JP2010159288A - Device and method for plugging rectum of dead body - Google Patents

Device and method for plugging rectum of dead body Download PDF

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JP2010159288A
JP2010159288A JP2010087155A JP2010087155A JP2010159288A JP 2010159288 A JP2010159288 A JP 2010159288A JP 2010087155 A JP2010087155 A JP 2010087155A JP 2010087155 A JP2010087155 A JP 2010087155A JP 2010159288 A JP2010159288 A JP 2010159288A
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cylindrical member
anus
rectum
cylindrical
sealing member
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JP5520667B2 (en
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Toshiki Okamoto
敏樹 岡本
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<P>PROBLEM TO BE SOLVED: To provide a device and a method for plugging rectum of a dead body to prevent postmortem materials in the rectum from leaking out. <P>SOLUTION: The rectum plugging device 1 includes a seal member 2 and an insert member for inserting the seal member 2 into the rectum from the anus of the dead body. The seal member 2 is configured to expand in the rectum. The insert member includes: a plastic-made cylindrical member 3 with a tip end part to be inserted into the anus of the dead body and accommodates the seal member 2 therein; a pushing member 7 disposed slidably in the axial direction of the cylinder in the cylindrical member 3 and disposed at one end part of the seal member 2 in the cylindrical member 3; and a rod member 10 provided at a side of the pushing member 7 opposite to the side facing the seal member 2, and moving the pushing member 7 in the axial direction of the cylindrical member 3. A stopper for regulating the insertion distance of the cylindrical member 3 into the rectum to a predetermined distance, is provided in the outer peripheral surface side of an intermediate part in the axial direction of the cylindrical member 3, so that the stopper protrudes outward in the radial direction of the cylindrical member 3 to abut on the anus from outside thereof. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

本発明は、遺体の体腔から出る体内物質の遺漏防止および遺漏に伴う周囲への汚染・感染を防止するための体腔閉塞装置及びこれを使用した遺体の処置装置に関し、特に肛門・女性の膣等の下半身の体腔から出る体内物質の遺漏防止および遺漏に伴う周囲への汚染・感染を防止するための遺体の直腸閉塞装置及び遺体の直腸閉塞方法に関する。   TECHNICAL FIELD The present invention relates to a body cavity occlusion device for preventing leakage of bodily substances from a body cavity of a corpse and preventing surrounding contamination and infection, and a corpse treatment apparatus using the same, particularly an anus, a female vagina, etc. The present invention relates to a body rectal occlusion device and a body rectal occlusion method for preventing leakage of body substances from the body cavity of the lower body of the body and preventing contamination and infection to the surroundings due to the leakage.

従来、人間は死後、体腔各部の筋肉が弛緩し、体腔内の汚物が遺漏することが多い。また、生前の治療等での点滴により、死後の体内に多量の体液を保有していることが多い。特に下半身の体腔、即ち肛門は、肛門筋が弛緩して肛門が開口することにより、内部の汚物が遺漏することが多い。また、女性の膣腔は、多量の体液が遺漏することが多い。この遺漏を防ぐため、膨大な脱脂綿を死後硬直の起こる前に、肛門や膣腔に詰めることで遺漏を防いでいる。   Conventionally, after death, humans often relax muscles in various parts of the body cavity and leak filth in the body cavity. In many cases, a large amount of bodily fluid is retained in the body after death due to infusion during treatment before birth. In particular, the body cavity of the lower body, that is, the anus, often leaks internal dirt due to the relaxation of the anal muscles and the opening of the anus. In addition, a large amount of fluid is often leaked from the vaginal cavity of a woman. In order to prevent this leak, the leak is prevented by packing a huge amount of absorbent cotton into the anus and vaginal cavity before the stiffness occurs after death.

この作業の多くは看護婦士の手によって行われる事が多く、その作業の煩雑さや不衛生さと同時に、作業従事中にこの遺漏物質から作業者へ細菌やウイルスなどが感染してしまう可能性もあり、この感染を確実に防止することが強く求められている。しかし、今まで、それに対する対策としては、実現できる良いものが無かった。   Much of this work is often done by the hands of a nurse, and at the same time that the work is complicated and unsanitary, there is a possibility that bacteria and viruses may be transmitted from this leaked substance to workers during work. There is a strong demand to reliably prevent this infection. However, until now, there were no good countermeasures that could be realized.

例えば、死後の遺体各部の体腔、特に肛門・女性の膣腔等の下半身の体腔による内部汚物の遺漏を防ぐため、「おむつ」を用いることがよく行われている。この場合、「おむつ」では、必ずしも完全に汚物の遺漏が防げるものではなく、遺漏による汚染が起こる。また、おむつ交換時の洗業で汚物に接触する事は不可避である。これらを原因として保菌者の場合、周囲への感染の可能性もある。   For example, "diapers" are often used to prevent leakage of internal filth due to body cavities of each part of the corpse after death, especially the body cavities of the lower body such as the anus and female vagina. In this case, the “diaper” does not necessarily prevent the leakage of filth, and contamination due to the leakage occurs. In addition, it is inevitable to come into contact with filth during washing operations when changing diapers. In the case of carriers due to these causes, there is a possibility of infection to the surroundings.

そこで、上記の問題点を解消し、遺体の肛門・女性の膣腔等の下半身体腔内物質が遺漏することを防ぐ体腔封止装置として、体腔封止装置を直腸・女性の膣腔等の下半身体腔内に直接挿入するものが知られている。(例えば、特許文献1及び2)
特許文献1の体腔封止装置は、図17に示すように、栓部(101)を肛門に挿入後、該栓部(101)と肛門当て部材(102)との結合部(A)の開口部(108)にガス注入器(Y)を差し込み、栓部(101)内部にガスが充填される。このガスは、栓部(101)内から、ガス導入穴(106)を通って逆流防止弁(107)を開けて調整室(105)に送り込まれ、調整室(105)を膨らませる。このことにより、可撓性部材(104)が肛門内壁に密着するようになり、肛門が封止される。112は潤滑剤層を示す。
Therefore, as a body cavity sealing device that eliminates the above-mentioned problems and prevents leakage of substances in the lower body cavity of the corpse, such as the anus of the corpse and female vagina, the body cavity sealing device is used as the lower body of the rectum and the female vagina. One that is inserted directly into a body cavity is known. (For example, Patent Documents 1 and 2)
As shown in FIG. 17, the body cavity sealing device of Patent Document 1 has an opening of a coupling portion (A) between the plug portion (101) and the anus contact member (102) after the plug portion (101) is inserted into the anus. The gas injector (Y) is inserted into the part (108), and the plug part (101) is filled with gas. This gas passes through the gas introduction hole (106), opens the backflow prevention valve (107) and is sent into the adjustment chamber (105) from the inside of the plug portion (101) to expand the adjustment chamber (105). As a result, the flexible member (104) comes into close contact with the inner wall of the anus and the anus is sealed. Reference numeral 112 denotes a lubricant layer.

特許文献2の体腔封止装置200は、図18及び図19に示すように、円柱状の高吸水性繊維成形体201と、その上に被覆した水溶性シート202と、さらにその上に潤滑剤203を被覆したものからなる。体腔封止装置200は、挿入し易いように先端が先細に形成されている。高吸水性繊維成形体201としては、例えばアクリル繊維で形成された芯となる内層と、この内層を囲撓するように配設された高吸水性で吸水後膨潤するように加工処理された外層とを有する二重構造の水膨潤性繊維(商品名ランシールーF、東洋紡績製)が開示されている。この体腔封止装置200は、保護カバー部材からなる袋体204に包み込まれている。   As shown in FIGS. 18 and 19, a body cavity sealing device 200 of Patent Document 2 includes a columnar superabsorbent fiber molded body 201, a water-soluble sheet 202 coated thereon, and a lubricant thereon. It consists of what coated 203. The body cavity sealing device 200 has a tapered tip for easy insertion. As the superabsorbent fiber molded body 201, for example, an inner layer that is a core formed of acrylic fiber, and an outer layer that is disposed so as to bend and bend so as to swell after absorbing water with high water absorption A double-swelling water-swellable fiber (trade name Lanseal F, manufactured by Toyobo) is disclosed. The body cavity sealing device 200 is wrapped in a bag body 204 made of a protective cover member.

特開2001−161733号公報JP 2001-161733 A 特開2003−111830号公報JP 2003-111830 A

特許文献1の体腔封止装置100は、栓部(101)が肛門に挿入された後、膨潤した調整室(105)と肛門当て部材(102)との間に肛門の一部が埋まるようになり、栓部(101)が肛門の奥に入り込んだり、逆に肛門から飛び出たりすることが防止される。   In the body cavity sealing device 100 of Patent Document 1, a part of the anus is buried between the swollen adjustment chamber (105) and the anus contact member (102) after the plug (101) is inserted into the anus. Thus, the plug portion (101) is prevented from entering the depths of the anus and conversely jumping out of the anus.

しかし、肛門当て部材(102)が肛門から飛び出て見えている状態であり、遺体は自然体でなく、何らかの処置をされているのが外部から見える状態であり、遺族や遺体処置をする看護士などからは、使用を拒否されることが多い。
また、ガスで膨らませるための装置Yが必要であり、且つこのガスが漏れないように密封する必要がある。従って、体腔封止装置としては扱いが容易でなく、漏出防止機能も十分とは言えなかった。特に体液を吸収して膨らむものではないので、僅かな隙間でもあると体液が漏出することがあり、体腔封止装置として機能が十分でなかった。ガス圧の調整も困難であった。
However, the anus resting member (102) is visible from the anus, the corpse is not a natural body, it is visible from the outside that some sort of treatment is being performed, and the bereaved family, a nurse who treats the corpse, etc. Are often rejected.
Moreover, the apparatus Y for inflating with gas is required, and it is necessary to seal so that this gas may not leak. Therefore, it is not easy to handle as a body cavity sealing device, and the leakage prevention function is not sufficient. In particular, since it does not swell by absorbing bodily fluids, bodily fluids may leak out even with a slight gap, and the function as a body cavity sealing device is not sufficient. It was also difficult to adjust the gas pressure.

特許文献2の体腔封止装置200では、使用時、袋体204を開封して体腔封止装置200を取り出し、先細になっている方を遺体の肛門に向け、肛門から挿入し、奥の直腸まで押し込むようになっている。体腔封止装置200は肛門から挿入して直腸まで押し込まれ、遺体の外部からは見えなくなるので、外観上で遺族等から使用を拒否されることはない。また、体腔封止装置200は高吸収性繊維の成形体201が水溶性のシート202で包まれており、その外側にはグリセリンなどの潤滑材203が塗布されているので、肛門から無理やり挿入する際に、滑って入り易く工夫してある。   In the body cavity sealing device 200 of Patent Document 2, when in use, the bag body 204 is opened, the body cavity sealing device 200 is taken out, the tapered side is directed to the anus of the corpse, inserted from the anus, and the rectum in the back To push in. Since the body cavity sealing device 200 is inserted from the anus and pushed into the rectum and is not visible from the outside of the corpse, the use is not refused by the bereaved family or the like in appearance. Further, the body cavity sealing device 200 has a molded body 201 of superabsorbent fibers wrapped in a water-soluble sheet 202, and a lubricant 203 such as glycerin is applied to the outside thereof, so that it is forcibly inserted from the anus. At the time, it has been devised to slip easily.

しかし、作業する看護士などの個人差により、うまく肛門から奥の直腸まで入り込まないことがある。これは、繊維成形体201をシート202で覆い、潤滑剤203を塗布しても、シート202と潤滑剤203の両層は薄く且つ柔軟であるため、肛門の内壁筋に接触したときにうまく滑らなくて挿入できないためと思われる。また、奥の直腸まで押し込むためには、作業者の指を肛門に入れて成形体を奥まで押し込む必要があり、いくら手袋をしているといっても、作業者からは嫌がられる作業である。   However, due to individual differences such as the working nurse, it may not enter the rectum from the anus well. This is because even if the fiber molded body 201 is covered with the sheet 202 and the lubricant 203 is applied, both layers of the sheet 202 and the lubricant 203 are thin and flexible, so that they slide well when they come into contact with the inner wall muscle of the anus. It seems to be because it cannot be inserted. In addition, in order to push the back of the rectum, it is necessary to put the operator's finger into the anus and push the molded body as far as it can go. is there.

そこで本発明は、上記の問題点に鑑みてなされたものであり、その目的とするところは、死後の直腸内物質が遺漏することを防ぐとともに、この作業に従事する従業者あるいは看護人の作業の簡素化を図り、従業者、看護人や周囲への体内物質遺漏による感染を防止できる衛生的な体腔閉塞装置を提供することにある。   Therefore, the present invention has been made in view of the above-mentioned problems, and the purpose of the present invention is to prevent leakage of post-mortem rectal material and to ensure the work of employees or nurses engaged in this work. Therefore, it is an object of the present invention to provide a hygienic body cavity occlusion device that can prevent infection due to leakage of internal substances to employees, nurses, and the surroundings.

第1の発明は、封止部材と、該封止部材を遺体の肛門から直腸内に挿入する挿入部材とを備えた遺体の直腸閉塞装置であって、上記封止部材は、直腸内で膨張するように構成され、上記挿入部材は、遺体の肛門へ挿入される挿入先端部を有し且つ内部に上記封止部材が収容された円筒部材と、上記円筒部材内を該円筒の軸方向に摺動可能に且つ該円筒部材内であって上記封止部材の一方の端部に配設される押部材と、上記押部材の上記封止部材に面した側とは反対側に設けられ、該押部材を上記円筒部材の軸方向に移動させるロッド部材とを有し、上記円筒部材の軸方向中間部の外周面側には、該円筒部材の直腸への挿入距離を所定距離に規制するストッパが、肛門の外方から肛門に当たるように該円筒部材の径方向外方へ向けて突出するように設けられていることを特徴とする。   1st invention is a rectal occlusion device of a corpse comprising a sealing member and an insertion member for inserting the sealing member into the rectum from the anus of the corpse, wherein the sealing member is inflated in the rectum The insertion member includes a cylindrical member having an insertion tip inserted into the anus of the corpse and containing the sealing member therein, and the inside of the cylindrical member in the axial direction of the cylinder. A pressing member slidably disposed within the cylindrical member and disposed at one end of the sealing member; and provided on a side opposite to the side of the pressing member facing the sealing member; A rod member that moves the push member in the axial direction of the cylindrical member, and the insertion distance of the cylindrical member into the rectum is restricted to a predetermined distance on the outer peripheral surface side of the axially intermediate portion of the cylindrical member. The stopper protrudes from the outside of the anus toward the outside of the cylindrical member so as to hit the anus. And it is provided on.

第2の発明は、直腸内で膨張する封止部材が充填された円筒部材を有する挿入部材を使用して、遺体の直腸を閉塞する直腸閉塞方法であって、上記封止部材が充填された上記円筒部材を遺体の肛門から直腸内へ挿入していき、上記円筒部材の軸方向中間部の外周面側に該円筒部材の径方向外方へ向けて突出するように設けられたストッパが、遺体の肛門に肛門の外方から接触するか近接する位置にきたときに、該円筒部材の挿入方向反対側が肛門から外方へ突出した状態で該円筒部材の挿入を止め、その後、上記円筒部材の肛門から突出した部分を持って、該円筒部材内の上記封止部材を該円筒部材の挿入方向先端部から直腸内に押し出し、しかる後、上記円筒部材を肛門から抜くことを特徴とする。   A second invention is a rectal occlusion method for closing a corpse of a rectum using an insertion member having a cylindrical member filled with a sealing member that expands in the rectum, wherein the sealing member is filled. The cylindrical member is inserted into the rectum from the remains of the anus, and a stopper provided to protrude radially outward of the cylindrical member on the outer peripheral surface side of the axially intermediate portion of the cylindrical member, When the anus of the corpse comes in contact with or close to the anus from the outside of the anus, the insertion of the cylindrical member is stopped with the opposite side of the insertion direction of the cylindrical member protruding outward from the anus. The sealing member in the cylindrical member is pushed out from the distal end portion in the insertion direction of the cylindrical member into the rectum with a portion protruding from the anus, and then the cylindrical member is pulled out from the anus.

上記繊維体は、体液を吸収して直径が5倍以上に膨張するものであり、5〜200cc/gの水膨潤度を有することが好ましい。   The fiber body absorbs body fluid and expands in diameter to 5 times or more, and preferably has a water swelling degree of 5 to 200 cc / g.

上記ロッド部材の上記円板状押部材とは反対側の端部に、該ロッド部材を押すための鍔部を有することが好ましい。   It is preferable to have a flange for pushing the rod member at the end of the rod member opposite to the disk-shaped pushing member.

上記鍔部は、上記円板状押部材と同じ形状であることが好ましい。   It is preferable that the said collar part is the same shape as the said disk shaped pressing member.

上記円板状押部材は、上記膨張封止部材に当接する円板部と、上記円筒部材内面に接して摺動するリング部とを有し、上記リング部は、上記円板部の外周縁から上記円筒部材の後端方向に延びており、上記円板部と上記リング部との接続部部は面取りされていることが好ましい。   The disc-shaped pressing member has a disc portion that contacts the expansion sealing member and a ring portion that slides in contact with the inner surface of the cylindrical member, and the ring portion is an outer peripheral edge of the disc portion. It is preferable that the connecting portion between the disk portion and the ring portion is chamfered.

上記円板状押部材は、上記膨張封止部材に当接する面とは反対側の面に嵌合突起部を一体に有し、上記ロッド部材は、上記円筒部材の内径よりも小さい外径の円筒を有し、該円筒の先端の内面に上記嵌合突起部を嵌合させていることが好ましい。   The disk-like pressing member integrally has a fitting protrusion on a surface opposite to the surface that contacts the expansion sealing member, and the rod member has an outer diameter smaller than the inner diameter of the cylindrical member. It is preferable to have a cylinder and to fit the fitting protrusion on the inner surface of the tip of the cylinder.

ある好適な実施形態において、上記円筒部材の外周面に、体腔への挿入目標距離を示す目印が形成されている。   In a preferred embodiment, a mark indicating the target insertion distance to the body cavity is formed on the outer peripheral surface of the cylindrical member.

ある好適な実施形態において、上記円筒部材の肉厚は、上記挿入先端近傍よりも後端近傍の方が厚く形成されており、上記円筒部材の上記挿入先端近傍と上記後端近傍の内径は同一に形成され、該挿入先端近傍の外径が該後端近傍の外径より小さく形成されている。   In a preferred embodiment, the thickness of the cylindrical member is thicker in the vicinity of the rear end than in the vicinity of the insertion tip, and the inner diameter of the cylindrical member near the insertion tip and the rear end is the same. The outer diameter in the vicinity of the insertion tip is smaller than the outer diameter in the vicinity of the rear end.

上記円筒部材の挿入先端には開口部が形成されており、上記開口部の直径は、上記円筒部材の内径に対して、0.7〜0.3倍であることが好ましい。   An opening is formed at the insertion tip of the cylindrical member, and the diameter of the opening is preferably 0.7 to 0.3 times the inner diameter of the cylindrical member.

本発明の遺体の処置装置は、上記の体腔閉塞装置に加えて、さらに、遺体の咽喉部に注入される高吸水性樹脂を含有するゼリー体が充填されたシリンジと、上記シリンジの注入先端に接続する挿入管と、上記挿入管をカバーするカバー部材と、高吸水性樹脂を含有するゼリー体を付着させた口中用の綿体と、上記体腔閉塞装置とシリンジと挿入管とカバー部材と綿体とを収納する容器とを備え上記挿入管は、鼻孔から咽喉部に挿入される可撓性合成樹脂製の挿入管本体と、上記挿入管本体の後端部に設けられ、上記シリンジに接続可能な接続部と、上記挿入管本体の先端部に設けられた挿入管開口部とを備えていることを特徴とする。   In addition to the above-described body cavity occlusion device, the corpse treatment device of the present invention further includes a syringe filled with a jelly body containing a superabsorbent resin injected into the throat of the corpse, and an injection tip of the syringe. An insertion tube to be connected; a cover member that covers the insertion tube; a cotton body for the mouth to which a jelly body containing a highly water-absorbent resin is adhered; the body cavity occlusion device; a syringe; an insertion tube; a cover member; The insertion tube is provided with a flexible synthetic resin insertion tube main body to be inserted from the nostril into the throat and a rear end portion of the insertion tube main body, and is connected to the syringe. It is characterized by comprising a possible connecting portion and an insertion tube opening provided at the distal end of the insertion tube main body.

上記容器内には、更に、遺体取扱い用の手袋を備えていることが好ましい。   It is preferable that a glove for handling a corpse is further provided in the container.

上記容器内に、更に、手拭用の紙製シートを備えていることが好ましい。   It is preferable that a paper sheet for wiping is further provided in the container.

上記容器内に、更に、耳栓及び鼻栓用の封止部材を備えていることが好ましい。   It is preferable that a sealing member for an ear plug and a nasal plug is further provided in the container.

上記容器内に、更に潤滑剤入り容器を含むことが好ましい。   It is preferable that a container containing a lubricant is further included in the container.

上記容器内に、更に、使用済み上記体腔閉塞装置、上記シリンジ、上記挿入管および上記カバー部材を収納する収納用袋体を備えていることが好ましい。   It is preferable that the container further includes a storage bag for storing the used body cavity closing device, the syringe, the insertion tube, and the cover member.

本発明の直腸閉塞装置は、挿入部材を有しているので、封止部材を容易に遺体の体腔内に完全に埋没するよう挿入することができる。また、いったん挿入したら封止部材が速やかに直腸内で膨張し、体腔内壁に密着し、封止部材が体腔内に留め置かれるとともに、体液が体腔から流れ出てくることを確実に防止できる。   Since the rectal occlusion device of the present invention has the insertion member, the sealing member can be easily inserted so as to be completely buried in the body cavity of the body. Also, once inserted, the sealing member quickly expands in the rectum, closely contacts the inner wall of the body cavity, the sealing member is retained in the body cavity, and body fluid can be reliably prevented from flowing out of the body cavity.

本発明の第1実施形態に係る体腔閉塞装置を示す。1 shows a body cavity occlusion device according to a first embodiment of the present invention. 図1の円筒部材の正面図であって、可撓性羽根部材を示す図である。It is a front view of the cylindrical member of FIG. 1, Comprising: It is a figure which shows a flexible blade | wing member. 図1のX−X線断面図である。It is the XX sectional view taken on the line of FIG. 図1の円筒部材の後端部の部分拡大断面図を示す。The partial expanded sectional view of the rear-end part of the cylindrical member of FIG. 1 is shown. 膨張封止部材の多孔質繊維体の部分拡大断面図を示す。The partial expanded sectional view of the porous fiber body of an expansion sealing member is shown. 第1実施形態に係わる体腔閉塞装置を遺体の肛門に使用する状態を示す。The state which uses the body cavity obstruction | occlusion apparatus concerning 1st Embodiment for the anus of a corpse is shown. 膨張封止部材の直腸内への装填後の状態を説明する図である。It is a figure explaining the state after the expansion sealing member is loaded in the rectum. 本発明の第2実施形態に係る円筒部材を示す。The cylindrical member which concerns on 2nd Embodiment of this invention is shown. 本発明の第3実施形態に係る円筒部材を示す。The cylindrical member which concerns on 3rd Embodiment of this invention is shown. 本発明の第4実施形態に係る円筒部材を示す。The cylindrical member which concerns on 4th Embodiment of this invention is shown. 本発明の遺体の体腔閉塞装置を一緒に使用する遺体の処置装置の例を示す。1 shows an example of a corpse treatment device using the corpse occlusion device of the present invention together. 本発明の遺体の処置装置で追加使用する備品を示す。The equipment used additionally with the treatment apparatus of the corpse of this invention is shown. 本発明の遺体の処置装置で追加使用する別の備品を示す。Fig. 5 shows another fixture additionally used in the corpse treatment apparatus of the present invention. 本発明で遺体の処置装置で追加使用する更に別の備品を示す。FIG. 6 shows still another equipment used additionally in the corpse treatment apparatus according to the present invention. 本発明で遺体の処置装置で追加使用する耳栓及び鼻栓を示す。The earplug and the nasal plug which are additionally used with the treatment apparatus of a corpse by this invention are shown. 潤滑剤を示す。Indicates a lubricant. 従来技術を示す。The prior art is shown. 別の従来技術を示す。Another prior art is shown. 図18の従来例の部分断面図を示す。The fragmentary sectional view of the prior art example of FIG. 18 is shown.

以下、本発明の実施形態を図面に基づいて詳細に説明する。   Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.

(第1実施形態)
図1ないし図5は第1実施形態に係わる図面である。図1は、本発明の体腔閉塞装置であって、一部を断面図で他部を外観図で示したものである。体腔閉塞装置1は、挿入部材と、その中に装填されている膨張封止部材2とを備えている。挿入部材は、プラスチック製の円筒部材3を有する。円筒部材3の内部には、円柱形の膨張封止部材2が摺動可能に入れられている。円筒部材3の体腔への挿入先端には、複数の可撓性羽根部材4が一体に設けられている。
(First embodiment)
1 to 5 are drawings according to the first embodiment. FIG. 1 shows a body cavity occlusion device according to the present invention, part of which is a cross-sectional view and the other part is an external view. The body cavity occlusion device 1 includes an insertion member and an expansion sealing member 2 loaded therein. The insertion member has a cylindrical member 3 made of plastic. A cylindrical expansion sealing member 2 is slidably placed inside the cylindrical member 3. A plurality of flexible blade members 4 are integrally provided at the insertion tip of the cylindrical member 3 into the body cavity.

この可撓性羽根部材4は、複数の分割片で形成され且つ円筒部材3の円筒中心軸に向けて湾曲して形成されており、円筒部材3を肛門に挿入し易いように滑らかな先細形状を形成している。この先細形状は略半球状であって、曲面で形成された挿入先端が体腔への挿入を容易にしている。本実施形態では、可撓性羽根部材4は12片である。可撓性羽根部材4の数が多い方が、膨張封止部材2が可撓性羽根部材4を容易に押し開いて体腔内に挿入されていくので、好ましい。可撓性羽根部材4の枚数は、6枚以上が好ましく、12枚以上がより好ましい。   The flexible blade member 4 is formed of a plurality of divided pieces and is curved toward the cylindrical central axis of the cylindrical member 3, and has a smooth tapered shape so that the cylindrical member 3 can be easily inserted into the anus. Is forming. The tapered shape is substantially hemispherical, and the insertion tip formed of a curved surface facilitates insertion into the body cavity. In the present embodiment, the flexible blade member 4 is 12 pieces. A larger number of flexible blade members 4 is preferable because the expansion sealing member 2 easily pushes the flexible blade member 4 and is inserted into the body cavity. The number of the flexible blade members 4 is preferably 6 or more, and more preferably 12 or more.

また、円筒部材3の挿入先端には、開口部5が形成されている。開口部5の直径R2は、円筒部材3の内径R1に対して、0.7〜0.3倍に設定されている。開口部5が大きすぎると、円筒部材3を挿入する際の先細形状の案内部(挿入先端)が不足し、挿入されにくくなる。一方開口部が小さすぎると、内部の円柱状成形体(膨張封止部材)を押し出す際に可撓性羽根部材4を大きく外に広げる必要があり、押し出す際の抵抗が大きくなりすぎる。そのために、上記の範囲に設定することが好ましい。特に、0.62〜0.46倍に設定することが好ましい。   An opening 5 is formed at the insertion tip of the cylindrical member 3. The diameter R2 of the opening 5 is set to 0.7 to 0.3 times the inner diameter R1 of the cylindrical member 3. If the opening 5 is too large, the tapered guide portion (insertion tip) when the cylindrical member 3 is inserted becomes insufficient, making it difficult to insert. On the other hand, if the opening is too small, it is necessary to widen the flexible blade member 4 outward when extruding the internal cylindrical molded body (expansion sealing member), and the resistance during extrusion becomes too large. Therefore, it is preferable to set in the above range. In particular, it is preferably set to 0.62 to 0.46 times.

膨張封止部材2の後端(円筒部材3の挿入先端側に位置する端部とは反対側の端部)位置には、プラスチック製の円板状押部材7が円筒部材3内を軸方向に摺動可能に配設されている。円板状押部材7は、膨張封止部材2に当接している円板部17と、この円板部17の外周から円筒部材3の後端方向に延びているリング部8とから形成されている。円板部17とリング部8とは一体に形成されている。また、円板部17とリング部8とは略垂直に構成されており、リング部8の外側表面は、円筒部材3の内面にほぼ全面が接触して摺動する。円板部17とリング部8との接続部分は、面取りがされている。本実施形態では、この接続部分が曲面となるように面取りされており、即ち、円筒部材3の中心軸を含む断面において円板部17からリング部18へと滑らかな曲線で繋がっており、円筒部材3の内部に入れ込む際に入れ込みやすく形成されている。   At the position of the rear end of the expansion sealing member 2 (the end opposite to the end located on the insertion tip side of the cylindrical member 3), a plastic disk-like pressing member 7 is axially moved in the cylindrical member 3. Are slidably disposed on the surface. The disk-shaped pressing member 7 is formed of a disk portion 17 that is in contact with the expansion sealing member 2 and a ring portion 8 that extends from the outer periphery of the disk portion 17 toward the rear end of the cylindrical member 3. ing. The disc part 17 and the ring part 8 are integrally formed. Further, the disc portion 17 and the ring portion 8 are configured to be substantially vertical, and the outer surface of the ring portion 8 slides with almost the entire surface being in contact with the inner surface of the cylindrical member 3. The connecting portion between the disc portion 17 and the ring portion 8 is chamfered. In the present embodiment, the connecting portion is chamfered so as to be a curved surface, that is, connected to the circular portion 17 from the disk portion 17 in a cross section including the central axis of the cylindrical member 3 with a smooth curve, It is formed so as to be easily inserted into the member 3.

円筒部材3の後端には、円板状押部材3が後端部3aから抜け出ることを規制する突出部6が円筒部材3の中心軸に向けて一体に形成されている。この突出部6は、円筒部材3内面に設けられた周方向に連続した凸部であり、図4に示すように、円筒部材3の中心軸を含む断面において曲線により形成されている。その後端部は円筒部材3の内壁レベルより外壁側に少し入った状態で形成され、前端は内壁レベルと同じ内径R1となるように終わっている。即ち、円板状押部材7を入れ込む際に、入れ込みやすいように、円筒部材3の後端は内径R1より少し大きめの径(径差:r)で形成されている。この突出部6の高さは、円筒部材3の内面(内径R1の部分)から0.05〜0.5mm突出して形成されている。突出量が小さすぎると飛び出し防止機能が不十分となり、突出量が大きいと挿入しにくくなるので、上記範囲にすることが好ましい。更には、0.1〜0.25mmとすることが好ましい。   At the rear end of the cylindrical member 3, a protruding portion 6 is integrally formed toward the central axis of the cylindrical member 3 to restrict the disc-like pressing member 3 from coming out of the rear end portion 3 a. The protruding portion 6 is a convex portion that is provided on the inner surface of the cylindrical member 3 and that is continuous in the circumferential direction, and is formed by a curved line in a cross section including the central axis of the cylindrical member 3 as shown in FIG. The rear end portion is formed in a state of entering the outer wall side slightly from the inner wall level of the cylindrical member 3, and the front end ends so as to have the same inner diameter R1 as the inner wall level. That is, the rear end of the cylindrical member 3 is formed with a slightly larger diameter (diameter difference: r) than the inner diameter R1 so that the disk-like pressing member 7 can be inserted easily. The height of the protruding portion 6 is formed to protrude 0.05 to 0.5 mm from the inner surface (portion of the inner diameter R1) of the cylindrical member 3. If the amount of protrusion is too small, the pop-out preventing function will be insufficient, and if the amount of protrusion is large, it will be difficult to insert, so the above range is preferable. Furthermore, it is preferable to set it as 0.1-0.25 mm.

突出部6は、この実施形態のようなものに限られるものではなく、装填後不用意に抜け出ることを防げるもの、即ち、抜け出ることの抵抗となる抵抗部であれば、この形状・大きさに限られるものではない。例えば、ネジのような突起部を形成し、リング部を回転して装填するようにしても良い。また、突起部を複数箇所形成し、これに対応する凹部をリング部に形成し、突起部と凹部とが一致したところで装填して、装填後に少し回しておくことで一致位置を外し、不用意に抜け出ないようにしても良い。   The protruding portion 6 is not limited to the one in this embodiment, and the shape and size of the protruding portion 6 can be any as long as the protruding portion 6 can be prevented from inadvertently coming out after loading, that is, a resistance portion that resists coming out. It is not limited. For example, a protrusion such as a screw may be formed, and the ring portion may be rotated and loaded. Also, a plurality of protrusions are formed, corresponding recesses are formed in the ring part, loaded when the protrusions and the recesses match, and then rotated slightly after loading to remove the coincidence position. It may be possible not to escape.

円板状押部材7を円筒部材3の軸方向に摺動させるプラスチック製のロッド部材10が、円板部17の膨張封止部材2と接している面とは反対側の面(外側面)の中心部に設けられている。円板部17の外側面中心部には、十字状の嵌合突起部9が円板状押部材7と一体に形成されている。ロッド部材10は中空且つ長尺の円筒からなっている。この円筒の内面10aに嵌合突起部9が嵌合されるようになっている。なお、この円筒の外径は円筒部材3の内径よりも小さい。ロッド部材10が嵌合突起部9に嵌合されているとともに、更に両者は溶着等の方法で一体に結合されている。円板状押部材7とロッド部材10とを別々に作ることで、それぞれ別々に適切な材質とすることができ、材料や生産コストを低減することができる。また、円板状押部材7には、複数個の穴部7aが、膨張封止部材2を押し込む際の空気抜きとして設けられている。   The plastic rod member 10 that slides the disk-shaped pressing member 7 in the axial direction of the cylindrical member 3 is the surface opposite to the surface in contact with the expansion sealing member 2 of the disk portion 17 (outer surface). Is provided at the center. A cross-shaped fitting projection 9 is formed integrally with the disk-shaped pressing member 7 at the center of the outer surface of the disk 17. The rod member 10 is a hollow and long cylinder. The fitting protrusion 9 is fitted to the inner surface 10a of the cylinder. Note that the outer diameter of the cylinder is smaller than the inner diameter of the cylindrical member 3. The rod member 10 is fitted to the fitting projection 9, and both are further integrally joined by a method such as welding. By making the disk-shaped pressing member 7 and the rod member 10 separately, it can be set as an appropriate material separately, respectively, and a material and production cost can be reduced. In addition, the disk-like pressing member 7 is provided with a plurality of holes 7 a for venting the expansion sealing member 2.

なお、上記嵌合突起部9の形状は十字状に限られるものではなく、三又形状や他の形状でも良い。穴部7aの形状・大きさや数も本実施形態に限定されるものではない。   The shape of the fitting protrusion 9 is not limited to a cross shape, and may be a trifurcated shape or other shapes. The shape, size, and number of the holes 7a are not limited to the present embodiment.

ロッド部材10の後端部には鍔部11が一体に設けられている。この鍔部11は、円板状押部材7と同じ形状で構成され、円板状押部材7のリング部8と鍔部11のリング部とが互いに向かい合うように円筒に固定されている。従って、鍔部11でも円板状押部材7のどちらを円筒部材3に入れ込んでも良いように形成されている。円板状押部材7と鍔部11とが異なる形状のものであると、体腔閉塞装置を製造する際に、組み付け間違いが生じる虞があるが、同じ形状とすることにより組み付け間違いは生じず、組み付け作業性が向上する。この鍔部11は、膨張封止部材2を体腔内に挿入する際の力を加える部分として機能するとともに、膨張封止部材2の挿入後、体腔から円筒部材3とともにロッド部材10を引き抜く時に、引っ掛ける或いは持つ部分として機能する。   A flange 11 is integrally provided at the rear end of the rod member 10. The flange portion 11 has the same shape as the disc-like pressing member 7 and is fixed to the cylinder so that the ring portion 8 of the disc-like pressing member 7 and the ring portion of the flange portion 11 face each other. Accordingly, either the flange portion 11 or the disk-like pressing member 7 may be inserted into the cylindrical member 3. If the disc-like pressing member 7 and the buttocks 11 are of different shapes, an assembly error may occur when manufacturing the body cavity occlusion device, but an assembly error does not occur by making the same shape, Assembly workability is improved. The flange 11 functions as a portion for applying a force when the expansion sealing member 2 is inserted into the body cavity, and when the rod member 10 is pulled out together with the cylindrical member 3 from the body cavity after the expansion sealing member 2 is inserted, Functions as a part to be hooked or held.

ここで、円板状押部材7および鍔部11におけるリング部8の後端部(円板部17との接続部分の反対側)は、外側表面に対してほぼ垂直な端面であって、外側表面との角部分が略直角なため、鍔部11が突出部6を乗り越えて円筒部材3内に入りにくくなっている。つまり、リング部8後端の外側角部が略直角であるので、この部分が突出部6に引っかかり、鍔部11が円筒部材3内に入り込むことを阻止される。従って、膨張封止部材2を挿入する際にロッド部材10を押し込みすぎても、鍔部11が円筒部材3内に入り込むことが防止される。   Here, the rear end portion of the ring portion 8 in the disc-like pressing member 7 and the flange portion 11 (the side opposite to the connection portion with the disc portion 17) is an end surface substantially perpendicular to the outer surface, Since the corner portion with the surface is substantially perpendicular, it is difficult for the flange portion 11 to get over the protruding portion 6 and enter the cylindrical member 3. That is, since the outer corner portion of the rear end of the ring portion 8 is substantially right-angled, this portion is caught by the protruding portion 6 and the flange portion 11 is prevented from entering the cylindrical member 3. Therefore, even if the rod member 10 is pushed too much when the expansion sealing member 2 is inserted, the flange portion 11 is prevented from entering the cylindrical member 3.

ロッド部材10の長さL1は、円筒部材3の長さL2よりも長く設定され、ロッド部材10を押し込んだ際にも、一部が円筒部材3から飛び出て残る長さに設定されている。この残った部分を又は鍔部11を持って引き抜くことができるようになっている。   The length L1 of the rod member 10 is set to be longer than the length L2 of the cylindrical member 3, and is set to a length in which a part of the rod member 10 protrudes from the cylindrical member 3 when the rod member 10 is pushed in. The remaining part or the hook part 11 can be pulled out.

膨張封止部材(高吸水性繊維成形体)2としては、アクリル繊維で形成された芯となる内層12aと、この内層を囲撓するように配設された内層12aよりも高吸水性で吸水後膨潤するように加工処理された外層12bとを有する二重構造の水膨潤性繊維(繊維体)12を束ねて円柱形状とした成形体であって、高吸水性繊維12が吸水して直径が5倍以上に膨張するもの(商品名ランシールーF、東洋紡績製)を使用した。この膨張封止部材2は、直腸用も膣腔用も同じものとし、直径20mm、長さ80mmのものを使用した。膨張封止部材2の大きさは、肛門Hの体腔(直腸G)内に挿入するの際して、直径が小さいほど挿入し易いが、挿入後に膨潤して直腸壁に密着する大きさに拡大するまでに時間がかかる問題を有する。逆に大きすぎると肛門Hに挿入しにくい。したがって、直径が10〜25mmとすることが好ましい。また、長さが短いほど挿入し易いが、短すぎると膨潤する際の容積が不足し封止機能に劣るので、長さが40〜110mmとすることが好ましい。特に、長さが60〜90mmとすることが好ましい。   As the expansion sealing member (superabsorbent fiber molded body) 2, the inner layer 12a serving as a core made of acrylic fiber and the water absorption is higher than the inner layer 12a disposed so as to surround the inner layer. A double-structured, water-swellable fiber (fiber body) 12 having an outer layer 12b processed so as to swell afterwards is formed into a cylindrical shape, and the superabsorbent fiber 12 absorbs water and has a diameter. In which the swelled 5 times or more (trade name Lanseal F, manufactured by Toyobo Co., Ltd.) was used. The inflatable sealing member 2 was the same for the rectum and the vaginal cavity, and had a diameter of 20 mm and a length of 80 mm. The size of the expansion sealing member 2 is easy to insert when it is inserted into the body cavity (rectum G) of the anus H. It has the problem that it takes time to do. Conversely, if it is too large, it is difficult to insert it into the anus H. Therefore, the diameter is preferably 10 to 25 mm. In addition, the shorter the length, the easier the insertion, but if it is too short, the volume when swelling will be insufficient and the sealing function will be poor, so the length is preferably 40 to 110 mm. In particular, the length is preferably 60 to 90 mm.

この膨張封止部材2は、構成要素の高吸水性繊維12において、吸水後も内層12aの芯材が繊維としての形状を維持しているので、膨張後も略円筒形の形状を保持し、体腔内に確実に留め置かれる。また、吸水して径方向に急速に大きく膨張すると、体腔の通路内壁に速やかに密着し、密閉性(シール性)を発揮するので、好ましい。そのために、高吸水性繊維12は吸水して径が2.5倍以上になるものが良い。特に径が5倍以上になるものが更に良く、径が10倍以上になるものがもっと好ましい。このように径が膨注するということは、それだけ吸水能力が高いことであり、径が大きく膨張するものが好ましい。特に、内層12aがアクリロニトリル系重合体からなる繊維であって、5〜200cc/gの水膨潤度を有するものが好ましい。特に外層12bがカルボキシル基を含むと、アンモニアの吸着性を有するので、臭気などを吸収してくれ好ましい。カルボキシル基の含量は0.5〜4.0mmol/gが好ましい。なお、高吸水性繊維12の外層12bは、アクリル繊維をアルカリ金属水酸化物水性溶液によって処理し、外繊維の外層部分のみを親水架橋化したものである。このように処理をすると、アルカリ金属塩型のカルボキシル基がアクリル繊維に導入される。   Since the core material of the inner layer 12a maintains the shape as a fiber even after water absorption in the highly water-absorbing fiber 12 as a component, the expansion sealing member 2 maintains a substantially cylindrical shape even after expansion, It is securely retained in the body cavity. Further, it is preferable to absorb water and expand rapidly in the radial direction because it quickly adheres to the inner wall of the body cavity and exhibits sealing (sealing performance). Therefore, it is preferable that the superabsorbent fiber 12 absorbs water and the diameter becomes 2.5 times or more. In particular, those having a diameter of 5 times or more are better, and those having a diameter of 10 times or more are more preferable. The fact that the diameter is inflated in this way means that the water absorption capacity is high, and it is preferable that the diameter is greatly expanded. In particular, it is preferable that the inner layer 12a is a fiber made of an acrylonitrile-based polymer and has a water swelling degree of 5 to 200 cc / g. In particular, it is preferable that the outer layer 12b contains a carboxyl group because it absorbs ammonia and absorbs odors. The content of the carboxyl group is preferably 0.5 to 4.0 mmol / g. The outer layer 12b of the superabsorbent fiber 12 is obtained by treating acrylic fiber with an aqueous alkali metal hydroxide solution and hydrophilically crosslinking only the outer layer portion of the outer fiber. When the treatment is performed in this manner, an alkali metal salt type carboxyl group is introduced into the acrylic fiber.

第1実施形態において、膨張封止部材2を円筒部材3に装填する作業について説明する。円筒部材3の後端部3aの開口部から円柱状の膨張封止部材2を装填する。その際、後端部3aに突出部6が形成されているが、突出部の高さは僅かであり、膨張封止部材2を装填する際の妨げにはならない。たとえ、後端部3aの開口部の径が膨張封止部材2の外径よりも僅かに小さい場合でも、膨張封止部材2は多孔質繊維体であり、弾力性を有するので、ちいさな力で装填を行うことができ、装填時の妨げになることは無い。   In the first embodiment, an operation of loading the expansion sealing member 2 into the cylindrical member 3 will be described. The cylindrical expansion sealing member 2 is loaded from the opening of the rear end 3a of the cylindrical member 3. At this time, the protruding portion 6 is formed at the rear end portion 3a. However, the height of the protruding portion is slight and does not hinder the loading of the expansion sealing member 2. Even if the diameter of the opening portion of the rear end portion 3a is slightly smaller than the outer diameter of the expansion sealing member 2, the expansion sealing member 2 is a porous fiber body and has elasticity. It can be loaded and will not interfere with loading.

その後、両端に円板状押部材7が一体に接合されたロッド部材10を装填する。円板状押部材7の外径即ちリング部8の外径に対して、突起部6で囲まれた開口部の内径が少し小さくなっているが、その差は僅かであり、小さな力で、円板状押部材7およびリング部8を押したら、円筒部材3の中に押し込むことができ、作業性が良い。特に、円板状押部材7とリング部8との接続部は曲面で接続されているので、軽い力で突起部6を乗越えて奥に挿入することができる。挿入後、円板状押部材7が膨張封止部材2の後端面に接触する位置で挿入を中止し、装填を完了する。   Thereafter, the rod member 10 in which the disk-like pressing members 7 are integrally joined to both ends is loaded. The inner diameter of the opening surrounded by the protrusion 6 is slightly smaller than the outer diameter of the disk-like pressing member 7, that is, the outer diameter of the ring portion 8, but the difference is slight, with a small force, When the disk-like pressing member 7 and the ring portion 8 are pushed, they can be pushed into the cylindrical member 3 and workability is good. In particular, since the connecting portion between the disc-like pressing member 7 and the ring portion 8 is connected by a curved surface, the protruding portion 6 can be moved over and inserted into the back with a light force. After the insertion, the insertion is stopped at the position where the disk-like pressing member 7 comes into contact with the rear end surface of the expansion sealing member 2, and the loading is completed.

このように、膨張封止部材2は円筒部材3の広い開口である後端部3aの開口部から装填されるので、外周が変形することなく、なんら抵抗無く装填できる。その上、軽い力で、円筒部材3の中に円板状押部材7およびリング部8を装填できるので、装填作業が極めて容易であり、生産性に優れる。また、搬送中や保管中に不用意に円板状押部材7およびリング部8が抜けることが突起部6によって規制されているので、円板状押部材7が抜け落ちることはない。   Thus, since the expansion sealing member 2 is loaded from the opening of the rear end 3a, which is a wide opening of the cylindrical member 3, the outer periphery is not deformed and can be loaded without any resistance. Moreover, since the disk-like pressing member 7 and the ring portion 8 can be loaded into the cylindrical member 3 with a light force, the loading operation is extremely easy and the productivity is excellent. Further, since the disc-shaped pressing member 7 and the ring portion 8 are prevented from being carelessly removed during conveyance or storage, the disc-shaped pressing member 7 does not fall off.

図6及び図7により、上記のようにして用意した体腔閉塞装置1を使用して、膨張封止部材2を肛門Hから直腸Gに挿入する状態を説明する。   A state in which the expansion sealing member 2 is inserted from the anus H into the rectum G using the body cavity occlusion device 1 prepared as described above will be described with reference to FIGS.

可撓性羽根部材4及び円筒部材3の外周に潤滑剤を塗布し、挿入先端である可撓性羽根部材4から肛門Hに挿入する。約半分ぐらい円筒部材3を挿入したところで、挿入を中止する。その後、円筒部材3の後半部分を手に持って、ロッド部材10を前方に押し込んで、円筒部材3内の膨張封止部材2を直腸G内に押し出す。膨張封止部材2を前方に押し出すことで、可撓性羽根部材4は自然に外側に開き、膨張封止部材2は次第に円筒部材3から出されていく。   Lubricant is applied to the outer peripheries of the flexible blade member 4 and the cylindrical member 3, and is inserted into the anus H from the flexible blade member 4 that is the insertion tip. When the cylindrical member 3 is inserted about half way, the insertion is stopped. Thereafter, the second half of the cylindrical member 3 is held in the hand, the rod member 10 is pushed forward, and the expansion sealing member 2 in the cylindrical member 3 is pushed out into the rectum G. By pushing the expansion sealing member 2 forward, the flexible blade member 4 naturally opens outward, and the expansion sealing member 2 is gradually extracted from the cylindrical member 3.

円筒部材3から膨張封止部材2を出した後、円筒部材3の後半部分を持って、ロッド部材10の鍔部11を持って、肛門Hから引き抜く。   After the expansion sealing member 2 is taken out from the cylindrical member 3, the latter part of the cylindrical member 3 is held, the buttocks 11 of the rod member 10 is held, and the anus H is pulled out.

一方、直腸G内に押し込まれた膨張封止部材2は、直腸G内の体液を速やかに吸収して、高吸収性繊維が径方向に急速に膨張する。その結果、図7に示すように、高吸収性繊維が直腸Gの内壁に密着し、更に内壁を拡大するように膨張し、直腸Gの通路を密閉する。   On the other hand, the expansion sealing member 2 pushed into the rectum G quickly absorbs the body fluid in the rectum G, and the superabsorbent fibers rapidly expand in the radial direction. As a result, as shown in FIG. 7, the superabsorbent fiber closely adheres to the inner wall of the rectum G, and further expands to enlarge the inner wall, thereby sealing the passage of the rectum G.

この第1実施形態では、ロッド部材10を押して、直腸G内に膨張封止部材2を押し出す際に、ロッド部材10をどの程度押し込んだら膨張封止部材2が円筒部材3から飛び出るかは、挿入前に作業者には理解できるので、敢えてロッド部材10には目印、ストッパなどを設けてないが、必要であれば、設けるようにしても良い。   In the first embodiment, when the rod member 10 is pushed and the expansion sealing member 2 is pushed out into the rectum G, the extent to which the rod member 10 is pushed and the expansion sealing member 2 jumps out of the cylindrical member 3 is inserted. Since it can be understood by the operator before, the rod member 10 is not provided with a mark or a stopper, but may be provided if necessary.

(第2実施形態)
図8は、第2実施形態に係る円筒部材43の形状を示す図である。第1実施形態と異なる部分のみ説明する。
(Second Embodiment)
FIG. 8 is a diagram illustrating the shape of the cylindrical member 43 according to the second embodiment. Only parts different from the first embodiment will be described.

本実施形態では、円筒部材43の外周に目印15を設け、円筒部材43を肛門Hに挿入する際の挿入完了位置を示している。つまり、この目印15は体腔への挿入目標距離を示すものである。この目印15は、目立つカラー色を塗布したものである。代わりにテープを貼り付けても良い。又は、この部分だけ、又はこの部分より後をシボ模様、凹凸模様、縞模様などのように前半部分と異なる模様をして、区別できるようにしても良い。この場合には、円筒部材43の後半部分を掴んで引き抜く時に滑りにくい(握り易い)好都合でもある。本実施形態では、必要以上に円筒部材43を体腔内に挿入しすぎることを防ぐことができ、また、挿入不足となることを防ぐこともできる。また、この目印15は、円筒部材43の目印15より前方側に潤滑剤を塗布すれば良い目安ともなりうる。   In this embodiment, the mark 15 is provided on the outer periphery of the cylindrical member 43, and the insertion completion position when the cylindrical member 43 is inserted into the anus H is shown. That is, this mark 15 indicates the target insertion distance into the body cavity. This mark 15 is applied with a conspicuous color. Alternatively, tape may be attached. Alternatively, only this portion or the portion after this portion may be distinguished by making a pattern different from the first half portion such as a wrinkle pattern, a concavo-convex pattern, a striped pattern, or the like. In this case, it is convenient that it is difficult to slip (easy to grip) when the second half of the cylindrical member 43 is grasped and pulled out. In the present embodiment, it is possible to prevent the cylindrical member 43 from being excessively inserted into the body cavity more than necessary, and it is possible to prevent insufficient insertion. Further, the mark 15 may be a guideline if a lubricant is applied to the front side of the mark 15 of the cylindrical member 43.

(第3実施形態)
図9は、第3実施形態に係る円筒部材53の形状を示す図である。第1実施形態と異なる部分のみ説明する。
(Third embodiment)
FIG. 9 is a diagram illustrating the shape of the cylindrical member 53 according to the third embodiment. Only parts different from the first embodiment will be described.

本実施形態では、円筒部材53の後半部分(後端に近い側)の肉厚t1を前半部分(前端に近い側)の肉厚t2より大きめにし、円筒部材53の後半部分の外径D1を前半部分の外径D2より少し大きめにしている。これにより、円筒部材53の前半部分を肛門Hに挿入し、大径D1で少し抵抗が大きくなったら挿入を中止することで、目で見なくても挿入時の感触で挿入を実感できるメリットを有する。本実施形態では、必要以上に円筒部材53を体腔内に挿入しすぎることを防ぐことができ、また、挿入不足となることを防ぐこともできる。   In the present embodiment, the wall thickness t1 of the latter half portion (side closer to the rear end) of the cylindrical member 53 is made larger than the wall thickness t2 of the front half portion (side closer to the front end), and the outer diameter D1 of the latter half portion of the cylindrical member 53 is It is slightly larger than the outer diameter D2 of the first half. As a result, the first half of the cylindrical member 53 is inserted into the anus H, and the insertion is stopped when the resistance becomes a little larger with the large diameter D1, so that the insertion can be realized with the touch at the time of insertion without looking at the eyes. Have. In this embodiment, it is possible to prevent the cylindrical member 53 from being excessively inserted into the body cavity more than necessary, and it is also possible to prevent insufficient insertion.

(第4実施形態)
図10は、第4実施形態に係る円筒部材63の形状を示す図である。第1実施形態と異なる部分のみ説明する。
(Fourth embodiment)
FIG. 10 is a diagram illustrating the shape of the cylindrical member 63 according to the fourth embodiment. Only parts different from the first embodiment will be described.

本実施形態では、円筒部材63の中間位置に挿入距離を規制するストッパとしての突出鍔部材16を設けたものである。この突出鍔部材16は、挿入時に抵抗感が増大することが感じられる目印程度でよく、多く突出して設ける必要はない。また、肛門に装填した際に、両足の間になる位置でなく、前後になる位置にだけ突出鍔部材16を設けるようにしても良い。本実施形態では、必要以上に円筒部材63を体腔内に挿入しすぎることを防ぐことができ、また、挿入不足となることを防ぐこともできる。   In the present embodiment, the protruding hook member 16 as a stopper for restricting the insertion distance is provided at an intermediate position of the cylindrical member 63. The protruding saddle member 16 may be a mark with which a feeling of resistance increases during insertion, and does not need to be provided in a protruding manner. In addition, when the anus is loaded, the protruding heel member 16 may be provided not only at the position between the two legs but at the front and back positions. In this embodiment, it is possible to prevent the cylindrical member 63 from being excessively inserted into the body cavity more than necessary, and it is also possible to prevent insufficient insertion.

なお、第2から第4の実施形態は単独でも組み合わせて用いても良い。   The second to fourth embodiments may be used alone or in combination.

(その他の実施形態)
図11は上記体腔閉塞装置1とともに、咽喉部や口中などの遺体の体腔を密閉する備品とを一緒にした遺体の処置装置20を示す。
(Other embodiments)
FIG. 11 shows a treatment apparatus 20 for a corpse in which the body cavity occlusion apparatus 1 is combined with equipment for sealing the body cavity of the corpse such as the throat and mouth.

この例では、遺体処置装置20は、鼻穴から挿入して咽喉部を封止するシリンジ21と、シリンジ21の先端に取り付けられて鼻穴に挿入される挿入管23を有する。シリンジ21内には、高吸収性樹脂粉末が分散混合されたゼリー体22が充填されている。挿入管23は、挿入管本体24と、後端にはシリンジ21の注入先端に接続される接続部25と、先端には挿入管開口部26とを備える。27は挿入管23をカバーするカバー部材を示す。   In this example, the corpse treatment apparatus 20 includes a syringe 21 that is inserted through the nostril and seals the throat, and an insertion tube 23 that is attached to the tip of the syringe 21 and is inserted into the nostril. The syringe 21 is filled with a jelly body 22 in which a superabsorbent resin powder is dispersed and mixed. The insertion tube 23 includes an insertion tube body 24, a connection portion 25 connected to the injection tip of the syringe 21 at the rear end, and an insertion tube opening 26 at the tip. Reference numeral 27 denotes a cover member that covers the insertion tube 23.

高吸水性樹脂粉末はゼリー体22の中に5,000個以上/ml分散しており、溶剤100重量部に対して増粘材が0.02〜0.15重量部含まれ、粘度が8,000〜40,000CPであることが好ましい。特に、高吸水性粉体がゼリー体22の中に17,000個/ml〜29,000個/ml分散し、さらには、高吸水性微粉体が20〜150メッシュの粉体からなり、ゼリーの中に18,000個/ml〜25,000個/ml分散しているのが好ましい。   The superabsorbent resin powder is dispersed in the jelly body 22 at a density of 5,000 or more / ml, the thickener is contained in an amount of 0.02 to 0.15 parts by weight, and the viscosity is 8 , 4,000 to 40,000 CP is preferable. In particular, the superabsorbent powder is dispersed in the jelly body 22 at 17,000 / ml to 29,000 / ml, and the superabsorbent fine powder is made of 20-150 mesh powder. It is preferable that 18,000 / ml to 25,000 / ml are dispersed.

シリンジ21内のゼリー体22は、エチレングリコール、プロピレングリコール、ジエチレングリコール、メタノール、エタノール、グリセリンの少なくとも21種を含み、ゼリー体22には、アルコール系主成分100重量部に対し、アクリル酸重合体が0.01〜1.0重量部、中和剤が0.03〜0.7重量部含まれ、ゼリー体22の粘度が8,000〜40,000CPであり、ゼリー体22のPHが6〜8であることが好ましい。
なお、ゼリー体22を充填したシリンジ21、ゼリー体22及び挿入管23の構成は、特開2002−275001に開示されたものが採用できるものであり、ここではこれ以上の詳細な説明を省略する。
The jelly body 22 in the syringe 21 includes at least 21 kinds of ethylene glycol, propylene glycol, diethylene glycol, methanol, ethanol, and glycerin. The jelly body 22 includes an acrylic acid polymer with respect to 100 parts by weight of the alcohol-based main component. 0.01-1.0 weight part, 0.03-0.7 weight part of neutralizing agent is contained, the viscosity of jelly body 22 is 8,000-40,000 CP, and PH of jelly body 22 is 6- 8 is preferable.
In addition, what was disclosed by Unexamined-Japanese-Patent No. 2002-275001 can be employ | adopted for the structure of the syringe 21 filled with the jelly body 22, the jelly body 22, and the insertion pipe | tube 23, Here, detailed description beyond this is abbreviate | omitted. .

28は口中に装填する綿体を示す。この綿体28を口中に装填することで、口中の唾液等の液体漏出を確実に防止できる。その上、この綿体28を両ほっぺたに位置させた場合、吸液して膨張した綿体が両ほっぺたの形を整えることにも役立つ優れた機能を有する。特に老人では入れ歯を取るとほっぺたが引っ込んでみすぼらしい形になるが、この綿体をほっぺたの内側に位置させることで、綿体が適当なふくらみを有することとなり、ほっぺたを適正な形に維持できる。上記綿体28には、単に綿体だけでなく、4×4cmの綿体に対して、ゼリー体が0.5g〜2.0g含まれるものが好ましい。4×4cmの綿体の場合には、4〜5枚重ねて用意することが好ましい。綿体28は密閉プラスチック袋体よりなる容器29に入れられている。以上の体腔閉塞装置1、シリンジ21、挿入管23、カバー部材27および綿体28は、不図示の容器中に収められており、遺体を処置する際に遺体の各体腔からの遺漏を防止するために必要なものが揃うので、特に、肛門や膣腔等の下半身の体腔、咽喉部及び口中の処置品が揃っているので、遺体の体液漏出防止用の処置が短時間で間違いなく出来る。   Reference numeral 28 denotes a cotton body loaded in the mouth. By loading the cotton body 28 into the mouth, leakage of liquid such as saliva in the mouth can be reliably prevented. In addition, when the cotton body 28 is positioned on both cheeks, the cotton body that has absorbed liquid and expanded has an excellent function that also helps to adjust the shape of both cheeks. Especially in the elderly, when the denture is taken out, the cheek is retracted to become a shabby shape. However, by positioning the cotton body inside the cheek, the cotton body has an appropriate bulge, and the cheek can be maintained in an appropriate shape. The cotton body 28 preferably contains 0.5 g to 2.0 g of a jelly body with respect to a cotton body of 4 × 4 cm as well as a cotton body. In the case of a 4 × 4 cm cotton body, it is preferable to prepare four to five sheets. The cotton body 28 is put in a container 29 made of a sealed plastic bag. The body cavity occlusion device 1, the syringe 21, the insertion tube 23, the cover member 27, and the cotton body 28 are housed in a container (not shown) and prevent leakage of each body from each body cavity when treating the body. Therefore, since the treatment products in the body cavity, the throat and the mouth of the lower body such as the anus and the vaginal cavity are prepared in particular, the treatment for preventing the body fluid leakage can be definitely performed in a short time.

図12ないし図15は、本発明の遺体の処置装置において、それらを収める容器中に追加しても良い備品を示す。   12 to 15 show fixtures that may be added to a container for housing them in the corpse treatment apparatus of the present invention.

図12は、ゴム手袋31を示し、これは、体腔閉塞装置1やシリンジ21等の遺体の処置装置の備品を取り扱う際及び遺体を取り扱う際に使用する。この手袋31を追加することで、作業者の衛生上に必要な手袋を探す手間が省け、感染等を確実に防止でき安全性を高められる。   FIG. 12 shows a rubber glove 31 that is used when handling equipment for a body treatment apparatus such as the body cavity closing device 1 and the syringe 21 and when handling the body. By adding this glove 31, it is possible to save the labor of searching for a glove necessary for the operator's hygiene, to reliably prevent infection, and to improve safety.

図13は、紙製の手拭用濡れティッシュ32であって、消毒剤として二酸化塩素が含まれている。作業者が遺体の処置をしている際や処置後の簡単な手拭き用として使用する。手拭用濡れティッシュ32はプラスチック製密閉袋体に収納されている。この手拭用濡れティッシュ32を加えることで、更に、感染等を防止でき安全性を高められる。   FIG. 13 shows a wet tissue 32 made of paper and contains chlorine dioxide as a disinfectant. It is used for easy hand wiping when the worker is treating the body or after the treatment. The wet tissue 32 for hand wiping is stored in a plastic airtight bag. By adding the wet tissue 32 for wiping, infection can be prevented and safety can be improved.

図14は、収納用袋体36であって、遺体処置後の円筒部材3、シリンジ21、挿入管23、密閉プラスチック袋体よりなる容器29、カバー部材27等を収納する。この収納用袋体36は、遺体の体液等がしみ出てこないように浸出防止処理が施されており、収納用袋体36に収納することで、これらのものが散在することを防止し、汚染や感染を防止する。   FIG. 14 shows a storage bag body 36 that stores the cylindrical member 3, the syringe 21, the insertion tube 23, the container 29 made of a sealed plastic bag body, the cover member 27, and the like after the body treatment. This storage bag body 36 has been subjected to a leaching prevention process so that body fluid or the like of the corpse does not ooze out, and by storing it in the storage bag body 36, these things can be prevented from being scattered, Prevent contamination and infection.

図15は、耳栓及び鼻栓用の封止部材33を示す。封止部材33は耳栓及び鼻栓用にそれぞれ2つずつ有し、計4つ有する。各封止部材33は球状の綿材33aからなり、中央に高吸収性樹脂を含むゼリー体33b、即ちシリンジ21内のゼリー体22と同じゼリー体が入れてある。33cは蓋部材を示す。封止部材33は、円筒状の密閉プラスチック袋体33dに収納されている。これを追加することで、更に確実に体液漏出を防止できる。なお、耳は体液の漏出が少なく、鼻は前述した咽喉部の体液漏出処置を行えば、漏出する体液は極めて少なくなるので、簡易タイプとして、単に綿材33bからなる封止部材としても良い。なお、封止部材33は円筒状の密閉プラスチック袋体33dに収納したが、口中用の綿体28と一緒に密閉プラスチック袋体29に一緒に収納するようにしても良い。   FIG. 15 shows a sealing member 33 for earplugs and nasal plugs. Two sealing members 33 are provided for each of earplugs and nasal plugs, for a total of four. Each sealing member 33 is made of a spherical cotton material 33a, and a jelly body 33b containing a superabsorbent resin at the center, that is, the same jelly body 22 as the jelly body 22 in the syringe 21 is placed. Reference numeral 33c denotes a lid member. The sealing member 33 is accommodated in a cylindrical sealed plastic bag 33d. By adding this, leakage of body fluid can be prevented more reliably. In addition, since the ear leaks less body fluid and the nose performs the body fluid leakage treatment in the throat, the leakage of the body fluid is extremely small. Therefore, as a simple type, a sealing member simply made of the cotton material 33b may be used. The sealing member 33 is stored in the cylindrical sealed plastic bag 33d. However, the sealing member 33 may be stored in the sealed plastic bag 29 together with the mouth cotton body 28.

図16は、潤滑剤35とその容器34とを示す。この潤滑剤35は、円筒部材3の外面や挿入管23などに塗布して、遺体の体腔への挿入をスムースにする。このように潤滑剤35を一緒に用意することで、塗布忘れを防ぐことができ、潤滑剤を探す手間を省ける。   FIG. 16 shows the lubricant 35 and its container 34. The lubricant 35 is applied to the outer surface of the cylindrical member 3, the insertion tube 23, and the like, so that the body is smoothly inserted into the body cavity. By preparing the lubricant 35 together in this way, forgetting to apply can be prevented, and the labor for searching for the lubricant can be saved.

なお、さらに、遺体処理に必要な用品、例えば、ガーゼ、脱脂綿、消毒剤、消臭剤、おしめ等一緒にして、キットとして用意しても良い。このようにすれば、遺体処理作業がスムーズに行われる。他にも、例えば、女性用に尿道用の封止部材、消臭剤、遺体の顔当てガーゼ、遺体の顎当てバンド、遺体の合掌バンド等を付け加えても良い。   Furthermore, it is also possible to prepare a kit together with articles necessary for the body treatment, such as gauze, absorbent cotton, disinfectant, deodorant, and diaper. In this way, the body processing work is performed smoothly. In addition, for example, a sealing member for the urethra, a deodorant, a body face gauze, a body chin rest band, a body joint band, and the like may be added for women.

また、咽喉部に挿入される高吸水性樹脂を含有するゼリー体としては、特開2002−275001に開示されたものが好適であり、詳細な説明は省略する。また、潤滑剤としては、グリセリン、ワセリンなどを用いる。   Moreover, what was disclosed by Unexamined-Japanese-Patent No. 2002-275001 is suitable as a jelly body containing the super absorbent polymer inserted in a throat part, and detailed description is abbreviate | omitted. As the lubricant, glycerin, petrolatum or the like is used.

耳栓及び鼻栓用の封止部材としては、綿材の中に高吸収性樹脂を含むゼリー体が0〜1.5mg含有されていることが好ましい。上記口中用の綿体には、4×4cmの綿体に対して、ゼリー体が0.5g〜2.0g含まれるものが好ましい。これらのゼリー体は、咽喉部のゼリー体と同様なものを使用することが好ましい。   As a sealing member for earplugs and nasal plugs, it is preferable that 0 to 1.5 mg of a jelly body containing a superabsorbent resin is contained in a cotton material. The above-mentioned cotton body for mouth preferably contains 0.5 g to 2.0 g of jelly body with respect to 4 × 4 cm cotton body. It is preferable to use the same jelly body as that of the throat.

上記体腔閉塞部材の膨張封止部材には消臭剤、消毒剤の少なくとも1つが含まれるようにしても良い。同様に、咽喉部用のシリンジ中のゼリー体にも消臭剤、消毒剤の少なくとも1つが含まれるようにしても良い。手拭用の紙製シートには消毒剤が浸透されていることが好ましい。   The expansion sealing member of the body cavity closing member may contain at least one of a deodorant and a disinfectant. Similarly, the jelly body in the throat syringe may contain at least one of a deodorant and a disinfectant. It is preferable that a disinfectant is infiltrated into the paper sheet for hand wiping.

以上説明したように、本発明に係る遺体の体腔閉塞装置は、これを用いることで遺体の体液漏れ出しを防止する作業を未熟練者でも容易に行うことができ、遺体の処置等として有用である。   As described above, the body cavity closing device according to the present invention can be easily used by an unskilled person to prevent leakage of body fluid from the body, and is useful as a body treatment. is there.

1 体腔閉塞装置
2 膨張封止部材
2a 内層
2b 高吸収性外層
3 円筒部材
3a 後端部
4 可撓性羽根部材
6 突出部
7 円板状押部材
8 リング部
10 ロッド部材
11 鍔部
17 円板部
20 遺体の処置装置
21 シリンジ
22 ゼリ−体
23 挿入管
27 カバー部材
28 綿体
29 密閉プラスチック袋体よりなる容器
31 手袋
32 紙製シート
33 封止部材
34 容器
35 潤滑剤
36 収納用袋体
43 円筒部材
53 円筒部材
63 円筒部材
DESCRIPTION OF SYMBOLS 1 Body cavity obstruction | occlusion apparatus 2 Expansion sealing member 2a Inner layer
2b Superabsorbent outer layer 3 Cylindrical member 3a Rear end 4 Flexible blade member
6 Protruding part 7 Disc-like pressing member 8 Ring part 10 Rod member 11 Rinse part 17 Disc part 20 Remaining treatment device 21 Syringe 22 Jelly body 23 Insertion tube 27 Cover member 28 Cotton body 29 Container made of sealed plastic bag 31 Gloves 32 Paper sheet 33 Sealing member 34 Container 35 Lubricant 36 Storage bag 43 Cylindrical member 53 Cylindrical member 63 Cylindrical member

Claims (2)

封止部材と、該封止部材を遺体の肛門から直腸内に挿入する挿入部材とを備えた遺体の直腸閉塞装置であって、
上記封止部材は、直腸内で膨張するように構成され、
上記挿入部材は、遺体の肛門へ挿入される挿入先端部を有し且つ内部に上記封止部材が収容された円筒部材と、上記円筒部材内を該円筒の軸方向に摺動可能に且つ該円筒部材内であって上記封止部材の一方の端部に配設される押部材と、上記押部材の上記封止部材に面した側とは反対側に設けられ、該押部材を上記円筒部材の軸方向に移動させるロッド部材とを有し、
上記円筒部材の軸方向中間部の外周面側には、該円筒部材の直腸への挿入距離を所定距離に規制するストッパが、肛門の外方から肛門に当たるように該円筒部材の径方向外方へ向けて突出するように設けられていることを特徴とする遺体の直腸閉塞装置。
A body rectal occlusion device comprising: a sealing member; and an insertion member for inserting the sealing member into the rectum from the anus of the body.
The sealing member is configured to expand within the rectum;
The insertion member includes a cylindrical member having an insertion tip portion to be inserted into the anus of the corpse and containing the sealing member therein, and is slidable in the axial direction of the cylinder within the cylindrical member and A pressing member disposed at one end of the sealing member in the cylindrical member, and provided on the opposite side of the pressing member to the side facing the sealing member, A rod member that moves in the axial direction of the member,
A stopper for restricting the insertion distance of the cylindrical member into the rectum to a predetermined distance is provided on the outer peripheral surface side of the axially intermediate portion of the cylindrical member so that the cylindrical member is radially outward of the anus from the outside of the anus to the anus. A rectal occlusion device for a corpse, characterized in that it is provided so as to protrude toward the head.
直腸内で膨張する封止部材が充填された円筒部材を有する挿入部材を使用して、遺体の直腸を閉塞する直腸閉塞方法であって、
上記封止部材が充填された上記円筒部材を遺体の肛門から直腸内へ挿入していき、
上記円筒部材の軸方向中間部の外周面側に該円筒部材の径方向外方へ向けて突出するように設けられたストッパが、遺体の肛門に肛門の外方から接触するか近接する位置にきたときに、該円筒部材の挿入方向反対側が肛門から外方へ突出した状態で該円筒部材の挿入を止め、
その後、上記円筒部材の肛門から突出した部分を持って、該円筒部材内の上記封止部材を該円筒部材の挿入方向先端部から直腸内に押し出し、
しかる後、上記円筒部材を肛門から抜くことを特徴とする遺体の直腸閉塞方法。
A rectal occlusion method for occluding a rectum of a corpse using an insertion member having a cylindrical member filled with a sealing member that expands within the rectum,
The cylindrical member filled with the sealing member is inserted into the rectum from the remains of the anus,
A stopper provided on the outer peripheral surface of the cylindrical intermediate portion of the cylindrical member so as to protrude outward in the radial direction of the cylindrical member is in contact with or close to the anus of the corpse from the outside of the anus. The insertion of the cylindrical member is stopped with the opposite side of the insertion direction of the cylindrical member protruding outward from the anus,
Then, holding the portion protruding from the anus of the cylindrical member, the sealing member in the cylindrical member is pushed out from the distal end portion in the insertion direction of the cylindrical member into the rectum,
Thereafter, the body rectum is closed by removing the cylindrical member from the anus.
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2020193163A (en) * 2019-05-27 2020-12-03 株式会社ヒュー・メックス Dead body fluid leakage-prevention method

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JPS574258B2 (en) * 1978-10-04 1982-01-25
JP2001104491A (en) * 1999-10-06 2001-04-17 Kazuhiro Imai Suppository-insertion tool with suppository for human and animal
JP2003111830A (en) * 2001-10-04 2003-04-15 Nishihara Risa Coelom sealing device

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JPS574258B2 (en) * 1978-10-04 1982-01-25
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JP2003111830A (en) * 2001-10-04 2003-04-15 Nishihara Risa Coelom sealing device

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2020193163A (en) * 2019-05-27 2020-12-03 株式会社ヒュー・メックス Dead body fluid leakage-prevention method

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