JP2006136416A - Urination support device - Google Patents

Urination support device Download PDF

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JP2006136416A
JP2006136416A JP2004326905A JP2004326905A JP2006136416A JP 2006136416 A JP2006136416 A JP 2006136416A JP 2004326905 A JP2004326905 A JP 2004326905A JP 2004326905 A JP2004326905 A JP 2004326905A JP 2006136416 A JP2006136416 A JP 2006136416A
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urination
bladder
spring
spring portion
support
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JP4565184B2 (en
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Kazuo Kiguchi
量夫 木口
Jiro Uozumi
二郎 魚住
Keiji Nakajima
啓二 中島
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Saga University NUC
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Saga University NUC
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a urination support device which supports such that one can urinate as a person with a normal bladder function without eliminating a bladder function at any place without preliminary preparation. <P>SOLUTION: The urination support device has a support portion 11, a first spring portion 12, and a second spring portion 13, an expanding and contracting mechanisms 10 a first thermal conducting plate 14 and a second thermal conducting plate 15 respectively arranged in the spring portion 12, 13 via Peltier elements so as to be able to conduct heat arranged in the first spring portion 12 and the second spring portion 13 are arranged at both the ends of a pushing and pressing portion 20 pushing and pressing a bladder via link shafts 30 pivoted by a support portions 11, the link shafts 30 are connected with the first spring portion 12 and the second spring portion 13 of the respective expanding and contracting mechanism and has control section controlling the Peltier elements. The urination action can be smoothly done through a mechanical movement by electrifying the Peltier elements by this constitution. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

本発明は、排尿を支援させる排尿支援装置に関し、特に、人体内部に備えられ膀胱を押圧する排尿支援装置に関する。   The present invention relates to a urination support apparatus that supports urination, and more particularly, to a urination support apparatus that is provided inside a human body and presses a bladder.

背景技術としては、国際公開WO99/01092にて開示される排尿装置がある。この背景技術となる排尿装置は、可撓チューブと、プランジャと、受け台と、弾性部材と、電磁ソレノイドと、作動子とからなる。可撓チューブは、注入口と排出口とを有する。プランジャは、一端に押圧部を、他端に接触部を有する。受け台は、可撓チューブをプランジャの押圧部下方で支持する。弾性部材は、プランジャの押圧部を常態で可撓チューブに押し付けて可撓チューブを押圧部と受け台との間に圧迫 閉塞させる。電磁ソレノイドは、プランジャの接触部を選択的に吸引・反発する。作動子は、電磁ソレノイドを選択的に電源に接続する。この構成において、可撓チューブの注入口がカテーテルをかいして膀胱 に接続され、可撓チューブの排出口が導管をかいして採尿袋に接続される。膀胱内の尿圧力が所定値に達したとき、作動子によって電磁ソレノイドが付勢され、プランジャの押圧部が後退されて可撓チューブの圧迫 閉塞が解除される。可撓チューブの注入口に連通する膀胱内の尿圧力を所定値に設定し、尿圧力が所定値に達したときはチューブの排出口から外部の採尿袋に膀胱内の尿を全て排尿する。排尿後は、前述の動作が再び繰り返される。このようにして背景技術の排尿装置によれば、膀胱はカテーテルを介して採尿袋に連結されているにもかかわらず、通常時と同様に貯尿・排尿のために膨張・収縮を繰り返すことができ、膀胱機能を廃絶することなく、排尿を行わせることができる。
国際公開WO99/01092
As a background art, there is a urination device disclosed in International Publication WO99 / 01092. The urination device as the background art includes a flexible tube, a plunger, a cradle, an elastic member, an electromagnetic solenoid, and an actuator. The flexible tube has an inlet and an outlet. The plunger has a pressing portion at one end and a contact portion at the other end. The cradle supports the flexible tube below the plunger pressing portion. The elastic member presses and closes the pressing portion of the plunger against the flexible tube in a normal state to compress and close the flexible tube between the pressing portion and the cradle. The electromagnetic solenoid selectively attracts and repels the contact portion of the plunger. The actuator selectively connects the electromagnetic solenoid to the power source. In this configuration, the inlet of the flexible tube is connected to the bladder through the catheter, and the outlet of the flexible tube is connected to the urine collection bag through the conduit. When the urine pressure in the bladder reaches a predetermined value, the electromagnetic solenoid is biased by the actuator, the pressing portion of the plunger is retracted, and the compression blockage of the flexible tube is released. The urine pressure in the bladder communicating with the injection port of the flexible tube is set to a predetermined value, and when the urine pressure reaches the predetermined value, all the urine in the bladder is discharged from the discharge port of the tube to the external urine collection bag. After urination, the above operation is repeated again. As described above, according to the urination device of the background art, although the bladder is connected to the urine collection bag through the catheter, the urination and the urination can be repeated for urine storage and urination as usual. It is possible to urinate without abolishing the bladder function.
International Publication WO99 / 01092

しかしながら、前記背景技術の排尿装置は以上のように構成され、カテーテルを膀胱に装着した状態でのみ使用することができ、排尿行為の前に諸準備が必要であり、また、装置を置いている場所でしかかかる装置を用いた排尿行為をすることができず、利便性に劣るという課題を有する。   However, the urination device of the background art is configured as described above, can be used only with the catheter attached to the bladder, and various preparations are necessary before the urination operation, and the device is placed. There is a problem that urination using such a device can be performed only at a place, and the convenience is inferior.

本発明は前記課題を解決するためになされたものであり、膀胱機能を廃絶することなく、どのような場所であっても前準備なしに、膀胱機能が正常な人と同様に排尿行為を行うことができるように支援する排尿支援装置を提供することを目的とする。   The present invention has been made to solve the above-mentioned problems, and performs urination in the same manner as a person with normal bladder function without eliminating the bladder function and without any preparation in any place. An object of the present invention is to provide a urination support device that supports the urination.

本発明に係る排尿支援装置は、胱周辺のいれずかの骨に固定され長尺状の支持部、当該支持部の片側に温度変化により伸縮する第1のバネ部及び前記支持部の他側に温度変化により伸縮する第2のバネ部を備え、当該第1のバネ部と第2のバネ部にそれぞれ第1の熱伝導板、第2の熱伝導板をバネ部に熱伝導可能にペルチェ素子を介在させて配設した伸縮機構を、膀胱を押圧する押圧部の両側に前記支持部に枢軸されたリンク軸を介して配設し、当該リンク軸は各伸縮機構の第1のバネ部及び第2のバネ部と接合し、前記ペルチェ素子を制御する制御部を有するものである。このように本発明においては、前記支持部、第1のバネ部及び第2のバネ部を備え、当該第1のバネ部と第2のバネ部にそれぞれ第1の熱伝導板、第2の熱伝導板をバネ部に熱伝導可能にペルチェ素子を介在させて配設した伸縮機構を、膀胱を押圧する押圧部の両端に前記支持部に枢軸されたリンク軸を介して配設し、当該リンク軸は各伸縮機構の第1のバネ部及び第2のバネ部と接合し、前記ペルチェ素子を制御する制御部を有するので、ペルチェ素子に電流を流すことで一方で熱の発生し他方で熱の吸収がおこり、かかる熱が押圧部の両側の伸縮機構の第1のバネ部(又は第2のバネ部)に熱伝導板を介在して伝導され伸張又は縮退し、このバネ部の伸縮に応じてリンク軸が支持部の枢軸点を中心に傾倒し、押圧部が押下され膀胱を押圧し、圧迫された膀胱内の尿が尿道を通って排出され、ペルチェ素子に電流を流すだけで後は機械的動作を経て円滑に排尿行為を行うことができる。一方、ペルチェ素子に電流が流れている間は、リンク軸が傾倒し押圧部が膀胱を押圧した状態が維持されるので、ペルチェ素子に電流を流すのを止め、バネ部の熱が通常値にしリンク軸を起上させ押圧部からの膀胱への圧迫を解くことができる。さらに、より迅速に圧迫状態から膀胱を解くためには、ペルチェ素子に対して前記電流方向とは逆方向に電流を流すことで、第1のバネと第2のバネがそれぞれ前記第2のバネと第1のバネの作用が生じ、迅速にリンク軸を起上させることもできる。   The urination support device according to the present invention includes a long support portion fixed to any bone around the bladder, a first spring portion that expands and contracts due to temperature change on one side of the support portion, and the other side of the support portion And a second spring portion that expands and contracts due to a temperature change. The first spring portion and the second spring portion each have a first heat conduction plate, and the second heat conduction plate has a Peltier that can conduct heat to the spring portion. An expansion / contraction mechanism disposed with an element interposed is disposed on both sides of a pressing portion that presses the bladder via a link shaft pivoted on the support portion, and the link shaft is a first spring portion of each expansion / contraction mechanism. And it has a control part which joins with the 2nd spring part and controls the Peltier device. As described above, in the present invention, the support portion, the first spring portion, and the second spring portion are provided, and the first heat conduction plate and the second spring portion are respectively provided in the first spring portion and the second spring portion. An expansion and contraction mechanism in which a heat conduction plate is disposed with a Peltier element interposed so that heat conduction can be performed on the spring portion is disposed on both ends of the pressing portion that presses the bladder via link shafts pivoted on the support portion. The link shaft is joined to the first spring portion and the second spring portion of each expansion / contraction mechanism, and has a control unit that controls the Peltier element. Heat absorption occurs, and the heat is conducted to the first spring part (or the second spring part) of the expansion / contraction mechanism on both sides of the pressing part via a heat conduction plate, and expands or contracts. In response, the link shaft tilts around the pivot point of the support part, and the pressing part is pressed to press the bladder , Urine oppressed the bladder is discharged through the urethra, after only flow a current to the Peltier element can be performed smoothly urination act through a mechanical operation. On the other hand, while the current flows through the Peltier element, the link shaft is tilted and the state where the pressing part presses the bladder is maintained. Therefore, the current is stopped from flowing through the Peltier element, and the heat of the spring part reaches the normal value. The link shaft can be raised to release the pressure on the bladder from the pressing portion. Further, in order to release the bladder from the compressed state more quickly, the first spring and the second spring are respectively supplied to the second spring by flowing a current in the direction opposite to the current direction with respect to the Peltier element. As a result, the first spring acts and the link shaft can be raised quickly.

また、本発明に係る排尿支援装置は必要に応じて、前記押圧部の両側にそれぞれ2つの伸縮機構を設けたものである。このように本発明においては、前記押圧部の両側にそれぞれ2つの伸縮機構を設けたので、合計4つの伸縮機構を用いて押圧部をリンク軸を介して押下しており、偏りなく安定的に押圧部を押下することができ、膀胱を適切に圧迫することができる。   Moreover, the urination assistance apparatus according to the present invention is provided with two expansion / contraction mechanisms on both sides of the pressing portion as required. As described above, in the present invention, since the two expansion / contraction mechanisms are provided on both sides of the pressing portion, the pressing portion is pressed down via the link shaft using a total of four expansion / contraction mechanisms, and can be stably distributed. The pressing portion can be pressed, and the bladder can be appropriately compressed.

また、本発明に係る排尿支援装置は必要に応じて、前記第1のバネ部又は第2のバネ部のうち一方の変態開始温度を人間の平熱以上とし、他方の変態終了温度を人間の平熱以下とするものである。このように本発明においては、前記第1のバネ部又は第2のバネ部のうち一方の変態開始温度を人間の平熱以上とし、他方の変態終了温度を人間の平熱以下とするので、前記ペルチェ素子の発熱と吸熱により内側のバネが縮退し外側のバネが伸張し、前記作用が可能となる。   In addition, the urination assisting apparatus according to the present invention, if necessary, sets one transformation start temperature of the first spring part or the second spring part to a human normal temperature or higher, and sets the other transformation end temperature to a human normal temperature. It is as follows. Thus, in the present invention, one of the first spring portion and the second spring portion has a transformation start temperature not less than human normal heat and the other transformation end temperature not greater than human normal heat. Due to the heat generation and heat absorption of the element, the inner spring is degenerated and the outer spring is extended, and the above-described operation becomes possible.

また、本発明に係る排尿支援装置は必要に応じて、前記第1のバネ部及び第2のバネ部を伸縮する蛇腹で被覆するものである。このように本発明においては、前記第1のバネ部及び第2のバネ部を伸縮する蛇腹で被覆するので、本装置が駆動して第1のバネ部及び第2のバネ部が伸張しても体内の器官を損傷することがない。   Moreover, the urination assistance apparatus according to the present invention covers the first spring part and the second spring part with a bellows that expands and contracts as necessary. As described above, in the present invention, the first spring portion and the second spring portion are covered with the bellows that expands and contracts, so that the first spring portion and the second spring portion are extended by driving the apparatus. Even the internal organs will not be damaged.

また、本発明に係る排尿支援装置は必要に応じて、前記押圧部の膀胱に接触する部分が、膀胱の形状に対応した形状を有しているものである。このように本発明においては、前記押圧部の膀胱に接触する部分が、膀胱の形状に対応した形状を有しているので、リンク軸による押圧力を無駄にすることなく円滑に膀胱を圧迫することができる。ここで、押圧部がかかる形状でない場合には膀胱が抑制されることく多方向に変形するので、効率的に圧迫することができないばかりか、バネの伸張も必要以上に必要となって、駆動領域が広がり他の器官に対する影響も大きく好ましくない。   In addition, in the urination support apparatus according to the present invention, the portion of the pressing portion that contacts the bladder has a shape corresponding to the shape of the bladder, as necessary. As described above, in the present invention, the portion of the pressing portion that contacts the bladder has a shape corresponding to the shape of the bladder, so that the bladder is smoothly compressed without wasting the pressing force by the link shaft. be able to. Here, when the pressing part is not in such a shape, the bladder is deformed in many directions without being suppressed, so that not only can not be compressed efficiently, but also the extension of the spring is necessary and driven. The area is wide and the influence on other organs is also large and undesirable.

また、本発明に係る排尿支援装置は必要に応じて、前記制御部に指令を送るリモートコントローラーを人体外に有するものである。このように本発明においては、前記制御部に指令を送るリモートコントローラーを人体外に有するので、患者の要求に応じて円滑に排尿行為を実現することができる。また、介護者や医療関係者が介護する場合に、患者がどのような場合であっても排尿行為を規則どおりに行わせることができる。カテーテルを用いた場合には医療関係者はともかく、介護者では操作が難しいという課題が従来はあった。   Moreover, the urination assistance apparatus according to the present invention has a remote controller for sending a command to the control unit outside the human body as necessary. As described above, in the present invention, since the remote controller that sends a command to the control unit is provided outside the human body, the urination action can be smoothly realized according to the patient's request. Moreover, when a caregiver or a medical staff provides care, the urination can be performed according to the rules regardless of the case of the patient. In the case of using a catheter, there has been a problem that operation is difficult for a caregiver, regardless of medical personnel.

また、本発明に係る排尿支援装置は必要に応じて、駆動電力を電波から得るものである。このように本発明においては、駆動電力を電波から得るので、外部から永続的に電力供給を行うことができ、仮に電池により電力供給を行った場合と比べ、患者に対する負担が大幅に軽減することができる。電波から駆動電力を得る方法としては一般的にはコイルを配設し、かかるコイルから高周波を得て整流して直流を得る方法がある。   Moreover, the urination support apparatus according to the present invention obtains drive power from radio waves as necessary. As described above, in the present invention, since driving power is obtained from radio waves, power can be supplied permanently from the outside, and the burden on the patient can be greatly reduced compared to the case where power is supplied by a battery. Can do. As a method for obtaining driving power from radio waves, there is generally a method in which a coil is provided, a high frequency is obtained from the coil, and rectification is obtained by rectification.

また、本発明に係る排尿支援装置は、膀胱周辺のいれずかの骨に固定され長尺状のベース部と、当該ベース部に一端を支持され、温度変化又は電圧変化により形状を変化する変位部とを備え、前記変位部が温度変化又は電圧変化によって形状を変化させて膀胱を圧迫するので、骨に固定されているベース部を固定点とし、温度変化又は電圧変化によって変位部が形状を変化させ、膀胱を繰り返し同一動作で圧迫することができ、安定的に排尿を繰り返し支援することができる。動作に変動がある場合には、設置者が予想しない動作が行われ、最悪他の臓器に悪影響を与える可能性があり、危険である。   Further, the urination assisting device according to the present invention includes a long base portion fixed to any bone around the bladder, and one end supported by the base portion, and a displacement whose shape changes due to a temperature change or a voltage change. The displacement part changes the shape by temperature change or voltage change and compresses the bladder, so that the base part fixed to the bone is a fixing point, and the displacement part changes shape by temperature change or voltage change. The urinary bladder can be repeatedly compressed with the same movement, and urination can be supported repeatedly stably. If the movement varies, the movement unexpected by the installer is performed, which may be harmful to other organs in the worst case.

また、本発明に係る排尿支援装置は、膀胱周辺のいれずかの骨に固定され長尺状のベース部と、膀胱周辺に位置し、可動物と可動受けからなる伸縮機構部と、前記ベース部に一端を支持され、当該一端を中心として膀胱側へ回動可能な傾倒部と、前記伸縮機構部の可動物と傾動部とを接続するリンク材とを備えるので、骨に固定されているベース部を固定点とし、伸縮機構部を体外から使用者等の手で押さえることで、可動物が可動受けに収納されながら、可動物に接続するリンク材も同様に移動し、傾動部も膀胱側へ傾動し、膀胱を繰り返し同一動作で圧迫することができ、安定的に排尿を繰り返し支援することができる。   Further, the urination support device according to the present invention includes a long base portion fixed to any bone around the bladder, a telescopic mechanism portion that is located around the bladder and includes a movable object and a movable receiver, and the base. It is fixed to the bone because it includes a tilting portion that is supported at one end and rotatable to the bladder side around the one end, and a link member that connects the movable object and the tilting portion of the telescopic mechanism. By using the base part as a fixed point and pressing the telescopic mechanism part from outside the body with the user's hand, the movable object is housed in the movable receiver, and the link material connected to the movable object moves in the same way, and the tilting part also moves to the bladder. Tilt to the side, the bladder can be repeatedly pressed with the same movement, and urination can be supported repeatedly stably.

また、本発明に係る排尿支援装置は必要に応じて、変位部の膀胱接触部にクッション材を設けたので、膀胱を傷つけることなく、圧迫することができる。ここで、クッション材としては、既に豊胸手術で実績のあり不活性物質であって高い潤滑性を有するシリコン等を用いることができる。詳細には、可撓性外被から成り、シリコンが当該可撓性外被内に保持されているものを、クッション材として用いることができる。この可撓性外被自体は、シリコン 、ポリウレタン及びバイオ適合性ポリマーから成るグループの1つ又は複数を成形したものである。   Moreover, since the urination assistance apparatus according to the present invention is provided with a cushion material at the bladder contact portion of the displacement portion as needed, it can be compressed without damaging the bladder. Here, as the cushioning material, it is possible to use an inert substance that has already been used in breast augmentation surgery and has high lubricity. Specifically, a material made of a flexible jacket and having silicon held in the flexible jacket can be used as a cushioning material. The flexible jacket itself is molded from one or more of the group consisting of silicon, polyurethane and biocompatible polymer.

(本発明の第1の実施形態)
本発明の第1の実施形態に係る排尿支援装置について、図1ないし図6に基づき説明する。図1は本実施形態に係る排尿支援装置の概略図、図2は本実施形態に係る排尿支援装置の膀胱を圧縮していない状態図、図3は本実施形態に係る排尿支援装置の膀胱を圧縮している状態図、図4及び図5は本実施形態に係る排尿支援装置の全体図、並びに、図6は本実施形態に係る排尿支援装置を設置した例示図である。
(First embodiment of the present invention)
A urination support apparatus according to a first embodiment of the present invention will be described with reference to FIGS. 1 is a schematic diagram of a urination support apparatus according to the present embodiment, FIG. 2 is a state diagram in which the bladder of the urination support apparatus according to the present embodiment is not compressed, and FIG. 3 is a diagram of the bladder of the urination support apparatus according to the present embodiment. FIG. 4 and FIG. 5 are overall views of the urination support apparatus according to the present embodiment, and FIG. 6 is an exemplary diagram in which the urination support apparatus according to the present embodiment is installed.

前記各図において本実施形態に係る排尿支援装置は、膀胱周辺のいれずかの骨に固定され長尺状の支持部1、当該支持部1の片側に温度変化により伸縮する第1のバネ部12及び前記支持部の他側に温度変化により伸縮する第2のバネ部13を備え、当該第1のバネ部12と第2のバネ部13にそれぞれ第1の熱伝導板14、第2の熱伝導板15をバネ部12、13に熱伝導可能にペルチェ素子16を介在させて配設した伸縮機構10を、膀胱を押圧する押圧部20の両側に前記支持部11に枢軸されたリンク軸30を介して配設し、当該リンク軸30は各伸縮機構10の第1のバネ部12及び第2のバネ部13と接合し、前記ペルチェ素子16を制御する制御部(図示しない)を有する構成である。本実施形態では、4つの伸張機構10を用いる。   In each of the drawings, the urination assisting device according to the present embodiment includes a long support portion 1 fixed to any bone around the bladder, and a first spring portion that expands and contracts on one side of the support portion 1 due to temperature change. 12 and a second spring portion 13 that expands and contracts due to a temperature change on the other side of the support portion. The first heat conduction plate 14 and the second spring portion 13 are respectively provided on the first spring portion 12 and the second spring portion 13. A link shaft pivoted by the support portion 11 on both sides of the pressing portion 20 that presses the bladder is provided with the expansion / contraction mechanism 10 in which the heat conduction plate 15 is disposed on the spring portions 12 and 13 with the Peltier element 16 interposed therebetween. The link shaft 30 is connected to the first spring portion 12 and the second spring portion 13 of each expansion / contraction mechanism 10 and has a control portion (not shown) for controlling the Peltier element 16. It is a configuration. In this embodiment, four extension mechanisms 10 are used.

前記第1のバネ部12は、本実施形態では膀胱側の内側のバネであり、具体的には形状記憶合金を用いる。この形状記憶合金を用いれば、外力によって塑性変形しても加熱することにより高い弾性を回復し、記憶させておいて形状を再現させることができる。特に、Ti-Ni系形状記憶合金は、医療用材料としても生体適合性に優れている。生体温度を36.5[℃]を基準とすると、この生体温度でばね定数が上がった状態とし、26[℃]に冷却することで、ばね定数を下げて柔らかくする構成とする。すなわち、26[℃]を変態開始温度し、36.5[℃]を変態終了温度とする。ここでの数値は一具体例にすぎない。   In the present embodiment, the first spring portion 12 is an inner spring on the bladder side, and specifically, a shape memory alloy is used. If this shape memory alloy is used, even if it is plastically deformed by an external force, high elasticity can be recovered by heating, and the shape can be reproduced while being memorized. In particular, the Ti—Ni shape memory alloy is excellent in biocompatibility as a medical material. When the living body temperature is based on 36.5 [° C.], the spring constant is increased at this living body temperature, and the spring constant is lowered to be softened by cooling to 26 [° C.]. That is, 26 [° C.] is the transformation start temperature, and 36.5 [° C.] is the transformation end temperature. The numerical value here is only one specific example.

前記第2のバネ部13は、本実施形態では膀胱側の外側のバネであり、具体低には前記第1のバネ部12と同様に形状記憶合金を用いる。同様に、生体温度を36.5[℃]を基準とすると、この生体温度ではばね定数が下がった状態にあり、46[℃]まで加熱することで、ばね定数を上げた状態とすることにする。すなわち、36.5[℃]以上の温度を変態開始温度とし、46[℃]を変態終了温度とする。ここでの数値は一具体例にすぎない。   In the present embodiment, the second spring portion 13 is an outer spring on the bladder side, and specifically, a shape memory alloy is used similarly to the first spring portion 12. Similarly, when the living body temperature is based on 36.5 [° C.], the spring constant is lowered at this living body temperature, and the spring constant is increased by heating to 46 [° C.]. To do. That is, a temperature of 36.5 [° C.] or higher is set as the transformation start temperature, and 46 [° C.] is set as the transformation end temperature. The numerical value here is only one specific example.

前記ペルチェ素子16は、半導体素子であり、電流を流すことで素子の表面が吸熱し、他方面が発熱(放熱)し、両面に温度差が生じさせることができるものである。このペルチェ素子16を用いることで前記第1のバネ部12及び第2のバネ部13をそれぞれ吸熱、発熱させることができる。   The Peltier element 16 is a semiconductor element, and when a current is passed, the surface of the element absorbs heat, the other surface generates heat (heat radiation), and a temperature difference can be generated between both surfaces. By using the Peltier element 16, the first spring portion 12 and the second spring portion 13 can absorb heat and generate heat, respectively.

前記熱伝導板14、15は、アルミ板及び銅であり、他の熱を伝導可能な媒体であれば適用することができる。本実施形態では、前記ペルチェ素子をアルミ板で挟持し、銅板を介してアルミ板から形状記憶合金へ熱伝導を行う。ここで、銅板から第1のバネ部12及び第2のバネ部13へ熱を伝導する場合に、単純に銅板と第1のバネ部12及び第2のバネ部13を接続してもできるが、第1のバネ部12及び第2のバネ部13が可動部であるため接触可能な部分が限られ円滑な熱伝導が実現できない。そこで、第1のバネ部12及び第2のバネ部13を内包可能な筒状のもので覆ってこの筒内に液体を充填して銅板から第1のバネ部12及び第2のバネ部13への熱伝導をより円滑に可能とする。これによれば、前記一部分の接触により熱伝導を行う場合と比して、熱が全体的に伝導させるために偏りなく熱を伝導させることができ、バネ部の動作においても望ましい。さらに、筒状のもので覆うことは本排尿支援装置が人体内に設置されることを考慮すれば、可動部が被覆されることは望ましい。さらにまた、筒51で覆うとしても上部は弾性可能な蛇腹52で構成される被覆体50とする。前記弾性可能な蛇腹の具体例としては、シリコン製のジャバラチューブがある。充填される液体としては、水、生理食塩水等が考えられる。   The heat conductive plates 14 and 15 are an aluminum plate and copper, and any other medium capable of conducting heat can be applied. In this embodiment, the Peltier element is sandwiched between aluminum plates, and heat conduction is performed from the aluminum plate to the shape memory alloy via the copper plate. Here, when conducting heat from the copper plate to the first spring portion 12 and the second spring portion 13, the copper plate can be simply connected to the first spring portion 12 and the second spring portion 13. Since the first spring part 12 and the second spring part 13 are movable parts, the parts that can be contacted are limited and smooth heat conduction cannot be realized. Therefore, the first spring portion 12 and the second spring portion 13 are covered with a cylindrical one that can be enclosed, and the cylinder is filled with liquid, and the first spring portion 12 and the second spring portion 13 are formed from a copper plate. Heat conduction to the can be made more smoothly. According to this, as compared with the case where heat conduction is performed by the contact of the part, heat can be conducted without any bias since the heat is totally conducted, which is also desirable in the operation of the spring portion. Furthermore, it is desirable that the movable part is covered with a cylindrical object in consideration of the fact that the urination support apparatus is installed in the human body. Furthermore, even if it covers with the pipe | tube 51, let the upper part be the covering body 50 comprised with the bellows 52 which can be elastic. A specific example of the elastic bellows is a bellows tube made of silicon. As the liquid to be filled, water, physiological saline or the like can be considered.

前記制御部は、マイコン若しくは電子回路で構成され、外部の要求に応じてペルチェ素子16に対して電流を流す制御を行う。この制御部は、例えば、可動しない支持部に内設される。同様に、制御部及びペルチェ素子16に電流の供給を行う電源部(図示しない)も可動しない支持部に内設される。   The said control part is comprised with a microcomputer or an electronic circuit, and performs control which sends an electric current with respect to the Peltier device 16 according to an external request | requirement. For example, the control unit is installed in a non-movable support unit. Similarly, a power supply unit (not shown) that supplies current to the control unit and the Peltier element 16 is also provided in a non-movable support unit.

前記筒51と支持部11を腸骨、恥骨、坐骨等に直接接合した構成でもよいが、例えば、図4に示すような、基台40に筒51と支持部11を固定し、この基台40を前記腸骨等と接合する構成にすることもできる。基台40には、膀胱を上部から納めることができるように穴60が形成されている。さらに、この穴60があるため膀胱の近接器官となる前立腺、尿の通路となる尿道のスペースが確保されることにもなる。また、基台40は1つの構成にすることもできるし、図5に示すように、伸縮機構10毎に基台40を設けてもよく、この場合には、基台40間に前記穴60が形成されることとなる。また、図4及び図5の構成では、第1のバネ部に係る筒51と第2のバネ部に係る筒52との接合部分の筒がないが、これは基台40間にも充填水が満たされ、この基台内に第1の熱伝導板14、第2の熱伝導板15及びペルチェ素子16を配置した構成となっている。特に、図4においては、ドーナツ状となっているが、伸縮機構10毎にセパレートされている構成である。端的に言えば、かかる接合部分の筒が基台40に形成されていることに等しい。また、基台内には、前記では支持部11に配置すると説明した制御部及び電源部を基台40に配置することもできる。   The tube 51 and the support portion 11 may be directly joined to the iliac bone, the pubic bone, the sciatica, etc., but for example, the tube 51 and the support portion 11 are fixed to the base 40 as shown in FIG. 40 may be configured to be joined to the iliac bone or the like. A hole 60 is formed in the base 40 so that the bladder can be accommodated from above. In addition, since the hole 60 is provided, a space for the prostate that is a close organ of the bladder and a space for the urethra that is a passage for urine are also secured. Further, the base 40 can be configured as one, and as shown in FIG. 5, a base 40 may be provided for each of the telescopic mechanisms 10, and in this case, the hole 60 is provided between the bases 40. Will be formed. 4 and FIG. 5, there is no cylinder at the joint portion between the cylinder 51 related to the first spring part and the cylinder 52 related to the second spring part. Is satisfied, and the first heat conductive plate 14, the second heat conductive plate 15, and the Peltier element 16 are arranged in the base. In particular, in FIG. 4, it is a donut shape, but is configured to be separated for each telescopic mechanism 10. In short, this is equivalent to the fact that the tube of the joint portion is formed on the base 40. In the base, the control unit and the power supply unit, which are described above as being arranged on the support unit 11, can also be arranged on the base 40.

次に、本実施形態に係る排尿支援装置の動作について説明する。予め本排尿装置を開腹手術により、膀胱100が収まるように人体に設置しなれければならない。人体に本排尿支援装置を設置した例示図が図6である。   Next, the operation of the urination support apparatus according to the present embodiment will be described. The urination device must be installed on the human body beforehand so that the bladder 100 can be accommodated by laparotomy. FIG. 6 is an exemplary diagram in which the urination support apparatus is installed on the human body.

かかる排尿支援装置を手術により配設された患者は、尿意をもよおした場合に、排尿支援装置のリモコン(図示しない)を携帯して便所に行く。男性であれば、通常通り、立小便用便器の前に立ち、性器を所定方向に向けた状態で排尿不能ではない患者はまずは自己の筋力を頼りに尿を出そうとする。そして、一定の試みをなした後に、リモコンの開始ボタンを押下する。   A patient who has been operatively provided with such a urination support apparatus goes to the toilet with a remote control (not shown) of the urination support apparatus when he / she wishes to urinate. If it is a man, a patient who is standing in front of a urinal for standing urinals and cannot urinate with the genitals oriented in a predetermined direction first tries to produce urine by relying on his / her muscle strength. Then, after making a certain attempt, the start button on the remote control is pressed.

かかるボタンが押下された場合に、リモコンから駆動命令が制御部に伝達される。制御部はかかる駆動命令を受け、ペルチェ素子16に電流を流す。電流が流れるとペルチェ素子16は、第1の熱伝導板14からは吸熱をし、かかる熱を第2の熱伝導板15に放熱を行う。第1の熱伝導板14が内設された筒51内の充填水の温度が低下し変態開始温度方向に近づいていく。そうすると、第1のバネ部12が伸長する。一方、第2の熱伝導板15が内設された筒51内の充填水の温度が上昇し変態終了温度方向に近づいていく。そうすると、第2のバネ部12が縮退する。かかる第1のバネ部12の伸長及び第2のバネ部12の縮退により、リンク軸30が初期位置から傾倒し、押圧部20を押下する。押圧部20はかかる押圧により下方向に押し下げられ、膀胱100を押圧する。膀胱100はかかる押圧により、尿に対する内圧が上昇し、尿道から尿が排出される。   When such a button is pressed, a drive command is transmitted from the remote control to the control unit. The control unit receives the drive command and causes a current to flow through the Peltier element 16. When a current flows, the Peltier element 16 absorbs heat from the first heat conduction plate 14 and radiates the heat to the second heat conduction plate 15. The temperature of the filling water in the cylinder 51 in which the first heat conduction plate 14 is provided is lowered and approaches the transformation start temperature direction. Then, the first spring portion 12 extends. On the other hand, the temperature of the filling water in the cylinder 51 in which the second heat conduction plate 15 is provided rises and approaches the transformation end temperature direction. Then, the second spring portion 12 is degenerated. By the extension of the first spring part 12 and the contraction of the second spring part 12, the link shaft 30 is tilted from the initial position, and the pressing part 20 is pressed down. The pressing unit 20 is pressed downward by the pressing and presses the bladder 100. Due to such pressing, the bladder 100 increases the internal pressure against urine, and urine is discharged from the urethra.

尿が排出されて尿意がなくなったと判断した患者は、リモコンの終了ボタンを押下する。リモコンはかかる終了命令を制御部に伝達する。終了命令が伝達された制御部は、ペルチェ素子16に流していた電流を停止し、次に、逆方向に電流を流す。そうすると、吸熱と放熱とが逆転し、第2の熱伝導板15からは吸熱をし、かかる熱を第1の熱伝導板14に放熱を行う。第2の熱伝導板15が内設された筒51内の充填水の温度が低下し変態開始温度方向に近づいていく。そうすると、第2のバネ部13が伸長する。一方、第1の熱伝導板14が内設された筒51内の充填水の温度が上昇し変態終了温度方向に近づいていく。そうすると、第1のバネ部13が縮退する。かかる第2のバネ部13の伸長及び第1のバネ部12の縮退により、リンク軸30が傾いた状態から復帰する。押圧部20は前記押圧から解放され、膀胱100により押し上げられる。   A patient who has determined that urine has been discharged and no longer intends to urinate, presses the end button on the remote control. The remote controller transmits the end command to the control unit. The control unit to which the end command is transmitted stops the current flowing through the Peltier element 16, and then flows the current in the reverse direction. Then, the heat absorption and the heat dissipation are reversed, the second heat conduction plate 15 absorbs heat, and the heat is radiated to the first heat conduction plate 14. The temperature of the filling water in the cylinder 51 in which the second heat conduction plate 15 is provided is lowered and approaches the transformation start temperature direction. As a result, the second spring portion 13 extends. On the other hand, the temperature of the filling water in the cylinder 51 in which the first heat conducting plate 14 is provided rises and approaches the transformation end temperature direction. Then, the first spring portion 13 is degenerated. By the extension of the second spring portion 13 and the contraction of the first spring portion 12, the link shaft 30 returns from the inclined state. The pressing part 20 is released from the pressing and is pushed up by the bladder 100.

以上により排尿行為が終了する。ここで、リモコンを用いて終了命令を制御部に伝達したが、伝達されない場合、すなわち、患者が忘れて終了ボタンを押下しない場合でも、所定時間経過すると、制御部は電流を流すことを停止する構成にもすることができ、これによれば、所定時間経過後には充填水の温度が体温となって、第2のバネ部13が伸長され、第1のバネ部12の縮退し、これによりリンク軸30が傾いた状態から復帰する。そうすると、押圧部20は膀胱100を押圧しなくなる。このように患者が忘れた場合でも、自然に復帰するようにすることもできる。また、リモコンをなくした場合、制御部が故障した場合でも、常に、復帰状態が維持されるので、膀胱100を押圧した状態が継続して続くことはなく、安全面でも優れている。   The urination action is thus completed. Here, the end command is transmitted to the control unit using the remote controller, but if the command is not transmitted, that is, even if the patient forgets to press the end button, the control unit stops flowing current when a predetermined time has elapsed. According to this, after a predetermined time has elapsed, the temperature of the filling water becomes the body temperature, the second spring portion 13 is expanded, and the first spring portion 12 is degenerated, thereby The link shaft 30 returns from the tilted state. Then, the pressing unit 20 does not press the bladder 100. Thus, even if the patient forgets, it can be restored naturally. Further, when the remote controller is lost, even when the control unit breaks down, the return state is always maintained, so that the state where the bladder 100 is pressed does not continue, which is excellent in terms of safety.

このように本実施形態に係る排尿支援装置によれば、前記支持部11、第1のバネ部12及び第2のバネ部13を備え、当該第1のバネ部12と第2のバネ部13にそれぞれ第1の熱伝導板14、第2の熱伝導板15をバネ部12、13に熱伝導可能にペルチェ素子16を介在させて配設した伸縮機構10を、膀胱を押圧する押圧部20の両端に前記支持部11に枢軸されたリンク軸30を介して配設し、当該リンク軸30は各伸縮機構の第1のバネ部12及び第2のバネ部13と接合し、前記ペルチェ素子16を制御する制御部を有するので、ペルチェ素子16に電流を流すことで一方で熱の発生し他方で熱の吸収がおこり、かかる熱が押圧部20の両側の伸縮機構10の第1のバネ部12(又は第2のバネ部13)に熱伝導板14(又は15)を介在して伝導され伸張又は縮退し、このバネ部の伸縮に応じてリンク軸30が支持部11の枢軸点を中心に傾倒し、押圧部20が押下され膀胱100を押圧し、圧迫された膀胱100内の尿が尿道を通って排出され、ペルチェ素子16に電流を流すだけで後は機械的動作を経て円滑に排尿行為を行うことができる。   As described above, according to the urination support device according to the present embodiment, the support portion 11, the first spring portion 12, and the second spring portion 13 are provided, and the first spring portion 12 and the second spring portion 13 are provided. A pressing part 20 that presses the bladder is provided with a telescopic mechanism 10 in which the first heat conducting plate 14 and the second heat conducting plate 15 are arranged in the spring parts 12 and 13 with the Peltier element 16 interposed therebetween, respectively. The link shafts 30 are disposed at both ends of the Peltier element via the link shafts 30 pivoted on the support portion 11, and the link shafts 30 are joined to the first spring portions 12 and the second spring portions 13 of the respective expansion and contraction mechanisms. 16 has a control unit for controlling the current, the heat is generated on the one hand by flowing an electric current through the Peltier element 16, and the heat is absorbed on the other side. The heat is applied to the first spring of the expansion / contraction mechanism 10 on both sides of the pressing unit 20. The heat conduction plate 14 (or the second spring portion 13) or the portion 12 (or the second spring portion 13) 5) is conducted and extended or retracted through the interposition of the spring portion, the link shaft 30 tilts around the pivot point of the support portion 11 according to the expansion and contraction of the spring portion, the pressing portion 20 is pressed down to press the bladder 100, and compression The urine in the bladder 100 thus discharged is discharged through the urethra, and by simply passing an electric current through the Peltier element 16, the urination can be performed smoothly through a mechanical operation.

なお、本実施形態に係る排尿支援装置においては、リモコンに調節ツマミを設けかかる調節ツマミの調整に応じて、ペルチェ素子16に流れる電流量を調整することもでき、より迅速に膀胱100を押圧すること、及び、どの程度膀胱100を押圧するかを調整することもできる。   In the urination support apparatus according to the present embodiment, an adjustment knob is provided on the remote controller, and the amount of current flowing through the Peltier element 16 can be adjusted according to the adjustment knob adjustment, thereby pressing the bladder 100 more quickly. And how much the bladder 100 is pressed can be adjusted.

(本発明の第2の実施形態)
本発明の第2の実施形態に係る排尿支援装置について、図7に基づき説明する。図7は本実施形態に係る排尿支援装置の動作説明図である。図7中の実線の変位部111が膀胱を圧迫していない状態を示し、点線の変位部111が膀胱を圧迫している状態を示している。
(Second embodiment of the present invention)
A urination support apparatus according to a second embodiment of the present invention will be described with reference to FIG. FIG. 7 is an operation explanatory diagram of the urination support apparatus according to the present embodiment. The solid line displacement portion 111 in FIG. 7 shows a state where the bladder is not compressed, and the dotted line displacement portion 111 shows a state where the bladder is compressed.

本実施形態に係る排尿支援装置は、膀胱周辺のいれずかの骨に固定され長尺状のベース部110と、このベース部110に一端を支持され、温度変化により形状を変化する変位部111とを備え、前記変位部111が温度変化によって形状を変化させて膀胱100を圧迫する構成である。また、変位部111の膀胱接触部にクッション材112を設けている。   The urination support apparatus according to the present embodiment is a long base part 110 fixed to any bone around the bladder, and one end supported by the base part 110, and a displacement part 111 that changes its shape due to a temperature change. The displacement part 111 changes the shape by temperature change and compresses the bladder 100. A cushion material 112 is provided at the bladder contact portion of the displacement portion 111.

温度変化により形状を変化する物質としては形状記憶合金がり、所定温度を与えることに記憶させた形状に変形する。   As a substance that changes its shape due to a temperature change, there is a shape memory alloy, which is deformed into a shape memorized by applying a predetermined temperature.

本排尿装置を開腹手術により図7に示すように人体に設置する。手術後傷が塞がった後に、下腹部に対して手、湯たんぽ等で暖めることにより、形状記憶合金から形成される変位部111が、図7の実線から図7の点線に変化し、膀胱100を圧迫する。   This urination device is installed on the human body as shown in FIG. 7 by laparotomy. After the wound has been closed after surgery, the lower abdomen is warmed with a hand, a hot water bottle or the like, so that the displacement part 111 formed from the shape memory alloy changes from the solid line in FIG. 7 to the dotted line in FIG. Squeeze.

このように本実施形態に係る排尿支援装置によれば、骨に固定されているベース部110を固定点とし、温度変化又は電圧変化によって変位部111が形状を変化させ、膀胱100を繰り返し同一動作で圧迫することができ、安定的に排尿を繰り返し支援することができる。   As described above, according to the urination assisting apparatus according to the present embodiment, the base unit 110 fixed to the bone is used as a fixing point, the shape of the displacement unit 111 is changed by a temperature change or a voltage change, and the bladder 100 is repeatedly operated in the same manner. Can be squeezed and can stably support urination repeatedly.

(本発明の第3の実施形態)
本発明の第3の実施形態に係る排尿支援装置について、図8又は図9に基づき説明する。図8又は図9は本実施形態に係る排尿支援装置の動作説明図である。図8が膀胱を圧迫していない状態であり、図9が膀胱を圧迫している状態である。
(Third embodiment of the present invention)
A urination support apparatus according to a third embodiment of the present invention will be described with reference to FIG. 8 or FIG. FIG. 8 or FIG. 9 is an operation explanatory diagram of the urination support apparatus according to the present embodiment. FIG. 8 shows a state where the bladder is not compressed, and FIG. 9 shows a state where the bladder is compressed.

本実施形態に係る排尿支援装置は、膀胱周辺のいれずかの骨に固定され長尺状のベース部210と、膀胱100周辺に位置し、可動物211aと可動受け211bからなる伸縮機構部211と、前記ベース210部に一端を支持され、この一端を中心として膀胱側へ回動可能な傾倒部212と、前記伸縮機構部211の可動物211aと傾動部212とを接続するリンク材213とを備える構成である。また、傾倒部212の膀胱接触部にクッション材214を設けている。   The urination assisting apparatus according to the present embodiment is fixed to any bone around the bladder, and is provided with a long base part 210, and a telescopic mechanism part 211 that is located around the bladder 100 and includes a movable object 211a and a movable receiver 211b. A tilting part 212 supported at one end by the base 210 part and rotatable about the one end toward the bladder, and a link member 213 connecting the movable object 211a and the tilting part 212 of the telescopic mechanism part 211; It is the structure provided with. Further, a cushion material 214 is provided at the bladder contact portion of the tilting portion 212.

本排尿装置を開腹手術により図8に示すように人体に設置する。手術後傷が塞がった後に、下腹部に対して手でリンク材213と可動物211aが接続している部分を手前方向に押さえることで、可動物211aが可動受け211bに収納され、この可動物211aに接続するリンク材213も移動し、さらに、リンク材213と接続する傾動部212が傾動し、膀胱100を圧迫し排尿を支援することができる。再び、腎臓から尿管を介して膀胱に尿が貯まると、自動的に、傾動部212が押しあがり、リンク材213及び可動物211aも同様に元位置に戻る。   The urination apparatus is installed on the human body by laparotomy as shown in FIG. After the wound has been closed after surgery, the movable object 211a is stored in the movable receiver 211b by pressing the portion where the link member 213 and the movable object 211a are connected to the lower abdomen by hand. The link member 213 connected to the link member 211a also moves, and the tilting portion 212 connected to the link member 213 tilts to press the bladder 100 and support urination. When urine accumulates in the bladder again from the kidney through the ureter, the tilting portion 212 is automatically pushed up, and the link member 213 and the movable object 211a are similarly returned to the original positions.

このように本実施形態に係る排尿支援装置によれば、骨に固定されているベース部210を固定点とし、伸縮機構部211を体外から使用者等の手で押さえることで、可動物211aが可動受けに収納されながら、可動物211aに接続するリンク材213も同様に移動し、傾動部212も膀胱側へ傾動し、膀胱100を繰り返し同一動作で圧迫することができ、安定的に排尿を繰り返し支援することができる。   As described above, according to the urination assisting apparatus according to the present embodiment, the movable object 211a is formed by pressing the expansion / contraction mechanism 211 with the user's hand from outside the body with the base 210 fixed to the bone as a fixing point. While being accommodated in the movable receiver, the link member 213 connected to the movable object 211a moves in the same manner, and the tilting portion 212 tilts toward the bladder side, so that the bladder 100 can be repeatedly pressed with the same operation, and urination can be stably performed. Can support repeatedly.

なお、本実施形態に係る排尿支援装置においては、リンク材213と可動物211aが接続している部分に腹壁接触部分にクッション材214を設けることもでき、腹壁へのキズを防止することができる。   In the urination support apparatus according to the present embodiment, the cushion material 214 can be provided at the abdominal wall contact portion at the portion where the link material 213 and the movable object 211a are connected, and scratches on the abdominal wall can be prevented. .

また、本実施形態に係る排尿支援装置においては、可動受け211bにバネを設け、可動物211aが使用者の手によって押されて排尿支援をした後に、バネの付勢力によって可動物211a、リンク材213及び傾動部212が元に戻る構成にすることもでき、傾動部212が膀胱100を常に押さえた状態となって必要以上の残尿感を使用者に与えることを防止することができる。   In the urination support device according to the present embodiment, the movable receiver 211b is provided with a spring, and after the movable object 211a is pushed by the user's hand to assist urination, the movable object 211a and the link material are urged by the urging force of the spring. It can also be configured that the 213 and the tilting part 212 return to the original state, and the tilting part 212 can always prevent the bladder 100 from being pressed and give the user a feeling of residual urine more than necessary.

(本発明のその他の実施形態)
前記第2の実施形態に係る排尿支援装置においては図7に示す構成としたが、図7(b)に相当する要部拡大図である図10の構成にすることもでき、膀胱周辺のいれずかの骨に固定され長尺状のベース部110と、このベース部110に一端を支持され、長尺状の所定形状を保つ起動部311と、この起動部311に一端を固定され、他端が圧電素子からなるリンク材313とを備え、リンク材313の他端が通常時で起動部311のベース部110に位置し、電圧印加時にベース部110に沿って直下方向に移動する構成にすることもでき、リンク材313の圧電素子部分に電圧印加されることにより体積変化が生じて、ベース部110に沿ってリンク材313の他端が直下方向に所定変位分(図中で∇)移動し、リンク材313の一端と固定されている起動部311が起動し(図10(b)参照。なお、図10(a)は起動前の状態を示す。)、起動部の他端部分が膀胱100を繰り返し同一動作で圧迫することができ、安定的に排尿を繰り返し支援することができる。ここで、リンク材313の圧電素子部分を、形状記憶合金で形成し、同様に所定分変位させる構成にすることもできる。また、ベース部110のリンク材313との接続部分を圧電素子又は形状記憶合金にして、ベース部110の体積変化によりリンク材313を変位させる構成であってもよい。
(Other embodiments of the present invention)
Although the urination support apparatus according to the second embodiment has the configuration shown in FIG. 7, the configuration shown in FIG. 10, which is an enlarged view of the main part corresponding to FIG. 7B, can be used. A long base part 110 fixed to some bones, an end part 311 supported at one end by the base part 110 and maintaining a predetermined long shape, one end fixed to the start part 311, and the like The link member 313 is composed of a piezoelectric element at the end, and the other end of the link member 313 is positioned at the base portion 110 of the activation unit 311 in a normal state, and moves in a downward direction along the base portion 110 when voltage is applied. The volume of the link member 313 is changed by applying a voltage to the piezoelectric element portion of the link member 313, and the other end of the link member 313 along the base portion 110 is displaced by a predetermined amount (∇ in the drawing). Move and one end of link material 313 The fixed activation unit 311 is activated (see FIG. 10B. Note that FIG. 10A shows a state before activation), and the other end of the activation unit repeatedly presses the bladder 100 with the same operation. And can stably support urination repeatedly. Here, the piezoelectric element portion of the link member 313 may be formed of a shape memory alloy and similarly displaced by a predetermined amount. Further, the connecting portion of the base portion 110 with the link material 313 may be a piezoelectric element or a shape memory alloy, and the link material 313 may be displaced by the volume change of the base portion 110.

また、同様にベース部110、起動部311及びリンク材313の構成で、リンク材313のベース部110の接続端をジョイントとし、このジョイント部分がベース部110をリールとして機能させてベース部110が上下可能とし、起動部311のベース部110の接続端を固定端とし、この固定端と前記ジョイントとを中央が曲折し2方向の延出手314a、314bを有する拡開材で接続し、この拡開材314の延出手の中央部分に形状記憶合金を配置し、通常時で形状記憶合金が短い状態で拡開材314を狭角とし(図11(a)参照)、排尿支援装置使用時に形状記憶合金が長い状態で拡開材314を広角として起動部311を起動させ(図11(b)参照)、同様に、膀胱を圧迫して排尿を支援することもできる。この場合に、形状記憶合金の代わりに、圧電素子を用いることもでき、圧電素子に電圧印加の有無によって体積膨張を生じさせて、形状記憶合金と同様に機能させることもできる。   Similarly, in the configuration of the base part 110, the starting part 311, and the link member 313, the connection end of the base part 110 of the link member 313 serves as a joint, and this joint part causes the base part 110 to function as a reel. The connecting end of the base portion 110 of the starting portion 311 can be a fixed end, and the fixed end and the joint are bent at the center and connected by an expanding material having two extending hands 314a and 314b. A shape memory alloy is arranged in the center of the extension of the opening material 314, and the expansion material 314 is narrowed with the shape memory alloy being short in a normal state (see FIG. 11 (a)). In a state where the memory alloy is long, the activation member 311 is activated with the expansion material 314 as a wide angle (see FIG. 11B), and similarly, the bladder can be compressed to support urination. In this case, a piezoelectric element can be used in place of the shape memory alloy, and volume expansion can be caused by applying or not applying a voltage to the piezoelectric element to function in the same manner as the shape memory alloy.

また、図11の構成は例示であって一般的なアクチュエーターで動作可能であり、他の例として図12の構成であっても同様に動作することができる。図12の構成は、前記と同様、ベース部110、起動部311及びリンク材313の構成で、リンク材313のベース部110の接続端をジョイントとし、このジョイント部分がベース部110をリールとして機能させてベース部110が上下可能とし、起動部311のベース110の接続端を固定端とし、ベース部を軸として起動部311と反対方向に延出材315bを前記ジョイントに接続し、延出材315bと同様で形状が鉤部を2箇所を有する延出材315a前記固定端にを接続し、この延出材315a、315bの開放端を形状記憶合金にて接続した構成である。この形状記憶合金が、温度変化にて伸縮することにより、前記図11同様に、膀胱を圧迫して排尿を支援することもできる。   Further, the configuration of FIG. 11 is an example and can be operated by a general actuator. As another example, the configuration of FIG. 12 can be operated similarly. The configuration of FIG. 12 is the configuration of the base portion 110, the starting portion 311 and the link material 313, as described above. The connection end of the base portion 110 of the link material 313 serves as a joint, and this joint portion functions as the base portion 110 as a reel. The base 110 can be moved up and down, the connection end of the base 110 of the starter 311 is a fixed end, and the extension member 315b is connected to the joint in the direction opposite to the starter 311 with the base as an axis. Similar to 315b, the extending member 315a having two ridges is connected to the fixed end, and the open ends of the extending members 315a and 315b are connected by a shape memory alloy. As this shape memory alloy expands and contracts due to a temperature change, it is possible to support urination by pressing the bladder as in FIG.

本発明の第1の実施形態に係る排尿支援装置の概略図である。It is the schematic of the urination assistance apparatus which concerns on the 1st Embodiment of this invention. 本発明の第1の実施形態に係る排尿支援装置の膀胱を圧縮していない状態図である。It is a state figure which is not compressing the bladder of the urination assistance device concerning a 1st embodiment of the present invention. 本発明の第1の本実施形態に係る排尿支援装置の膀胱を圧縮している状態図である。It is a state figure which is compressing the bladder of the urination assistance apparatus concerning the 1st this embodiment of the present invention. 本発明の第1の実施形態に係る排尿支援装置の全体図である。1 is an overall view of a urination support apparatus according to a first embodiment of the present invention. 本発明の第1の実施形態に係る排尿支援装置の全体図である。1 is an overall view of a urination support apparatus according to a first embodiment of the present invention. 本発明の第1の実施形態に係る排尿支援装置を設置した例示図である。It is the illustration which installed the urination assistance apparatus which concerns on the 1st Embodiment of this invention. 本発明の第2の実施形態に係る排尿支援装置の動作説明図である。It is operation | movement explanatory drawing of the urination assistance apparatus which concerns on the 2nd Embodiment of this invention. 本発明の第3の実施形態に係る排尿支援装置の動作説明図である。It is operation | movement explanatory drawing of the urination assistance apparatus which concerns on the 3rd Embodiment of this invention. 本発明の第3の実施形態に係る排尿支援装置の動作説明図である。It is operation | movement explanatory drawing of the urination assistance apparatus which concerns on the 3rd Embodiment of this invention. 本発明のその他の実施形態に係る排尿支援装置の動作説明図である。It is operation | movement explanatory drawing of the urination assistance apparatus which concerns on other embodiment of this invention. 本発明のその他の実施形態に係る排尿支援装置の動作説明図である。It is operation | movement explanatory drawing of the urination assistance apparatus which concerns on other embodiment of this invention. 本発明のその他の実施形態に係る排尿支援装置の動作説明図である。It is operation | movement explanatory drawing of the urination assistance apparatus which concerns on other embodiment of this invention.

符号の説明Explanation of symbols

10 伸縮機構
11 支持部
12 第1のバネ部
13 第2のバネ部
14 第1の熱伝導板
15 第2の熱伝導板
16 ペルチェ素子
20 押圧部
30 リンク軸
40 基台
50 被覆体
51 筒
52 蛇腹
60 穴
100 膀胱
110 ベース部
111 変位部
112 クッション材
210 ベース部
211 伸縮機構部
211a 可動物
211b 可動受け
212 傾倒部
213 リンク材
214 クッション材
311 起動部
313 リンク材
314 拡開材
314a、314b 延出手 315a、315b 延出材

DESCRIPTION OF SYMBOLS 10 Expansion / contraction mechanism 11 Support part 12 1st spring part 13 2nd spring part 14 1st heat conduction board 15 2nd heat conduction board 16 Peltier element 20 Press part 30 Link shaft 40 Base 50 Covering body 51 Cylinder 52 Bellows 60 Hole 100 Bladder 110 Base part 111 Displacement part 112 Cushion material 210 Base part 211 Telescopic mechanism part 211a Movable object 211b Movable receiver 212 Tilt part 213 Link material 214 Cushion material 311 Starting part 313 Link material 314 Expanding material 314a, 314b Extension 315a, 315b extension material

Claims (10)

膀胱周辺のいれずかの骨に固定され長尺状の支持部、当該支持部の片側に温度変化により伸縮する第1のバネ部及び前記支持部の他側に温度変化により伸縮する第2のバネ部を備え、当該第1のバネ部と第2のバネ部にそれぞれ第1の熱伝導板、第2の熱伝導板をバネ部に熱伝導可能にペルチェ素子を介在させて配設した伸縮機構を、膀胱を押圧する押圧部の両側に前記支持部に枢軸されたリンク軸を介して配設し、当該リンク軸は各伸縮機構の第1のバネ部及び第2のバネ部と接合し、前記ペルチェ素子を制御する制御部を有することを
特徴とする排尿支援装置。
A long support portion fixed to any bone around the bladder, a first spring portion that expands and contracts due to temperature change on one side of the support portion, and a second spring portion that expands and contracts due to temperature change on the other side of the support portion Expansion and contraction provided with a spring portion, and a first heat conduction plate and a second heat conduction plate arranged on the first spring portion and the second spring portion, respectively, with a Peltier element interposed in the spring portion so as to allow heat conduction The mechanism is disposed on both sides of the pressing portion that presses the bladder via a link shaft pivoted on the support portion, and the link shaft is joined to the first spring portion and the second spring portion of each telescopic mechanism. A urination assisting device comprising a control unit for controlling the Peltier element.
前記請求項1に記載の排尿支援装置において、
前記押圧部の両側にそれぞれ2つの伸縮機構を設けたことを
特徴とする排尿支援装置。
In the urination support device according to claim 1,
A urination support device, wherein two expansion / contraction mechanisms are provided on both sides of the pressing portion.
前記請求項1または2に記載の排尿支援装置において、
前記第1のバネ部又は第2のバネ部のうち一方の変態開始温度を人間の平熱以上とし、他方の変態終了温度を人間の平熱以下とすることを
特徴とする排尿支援装置。
In the urination support device according to claim 1 or 2,
One of the first spring part or the second spring part has a transformation start temperature equal to or higher than human normal temperature, and the other transformation end temperature equal to or lower than human normal temperature.
前記請求項1ないし3のいずれかに記載の排尿支援装置において、
前記第1のバネ部及び第2のバネ部を伸縮する蛇腹で被覆することを
特徴とする排尿支援装置。
In the urination assistance device according to any one of claims 1 to 3,
A urination support apparatus, wherein the first spring part and the second spring part are covered with a bellows that expands and contracts.
前記請求項1ないし4のいずれかに記載の排尿支援装置において、
前記押圧部の膀胱に接触する部分が、膀胱の形状に対応した形状を有していることを
特徴とする排尿支援装置。
In the urination assistance device according to any one of claims 1 to 4,
The portion of the pressing portion that contacts the bladder has a shape corresponding to the shape of the bladder.
前記請求項1ないし5のいずれかに記載の排尿支援装置において、
前記制御部に指令を送るリモートコントローラーを人体外に有することを
特徴とする排尿支援装置。
In the urination assistance device according to any one of claims 1 to 5,
A urination assisting device having a remote controller for sending a command to the control unit outside the human body.
前記請求項1ないし6のいずれかに記載の排尿支援装置において、
駆動電力を電波から得ることを
特徴とする排尿支援装置。
In the urination support device according to any one of claims 1 to 6,
A urination support device characterized in that drive power is obtained from radio waves.
膀胱周辺のいれずかの骨に固定され長尺状のベース部と、当該ベース部に一端を支持され、温度変化又は電圧変化により形状を変化する変位部とを備え、前記変位部が温度変化又は電圧変化によって形状を変化させて膀胱を圧迫することを
特徴とする排尿支援装置。
A long base portion fixed to any bone around the bladder, and a displacement portion whose one end is supported by the base portion and whose shape changes due to a temperature change or a voltage change. Alternatively, a urination assisting device that compresses the bladder by changing its shape by changing voltage.
膀胱周辺のいれずかの骨に固定され長尺状のベース部と、膀胱周辺に位置し、可動物と可動受けからなる伸縮機構部と、前記ベース部に一端を支持され、当該一端を中心として膀胱側へ回動可能な傾倒部と、前記伸縮機構部の可動物と傾動部とを接続するリンク材とを備えることを
特徴とする排尿支援装置。
A long base fixed to any bone around the bladder, a telescopic mechanism that is located around the bladder and consists of a movable object and a movable receiver, and one end supported by the base. An urination assisting device comprising: a tilting portion that can rotate to the bladder side; and a link member that connects the movable object and the tilting portion of the telescopic mechanism.
前記請求項8または9に記載の排尿支援装置において、
変位部又は傾動部の膀胱接触部にクッション材を設けたことを
特徴とする排尿支援装置。

In the urination support device according to claim 8 or 9,
A urination support device, characterized in that a cushion material is provided at a bladder contact portion of a displacement portion or a tilting portion.

JP2004326905A 2004-11-10 2004-11-10 Urination support device Active JP4565184B2 (en)

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JP2011500135A (en) * 2007-10-11 2011-01-06 ミルックス・ホールディング・エスエイ Implantable device for external urination control
JP2016179228A (en) * 2007-10-11 2016-10-13 ミルックス・ホールディング・エスエイ Implantable device for external urinary control

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JP2011500135A (en) * 2007-10-11 2011-01-06 ミルックス・ホールディング・エスエイ Implantable device for external urination control
JP2014131767A (en) * 2007-10-11 2014-07-17 Milux Holding Sa Implantable device for external urinary control
EP2211767A4 (en) * 2007-10-11 2016-01-20 Kirk Promotion Ltd Implantable device for external urinary control
US9351664B2 (en) 2007-10-11 2016-05-31 Peter Forsell Implantable device for external urinary control
JP2016179228A (en) * 2007-10-11 2016-10-13 ミルックス・ホールディング・エスエイ Implantable device for external urinary control
JP2019030683A (en) * 2007-10-11 2019-02-28 インプランティカ・パテント・リミテッド System for treating urinary retention of mammal patient
EP3485845A1 (en) * 2007-10-11 2019-05-22 Kirk Promotion LTD. Implantable device for external urinary control
JP2020121179A (en) * 2007-10-11 2020-08-13 インプランティカ・パテント・リミテッド System for treating urinary retention of mammal patient
JP2022087266A (en) * 2007-10-11 2022-06-09 インプランティカ・パテント・リミテッド System for treating urinary retention of mammal patient
JP7454009B2 (en) 2007-10-11 2024-03-21 インプランティカ・パテント・リミテッド System for treating urinary retention in mammalian patients

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