JP2010279491A - Human body holding device and transfer supporting device using the same - Google Patents

Human body holding device and transfer supporting device using the same Download PDF

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JP2010279491A
JP2010279491A JP2009134217A JP2009134217A JP2010279491A JP 2010279491 A JP2010279491 A JP 2010279491A JP 2009134217 A JP2009134217 A JP 2009134217A JP 2009134217 A JP2009134217 A JP 2009134217A JP 2010279491 A JP2010279491 A JP 2010279491A
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support arm
heel support
shaft
human body
hugging
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JP5317111B2 (en
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Koshi Kinoshita
功士 木下
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Toyama University
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Toyama University
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a human body holding device for safely transferring a person in need of nursing care by reliably holding the person in need of nursing care from the back and front sides and from the right and left sides by an easy procedure, and a transfer supporting device using it. <P>SOLUTION: The human body holding device includes a pair of underarm supporting arms 34, a breast pad board 40 which is provided between the pair of underarm supporting arms 34 and is located to be approximately perpendicular to a sagittal plane of a body, and a pair of underarm supporting arm shaft members which are slightly inclined relative to the breast pad board 40 and where the underarm supporting arms 34 are pivotally supported. The pair of underarm supporting arms 34 are mounted on the underarm supporting arm shaft members through rotatable connecting members. The underarm supporting arms 34 oscillate by the underarm supporting arm shaft members in a holding direction to sandwich a trunk from right, left, and oblique directions. The underarm supporting arms 34 are activated to hold the body in the horizontal direction and the front-back direction by force components of the weight applied to the underarm supporting arms 34, and the human body holding device holds the sides to the back in accordance with body types. <P>COPYRIGHT: (C)2011,JPO&INPIT

Description

この発明は、介護等が必要な人の身体を保持する人体把持具とそれを用いた移乗支援器具に関する。   The present invention relates to a human body gripping tool that holds the body of a person who needs care or the like, and a transfer assist device using the same.

従来、介護者が、高齢者・足腰が弱い人・障害のある人等、介護が必要な被介護者を介護するとき、介護者が被介護者をベッドから車椅子やトイレ等に移す移乗作業が行われている。このような移乗作業は、介護者が腰を屈めて両腕を被介護者の腋の下から背中に回し、抱き締めながら被介護者を少し立たせ、被介護者の体の向きを変えて座らせるものである。しかし、被介護者を抱き締めて立たせたり座らせたりする動作は、介護者に被介護者の体重がかかるため、介護者にとっては負担が大きく、腰痛等が発生しやすいものであった。   Conventionally, when a caregiver cares for a cared person who needs care, such as an elderly person, a person with a weak leg, a person with a disability, etc., the caregiver has moved from the bed to a wheelchair or toilet, etc. Has been done. In such a transfer work, the caregiver bends his waist and turns his arms from the arm of the cared person to the back, while holding the cared person a little while standing and changing the body direction of the cared person. is there. However, the operation of hugging a person to be cared and standing or sitting takes a caregiver's weight, which is heavy for the carer and easily causes back pain or the like.

そこで、介護者の移乗作業の負担を軽減するための人体把持部を有した移乗支援器具が提案されている。移乗器具は、被介護者が腰かけ状態から移乗支援器具にもたれた疑似立ち上がり状態への移行を補助して乗り移りを支援するものである。このような移乗支援器具としては、例えば被介護者の腋を支えるアームと、胸当て、腰当てを有し、被介護者の身体の主に前側の部分だけを支えてそのまま抱き上げるものや、さらにベルトや吊り具等を補助的に用いて、被介護者の身体の後ろ側の部分も支えることで器具からの脱落を防止しながら抱き上げるものがある。さらに、移乗支援器具は、被介護者の体形に合わせて幅を調節したり固定したりするために、被介護者の体格等の違いに対して、段階的に幅を調節する構造が設けられているものであり、可変部位に段階的に空けられた穴等にピンやネジを差し込んで固定する等の方式が多かった。このような移乗支援器具として、例えば以下の特許文献1〜5に開示されているような構造のものが提案されている。   Then, the transfer assistance instrument which has a human body holding part for reducing the burden of the caregiver's transfer work is proposed. The transfer device assists the transfer by assisting the transition of the cared person from the sitting state to the pseudo-rise state leaning on the transfer support device. As such a transfer support device, for example, an arm that supports a cared person's heel, a breast pad, and a waist pad, and only a front part of the cared person's body is supported and lifted as it is, or a belt There are things that lift up while preventing the device from falling off by supporting the rear part of the cared person's body with the aid of a hanger or hanger. Furthermore, the transfer support device is provided with a structure that adjusts the width step by step with respect to differences in the physique of the care recipient in order to adjust or fix the width according to the shape of the care recipient. There are many methods such as inserting pins and screws into holes or the like that are opened in stages in the variable parts. As such a transfer support device, for example, one having a structure as disclosed in the following Patent Documents 1 to 5 has been proposed.

例えば、特許文献1に開示されている人体の移乗装置は、キャスタを有する台座と、台座に立てた主柱と、主柱の途中に傾動可能に取り付けられた枝柱と、枝柱の先端に取り付けられた保持具が設けられている。主柱は、台座の被介護者側の位置に設けられている軸芯を中心に傾動可能である。この移乗装置の使用方法は、主柱に対して枝柱を傾動させて被介護者を移乗するものである。主枝も被介護者側に傾動可能であり、水平距離を大きく移動することができる。   For example, a human body transfer device disclosed in Patent Document 1 includes a pedestal having casters, a main column standing on the pedestal, a branch column attached to the middle of the main column so as to be tiltable, and a tip of the branch column. An attached retainer is provided. The main pillar can be tilted about an axis provided at a position on the care receiver side of the pedestal. This method of using the transfer device is to transfer a cared person by tilting a branch column with respect to a main column. The main branch can also be tilted toward the cared person, and can move a large horizontal distance.

特許文献2に開示されている移乗介護支援車は、キャスタを有する台車と、台車に立設された握りバーと、握りバーに対向して台車に立設された保持アームと、保持アームの上部に取り付けられた胸当てと腰当てと、握りバーと保持アームの間に渡されたバランサが設けられている。この移乗介護支援車の使用方法は、被介護者に握りバーを持たせて腰当てに体重をかけさせると、バランサの引く力と体重が加わり前上方へ移動し、座位から立位へ体位変換するものである。   The transfer nursing care vehicle disclosed in Patent Document 2 includes a cart having casters, a grip bar standing on the cart, a holding arm standing on the cart facing the grip bar, and an upper portion of the holding arm. A chest rest and a waist rest attached to the body, and a balancer passed between the grip bar and the holding arm are provided. This transfer nursing support vehicle uses a carousel with a grip bar and puts the weight on the waist pad, and the balancer pulling force and weight are applied to move forward and upward, changing the position from sitting to standing To do.

特許文献3に開示されている移乗補助装置は、車いすを前方から取り込む状態に収容可能な台車と、台車に取り付けられ昇降可能な支持枠と、支持枠の前方にブラケットを介して取り付けられた座席が設けられている。この移乗補助具の使用方法は、車いすに被介護者が乗った状態で、移乗補助装置を車いすに近づけ、座席を被介護者の下に挿入し、支持枠を上昇させて車いすから上方へ離反させて移乗するものである。   The transfer assist device disclosed in Patent Document 3 includes a carriage that can be accommodated in a state in which a wheelchair is taken from the front, a support frame that is attached to the carriage and that can be raised and lowered, and a seat that is attached to the front of the support frame via a bracket. Is provided. The method of using this transfer assisting tool is to place the transfer assist device close to the wheelchair with the wheelchair on the wheelchair, insert the seat under the cared person, raise the support frame and move away from the wheelchair. It will be transferred.

特許文献4に開示されている移乗機は、キャスタを有する台車と、台車に立設された主フレームと、主フレームの途中に揺動自在に取り付けられたアームと、アームの先端に取り付けられている胸当てと、前記胸当てと主フレームの間に設けられている角度保持機構が設けられている。この移乗機の使用方法は、胸当てに被介護者の胸を当接し、アームを揺動させて胸当てを上昇させて被介護者を立ち上がらせる。このとき、胸当ては角度保持機構が設けられているため、体が大きく前のめりとなることを防ぎ、自然な姿勢で移乗を行うものである。   The transfer machine disclosed in Patent Document 4 includes a cart having casters, a main frame erected on the cart, an arm swingably attached to the middle of the main frame, and an arm attached to the tip of the arm. And an angle holding mechanism provided between the breastplate and the main frame. In this method of using the transfer machine, the cared person's chest is brought into contact with the breast pad, the arm is swung to raise the breast pad, and the cared person is raised. At this time, since the angle support mechanism is provided for the breastplate, the body is prevented from being greatly bent forward and is transferred in a natural posture.

特許文献5に開示されている介護補助装置は、キャスタを有する台車と、台車に立設された支柱と、支柱の上端部に揺動自在に取り付けられた揺動アームと、揺動アームの先端に取り付けられた腕部が設けられている。揺動アームと支柱の間には、揺動アームの角度を調整する電動ピストンが設けられている。この介護補助装置の使用方法は、被介護者の腋下に腕部を挿入し、電動ピストンを作動させて腕部は揺動アームの揺動に伴って上昇し、被介護者を起立させた状態とするものである。   The care assisting device disclosed in Patent Document 5 includes a cart having casters, a column erected on the cart, a rocking arm swingably attached to an upper end of the column, and a tip of the rocking arm. The arm part attached to is provided. An electric piston for adjusting the angle of the swing arm is provided between the swing arm and the support column. The care assisting device is used by inserting an arm part under the arm of the cared person, actuating the electric piston, and the arm part is lifted as the swinging arm swings to raise the cared person. It is a state.

特開平7−289595号公報JP-A-7-289595 特開2007−75566号公報JP 2007-75566 A 特開2006−102403号公報JP 2006-102403 A 特開2003−126163号公報JP 2003-126163 A 特開2008−36392号公報JP 2008-36392 A

従来の移乗支援器具は、被介護者の身体寸法に対応して調節可能なように幅や高さおよび角度の調節機能が必要であり、調整機能は例えば可変部位に段階的に空けられた穴等にピンやネジを差し込んで固定する等の方式が多く、段階的な調整しかできないうえ、ネジ等では調整に時間がかかるという問題がある。さらに、調節機能の構造も複雑であった。また不使用時にコンパクトに収納するためには、アーム等の突出部位を分解できる構造とする必要があり、構造が複雑になるものであった。   Conventional transfer assist devices require an adjustment function of width, height, and angle so that they can be adjusted according to the body size of the cared person. There are many methods such as inserting pins and screws into and fixing them, etc., and only a stepwise adjustment can be performed. Furthermore, the structure of the regulatory function was also complicated. Moreover, in order to store compactly when not in use, it is necessary to have a structure in which a protruding portion such as an arm can be disassembled, which complicates the structure.

また、上記特許文献1の場合、保持具には被介護者の腋下に差し込むアームバーのみが設けられ、背中を保持する部材がなく、背後へ倒れる恐れがあり不安定であった。特許文献2の場合、背中側を保持する腰当てはあるが、この腰当てが着脱式であり、被介護者を移乗するたびに装着しなければならず面倒であった。さらに特許文献3の場合、座席の座部を被介護者に装着することが困難であり、また背もたれのベルトを被介護者が移乗するたびに装着しなければならす面倒であった。特許文献4に開示された構成も、被介護者の移乗のたびに背中を保持するベルトを装着しなければならなかった。一方、特許文献5の場合、抱きしめ構造があるが、臀部が離床する前後で抱き締め力が弱くなるという問題があり、一番不安の大きい背後への抱き下ろし時に、徐々に抱き締め力が弱まっていくものであり、不安定であった。   Further, in the case of the above-mentioned Patent Document 1, the holding tool is provided with only an arm bar that is inserted into the armpit of the cared person, there is no member for holding the back, and there is a possibility that the holding tool may fall down, which is unstable. In the case of Patent Document 2, there is a waist pad that holds the back side, but this waist pad is detachable, and it has to be worn every time a cared person is transferred. Further, in the case of Patent Document 3, it is difficult to wear the seat portion of the seat to the cared person, and it is troublesome to wear the backrest belt every time the cared person moves. The configuration disclosed in Patent Document 4 also has to be worn with a belt that holds the back each time the care recipient is transferred. On the other hand, in the case of Patent Document 5, there is a hugging structure, but there is a problem that the hugging force weakens before and after the buttocks leave the floor, and the hugging force gradually weakens when hugging behind the back with the greatest anxiety. It was unstable.

この発明は、上記背景技術の問題点に鑑みてなされたものであり、簡単な手順により確実に被介護者を前後左右から抱き締めて、安全に移乗することができる人体把持具とそれを用いた移乗支援器具を提供することを目的とする。   The present invention has been made in view of the problems of the background art described above, and uses a human body gripping tool that can securely hold a cared person from the front, back, left, and right by a simple procedure and transfer it safely. The purpose is to provide a transfer assist device.

本発明は、人体の脇腹から背中までを保持する把持具であって、前記把持具は、一対の腋支えアームと、前記一対の腋支えアームの間に設けられ身体の矢状面に対してほぼ直角に位置する胸当て板と、前記胸当て板に対してわずかに傾斜し前記腋支えアームが軸支された一対の腋支えアーム軸部材が設けられ、前記一対の腋支えアームは、前記腋支えアーム軸部材に回転可能な連結部材を介して取り付けられ、前記腋支えアームは、前記腋支えアーム軸部材により胴体を左右及び斜め方向から挟み込む抱き締め方向に揺動可能であり、前記腋支えアームにかかる体重の分力によって、前記腋支えアームが身体を左右および前後方向に抱き締めるように作動し、体形に合わせて脇腹から背中までを抱き締めて把持可能とした人体把持具である。   The present invention is a gripping tool for holding a human body from the flank to the back, and the gripping tool is provided between a pair of heel support arms and the pair of heel support arms with respect to the sagittal surface of the body. There are provided a breastplate that is positioned substantially at right angles and a pair of heel support arm shaft members that are slightly inclined with respect to the breastplate and on which the heel support arm is pivotally supported. The heel support arm is attached to the arm shaft member via a rotatable connecting member, and the heel support arm is swingable in a hugging direction that sandwiches the body from the left and right and oblique directions by the heel support arm shaft member. This is a human body gripping tool that can be gripped by hugging from the flank to the back in accordance with the body shape by operating the heel support arm by hugging the body in the left-right and front-rear directions by such a component of weight.

また、前記胸当て板の前記人体が接する側と反対側の面に回転可能に取り付けられ、身体の矢状面に対して直角で水平に位置する抱き締め軸部材が設けられ、前記抱き締め軸部材の両端部に前記腋支えアーム軸部材が傾斜して設けられ、前記腋支えアームは、前記腋支えアーム軸部材と前記抱き締め軸部材により、胴体を左右及び斜め方向から挟み込むとともに、前記胸当て板と前記腋支えアーム先端の抱き締め部との間で、身体を抱き締めるように保持するものである。   Further, a hugging shaft member that is rotatably attached to a surface of the breast pad opposite to the side in contact with the human body and is positioned at a right angle to the sagittal surface of the body and provided horizontally is provided at both ends of the hugging shaft member. The heel support arm shaft member is provided in an inclined manner, and the heel support arm sandwiches the body from the left and right and oblique directions by the heel support arm shaft member and the hugging shaft member, and the chest support plate and the heel support The body is held so as to be hugged between the hugging portion at the tip of the support arm.

前記一対の腋支えアーム軸部材の方向は、水平方向において、上端部が互いに近づき身体側に位置し、下端部が互いに離れて身体から相対的に離れた側に位置しているものである。   In the horizontal direction, the pair of heel support arm shaft members are positioned such that the upper end portions are close to each other and located on the body side, and the lower end portions are located away from each other and relatively away from the body.

前記腋支えアームは、胴体を囲むようにL字形に折り曲げられ、前記腋支えアーム軸部材に近い部分が腋下を支える腋支え部であり、前記腋支えアーム軸部材から遠い部分は背中と脇腹を抱きしめる抱き締め部である。   The armrest support arm is bent in an L shape so as to surround the trunk, and a portion near the armrest support arm shaft member is a armpit support portion that supports the armpit, and portions far from the armrest support arm shaft member are back and flank It is a hugging part to hug.

またこの発明は、適度な強度を有するシャフトと、前記シャフトの上端部に連結されているハンドルと、前記シャフトの下端部に連結され床面に当接するキャスタが取り付けられている台板と、前記シャフトの途中に側方に突出して設けられ介護が必要な被介護者の身体を保持する把持具が設けられ、前記把持具は上述の人体把持具を用いた移乗支援器具である。   The present invention also includes a shaft having an appropriate strength, a handle connected to the upper end portion of the shaft, a base plate to which a caster connected to the lower end portion of the shaft and contacting the floor surface is attached, A gripping tool that protrudes laterally in the middle of the shaft and that holds the body of a cared person who needs care is provided, and the gripping tool is a transfer assist device that uses the above-described human body gripping tool.

さらに、前記シャフトは、前記矢状面に沿った方向に回転可能に前記台板に取り付けられ、前記台板の、前記シャフトの回転する面上で前記把持具と反対方向に位置するストッパが設けられ、前記ストッパには前記シャフトを前記ストッパ側に所定角度で傾斜した状態で前記シャフトに当接する当接部が設けられているものである。   Further, the shaft is attached to the base plate so as to be rotatable in a direction along the sagittal plane, and a stopper is provided on the surface of the base plate opposite to the gripping tool on the surface of the shaft that rotates. The stopper is provided with a contact portion that contacts the shaft in a state where the shaft is inclined at a predetermined angle toward the stopper.

本発明の人体把持具は、簡単な手順により確実に被介護者等の人体を前後左右から抱き締めるようにして、安定に把持することができる。特に、腋支えアームは、矢状面方向にアームを揺動させる抱き締め軸部材と、抱きしめ軸部材に傾斜して設けられた腋支えアーム軸部材とを中心として、自由に回転可能であり、被介護者等の身体寸法に合わせて無段階に幅調節をすることができる。しかも、腋支えアームに掛る体重による分力を利用して、自動的に被介護者を抱き締めて身体を支えるため、幅調節後にさらにピンやねじによる腋支えアーム等の固定作業を必要とせずに身体を支えることができ、簡単な構造となる。また、腋支えアームが自由に回転・開閉できるため、被介護者等の体形に合わせた装着操作が簡単で、背中の抱き締め部を容易に装着することができる。   The human body gripping tool of the present invention can stably grip a human body such as a cared person from the front, rear, left and right with a simple procedure. In particular, the heel support arm is freely rotatable about a hugging shaft member that swings the arm in the sagittal plane direction and a heel support arm shaft member that is provided at an angle to the hugging shaft member. The width can be adjusted steplessly according to the body dimensions of a caregiver or the like. In addition, using the force generated by the weight on the heel support arm, the cared person is automatically hugged to support the body, so there is no need to fix the heel support arm with pins or screws after adjusting the width. It can support the body and has a simple structure. In addition, since the heel support arm can be freely rotated and opened / closed, the wearing operation according to the body shape of the cared person or the like is simple, and the hugging portion of the back can be easily attached.

この発明による移乗支援器具は、被介護者等を安定に且つ安全に移乗させることができ、介護者等の負担を軽減し、人の腕で抱き締められて移乗する場合と同様の安心感を与えて移乗させることができるものである。   The transfer support device according to the present invention can transfer a cared person and the like stably and safely, reduces the burden on the caregiver, and gives the same sense of security as when transferring by being hugged by a person's arm. Can be transferred.

この発明の一実施形態の移乗支援器具の斜視図(a)と、(a)と異なる角度から見た斜視図(b)である。They are the perspective view (a) of the transfer assistance instrument of one Embodiment of this invention, and the perspective view (b) seen from the angle different from (a). この一実施形態の移乗支援器具の使用状態を示す斜視図である。It is a perspective view which shows the use condition of the transfer assistance instrument of this one Embodiment. この実施形態の移乗支援器具の腋支えアームを示す正面図である。It is a front view which shows the heel support arm of the transfer assistance instrument of this embodiment. この実施形態の移乗支援器具の腋支えアームを示す平面図である。It is a top view which shows the heel support arm of the transfer assistance instrument of this embodiment.

以下、この発明の実施形態について図面に基づいて説明する。図1〜図4はこの発明の一実施形態を示すもので、この実施形態の人体把持具30とそれを用いた移乗支援器具10は、床に置かれる台板12が設けられ、台板12には、キャスタ14が取り付けられている。台板12の中心には、シャフト用枠部材16が取り付けられている。シャフト用枠部材16の一方の端部には、シャフト18が立設されている。シャフト18は、シャフト用枠部材16に、シャフト用枠部材16の長手方向に交差する軸部材20を介して回転可能に取り付けられている。シャフト18の上端部には、ハンドル19が設けられている。シャフト用枠部材16の中心付近には、シャフト18の角度を位置決めするストッパ22が設けられている。ストッパ22は、シャフト用枠部材16から、台板12に対してほぼ直角に立設されている。シャフト18の先端は、シャフト18に近づく方向に直角に折り曲げられ、さらに端部にはシャフト18が所定の角度で当接して角度を位置決めされる傾斜した当接部24が形成されている。   Hereinafter, embodiments of the present invention will be described with reference to the drawings. 1 to 4 show an embodiment of the present invention. A human body gripping tool 30 and a transfer support device 10 using the same according to this embodiment are provided with a base plate 12 placed on a floor. The caster 14 is attached to the. A shaft frame member 16 is attached to the center of the base plate 12. A shaft 18 is erected at one end of the shaft frame member 16. The shaft 18 is rotatably attached to the shaft frame member 16 via a shaft member 20 that intersects the longitudinal direction of the shaft frame member 16. A handle 19 is provided at the upper end of the shaft 18. A stopper 22 for positioning the angle of the shaft 18 is provided near the center of the shaft frame member 16. The stopper 22 is erected from the shaft frame member 16 at a substantially right angle to the base plate 12. The tip of the shaft 18 is bent at a right angle in a direction approaching the shaft 18, and an inclined contact portion 24 is formed at the end portion so that the shaft 18 contacts at a predetermined angle and the angle is positioned.

シャフト18の途中には、枝状に支柱26が設けられている。支柱26は、シャフト18と同様の棒部材であり、先端には連結部材28が軸止されている。連結部材28には、被介護者60の胴体を保持する人体把持具30が取り付けられている。人体把持具30には、連結部材28に固定された把持具用枠部材32と、把持具用枠部材32の上部に取り付けられた胸当て板40と、胸当て板40の左右の両脇に突出する一対の腋支えアーム34と、一枚の胸当て板40の下方に取り付けられた腰支え42が設けられている。把持具用枠部材32は、シャフト18に対して平行な長手部材であり、長手方向が支柱26と同一面上に位置し連結部材28とともに回転するものである。   In the middle of the shaft 18, a support column 26 is provided in a branch shape. The column 26 is a bar member similar to the shaft 18, and a connecting member 28 is fixed at the tip. A human body gripping tool 30 that holds the body of the cared person 60 is attached to the connecting member 28. The human body gripping tool 30 protrudes to the left and right sides of the chest pad 40, a grip tool frame member 32 fixed to the connecting member 28, a breast pad 40 attached to the upper part of the grip tool frame member 32, and the chest pad 40. A pair of heel support arms 34 and a waist support 42 attached below a single breastplate 40 are provided. The gripping tool frame member 32 is a longitudinal member parallel to the shaft 18, and its longitudinal direction is located on the same plane as the support column 26 and rotates together with the connecting member 28.

胸当て板40は、把持具用枠部材32の長手方向に沿って長く形成されたクッション性を有する板体である。腰支え42は把持具用枠部材32の長手方向と交差する方向に長く形成されたクッション性を有する板体である。腰支え42の長手方向の両端部は、被介護者60の胴体を囲むようにわずかに被介護者60側へ湾曲されている。把持具用枠部材32の腰支え42近傍には、膝当て44が設けられている。膝当て44は、合成樹脂等のシートを湾曲して折り曲げたものであり、紐体により自由に変形可能に下垂して取り付けられている。   The breastplate 40 is a plate having a cushioning property that is formed long along the longitudinal direction of the gripping tool frame member 32. The waist support 42 is a plate having a cushioning property that is formed long in a direction intersecting the longitudinal direction of the gripping tool frame member 32. Both ends of the waist support 42 in the longitudinal direction are slightly curved toward the cared person 60 side so as to surround the body of the cared person 60. A knee pad 44 is provided in the vicinity of the waist support 42 of the gripping tool frame member 32. The knee pad 44 is formed by bending and bending a sheet of synthetic resin or the like, and is attached so as to be freely deformable by a string body.

腋支えアーム34は左右一対が設けられ、移乗支援器具10で移乗させる被介護者60の胴部分を、ほぼ水平方向に挟むL字形に形成されている。腋支えアーム34は、L字形に折り曲げられた角部を境目として、把持具用枠部材32に近い部分が被介護者60の腋下を支える腋支え部36であり、把持具用枠部材32から遠い部分は被介護者60の背中と脇腹を抱きしめる抱き締め部38である。腋支えアーム34の表面は、弾力性のある柔らかいパッドやカバー等で覆われている。   The left and right arm support arms 34 are provided in a pair of left and right, and are formed in an L shape that sandwiches the torso portion of the cared person 60 to be transferred by the transfer assist device 10 in a substantially horizontal direction. The heel support arm 34 is a heel support portion 36 that supports the armpit of the cared person 60 at a portion close to the grip tool frame member 32 with the corner portion bent in an L shape as a boundary. A portion far from the hose is a hugging portion 38 for hugging the back and flank of the cared person 60. The surface of the heel support arm 34 is covered with an elastic soft pad or cover.

胸当て板40の、被介護者60と反対側の面には、図4に示すように矢状面に対してほぼ直角で水平な抱き締め軸部材55が設けられている。抱き締め軸部材55は把持具用枠部材32に、軸周りに回転可能に取り付けられている。抱き締め軸部材55の両端部には一対の腋支えアーム軸部材48が抱き締め軸部材55に対してわずかに傾斜して固定されている。腋支えアーム軸部材48には、腋支えアーム34が、腋支えアーム軸部材48の軸周りに回転可能に取り付けられ、図2に示すように抱き締め軸部材55の回転に伴って、矢状面に直交する方向の成分を有して腋支えアーム34が移動可能に設けられている。   On the surface of the breast pad 40 opposite to the cared person 60, there is provided a hugging shaft member 55 that is substantially perpendicular to the sagittal plane and is horizontal as shown in FIG. The hugging shaft member 55 is attached to the gripping tool frame member 32 so as to be rotatable around the shaft. A pair of heel support arm shaft members 48 are fixed to both ends of the hugging shaft member 55 while being slightly inclined with respect to the hugging shaft member 55. The heel support arm shaft member 48 is attached to the heel support arm shaft member 48 so as to be rotatable around the shaft of the heel support arm shaft member 48, and as shown in FIG. The armrest support arm 34 is provided so as to be movable with a component in a direction perpendicular to the armature.

一対の腋支えアーム34の、腋支えアーム軸部材48側の端部には、板体が三角形状に組み合わされた連結部材46が設けられている。連結部材46の内側に、腋支えアーム軸部材48が回転可能に挿通されている。腋支えアーム軸部材48の方向は、垂直方向において、腋支えアーム軸部材48の上端部48aが上方で下端部48bが下方に位置している。さらに水平方向において、上端部48aが相対的に互いに近づき被介護者60に近い位置であり、下端部48bは相対的に互いに離れて被介護者60から遠い位置に位置し、八の字形に位置している。腋支えアーム34は、八の字形に位置している腋支えアーム軸部材48の軸周りに回転するため、図3、図4に示すように被介護者60の抱き締め方向に開閉する。   A connecting member 46 in which plates are combined in a triangular shape is provided at the ends of the pair of rod support arms 34 on the rod support arm shaft member 48 side. A rod support arm shaft member 48 is rotatably inserted inside the connecting member 46. As for the direction of the heel support arm shaft member 48, the upper end portion 48a of the heel support arm shaft member 48 is located above and the lower end portion 48b is located below in the vertical direction. Further, in the horizontal direction, the upper end portion 48a is relatively close to each other and close to the care receiver 60, and the lower end portion 48b is relatively far away from the care receiver 60 and is positioned in an eight figure. is doing. Since the heel support arm 34 rotates around the axis of the heel support arm shaft member 48 positioned in an eight-letter shape, the heel support arm 34 opens and closes in the direction of hugging the cared person 60 as shown in FIGS.

連結部材46の、腋支えアーム34とは腋支えアーム軸部材48を挟んで反対側の端部には、H字形の連結部50が一体に設けられている。連結部50の中心の棒52は連結部50の他の部材に対して軸周りに回転可能に取り付けられている。棒52は、一対の腋支えアーム軸部材48とそれぞれ平行に位置し、棒52には連結板54が一体に固定され、連結板54の、棒52と反対側の端部は互いに近づくように一対の連結部50の間に突出している。   An H-shaped connecting portion 50 is integrally provided at the end of the connecting member 46 on the opposite side of the rod supporting arm 34 with respect to the rod supporting arm 34. The central bar 52 of the connecting portion 50 is attached to the other members of the connecting portion 50 so as to be rotatable around the axis. The rods 52 are positioned in parallel with the pair of rod support arm shaft members 48, and a connecting plate 54 is integrally fixed to the rod 52, so that the ends of the connecting plate 54 on the opposite side of the rod 52 are close to each other. It protrudes between the pair of connecting portions 50.

胸当て板40の、被介護者60と反対側の面には、矢状面に沿った方向に突出するレバー56が設けられている。レバー56は抱き締め軸部材55の中間付近に連結され、レバー56の突没動作が抱き締め軸部材55の軸周りの回転に変わるように接続されている。連結部50に取り付けられた連結板54は、レバー56の途中の位置に固定されている。これにより、レバー56を矢状面に沿って押し込むと抱き締め軸部材55が回転し、一対の腋支えアーム34が矢状面方向の上方に移動し、同時に連結板54がレバー56とともに移動して、連結部50と連結部材46を腋支えアーム軸部材48の軸周りに回転させて抱き締め方向と逆方向に開く。逆に、レバー56を引き上げるように引くと、抱き締め軸部材55が回転し、一対の腋支えアーム34が矢状面の下方に移動し、同時に54がレバー56とともに移動して連結部50と連結部材46を、腋支えアーム軸部材48の軸周りに回転させて抱き締め方向に閉じる。   A lever 56 protruding in a direction along the sagittal plane is provided on the surface of the breastplate 40 opposite to the care receiver 60. The lever 56 is connected to the vicinity of the middle of the hugging shaft member 55, and is connected so that the projecting and retracting operation of the lever 56 is changed to rotation around the axis of the hugging shaft member 55. The connecting plate 54 attached to the connecting portion 50 is fixed at a position in the middle of the lever 56. Thereby, when the lever 56 is pushed along the sagittal plane, the hugging shaft member 55 rotates, the pair of heel support arms 34 moves upward in the sagittal plane direction, and the connecting plate 54 moves together with the lever 56 at the same time. Then, the connecting portion 50 and the connecting member 46 are rotated around the axis of the heel support arm shaft member 48 to open in the direction opposite to the hugging direction. On the other hand, when the lever 56 is pulled up, the hugging shaft member 55 is rotated, the pair of heel support arms 34 are moved below the sagittal plane, and at the same time 54 is moved together with the lever 56 to be connected to the connecting portion 50. The member 46 is rotated around the axis of the heel support arm shaft member 48 and closed in the hugging direction.

このようにレバー56を操作することにより、図3、図4に示すように、一対の腋支えアーム34を抱き締め方向と矢状面の上下方向に、移動させることができる。つまり、腋支えアーム34は、腋支えアーム軸部材48により抱き締め方向の開閉が行われ、抱き締め軸部材55により矢状面の上下方向に移動可能となり、被介護者60の身体寸法に合わせてフレキシブルに調整される。さらに、一対の腋支えアーム34により、腋支え部36にかかる被介護者60の体重により腋支えアーム軸部材48周りに生じるモーメントで抱き締め力を発生し、被介護者60の身体を確実に把持する。   By operating the lever 56 in this way, as shown in FIGS. 3 and 4, the pair of heel support arms 34 can be moved in the hugging direction and the vertical direction of the sagittal plane. In other words, the heel support arm 34 is opened and closed in the hugging direction by the heel support arm shaft member 48, and can be moved in the vertical direction of the sagittal plane by the hugging shaft member 55, so that it can be flexibly adapted to the body dimensions of the care receiver 60. Adjusted to Further, the pair of heel support arms 34 generates a hugging force due to the moment generated around the heel support arm shaft member 48 by the weight of the person being cared 60 applied to the heel support portion 36, thereby securely grasping the body of the care receiver 60. To do.

次に、この実施形態の人体移乗支援器具10の使用方法について図2に基づいて説明する。ここで、椅子58に腰掛けている被介護者60を、椅子58から立たせて、椅子58近傍に置いた図示しない車椅子などに座らせるものである。まず、被介護者60の前に、移乗支援器具10を持って介護者が立ち、移乗支援器具10の人体把持具30を被介護者60に向ける。次に、移乗支援器具10のハンドル19を、被介護者60に傾けてシャフト18を起こす。この時、腋支えアーム34は先端を下方に位置させて、閉じ状態にある。この状態から、被介護者60を胸当て板40に寄りかからせるように器具を近づける。同時にレバー56を押し下げるようにして、人体把持具30の腋支えアーム34を図2の二点鎖線で示す開状態にして、被介護者60の腋下から回し入れて腋の下に差し込む。この後、レバー56を引き上げるようにして、腋支えアーム34を閉じる。さらに、被介護者60が腋支えアーム34及び胸当て板40にもたれ掛かると、自身の体重が腋支えアーム34、胸当て板40、腰支え42、膝当て44に分散して支持され、被介護者60の体重の分力により、被介護者60の胴体を囲んで腋支えアーム34が抱き締め方向に閉じ、同時に矢状面方向に押し下げられて、背中をシャフト18に近づけるようにして身体を保持する。   Next, the usage method of the human body transfer assistance instrument 10 of this embodiment is demonstrated based on FIG. Here, the cared person 60 sitting on the chair 58 stands up from the chair 58 and sits on a wheelchair (not shown) placed in the vicinity of the chair 58. First, a caregiver stands with the transfer support device 10 in front of the care receiver 60 and points the human body gripping tool 30 of the transfer support device 10 toward the care receiver 60. Next, the handle 19 of the transfer assist device 10 is tilted toward the care receiver 60 to raise the shaft 18. At this time, the heel support arm 34 is in a closed state with its tip positioned downward. From this state, the instrument is brought close to the care receiver 60 so as to lean on the breastplate 40. At the same time, the lever 56 is pushed down so that the heel support arm 34 of the human body gripping tool 30 is opened as shown by a two-dot chain line in FIG. Thereafter, the lever support arm 34 is closed by pulling up the lever 56. Further, when the cared person 60 leans against the heel support arm 34 and the breast pad 40, his / her body weight is distributed and supported by the heel support arm 34, the breast pad 40, the waist support 42, and the knee pad 44. With the force of 60, the armrest 34 is closed in the hugging direction surrounding the body of the cared person 60, and is simultaneously pushed down in the sagittal direction to hold the body close to the shaft 18 .

このように腋支えアーム34は、図2に実線で示す保持状態となり、被介護者60の胴体を抱き締め、そして腋支えアーム34の抱き締め部38がシャフト18に近づくようにして背中を下方に向かって押さえられ、胸当て板40、腰支え42に確実に胴体前面が押し付けられ、保持される。この状態で、シャフト18を軸部材20中心に回転させてストッパ22の当接部24にのせて角度を安定させる。被介護者60は、シャフト18の動きに伴って椅子58から離れ、車いす、ベッド、トイレ等へ移乗される。被介護者60を下ろす時は、シャフト18を回転させてストッパ22と反対側に傾斜させ、被介護者60を車いす等に座らせ、その後に腋支えアーム34をレバー56で開いて被介護者60を離す。   In this way, the heel support arm 34 is in the holding state shown by the solid line in FIG. 2, hugging the body of the cared person 60, and the back of the heel support arm 34 so that the hugging portion 38 of the heel support arm 34 approaches the shaft 18. The front of the body is securely pressed against and held by the breastplate 40 and the waist support 42. In this state, the shaft 18 is rotated about the shaft member 20 and placed on the contact portion 24 of the stopper 22 to stabilize the angle. The cared person 60 leaves the chair 58 as the shaft 18 moves, and is transferred to a wheelchair, a bed, a toilet, or the like. When lowering the cared person 60, the shaft 18 is rotated and tilted to the opposite side of the stopper 22, the cared person 60 is seated on a wheelchair, etc., and then the heel support arm 34 is opened with the lever 56 to be cared. Release 60.

この実施形態の移乗支援器具10によれば、以下のような作用効果を奏するものである。まず、確実に人体把持具30が被介護者60を保持し後ろへ転倒する恐れがなく、安全に移乗することができる。介護者の負担を軽減し、介護作業を円滑にすることができ、しかも簡単な構造でコストが安価である。被介護者60の動作は自然なものとなり、抱き上げ姿勢を乱すことがなく快適である。しかも、被介護者60の体重を腋支えアーム34にかけるだけで、被介護者60の体重の分力により抱き締めて身体を支える構造のため、腋支えアーム34の固定作業を必要とせず、1動作で背中と脇腹を抱きしめる抱き締め部38までを被介護者60に装着することができ、操作が簡単である。腋支えアーム軸部材48と抱き締め軸部材55の軸周りに生じるモーメントが腋支えアーム34に伝わり、被介護者60の身体を左右および前後方向に抱き締める力を発生し、脇腹から背中までを抱き締めて固定し、介護者の腕で抱きしめて移乗する場合と同様の安心感を与えることができる。腋支えアーム軸部材48、抱き締め軸部材55により抱き締め方向と上下方向の移動を独立して締め、被介護者60の腋と背で独立した締め付け力を設定することができる。   According to the transfer assisting instrument 10 of this embodiment, the following operational effects are achieved. First, the human body gripping tool 30 securely holds the cared person 60 and can move safely without fear of falling backward. The burden on the caregiver can be reduced, the care work can be carried out smoothly, and the cost is low with a simple structure. The movement of the cared person 60 becomes natural and is comfortable without disturbing the lifting posture. In addition, the structure of supporting the body by holding the weight of the cared person 60 on the heel support arm 34 and holding the body by the component force of the weight of the cared person 60 does not require fixing work of the heel support arm 34. Up to the hugging portion 38 that holds the back and flank by operation can be attached to the cared person 60, and the operation is simple. A moment generated around the axis of the heel support arm shaft member 48 and the hugging shaft member 55 is transmitted to the heel support arm 34 to generate a force for squeezing the body of the cared person 60 in the left and right direction and the front and rear direction. It is possible to give a sense of security similar to that when the patient is fixed and hugged by the caregiver's arm. By using the heel support arm shaft member 48 and the hugging shaft member 55, the movement in the hugging direction and the vertical direction can be independently tightened, and independent tightening forces can be set between the care receiver 60 and the back.

さらに、腋支えアームが抱き締め方向と矢状面の上下方向に自由に回転可能であり、被介護者60の身体寸法に合わせて無段階に幅調節ができる。腋支えアーム34の位置が被介護者60の体形に合わせて幾何学的に自動調整されるため、体形に応じて簡単にかつフレキシブルに調節でき、被介護者60の身体を確実に支えることができる。多少体形が異なる被介護者60であっても同一の移乗支援器具10を用いて順次移乗することができる。また、固定用のピンやネジが不要であり構造が簡単なものとなる。   Furthermore, the heel support arm can freely rotate in the hugging direction and the vertical direction of the sagittal plane, and the width can be adjusted steplessly according to the body dimensions of the cared person 60. Since the position of the heel support arm 34 is automatically geometrically adjusted according to the body shape of the cared person 60, it can be adjusted easily and flexibly according to the body shape, and the body of the cared person 60 can be reliably supported. it can. Even a cared person 60 having a slightly different body shape can be transferred sequentially using the same transfer assisting device 10. In addition, fixing pins and screws are unnecessary, and the structure is simple.

また、移乗支援器具10の不使用時に、ベッドの下や棚の隙間などの狭い場所に収納する際には、腋支えアーム34を腋支えアーム軸部材48周りに回転させて小さくコンパクトに折り畳むことができる。腋支えアーム34等の突出部位を分解できる構造とする必要がなく、この点でも構造が簡単なものとなり、コストが安価である。   Further, when the transfer assist device 10 is not used, when it is stored in a narrow place such as under a bed or a gap between shelves, the heel support arm 34 is rotated around the heel support arm shaft member 48 to be folded small and compact. Can do. It is not necessary to have a structure in which the protruding portion such as the heel support arm 34 can be disassembled. Also in this respect, the structure is simple and the cost is low.

なお、この発明の移乗支援器具は、上記実施形態に限定されるものではなく、各部材の形状や軸周りの構造など、適宜変更可能である。また、移乗支援器具に取り付けられる人体把持具は、移乗支援器具以外のいろいろな種類の吊り下げ装置に利用することができ、入浴装置などにも利用可能である。胸当て板、腰支え、膝当ては、被介護者の体形に合わせて位置を調整する構造が設けられてもよい。   In addition, the transfer assistance apparatus of this invention is not limited to the said embodiment, The shape of each member, the structure around an axis | shaft, etc. can be changed suitably. Moreover, the human body gripping tool attached to the transfer assisting instrument can be used for various types of hanging devices other than the transfer assisting instrument, and can also be used for a bathing apparatus or the like. The chest pad, the waist support, and the knee pad may be provided with a structure that adjusts the position according to the body shape of the cared person.

10 移乗支援器具
12 台板
14 キャスタ
18 シャフト
19 ハンドル
20 軸部材
22 ストッパ
26 支柱
30 人体把持具
34 腋支えアーム
36 腋支え部
38 抱き締め部
40 胸当て板
42 腰支え
44 膝当て
46 連結部材
48 腋支えアーム軸部材
50 連結部
54 連結板
55 抱き締め軸部材
DESCRIPTION OF SYMBOLS 10 Transfer support instrument 12 Base plate 14 Caster 18 Shaft 19 Handle 20 Shaft member 22 Stopper 26 Strut 30 Human body gripping tool 34 Shoe support arm 36 Shoe support part 38 Hugging part 40 Chest pad 42 Waist support 44 Knee support 46 Connecting member 48 Arm shaft member 50 Connecting portion 54 Connecting plate 55 Hugging shaft member

Claims (6)

人体の脇腹から背中までを保持する把持具であって、前記把持具は、一対の腋支えアームと、前記一対の腋支えアームの間に設けられ身体の矢状面に対してほぼ直角に位置する胸当て板と、前記胸当て板に対してわずかに傾斜し前記腋支えアームが軸支された一対の腋支えアーム軸部材が設けられ、前記一対の腋支えアームは、前記腋支えアーム軸部材に回転可能な連結部材を介して取り付けられ、前記腋支えアームは、前記腋支えアーム軸部材により胴体を左右及び斜め方向から挟み込む抱き締め方向に揺動可能であり、前記腋支えアームにかかる体重の分力によって、前記腋支えアームが身体を左右および前後方向に抱き締めるように作動し、体形に合わせて脇腹から背中までを抱き締めて把持可能としたことを特徴とする人体把持具。   A gripping tool for holding a human body from the flank to the back, wherein the gripping tool is provided between a pair of heel support arms and the pair of heel support arms and is positioned substantially perpendicular to the sagittal plane of the body. And a pair of heel support arm shaft members that are slightly inclined with respect to the chest support plate and are supported by the heel support arms. The pair of heel support arms are connected to the heel support arm shaft members. The heel support arm is attached via a rotatable connecting member, and the heel support arm is swingable in a hugging direction that sandwiches the body from the left and right and oblique directions by the heel support arm shaft member. A human body grasping tool characterized in that the heel support arm is operated by force so as to hug the body in the left and right and front and rear directions, and can be grasped and hung from the flank to the back according to the body shape. 前記胸当て板の前記人体が接する側と反対側の面に回転可能に取り付けられ、身体の矢状面に対して直角で水平に位置する抱き締め軸部材が設けられ、前記抱き締め軸部材の両端部に前記腋支えアーム軸部材が傾斜して設けられ、前記腋支えアームは、前記腋支えアーム軸部材と前記抱き締め軸部材により、胴体を左右及び斜め方向から挟み込むとともに、前記胸当て板と前記腋支えアーム先端の抱き締め部との間で、身体を抱き締めるように保持する請求項1記載の人体把持具。   A hugging shaft member that is rotatably attached to a surface of the breast pad opposite to the side on which the human body comes into contact, is provided at a right angle to the sagittal surface of the body and horizontally, and is provided at both ends of the hugging shaft member. The heel support arm shaft member is provided to be inclined, and the heel support arm sandwiches the body from the left and right and oblique directions by the heel support arm shaft member and the hugging shaft member, and the chest support plate and the heel support arm The human body gripping tool according to claim 1, wherein the body is held so as to be hugged between the hugging portion at the tip. 前記一対の腋支えアーム軸部材の方向は、水平方向において、上端部が互いに近づき身体側に位置し、下端部が互いに離れて身体から相対的に離れた側に位置している請求項1記載の人体把持具。   The direction of the pair of armrest supporting arm shaft members is such that, in the horizontal direction, the upper end portions are close to each other and located on the body side, and the lower end portions are located on the side relatively away from the body. Human body gripper. 前記腋支えアームは、胴体を囲むようにL字形に折り曲げられ、前記腋支えアーム軸部材に近い部分が腋下を支える腋支え部であり、前記腋支えアーム軸部材から遠い部分は背中と脇腹を抱きしめる抱き締め部である請求項1記載の人体把持具。   The armrest support arm is bent in an L shape so as to surround the trunk, and a portion near the armrest support arm shaft member is a armpit support portion that supports the armpit, and portions far from the armrest support arm shaft member are back and flank The human body gripping tool according to claim 1, wherein the human body gripping tool is a hugging portion for holding the head. 適度な強度を有するシャフトと、前記シャフトの上端部に連結されているハンドルと、前記シャフトの下端部に連結され床面に当接するキャスタが取り付けられている台板と、前記シャフトの途中に側方に突出して設けられ介護が必要な被介護者の身体を保持する把持具が設けられ、前記把持具は請求項1乃至4のいずれか記載の人体把持具である移乗支援器具。   A shaft having an appropriate strength, a handle connected to the upper end portion of the shaft, a base plate to which a caster connected to the lower end portion of the shaft and abutting against the floor surface is attached, and in the middle of the shaft 5. A transfer assist device according to any one of claims 1 to 4, further comprising a gripping tool that protrudes toward the side and that holds a body of a care recipient who needs care. 前記シャフトは、前記矢状面に沿った方向に回転可能に前記台板に取り付けられ、前記台板の、前記シャフトの回転する面上で前記把持具と反対方向に位置するストッパが設けられ、前記ストッパには前記シャフトを前記ストッパ側に所定角度で傾斜した状態で前記シャフトに当接する当接部が設けられている請求項5記載の移乗支援器具。
The shaft is attached to the base plate so as to be rotatable in a direction along the sagittal plane, and provided with a stopper positioned in a direction opposite to the gripping tool on a surface of the base plate on which the shaft rotates, The transfer support device according to claim 5, wherein the stopper is provided with a contact portion that contacts the shaft in a state where the shaft is inclined at a predetermined angle toward the stopper.
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