JP2008043818A - Safe acupuncture - Google Patents

Safe acupuncture Download PDF

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JP2008043818A
JP2008043818A JP2007282990A JP2007282990A JP2008043818A JP 2008043818 A JP2008043818 A JP 2008043818A JP 2007282990 A JP2007282990 A JP 2007282990A JP 2007282990 A JP2007282990 A JP 2007282990A JP 2008043818 A JP2008043818 A JP 2008043818A
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rod
tube
housing
acupuncture
holding
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JP4107617B2 (en
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Nobuari Takakura
伸有 高倉
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HANADA GAKUEN
Takakura Nobuari
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HANADA GAKUEN
Takakura Nobuari
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a safe acupuncture which can prevent possible infection during its preservation, from a patient to an operator and further from the operator to other persons amidst the treatment and during the period of disposal after the treatment and additional infection by accidental sticking or others caused by other persons themselves such as disposal workers during their disposal working. <P>SOLUTION: The safe acupuncture comprises (1) an acupuncture tube, (2) one or more body holding pads which are filled and fixed at an upper part within the acupuncture tube and resists the movement of an acupuncture body to hold it, (3) the acupuncture body which is held movably with the pads and made longer corresponding to its puncturing depth than the length of the acupuncture tube and (4) a stopper which is disposed at the lower end of an acupuncture grip provided at the upper part of the acupuncture body or at the upper end of the acupuncture tube and blocks the acupuncture body from further moving into the acupuncture tube when the tip of the acupuncture body reaches a prescribed puncturing depth in moving in vivo from the skin surface. In addition, (5) a sticky or adsorbable base is provided on the skin contact side in the bottom part of the acupuncture tube and (6) the acupuncture tube is made longer than the puncturing depth of the acupuncture body. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

本発明は、鍼療法の分野に用いられる安全鍼に関し、特に、保存時、施術時、施術後の期間において、施術者或いは使用済み鍼の処理者が鍼体の先端及び鍼体に直接触れることがない、感染防止に効果のある安全鍼に関する。   The present invention relates to a safety acupuncture used in the field of acupuncture, and in particular, a practitioner or a treated acupuncturist directly touches the distal end of the cadaver and the cadaver during storage, at the time of treatment, and after the treatment. There is no safety guard that is effective in preventing infection.

現在、鍼灸に広く行われている刺鍼の方法は、管鍼法である。管鍼法における施術は、分離した鍼と鍼管を用いて行う。まず施術者は、鍼を鍼管内に挿入し、鍼挿入済の鍼管を持っていない方の手の母指腹と示指腹を軽く接触させるようにして押手(即ち、刺入時又は抜鍼時に鍼管又は鍼体を挟み支持するように構えた手)を皮膚面上につくる。次いで、押手の母指腹と示指腹の間に鍼挿入済の鍼管をさし込み、押手で鍼挿入済の鍼管を刺入する角度に合わせて支持し、刺手(鍼を刺したり、抜いたりする方の手)の示指腹で鍼柄上端を叩打することにより(通常、管鍼法に用いられる鍼管の長さは鍼全体の長さより3〜4mm程度短いものが使用されるので、その差分の長さだけ、刺手で叩いて入れる)切皮をする。切皮をした後、切皮した鍼を残して鍼管のみを取り除き、押手で直接鍼体を挟み、支持した状態で刺入する。目的の深さまで鍼体の先端が達したらそのまますぐに押手で鍼体を挟んだまま、或いは一定時間留置(置鍼)してから再び押手をつくり、鍼を抜いていく。抜鍼後の使用済鍼の鍼体及び鍼体の先端はむき出しのままである。   At present, the method of acupuncture widely used for acupuncture is the tube acupuncture method. The treatment in the tube method is performed using a separate tube and tube. First, the practitioner inserts a sputum into the fistula and presses the pusher (that is, at the time of insertion or removal) so that the thumb of the hand of the hand that does not have the fistula already inserted is in contact with the thumb. Make a hand) on the skin surface that is sometimes held to support the nail tube or body. Next, insert the 鍼 tube already inserted between the thumb and index finger of the pusher, and support it according to the insertion angle of the inserted 鍼 tube with the pusher. By hitting the upper end of the heel handle with the finger pad of the hand to be pulled out (usually, the length of the tub tube used in the tub tube method is about 3 to 4 mm shorter than the entire length of the tub. , Cut by the length of the difference with a stabter). After cutting the skin, remove only the scissors tube leaving the cut scissors, pinch the housing directly with a pusher, and insert it in a supported state. When the tip of the housing reaches the desired depth, immediately hold the housing with the pusher, or leave it for a certain period of time (replacement) and then create the pusher again and remove the kite. The used casing and the tip of the casing after extraction remain unexposed.

このように、管鍼法においては、鍼管と鍼体が分離した状態となるので、刺入時、抜鍼時に押手が直接鍼体に触れる。そのため、刺入される前に施術者の手指により鍼体の汚染が発生する危険性がある。また、抜鍼時には、鍼管が無い状態の鍼体を人体から抜除するため、むき出しの鍼体及び鍼体の先端により施術者の手指が患者の体液で汚染される危険性がある。手袋をして施術した場合にも同様なことがいえる。   In this way, in the tube method, since the rod tube and the casing are separated, the pusher directly touches the casing at the time of insertion and removal. Therefore, there is a risk that the body is contaminated by the operator's fingers before insertion. Further, since the case without the fistula is removed from the human body during extraction, there is a risk that the operator's fingers are contaminated with the patient's body fluid due to the exposed case and the tip of the case. The same can be said for the treatment with gloves.

鍼体及び鍼体の先端がむき出しの使用済鍼で、施術者が誤って自分自身を刺したり、或いは廃棄する者が誤って自分自身を刺したりする危険性がある。現在、鍼灸師を育てる教育施設や臨床施設においては使用後の鍼の処分については、まず、使用済鍼を直径8cm、高さ17cm程度の円筒形の廃鍼ケースに捨て、これが一杯になったところで手作業で廃鍼ケースから使用済鍼のみを取出し医療廃棄物用ダンボールに移し、これを処分するという方法がとられている。このような処分方法においては、使用済鍼を廃鍼ケースへ捨てる際、また、廃鍼ケースから医療廃棄物用ダンボールへ使用済鍼を移す際に、使用済鍼が人の手に誤って刺さってしまうという危険性があり、実際にそのようなケースがある。   There is a risk that the body and the used end of the body are bare and the practitioner accidentally stabs himself or the person who discards accidentally stabs himself. At present, in the educational facilities and clinical facilities that raise acupuncturists, the disposal of sputum after use has been done. First, the used sputum is thrown away into a cylindrical rubbish case with a diameter of about 8cm and a height of about 17cm. By the way, a method has been adopted in which only used waste is taken out from the waste case by hand and transferred to medical cardboard and disposed of. In such a disposal method, when the used trash is thrown into the waste case, or when the used trash is transferred from the waste case to the cardboard for medical waste, the used trash is accidentally stuck in a human hand. There is a risk that it will end up.

また、鍼療法による感染を防ぐために、鍼操作時に指サック、手術用手袋等を装着することが提案されているが、装着等の操作自体が面倒であり、さらに汚染された袋体の外面に手指が触れる危険性があるという問題がある。
このような鍼療法、及び使用後の鍼の処分時において、感染を予防する手段が種々提案されている。
In addition, in order to prevent infection due to acupuncture, it has been proposed to wear a finger sack, surgical gloves, etc. during an acupuncture operation, but the operation itself is cumbersome and the outer surface of the contaminated bag body is further troublesome. There is a problem that there is a risk of finger touch.
Various means for preventing infection have been proposed for such acupuncture and the disposal of wrinkles after use.

近年では、例えば、鍼体を被膜で覆ったり(特開昭57−131446号公報)、鍼体下端を鍼管の内径に収まる小管で被うなどの方法(特開昭57−177752号公報)が提案されている。これらの方法においては、施術中に鍼体と鍼管とは分離され、施術後はこれらを別々に廃棄することになる。つまり廃棄の段階においては鍼体及び鍼体の先端はむき出しであり、施術後の誤刺等による第三者への感染の予防については考慮されていない。   In recent years, for example, a method of covering the housing with a coating (Japanese Patent Laid-Open No. 57-131446) or covering the lower end of the housing with a small tube that fits within the inner diameter of the steel tube (Japanese Patent Laid-Open No. 57-177752). Has been proposed. In these methods, the cadaver and the fistula are separated during the treatment, and are discarded separately after the treatment. In other words, at the stage of disposal, the housing and the tip of the housing are bare, and no consideration is given to prevention of infection to third parties due to post-surgical puncture or the like.

特開昭57−131446号公報JP-A-57-131446 特開昭57−177752号公報JP-A-57-177752

本発明は、鍼療法の分野に用いられる安全鍼の鍼療法において、保存時、施術時、施術後の廃棄処理の期間において、患者から施術者へ及び施術者から第三者への感染、並びに廃棄時の処理業者等の第3者自身の誤刺等による感染を防止することができる安全鍼を提供することを目的とする。   The present invention relates to acupuncture for safety acupuncture used in the field of acupuncture, during storage, during operation, during the post-treatment disposal period, from patient to practitioner and from practitioner to third party, and It is an object to provide a safety bag that can prevent infection caused by a third person such as a disposal contractor at the time of disposal.

前記した目的を達成するための本発明の安全鍼は、(1)鍼管と、(2)鍼管内における上部に充填固定され、鍼体の移動に抵抗を与え、鍼体を保持させるための1個以上の鍼体保持詰め物と、(3)該詰め物によって移動可能に保持されている鍼体であって、鍼管の長さよりも鍼体の刺入深さ分程長い鍼体と、(4)鍼体上部に設けられた鍼柄の下端に、或いは鍼管の上端に設けられ、鍼体の先端が皮膚面から身体内に進入する所定の刺入深さに達したときに、鍼柄が鍼管内に進入するのを阻止するストッパと、(5)前記鍼管の底部の皮膚当接面側に粘着性又は吸着性の台座を有し、且つ、(6)前記鍼管は、鍼体の刺入深さよりも長いことを特徴とする。   In order to achieve the above-mentioned object, the safety rod of the present invention includes (1) a rod tube, and (2) filling and fixing the upper portion in the rod tube to provide resistance to the movement of the rod and to hold the rod. (1) one or more housing holding stuffings, and (3) a housing movably held by the padding, the housing being longer by the insertion depth of the housing than the length of the rod, 4) Provided at the lower end of the rod handle provided at the upper portion of the rod or at the upper end of the rod, and when the tip of the rod reaches a predetermined penetration depth that enters the body from the skin surface, A stopper that prevents the handle from entering the tubule, and (5) an adhesive or adsorptive pedestal on the skin contacting surface side of the bottom of the tubule, and (6) It is characterized by being longer than the depth of insertion of the frame.

また、前記した目的を達成するための上記とは別の本発明の安全鍼は、(1)鍼管と、(2)鍼管内の最上部に固定され又は鍼管外の鍼管の上端に固定され、最上部が鍼管の上端と同じ面に位置し又は鍼管の上端より突出している鍼体保持・ストップ手段であって、鍼体の先端が皮膚面から身体内に進入する所定の刺入深さに達したときに、鍼柄が鍼管内に進入するのを阻止し、且つ鍼体を保持すると同時に鍼体の移動に抵抗を与えることができる鍼体保持・ストップ手段と、(3)該鍼体保持・ストップ手段によって移動可能に保持されている鍼体であって、皮膚接触側鍼管端部から鍼体保持・ストップ手段の鍼柄接触側端部までの長さよりも鍼体の刺入深さ分程長い鍼体と、(4)前記鍼管の底部の皮膚当接面側に粘着性又は吸着性の台座を有し、且つ、(5)前記鍼体保持・ストップ手段の鍼柄接触側端部から鍼管の皮膚接触側端部までの長さは、鍼体の刺入深さよりも長いものであることを特徴とする。   In addition, the safety rod of the present invention, which is different from the above for achieving the above object, includes (1) a soot tube and (2) the top of the soot tube that is fixed to the top of the soot tube or outside the soot tube. Fixed body holding / stop means whose uppermost part is located on the same plane as the upper end of the tubule or protrudes from the upper end of the tubule, and the tip of the casing enters the body from the skin surface. A body holding / stopping means that prevents the handle from entering the inside of the tub when the penetration depth is reached, and that can hold the skeleton and at the same time provide resistance to movement of the skeleton, 3) A casing that is movably held by the casing holding / stopping means, and that is longer than the length from the skin contact side tubule end to the heel handle contacting end of the casing holding / stopping means. And (4) a sticky or adsorptive base on the skin contact surface side of the bottom of the tubule And (5) the length from the handle contact side end of the rod holding / stop means to the skin contact side end of the rod is longer than the penetration depth of the rod It is characterized by.

本発明の安全鍼は、保存時、施術時、施術後の期間において、鍼管が鍼体と分離されることがないので、施術者或いは使用済み鍼の処理者が鍼体の先端及び鍼体に直接触れることが無い。そのため患者から施術者への感染防止、施術者から第三者への感染防止、及び施術者自身或いは廃棄者自身の誤刺による感染防止に効果がある。   In the safety rod of the present invention, since the fistula is not separated from the rod during storage, at the time of treatment, and after the treatment, the practitioner or the processor of the used rod has the tip of the rod and the rod. There is no direct touch. Therefore, it is effective in preventing infection from the patient to the practitioner, preventing infection from the practitioner to the third party, and preventing infection by the practitioner himself or the discarder himself.

本発明の安全鍼は、ストッパにより目的とする深さに正確に達し、目的とする深さ以上に鍼体が進入することを防止することができる。このことにより、必要以上に組織、或いは重要な臓器を損傷することがなくなる。特に、胸部、腹部には重要な臓器が存在し、同部位の施術にあたっては、正確な刺入深さが要求される。従来の鍼を用いた施術では、刺入された鍼体の深さの測定は施術者のカンや感覚で行っているため、誤って必要以上に深く鍼体を刺入してしまう可能性、或いは目的の位置まで鍼体の先端が達しない可能性がある。また、置鍼時に鍼体・鍼柄の自重や、鍼体・鍼柄の上に掛けたバスタオル等の重み、筋収縮等により予期せぬさらなる鍼体の進入が起こり、必要以上に鍼体が入ってしまうことがある。本発明の安全鍼はストッパを有するのでこれらの不都合を解消することができる。   The safety rod of the present invention can accurately reach the target depth by the stopper and prevent the housing from entering beyond the target depth. This eliminates unnecessary damage to tissues or important organs. In particular, there are important organs in the chest and abdomen, and an accurate penetration depth is required for the operation of the same site. In the conventional treatment using acupuncture, since the depth of the inserted body is measured by the operator's can and sense, the possibility of accidentally inserting the body deeper than necessary, Alternatively, the tip of the housing may not reach the target position. In addition, when the body is placed, the weight of the body / leather handle, the weight of the bath towel, etc. hung on the body / leather pattern, muscle contraction, etc. will cause unexpected further invasion of the body. May enter. Since the safety rod of the present invention has a stopper, these disadvantages can be eliminated.

本発明の安全鍼は、鍼管内の鍼体保持詰め物又は鍼体保持・ストップ手段により、鍼体を移動可能に保持することができるので、刺入時或いは抜鍼時に鍼体が真っ直ぐに移動することが可能となり、押手の代わりとなる。本発明の安全鍼は台座を有することにより、施術時に鍼管を皮膚面に安定に留置させると共に、鍼体の刺入状態を一定時間安定に維持(置鍼)させることができる。   In the safety rod of the present invention, the housing can be held movably by the housing holding padding or the housing holding / stop means in the housing, so that the housing moves straight at the time of insertion or removal. Can be used instead of a pusher. The safety rod of the present invention has a pedestal, so that the fistula can be stably placed on the skin surface at the time of treatment, and the inserted state of the rod can be stably maintained (placed) for a certain period of time.

本発明の実施の形態を図面に基づき説明する。
安全鍼
図1は、本発明の安全鍼の保存時から使用前の状態を示し、(a)は外観正面図、(b)は上面図、(c)は(b)におけるC−C′の断面図である。図1において、3は鍼管であり、内部に鍼体1の移動に適度な抵抗を与え且つ鍼体1を保持させるための鍼体保持詰め物4が鍼管3内の上部に充填固定されている。
鍼体保持詰め物4の固定位置は、鍼管3内における上部の位置、即ち、鍼体保持詰め物4の下面は鍼管3の中間位置より上部であって、鍼体保持詰め物4の上面は鍼管3の上端迄の位置とすることが好ましい。鍼体保持詰め物4は材質の異なる複数の層が積層されたものでもよい。鍼体保持詰め物4の長さ、個数は使用態様に合わせて任意に選択できる。 鍼管の底部の皮膚当接面側に台座が設けられている。台座8の下面は人体の皮膚に対して粘着性又は吸着性を有する粘着材又は吸盤で形成されている。台座8は鍼管3と一体的に形成してもよく、また鍼管3と別体に形成して、着脱可能に組み合わせたものでもよい。このような手段は、安全鍼による治療において鍼管を皮膚面に安定に留置させると共に、鍼体の刺入状態を一定時間安定に維持(置鍼)するのに有効である。
Embodiments of the present invention will be described with reference to the drawings.
Safety Acupuncture Figure 1 shows a state prior to use from the time of storage of the safety needle of the present invention, the (a) Appearance front view, (b) is a top view, (c) the C-C 'in (b) It is sectional drawing. In FIG. 1, reference numeral 3 denotes a rod tube, and a rod holding pad 4 for giving an appropriate resistance to the movement of the rod 1 inside and holding the rod 1 is filled and fixed in the upper part of the rod tube 3. Yes.
The fixed position of the housing holding stuffing 4 is the upper position in the tub tube 3, that is, the lower surface of the housing holding stuffing 4 is above the middle position of the tub tube 3, and the upper surface of the housing holding stuffing 4 is It is preferable to set the position to the upper end of the tube 3. The housing holding stuffing 4 may be a laminate of a plurality of layers made of different materials. The length and the number of the casing holding stuffing 4 can be arbitrarily selected according to the use mode. A pedestal is provided on the skin contact surface side of the bottom of the soot tube. The lower surface of the pedestal 8 is formed of an adhesive material or a suction cup having adhesiveness or adsorbability to the human skin. The pedestal 8 may be formed integrally with the soot tube 3, or may be formed separately from the soot tube 3 and detachably combined. Such a means is effective for stably placing the fistula on the skin surface in the treatment with the safety fistula and maintaining (inserting) the puncture state of the case stably for a certain period of time.

図2は、図1の安全鍼を人体6の皮膚面から刺入した状態を示す。図2に示すように、粘着性又は吸着性を有する台座8により、施術時に鍼管3を皮膚面に留置させると共に、鍼体1の刺入状態を一定時間安定に維持(置鍼)させることができる。
置鍼にあたり刺入深さを浅くする場合、或いは刺入した鍼の安定を確実にする場合、また通電刺激を行う場合などにおいて、特に台座8は有効に機能する。
FIG. 2 shows a state where the safety guard of FIG. 1 is inserted from the skin surface of the human body 6. As shown in FIG. 2, the stick tube 3 is left on the skin surface at the time of treatment by the pedestal 8 having adhesiveness or adsorptivity, and the insertion state of the case 1 is stably maintained (placed) for a certain period of time. Can do.
The pedestal 8 functions particularly effectively when the insertion depth is reduced in placing the cage, when the stability of the inserted cage is ensured, or when energization stimulation is performed.

また、例えば、鍼体保持詰め物4を鍼管3内の上部と下部とに設け、鍼管3内の下部に設けた鍼体保持詰め物4を酒精綿とすることにより鍼体1の消毒を行うことができる。本発明の安全鍼は、鍼管3内の鍼体保持詰め物4で鍼体1を移動可能に保持しているので、刺入時或いは抜鍼時に鍼体1が真っ直ぐに移動することが可能となり、押手の代わりとなる。   Further, for example, the housing 1 is sterilized by providing the housing holding stuffing 4 at the upper and lower portions in the tub tube 3 and using the casket holding stuffing 4 provided at the lower portion of the tub tube 3 as sake refined cotton. be able to. Since the housing 1 is movably held by the housing holding stuffing 4 in the housing 3 in the safety rod of the present invention, the housing 1 can move straight during insertion or extraction. Instead of a pusher.

鍼体保持詰め物4の材料には、綿花、海綿、プラスチック、シリコーン樹脂、ゴム、多糖類、タンパク質、スポンジ、発泡プラスチック、合成繊維、天然繊維、獣肉・魚肉等の生肉、加工肉(ハム等)等の単独、若しくはこれらの材料の組み合わせが使用できる。鍼体保持詰め物4の中心には、鍼体1が移動可能に保持されており、鍼体1の先端9は鍼管3の下端から上へ距離S1 の位置まで進入している。
鍼体1の上部には鍼柄2が形成されている。鍼柄2の下端が鍼管3内に進入できないようにするために、鍼管3の上端には、ストッパ5が設けられている。該ストッパ5は、鍼管3の外側又は内側に設けることができる。
The material of the body holding stuffing 4 includes cotton, sponge, plastic, silicone resin, rubber, polysaccharides, protein, sponge, foamed plastic, synthetic fiber, natural fiber, raw meat such as animal meat and fish meat, processed meat (ham etc.) Or a combination of these materials can be used. The casing 1 is movably held at the center of the casing holding stuffing 4, and the tip 9 of the casing 1 enters from the lower end of the casing 3 to a position of a distance S 1 .
A collar pattern 2 is formed on the top of the chassis 1. A stopper 5 is provided at the upper end of the soot tube 3 so that the bottom end of the soot handle 2 cannot enter into the soot tube 3. The stopper 5 can be provided on the outer side or the inner side of the soot tube 3.

図3は、ストッパの別の実施の態様を示し、鍼柄2の下端側にストッパ25を設けた場合の本発明の安全鍼の使用前の状態を示す(台座の図示は省略している。)。図3(a)は外観正面図、(b)は上面図、(c)は(b)におけるA−A′の断面図である。鍼体1の長さは、鍼体1が鍼管3内に最大進入したときに、治療効果が上がる長さとするとよい。   FIG. 3 shows another embodiment of the stopper, and shows a state before use of the safety rod of the present invention when the stopper 25 is provided on the lower end side of the handle 2 (illustration of the pedestal is omitted). ). 3A is an external front view, FIG. 3B is a top view, and FIG. 3C is a cross-sectional view taken along line AA ′ in FIG. The length of the casing 1 is preferably set to a length that increases the therapeutic effect when the casing 1 enters the tubal tube 3 to the maximum.

図4は、さらにストッパの別の実施の態様を示し、図4(a)、(b)、(c)、(d)は、いずれも鍼柄2にストッパ251−254を設けた場合の鍼柄2と鍼体1の一部を示しているが、図3に示したストッパ25とは別の形のストッパの態様である。図4(a)はストッパ251の一部が鍼柄2よりも突出している例であり、図4(b)は鍼柄2の下面に鍔状のストッパ252を設けた例であり、図4(c)は鍼柄2の下部から下面を被うように形成したストッパ253の例であり、図4(d)は鍼柄2にストッパ機能を付与するように鍼柄2下部に顎を設けたストッパ254の例である。
図5は、さらにストッパの別の実施の態様を示し、鍼柄2の下方であって、鍼体1の上部にストッパ255を設けた場合の例を示す。例えば、クリップ状のストッパ255とすることができる。
FIG. 4 further shows another embodiment of the stopper, and FIGS. 4A, 4B, 4C, and 4D show a case where the stopper 251-254 is provided on the heel handle 2, respectively. Although the handle | steering-wheel 2 and a part of the housing 1 are shown, it is the aspect of the stopper of a different form from the stopper 25 shown in FIG. 4A is an example in which a part of the stopper 251 protrudes from the collar 2, and FIG. 4B is an example in which a collar-shaped stopper 252 is provided on the lower surface of the collar 2. (C) is an example of a stopper 253 formed so as to cover the lower surface from the lower part of the handle 2, and FIG. 4 (d) is provided with a jaw at the lower part of the handle 2 so as to give a stopper function to the handle 2. This is an example of the stopper 254.
FIG. 5 further shows another embodiment of the stopper, and shows an example in which a stopper 255 is provided on the top of the housing 1 below the collar 2. For example, a clip-shaped stopper 255 can be used.

鍼管3の最上部に位置する鍼体保持詰め物4の上面(最上部)が鍼管3の上端と同じ位置になるように配置し、この鍼体保持詰め物4をストッパ25の代用としてもよい。また、図7に示すように鍼体保持詰め物4の最上部は鍼管3の上端より突出した形状であってもよく、この場合は、鍼体保持詰め物4の鍼管3から突出した部分にストッパとしての機能を与えることができる。さらに鍼体保持詰め物4は、鍼体1の先端が皮膚面から身体内に進入する所定の刺入深さに達したときに、鍼柄2が鍼管3内に進入するのを阻止し、且つ鍼体1を保持すると同時に鍼体1の移動に抵抗を与えることができる機能を有するものである。このようなストッパ機能を兼ねた鍼体保持詰め物4を「鍼体保持・ストップ手段」と称する。
図8に示すように、ストッパ5を鍼管3の外側に設ける場合、鍼体1が鍼管3の中心軸に来るように移動可能にストッパ5に鍼体保持機能をもたせ、鍼体1の移動時の抵抗を図1(c)、図2或いは図7に示す鍼体保持詰め物4と同程度の抵抗となるようにしてもよい。このような機能を付与したストッパ5も前記と同様な「鍼体保持・ストップ手段」と称することができる。
Arrangement is made so that the upper surface (uppermost part) of the casing holding stuffing 4 located at the uppermost part of the tub tube 3 is located at the same position as the upper end of the tubing pipe 3, and this skeleton holding stuffing 4 may be used as a substitute for the stopper 25. . Further, as shown in FIG. 7, the uppermost part of the housing holding stuffing 4 may have a shape protruding from the upper end of the housing tube 3. A function as a stopper can be provided. Furthermore, the rod holding pad 4 prevents the rod handle 2 from entering the rod tube 3 when the tip of the rod 1 reaches a predetermined penetration depth that enters the body from the skin surface, And it has the function which can give resistance to the movement of the housing 1 simultaneously with holding the housing 1. The housing holding stuffing 4 that also serves as a stopper function is referred to as “housing holding / stopping means”.
As shown in FIG. 8, when the stopper 5 is provided outside the rod tube 3, the stopper 5 is provided with a rod holding function so that the rod 1 can move so as to come to the central axis of the rod tube 3. You may make it the resistance at the time of a movement become a resistance comparable as the housing | casing holding | maintenance filling 4 shown in FIG.1 (c), FIG.2 or FIG.7. The stopper 5 having such a function can also be referred to as the “body holding / stopping means” similar to the above.

前記鍼体保持・ストップ手段の形状はフィルム状、シート状、板状、バルク状、円柱状、クリップ状等で、鍼管3の外径からはみ出さない程度の大きさのものが好ましい。なお、鍼管3側にストッパ5を設ける代わりに、鍼柄2の下端側にストッパを設けてもよい。該鍼体保持・ストップ手段の材料には、前記鍼体保持詰め物4と同じ材料を使用することができる。   The shape of the housing holding / stopping means is preferably a film shape, a sheet shape, a plate shape, a bulk shape, a columnar shape, a clip shape, etc., and a size that does not protrude from the outer diameter of the rod tube 3. In addition, you may provide a stopper in the lower end side of the collar 2 instead of providing the stopper 5 in the saddle pipe 3 side. The same material as that of the case holding padding 4 can be used as the material of the case holding / stopping means.

本発明の安全鍼において、鍼体保持詰め物4は鍼体1を保持することができ、移動可能であればよく、鍼体1の移動時の抵抗を小さくしておく方が望ましく、また、鍼管3の径を小さくし、鍼管3を軽くしておく方が望ましく、また、距離S1 を短くしておく方が望ましい。このようにすることにより、安全鍼は弾入することが容易になり、鍼管3が軽いため置鍼も容易になる。 In the safety bag of the present invention, the frame holding pad 4 can hold the frame 1 as long as it is movable, and it is desirable to reduce the resistance when the frame 1 is moved. the diameter of the tube 3 is reduced, it is desirable to keep lightly鍼管3, also, it is desirable to shorten the distance S 1. By doing so, it becomes easy to enter the safety rod, and because the rod 3 is light, placing is easy.

図2は、図1の安全鍼を人体6の皮膚面から刺入した状態を示す。鍼体1の長さは、鍼管3の長さと、人体6に鍼体1を刺入する長さ(刺入深さ)の和となるようにしている。施術者は鍼管3を左手で固定し、右手で鍼柄2に回転運動又は直進運動を与えることにより、鍼体1に直接手で触れることなく、人体6の目的の位置まで鍼体1の先端9を、旋撚法や送り込み法等で到達させることができる。また、抜鍼時にも、同様に、施術者は鍼管3を左手で固定し、右手で鍼柄2に回転運動又は直進運動を与えることにより、鍼体1に直接触れることなく、抜鍼できる。抜鍼後の安全鍼の状態は、ほぼ図1に示すような、鍼体1の先端9から大部分の鍼体1が鍼管3内に収容された状態であるので、廃棄処理においても鍼体1に人体の接触を防止することができる。このように、本発明の安全鍼は、保存時、施術時、施術後の廃棄処理の期間において、施術者或いは使用済み鍼の処理者が鍼体1の先端9及び鍼体1に直接触れることがないので、感染防止に効果がある。   FIG. 2 shows a state where the safety guard of FIG. 1 is inserted from the skin surface of the human body 6. The length of the casing 1 is set to be the sum of the length of the casing 3 and the length (insertion depth) of inserting the casing 1 into the human body 6. The practitioner fixes the rod tube 3 with the left hand and gives the rod handle 2 a rotational movement or a straight movement with the right hand, so that the rod 1 can be moved to the target position of the human body 6 without directly touching the rod body 1 with a hand. The tip 9 can be reached by a twisting method, a feeding method, or the like. Similarly, the operator can perform extraction without directly touching the case 1 by fixing the intubation tube 3 with the left hand and giving the handle 2 rotational or straight movement with the right hand. . The state of the safety rod after extraction is a state in which most of the casing 1 is accommodated in the casing 3 from the tip 9 of the casing 1 as shown in FIG. The human body can be prevented from contacting the body 1. As described above, the safety rod of the present invention is such that the practitioner or the processor of the used rod directly touches the distal end 9 and the rod 1 of the case 1 during storage, treatment, and disposal after treatment. It is effective in preventing infection.

安全鍼は、鍼体1の長さから鍼管3の長さを引いた分だけの長さが体内に入ることになる。なお、ストッパ5が鍼管3の外側に設けられている場合には、さらにストッパ5の高さを引いた値となる。   The safety rod enters the body by a length equivalent to the length of the rod 1 minus the length of the rod 3. In addition, when the stopper 5 is provided outside the soot tube 3, it is a value obtained by further subtracting the height of the stopper 5.

安全鍼の下端形状の態様
人体の皮膚面に対して、鍼体を斜めに刺入する必要がある場合には、図6に示すように、鍼管3の下端を斜めにカットするとよい。図6に示す下端が斜めの鍼管3の長さは、鍼管3の中心軸において計測する。下端が斜めの鍼管3に対して鍼管3の下端の形状に合わせて台座8を設ける(図6において台座の図示は省略している。)。
The shape of the lower end shape of the safety rod When it is necessary to insert the case obliquely with respect to the skin surface of the human body, the lower end of the canopy tube 3 may be cut obliquely as shown in FIG. 6 is measured at the central axis of the soot tube 3. A pedestal 8 is provided in accordance with the shape of the lower end of the tub tube 3 with respect to the tub tube 3 whose lower end is oblique (illustration of the pedestal is omitted in FIG. 6).

安全鍼を用いた施術
本発明の安全鍼を用いて施術を行うには、まず施術者は、安全鍼の鍼管3を皮膚面上につくった押手の母指腹と示指腹の間にさし込み、押手で鍼管3を支持し、刺手(鍼を刺したり、抜いたりする方の手)で鍼柄2の上端を叩打して鍼体1の先端9で切皮し、鍼柄2の下端又は鍼管3の上端に設けられたストッパ5、25により、鍼柄2が鍼管3の上端で止まる位置まで、旋撚法或いは送り込み法で刺入し、移動させて、鍼体1の先端9を人体6内の目的の位置まで到達させる。なお、鍼体1の移動時の鍼体保持詰め物4の抵抗の強さに応じて、又は鍼管3の上端から出ている鍼体1の長さに応じて最初から旋撚法で刺入してもよい。置鍼を行う場合にはこの状態を一定時間保持する。本発明の安全鍼は台座付きであるので、置鍼が容易に行える。次いで、押手で鍼管3を保持したまま、鍼体1を抜いていき使用前の位置まで引き上げる。本発明の安全鍼は台座付きであるので、押手は不要となる。この段階で、鍼体1の人体6内に挿入された部分は鍼管3内に収まることになる。このような状態の鍼管3を人体6から離して、所定の場所へ廃棄する。
Treatment using a safety scissors To perform a treatment using the safety scissors of the present invention, first, the practitioner is placed between the thumb and index finger of the presser who made the safety scissors canal 3 on the skin surface. Insert and support the sputum tube 3 with a pusher, hit the upper end of the spear pattern 2 with a stabter (the hand that pierces or pulls out the spear), cuts it at the tip 9 of the housing 1, and cuts the spear pattern 2 is inserted and moved by a twisting method or a feeding method to the position at which the handle 2 stops at the upper end of the rod tube 3 by the stoppers 5 and 25 provided at the lower end of the rod 2 or the upper end of the rod tube 3. 1 is made to reach the target position in the human body 6. Depending on the strength of the resistance of the casing holding stuffing 4 when the casing 1 is moved, or depending on the length of the casing 1 protruding from the upper end of the casing tube 3, it is inserted from the beginning by the twisting method. May be. This state is maintained for a certain period of time when performing placement. Since the safety rod of the present invention has a pedestal, it can be placed easily. Next, while holding the soot tube 3 with a pusher, the housing 1 is pulled out and pulled up to a position before use. Since the safety rod of the present invention has a pedestal, a pusher is not required. At this stage, the portion of the housing 1 inserted into the human body 6 is accommodated in the tub tube 3. The soot tube 3 in such a state is separated from the human body 6 and discarded to a predetermined place.

本発明の安全鍼は、鍼療法の分野に用いられる安全鍼であり、特に、保存時、施術時、施術後の廃棄処理の期間において、施術者或いは使用済み鍼の処理者が鍼体の先端及び鍼体に直接触れることがないので、感染防止に効果のある安全鍼として用いられる。本発明の安全鍼は、ストッパにより目的とする深さに正確に達し、目的とする深さ以上に鍼体が進入することを防止することができるため、必要以上に組織、或いは重要な臓器を損傷することがない安全鍼として用いられる。   The safety scissors according to the present invention are safety scissors used in the field of acupuncture, and in particular, during the storage, treatment, and post-treatment waste treatment, the practitioner or the used acupuncturist treats the tip of the housing. In addition, since it does not touch the housing directly, it is used as a safety rod effective in preventing infection. The safety rod of the present invention can reach the target depth accurately by the stopper and prevent the rod from entering beyond the target depth, so that more tissues or important organs than necessary can be removed. Used as a safety rod that will not be damaged.

本発明の安全鍼の保存時から使用前の状態を示し、(a)は外観正面図、(b)は上面図、(c)は(b)のA−A′の断面図である。The state before the use from the time of preservation | save of the safety bag of this invention is shown, (a) is an external appearance front view, (b) is a top view, (c) is sectional drawing of AA 'of (b). 図1の安全鍼を人体の皮膚面から刺入した状態を示す図である。It is a figure which shows the state which penetrated the safety jar of FIG. 1 from the skin surface of a human body. 鍼柄の下端側にストッパを設けた場合の本発明の安全鍼の保存時から使用前の状態を示し、図3(a)は外観正面図、(b)は上面図、(c)は(b)におけるA−A′の断面図である。FIG. 3 (a) is a front view, FIG. 3 (b) is a top view, and FIG. It is sectional drawing of AA 'in b). (a)は、ストッパの一部が鍼柄よりも突出している例であり、(b)は鍼柄の下面に鍔状のストッパを設けた例であり、(c)は鍼柄の下部から下面を被うように形成したストッパの例であり、(d)は鍼柄にストッパ機能を付与するように鍼柄下部に顎を設けたストッパの例を示す図である。(A) is an example in which a part of the stopper protrudes from the collar pattern, (b) is an example in which a collar-shaped stopper is provided on the lower surface of the collar pattern, and (c) is from the lower part of the collar pattern. It is an example of the stopper formed so that a lower surface may be covered, (d) is a figure which shows the example of the stopper which provided the jaw in the lower part of the collar pattern so that a stopper function might be provided to a collar pattern. 鍼柄の下方であって、鍼体の上部にストッパを設けた場合の例を示す図である。It is a figure which shows the example at the time of providing the stopper in the upper part of the housing below the collar pattern. 人体の皮膚面に対して鍼体を斜めに刺入する必要がある場合の安全鍼を示す図である。It is a figure which shows the safety tack in the case where it is necessary to pierce the housing diagonally with respect to the human skin surface. 鍼管の最上部に位置する詰め物の上面が鍼管の上端より突出した形状であり、この詰め物をストッパの代用とした安全鍼の例を示す図である。It is a figure which shows the example of the safety tack which substituted the upper surface of the filling located in the uppermost part of a soot pipe from the upper end of the soot pipe, and used this filling as a substitute of a stopper. ストッパを鍼管の外側に設ける場合、鍼体が鍼管の中心軸に来るように移動可能にストッパに鍼体保持機能をもたせ、鍼体の移動時の抵抗を前記詰め物と同程度の抵抗となるようにし、ストッパをストッパ兼詰め物の代用物として用いた安全鍼の例を示す図である。When the stopper is provided on the outside of the rod tube, the stopper is provided with a rod holding function so that the rod can be moved to the central axis of the rod tube, and the resistance when the rod is moved is the same resistance as the padding. It is a figure which shows the example of the safety tack using the stopper as a substitute of a stopper and stuffing.

符号の説明Explanation of symbols

1 鍼体
2 鍼柄
3 鍼管
4 鍼体保持詰め物
5、25、251−255 ストッパ
6 人体
8 台座
9 鍼体の先端
DESCRIPTION OF SYMBOLS 1 Housing 2 Housing handle 3 Housing pipe 4 Housing holding padding 5, 25, 251-255 Stopper 6 Human body 8 Base 9 End of housing

Claims (4)

(1)鍼管と、
(2)鍼管内における上部に充填固定され、鍼体の移動に抵抗を与え、鍼体を保持させるための1個以上の鍼体保持詰め物と、
(3)該詰め物によって移動可能に保持されている鍼体であって、鍼管の長さよりも鍼体の刺入深さ分程長い鍼体と、
(4)鍼体上部に設けられた鍼柄の下端に、或いは鍼管の上端に設けられ、鍼体の先端が皮膚面から身体内に進入する所定の刺入深さに達したときに、鍼柄が鍼管内に進入するのを阻止するストッパと、且つ、
(5)前記鍼管の底部の皮膚当接面側に粘着性又は吸着性の台座を有し、
(6)前記鍼管は、鍼体の刺入深さよりも長いものであることを特徴とする安全鍼。
(1) tub tube
(2) one or more housing-holding stuffs that are filled and fixed in the upper portion of the housing, provide resistance to the movement of the housing, and hold the housing;
(3) A housing that is movably held by the padding, and that is longer than the length of the soot tube by the insertion depth of the housing,
(4) Provided at the lower end of the rod handle provided at the upper portion of the rod or at the upper end of the rod, and when the tip of the rod reaches a predetermined penetration depth that enters the body from the skin surface, A stopper that prevents the leopard from entering the leopard tube, and
(5) having an adhesive or adsorptive pedestal on the skin contact surface side of the bottom of the tubule,
(6) The safety urn characterized in that the tubule is longer than the insertion depth of the skeleton.
前記鍼体保持詰め物は、鍼管内における上部であって鍼管上端迄に配置されている請求項1に記載の安全鍼。   The safety jar according to claim 1, wherein the skeleton holding stuffing is arranged in an upper part of the tub tube and to an upper end of the tub tube. (1)鍼管と、
(2)鍼管内の最上部に固定され又は鍼管外の鍼管の上端に固定され、最上部が鍼管の上端と同じ面に位置し又は鍼管の上端より突出している鍼体保持・ストップ手段であって、鍼体の先端が皮膚面から身体内に進入する所定の刺入深さに達したときに、鍼柄が鍼管内に進入するのを阻止し、且つ鍼体を保持すると同時に鍼体の移動に抵抗を与えることができる鍼体保持・ストップ手段と、
(3)該鍼体保持・ストップ手段によって移動可能に保持されている鍼体であって、皮膚接触側鍼管端部から鍼体保持・ストップ手段の鍼柄接触側端部までの長さよりも鍼体の刺入深さ分程長い鍼体と、且つ、
(4)前記鍼管の底部の皮膚当接面側に粘着性又は吸着性の台座を有し、
(5)前記鍼体保持・ストップ手段の鍼柄接触側端部から鍼管の皮膚接触側端部までの長さは、鍼体の刺入深さよりも長いものであることを特徴とする安全鍼。
(1) tub tube
(2) Holding the housing fixed to the uppermost part of the inner pipe or fixed to the upper end of the outer pipe, and the uppermost part is located on the same plane as the upper end of the upper pipe or protrudes from the upper end of the upper pipe Stop means, when the tip of the housing reaches a predetermined penetration depth that enters the body from the skin surface, the rod is prevented from entering the tube and holds the housing At the same time, a housing holding / stop means that can provide resistance to the movement of the housing,
(3) A casing that is movably held by the casing holding / stopping means, and is longer than the length from the skin contact side tubule end to the heel handle contact side end of the casing holding / stopping means The body is as long as the insertion depth of the body, and
(4) having an adhesive or adsorptive pedestal on the skin contact surface side of the bottom of the tubule,
(5) A safety rod characterized in that the length from the handle contact side end of the rod holding / stop means to the skin contact side end of the rod is longer than the penetration depth of the rod. .
前記鍼管の下端が斜めにカットされている請求項1、2又は3に記載の安全鍼。   The safety rod according to claim 1, 2 or 3, wherein a lower end of the flange tube is cut obliquely.
JP2007282990A 1999-05-31 2007-10-31 Safety fence Expired - Lifetime JP4107617B2 (en)

Priority Applications (1)

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JP11152878A JP2000334024A (en) 1999-05-31 1999-05-31 Needle set for safety acupuncture, placebo acupuncture, and double-blind acupuncture
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