JP2020168308A - Transfer device - Google Patents

Transfer device Download PDF

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JP2020168308A
JP2020168308A JP2019072883A JP2019072883A JP2020168308A JP 2020168308 A JP2020168308 A JP 2020168308A JP 2019072883 A JP2019072883 A JP 2019072883A JP 2019072883 A JP2019072883 A JP 2019072883A JP 2020168308 A JP2020168308 A JP 2020168308A
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rotation operation
transfer device
operation arm
caregiver
care recipient
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JP7252609B2 (en
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洋一郎 杉
Yoichiro Sugi
洋一郎 杉
伊藤 伸一
Shinichi Ito
伸一 伊藤
幸弘 井本
Yukihiro Imoto
幸弘 井本
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Og Giken Co Ltd
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Og Giken Co Ltd
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Abstract

To provide a transfer device which facilitates exertion of a force in a rotary operation arm by operating the rotary operation arm to stand up a care needed person.SOLUTION: A transfer device 10 is for transferring a care needed person M. The device is equipped with: a rotary operation arm 18 which is rotatably operated by a caregiver N for the purpose of standing up the care needed person M in a state of holding the care needed person M with a body holder 1; and a foot pad part 30 to which at least a part of the knee or the shin of the caregiver N is applied when the care needed person M is made to stand up by using the rotary operation arm 18. Also, the foot pad part 10 has a lower part projecting closer to the caregiver N side than an upper part in the side view.SELECTED DRAWING: Figure 5

Description

本発明は、病人、怪我人、高齢弱者等(以下、要介護者という)を身体保持装具で保持した状態で移乗させるための移乗装置に関わり、より詳しくは、要介護者を車椅子やベッド等の機器と別の車椅子等の機器との間において移乗させる際に使用する移乗装置に関する。 The present invention relates to a transfer device for transferring a sick person, an injured person, an elderly vulnerable person, etc. (hereinafter referred to as a person requiring long-term care) while holding the person with a body-holding orthosis. The present invention relates to a transfer device used when transferring between a device of 1 and another device such as a wheelchair.

従来の移乗装置には、身体保持装具を装着した要介護者を回動操作アームを操作して起立させて上記移乗を行うようにしたものがある(例えば、特許文献1参照)。 Some conventional transfer devices allow a person requiring care wearing a body-holding orthosis to stand up by operating a rotation operation arm to perform the transfer (see, for example, Patent Document 1).

特許第6087405号公報Japanese Patent No. 6087405

しかしながら、従来の移乗装置には、介護者の膝を押し当てる足当て部が設けられていなかったため、女性等の腕力が弱い介護者の場合、回動操作アームに力を入れ難かった。 However, since the conventional transfer device is not provided with a foot pad for pressing the knee of the caregiver, it is difficult for a caregiver with weak strength such as a woman to apply force to the rotation operation arm.

本発明は、上記に鑑みてなされたものであり、回動操作アームを操作して要介護者を起立させる際、回動操作アームに力を入れ易い移乗装置を提供することを目的とする。 The present invention has been made in view of the above, and an object of the present invention is to provide a transfer device that makes it easy to apply force to the rotation operation arm when the rotation operation arm is operated to erect a person requiring care.

(1)上記課題を解決するため、本発明は、要介護者を移乗させるための移乗装置であって、前記要介護者を身体保持装具で保持した状態で起立させるために介護者によって回動操作される回動操作アームと、前記回動操作アームを用いて前記要介護者を起立させる際に前記介護者の膝ないし脛の少なくとも一部を押し当てる足当て部と、を備えたことを特徴とする。 (1) In order to solve the above problems, the present invention is a transfer device for transferring a person requiring long-term care, and is rotated by the caregiver to stand up while holding the person requiring long-term care with a body-holding orthosis. It is provided with a rotation operation arm to be operated and a foot pad portion for pressing at least a part of the knee or shin of the care recipient when the care recipient is to stand up using the rotation operation arm. It is a feature.

本発明によれば、足当て部に膝ないし脛の少なくとも一部を押し当てた状態で回動操作アームの回動操作ができるので、女性等の腕力が弱い介護者でも回動操作アームに力が入れ易く要介護者を楽に座面部から起立させることができる。 According to the present invention, since the rotation operation arm can be rotated while at least a part of the knee or shin is pressed against the foot pad, even a caregiver with weak strength such as a woman can apply force to the rotation operation arm. It is easy to put in and the person requiring long-term care can easily stand up from the seat.

(2)本発明の好ましい実施態様は、前記足当て部は、側面視において下方が上方よりも前記介護者側に突出している。 (2) In a preferred embodiment of the present invention, the foot pad portion has a lower portion protruding toward the caregiver side rather than an upper portion in a lateral view.

上記実施態様によれば、小柄な介護者の場合、膝位置が大柄な介護者に比べて下位置になるが、足当て部の下方が介護者側に突出しているため、小柄な介護者が足当てに膝をあてがい易くできる。また、膝を上方部にあてがうことができる介護者の場合、
回動操作アームを操作する際、膝から下の部位を足当てに沿い易くすることができる。
According to the above embodiment, in the case of a small caregiver, the knee position is lower than that of a large caregiver, but since the lower part of the foot pad protrudes toward the caregiver, the petite caregiver You can easily put your knees on your feet. Also, for caregivers who can place their knees above
When operating the rotation operation arm, the portion below the knee can be easily along the foot pad.

(3)本発明の好ましい実施態様は、前記足当て部は、弾性を有する材料でなる。 (3) In a preferred embodiment of the present invention, the foot pad portion is made of an elastic material.

上記実施態様によれば、介護者が足当てに膝ないし脛をあてがうときに痛みを感じ難くすることができる。 According to the above embodiment, it is possible to make it difficult for the caregiver to feel pain when the knee or shin is applied to the foot pad.

(4)本発明の好ましい実施態様は、前記回動操作アームは前記介護者が回動操作のため把持する把持部を備え、前記把持部の先端が球状である。 (4) In a preferred embodiment of the present invention, the rotation operation arm includes a grip portion that the caregiver grips for rotation operation, and the tip of the grip portion is spherical.

上記実施態様によれば、把持部の先端部分を握り込むようにして回動操作アームの把持部を把持することで回動操作アームに力を入れ易くなる。 According to the above embodiment, by gripping the grip portion of the rotation operation arm by gripping the tip portion of the grip portion, it becomes easy to apply force to the rotation operation arm.

本発明によれば、要介護者を起立させる際に前記介護者の膝ないし脛の少なくとも一部を押し当てる足当て部を備えたので、介護者は、足当て部に膝ないし脛を押し当てた状態で回動操作アームの回動操作ができ、これにより、女性等の腕力が弱い介護者でも回動操作アームに力が入れ易く要介護者を楽に座面部から起立させることができる。 According to the present invention, since the care recipient is provided with a foot pad that presses at least a part of the knee or shin of the caregiver when standing up, the caregiver presses the knee or shin against the foot pad. The rotation operation arm can be rotated in this state, so that even a caregiver with weak strength, such as a woman, can easily apply force to the rotation operation arm and can easily stand up from the seating surface.

(a)は本発明の実施形態に係る移乗装置で使用される身体保持装具の正面図、(b)は図1(a)における破線A部分の拡大斜視図。(A) is a front view of the body holding device used in the transfer device according to the embodiment of the present invention, and (b) is an enlarged perspective view of a broken line A portion in FIG. 1 (a). 同身体保持装具の背面図。Rear view of the body holding brace. 同身体保持装具の分解斜視図。An exploded perspective view of the body holding orthosis. 同身体保持装具の要介護者への装着状態を示す図。The figure which shows the wearing state to the care-requiring person of the body holding brace. 同身体保持装具を装着した要介護者を、移乗装置で起立させた状態を示す図。The figure which shows the state which the care-requiring person who put on the body-holding orthosis stood up by the transfer device. 本発明の実施形態に係る移乗装置の後方斜視図。The rear perspective view of the transfer device which concerns on embodiment of this invention. 同移乗装置の回動操作アーム近傍の要部拡大図。Enlarged view of the main part near the rotation operation arm of the transfer device. 同移乗装置の回動操作アーム近傍の要部拡大図。Enlarged view of the main part near the rotation operation arm of the transfer device. 同移乗装置の回動操作アームが初期位置にある状態の側面図。The side view of the state where the rotation operation arm of the transfer device is in the initial position. (a)は回動操作アーム初期位置の要部拡大図、(b)は回動操作アームロック位置の要部拡大図、(c)は回動操作アームロック解除位置の要部拡大図。(A) is an enlarged view of the main part of the rotation operation arm initial position, (b) is an enlarged view of the main part of the rotation operation arm lock position, and (c) is an enlarged view of the main part of the rotation operation arm lock release position. 同移乗装置の要部側面断面図。Side sectional view of a main part of the transfer device. 同移乗装置において、足当て部を透明化した座面部倒伏時の正面図。A front view of the transfer device when the seat surface is laid down with the foot pad made transparent. (a)〜(c)は同移乗装置を用いた移乗方法の各ステップを示す図。(A) to (c) are diagrams showing each step of the transfer method using the transfer device. (a)〜(c)は同移乗装置を用いた移乗方法の各ステップを示す図。(A) to (c) are diagrams showing each step of the transfer method using the transfer device. (a)〜(c)は同移乗装置を用いた移乗方法の各ステップを示す図。(A) to (c) are diagrams showing each step of the transfer method using the transfer device.

以下、添付した図面を参照して本発明の実施形態に係る移乗装置を説明する。 Hereinafter, the transfer device according to the embodiment of the present invention will be described with reference to the attached drawings.

図1〜図3を参照して、本発明の実施形態に係る移乗装置で使用される身体保持装具を説明する。これらの図に示す身体保持装具は、要介護者を車椅子や搬送車等の車両と移乗装置との間の移乗や、移乗装置と入浴装置との間の移乗の際における介助に使用される。 The body holding orthosis used in the transfer device according to the embodiment of the present invention will be described with reference to FIGS. 1 to 3. The body-holding orthosis shown in these figures is used to assist a person requiring long-term care when transferring between a vehicle such as a wheelchair or a transport vehicle and a transfer device, or between a transfer device and a bathing device.

身体保持装具1は、要介護者の腹部から背中及び腰部に巻き付けられて要介護者を支持する支持部材2と、支持部材2に着脱可能に設けられ支持部材2の上から要介護者に巻付けられて固定されるベルト状の固定部材3と、固定部材3の上から支持部材2に着脱可能に設けられて身体保持装具1を移乗装置の被係止金具に係止する紐状の係止部材4とを備えている。係止部材4は、移乗装置の回動操作アーム18(後述)に係止可能な係止具としての係止金具5をその両端に具備している。 The body-holding orthosis 1 is wrapped around the abdomen, back and waist of the care recipient to support the care recipient, and is detachably provided on the support member 2 and wound around the care recipient from above the support member 2. A belt-shaped fixing member 3 that is attached and fixed, and a string-shaped engagement that is detachably provided on the support member 2 from above the fixing member 3 and locks the body holding device 1 to the locked metal fitting of the transfer device. It includes a stop member 4. The locking member 4 is provided with locking metal fittings 5 as locking tools that can be locked to the rotation operation arm 18 (described later) of the transfer device at both ends thereof.

支持部材2は、要介護者の背中から腰側全周に巻付けられる長さを有する、柔軟で耐水性または撥水性を有するスポンジ状部材からなり、要介護者の背中から腰側にかけて巻付けられる幅広の中央部2aと、中央部2aの両側から左右に伸びて要介護者の腹部側に巻付けられる幅狭の端部2b1、2b2とを有する。中央部2aは、平行に対向する上側一対と下側一対の左側斜めスリット2cと、平行に対向する上側一対と下側一対の右側斜めスリット2dと、一対の縦長スリット2eとを有する。図1に示すように、左側斜めスリット2cは上から左斜め下方向(鉛直方向に対して例えば30°を成す方向)に並んで形成されており、各スリット(長穴)の長手方向は右斜め下方向に傾斜している。右側斜めスリット2dは上から右斜め下方向(鉛直方向に対して例えば30°を成す方向)に並んで形成されており、各スリット(長穴)の長手方向は左斜め下方向に傾斜している。すなわち、左側斜めスリット2c及び右側斜めスリット2dは傾斜して形成されている。また、図1に示すように、中央部2aの左側の端部2b1は一対の縦長スリット2fを有する。 The support member 2 is made of a flexible, water-resistant or water-repellent sponge-like member having a length that can be wound from the back to the waist side of the care recipient, and is wound from the back to the waist side of the care recipient. It has a wide central portion 2a to be formed, and narrow ends 2b1 and 2b2 extending from both sides of the central portion 2a to the left and right and wound around the abdomen side of the care recipient. The central portion 2a has a pair of upper side and a pair of lower side diagonal slits 2c facing in parallel, a pair of upper side and a pair of lower side diagonal slits 2d facing in parallel, and a pair of vertically elongated slits 2e. As shown in FIG. 1, the left diagonal slits 2c are formed side by side from the top to the left diagonally downward direction (for example, a direction forming 30 ° with respect to the vertical direction), and the longitudinal direction of each slit (long hole) is right. It is tilted diagonally downward. The right diagonal slits 2d are formed side by side in the diagonally downward right direction (for example, 30 ° with respect to the vertical direction) from the top, and the longitudinal direction of each slit (slot hole) is inclined diagonally downward to the left. There is. That is, the left diagonal slit 2c and the right diagonal slit 2d are formed to be inclined. Further, as shown in FIG. 1, the left end portion 2b1 of the central portion 2a has a pair of vertically elongated slits 2f.

固定部材3は、支持部材2に着脱可能で耐水性または撥水性の部材からなり、両端部に相互に締結可能なバックル部3aを有している。支持部材2の上から固定部材3の両端が支持部材2の縦長スリット2e,2fに挿通されバックル部3aで締結される。 The fixing member 3 is made of a water-resistant or water-repellent member that can be attached to and detached from the support member 2, and has buckle portions 3a that can be fastened to each other at both ends. Both ends of the fixing member 3 are inserted into the vertically long slits 2e and 2f of the support member 2 from above the support member 2 and fastened by the buckle portion 3a.

係止部材4は、支持部材2に着脱可能で固定部材3より細幅で身体保持装具1を移乗装置に係止固定するための耐水性または撥水性の部材である。 The locking member 4 is a water-resistant or water-repellent member that can be attached to and detached from the support member 2 and has a width narrower than that of the fixing member 3 to lock and fix the body holding device 1 to the transfer device.

係止部材4は、上下で対向する二股状の本体係止部分4a1,4a2と、本体係止部分4a1,4a2間に斜め交叉する一対の斜め交叉係止部分4b1,4b2とを有する。係止部材4はまた、上側一対の左側斜めスリット2cに挿通され端部にバックル部4cを有する紐状の左上側斜め係止部分4dと、下側一対の左側斜めスリット2cに挿通され端部にバックル部4eを有する紐状の左下側斜め係止部分4fと、上側一対の右側斜めスリット2dに挿通され端部にバックル部4gを有する紐状の右上側斜め係止部分4hと、下側一対の右側斜めスリット2dに挿通され端部にバックル部4iを有する紐状の右下側斜め係止部分4jとを有している。本体係止部分4a1,4a2は、中央側がほぼ一定間隔に平行に離間し、両端に近づくにつれて互いに接近して両端でつながっており、両端に係止具としての係止金具(係止具)5が取り付けられている。係止金具5は、回動操作アーム18に係止される金具であり、複数の穴、この実施形態では2つの挿通穴5a,5bと1つの鍵穴状の係止穴5cとを有する。 The locking member 4 has a bifurcated main body locking portions 4a1, 4a2 that face each other in the vertical direction, and a pair of diagonally crossing locking portions 4b1, 4b2 that diagonally intersect between the main body locking portions 4a1, 4a2. The locking member 4 is also inserted through a pair of upper left diagonal slits 2c and a string-shaped upper left diagonal locking portion 4d having a buckle portion 4c at the end, and a lower pair of left diagonal slits 2c and an end portion. A string-shaped diagonal locking portion 4f on the lower left side having a buckle portion 4e, and a string-shaped diagonal locking portion 4h on the upper right side having a buckle portion 4g at the end portion inserted through a pair of upper right diagonal slits 2d, and a lower side. It is inserted into a pair of right diagonal slits 2d and has a string-shaped lower right diagonal locking portion 4j having a buckle portion 4i at the end. The main body locking portions 4a1 and 4a2 are separated in parallel at substantially regular intervals on the central side, approach each other as they approach both ends, and are connected at both ends, and locking metal fittings (locking tools) 5 as locking tools at both ends. Is installed. The locking metal fitting 5 is a metal fitting that is locked to the rotation operation arm 18, and has a plurality of holes, two insertion holes 5a and 5b and one keyhole-shaped locking hole 5c in this embodiment.

図1(a)の破線Aの拡大図である図1(b)で示すように、本体係止部分4a1,4a2は係止金具5の挿通穴5aに挿通された後、本体係止部分4a1,4a2の両端が連結される無端状に形成されている。本体係止部分4a1,4a2は第一係止部材を構成し、この第一係止部材から分岐して挿通穴5bと挿通穴5aに折返し接続された第二係止部材としての分岐部材4a3を有する。縫目4a5は、係止穴5a,5bを通して折り返された分岐部材4a3の端部がその分岐部材4a3に縫い合わされた部分の縫目であり、縫目4a6は、分岐部材4a3と本体係止部分4a1とが縫い合わされた部分の縫目である。この第一係止部材及び第二係止部材により、万一、要介護者の移乗動作中に、第一係止部材が切断した場合でも分岐した第二係止部材で移乗装置10(後述)との連結が解除されないので、安全性を向上できる。また、分岐部材4a3は移乗装置10の回動操作アーム(後述)に連結された際に分岐部材4a3に張力がかからないように遊貫状態に設けられている。 As shown in FIG. 1 (b), which is an enlarged view of the broken line A in FIG. 1 (a), the main body locking portions 4a1 and 4a2 are inserted into the insertion holes 5a of the locking metal fitting 5, and then the main body locking portions 4a1. , 4a2 are formed in an endless shape in which both ends are connected. The main body locking portions 4a1 and 4a2 form a first locking member, and a branch member 4a3 as a second locking member branched from the first locking member and folded back and connected to the insertion hole 5b and the insertion hole 5a. Have. The seam 4a5 is a seam at a portion where the end portion of the branch member 4a3 folded back through the locking holes 5a and 5b is sewn to the branch member 4a3, and the seam 4a6 is the branch member 4a3 and the main body locking portion. This is the seam of the portion where 4a1 is sewn together. With the first locking member and the second locking member, the transfer device 10 (described later) is a branched second locking member even if the first locking member is cut during the transfer operation of the care recipient. Since the connection with is not released, safety can be improved. Further, the branch member 4a3 is provided in a loose state so that tension is not applied to the branch member 4a3 when connected to the rotation operation arm (described later) of the transfer device 10.

以上の身体保持装具1において、図4、図5に示すように要介護者Mの背中及び腰部から腹部にかけ支持部材2が巻き付けられ、その上から固定部材3が、支持部材2に設けられた縦長スリット2e,2fに挿入されその両端のバックル部3aが締結され、これにより、固定部材3が支持部材2の上から要介護者Mに巻き付けられて支持部材2が要介護者Mに固定される。この巻き付け固定により支持部材2は要介護者Mの背中及び腰部の所要位置からずれることが防止される。 In the above body holding orthosis 1, as shown in FIGS. 4 and 5, the support member 2 is wound around the back and waist of the care recipient M from the abdomen, and the fixing member 3 is provided on the support member 2 from above. It is inserted into the vertically long slits 2e and 2f, and the buckle portions 3a at both ends thereof are fastened, whereby the fixing member 3 is wound around the support member M from above the support member 2 and the support member 2 is fixed to the care recipient M. To. By this winding fixing, the support member 2 is prevented from being displaced from the required positions of the back and waist of the care recipient M.

この身体保持装具1を要介護者Mに装着した状態から、図5に示すように、係止部材4の本体係止部分4a1,4a2の両端の係止金具5が移乗装置10の回動操作アーム18に設けた3つの被係止金具40a〜40c(被係止部分)のいずれかに係止される。 As shown in FIG. 5, the locking metal fittings 5 at both ends of the main body locking portions 4a1 and 4a2 of the locking member 4 rotate the transfer device 10 from the state where the body holding device 1 is attached to the care recipient M. It is locked to any of the three locked metal fittings 40a to 40c (locked portion) provided on the arm 18.

図5に示すように、移乗装置10の回動操作アーム18を時計回りの方向に回動させると、身体保持装具1側の係止金具5が移乗装置10側の被係止金具40a〜40cのいずれかに引っ掛けられているので、座面部20に着座している要介護者Mは身体保持装具1の本体係止部分4a1,4a2により矢印Bで示す水平に対して前方上方に所定角度、例えば30°で持ち上げられる。要介護者Mを持ち上げる際に本体係止部分4a1、4a2のうち、特に下側の本体係止部分4a2に張力がかかる。ここで、係止部材4の左上側斜め係止部分4dが上側一対の左側斜めスリット2cに挿通され、左下側斜め係止部分4fが下側一対の左側斜めスリット2cに挿通され、互いのバックル部4c,4eで締結され、また、右上側斜め係止部分4hが上側一対の右側斜めスリット2dに挿通され、右下側斜め係止部分4jが下側一対の右側斜めスリット2dに挿通され、互いのバックル部4g,4iで締結されている。 As shown in FIG. 5, when the rotation operation arm 18 of the transfer device 10 is rotated in the clockwise direction, the locking metal fitting 5 on the body holding device 1 side becomes the locked metal fitting 40a to 40c on the transfer device 10 side. Since it is hooked on any of the above, the person requiring care M who is seated on the seat surface portion 20 has a predetermined angle forward and upward with respect to the horizontal indicated by the arrow B by the main body locking portions 4a1 and 4a2 of the body holding device 1. For example, it can be lifted at 30 °. When the care recipient M is lifted, tension is applied to the lower main body locking portion 4a2 among the main body locking portions 4a1 and 4a2. Here, the upper left diagonal locking portion 4d of the locking member 4 is inserted into the upper pair of left diagonal slits 2c, the lower left diagonal locking portion 4f is inserted into the lower pair of left diagonal slits 2c, and the buckles of each other. It is fastened by the portions 4c and 4e, and the upper right diagonal locking portion 4h is inserted into the upper pair of right diagonal slits 2d, and the lower right diagonal locking portion 4j is inserted into the lower pair of right diagonal slits 2d. They are fastened with each other's buckle portions 4g and 4i.

これにより、斜め係止部分4d,4f;4h,4jは鉛直方向Cの前方所定角度、例えば30°で傾斜しており、それに対応して左側斜めスリット2c及び右側斜めスリット2dが傾斜して形成されているので、要介護者Mを持ち上げる際に本体係止部分4a2にかかる張力は、左側斜めスリット2c及び右側斜めスリット2dの長穴の長手方向に作用する。このため、特に下側一対の左側斜めスリット2cの間のつなぎ部分(支持部材2の一部分)2c1とその左側斜めスリット2c近傍の支持部材2、下側一対の右側斜めスリット2dの間のつなぎ部分(支持部材2の一部分)2d1とその右側斜めスリット2d近傍の支持部材2が変形して破損することを抑えることができる。このように、支持部材2には、支持部材2を変形させる方向の持ち上げ力が作用しにくくなる。なお、上記所定角度は、好ましくは、30°ないし30°前後であるが、これに限定されない。 As a result, the oblique locking portions 4d, 4f; 4h, 4j are inclined at a predetermined forward angle in the vertical direction C, for example, 30 °, and the left oblique slit 2c and the right oblique slit 2d are formed correspondingly. Therefore, the tension applied to the main body locking portion 4a2 when the care-requiring person M is lifted acts in the longitudinal direction of the elongated holes of the left diagonal slit 2c and the right diagonal slit 2d. Therefore, in particular, the connecting portion (a part of the support member 2) 2c1 between the pair of lower left diagonal slits 2c, the supporting member 2 near the left diagonal slit 2c, and the connecting portion between the lower pair of right diagonal slits 2d. (A part of the support member 2) It is possible to prevent the support member 2 in the vicinity of 2d1 and its right diagonal slit 2d from being deformed and damaged. In this way, the lifting force in the direction of deforming the support member 2 is less likely to act on the support member 2. The predetermined angle is preferably around 30 ° to 30 °, but is not limited to this.

以上の身体保持装具1によれば、支持部材2が要介護者Mの背中及び腰部の所定位置からずれないため、要介護者Mの上肢が濡れていたり、後述する移乗装置10上で姿勢が変わったりしても、移乗装置10の座面部20から安定して起立・着座動作ができる。例えば、腰部に装着した身体保持装具1がずれないため、移乗装置10の座面部20から起立した際に起立状態を維持でき、臀部等を洗ったり、着衣や脱衣の作業をしたりすることが容易となる。また、支持部材2、固定部材3、係止部材4が、単独で破損や劣化した際、容易に交換でき、身体保持装具1の全体を買え変える必要がなく、コストメリットに優れる。さらに、後述するように、回動操作アーム18の回動操作で身体保持装具1が回転軌道で持ち上げられても、係止部材4がねじれることがないので、スポンジ製の支持部材2の変形や破損を抑えることができる。また、後述する入浴装置で入浴後に、身体が濡れた要介護者Mの移乗動作に使用しても、カビ等の発生を防ぐことができる。 According to the above body holding orthosis 1, since the support member 2 does not deviate from the predetermined positions of the back and waist of the care recipient M, the upper limbs of the care recipient M may be wet or the posture may be changed on the transfer device 10 described later. Even if it changes, the seating surface portion 20 of the transfer device 10 can stably stand up and sit down. For example, since the body holding orthosis 1 attached to the waist does not shift, the standing state can be maintained when standing up from the seat surface 20 of the transfer device 10, and the buttocks and the like can be washed, and clothes and undressing can be performed. It will be easy. Further, when the support member 2, the fixing member 3, and the locking member 4 are individually damaged or deteriorated, they can be easily replaced, and it is not necessary to replace the entire body holding orthosis 1, which is excellent in cost merit. Further, as will be described later, even if the body holding device 1 is lifted by the rotation operation of the rotation operation arm 18, the locking member 4 is not twisted, so that the sponge support member 2 is deformed. Damage can be suppressed. Further, even if it is used for the transfer operation of the care-requiring person M whose body is wet after taking a bath with the bathing device described later, it is possible to prevent the generation of mold and the like.

移乗装置10を、図5を含め、図6ないし図12を参照して説明する。移乗装置10において前後左右の各方向を図6に示すように設定する。これらの各方向は、図5に示すように移乗装置10によって移乗される要介護者Mから見たときの前後左右の方向である。 The transfer device 10 will be described with reference to FIGS. 6 to 12, including FIG. In the transfer device 10, each direction of front, back, left and right is set as shown in FIG. As shown in FIG. 5, each of these directions is a front-back, left-right direction when viewed from the care-requiring person M transferred by the transfer device 10.

これらの図を参照して、移乗装置10は、台車11と、装置本体12とを有する。台車11は、前後に車輪13を備えた左右一対の台車フレーム14と、両台車フレーム14を左右方向で連結する連結フレーム15と、足載置板16とを有する。 With reference to these figures, the transfer device 10 has a carriage 11 and a device body 12. The bogie 11 has a pair of left and right bogie frames 14 having wheels 13 in the front and rear, a connecting frame 15 that connects both bogie frames 14 in the left-right direction, and a footrest plate 16.

装置本体12は、台車11に一体に組み付けられている。装置本体12は、左右一対の把持レバー17、左右一対の回動操作アーム18、座面操作レバー19、左右一対の座面部20、要介護者M用の足当て部21、介護者N用の足当て部30、ロックカバー26、及び、複数のフレーム22等、を有する。 The device main body 12 is integrally assembled with the carriage 11. The device main body 12 includes a pair of left and right grip levers 17, a pair of left and right rotation operation arms 18, a seat surface operation lever 19, a pair of left and right seat surface portions 20, a foot pad portion 21 for the care recipient M, and a caregiver N. It has a foot pad portion 30, a lock cover 26, a plurality of frames 22, and the like.

介護者N(図5参照)は、把持レバー17を利用して移乗装置10の移動・停止を制御し、回動操作アーム18を利用して要介護者Mの介助を行い、座面操作レバー19を利用して座面部20の起立・倒伏の挙動を制御することができる。また、要介護者Mは、座面部20に着座したり、足当て部21に膝や脛を当てたりすることができる。足当て部21は、座面部20に着座している要介護者Mが立ち上がる際、足当て部21に膝または脛の少なくとも一部が当たることで、いわゆる梃子の作用で立ち上がり易くさせる。 The caregiver N (see FIG. 5) controls the movement / stop of the transfer device 10 by using the grip lever 17, assists the care recipient M by using the rotation operation arm 18, and the seat surface operation lever. 19 can be used to control the standing / lodging behavior of the seating surface portion 20. In addition, the person requiring long-term care M can sit on the seat surface portion 20 or put his knees or shins on the foot pad portion 21. When the care-requiring person M seated on the seat surface 20 stands up, the foot pad 21 makes it easier to stand by the action of a so-called lever because at least a part of the knee or the shin hits the foot pad 21.

また、介護者Nにおいても、移乗装置10の前方から介護者N用の足当て部30に膝または脛の少なくとも一部を当てた状態で前方から回動操作アーム18を回動操作できる。そのため、女性等の腕力が弱い介護者Nでも回動操作アーム18に力を入れて回動操作しやすく、要介護者Mを楽に座面部20から起立させられる。 Further, the caregiver N can also rotate the rotation operation arm 18 from the front with at least a part of the knee or the shin touching the foot pad portion 30 for the caregiver N from the front of the transfer device 10. Therefore, even the caregiver N, who has weak strength such as a woman, can easily perform the rotation operation by applying force to the rotation operation arm 18, and the care recipient M can be easily erected from the seat surface portion 20.

足当て部30は、図5に特に示すように、介護者N側から見て、側面視における下方部30aが上方部30bよりも前方に突出している。そのため、小柄な介護者の場合、膝位置が大柄な介護者に比べて下位置になるが、足当て部30の下方部30aが介護者側に突出しているため、小柄な介護者が足当て部30に膝をあてがい易くできる。また、膝を上方部30bにあてがうことができる介護者の場合、膝から下の部位を足当て部30の前面に沿わせて膝を屈曲した姿勢で回動操作アーム18の操作をすることができる。なお、足当て部30は、弾性を有する材料でなり、好ましくはシリコンゴム製または熱圧縮により成形されたものである。これにより、介護者Nが足当て部30に膝ないし脛をあてがうときに痛みを感じ難くすることができる。 As shown in FIG. 5, the foot pad portion 30 has a lower portion 30a in a lateral view protruding forward from the upper portion 30b when viewed from the caregiver N side. Therefore, in the case of a small caregiver, the knee position is lower than that of a large caregiver, but since the lower portion 30a of the foot pad portion 30 protrudes toward the caregiver, the petite caregiver has a foot pad. You can easily put your knees on the part 30. Further, in the case of a caregiver who can place the knee on the upper portion 30b, the rotation operation arm 18 can be operated in a posture in which the knee is bent with the portion below the knee along the front surface of the foot pad portion 30. it can. The foot pad portion 30 is made of an elastic material, preferably made of silicon rubber or molded by heat compression. As a result, the caregiver N can make it difficult to feel pain when the knee or shin is applied to the foot pad portion 30.

回動操作アーム18は、途中が折れ曲がって回動支点になっていると共に一端側181が介護者Nにより操作される操作端である一方、他端側182に沿って身体保持装具1の係止が可能な被係止金具40a〜40cが複数順次配列されている。図5において、回動操作アーム18の他端側182の点線部分E1を前方から見た部分の拡大図E2に示すように、複数の被係止金具40a〜40cは、回動操作アーム18の他端側182の端部からの距離が離れるに従い長くなっている。すなわち、回動操作アーム18の初期位置(後述、図9参照)において、要介護者Mからの距離が離れるに従い被係止金具40a〜40cが長くなるように構成されている。 The rotation operation arm 18 is bent in the middle to serve as a rotation fulcrum, and one end side 181 is an operation end operated by the caregiver N, while the body holding device 1 is locked along the other end side 182. A plurality of locked metal fittings 40a to 40c capable of being locked are sequentially arranged. In FIG. 5, as shown in the enlarged view E2 of the portion where the dotted line portion E1 of the other end side 182 of the rotation operation arm 18 is viewed from the front, the plurality of locked metal fittings 40a to 40c are the rotation operation arm 18. The distance from the end of the other end side 182 increases as the distance increases. That is, at the initial position of the rotation operation arm 18 (see FIG. 9 described later), the locked metal fittings 40a to 40c become longer as the distance from the care recipient M increases.

したがって、係止部材4の本体係止部分4a1、4a2が途中で弛んだりしないように要介護者Mの体格の大小に対応して身体保持装具1の係止金具5を回動操作アーム18のいずれかの被係止金具40a〜40cに容易かつ確実に係止することができるようになっている。すなわち、要介護者Mが大柄な人ほど手前側(要介護者Mに近い方)の被係止金具40aに係止金具5を取り付ける。これは、身体保持装具1の長さが変わらないため、大柄で恰幅のよい要介護者Mの場合、腹部から被係止金具40a〜40cまでの距離が短くなり、係止金具5を取り付ける位置を変えないと被係止金具40a〜40cに取り付けにくくなるためである。また、被係止金具40a〜40cの長さを変えているが、これは、小柄な要介護者Mに対して奥側(要介護者Mから離れた方)の被係止金具40cに係止金具5を取り付ける際に、手前の被係止金具40a、40bが邪魔にならないようにするためである。 Therefore, the locking metal fitting 5 of the body holding orthosis 1 is rotated according to the size of the physique of the care recipient M so that the main body locking portions 4a1 and 4a2 of the locking member 4 do not loosen in the middle. It can be easily and surely locked to any of the locked metal fittings 40a to 40c. That is, the larger the care-requiring person M is, the more the locking metal fitting 5 is attached to the locked metal fitting 40a on the front side (closer to the care-requiring person M). This is because the length of the body holding orthosis 1 does not change, so in the case of a large and well-worn care-requiring person M, the distance from the abdomen to the locked metal fittings 40a to 40c becomes short, and the position where the locking metal fitting 5 is attached This is because it becomes difficult to attach the locked metal fittings 40a to 40c unless the above is changed. Further, the lengths of the locked metal fittings 40a to 40c are changed, and this is related to the locked metal fitting 40c on the back side (the one away from the long-term care recipient M) with respect to the small long-term care recipient M. This is to prevent the locked metal fittings 40a and 40b in the foreground from getting in the way when the stopper metal 5 is attached.

回動操作アーム18は介護者Nが回動操作のため把持する把持部183を備え、その把持部183の先端183aは球状に形成されている。そのため、介護者Nは、回動操作アーム18を把持し易く力を入れて回動操作することが可能となる。 The rotation operation arm 18 includes a grip portion 183 that the caregiver N grips for the rotation operation, and the tip 183a of the grip portion 183 is formed in a spherical shape. Therefore, the caregiver N can easily grip the rotation operation arm 18 and perform the rotation operation with force.

装置本体12は、下方でU字状に曲折され台車11から略垂直上方に延びる前側左右一対の第1本体フレーム22と、連結フレーム15から垂直上方に延びる後側左右一対の第2本体フレーム23と、両第1本体フレーム22を上方側で左右に連結する第1連結フレーム24と、第1、第2本体フレーム22,23を前後に連結する上側と下側一対の第2、第3連結フレーム25a,25bとを有する。なお、足載置板16は第1本体フレーム22の下方部分と連結フレーム15にわたって設けられている。 The device main body 12 is bent downward in a U shape and extends substantially vertically upward from the carriage 11, a pair of front left and right first main body frames 22 and a pair of rear left and right second main body frames 23 extending vertically upward from the connecting frame 15. A first connecting frame 24 that connects both first main body frames 22 to the left and right on the upper side, and a pair of upper and lower second and third connecting frames that connect the first and second main body frames 22 and 23 back and forth. It has frames 25a and 25b. The foot mounting plate 16 is provided over the lower portion of the first main body frame 22 and the connecting frame 15.

図7及び図8を参照して、左右一対の回動操作アーム18を更に説明する。これらの図には、一方(図6の左側)の回動操作アーム18の一部のみが示されているが、他方の回動操作アーム18も同様である。両回動操作アーム18は、一対の連結フレーム18a,18bで平行に連結されている(連結フレーム18bは図6参照)。なお。連結フレーム18bは要介護者Mが握る握持部となっている(図5参照)。 A pair of left and right rotation operating arms 18 will be further described with reference to FIGS. 7 and 8. In these figures, only a part of the rotation operation arm 18 on one side (left side in FIG. 6) is shown, but the same applies to the rotation operation arm 18 on the other side. Both rotation operation arms 18 are connected in parallel by a pair of connecting frames 18a and 18b (see FIG. 6 for the connecting frame 18b). In addition. The connecting frame 18b is a grip portion held by the care recipient M (see FIG. 5).

回動操作アーム18は、その折曲がり下端にアーム板18cが固定されている。アーム板18cには、アームボルト18d,18eが固定され、回動操作アーム18はアーム板18cを介してフレーム板33にアーム軸18fで軸着されている。アーム板18cの下端側には、歯部18gが形成されている。 The rotation operation arm 18 has an arm plate 18c fixed to the lower end of the bend. Arm bolts 18d and 18e are fixed to the arm plate 18c, and the rotation operation arm 18 is pivotally attached to the frame plate 33 by the arm shaft 18f via the arm plate 18c. A tooth portion 18g is formed on the lower end side of the arm plate 18c.

第1連結フレーム24には、フレーム板33が固定されている。フレーム板33において、その上端側は、アームボルト18d,18e間に位置し、ラチェット爪部33aの支軸33bが、フレーム板33に軸支されている。ラチェット爪部33aは、回動操作アーム18のアーム板18cにおける歯部18gと噛み合う方向に引張コイルばね33cで付勢されている。 A frame plate 33 is fixed to the first connecting frame 24. In the frame plate 33, the upper end side thereof is located between the arm bolts 18d and 18e, and the support shaft 33b of the ratchet claw portion 33a is pivotally supported by the frame plate 33. The ratchet claw portion 33a is urged by a tension coil spring 33c in a direction in which it meshes with the tooth portion 18g of the arm plate 18c of the rotation operation arm 18.

以上の回動操作アーム18のアーム板18cに設けられた歯部18gと、この歯部18gに噛み合うラチェット爪部33aは、回動操作アーム18を後述する初期位置から回動操作した所定位置でロックするロック機構を構成する。なお、ロック機構を構成する部分を覆う保護カバー26(図5参照)が設けられている。 The tooth portion 18g provided on the arm plate 18c of the rotation operation arm 18 and the ratchet claw portion 33a that mesh with the tooth portion 18g are at predetermined positions where the rotation operation arm 18 is rotated from the initial position described later. Configure a locking mechanism to lock. A protective cover 26 (see FIG. 5) is provided to cover a portion constituting the lock mechanism.

上記ロック機構における回動操作アーム18のロック及びそのロック解除を図9及び図10を参照して説明する。図10(a)〜(c)は、図9に示す回動操作アーム18の初期位置、ロック位置、ロック解除位置それぞれに対応する要部の図である。すなわち、図10(a)は回動操作アーム18が初期位置にあるときの図9の要部の図であり、図10(b)は回動操作アーム18がロック位置にあるときの図9の要部の図であり、図10(c)は回動操作アーム18がロック解除位置にあるときの図9の要部の図である。 Locking and unlocking of the rotation operation arm 18 in the lock mechanism will be described with reference to FIGS. 9 and 10. 10 (a) to 10 (c) are views of main parts corresponding to the initial position, the lock position, and the unlock position of the rotation operation arm 18 shown in FIG. That is, FIG. 10A is a view of a main part of FIG. 9 when the rotation operation arm 18 is in the initial position, and FIG. 10B is a view of FIG. 9 when the rotation operation arm 18 is in the locked position. 10 (c) is a view of the main part of FIG. 9 when the rotation operation arm 18 is in the unlocked position.

回動操作アーム18が図9の実線で示す位置、すなわち、図10(a)の初期位置にあるときは、アームボルト18eは、フレーム板33に当接していることで、回動操作アーム18の自重による右回りの回転が抑止され、回動操作アーム18の初期位置が維持されている。回動操作アーム18がこの初期位置から図9の第1仮想線18´の位置まで矢印F方向に回動操作されると、図10(b)に示すように、アーム板18cの歯部18gにフレーム板33のラチェット爪部33aが係合して、回動操作アーム18はロックされる。このとき、ラチェット爪部33aは回動操作アーム18の回動に伴ってアーム板18cに当接し押され図10(a)の状態から右回り方向に回転しており、引張コイルばね33cによって左回り方向への付勢力が働いている。すなわち、回動操作アーム18が初期位置において、ラチェット爪部33aは歯部18gと噛み合うように回動する方向に付勢されている。回動操作アーム18が図9の第1仮想線18´のロック位置から更に矢印F方向に第2仮想線18´´の位置まで回動操作されると、図10(c)に示すように、アーム板18cの歯部18gに対するフレーム板33のラチェット爪部33aの係合が外れてロックが解除される。このとき、ラチェット爪部33aは、回動操作アーム18の回動に伴ってアーム板18cに当接し右回り方向に押された後、アーム板18cと当接しなくなると、引張コイルばね33cによる付勢力によって左回り方向に回転し、図10(c)の状態となる。 When the rotation operation arm 18 is in the position shown by the solid line in FIG. 9, that is, in the initial position in FIG. 10A, the arm bolt 18e is in contact with the frame plate 33, so that the rotation operation arm 18 is in contact with the frame plate 33. The clockwise rotation due to its own weight is suppressed, and the initial position of the rotation operation arm 18 is maintained. When the rotation operation arm 18 is rotated in the arrow F direction from this initial position to the position of the first virtual line 18'in FIG. 9, as shown in FIG. 10B, the tooth portion 18g of the arm plate 18c The ratchet claw portion 33a of the frame plate 33 is engaged with the ratchet claw portion 33a, and the rotation operation arm 18 is locked. At this time, the ratchet claw portion 33a abuts on the arm plate 18c and is pushed by the rotation of the rotation operation arm 18, and is rotated clockwise from the state shown in FIG. 10A, and is left by the tension coil spring 33c. The urging force in the clockwise direction is working. That is, in the initial position of the rotation operation arm 18, the ratchet claw portion 33a is urged in a direction of rotating so as to mesh with the tooth portion 18g. When the rotation operation arm 18 is rotated from the lock position of the first virtual line 18 ″ in FIG. 9 to the position of the second virtual line 18 ″ in the arrow F direction, as shown in FIG. 10 (c). , The ratchet claw portion 33a of the frame plate 33 is disengaged from the tooth portion 18g of the arm plate 18c, and the lock is released. At this time, the ratchet claw portion 33a abuts on the arm plate 18c as the rotation operation arm 18 rotates and is pushed in the clockwise direction, and then when it does not abut on the arm plate 18c, it is attached by the tension coil spring 33c. It rotates counterclockwise depending on the force and becomes the state shown in FIG. 10 (c).

上記ロック機構により、要介護者Mの起立動作支援時に要介護者Mの体重で回動操作アーム18が引っ張られる危険性を低減できる。また、介護者Nが回動操作アーム18に対して特別なロック操作をすることなく、所定位置で回動操作アーム18をロックすることができるため、安全性を高めることができる。 With the lock mechanism, it is possible to reduce the risk that the rotation operation arm 18 is pulled by the weight of the care recipient M when the care recipient M is supporting the standing motion. Further, since the caregiver N can lock the rotation operation arm 18 at a predetermined position without performing a special lock operation on the rotation operation arm 18, safety can be enhanced.

図11及び図12を参照して、座面操作レバー19の操作による一対の座面部20の同期した起立・倒伏制御を説明する。第3連結フレーム25bの内部に座面アーム27が挿入され、座面アーム27の後端側は第3連結フレーム25bから後方に突出している。突出した座面アーム27の後端に座面部20が固定されている。座面アーム27の前端側に回動軸29が固定され、この回動軸29回りに突出端29a、29bが突出している。一方の回動軸29(突出端29bが設けられる回動軸)に、座面部20の起立・倒伏を操作する座面操作レバー19が固定されている。 With reference to FIGS. 11 and 12, synchronous standing / tilting control of the pair of seat surface portions 20 by operating the seat surface operation lever 19 will be described. The seat arm 27 is inserted inside the third connecting frame 25b, and the rear end side of the seat arm 27 projects rearward from the third connecting frame 25b. The seat surface portion 20 is fixed to the rear end of the protruding seat surface arm 27. A rotating shaft 29 is fixed to the front end side of the seat arm 27, and protruding ends 29a and 29b project around the rotating shaft 29. A seat surface operating lever 19 for operating the standing / tilting of the seat surface portion 20 is fixed to one of the rotating shafts 29 (the rotating shaft provided with the protruding end 29b).

前側左右一対の第1本体フレーム22間に要介護者Mの膝または脛が当てられる足当て部21が設置されている。この足当て部21の前側には介護者Nの膝または脛が当てられる足当て部30が設置されている。この足当て部30の内部には、リンク機構31が内蔵されている。リンク機構31は、座面操作レバー19の回動操作で左右一対の座面部20を同期させて起立・倒伏させる。リンク機構31は、左右一対の第1、第2リンク片31a,31bを含む。左右一対の第1、第2リンク片31a,31bそれぞれの一端側同士は接続され、それぞれの他端側は左右の各突出端29a、29bに連結されている。引張コイルばね32の両端は第2リンク片31bの一端寄り側と第1本体フレーム22間に設けられる不図示のフレーム板との間に固定されている。 A foot pad 21 on which the knee or shin of the care recipient M is applied is installed between the pair of front left and right first body frames 22. On the front side of the foot pad portion 21, a foot pad portion 30 on which the knee or shin of the caregiver N is applied is installed. A link mechanism 31 is built in the foot pad portion 30. The link mechanism 31 synchronizes the pair of left and right seat surface portions 20 by rotating the seat surface operation lever 19 to stand up and lie down. The link mechanism 31 includes a pair of left and right first and second link pieces 31a and 31b. One end sides of the pair of left and right first and second link pieces 31a and 31b are connected to each other, and the other end side of each is connected to the left and right protruding ends 29a and 29b. Both ends of the tension coil spring 32 are fixed between one end side of the second link piece 31b and a frame plate (not shown) provided between the first main body frame 22.

座面操作レバー19が図12で示す左上斜めの操作位置にあるときは、左側突出端29aは左下斜めに突出し、右側突出端29bは左上斜めに突出して、左右座面部20は共に水平姿勢にある。そして、座面操作レバー19が図12の矢印Gで示す時計回りで、仮想線19´で示す位置まで回動操作されると、引張コイルばね32とリンク機構31により、左側突出端29aは反時計回りに回動して仮想線29a´で示す位置になり、右側突出端29bは時計回りに回動して仮想線29b´で示す位置になる結果、左右の座面部20は仮想線20´で示すように起立する。左右の座面部20が起立しているとき、引張コイルばね32は座面部20の起立状態を維持する方向に第2リンク片31bを付勢する。なお、リンク機構31のリンク片は2本のリンク片でなく、1本のリンク片で構成してもよい。 When the seat surface operating lever 19 is in the operation position diagonally to the upper left shown in FIG. 12, the left protruding end 29a protrudes diagonally to the lower left, the right protruding end 29b protrudes diagonally to the upper left, and both the left and right seat surfaces 20 are in the horizontal posture. is there. Then, when the seat surface operating lever 19 is rotated clockwise to the position indicated by the virtual line 19'in the clockwise direction indicated by the arrow G in FIG. 12, the left protruding end 29a is counterclockwise by the tension coil spring 32 and the link mechanism 31. As a result of rotating clockwise to the position indicated by the virtual line 29a'and the right protruding end 29b rotating clockwise to the position indicated by the virtual line 29b', the left and right seating surfaces 20 have the virtual line 20'. Stand up as shown by. When the left and right seat surface portions 20 are upright, the tension coil spring 32 urges the second link piece 31b in the direction of maintaining the upright state of the seat surface portion 20. The link piece of the link mechanism 31 may be composed of one link piece instead of two link pieces.

以上の座面操作レバー19は、要介護者Mの着座側とは反対の前方右側に配置されるため、介護者Nは左右一対の座面部20を別々に起立・倒伏させる必要がなく、介護者Nの介助作業手数を削減できる。また、要介護者Mを起立させたその場で座面部20を起立・倒伏できる。また、介護者Nが回動操作アーム18を回動操作する際にその介護者Nの膝や脛が押し当たる足当て部30が前方側に設けられ、また、リンク機構31は、足当て部30で覆い隠されている。そのため、介護者Nの下肢がリンク機構31に接触して負傷する危険を回避できる。 Since the above seat surface operation lever 19 is arranged on the front right side opposite to the seating side of the care recipient M, the caregiver N does not need to stand up and lie down the pair of left and right seat surface portions 20 separately, and care is provided. The number of assisting work steps of person N can be reduced. In addition, the seat surface portion 20 can be erected and laid down on the spot where the care recipient M is erected. Further, when the caregiver N rotates the rotation operation arm 18, a foot pad portion 30 against which the knees and shins of the caregiver N are pressed is provided on the front side, and the link mechanism 31 is provided with a foot pad portion. It is covered by 30. Therefore, it is possible to avoid the risk that the lower limbs of the caregiver N come into contact with the link mechanism 31 and are injured.

なお、移乗装置10の座面部20が起立姿勢にあると、移乗装置10は後方にスペースができる。そうすると、このスペースを利用して、介護者Nによる車椅子の一部のスペース内外の進入・退出、要介護者Mの起立・着座の挙動、といった一連の介助・被介助が可能となる。 When the seat surface portion 20 of the transfer device 10 is in the upright posture, the transfer device 10 has a space behind it. Then, using this space, a series of assistance / assistance such as entry / exit of a part of the wheelchair by the caregiver N inside and outside the space, and standing / sitting behavior of the care recipient M becomes possible.

移乗装置10においては、一対の台車フレーム14の対向間隔が、後方になる従い漸次長くなっており、これにより座面部20が起立した際の前記スペースが後方側で広がっており、座面部20が起立した際に車椅子の進入・退出が容易となっている(図6参照)。 In the transfer device 10, the facing distance between the pair of bogie frames 14 is gradually increased as it becomes rearward, so that the space when the seat surface portion 20 stands up expands on the rear side, and the seat surface portion 20 Wheelchairs can easily enter and exit when standing up (see Fig. 6).

以上の移乗装置10によれば、要介護者Mの腰部に装着した身体保持装具1がずれないため、要介護者Mが座面部から起立した際に、要介護者Mの臀部等を洗ったり、着衣、脱衣の作業をしたりすることが容易となる。また、回動操作アーム18は所定の位置でロックが可能であるので、要介護者Mの座面部からの起立動作の支援時に要介護者Mの体重で回動操作アームが引っ張られる危険性を低減することができる。さらに、身体保持具1の係止が可能な被係止金具40a〜40cが複数設けられているので、要介護者Mの体格等に合わせて身体保持装具1の取付け位置を調整できる。さらには、身体保持装具1の取付け位置を変更する際に、使用しない係止部材4が邪魔になり難い体格の小柄な要介護者Mの場合は、要介護者Mから前方に離れた長い寸法の係止箇所に係止部材4をかけることで好適に起立、着座動作を支援できる。 According to the above transfer device 10, since the body holding device 1 attached to the waist of the care recipient M does not shift, when the care recipient M stands up from the seat surface, the buttocks and the like of the care recipient M can be washed. , Clothes and undressing work becomes easy. Further, since the rotation operation arm 18 can be locked at a predetermined position, there is a risk that the rotation operation arm will be pulled by the weight of the care recipient M when supporting the standing motion from the seat surface portion of the care recipient M. It can be reduced. Further, since a plurality of locked metal fittings 40a to 40c capable of locking the body holding device 1 are provided, the mounting position of the body holding device 1 can be adjusted according to the physique and the like of the care recipient M. Further, in the case of a small care-requiring person M having a physique in which the unused locking member 4 does not easily get in the way when changing the mounting position of the body holding device 1, a long dimension forward from the care-requiring person M By hanging the locking member 4 on the locking portion of the above, it is possible to preferably support the standing and sitting movements.

以下、図13〜図15を参照して移乗装置10を用いた移乗方法を説明する。ここでは移乗装置10を用いて移乗させる機器及び他の機器を車椅子50及び入浴用車椅子51として説明する。なお、図13〜図15において介護者の記載を省略している。 Hereinafter, a transfer method using the transfer device 10 will be described with reference to FIGS. 13 to 15. Here, the device to be transferred using the transfer device 10 and other devices will be described as the wheelchair 50 and the bathing wheelchair 51. The description of the caregiver is omitted in FIGS. 13 to 15.

まず、図13(a)に示すように、脱衣場において要介護者Mの上着等の衣服を可能な範囲で脱がせた後、身体保持装具1を装着する。身体保持装具1で保持された要介護者Mが載っている車椅子50の一部を、座面部20を起立させてなる移乗装置10のスペースSに進入させると共に、身体保持装具1の係止金具5を要介護者の身長、体格に合わせて回動操作アーム18の被係止金具40a〜40cのいずれかに係止する。 First, as shown in FIG. 13A, after taking off clothes such as the jacket of the care recipient M to the extent possible at the dressing room, the body holding orthosis 1 is attached. A part of the wheelchair 50 on which the care-requiring person M held by the body holding device 1 is placed is made to enter the space S of the transfer device 10 in which the seat surface portion 20 is raised, and the locking metal fitting of the body holding device 1 is inserted. 5 is locked to any of the locked metal fittings 40a to 40c of the rotation operation arm 18 according to the height and physique of the person requiring long-term care.

次いで、図13(b)に示すように、介護者は回動操作アーム18を前方に回動操作して要介護者Mを持ち上げながら、回動操作アーム18をロックして要介護者Mを車椅子50の座面部から臀部を浮かせた姿勢(中腰姿勢)にする。車椅子50をスペースSから退出させた後、この中腰姿勢を維持して介護者は要介護者Mに対して脱衣できていない下着やズボンを膝下ないしはその近傍まで下ろす作業を実施する。 Next, as shown in FIG. 13B, the caregiver rotates the rotation operation arm 18 forward to lift the care recipient M, and locks the rotation operation arm 18 to lock the care recipient M. The posture in which the buttocks are lifted from the seating surface of the wheelchair 50 (mid-waist posture) is set. After the wheelchair 50 is removed from the space S, the caregiver maintains this mid-waist posture and lowers the undressed underwear and trousers to the care-requiring person M to below or near the knee.

次いで、図13(c)に示すように、座面操作レバー19を操作して座面部20を水平姿勢にすると共に回動操作アーム18を初期位置に戻して要介護者Mを座面部20に着座させ、下着やスボンを要介護者Mから完全に脱がせる。図示はしていないが、その後、介護者は、要介護者Mを着座させた移乗装置10を浴室まで移動させる。 Next, as shown in FIG. 13C, the seat surface operation lever 19 is operated to bring the seat surface portion 20 into a horizontal posture, and the rotation operation arm 18 is returned to the initial position to move the care recipient M to the seat surface portion 20. Sit down and completely remove the underwear and trousers from the care recipient M. Although not shown, the caregiver then moves the transfer device 10 on which the care recipient M is seated to the bathroom.

次いで、浴室において、介護者は移乗装置10の座面部20に着座している要介護者Mの胸等、洗身可能な部位を洗身した後、図14(a)に示すように、回動操作アーム18を前方に回動操作して要介護者Mを中腰姿勢となるよう起立させると共に、座面操作レバー19を操作して座面部20を起立状態にする。この状態で介護者は要介護者Mの臀部、大腿部の裏側や背中等の部位の洗身を行う。 Next, in the bathroom, the caregiver cleans the washable part such as the chest of the care recipient M seated on the seat surface 20 of the transfer device 10, and then turns the caregiver as shown in FIG. 14A. The dynamic operation arm 18 is rotated forward to erect the care recipient M in a mid-waist position, and the seat surface operation lever 19 is operated to bring the seat surface portion 20 into an upright state. In this state, the caregiver cleans the buttocks, the back side of the thigh, the back, and the like of the care recipient M.

次いで、図14(b)に示すように移乗装置10のスペース内に入浴用車椅子51の一部を進入させると共に、回動操作アーム18を後方に回動操作して要介護者Mを入浴用車椅子51の座面部に着座させる。介護者は回動操作アーム18の被係止金具から係止金具5を外し、入浴用車椅子51をスペースSから退出させた後、身体保持装具1を要介護者Mから外す。 Next, as shown in FIG. 14B, a part of the bathing wheelchair 51 is made to enter the space of the transfer device 10, and the rotation operation arm 18 is rotated backward to use the care recipient M for bathing. It is seated on the seating surface of the wheelchair 51. The caregiver removes the locking metal fitting 5 from the locked metal fitting of the rotation operation arm 18, causes the bathing wheelchair 51 to exit the space S, and then removes the body holding device 1 from the care recipient M.

次いで、図14(c)に示すように入浴用車椅子51を専用浴槽52内に挿入し入浴を行う。入浴が終了すると、入浴用車椅子51を専用浴槽52から出し、移乗装置10近傍に移動させる。要介護者Mの胸部や腹部等の身体の部位を拭いた後、身体保持装具1を装着する。移乗装置10のスペースに入浴用車椅子51を進入させ、身体保持装具1の係止金具5を回動操作アーム18の被係止金具40a〜40cのいずれかに係止し、回動操作アーム18を回動操作して要介護者Mを中腰姿勢となるよう起立させる。図15(a)に示すように、座面操作レバー19を操作して座面部20を水平にし、要介護者Mを座面部20上に着座させる。図示はしていないが、その後、介護者は、要介護者Mを着座させた移乗装置10を浴室から脱衣場まで移動させる。 Next, as shown in FIG. 14C, the bathing wheelchair 51 is inserted into the dedicated bathtub 52 to take a bath. When the bathing is completed, the bathing wheelchair 51 is taken out from the dedicated bathtub 52 and moved to the vicinity of the transfer device 10. After wiping the body parts such as the chest and abdomen of the person requiring long-term care M, the body holding device 1 is worn. The bathing wheelchair 51 is inserted into the space of the transfer device 10, the locking metal fitting 5 of the body holding device 1 is locked to any of the locked metal fittings 40a to 40c of the rotating operation arm 18, and the rotating operation arm 18 is used. Is rotated to make the care recipient M stand up in a mid-waisted posture. As shown in FIG. 15A, the seat surface operating lever 19 is operated to level the seat surface portion 20 and seat the care recipient M on the seat surface portion 20. Although not shown, the caregiver then moves the transfer device 10 on which the care recipient M is seated from the bathroom to the dressing room.

次いで、図15(b)に示すように、回動操作アーム18を前方に回動操作して要介護者Mを起立させ、座面操作レバー19を操作して座面部20を起立姿勢にした後、要介護者Mの臀部、大腿部の裏側や背中等の部位を拭いた後、下着やズボンを着衣させる作業を行う。 Next, as shown in FIG. 15B, the rotation operation arm 18 was rotated forward to erect the care recipient M, and the seat surface operation lever 19 was operated to put the seat surface portion 20 into the upright posture. After that, after wiping the buttocks, the back side of the thigh, and the back of the person requiring long-term care M, the work of putting on underwear and trousers is performed.

最後に、図15(c)に示すように移乗装置10のスペース内に車椅子50を進入させ、進入させた車椅子50に要介護者Mを着座させる。そして、身体保持装具1の係止金具5を回動操作アーム18から外し、移乗装置10を車椅子50から離すことで、車椅子50を移乗装置10外に退出させる。身体保持装具1を要介護者Mから外し、要介護者Mに上着を着衣させて移乗が終了する。 Finally, as shown in FIG. 15C, the wheelchair 50 is inserted into the space of the transfer device 10, and the care recipient M is seated in the wheelchair 50 that has entered. Then, by removing the locking metal fitting 5 of the body holding device 1 from the rotation operation arm 18 and separating the transfer device 10 from the wheelchair 50, the wheelchair 50 is retracted out of the transfer device 10. The body holding device 1 is removed from the care recipient M, and the care recipient M is dressed in a jacket to complete the transfer.

なお、図14(c)の入浴中に移乗装置10を浴室から脱衣場に移動させておき、入浴終了後、図15(a)のステップを経ることなく、要介護者Mを着座させた入浴用車椅子51をそのまま脱衣場に移動させ、図15(b)のステップに移行できるようにしてもよい。 The transfer device 10 was moved from the bathroom to the dressing room during the bathing in FIG. 14C, and after the bathing was completed, the person requiring care M was seated in the bath without going through the step in FIG. 15A. The wheelchair 51 may be moved to the dressing room as it is so that the step in FIG. 15B can be performed.

本発明は上述の実施形態に限定されるものではなく、その趣旨を逸脱しない範囲内で種々適宜に変更可能である。上述の移乗方法では機器及び他の機器を車椅子50及び入浴用車椅子51とした例を説明したが、これに限定されず、例えば、機器及び他の機器をベッド及び車椅子とする、あるいはベッド及びトイレとすることも可能である。 The present invention is not limited to the above-described embodiment, and can be appropriately modified without departing from the spirit of the present invention. In the above transfer method, an example in which the device and other devices are the wheelchair 50 and the bathing wheelchair 51 has been described, but the present invention is not limited to this, and for example, the device and other devices are used as beds and wheelchairs, or beds and toilets. It is also possible to.

1 身体保持装具
2 支持部材
3 固定部材
4 係止部材
5 係止金具
10 移乗装置
11 台車
12 装置本体
13 車輪
14 台車フレーム
15 連結フレーム
16 足載置板
17 把持レバー
18 回動操作アーム
18c アーム板
18d,18e アームボルト
18g 歯部
19 座面操作レバー
20 座面部
21 足当て部(要介護者用)
27 座面アーム
29 回動軸
30 足当て部(介護者用)
31 リンク機構
31a,31b リンク片
32 引張コイルばね
33 フレーム板
33a ラチェット爪部
40a,40b,40c 被係止金具
50 車椅子
51 入浴用車椅子
52 専用浴槽
1 Body holding orthosis 2 Support member 3 Fixing member 4 Locking member 5 Locking bracket 10 Transfer device 11 Bogie 12 Device body 13 Wheel 14 Bogie frame 15 Connecting frame 16 Foot mounting plate 17 Grip lever 18 Rotation operation arm 18c Arm plate 18d, 18e Arm bolt 18g Tooth part 19 Seat surface operation lever 20 Seat surface part 21 Foot pad (for care recipient)
27 Seat arm 29 Rotating shaft 30 Foot pad (for caregivers)
31 Link mechanism 31a, 31b Link piece 32 Tension coil spring 33 Frame plate 33a Ratchet claw 40a, 40b, 40c Locked metal fittings 50 Wheelchair 51 Bathing wheelchair 52 Dedicated bathtub

Claims (4)

要介護者を移乗させるための移乗装置であって、
前記要介護者を身体保持装具で保持した状態で起立させるために介護者によって回動操作される回動操作アームと、
前記回動操作アームを用いて前記要介護者を起立させる際に前記介護者の膝ないし脛の少なくとも一部を押し当てる足当て部と、
を備えた、ことを特徴とする移乗装置。
It is a transfer device for transferring people requiring long-term care.
A rotation operation arm that is rotated by the caregiver to stand up while the care recipient is held by the body holding orthosis.
A foot pad that presses at least a part of the care recipient's knee or shin when the care recipient is to stand up using the rotation operation arm.
A transfer device characterized by being equipped with.
前記足当て部は、側面視において下方が上方よりも前記介護者側に突出している、請求項1に記載の移乗装置。 The transfer device according to claim 1, wherein the foot pad portion projects from the lower side toward the caregiver side rather than from the upper side in a lateral view. 前記足当て部は、弾性を有する材料でなる、請求項1または2に記載の移乗装置。 The transfer device according to claim 1 or 2, wherein the foot pad is made of an elastic material. 前記回動操作アームは前記介護者が回動操作のため把持する把持部を備え、前記把持部の先端が球状である請求項1ないし3のいずれかに記載の移乗装置。
The transfer device according to any one of claims 1 to 3, wherein the rotation operation arm includes a grip portion that the caregiver grips for rotation operation, and the tip of the grip portion is spherical.
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WO2022075186A1 (en) 2020-10-05 2022-04-14 住友ベークライト株式会社 Resin molding material, molded body, and method for producing said molded body

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JPS605153A (en) * 1983-06-02 1985-01-11 イムプロ リミテッド Patient erecting method and patient hoist
JP2002065766A (en) * 2000-09-01 2002-03-05 Paramount Bed Co Ltd Manual stand up lift
JP2005279198A (en) * 2004-03-26 2005-10-13 Mizukoshi Keiki Kk Wheelchair
JP2006192167A (en) * 2005-01-17 2006-07-27 Hidekazu Suzuki Legless chair with rising assisting function
JP2015037437A (en) * 2010-10-08 2015-02-26 株式会社テムザック Transfer/moving device

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Publication number Priority date Publication date Assignee Title
JPS5392591A (en) * 1976-11-01 1978-08-14 Landstingens Inkopscentral Device for elevating and transporting patient
US4157593A (en) * 1976-11-01 1979-06-12 Landstingens Inkopscentral Lic, Ekonomisk Forening Patient lift and transport apparatus
JPS605153A (en) * 1983-06-02 1985-01-11 イムプロ リミテッド Patient erecting method and patient hoist
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JP2002065766A (en) * 2000-09-01 2002-03-05 Paramount Bed Co Ltd Manual stand up lift
JP2005279198A (en) * 2004-03-26 2005-10-13 Mizukoshi Keiki Kk Wheelchair
JP2006192167A (en) * 2005-01-17 2006-07-27 Hidekazu Suzuki Legless chair with rising assisting function
JP2015037437A (en) * 2010-10-08 2015-02-26 株式会社テムザック Transfer/moving device

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2022075186A1 (en) 2020-10-05 2022-04-14 住友ベークライト株式会社 Resin molding material, molded body, and method for producing said molded body

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