300の表面にめっき(例えば、金めっき)によって形成される。反射部材350は、樹脂体300の表面の配線パターンを幅広に設けることで構成してもよい。 For example, since the resin body 300 is a molded product, it is mainly composed of a black resin. If the wide range of the surface of the resin body 300 is black, the absorption rate of infrared light increases. Therefore, a reflecting member 350 having a high reflectance of infrared light is formed on the surface of the resin body 300. The reflecting member 350 is formed on the surface of the resin body 300 by plating (for example, gold plating), for example. The reflection member 350 may be configured by providing a wide wiring pattern on the surface of the resin body 300.

 この反射部材350によって赤外線光のリフレクタ効果を得ることができる。すなわち、チューブ10を体内に挿入した状態で発光部20から赤外線光を放出した場合、放出した赤外線光のうち樹脂体300側に戻ってきた光(例えば、キャップ20cで反射してきた光)を反射部材350で効率良く反射させることができる。これにより、反射部材350が設けられていない場合に比べて樹脂体300の表面で反射される赤外線光の量を増加させることができ、受光部30での赤外線光の検出精度を高めることができる。 The reflecting member 350 can provide an infrared light reflector effect. That is, when infrared light is emitted from the light emitting unit 20 with the tube 10 inserted into the body, light that has returned to the resin body 300 side of the emitted infrared light (for example, light reflected by the cap 20c) is reflected. The member 350 can be efficiently reflected. Thereby, compared with the case where the reflection member 350 is not provided, the amount of infrared light reflected by the surface of the resin body 300 can be increased, and the detection accuracy of infrared light at the light receiving unit 30 can be increased. .

 以上説明したように、本実施形態によれば、チューブ10の先端部を必要以上に太くすることなく、チューブ10の先端部に設けられた発光部20から広い角度で赤外線光を放出することができ、チューブ10の先端の向きにかかわらず体外の受光部30で赤外線光を検出することができる。したがって、チューブ10の先端位置を的確に検出することができるカテーテル装置1を提供することが可能になる。 As described above, according to the present embodiment, infrared light can be emitted at a wide angle from the light emitting unit 20 provided at the tip of the tube 10 without making the tip of the tube 10 thicker than necessary. The infrared light can be detected by the light receiving unit 30 outside the body regardless of the direction of the tip of the tube 10. Therefore, it is possible to provide the catheter device 1 that can accurately detect the tip position of the tube 10.

 なお、上記に本実施形態を説明したが、本発明はこれらの例に限定されるものではない。例えば、上記の実施形態ではチューブ10を口や鼻から体内に挿入する例を示したが、肛門や施術によって身体に開けた穴からチューブ10を挿入する場合であっても適用可能である。また、発光部20として、延出方向D0に第1赤外線発光素子211および第2赤外線発光素子212が並置される例を示したが、3つ以上の赤外線発光素子が延出方向D0に並置されてもよい。この場合、複数の赤外線発光素子の光軸方向が互いに異なるように設けられていることが望ましい。 Although the present embodiment has been described above, the present invention is not limited to these examples. For example, in the above-described embodiment, an example in which the tube 10 is inserted into the body from the mouth or nose has been shown. However, the present invention is applicable even when the tube 10 is inserted from a hole opened in the body by an anus or treatment. Moreover, although the example in which the 1st infrared light emitting element 211 and the 2nd infrared light emitting element 212 were juxtaposed as the light emission part 20 in the extending direction D0 was shown, three or more infrared light emitting elements are juxtaposed in the extending direction D0. May be. In this case, it is desirable that the optical axis directions of the plurality of infrared light emitting elements are different from each other.

 また、前述の各実施形態に対して、当業者が適宜、構成要素の追加、削除、設計変更を行ったものや、各実施形態の特徴を適宜組み合わせたものも、本発明の要旨を備えている限り、本発明の範囲に包含される。 In addition, those in which those skilled in the art appropriately added, deleted, and changed the design of the above-described embodiments, and combinations of the features of each embodiment as appropriate also include the gist of the present invention. As long as they are within the scope of the present invention.

1…カテーテル装置
10…チューブ
15…コネクタ
20…発光部
20c…キャップ
25…配線
30…受光部
50…制御部
53…操作ボタン
55…ディスプレイ
100…人体
151…投入口
200…基板
210…第1基板部分
210a…実装面
211…第1赤外線発光素子
220…第2基板部分
220a…実装面
212…第2赤外線発光素子
250…連結部分
300…樹脂体
310…第1樹脂部分
310a…第1実装面
320…第2樹脂部分
320a…第2実装面
350…反射部材
C10…ケーブル
C30…ケーブル
D0…延出方向
D1…第1方向
D2…第2方向
S1…配向範囲
S2…配向範囲
SL1…第1スリット
SL2…第2スリット
DESCRIPTION OF SYMBOLS 1 ... Catheter apparatus 10 ... Tube 15 ... Connector 20 ... Light emission part 20c ... Cap 25 ... Wiring 30 ... Light receiving part 50 ... Control part 53 ... Operation button 55 ... Display body 100 ... Human body 151 ... Insertion port 200 ... Substrate 210 ... First board Part 210a ... Mounting surface 211 ... First infrared light emitting element 220 ... Second substrate part 220a ... Mounting surface 212 ... Second infrared light emitting element 250 ... Connecting part 300 ... Resin body 310 ... First resin part 310a ... First mounting surface 320 Second resin portion 320a Second mounting surface 350 Reflective member C10 Cable C30 Cable D0 Extension direction D1 First direction D2 Second direction S1 Orientation range S2 Orientation range SL1 First slit SL2 ... second slit

Claims (7)

 体内に挿入されるチューブと、
 前記チューブの先端側に設けられ、前記チューブの位置確認のための赤外線光を放出する発光部と、
 を備え、
 前記発光部は、
  前記チューブの延出方向に延在する基材と、
  前記基材に実装され、前記延出方向と直交する第1方向に光軸を有する第1赤外線発光素子と、
  前記基材に実装され、前記延出方向と直交し前記第1方向とは異なる第2方向に光軸を有し、前記第1赤外線発光素子と前記延出方向に並置された第2赤外線発光素子と、を有するカテーテル装置。
A tube inserted into the body,
A light emitting part that is provided on the distal end side of the tube and emits infrared light for confirming the position of the tube;
With
The light emitting unit
A base material extending in the extending direction of the tube;
A first infrared light emitting element mounted on the substrate and having an optical axis in a first direction orthogonal to the extending direction;
A second infrared light emitting device mounted on the base material, having an optical axis in a second direction perpendicular to the extending direction and different from the first direction, and juxtaposed with the first infrared light emitting element in the extending direction. And a catheter device.
 前記基材は、板状の基板を有し、
 前記基板は、
  前記第1赤外線発光素子の実装面を有する第1基板部分と、
  前記第2赤外線発光素子の実装面を有する第2基板部分と、
  前記第1基板部分と前記第2基板部分との間に設けられ、前記第1基板部分の実装面から前記第2基板部分の実装面にかけて捻られた連結部分と、を有する、請求項1記載のカテーテル装置。
The base material has a plate-like substrate,
The substrate is
A first substrate portion having a mounting surface of the first infrared light emitting element;
A second substrate portion having a mounting surface of the second infrared light emitting element;
2. A connection portion provided between the first substrate portion and the second substrate portion and twisted from the mounting surface of the first substrate portion to the mounting surface of the second substrate portion. Catheter device.
 前記基材は、板状の基板を有し、
 前記基板は、
  前記第1赤外線発光素子の実装面を有する第1基板部分と、
  前記第2赤外線発光素子の実装面を有する第2基板部分と、
  前記第1基板部分と前記第2基板部分との間に設けられ、前記第1基板部分の実装面と前記第2基板部分の実装面とが互いに傾斜するよう連結する連結部分と、を有する、請求項1記載のカテーテル装置。
The base material has a plate-like substrate,
The substrate is
A first substrate portion having a mounting surface of the first infrared light emitting element;
A second substrate portion having a mounting surface of the second infrared light emitting element;
A connection portion that is provided between the first substrate portion and the second substrate portion and connects the mounting surface of the first substrate portion and the mounting surface of the second substrate portion so as to be inclined with respect to each other; The catheter device according to claim 1.
 前記基材は、表面に配線パターンが設けられた樹脂体を有し、
 前記樹脂体は、
  前記第1赤外線発光素子を実装する第1実装面を有する第1樹脂部分と、
  前記第2赤外線発光素子の実装する第2実装面を有する第2樹脂部分と、を有し、
 前記第1実装面と前記第2実装面とが互いに傾斜するように設けられた、請求項1記載のカテーテル装置。
The base material has a resin body provided with a wiring pattern on the surface,
The resin body is
A first resin portion having a first mounting surface for mounting the first infrared light emitting element;
A second resin portion having a second mounting surface on which the second infrared light emitting element is mounted;
The catheter device according to claim 1, wherein the first mounting surface and the second mounting surface are provided so as to be inclined with respect to each other.
 前記第1樹脂部分と前記第2樹脂部分とが一体的に設けられた、請求項4記載のカテーテル装置。 The catheter device according to claim 4, wherein the first resin portion and the second resin portion are integrally provided.  前記樹脂体の表面には、前記第1赤外線発光素子および前記第2赤外線発光素子から放出される光の波長において前記樹脂体よりも反射率の高い反射部材が設けられた、請求項4または5に記載のカテーテル装置。 6. The reflective body having a reflectance higher than that of the resin body at a wavelength of light emitted from the first infrared light emitting element and the second infrared light emitting element is provided on the surface of the resin body. The catheter device according to 1.  前記第1方向と前記第2方向とは互いに30度以上150度以下で相違する、請求項1~6のいずれか1つに記載のカテーテル装置。 The catheter device according to any one of claims 1 to 6, wherein the first direction and the second direction are different from each other by 30 degrees or more and 150 degrees or less.
PCT/JP2018/020145 2017-06-01 2018-05-25 Catheter device Ceased WO2018221404A1 (en)

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