JP2011235075A - Bed, or the like with exchangeable seat part underlay - Google Patents

Bed, or the like with exchangeable seat part underlay Download PDF

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JP2011235075A
JP2011235075A JP2010123496A JP2010123496A JP2011235075A JP 2011235075 A JP2011235075 A JP 2011235075A JP 2010123496 A JP2010123496 A JP 2010123496A JP 2010123496 A JP2010123496 A JP 2010123496A JP 2011235075 A JP2011235075 A JP 2011235075A
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seat
movement
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lower leg
bed
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Kaname Hirai
要 平井
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Abstract

PROBLEM TO BE SOLVED: To provide a bed, etc. with exchangeable seat part underlay in which a prescribed divided overlay can be used and the seat part underlay in the divided underlay can be easily exchangeable without lifting down a lying person from the bed etc.SOLUTION: The bed, etc. with exchangeable seat part underlay are used under a condition wherein: an upper body board 1k that is a support board for an upper body part; a seat part board 1m that is a support board for the seat part; and a lower leg board 1n that is a support board for a lower leg part; and those support boards are individually formed, and underlays 1p, 1q, 1r respectively having prescribed conditions for those support boards are mounted on those support boards. A means for making support boards designated for respective motions carry out five support board motions called first motion, second motion, third motion, fourth motion, and fifth motion; an underlay attaching/detaching means capable of attaching/detaching the set part underlay 1q under the body of a lying person; and a structure capable of taking out/in the seat part underlay 1q from/to the spot under the body of the lying person are provided.

Description

本発明は、臥床者をベッド上から降ろさずに、敷具の取替えができるベッド及びベッド兼用具に関する。  The present invention relates to a bed and a bed-combining tool that can replace a floor covering without lowering a bedridden from the bed.

運動機能や認知機能に障害が生じた臥床者の、排泄処理や床ずれ防止といった生活上の諸問題に対する、直接的な支援機構を持つベッドとしては、特許文献1、特許文献2、特許文献3等で開示されるものが既に知られている。  Patent Literature 1, Patent Literature 2, Patent Literature 3 and the like as a bed having a direct support mechanism for various problems in daily life such as excretion processing and bed slippage prevention of bedridden persons who have impaired motor function or cognitive function Is already known.

特許文献1で開示されるベッドは、分割したマットレスを取付けた背部レスト、座部レスト、下腿部レスト及び足部レストを有し、椅子状に変換するものであって、臥床者は座部レストに腰掛けて中央に設けた開口部から下の便器に排泄することができ、またその開口部は前後方向にスライドする蓋によって開閉可能となっているものである。特許文献2で開示されるベッドは、長手方向にベッドを上部ベッドと下部ベッドに分割してそれぞれを任意方向に移動できるようにするとともに、上部ベッド足側に左右一対の膝上げ台を上下動可能に設け、これによって臥床者の脚部を上げることにより下腹部清掃等を行い易くしたものである。特許文献3で開示されるものは、ベッド床面を覆うように広げたシートの両側方縁部を、ベッド長手方向中心線に対し左右対称に設けた二組の駆動機構により左右交互にまたは左右同時に上下動させるものであって、シートの身体支持面を水平にしたり傾斜させたり上方に開いたU字形にしたりすることにより、臥床者の体位変換を行い、床ずれを防止しようとするベッドである。  The bed disclosed in Patent Document 1 has a back rest, a seat rest, a lower leg rest, and a foot rest to which a divided mattress is attached, and is converted into a chair shape. It can be excreted from the opening provided in the center by sitting on the rest to the lower toilet, and the opening can be opened and closed by a lid that slides in the front-rear direction. In the bed disclosed in Patent Document 2, the bed is divided into an upper bed and a lower bed in the longitudinal direction so that each can be moved in any direction, and a pair of left and right knee lifters are moved up and down on the upper bed foot side. It can be provided, and this makes it easier to clean the lower abdomen by raising the legs of the bedridden person. Patent Document 3 discloses that both sides of the sheet spread so as to cover the bed floor surface are alternately left and right or left and right by two sets of drive mechanisms provided symmetrically with respect to the center line in the bed longitudinal direction. It is a bed that moves up and down at the same time, and changes the posture of the bedridden by making the body support surface of the seat horizontal, tilting, or making it U-shaped open upward, thereby preventing bed slippage. .

特開2009−125279号公報JP 2009-125279 A 特開2008−136780号公報JP 2008-136780 A 特開2002−17792号公報JP 2002-17792 A

これらのベッドはそれぞれ有用なものではあるが、いずれも同じような弱点を持つ。その弱点とは、第一に、それぞれのベッドが、いずれも、臥床者が必要とする多様な支援の中のごく限られた一部の支援しか提供することができないということである。第二に、それぞれが持つ支援のための装置が、他の問題の解決を難しくしたり、基本的にベッドに求められる寝具としての性能を損なったりする可能性を伴っていることである。  Each of these beds is useful, but they all have similar weaknesses. The weakness is that, firstly, each bed can provide only a limited part of the various support that the bedridden needs. Secondly, each support device has the possibility of making it difficult to solve other problems or impairing the performance of the bedclothes required for the bed.

特許文献1のベッドは、臥床者の障害が重度に至る以前であれば、排泄処理に対して有効な支援ができる。しかし、失禁が常態化した状況になると対応が困難になり、逆に問題を生む原因になる可能性がある。即ち、構造上座部回りの汚れを除去することが難しいために衛生状態の悪化を招き、また座部周辺の構造は腰部床ずれを誘発する恐れがある。特許文献2のベッドは、膝上げ台の収納場所が長手方向中心線に向かって左右両側から突出すように設けられているため、基本的にベッドに求められる寝具としての性能を損なう可能性が高い。また、この構造によって臥床者の体位変換が制約されるために、床ずれの発生が危惧される。特許文献3のベッドは、身体の圧迫箇所の固定化を体位変換によって防ぎ、長期化した重度障害者の床ずれを防止しようとするものであり、前記二つと同様にそれなりの有効性が認められる。しかし、床ずれ防止には、圧迫箇所の固定化を防ぐだけではなく、汗・尿・便による汚れや過度の湿り気から皮膚を守ることも重要である。したがって、臥床者の体位変換以外に有効な支援策を持たないことは、床ずれ防止策としても不十分である。  The bed of Patent Document 1 can provide effective support for excretion processing before the bedridden person's disability is severe. However, when incontinence becomes a normal situation, it becomes difficult to deal with it, which may cause problems. That is, since it is difficult to remove the dirt around the seat on the structure, the sanitary condition is deteriorated, and the structure around the seat may induce a waist floor slip. Since the bed of the patent document 2 is provided so that the storage place of the knee lifter protrudes from the left and right sides toward the longitudinal center line, there is a possibility that the performance as the bedding required for the bed is basically impaired. high. In addition, since this structure restricts the position change of the bedridden person, the occurrence of bed slip is feared. The bed of Patent Document 3 is intended to prevent fixation of a body compression point by changing the body position and prevent bed slipping of a severely handicapped person who has been prolonged. However, in order to prevent bedsores, it is important not only to prevent immobilization of the pressed part, but also to protect the skin from dirt and excessive moisture due to sweat, urine, and feces. Therefore, having no effective support measures other than the bedridden position change is insufficient as a measure to prevent bed slipping.

背起こし・起立等の動作を助けるための「動作支援」に対するものとして、排泄処理や床ずれ防止といった、動作以外の生活上の諸問題を解決するために行う直接的な支援を、ここでは「動作外支援」と呼ぶことにする。社会の高齢化が急速に進む今後においては、動作支援機構とともに実用性の高い動作外支援機構を備えたベッドが、より一層求められるようになると思われる。  As support for “motion support” to help with back-up and standing-up movements, direct support for solving various life problems such as excretion and bed slippage is here. We will call it “outside support”. In the future, when the aging of society is rapidly progressing, it is expected that a bed equipped with an operation support mechanism having high practicality as well as an operation support mechanism will be further demanded.

障害が生じた臥床者にとって、生活上の問題の中で特に重要項目というべきものは、敷き寝具の清掃整備・身体状況の各段階における排泄処理・床ずれ防止の三つである。敷き寝具の清掃整備は、臥床者の健康と周囲の衛生状態とを左右する基本要因であり、排泄処理は、常に臥床者の悩みの種であり、床ずれは、臥床者の健康に深刻な影響を及ぼす。したがって、実用に耐える動作外支援機構を持つベッドであるためには、少なくとも、前記重要項目すべてに対して、有効な支援を行うことができなければならない。For bedriddens with disabilities, there are three important items in their daily life: cleaning the bedding, excretion at each stage of the physical condition, and preventing bed slipping. The cleaning of bedding is a fundamental factor that affects the health of the bedridden and the surrounding hygiene, and the excretion process is always a problem for the bedridden, and bed slippage has a serious impact on the health of the bedridden. Effect. Therefore, in order to have a non-operation support mechanism that can withstand practical use, it is necessary to be able to provide effective support for at least all the important items.

障害を抱える臥床者が必要とする動作外支援は、種類も多く、その性質もさまざまである。更に、臥床者の身体状況が変化するとともに、求められる支援の中身が変化する。例えば、重度障害期において非常に重要である、床ずれ防止支援は、軽度障害期には不用である。また、排泄処理支援は、身体状況の各段階ごとに、求められる支援の種類がそれぞれ異なり、現在求められている種類の支援は、別の段階では不用になる。したがって、提供できる動作外支援があまりに限定されているベッドは、たとえ支援の質が高いものであったとしても、実用上はそれほど役に立たない。実用性のある動作外支援機構を持つベッドであるためには、ベッドが本来備えるべき寝具機能を損なうことなく、臥床者が必要とする多様な動作外支援を広範囲に提供できるものでなければならない。  There are many types of out-of-motion assistance needed by bedridden people with disabilities, and their nature is also varied. Furthermore, as the physical condition of the bedridden changes, the content of the required support changes. For example, bedsore prevention support, which is very important in a severe disability period, is unnecessary in a mild disability period. In addition, in the excretion processing support, the type of support required differs for each stage of the physical condition, and the type of support currently required becomes unnecessary in another stage. Therefore, a bed where the out-of-motion assistance that can be provided is too limited is not very useful in practice, even if the quality of the assistance is high. In order to be a bed with a practical out-of-motion support mechanism, it must be able to provide a wide range of out-of-motion support needed by the bedridden without compromising the bedclothing function that the bed should originally have. .

各種支援機能を組込むために必要な所定のサイズ・形状・質を備えた敷具を、簡単に差替えることができるベッドは、実用性の高い動作外支援機構を持つベッドの一つである。なぜなら、敷具を簡単に差替えられるベッドであれば、機能の異なる各種の敷具を状況に応じて手軽に使い分けることが可能であり、それによって、前記重要項目に対する支援も含め、臥床者が必要とする多様な動作外支援を、広範囲に提供できるからである。ここで「敷具」とは、臥床者が身体に敷いて使うために支持板上に設置する物全般をいい、各種の敷き寝具ばかりでなく、支持板上に置いて使う排泄用具・マッサージ具・床ずれ治療具等々も含めたものである。また、「敷具を差替える」とは、臥床者をベッド上から降ろさずに敷具を取替えることである。  A bed that can easily replace a floor covering having a predetermined size, shape, and quality necessary for incorporating various support functions is one of the beds having a highly practical out-of-motion support mechanism. Because if the bed can be easily replaced, it is possible to easily use various types of laying tools with different functions according to the situation, thereby requiring a bedridden person including support for the important items. This is because it is possible to provide a wide range of non-operational support. Here, “bedclothes” refer to all items placed on a support plate for the bedridden to use on the body. Not only various bedclothes, but also excrement tools and massage tools used on the support plate.・ Includes bedsore treatment tools. “Replacing the laying material” means changing the laying material without taking the bed person down from the bed.

若干の例外はあるものの、前記重要項目に対する支援も含めて、動作外支援の多くは、通常の敷きマットとほぼ同じようなサイズ・形状を持つ構造体に組込んだ専用機能によって、十分に提供することができるものである。また、こうした支援機能を組込んだ各種敷具の開発は、一般的にいって、既存技術を使用するだけで、いずれも比較的容易に且つ安価に実現することができる。したがって、所定の各種支援機能を組込むために必要なサイズ・形状・質を備えた敷具を簡単に差替えることができるベッドであれば、状況に応じて色々な敷具を手軽に使い分けることが可能であり、それによって、前記重要項目に対する支援も含め、臥床者が必要とする多様な動作外支援を、ベッドが本来備えるべき寝具機能を損なうことなく、広範囲に提供することが可能となるのである。  Although there are some exceptions, most of the out-of-motion support, including support for the above important items, is fully provided by a dedicated function built into a structure that is almost the same size and shape as a normal mat. Is something that can be done. Moreover, in general, development of various types of coverings incorporating such a support function can be realized relatively easily and inexpensively only by using existing technology. Therefore, if the bed can easily replace the laying with the size, shape, and quality necessary to incorporate the various support functions, you can easily use the various linings depending on the situation. As a result, it is possible to provide a wide range of out-of-motion support required by the bedridden, including support for the important items, without compromising the bedding function that the bed should originally have. is there.

敷具を長手方向に分割して、少なくとも上体部用の部分と座部用の部分と下脚部用の部分とをそれぞれ別個に形成し、これらにより敷具全体を構成するようにしたものを、「分割敷具」と呼ぶことにする。分割敷具を使用すると、差替えが困難なのは、座部に使用する敷具である座部敷具だけであって、上体部に使う上体部敷具と下脚部に使う下脚部敷具とは簡単に差替えることができる。上体部敷具は、臥床者の上半身を起こせば取替えが可能であり、下脚部敷具は、臥床者の脚を動かすだけで取替えることができるからである。したがって、分割敷具を使用するベッドにおいて、座部敷具の差替えを可能にすれば、敷具全体を差替えることができるようになる。  The laying piece is divided in the longitudinal direction, and at least the upper body part, the seating part and the lower leg part are separately formed, and these constitute the entire laying piece. This will be referred to as “split laying”. If split lining is used, it is difficult to replace only the seat lining that is the lining used for the seat, including the upper lining used for the upper body and the lower limb lay used for the lower leg. Can be easily replaced. This is because the upper body lay can be replaced by raising the upper body of the bedridden, and the lower leg bedcloth can be replaced simply by moving the bed of the bedbed. Therefore, in the bed using the divided laying device, if the seat laying device can be replaced, the entire laying device can be replaced.

所定のサイズ・形状・質を備えた分割敷具を使用できるベッドであって、且つ、分割敷具内の座部敷具を簡単に差替えることができるベッドを、「座部敷具差替えベッド」と呼ぶことにする。各種支援機能を組込むために必要な所定のサイズ・形状・質を備えた分割敷具を使用できる、座部敷具差替えベッドを開発すれば、そのベッドは、敷具全体の差替えが可能であるから、前記したように、実用性の高い動作外支援機構を備えたベッドとなる。いいかえれば、各種支援機能を組込むために必要である所定のサイズ・形状・質を備えた分割敷具を使用できる、座部敷具差替えベッドを開発すれば、実用性の高い動作外支援機構を持つベッドを提供することができるのである。  A bed that can be used with a split lay having a predetermined size, shape, and quality, and that can easily replace the seat lay in the split lay, I will call it. If you develop a sitting bed laying replacement bed that can be used with a split lay that has the required size, shape, and quality to incorporate various support functions, the bed can be replaced as a whole. Therefore, as described above, the bed is provided with a highly practical out-of-motion support mechanism. In other words, if you develop a seating bed laying replacement bed that can use split laying with the prescribed size, shape, and quality required to incorporate various support functions, a highly practical out-of-motion support mechanism can be created. A bed can be provided.

夜間用便のためにベッドを離れることは、高齢者にとって、たとえ健康な時であっても好ましいことではない。心臓病等の一部疾患を引き起こす原因となる場合が多いからであり、寒い時期には特に危険性が高くなる。便器をベッドに組合わせたものである便器付きベッドは、用便のためにベッドを離れる必要をなくするので、前記のような重大疾患から身を守るのに有効であり、したがって、高齢化社会においては、障害の有無に拘わらず、本来有用性の高いベッドといえる。しかし、現状では、障害を持たずに暮らしている高齢者が、病気予防を目的として便器付きベッドを使うことは、ほとんどない。それは、健康な時にも抵抗なく使えるような便器付きベッドが、まだ開発されていない、という理由によるところが大である。  Leaving the bed for night flights is not desirable for the elderly, even when healthy. This is because it often causes some diseases such as heart disease, and the risk is particularly high in cold weather. A toilet bed, which is a combination of a toilet bowl and a bed, is effective in protecting yourself from such serious illnesses as it eliminates the need to leave the bed for stool. Can be said to be a bed that is inherently useful regardless of the presence or absence of disability. However, at present, elderly people living without disabilities rarely use toilet beds for the purpose of disease prevention. This is largely because a bed with a toilet bowl that can be used comfortably even when healthy is not yet developed.

健康な者が抵抗なく使うことができる便器付きベッドであるためには、第一に、便器の使用によって寝具が汚れる心配がないこと、第二に、臥床者が、ベッドから降りずに、自分の操作で簡単に便器を使用できること、第三に、安定した楽な体位で便器を使用できること、第四に、使用便器が、通常製品のような水洗式便器であること、の四条件が満たされる必要がある。  To be a bed with a toilet that can be used comfortably by a healthy person, first of all, there is no worry that the bedding will get dirty due to the use of the toilet, and second, the bedridden will not have to get out of the bed. Four conditions are satisfied: the toilet can be used easily with the operation of the third, third, that the toilet can be used in a stable and comfortable position, and fourth, that the toilet used is a flush toilet like a normal product. Need to be.

座部敷具差替えベッドでは、専用便座への変換作業、即ち使用している座部敷具を抜取って専用の便座敷具に差替えるという作業を、ベッド上の臥床者が自分で行うことが可能であり、更に若干の対策を施すことによって、その変換作業をより簡単にすることができる。したがって、座部敷具差替えベッドは、座部下に水洗式便器を設置できるようにし、且つこの便器を楽な姿勢でベッド上から臥床者が使用できるようにすれば、前記の四条件がすべて満たされることになり、健康な時であっても抵抗なく使える便器付きベッドとして使用できるものとなる。即ち、座部下に水洗式便器を設置できるようにするとともに、この便器を支持板上から安定した楽な体位で使用することができる座部敷具差替えベッドを開発すれば、それは、健康な者でも抵抗なく使える便器付きベッドとして、危険な重大疾患から高齢者を守り、高齢者の健康維持に貢献できるものとなる。  In the bed part replacement bed, the bedbed person on the bed must perform the conversion work to the dedicated toilet seat, that is, the work of pulling out the seat cover used and replacing it with the dedicated toilet seat bed. The conversion work can be further simplified by taking some measures. Therefore, the seat bed laying replacement bed can satisfy all of the above four conditions if a flush toilet can be installed under the seat and the toilet can be used from the bed in an easy posture. Therefore, even when healthy, it can be used as a bed with a toilet that can be used without resistance. That is, if a flush toilet bowl can be installed under the seat and a seat bed mat replacement bed that can be used in a stable and comfortable position from the support plate is developed, However, as a bed with a toilet that can be used without resistance, it can protect the elderly from dangerous serious illnesses and contribute to maintaining the health of the elderly.

本発明が解決しようとする課題は、所定の分割敷具を使用できるベッド等であって、且つ、臥床者をベッド等上から降ろさずに、前記分割敷具内の座部敷具を簡単に取替えることができるベッド等である、座部敷具差替えベッド等を開発することである。なお、ベッド等とは、ベッド及びベッド兼用保健具・ベッド兼用運動具等のベッド兼用具をいう。  The problem to be solved by the present invention is a bed or the like in which a predetermined divided lay can be used, and the seat lay in the divided lay can be easily removed without lowering the bedridden from the bed or the like. It is to develop a seat laying bed replacement bed etc. that can be replaced. In addition, a bed etc. means bed combined use tools, such as a bed and a bed combined use health implement, a bed combined exercise tool.

請求項1記載の座部敷具差替えベッド等は、上体部即ち座部よりも上の部分を支える支持板である上体板と、坐部即ち脊柱下部から大腿部所定位置までの部分を支える支持板である坐部板と、下脚部即ち坐部より下の部分を支える支持板である下脚板と、を別個に形成し、上体部・坐部・下脚部それぞれの敷具としてそれぞれ所定のサイズ・形状・質を備えた敷具である、上体部敷具と坐部敷具と下脚部敷具とを前記各支持板に装着して使用するベッド等であって、
第1運動、第2運動、第3運動、第4運動、第5運動と称する五つの支持板運動を、各運動所定の支持板等に行わせる運動手段と、
臥床者の身体の下で、坐部敷具をベッド等から取外し、またベッド等に取付けることを、少なくとも前記第3運動が終了した段階において行うことができる、坐部敷具取外し取付け手段と、
臥床者の身体の下から、左方、右方または前方のうち少なくともいずれか一方へ、座部敷具を取出しまた逆に戻入れることを可能にする開口部が、少なくとも前記第3運動が終了した段階において確保される構造と、
を具備するものである。
The seat bed laying replacement bed or the like according to claim 1 includes an upper body plate that is a support plate that supports a portion above the upper body portion, that is, the seat portion, and a portion from the seat portion, that is, the lower part of the spine to a predetermined position of the thigh. The seat plate that supports the lower leg and the lower leg plate that supports the lower leg, that is, the portion below the seat, are formed separately, and the upper body part, the seat part, and the lower leg part are used as laying tools. Beds etc., each of which is a laying stool having a predetermined size, shape and quality, and which is used by mounting the upper body laying stool, the sitting laying wrapping and the lower leg laying wrap on the respective support plates,
Exercise means for causing each movement predetermined support plate to perform five support plate movements called first movement, second movement, third movement, fourth movement, and fifth movement;
Under the body of the bedridden person, the sitting floor covering can be removed from the bed or the like and attached to the bed or the like, at least at the stage where the third movement is completed,
An opening that allows the seat covering to be removed from the underbody's body to the left, right, or at least one of the front and back, and at least the third movement is completed. The structure secured at the stage
It comprises.

ここでは、ベッド等が通常のベッドとして使用されるときの形態を、そのベッド等の基本形態といい、支持板・敷具等の各部材がベッド等の基本形態において占める位置を、それぞれその部材の基本位置という。また、左右方向とは、ベッド等が基本形態をとっているときのそのベッド等の幅方向であり、前後方向とは、ベッド等が基本形態をとっているときのそのベッド等の長手方向であり、上下方向とは、左右方向の直線と前後方向の直線の両方に対して直角である直線が示す方向である。なお、前方とは前後方向の足側を、後方とは前後方向の頭側を指すが、単に「前方」というとき、それは「真直ぐ前方または斜め前方」を意味する。同様に、後方は「真直ぐ後方または斜め後方」を、上方は「真直ぐ上方または斜め上方」を、下方は「真直ぐ下方または斜め下方」を意味する。  Here, the form when a bed or the like is used as a normal bed is called the basic form of the bed, etc., and the position occupied by each member such as a support plate or laying in the basic form of the bed or the like It is called the basic position. The left-right direction is the width direction of the bed when the bed is in the basic form, and the front-back direction is the longitudinal direction of the bed when the bed is in the basic form. The vertical direction is a direction indicated by a straight line that is perpendicular to both the straight line in the left-right direction and the straight line in the front-rear direction. In addition, although the front refers to the foot side in the front-rear direction and the rear refers to the head side in the front-rear direction, when simply referred to as “front”, it means “straight forward or diagonally forward”. Similarly, the rear means “straight rear or diagonally backward”, the upper means “straight upward or diagonally upward”, and the lower means “straight downward or diagonally downward”.

前記五つの運動の詳細は次の通りである。第1運動は、ベッド等が基本形態をとっている状態から、次の条件を満たしつつ、少なくとも下脚板後端が基本位置にある座部敷具の上方に位置するまで、下脚板が移動する運動である。前記条件のうちの第一は、坐部敷具の差替えを阻害する新たな要因を発生させることなく、下脚板が移動することである。坐部敷具の差替えとは、臥床者をベッド等上から降ろすことなく座部敷具を取替えることをいう。前記条件の第二は、ベッド等上に仰臥した臥床者が下脚部敷具に無理なく安全に脚を載せることができる状態を維持しつつ、下脚板が移動することである。第2運動は、次の二条件を満たしながら、前記下脚板の後部が基本位置にある前記坐部敷具の上方に間隔をあけて重なるように、前記下脚板が後方に移動する、前記第1運動に続く運動である。前記二条件の第一は、坐部敷具の差替えを阻害する新たな要因を発生させることなく、下脚板が移動することである。前記二条件の第二は、ベッド等上に仰臥した臥床者が下脚部敷具に無理なく安全に脚を載せることができる状態を維持しながら、下脚板が移動することである。なお、第1運動に続く運動とは、第1運動がもたらした作用のうち、本発明の課題解決にとって重要な部分が保持されている状態において開始される運動を意味する。第3運動は、坐部敷具の差替えを阻害する新たな要因を発生させることなく、前記坐部板がその基本位置から下方に移動する、前記第2運動に続く運動である。第2運動に続く運動とは、第1運動から第2運動に至る一連の運動がもたらした作用うち、本発明の課題解決にとって重要な部分が保持されている状態において開始される運動のことであり、以下における同種文言は、いずれもこれに準ずる意味を持つ。第4運動は、座部敷具を装着した状態を維持しながら、前記座部板がその基本位置に移動する、前記第3運動に続く運動である。第5運動は、ベッド等上に仰臥した臥床者が下脚部敷具に無理なく安全に脚を載せることができる状態を維持しながら、前記下脚板がその基本位置に移動するとともに、ベッド等が基本形態に復帰する、前記第4運動に続く運動である。  The details of the five movements are as follows. In the first movement, the lower leg plate moves from the state in which the bed or the like is in the basic form until at least the rear end of the lower leg plate is located above the seat covering in the basic position while satisfying the following conditions: It is exercise. The first of the above conditions is that the lower leg plate moves without generating a new factor that impedes replacement of the sitting laying material. The replacement of the seat laying means that the seat laying is replaced without taking the bed person down from the bed or the like. The second of the above conditions is that the lower leg plate moves while maintaining a state in which the bedridden who lies on the bed or the like can safely place his / her legs on the lower leg laying apparatus without difficulty. In the second movement, the lower leg plate moves rearward so that the rear part of the lower leg plate overlaps the upper part of the seat laying piece at the basic position with a gap while satisfying the following two conditions: It is an exercise that follows one exercise. The first of the two conditions is that the lower leg plate moves without generating a new factor that impedes replacement of the sitting laying material. The second of the two conditions is that the lower leg plate moves while maintaining a state in which the bedridden who lies on the bed or the like can safely place his / her legs on the lower leg covering material. In addition, the exercise | movement following 1st exercise | movement means the exercise | movement started in the state in which the important part for solution of the subject of this invention is hold | maintained among the effects which the 1st exercise | movement brought about. The third motion is a motion following the second motion in which the seat plate moves downward from its basic position without generating a new factor that hinders replacement of the seat covering. The movement following the second movement is a movement started in a state in which a part important for solving the problem of the present invention is held among the effects brought about by a series of movements from the first movement to the second movement. Yes, all the following similar terms have the same meaning. The fourth motion is a motion following the third motion in which the seat plate moves to its basic position while maintaining the state where the seat covering is mounted. In the fifth exercise, the lower leg plate moves to its basic position while maintaining the state where the bedridden who lies on the bed etc. can comfortably and safely put his / her legs on the lower leg covering material, It is an exercise following the fourth exercise that returns to the basic form.

ベッド等上にいる臥床者の身体の下で坐部敷具をベッド等から取外す方法は、座部敷具だけを座部板から取外す方法でもよいし、座部敷具を座部板ごとベッド等から取外す方法でもよい。しかし、前記二つには、それぞれ長所短所がある。例えば、座部板ごと取外す方法には、敷具の取出しをやり難くする一方で、座部敷具と座部板両方の差替えを可能にするため、敷具開発の自由度を高めるという利点がある。したがって、前記いずれの方法によっても取外せるようにして、状況に応じ使い分けられるようにするのがより望ましいと思われる。なお、座部敷具を座部板ごとベッド等から取外す場合には、座部敷具を座部板ごと取出せる大きさを持つ開口部が、少なくとも前記第3運動が終了した段階において確保される必要がある。  The method of removing the seat laying tool from the bed etc. under the body of the bedridden person on the bed etc. may be the method of removing only the seat laying tool from the seat board, or the seat laying tool together with the seat board. The method of removing from etc. may be sufficient. However, each of the two has advantages and disadvantages. For example, the method of removing the entire seat plate has the advantage of increasing the degree of freedom in developing the bedding because it makes it difficult to remove the bedding and allows replacement of both the seat bedding and the seat plate. is there. Therefore, it seems that it is more desirable to be able to remove by any of the above-mentioned methods so that it can be used properly according to the situation. In addition, when removing the seat covering sheet from the bed or the like together with the seat panel, an opening having a size that allows the seat covering sheet to be removed together with the seat panel is secured at least when the third movement is completed. It is necessary to

ベッド等上に臥床者が仰臥している時、坐部敷具は、臥床者の体重によって下に押しつけられ、いわば上下二面を臥床者の坐部と坐部敷具取付部によって強く挟扼された状態にある。上下二面が挟扼される状態は、敷具という用具の性格上必然的に発生するものであるから、当然、上体部敷具や下脚部敷具にも生じている。しかし、坐部敷具の場合には、それが置かれる位置の特性から、脚を動かしたり上体を起したりする臥床者の体位変換によって、その被挟扼状態を軽減または解消することが難しい。そのために、坐部敷具については、臥床者をベッド等上から降ろさずに、その取替えを行うことが困難なのである。また、坐部敷具は、前後二面をそれぞれ密接した下脚部敷具と上体部敷具によって挟扼されており、これも坐部敷具の差替えを妨げる要因となっている。  When the bedridden is lying on the bed etc., the sitting lie is pressed down by the weight of the bedridden, so to speak, the upper and lower surfaces are strongly clamped by the bedside of the bedded person and the seating laying attachment part. It is in the state that was done. The state in which the upper and lower surfaces are sandwiched is inevitably generated due to the nature of the tool called a laying tool, and naturally occurs in the upper body laying tool and the lower leg laying tool. However, in the case of a sitting laying device, it is possible to reduce or eliminate the pinched state by changing the position of the bedridden person who moves the leg or raises the upper body due to the characteristics of the position where it is placed. difficult. For this reason, it is difficult to replace the sitting laying material without lowering the bedridden from the bed or the like. In addition, the seat laying material is sandwiched between the lower leg lining material and the upper body lining material that are close to each other on the front and rear surfaces, and this is also a factor that hinders the replacement of the sitting laying material.

請求項1記載の座部敷具差替えベッド等は、第1運動から第5運動に至る五つの運動を各運動所定の支持板等に行わせることにより、前記の上下二面と前後二面の被挟扼状態を解消し、ベッド等上から臥床者を降ろさずに、簡単に坐部敷具を取替えることができるようにしたものである。即ち先ず、第1運動により、坐部敷具前面に密接した下脚部敷具を上方に離隔して、前後二面の被挟扼状態を解消する。次に、第2運動により、臥床者の脚部を屈曲させつつ大腿部に向かって下脚板を押し進め、下脚部敷具を介して臥床者の下半身が下がらないように支え、その後で第3運動により、坐部板を下方に移動させて上下二面の被挟扼状態を解消し、坐部敷具の差替えを可能にするのである。また、第4運動は、座部板と座部敷具をそれぞれの基本位置に移動させ、第5運動は、下脚板と下脚部敷具をそれぞれの基本位置に移動させるとともに、ベッド等を基本形態に復帰させる。なお、第1運動は、前後二面の被挟扼状態を解消する働きと同時に、仰臥した臥床者の脚を上に押上げて、第2運動に対応し易い体位へ臥床者を誘導する働きを行うものである。  The seat bed laying replacement bed or the like according to claim 1 is configured so that each motion predetermined support plate or the like performs five motions from the first motion to the fifth motion, so This eliminates the pinched state and allows the seat laying material to be easily replaced without lowering the bedridden from the bed or the like. That is, first, by the first motion, the lower leg laying piece that is in close contact with the front surface of the sitting laying piece is separated upward, and the sandwiched state of the two front and rear faces is eliminated. Next, in the second exercise, the lower leg plate is pushed toward the thigh while the leg of the bedridden is bent, and the lower body of the bedridden is supported via the lower leg laying so that the lower body is not lowered. By exercising, the seat plate is moved downward to eliminate the pinched state of the upper and lower surfaces, and the seat covering can be replaced. In the fourth movement, the seat plate and the seat covering are moved to the respective basic positions, and in the fifth movement, the lower leg plate and the lower leg covering are moved to the respective basic positions, and the bed is basically used. Return to form. The first exercise works to eliminate the pinched state of the two front and rear surfaces, and at the same time, pushes the feet of the lying bedside up and guides the bedridden person to a position that can easily cope with the second movement. Is to do.

請求項2記載の座部敷具差替えベッド等は、上体部即ち座部よりも上の部分を支える支持板である上体板と、坐部即ち脊柱下部から大腿部所定位置までの部分を支える支持板である坐部板と、下脚部即ち坐部より下の部分を支える支持板である下脚板と、を別個に形成し、上体部・坐部・下脚部それぞれの敷具としてそれぞれ所定のサイズ・形状・質を備えた敷具である、上体部敷具と坐部敷具と下脚部敷具とを前記各支持板に装着して使用するベッド等であって、
第1運動、第2運動、第3運動、第4運動、第5運動と称する五つの支持板運動を、各運動所定の支持板等に行わせる運動手段と、
臥床者の身体の下で、坐部敷具をベッド等から取外し、またベッド等に取付けることを、少なくとも前記第3運動が終了した段階において行うことができる、坐部敷具取外し取付け手段と、
臥床者の身体の下から、左方、右方または前方のうち少なくともいずれか一方へ、座部敷具を取出しまた逆に戻入れることを可能にする開口部が、少なくとも前記第3運動が終了した段階において確保される構造と、
を具備するものである。
The seat bed laying replacement bed or the like according to claim 2 includes an upper body plate that is a support plate for supporting the upper body portion, that is, a portion above the seat portion, and a seat portion, that is, a portion from the lower part of the spine to a predetermined position of the thigh. The seat plate that supports the lower leg and the lower leg plate that supports the lower leg, that is, the portion below the seat, are formed separately, and the upper body part, the seat part, and the lower leg part are used as laying tools. Beds etc., each of which is a laying stool having a predetermined size, shape and quality, and which is used by mounting the upper body laying stool, the sitting laying wrapping and the lower leg laying wrap on the respective support plates,
Exercise means for causing each movement predetermined support plate to perform five support plate movements called first movement, second movement, third movement, fourth movement, and fifth movement;
Under the body of the bedridden person, the sitting floor covering can be removed from the bed or the like and attached to the bed or the like, at least at the stage where the third movement is completed,
An opening that allows the seat covering to be removed from the underbody's body to the left, right, or at least one of the front and back, and at least the third movement is completed. The structure secured at the stage
It comprises.

ここでは、ベッド等が通常のベッドとして使用されるときの形態を、そのベッド等の基本形態といい、支持板・敷具等の各部材がベッド等の基本形態において占める位置を、それぞれその部材の基本位置という。また、ベッド等の中心とは、ベッド等が基本形態をとっているときのそのベッド等の中心であり、左右方向とは、ベッド等が基本形態をとっているときのそのベッド等の幅方向であり、前後方向とは、ベッド等が基本形態をとっているときのそのベッド等の長手方向であり、上下方向とは、左右方向の直線と前後方向の直線の両方に対して直角である直線が示す方向である。なお、前方とは前後方向の足側を、後方とは前後方向の頭側を指すが、単に「前方」というとき、それは「真直ぐ前方または斜め前方」を意味する。同様に、後方は「真直ぐ後方または斜め後方」を、上方は「真直ぐ上方または斜め上方」を、下方は「真直ぐ下方または斜め下方」を意味する。  Here, the form when a bed or the like is used as a normal bed is called the basic form of the bed or the like, and the position occupied by each member such as a support plate or laying in the basic form of the bed or the like is the member. It is called the basic position. The center of the bed is the center of the bed when the bed is in the basic form, and the horizontal direction is the width direction of the bed when the bed is in the basic form. The front-rear direction is the longitudinal direction of the bed when the bed is in the basic form, and the up-down direction is perpendicular to both the straight line in the left-right direction and the straight line in the front-rear direction. The direction indicated by the straight line. In addition, although the front refers to the foot side in the front-rear direction and the rear refers to the head side in the front-rear direction, when simply referred to as “front”, it means “straight forward or diagonally forward”. Similarly, the rear means “straight rear or diagonally backward”, the upper means “straight upward or diagonally upward”, and the lower means “straight downward or diagonally downward”.

また、基本位置にある下脚板と下脚部敷具とをそれぞれ左右方向に投影してなる投影部を一つに合せた形状を甲1、基本位置にある坐部板と坐部敷具とをそれぞれ左右方向に投影してなる投影部を一つに合せた形状を甲2、基本位置にある前記坐部板と前記坐部敷具とをそれぞれ上下方向に投影してなる投影部を重ね合せた形状を乙2と呼ぶ。  Moreover, the shape which united the projection part formed by projecting the lower leg board in the basic position and the lower leg part laying in the left and right directions into one, and the seat board in the basic position and the stool laying down. Each of the projections formed by projecting in the left and right directions is combined with the shape of the upper 2 and the projections formed by projecting the seat plate and the seat covering in the basic position in the vertical direction are superimposed. The shape is referred to as B-2.

前記五つの運動のうち、第1運動と第2運動と第5運動では下脚板が移動を行なうが、下脚板は臥床者の下脚部を載せて移動することになるので、移動中に臥床者が無理な姿勢を強いられたり、足が落ちる等の危険があったりしてはならない。そこで、下脚板が移動するこれらの運動では、二つの直方体からなる特定の立体内部を下脚板移動域として、その移動域内を通って下脚板が移動するようにする。  Of the five movements, the lower leg plate moves in the first movement, the second movement, and the fifth movement, but the lower leg board moves on the lower leg of the bedridden person. There must be no danger of being forced into an unreasonable posture or dropping a foot. Therefore, in these movements in which the lower leg plate moves, the lower leg plate is moved through the movement range, with a specific three-dimensional interior composed of two rectangular parallelepipeds as the lower leg plate movement range.

下脚板移動域を構成する直方体の一つは、下面と上面がそれぞれ次のような条件を満たす直方体である。下面が満たすべき条件の第一は、ベッド等の中心を通り左右方向に対し直角な平面である、基準平面の上に中心を持つとともに、一辺が左右方向を示し他の一辺が前後方向を示す長方形であり、左右長が下脚板の最大左右長より50ミリ長く前後長が前記下脚板の最大前後長より300ミリ長い長方形であること、である。条件の第二は、前記乙2との間に30ミリの上下方向投影距離がある長方形であること、である。上下方向投影距離とは、上下方向に投影してなる投影部と投影部の間の距離を意味する。条件の第三は、基本位置にある前記座部板の前方に在って、その坐部板の上面より150ミリ下方に位置する長方形であること、である。また、上面の満たすべき条件は、基本位置にある前記座部敷具の上面より250ミリ上方に位置する長方形であること、である。
下脚板移動域を構成するもう一つの直方体は、前面と下面と上面がそれぞれ次のような条件を満たす直方体である。前面の満たすべき条件は、前記基準平面の上に中心を持ち前記直方体の後面に接するとともに、一辺が左右方向を示し、前記直方体の左右長と等しい左右長を持つ長方形であること、である。下面の満たすべき条件は、基本位置にある前記坐部敷具の上面より上方に位置し、300ミリの前後長を持つ長方形であること、である。上面が満たすべき条件は、基本位置にある前記座部敷具の上面よりも150ミリ上方に位置する長方形であること、である。
One of the rectangular parallelepipeds constituting the lower leg plate moving area is a rectangular parallelepiped that satisfies the following conditions on the lower surface and the upper surface. The first condition to be satisfied by the lower surface is a plane that passes through the center of the bed etc. and is perpendicular to the left-right direction, has a center on the reference plane, one side indicates the left-right direction, and the other side indicates the front-rear direction. It is a rectangle, and the longitudinal length is 50 mm longer than the maximum lateral length of the lower leg plate, and the longitudinal length is 300 mm longer than the maximum longitudinal length of the lower leg plate. The second condition is that it is a rectangle with a vertical projection distance of 30 mm between the second end 2. The vertical projection distance means a distance between a projection unit and a projection unit that are projected in the vertical direction. The third condition is that the seat is in front of the seat plate in the basic position and is a rectangle located 150 mm below the upper surface of the seat plate. Further, the condition to be satisfied by the upper surface is that it is a rectangle located 250 mm above the upper surface of the seat laying material in the basic position.
Another rectangular parallelepiped that constitutes the lower leg plate movement area is a rectangular parallelepiped that satisfies the following conditions on the front surface, the lower surface, and the upper surface. The condition to be satisfied by the front surface is that it is a rectangle having a center on the reference plane and in contact with the rear surface of the rectangular parallelepiped, one side showing a horizontal direction, and a horizontal length equal to the horizontal length of the rectangular parallelepiped. A condition to be satisfied by the lower surface is that the lower surface is a rectangle having a longitudinal length of 300 mm, located above the upper surface of the seat laying lie at the basic position. The condition to be satisfied by the upper surface is that the rectangle is located 150 mm above the upper surface of the seat covering in the basic position.

前記五つの運動の詳細は次の通りである。第1運動は、ベッド等が基本形態をとっている状態から、特定の条件を満たしながら、前記下脚板が、先ず前記下脚板移動域内に移動し、次に、少なくとも前記下脚板の後端が前記座部敷具の上方に位置するまで前記下脚板移動域内を通って移動する運動である。ここで、下脚板移動域内を通って前記下脚板が移動するとは、前記下脚板のすべての部分が下脚板移動域内に入っている状態を保ちながら前記下脚板が移動することである。第1運動が満たすべき前記特定の条件の第一は、坐部敷具の差替えを阻害する新たな要因を発生させることなく、前記下脚板が移動することである。ここで座部敷具の差替えとは、臥床者をベッド等上から降ろさずに座部敷具を取替えることである。条件の第二は、基本位置にあるときの前記下脚板の上面において左右方向に並ぶ二つの点を結ぶ線分が左右方向を示す状態を保ちながら、前記下脚板が移動することである。条件の第三は、下脚板が下脚板移動域内に移動する過程では、前記甲1の前記甲2との接触部を前記甲2から前方へ離隔するようにして、前記下脚板が前記下脚板移動域内に移動することである。ここで、甲1の接触部を甲2から前方へ離隔するとは、甲1の接触部が甲2と重なり合うことを避けながら、甲1の接触部を前方へ動かして甲2から離すことを意味する。条件の第四は、少なくとも下脚板後端が座部敷具の上方に位置するまで下脚板移動域内を通って下脚板が移動する過程では、前記甲1が前記甲2から離れた状態を保ちながら、前記下脚板が移動することである。なお、基本位置にある下脚板がはじめから下脚板移動域内に入っている場合の第1運動は、下脚板移動域内に下脚板を移動させる過程を省いたものとなる。即ち、ベッド等が基本形態をとっている状態から、前記条件の第一、第二及び第四を満たしつつ、少なくとも下脚板の後端が座部敷具の上方に位置するまで下脚板が移動する運動となる。
第2運動は、坐部敷具の差替えを阻害する新たな要因を発生させることなく、且つ基本位置にあるときの下脚板上面において左右に並ぶ前記二点を結ぶ線分が左右方向を示す状態を保ちながら、前記下脚板の後部が前記坐部敷具の上方に重なるように、前記下脚板移動域内を通って前記下脚板が後方に移動する、前記第1運動に続く運動である。ここで、第1運動に続く運動とは、第1運動がもたらした作用のうち、本発明の課題解決にとって重要な部分が保持されている状態において開始される運動のことである。
第3運動は、坐部敷具の差替えを阻害する新たな要因を発生させることなく、前記坐部板がその基本位置から下方に移動する、前記第2運動に続く運動である。第2運動に続く運動とは、第1運動から第2運動に至る一連の運動がもたらした作用うち、本発明の課題解決にとって重要な部分が保持されている状態において開始される運動のことであり、以下における同種文言はいずれもこれに準ずる意味を持つ。
第4運動は、座部敷具を装着した状態を維持しながら、前記座部板がその基本位置に移動する、前記第3運動に続く運動である。
第5運動は、基本位置にあるときの下脚板上面において左右に並ぶ前記二点を結ぶ線分が左右方向を示す状態を保ちつつ、前記下脚板移動域内を通って前記下脚板がその基本位置に移動するとともに、ベッド等が基本形態に復帰する、前記第4運動に続く運動である。
The details of the five movements are as follows. In the first movement, the lower leg plate first moves into the lower leg plate moving area while satisfying a specific condition from the state where the bed or the like is in the basic form, and then at least the rear end of the lower leg plate is at least It is a movement that moves through the lower leg plate moving area until it is located above the seat covering. Here, the movement of the lower leg plate through the lower leg plate moving area means that the lower leg plate moves while keeping all the portions of the lower leg plate in the lower leg plate moving area. The first of the specific conditions to be satisfied by the first movement is that the lower leg plate moves without generating a new factor that impedes replacement of the sitting laying material. Here, the replacement of the seat covering is to replace the seat covering without lowering the bedridden from the bed or the like. The second condition is that the lower leg plate moves while maintaining a state in which a line segment connecting two points arranged in the left-right direction on the upper surface of the lower leg plate at the basic position indicates the left-right direction. The third condition is that in the process of moving the lower leg plate into the lower leg plate moving area, the contact portion of the upper 1 with the upper 2 is separated from the upper 2 forward, and the lower leg plate is moved to the lower leg plate. It is to move within the moving area. Here, separating the contact portion of Instep 1 forward from Instep 2 means moving the contact portion of Instep 1 forward and away from Instep 2 while avoiding that the contact portion of Instep 1 overlaps with Instep 2. To do. The fourth condition is that the upper 1 is kept away from the upper 2 in the process of moving the lower leg plate through the lower leg plate moving area until at least the rear end of the lower leg plate is positioned above the seat covering. However, the lower leg plate moves. Note that the first movement when the lower leg plate in the basic position is in the lower leg plate movement area from the beginning eliminates the process of moving the lower leg board into the lower leg plate movement area. That is, the lower leg plate is moved from the state in which the bed or the like is in the basic form until at least the rear end of the lower leg plate is positioned above the seat covering while satisfying the first, second and fourth of the above conditions. It becomes exercise to do.
The second movement is a state in which the line segment connecting the two points arranged side by side on the upper surface of the lower leg plate when in the basic position indicates the left and right direction without generating a new factor that hinders the replacement of the sitting laying material. The lower leg plate moves backward through the lower leg plate movement area so that the rear part of the lower leg plate overlaps the upper part of the seat laying piece while keeping the lower leg plate. Here, the movement following the first movement is a movement started in a state where an important part for solving the problem of the present invention is held among the actions brought about by the first movement.
The third motion is a motion following the second motion in which the seat plate moves downward from its basic position without generating a new factor that hinders replacement of the seat covering. The movement following the second movement is a movement started in a state in which a part important for solving the problem of the present invention is held among the effects brought about by a series of movements from the first movement to the second movement. Yes, the following similar terms have the same meaning.
The fourth motion is a motion following the third motion in which the seat plate moves to its basic position while maintaining the state where the seat covering is mounted.
In the fifth motion, the lower leg plate passes through the lower leg plate moving area while the line connecting the two points arranged side by side on the upper surface of the lower leg plate when in the basic position indicates the left and right direction. This is a movement following the fourth movement in which the bed or the like returns to the basic form.

ベッド等上にいる臥床者の身体の下で坐部敷具をベッド等から取外す方法は、座部敷具だけを座部板から取外す方法でもよいし、座部敷具を座部板ごとベッド等から取外す方法でもよい。しかし、前記二つには、それぞれ長所短所がある。例えば、座部板ごと取外す方法には、敷具の取出しをやり難くする一方で、座部敷具と座部板両方の差替えを可能にするため、敷具開発の自由度を高めるという利点がある。したがって、前記いずれの方法によっても取外せるようにして、状況に応じ使い分けられるようにするのがより望ましいと思われる。なお、座部敷具を座部板ごとベッド等から取外す場合には、座部敷具を座部板ごと取出せる大きさを持つ開口部が、少なくとも前記第3運動が終了した段階において確保される必要がある。  The method of removing the seat laying tool from the bed etc. under the body of the bedridden person on the bed etc. may be the method of removing only the seat laying tool from the seat board, or the seat laying tool together with the seat board. The method of removing from etc. may be sufficient. However, each of the two has advantages and disadvantages. For example, the method of removing the entire seat plate has the advantage of increasing the degree of freedom in developing the bedding because it makes it difficult to remove the bedding and allows replacement of both the seat bedding and the seat plate. is there. Therefore, it seems that it is more desirable to be able to remove by any of the above-mentioned methods so that it can be used properly according to the situation. In addition, when removing the seat covering sheet from the bed or the like together with the seat panel, an opening having a size that allows the seat covering sheet to be removed together with the seat panel is secured at least when the third movement is completed. It is necessary to

ベッド等上に臥床者が仰臥している時、坐部敷具は、臥床者の体重によって下に押しつけられ、いわば上下二面を臥床者の坐部と坐部敷具取付部によって強く挟扼された状態にある。上下二面が挟扼される状態は、敷具という用具の性格上必然的に発生するものであるから、当然、上体部敷具や下脚部敷具にも生じている。しかし、坐部敷具の場合には、それが置かれる位置の特性から、脚を動かしたり上体を起したりする臥床者の体位変換によって、その被挟扼状態を軽減または解消することが難しい。そのために、坐部敷具については、臥床者をベッド等上から降ろさずに、その取替えを行うことが困難なのである。また、坐部敷具は、前後二面をそれぞれ密接した下脚部敷具と上体部敷具によって挟扼されており、これも坐部敷具の差替えを妨げる要因となっている。  When the bedridden is lying on the bed etc., the sitting lie is pressed down by the weight of the bedridden, so to speak, the upper and lower surfaces are strongly clamped by the bedside of the bedded person and the seating laying attachment part. It is in the state that was done. The state in which the upper and lower surfaces are sandwiched is inevitably generated due to the nature of the tool called a laying tool, and naturally occurs in the upper body laying tool and the lower leg laying tool. However, in the case of a sitting laying device, it is possible to reduce or eliminate the pinched state by changing the position of the bedridden person who moves the leg or raises the upper body due to the characteristics of the position where it is placed. difficult. For this reason, it is difficult to replace the sitting laying material without lowering the bedridden from the bed or the like. In addition, the seat laying material is sandwiched between the lower leg lining material and the upper body lining material that are close to each other on the front and rear surfaces, and this is also a factor that hinders the replacement of the sitting laying material.

請求項2記載の座部敷具差替えベッド等は、第1運動から第5運動に至る五つの運動を各運動所定の支持板等に行わせることにより、前記の上下二面と前後二面の被挟扼状態を解消し、ベッド等上から臥床者を降ろさずに、簡単に坐部敷具を取替えることができるようにしたものである。即ち先ず、第1運動により、坐部敷具前面に密接した下脚部敷具を上方に離隔して、前後二面の被挟扼状態を解消する。次に、第2運動により、臥床者の脚部を屈曲させつつ大腿部に向かって下脚板を押し進め、下脚部敷具を介して臥床者の下半身が下がらないように支え、その後で第3運動により、坐部板を下方に移動させて上下二面の被挟扼状態を解消し、坐部敷具の差替えを可能にするのである。また、第4運動は、座部板と座部敷具をそれぞれの基本位置に移動させ、第5運動は、下脚板と下脚部敷具をそれぞれの基本位置に移動させるとともに、ベッド等を基本形態に復帰させる。なお、第1運動は、前後二面の被挟扼状態を解消する働きと同時に、仰臥した臥床者の脚を上に押上げて、第2運動に対応し易い体位へ臥床者を誘導する働きを行うものである。  The seat bed laying replacement bed or the like according to claim 2 is configured such that the upper and lower two surfaces and the front and rear two surfaces are formed by causing each movement predetermined support plate to perform five movements from the first movement to the fifth movement. This eliminates the pinched state and allows the seat laying material to be easily replaced without lowering the bedridden from the bed or the like. That is, first, by the first motion, the lower leg laying piece that is in close contact with the front surface of the sitting laying piece is separated upward, and the sandwiched state of the two front and rear faces is eliminated. Next, in the second exercise, the lower leg plate is pushed toward the thigh while the leg of the bedridden is bent, and the lower body of the bedridden is supported via the lower leg laying so that the lower body is not lowered. By exercising, the seat plate is moved downward to eliminate the pinched state of the upper and lower surfaces, and the seat covering can be replaced. In the fourth movement, the seat plate and the seat covering are moved to the respective basic positions, and in the fifth movement, the lower leg plate and the lower leg covering are moved to the respective basic positions, and the bed is basically used. Return to form. The first exercise works to eliminate the pinched state of the two front and rear surfaces, and at the same time, pushes the feet of the lying bedside up and guides the bedridden person to a position that can easily cope with the second movement. Is to do.

請求項3記載の座部敷具差替えベッド等は、請求項1記載の座部板の上面における前後左右4端部それぞれの示す方向が、前記座部板が基本位置にあるときと同じになるようにして、且つ前記座部板の上面が臥床者座部に直接接触する位置を上限として、請求項1記載の座部板が臥床者座部の方に所望の距離だけ移動する、付加第1運動と、
ベッド等上に仰臥した臥床者が請求項1記載の下脚部敷具に無理なく安全に脚を載せることができる状態を維持しつつ、請求項1記載の下脚板が所望の距離だけ前方に移動する、前記付加第1運動に続く付加第2運動と、
ベッド等上に仰臥した臥床者が前記下脚部敷具に無理なく安全に脚を載せることができる状態を維持しながら、前記下脚板が前記付加第2運動開始時点の位置に復帰する、前記付加第2運動に続く付加第2運動始点復帰運動と、
前記付加第1運動開始時点の状態に復帰する前記座部板等の運動である、前記付加第2運動始点復帰運動に続く付加第1運動始点復帰運動と、を、
請求項1記載の第3運動の終了後であり、且つ請求項1記載の第4運動の開始前である段階において、各運動所定の支持板等に行わせる運動手段を具備した、請求項1記載の坐部敷具差替えベッド等である。
In the seat bed laying replacement bed according to claim 3, the directions indicated by the front, rear, left and right four ends on the upper surface of the seat plate according to claim 1 are the same as when the seat plate is in the basic position. In addition, the seat plate according to claim 1 moves by a desired distance toward the bedridden seat, with the upper limit being the position where the upper surface of the seat plate directly contacts the bedrock seat. One exercise,
The lower leg plate according to claim 1 moves forward by a desired distance while maintaining a state in which a bedridden lying on a bed or the like can safely place his / her legs on the lower leg laying device according to claim 1 An additional second movement following the additional first movement;
The additional leg, wherein the lower leg plate returns to the position at the start of the additional second movement while maintaining a state in which a bedridden lying on the bed or the like can safely put his / her leg on the lower leg laying member without any difficulty. An additional second motion starting point return motion following the second motion;
An additional first motion start point return motion following the additional second motion start point return motion, which is a motion of the seat plate or the like returning to the state of the additional first motion start time,
2. The apparatus according to claim 1, further comprising exercise means for causing a predetermined support plate to perform each movement at a stage after the end of the third movement according to claim 1 and before the start of the fourth movement according to claim 1. It is a sitting bed covering replacement bed or the like.

請求項4記載の座部敷具差替えベッド等は、請求項2記載の座部板の上面における前後左右4端部それぞれの示す方向が、前記座部板が基本位置にあるときと同じになるようにして、且つ前記座部板の上面が臥床者座部に直接接触する位置を上限として、請求項2記載の座部板が臥床者座部の方に所望の距離だけ移動する、付加第1運動と、
基本位置にあるときの下脚板の上面において左右に並ぶ、請求項2記載の二点を結ぶ線分が左右方向を示す状態を保ちつつ、請求項2記載の下脚板移動域内を通って、請求項2記載の下脚板が所望の距離だけ前方に移動する、前記付加第1運動に続く付加第2運動と、下脚板上面で左右に並ぶ前記二点を結ぶ線分が左右方向を示す状態を保ちながら、前記下脚板移動域内を通って、前記下脚板が前記付加第2運動開始時点の位置に復帰する、前記付加第2運動に続く付加第2運動始点復帰運動と、
前記付加第1運動開始時点の状態に復帰する前記座部板等の運動である、前記付加第2運動始点復帰運動に続く付加第1運動始点復帰運動と、を、
請求項2記載の第3運動の終了後であり、且つ請求項2記載の第4運動の開始前である段階において、各運動所定の支持板等に行わせる運動手段を具備した、請求項2記載の坐部敷具差替えベッド等である。
In the seat bed laying replacement bed according to claim 4, the directions indicated by the front, rear, left and right four ends on the upper surface of the seat plate according to claim 2 are the same as when the seat plate is in the basic position. The seat plate according to claim 2 is moved by a desired distance toward the bedridden seat, with the upper limit being a position where the upper surface of the seat plate directly contacts the bedrest seat. One exercise,
The line segment connecting the two points according to claim 2 arranged side by side on the upper surface of the lower leg plate when in the basic position passes through the lower leg plate movement area according to claim 2 while maintaining a state indicating the left-right direction. The state in which the lower leg plate according to Item 2 moves forward by a desired distance, the additional second motion following the additional first motion, and the line segment connecting the two points arranged side by side on the upper surface of the lower leg plate indicates the left-right direction. An additional second motion start point return motion following the additional second motion, wherein the lower leg plate returns to the position of the start time of the additional second motion through the lower leg plate movement range,
An additional first motion start point return motion following the additional second motion start point return motion, which is a motion of the seat plate or the like returning to the state of the additional first motion start time,
3. A movement means for causing each predetermined movement plate to perform the movement at a stage after the end of the third movement according to claim 2 and before the start of the fourth movement according to claim 2. It is a sitting bed covering replacement bed or the like.

請求項5記載の座部敷具差替えベッド等は、所定の衛生機器・医療機器等を設置するための場所を、請求項1、請求項2、請求項3または請求項4記載の座部板の下方に設けた構造と、前記座部板を取替えることができる構造と、を具備した、請求項1、請求項2、請求項3または請求項4記載の坐部敷具差替えベッド等である。  The seat lay replacement bed according to claim 5 is a seat plate according to claim 1, claim 2, claim 3 or claim 4, wherein a place for installing predetermined hygiene equipment, medical equipment, etc. is provided. A seat laying bed replacement bed or the like according to claim 1, claim 2, claim 3, or claim 4, comprising a structure provided below and a structure capable of replacing the seat plate. .

請求項6記載の座部敷具差替えベッド等は、請求項1記載の座部板の上面における前後左右4端部それぞれの示す方向が、前記座部板が基本位置にあるときと同じになるようにして、且つ前記座部板の上面が臥床者座部に直接接触する位置を上限として、請求項1記載の座部板が臥床者座部の方に所望の距離だけ移動する、付加第1運動と、
ベッド等上に仰臥した臥床者が請求項1記載の下脚部敷具に無理なく安全に脚を載せることができる状態を維持しながら、請求項1記載の下脚板の後端と前記座部板の前端との間から臥床者が足を下ろすことができるようになる前方の位置に、請求項1記載の下脚板が移動する、前記付加第1運動に続く付加第2運動と、
前記座部板の上面における前後左右4端部それぞれが示す方向をいずれも変えることなく保ちながら、前記座部板が、所定の位置を下限として所望の距離だけほぼ真直ぐ下方に移動する、前記付加第2運動に続く付加第3運動と、
前記座部板の上面における前後左右4端部それぞれが示す方向をいずれも変えることなく保ちながら、前記座部板がほぼ真直ぐ上方に移動して前記付加第3運動開始時点の位置に復帰する、前記付加第3運動に続く付加第3運動始点復帰運動と、
ベッド等上に仰臥した臥床者が前記下脚部敷具に無理なく安全に脚を載せることができる状態を維持しながら、前記下脚板が前記付加第2運動開始時点の位置に復帰する、前記付加第3運動始点復帰運動に続く付加第2運動始点復帰運動と、
前記付加第1運動開始時点の状態に復帰する前記座部板等の運動である、前記付加第2運動始点復帰運動に続く付加第1運動始点復帰運動と、を、
請求項1記載の第3運動の終了後であり、且つ請求項1記載の第4運動の開始前である段階において、各運動所定の支持板等に行わせる運動手段と、
所定の衛生器機・医療機器等を設置するための場所を前記座部板の下方に設けた構造と、前記座部板を取替えることができる構造と、
前記坐部板の前端下方に、臥床者の足置き場を設けた構造と、
を具備した、請求項1記載の坐部敷具差替えベッド等である。
In the seat bed laying replacement bed according to claim 6, the directions indicated by the front, rear, left and right four ends on the upper surface of the seat plate according to claim 1 are the same as when the seat plate is in the basic position. In addition, the seat plate according to claim 1 moves by a desired distance toward the bedridden seat, with the upper limit being the position where the upper surface of the seat plate directly contacts the bedrock seat. One exercise,
The rear end of the lower leg plate and the seat plate of claim 1 while maintaining a state in which a bedridden lying on a bed or the like can comfortably and safely put his / her legs on the lower leg laying device of claim 1 An additional second movement following the additional first movement, wherein the lower leg plate moves to a forward position where the bedridden can lower the foot from between the front end of
The addition, wherein the seat plate is moved substantially straight downward by a desired distance with a predetermined position as a lower limit while keeping the directions indicated by the four front, rear, left and right ends on the upper surface of the seat plate without changing any of the directions. An additional third movement following the second movement;
The seat plate moves almost straight upward and returns to the position of the start of the additional third motion while keeping the directions indicated by the front, rear, left and right four ends on the upper surface of the seat plate without changing any of them. An additional third motion starting point return motion following the additional third motion;
The additional leg, wherein the lower leg plate returns to the position at the start of the additional second movement while maintaining a state in which a bedridden lying on the bed or the like can safely put his / her leg on the lower leg laying member without any difficulty. An additional second motion start point return motion following the third motion start point return motion;
An additional first motion start point return motion following the additional second motion start point return motion, which is a motion of the seat plate or the like returning to the state of the additional first motion start time,
In the stage after the end of the third movement according to claim 1 and before the start of the fourth movement according to claim 1, a movement means for causing each movement predetermined support plate to perform,
A structure in which a place for installing a predetermined sanitary device / medical device or the like is provided below the seat plate, and a structure in which the seat plate can be replaced;
Below the front end of the seat plate, a structure for providing a footrest for the bedridden person,
The seat laying bed replacement bed or the like according to claim 1.

請求項7記載の座部敷具差替えベッド等は、請求項2記載の座部板の上面における前後左右4端部それぞれの示す方向が、前記座部板が基本位置にあるときと同じになるようにして、且つ前記座部板の上面が臥床者座部に直接接触する位置を上限として、請求項2記載の座部板が臥床者座部の方に所望の距離だけ移動する、付加第1運動と、
基本位置にあるときの下脚板の上面において左右に並ぶ、請求項2記載の二点を結ぶ線分が左右方向を示す状態を保ちながら、請求項2記載の下脚板の後端と前記坐部板の前端との間から臥床者が足を下ろすことができるようになる前方の位置に、請求項2記載の下脚板移動域内を通って、請求項2記載の下脚板が移動する、前記付加第1運動に続く付加第2運動と、
前記座部板の上面における前後左右4端部それぞれが示す方向をいずれも変えることなく保ちながら、前記座部板が、所定の位置を下限として所望の距離だけほぼ真直ぐ下方に移動する、前記付加第2運動に続く付加第3運動と、
前記座部板の上面における前後左右4端部それぞれの示す方向をいずれも変えることなく保ちながら、前記座部板がほぼ真直ぐ上方に移動して前記付加第3運動開始時点の位置に復帰する、前記付加第3運動に続く付加第3運動始点復帰運動と、
下脚板上面で左右に並ぶ前記二点を結ぶ線分が左右方向を示す状態を保ちながら、前記下脚板移動域内を通って、前記下脚板が前記付加第2運動開始時点の位置に復帰する、前記付加第3運動始点復帰運動に続く付加第2運動始点復帰運動と、
前記付加第1運動開始時点の状態に復帰する前記座部板等の運動である、前記付加第2運動始点復帰運動に続く付加第1運動始点復帰運動と、を、
請求項2記載の第3運動の終了後であり、且つ請求項2記載の第4運動の開始前である段階において、各運動所定の支持板等に行わせる運動手段と、
所定の衛生器機・医療機器等を設置するための場所を前記座部板の下方に設けた構造と、前記座部板を取替えることができる構造と、
前記坐部板の前端下方に、臥床者の足置き場を設けた構造と、
を具備した、請求項2記載の坐部敷具差替えベッド等である。
In the seat part laying tool replacement bed according to claim 7, the directions indicated by the front, rear, left and right four ends on the upper surface of the seat part plate according to claim 2 are the same as when the seat part plate is in the basic position. The seat plate according to claim 2 is moved by a desired distance toward the bedridden seat, with the upper limit being a position where the upper surface of the seat plate directly contacts the bedrest seat. One exercise,
The rear end of the lower leg plate and the seat portion while maintaining a state in which the line segment connecting the two points according to claim 2 arranged in the left and right directions on the upper surface of the lower leg plate at the basic position indicates a left-right direction. The additional leg, wherein the lower leg plate according to claim 2 moves through the lower leg plate movement area according to claim 2 to a front position where the bedridden can lower the foot from between the front end of the board. An additional second movement following the first movement;
The addition, wherein the seat plate is moved substantially straight downward by a desired distance with a predetermined position as a lower limit while keeping the directions indicated by the four front, rear, left and right ends on the upper surface of the seat plate without changing any of the directions. An additional third movement following the second movement;
The seat plate is moved almost straight upward and returned to the position of the start of the additional third movement while keeping the directions indicated by the front, rear, left and right four ends on the upper surface of the seat plate without changing them. An additional third motion starting point return motion following the additional third motion;
The lower leg plate returns to the position at the time of starting the additional second motion through the lower leg plate moving area while maintaining a state in which the line connecting the two points arranged side by side on the upper surface of the lower leg plate indicates the left-right direction. An additional second motion start point return motion following the additional third motion start point return motion;
An additional first motion start point return motion following the additional second motion start point return motion, which is a motion of the seat plate or the like returning to the state of the additional first motion start time,
In the stage after the end of the third movement according to claim 2 and before the start of the fourth movement according to claim 2, exercise means for causing each movement predetermined support plate to perform,
A structure in which a place for installing a predetermined sanitary device / medical device or the like is provided below the seat plate, and a structure in which the seat plate can be replaced;
Below the front end of the seat plate, a structure for providing a footrest for the bedridden person,
The seat laying material replacement bed according to claim 2 and the like.

障害を抱える臥床者が必要とする、動作外支援、即ち敷き寝具の清掃や排泄処理といった動作以外の生活上の問題に対する直接的な支援は、種類が多く且つ臥床者の身体状況とともに変化する多様なものである。社会の高齢化が進む中で、動作外支援機構を持つベッドの必要性が高まっているが、従来のベッドは、臥床者が必要とする多様な動作外支援の中のごく限られた一部の支援しか行うことができず、そのために、いずれも実用性に欠けるという弱点を持っている。  Non-operational support required by bedridden persons with disabilities, that is, direct support for life problems other than movement, such as cleaning of bedclothes and excretion, is diverse and varies according to the physical condition of the bedridden person It is a thing. With the aging of society, the need for beds with out-of-motion support mechanisms is increasing, but conventional beds are a limited part of the variety of out-of-motion support required by the bedridden. Therefore, all of them have the weakness of lacking practicality.

本発明の座部敷具差替えベッド等では、座部敷具を含むすべての敷具を差替える、即ち臥床者をベッド等上から降ろさずに取替える、ことができる。したがって、動作外支援に必要な機能を持つ各種の敷具を状況に応じ手軽に差替えて使い分けることが可能であり、これによって、臥床者が必要とする多様な動作外支援を広範囲に行うことができる。  In the seat laying material replacement bed or the like of the present invention, all the laying materials including the seating laying material can be replaced, that is, the bedridden person can be replaced without being lowered from the bed or the like. Therefore, it is possible to easily replace and use various types of coverings with functions necessary for non-operation support according to the situation, thereby providing a wide range of non-operation support required by the bedridden. it can.

本発明の座部敷具差替えベッド等は、動作外支援機能を持つ各種の敷具を手軽に差替えて使い分けることを可能にし、これによって、ベッドが本来備えるべき寝具機能を損なうことなく、障害を抱える臥床者が必要とする多様な動作外支援を広範囲に行うことができる、実用性の高い動作外支援機構を持つベッド等を提供するものである。  The seat laying bed replacement bed etc. of the present invention makes it possible to easily replace and use various types of laying sheets having a support function outside the operation, thereby preventing obstacles without impairing the bedding function that the bed should originally have. The present invention provides a bed and the like having a highly practical out-of-motion support mechanism that can perform a wide range of out-of-motion support required by the bedridden person.

動作外支援は、座部に関係するものが最も多い。したがって座部敷具については、特に色々な種類のものを使用できることが望ましい。請求項3及び請求項4記載の座部敷具差替えベッド等では、第一に、敷具厚が所定より薄い敷具であっても、支障なく使用することができる。また、敷具厚が所定より厚い敷具であっても、前記各請求項に係る第3運動の敷具下降深度による制約の範囲内であれば使用できる。更に、座部板の直使用、即ち敷具を装着していない座部板を敷具の代わりにそのまま使用すること、も可能である。  Most out-of-motion assistance is related to the seat. Accordingly, it is desirable that various types of seat coverings can be used. In the seat part laying material replacement bed or the like according to claims 3 and 4, first, even if the laying material thickness is thinner than a predetermined thickness, it can be used without any trouble. Moreover, even if the laying material thickness is thicker than a predetermined value, it can be used as long as it is within the range of the limitation due to the laying material descending depth of the third movement according to each of the above claims. Furthermore, it is possible to use the seat plate directly, that is, to use the seat plate without the laying device as it is instead of the laying device.

座部板の下方に衛生機器等を設置し、差替えた専用敷具によってその衛生機器等を使用できるようにすると、より効果的な動作外支援を行えるようになる。請求項5記載の座部敷具差替えベッド等は、所定の座部下機器、即ち座部下に設置した所定の衛生機器・医療機器等、を専用敷具によってベッド等上から使用することができるものである。  If a sanitary device or the like is installed below the seat plate and the sanitary device or the like can be used with the replaced special laying material, it becomes possible to provide more effective outside support. The seat bed laying replacement bed or the like according to claim 5 can use predetermined equipment under the seat, that is, predetermined hygiene equipment / medical equipment, etc. installed under the seat from above the bed etc. with a dedicated floor covering. It is.

請求項6及び請求項7記載の座部敷具差替えベッド等は、以下に挙げる三つの特性を持つ座部敷具差替えベッド等であって、優れた動作外支援を広範囲に提供できるとともに、健康な時であっても抵抗なく使える便器付きベッド等として、高齢者の健康維持に役立つものである。  The sitting bed laying replacement bed or the like according to claim 6 or 7 is a sitting bed laying replacement bed or the like having the following three characteristics, and can provide a wide range of excellent off-operation support and health. As a bed with a toilet bowl that can be used without resistance even at any time, it is useful for maintaining the health of the elderly.

前記三つの特性の第一は、座部板の直使用、即ち敷具を装着していない座部板を敷具の代わりにそのまま使用すること、ができることである。使用中の座部敷具を他の座部敷具に差替える座部敷具同士の差替え作業と、使用中の座部敷具を座部板の直使用に切替える作業とを比べると、後者の方がはるかに作業が簡単である。前者の場合は、使用中の敷具を抜取ってから他の敷具を差入れなければならないのに対して、後者の場合は、使用中の敷具を完全に抜取る必要はなく、敷具の端部を残した状態のままで、座部板を上げ使用できるからである。特に、ベッド等上に居る臥床者が自分で差替えを行う場合を考えると、両者の作業性の差は、より顕著になる。したがって、座部板の直使用ができるベッド等では、座部下機器使用のための適当な加工を施した座部板を使用することによって、ベッド等上の臥床者が、自分自身の操作で簡単に座部下機器を使うことができる。
前記特性の第二は、臥床者が座部板に腰掛けることができることである。これによって、臥床者は、座部板に腰掛けた姿勢で座部下機器を使用することができる。
前記特性の第三は、所定の範囲内で座部板を下げることができることである。座部下に設置した衛生機器等を使用するための最適位置は、通常、座部板を基本位置から若干下げた所にある。したがって第三の特性により、臥床者は、座部板の高さを調整して座部下の衛生機器等を最適位置で使用することができる。
The first of the three characteristics is that the seat plate can be used directly, that is, the seat plate without the laying tool can be used as it is instead of the laying tool. If you compare the replacement work between sitting seat coverings that replace the sitting seat covering in use with another sitting floor covering, and the work that switches the sitting seat covering to the direct use of the seat plate, the latter Is much easier to work with. In the former case, it is necessary to remove the existing rug before inserting it, while in the latter case, it is not necessary to completely remove the used rug. This is because the seat plate can be lifted and used while leaving the end portion of the seat. In particular, considering the case where a bedridden on a bed or the like replaces himself / herself, the difference in workability between the two becomes more remarkable. Therefore, in beds that can be used directly, it is easy for the bedridden on the bed to perform their own operations by using a seat plate that has been properly processed to use the equipment under the seat. You can use the equipment under the seat.
The second of the above characteristics is that the bedridden person can sit on the seat plate. As a result, the bedridden person can use the device under the seat while sitting on the seat plate.
The third of the characteristics is that the seat plate can be lowered within a predetermined range. The optimum position for using a sanitary device or the like installed under the seat is usually at a position where the seat plate is slightly lowered from the basic position. Therefore, the bedridden person can adjust the height of the seat plate and use the sanitary equipment under the seat at the optimum position by the third characteristic.

障害が生じた臥床者にとって、生活上の問題の中で特に重要項目というべきものは、敷き寝具の清掃整備・身体状況の各段階における排泄処理・床ずれ防止の三つである。請求項1または請求項2記載の座部敷具差替えベッド等が、前記項目それぞれに対し、具体的にどのような支援を行えるかについて説明する。  For bedriddens with disabilities, there are three important items in their daily life: cleaning the bedding, excretion at each stage of the physical condition, and preventing bed slipping. A specific description will be given of how the seat laying bed replacement bed according to claim 1 or 2 can specifically support each of the above items.

先ず、敷き寝具の清掃整備に対しては、使用中の汚れた敷具を予め整備しておいた予備敷具と差替える方法によって迅速に対処できる。敷具を整備済みのものと差替えれば、敷具は即座に更新されるので、この支援は非常に効果的である。  First, the cleaning and maintenance of the bedclothes can be quickly dealt with by replacing the dirty bedclothes in use with the spare bedsheets that have been prepared in advance. This support is very effective because the bedding is updated immediately if the bedding is replaced with a repaired one.

次に、排泄処理に対する支援であるが、ここでは便宜上、臥床者の身体状況を、失禁の心配がない軽症期と、失禁が常態化した重症期と、両方の中間的状態である中間期の三段階に単純化して説明する。軽症期の排泄処理で問題となるのは、主として排便である。この段階の排尿は、適当な採尿具を使えば、臥床者が寝たままの姿勢で支障なく処理できるのに対して、排便は、ふとんの上で簡易便器を使うような場合、極めて不自然不安定な姿勢を強いられるとともに、便器との接触部が痛い等の問題もあって、臥床者の大きな悩みとなることが多いからである。前記座部敷具差替えベッド等では、例えば図56に示したような敷具を排便時に使用することができる。この敷具は、木製基台Aの上に座席マットBを取付けた本体と、これに着脱自由に組合わせた便器Cからなっており、構造は極めて単純である。しかし、座席部が広く、座部板上に直接設置するため安定度も十分であるから、従来のようにふとんの上で簡易便器を使う場合に比べれば、格段に良好な使用感を臥床者に与えることができる。また、臥床者が敷具上に座った後で基台を高くできるような敷具を使えば、更に使用感を高めることができる。
通常おむつが使用される、重症期の排泄処理では、おむつ交換と下腹部清掃の作業性が実際上の問題になる。前記座部敷具差替えベッド等では、座部敷具差替え時におけるベッド等の動きとそれに伴う臥床者の体位変動(図19、図35等)を利用することによって、おむつ交換を容易に行うことができる。また、この時に、適当な受け皿を座部下に置くようにすれば、下腹部清掃も容易に処理できる。
中間期は、失禁の可能性が出てくるとともに、排尿処理も、軽症期のような方法では、失敗する場合が多くなる段階である。従来型のベッドでは、寝具、中でも敷具の、排泄汚れを避けるために、おむつ使用を早くから始める傾向がある。しかし、おむつの着用は、臥床者にかなりの精神的苦痛を与えるものであるから、その着用は、最小限度の期間に止めることが望ましい。前記座部敷具差替えベッド等では、敷具の清掃整備が基本的に簡単であり、また、例えば図57に示したような敷具を使うこともできるので、おむつよりも軽装備の、簡単な失禁用下着を着用するだけで済ますことが可能である。図57に示した敷具は、防水対策を施した基台マットDと、その上に取付けた5枚の上敷きEと、基台マットの切込み部に組合わせるように配置した中マットFからなるものであって、上敷きと中マットはともに着脱自由である。この敷具では、中マットを取除き、そこに図56に示すような便器を置いて使用することもできる。また、基台マット切込み部周辺の上敷きと中マットに、吸水力のある使い捨てシートを取付ければ、多くの場合、失禁等による敷具の汚れをシートの取替えだけで処理することができ、敷具自体の取替えが不要になる。
なお、図56や図57の敷具は、説明の便宜上示した、ごく単純素朴な参考モデルに過ぎないのであって、実際には、より利便性の高い敷具を選択使用することができる。
Next, for assistance in excretion processing, here, for convenience, the physical condition of the bedridden is divided between a mild stage where there is no worry of incontinence and a severe stage where incontinence has become normal, and an intermediate stage that is an intermediate state of both. Simplify and explain in three steps. It is mainly defecation that becomes a problem in the excretion processing in the mild stage. While urination at this stage can be handled without difficulty in the posture of a bedridden person using a suitable urine collection tool, stool is extremely unnatural when using a simple toilet on a futon. This is because an unstable posture is forced, and there are problems such as pain in the contact portion with the toilet bowl, which often causes great problems for the bedridden. In the seat laying tool replacement bed or the like, for example, a laying tool as shown in FIG. 56 can be used at the time of defecation. This lay has a main body in which a seat mat B is mounted on a wooden base A, and a toilet C which is freely detachably combined with the main body. The structure is very simple. However, since the seat is wide and it is installed directly on the seat plate, the stability is sufficient, so that it is much better than the conventional case where a simple toilet is used on a futon. Can be given to. In addition, the use feeling can be further enhanced by using a laying tool that can raise the base after the bedded person sits on the laying sheet.
In the excretion process in a severe period in which diapers are usually used, the workability of exchanging diapers and cleaning the lower abdomen becomes a practical problem. In the above-mentioned bed part replacement bed, etc., the diaper can be easily exchanged by utilizing the movement of the bed, etc. when the seat part lay sheet is replaced, and the accompanying change in the position of the bedridden (FIGS. 19, 35, etc.). Can do. At this time, if a suitable tray is placed under the seat, the lower abdomen can be easily cleaned.
In the interim period, there is a possibility of incontinence, and urination processing is a stage in which there are many cases of failure in a method such as a mild stage. Conventional beds tend to start using diapers early to avoid excretory stains on bedding, especially laying. However, since wearing a diaper causes considerable mental distress to the bedridden, it is desirable to stop wearing it for a minimum period. In the above-mentioned bed stool replacement bed and the like, cleaning and maintenance of the laying material is basically simple, and for example, a laying material as shown in FIG. 57 can be used. It is possible to do this by simply wearing incontinence underwear. The laying material shown in FIG. 57 is composed of a base mat D that is waterproofed, five overlays E that are mounted on the base mat D, and a middle mat F that is disposed so as to be combined with the notch portion of the base mat. Both the overlay and the inner mat are detachable. In this laying tool, the inside mat can be removed, and a toilet as shown in FIG. 56 can be placed there. In addition, if a disposable sheet with water absorption is attached to the overlay and middle mat around the base mat notch, in many cases the stain of the laying equipment due to incontinence can be treated simply by replacing the sheet. There is no need to replace the tool itself.
56 and 57 is merely a simple and simple reference model shown for convenience of explanation, and in fact, a more convenient lay can be selected and used.

最後は、床ずれ予防に対する支援についてである。床ずれを予防するには、身体の圧迫箇所が固定化しないようにすること、汗・尿・便による汚れや過度の湿り気から皮膚を守ること等の対策を総合的に行うことが必要である。前記座部敷具差替えベッド等では、既存する各種の床ずれ防止マットを適宜使い分けることによって、圧迫箇所の固定化を防ぐことができる。また、座部敷具差替え時におけるベッドの動きを利用して、圧迫箇所が固定化しないように、臥床者の体位変換を図ることも可能である。また、汗・尿・便による汚れや過度の湿り気が最も生じ易いのは、座部周辺であるが、前記座部敷具差替えベッド等では、座部敷具差替え時におけるベッド等の動きとそれに伴う臥床者の体位変動を利用することによって、臥床者の座部周辺を清潔に保つよう処置することが容易である。  Lastly, there is support for bedsore prevention. In order to prevent bedsores, it is necessary to comprehensively take measures such as preventing the body from pressing, and protecting the skin from sweat, urine, feces, and excessive moisture. In the above-mentioned seat laying bed replacement bed or the like, it is possible to prevent the compression point from being fixed by appropriately using various existing floor slip prevention mats. It is also possible to change the position of the bedridden so that the compressed portion is not fixed by using the movement of the bed at the time of replacement of the seat covering. Also, dirt and excessive dampness due to sweat, urine, and stool are most likely to occur around the seat. By utilizing the accompanying posture change of the bedridden person, it is easy to treat the area around the bedside of the bedridden person to keep it clean.

第一実施形態の全体斜視図Overall perspective view of the first embodiment 第一実施形態における各脚体の不動部分を示す斜視図The perspective view which shows the stationary part of each leg in 1st embodiment. 第一実施形態における各脚体の作動部分と原動体を示す斜視図The perspective view which shows the action | operation part and prime mover of each leg in 1st embodiment. 第一実施形態における座部・下脚部駆動装置を示す斜視図The perspective view which shows the seat part and lower leg part drive device in 1st embodiment. 第一実施形態における各支持板を示す斜視図The perspective view which shows each support plate in 1st embodiment. 第一実施形態における下脚部脚体を示す側面図Side view showing a lower leg leg in the first embodiment 第一実施形態における下脚部脚体の作動部分を示す正面図The front view which shows the action | operation part of the lower leg part leg body in 1st embodiment. 第一実施形態における座部脚体を示す側面図The side view which shows the seat part leg body in 1st embodiment. 第一実施形態における下脚部脚体の回動板を示す斜視図。左右回動板の間隔は便宜上変更している。The perspective view which shows the rotation board of the lower leg part leg body in 1st embodiment. The interval between the left and right rotating plates is changed for convenience. 前記脚体の動脚を示す斜視図。左右動脚の間隔は便宜上変更している。The perspective view which shows the moving leg of the said leg. The distance between the left and right moving legs is changed for convenience. 前記脚体の回動アームを示す斜視図。左右回動アームの間隔は便宜上変更している。The perspective view which shows the rotation arm of the said leg. The interval between the left and right pivot arms is changed for convenience. 下脚板固定装置を取除いた第一実施形態の下脚板側端部を示す斜視図The perspective view which shows the lower leg board side edge part of 1st embodiment which removed the lower leg board fixing device. 前記下脚板固定装置を示す斜視図The perspective view which shows the said lower leg board fixing device 前記下脚板固定装置を示す別視点からの斜視図The perspective view from another viewpoint which shows the said lower leg board fixing device ~ 第一実施形態における各支持板の動きを示す説明図。説明に不要な部分は省略している。Explanatory drawing which shows the motion of each support plate in 1st embodiment. Portions unnecessary for explanation are omitted. 第二実施形態の全体斜視図Overall perspective view of the second embodiment 第二実施形態における各脚体の不動部分を示す斜視図The perspective view which shows the stationary part of each leg in 2nd embodiment. 第二実施形態における各脚体の作動部分と原動体を示す斜視図The perspective view which shows the action | operation part and prime mover of each leg in 2nd embodiment. 第二実施形態における各支持板を示す斜視図The perspective view which shows each support plate in 2nd embodiment. 第二実施形態における下脚部脚体を示す斜視図The perspective view which shows the lower leg leg body in 2nd embodiment. 第二実施形態における下脚部脚体を示す側面図Side view showing the lower leg leg in the second embodiment 第二実施形態における座部脚体を示す側面図Side view showing a seat leg in the second embodiment 第二実施形態における下脚板下面と下脚板ストッパーを示す斜視図。下脚板ストッパー関係は、4倍に拡大して表示している。The perspective view which shows the lower leg board lower surface and lower leg board stopper in 2nd embodiment. The relationship between the lower leg plate stoppers is magnified four times. ~ 第二実施形態における各支持板の動きを示す説明図。説明に不要な部分は省略している。Explanatory drawing which shows the motion of each support plate in 2nd embodiment. Portions unnecessary for explanation are omitted. 第三実施形態の敷具装着前における全体斜視図Whole perspective view before laying of third embodiment 第三実施形態における各脚体の不動部分を示す斜視図The perspective view which shows the stationary part of each leg in 3rd embodiment. 第三実施形態における下脚部脚体の作動部分と駆動装置を示す斜視図The perspective view which shows the action | operation part and drive device of the lower leg leg body in 3rd embodiment. 第三実施形態における座部脚体の作動部分と主脚板を示す斜視図The perspective view which shows the action | operation part and main leg board of the seat part leg body in 3rd embodiment. 前記座部脚体の作動部分を示す下方からの斜視図。The perspective view from the lower part which shows the action | operation part of the said seat part leg body. 座部板を引下げた時の前記座部脚体作動部分と主脚板を示す斜視図The perspective view which shows the said seat part leg action | operation part and main leg board when a seat part board is pulled down ~ 第三実施形態における各支持板の動きを示す説明図。説明に不要な部分は省略している。Explanatory drawing which shows the motion of each support plate in 3rd embodiment. Portions unnecessary for explanation are omitted. 第四実施形態の敷具装着前における全体斜視図Whole perspective view before laying of fourth embodiment 第四実施形態における各脚体の作動部分と原動体を示す斜視図The perspective view which shows the action | operation part and prime mover of each leg in 4th embodiment. 第四実施形態における下脚板の側面図Side view of the lower leg plate in the fourth embodiment ~ 第四実施形態における各支持板の動きを示す説明図。説明に不要な部分は省略している。Explanatory drawing which shows the motion of each support plate in 4th embodiment. Portions unnecessary for explanation are omitted. 敷具参考モデルの斜視図Perspective view of reference model もう一つの敷具参考モデルの斜視図Perspective view of another reference model

第一実施形態について、図1〜図14により説明する。第一実施形態は、基板1aと、基板1aの上に設けた上体部脚体1cと座部脚体1dと下脚部脚体1gと、前記各脚体の上端部に取付けた上体板1kと座部板1mと下脚板1nと、前記各支持板の上に取付けた上体部敷具1pと座部敷具1qと下脚部敷具1rと、座部脚体1d及び下脚部脚体1gを動かす駆動装置1tと、からなる。各脚体は、各一対の基脚とそれに取付けた部材とで構成されるが、各基脚は、いずれも基板1aの左右両側部から上方に向けて直角方向に接続し、基板に固着している。上体部脚体1cは、上体部基脚110と、上体部基脚110の上部に固着した上体板受け120とからなり、座部脚体1dは、座部基脚130と、昇降自由に前記座部基脚に取付けた昇降板140と、からなる。昇降板140は、外面下部に従動子141を備えている。下脚部脚体1gは、下脚部基脚150と、回動板160と、動脚170と、回動アーム180と、連結体190と、からなる。回動板160は、図9に示す通り従動子161と動脚操作子162とを備え、軸151により下脚部基脚150の内方面に枢着している。動脚170は、図10の通り、動脚材171と172と173とで構成され、動脚材173は、軸174と175により動脚材171と172の上端部に枢着している。また、動脚材171と172の下端部は軸152と153により下脚部基脚150の外方面に枢着している。動脚材173の下脚板支持面は基板1aに平行であり、4つの軸152、153、174及び175は、一辺が基板1aに平行な平行四辺形をなす。回動アーム180は、図11の通り、アーム前部車輪184と、下脚板つなぎ手受け部182と、下脚板固定子穴183を備える。回動アーム180は、軸181により動脚材173に枢着し、一対の連結体脚191を備えた連結体190によって左右アームが結合し一体化している。上体板1k及び下脚板1nは、それぞれ支持板本体と敷具当て板とによって構成される。上体板1kと座部板1mは、その支持面に対して平行方向には動かないが直角方向に持上げれば簡単に外れるような取付手段によって、それぞれの脚体に取付けている。下脚板1nは、左右一対のつなぎ手231をつなぎ手受け部182にそれぞれ通すようにして、回動アーム180に取付けている。下脚板1nは、左右側端部に車輪232と下脚板固定装置を備える。前記下脚板固定装置は、図13及び図14に示す通り、下脚板固定子234と、引手235と、引手支持体236と、支持体236を後方に付勢するバネ237と、で構成されている。装置収納部の側壁に枢着した固定子234の爪部が回動アームの固定子穴183に落ちているときは、引手支持体236の後端が固定子234を上から押さえるので、下脚板1nは動かない。一方、この固定状態から引手235を前方に動かすと、引手支持体236が前方に移動して固定子234の上部を解放するので、固定子234は回動可能となり、下脚板1nは前方に動くようになる。したがって、引手235を前方に引けば下脚板1nは前方に移動し、引手235を後方に引いて下脚板1nを所定位置に戻せば下脚板1nは固定する。引手235の操作は、例えば左右引手に掛け渡した引き紐等で行う。引手に掛け渡した引き紐は、座部敷具差替え時の掛具処理手段として使うこともできる。上体部敷具1p、座部敷具1q及び下脚部敷具1rの取付け手段は、通常、面ファスナーである。もし、敷具が特殊であって面ファスナーの使用が適さない場合は、座部板や当て板を交換する等の方法により対応する。座部板1m、当て板210及び当て板240は、いずれも簡単に差替えを行うことができる。なお、座部敷具1qは臥床者の座部下で取付け取外しを行う必要があるので、座部敷具取付け手段は敷具差替え側だけに設ける。座部敷具は前後を他の敷具に挟まれておりもともと動き難い状態にあるため、こうした取付け方法で問題を生じることはない。駆動装置1tは、図3及び図4に示す通り、280を動力源とする左右一対のネジ軸270それぞれに、螺合した走行子260を介して原動体250を取付け、ネジ軸の回転による原動体250の前進後進によって従動子161と従動子141を駆動させるものである。原動体250は内側の面に従動子141用のカム溝251を備え、底面には車輪を備えている。  A first embodiment will be described with reference to FIGS. The first embodiment includes a substrate 1a, an upper body leg 1c, a seat leg 1d, a lower leg 1g provided on the substrate 1a, and an upper body plate attached to the upper end of each leg. 1k, a seat plate 1m, a lower leg plate 1n, an upper body covering 1p, a seat covering 1q, a lower leg covering 1r, and a seat leg 1d and a lower leg mounted on the respective support plates. And a drive device 1t for moving the body 1g. Each leg is composed of a pair of base legs and members attached thereto, and each base leg is connected to the board 1a from the left and right sides of the board 1a in a perpendicular direction and fixed to the board. ing. The upper body leg 1c includes an upper body base 110 and an upper body support 120 fixed to the upper part of the upper body base 110, and the seat leg 1d includes a seat base 130, And a lifting plate 140 attached to the base of the seat portion so as to freely move up and down. The elevating plate 140 includes a follower 141 at the lower part of the outer surface. The lower leg leg 1g includes a lower leg base leg 150, a rotating plate 160, a moving leg 170, a rotating arm 180, and a connecting body 190. As shown in FIG. 9, the rotating plate 160 includes a follower 161 and a moving leg operator 162, and is pivotally attached to the inner surface of the lower leg base 150 by a shaft 151. As shown in FIG. 10, the moving leg 170 includes moving leg members 171, 172, and 173, and the moving leg member 173 is pivotally attached to the upper ends of the moving leg members 171 and 172 by shafts 174 and 175. The lower ends of the moving leg members 171 and 172 are pivotally attached to the outer surface of the lower leg base leg 150 by shafts 152 and 153. The lower leg plate support surface of the moving leg member 173 is parallel to the substrate 1a, and the four axes 152, 153, 174, and 175 form a parallelogram having one side parallel to the substrate 1a. As shown in FIG. 11, the rotating arm 180 includes an arm front wheel 184, a lower leg plate joint receiving part 182, and a lower leg plate stator hole 183. The rotating arm 180 is pivotally attached to the moving leg material 173 by a shaft 181, and the left and right arms are coupled and integrated by a connecting body 190 including a pair of connecting body legs 191. The upper body plate 1k and the lower leg plate 1n are each composed of a support plate body and a laying plate application plate. The upper body plate 1k and the seat plate 1m are attached to the respective leg bodies by attachment means that do not move in a parallel direction with respect to the support surface but can be easily detached if lifted in a right angle direction. The lower leg plate 1n is attached to the rotating arm 180 so that the pair of left and right joints 231 pass through the joint receiver 182, respectively. The lower leg plate 1n includes a wheel 232 and a lower leg plate fixing device at left and right end portions. As shown in FIGS. 13 and 14, the lower leg plate fixing device includes a lower leg plate stator 234, a handle 235, a handle support 236, and a spring 237 that urges the support 236 rearward. Yes. When the claw portion of the stator 234 pivotally attached to the side wall of the apparatus housing portion falls in the stator hole 183 of the rotating arm, the rear end of the pull support 236 presses the stator 234 from above, so that the lower leg plate 1n does not move. On the other hand, when the handle 235 is moved forward from this fixed state, the handle support 236 moves forward to release the upper portion of the stator 234, so that the stator 234 can be rotated and the lower leg plate 1n moves forward. It becomes like this. Therefore, if the handle 235 is pulled forward, the lower leg plate 1n moves forward, and if the lower leg plate 1n is returned to a predetermined position by pulling the handle 235 backward, the lower leg plate 1n is fixed. The operation of the puller 235 is performed with, for example, a pull string that is stretched over the left and right pullers. The drawstring hung over the handle can also be used as a hook processing means when the seat laying piece is replaced. The attachment means for the upper body part 1p, the seat part 1q and the lower leg part 1r is usually a hook-and-loop fastener. If the bedding is special and it is not appropriate to use a hook-and-loop fastener, it can be dealt with by replacing the seat plate or the backing plate. Any of the seat plate 1m, the contact plate 210, and the contact plate 240 can be easily replaced. In addition, since it is necessary to attach and remove the seat part laying tool 1q under the seating part of the bedridden person, the seat part laying means attaching means is provided only on the laying tool replacement side. Since the seat laying material is originally in a state of being difficult to move because it is sandwiched between other lining materials, such a mounting method does not cause a problem. As shown in FIGS. 3 and 4, the driving device 1t has a prime mover 250 attached to each of a pair of left and right screw shafts 270 that use 280 as a power source via screwed runners 260. The follower 161 and the follower 141 are driven by the forward and backward movement of the moving body 250. The prime mover 250 includes a cam groove 251 for the follower 141 on the inner surface, and a wheel on the bottom surface.

第一実施形態における支持板の動きを図15〜図23により説明する。図15は基本形態を示す。原動体250を図15の位置より前進させると、従動子161が原動体前端面に押されて回動板160が回り、回動板上面が連結体脚191を押上げる。これによって回動アーム180は軸181を中心として後部を上げるように回動し、下脚板1nも同様の動きを行い、図16に示す位置に至る。これが第一実施形態における第1運動である。原動体250を更に前進させると、動脚操作子162により動脚170が作動して、動脚材173が後側斜上方に移動するとともに、回動アーム180は軸181を中心として後部を下げるように回動する。アームの回動は図17の状態で停止するが、動脚材173は移動を続け、図18の位置に至る。この一連の動きによって、下脚板1nも図17の位置を経て図18の位置に至る。これが第2運動である。原動体250を図18の位置より前進させると、下脚板1nは動かず、従動子141がカム溝に沿って動き昇降板140が下降する。これによって、座部板1mは下方に移動して図19に示す位置に至る。これが第3運動であり、座部敷具の差替えはこの状態において行う。図19に示す位置から原動体250を後進させると、座部板1mは前記第3運動の動きを逆に辿って図18の位置に至る。これが第4運動である。更に原動体250を後進させ図15の位置まで戻すと、下脚板1nは、第2運動と第1運動の動きを逆に辿って図15に示す位置まで戻る。これが第5運動である。
一方、図19に示す位置より原動体250を前進させると、昇降板140は上昇して座部板1mも上方に移動する。これが付加第1運動である。昇降板の上昇限度は、座部板1mの上面が直接臥床者座部に接触する図20の位置であり、この位置まで昇降板を上げることによって座部板の直使用が可能になる。付加第1運動を終了した段階で引手235を前方に引くと、下脚板1nは前方に移動する。これが付加第2運動である。下脚板1nが前方に移動し図21で示す位置に達すると、重心が軸181の前方に移って、下脚板1nは後端部を上げながら回動し図22の状態に至る。但し、下脚板の後部を押さえる等の操作をすれば、下脚板を回動させず図21の状態にとどめることも可能である。図22の段階では、臥床者が座部板1mに腰掛けることが可能になる。図22の状態において、原動体250を図19の位置までを限度として後進させると、座部板1mは下方に移動する。これが付加第3運動である。図23は、座部板が最低位置まで移動した状態を示す。付加第3運動が終了した段階で原動体250を付加第3運動開始時の位置まで前進させると、座部板1mは付加第3運動の動きを逆に辿り付加第3運動開始時の位置に戻る。これが付加第3運動始点復帰運動である。前記復帰運動が終了した段階で手動により下脚板1nを図21の状態に戻し、続いて引手235を後方に引くと、下脚板1nは付加第2運動開始時の位置に戻って固定する。これが、付加第2運動始点復帰運動である。原動体250を付加第2運動開始時の位置から付加第1運動開始時の位置まで後進させると、座部板1mは下方に移動して図19の位置に戻る。これが付加第1運動始点復帰運動である。
The movement of the support plate in the first embodiment will be described with reference to FIGS. FIG. 15 shows a basic form. When the prime mover 250 is moved forward from the position of FIG. 15, the follower 161 is pushed by the front end face of the prime mover, the turning plate 160 rotates, and the upper surface of the turning plate pushes up the connecting body leg 191. As a result, the pivot arm 180 pivots about the shaft 181 so as to raise the rear part, and the lower leg plate 1n performs the same movement to reach the position shown in FIG. This is the first motion in the first embodiment. When the prime mover 250 is further advanced, the moving leg 170 is actuated by the moving leg operator 162, the moving leg material 173 moves obliquely upward on the rear side, and the rotating arm 180 lowers the rear part about the shaft 181. It rotates as follows. The rotation of the arm stops in the state of FIG. 17, but the moving leg material 173 continues to move to the position of FIG. By this series of movements, the lower leg plate 1n also reaches the position of FIG. 18 through the position of FIG. This is the second exercise. When the prime mover 250 is advanced from the position of FIG. 18, the lower leg plate 1n does not move, the follower 141 moves along the cam groove, and the elevating plate 140 is lowered. Thereby, the seat plate 1m moves downward to reach the position shown in FIG. This is the third movement, and the seat covering is replaced in this state. When the prime mover 250 is moved backward from the position shown in FIG. 19, the seat plate 1m reversely follows the movement of the third motion to reach the position shown in FIG. This is the fourth movement. Further, when the prime mover 250 is moved backward and returned to the position shown in FIG. 15, the lower leg plate 1n returns to the position shown in FIG. 15 by following the movements of the second motion and the first motion in reverse. This is the fifth movement.
On the other hand, when the prime mover 250 is moved forward from the position shown in FIG. 19, the elevating plate 140 rises and the seat plate 1m also moves upward. This is an additional first motion. The upper limit of the lifting plate is the position in FIG. 20 where the upper surface of the seat plate 1m directly contacts the bedside seat, and the seat plate can be used directly by raising the lifting plate to this position. When the handle 235 is pulled forward at the stage where the additional first movement is completed, the lower leg plate 1n moves forward. This is an additional second motion. When the lower leg plate 1n moves forward and reaches the position shown in FIG. 21, the center of gravity moves to the front of the shaft 181 and the lower leg plate 1n rotates while raising the rear end portion to reach the state shown in FIG. However, if an operation such as pressing the rear part of the lower leg plate is performed, the lower leg plate can be kept in the state shown in FIG. 21 without rotating. In the stage of FIG. 22, the bedridden person can sit on the seat plate 1m. In the state of FIG. 22, when the driving body 250 is moved backward up to the position of FIG. 19, the seat plate 1 m moves downward. This is an additional third movement. FIG. 23 shows a state where the seat plate has moved to the lowest position. When the prime mover 250 is advanced to the position at the start of the additional third movement at the stage where the additional third movement has been completed, the seat plate 1m reversely follows the movement of the additional third movement to the position at the start of the additional third movement. Return. This is the additional third motion start point return motion. When the return movement is completed, the lower leg plate 1n is manually returned to the state shown in FIG. 21 and then the handle 235 is pulled backward, and the lower leg plate 1n returns to the position at the start of the additional second movement and is fixed. This is the additional second motion start point return motion. When the driving body 250 is moved backward from the position at the start of the additional second motion to the position at the start of the additional first motion, the seat plate 1m moves downward and returns to the position of FIG. This is the additional first motion start point return motion.

第二実施形態について図24〜図31により説明する。第二実施形態は、基板2aと、基板2aの上に設けた上体部脚体2cと座部脚体2dと下脚部脚体2gと、前記各脚体の上端部に取付けた上体板2kと座部板2mと下脚板2nと、前記各支持板の上に取付けた上体部敷具2pと座部敷具2qと下脚部敷具2rと、座部脚体2d及び下脚部脚体2gを動かす駆動装置2tと、からなる。各脚体は、各一対の基脚とそれに取付けた部材とで構成されるが、各基脚は、いずれも基板2aの左右両側部から上方に向けて直角方向に接続し、基板に固着している。上体部脚体2cは、上体部基脚300と、上体部基脚300の上部に固着した上体板受け310とからなり、座部脚体2dは、座部基脚320と、昇降自由に前記座部基脚に取付けた昇降板330と、からなる。昇降板330は、外面下部に従動子331を備えている。下脚部脚体2gは、左右各一対の外脚341と内脚342で構成される下脚部基脚340と、回動板360と、動脚370と、連結体380と、からなる。回動板360は、軸361により内脚342に枢着し、従動子362と動脚操作子363を備えている。動脚370は、動脚材371と372と373とで構成され、動脚材373は、軸374と375により動脚材371と372の上端部に枢着している。また、動脚材371と372の下端部は、軸343と344により外脚341に枢着している。動脚材373の下脚板支持面は、基板2aに平行であり、4つの軸343、344、374及び375は、一辺が基板2aに平行な平行四辺形をなす。動脚材373は、連結体380によって左右が結合し一体化しており、その左右いずれか一方に下脚板ストッパー390を備えている。上体板2k及び下脚板2nは、それぞれ支持板本体と敷具当て板とによって構成される。上体板2kと座部板2mは、その支持面に対して平行方向には動かないが直角方向に持上げれば簡単に外れるような取付手段によって、それぞれの脚体に取付けている。下脚板2nは、動脚材373の下脚板受け部376に左右側端部を通すようにして取付けている。下脚板2nは、連結体380上の下部支持車381と下脚板受け部376の上部支持車378とによって、上下を挟まれるように支持されており、円滑に前後方向に移動できる。下脚板ストッパー390は、下脚板固定子391と、操作子支持体393と、支持体393に枢着し内面の突片を介してバネにより固定子391を上方に付勢する操作子392と、により構成され、固定子391の頭部を固定子受け431に挿入して下脚板2nを所定の位置で固定する一方、操作子392によって固定子391を引下げれば固定状態を解除する。固定子391を引下げるには、操作子392の前端部を下げるように手動で操作する。上体部敷具2p、座部敷具2q及び下脚部敷具2rの取付け手段は、通常、面ファスナーである。もし、敷具が特殊であって面ファスナーの使用が適さない場合には、座部板や当て板を交換する等の方法により対応する。座部板2m、当て板410及び440は、いずれも簡単に差替えることができる。なお、座部敷具2qは臥床者の座部下で取付け取外しを行う必要があるので、座部敷具取付け手段は敷具差替え側だけに設ける。座部敷具は前後を他の敷具に挟まれており、もともと動き難い状態にあるため、こうした取付け方法でも問題を生じることはない。駆動装置2tは、480を動力源とする一対のネジ軸470それぞれに、螺合した走行子460を介して原動体450を取付け、ネジ軸470の回転による原動体450の前進後進によって従動子362及び従動子331を駆動させるものである。なお、原動体450は、内側の面に従動子331用のカム溝451を備え、底面には車輪を備えている。  A second embodiment will be described with reference to FIGS. The second embodiment includes a substrate 2a, an upper body leg 2c, a seat leg 2d, a lower leg 2g provided on the substrate 2a, and an upper body plate attached to the upper end of each leg. 2k, a seat plate 2m, a lower leg plate 2n, an upper body covering 2p, a seat covering 2q, a lower leg covering 2r, and a seat leg 2d and a lower leg mounted on the respective support plates. And a driving device 2t for moving the body 2g. Each leg is composed of a pair of base legs and members attached thereto, and each base leg is connected to the board 2a from the left and right sides of the board 2a in a perpendicular direction and fixed to the board. ing. The upper body leg 2c includes an upper body base 300 and an upper body support 310 fixed to the upper part of the upper body base 300, and the seat leg 2d includes a seat base 320, And an elevating plate 330 attached to the seat base leg freely up and down. The elevating plate 330 includes a follower 331 at the lower part of the outer surface. The lower leg leg 2g includes a lower leg base leg 340 including a pair of left and right outer legs 341 and an inner leg 342, a rotating plate 360, a moving leg 370, and a connecting body 380. The rotating plate 360 is pivotally attached to the inner leg 342 by a shaft 361 and includes a follower 362 and a moving leg manipulator 363. The moving leg 370 includes moving leg members 371, 372, and 373, and the moving leg member 373 is pivotally attached to the upper ends of the moving leg members 371 and 372 by shafts 374 and 375. The lower end portions of the moving leg members 371 and 372 are pivotally attached to the outer leg 341 by the shafts 343 and 344. The lower leg plate support surface of the moving leg member 373 is parallel to the substrate 2a, and the four shafts 343, 344, 374, and 375 form a parallelogram having one side parallel to the substrate 2a. The left and right of the moving leg material 373 are joined and integrated by a connecting body 380, and a lower leg plate stopper 390 is provided on either of the left and right sides. The upper body plate 2k and the lower leg plate 2n are each composed of a support plate body and a laying plate. The upper body plate 2k and the seat portion plate 2m are attached to the respective leg bodies by attachment means that does not move in a direction parallel to the support surface but can be easily removed when lifted in a right angle direction. The lower leg plate 2n is attached so that the left and right end portions are passed through the lower leg plate receiving portion 376 of the moving leg material 373. The lower leg plate 2n is supported by the lower support wheel 381 on the coupling body 380 and the upper support wheel 378 of the lower leg plate receiving portion 376 so as to be sandwiched between the upper and lower sides, and can move smoothly in the front-rear direction. The lower leg plate stopper 390 includes a lower leg plate stator 391, an operation element support body 393, an operation element 392 pivotally attached to the support body 393 and biasing the stator 391 upward by a spring via an inner protrusion. The head of the stator 391 is inserted into the stator receiver 431 and the lower leg plate 2n is fixed at a predetermined position. On the other hand, when the stator 391 is pulled down by the operating element 392, the fixed state is released. In order to pull down the stator 391, it is manually operated so as to lower the front end of the operator 392. The attaching means for the upper body part 2p, the seat part 2q, and the lower leg part 2r is usually a hook-and-loop fastener. If the bedding is special and the use of hook-and-loop fasteners is not appropriate, it can be handled by replacing the seat plate or the backing plate. The seat plate 2m and the contact plates 410 and 440 can be easily replaced. In addition, since it is necessary to attach and remove the seat part laying tool 2q under the seat part of the bedridden person, the seat part laying means attaching means is provided only on the stool replacement side. Since the seat laying tool is sandwiched between other linings and is in a state where it is difficult to move, there is no problem even with such a mounting method. In the driving device 2t, a prime mover 450 is attached to each of a pair of screw shafts 470 having 480 as a power source via screwed runners 460, and a follower 362 is driven by the forward and backward movement of the prime mover 450 due to the rotation of the screw shaft 470. And the follower 331 is driven. The prime mover 450 includes a cam groove 451 for the follower 331 on the inner surface, and a wheel on the bottom surface.

第二実施形態における支持板の動きを図32〜図39により説明する。図32は基本形態を示す。原動体450を図32の位置より前進させると、従動子362が原動体前端面に押されて回動板360が回り、その結果、動脚操作子363が動脚材371を押上げるようにして動脚370を作動させる。動脚370の作動とともに、動脚材373は前側斜上方に移動し、下脚板2nも同様に動いて図33の位置に至る。これが、第二実施形態における第1運動である。第1運動終了後に、下脚板ストッパー390の手動操作により下脚板2nの固定状態を解除して下脚板の引手433を後方に引くと、下脚板2nは後方に移動して図34の位置に至る。これが第2運動である。引手433の操作は、例えば、左右引手に掛け渡した引き紐等で行う。引手に掛け渡した引き紐は、座部敷具差替え時の掛具処理手段として使うこともできる。第2運動終了後に、原動体450を図34の位置より前進させると、下脚板2nは動かず、従動子331がカム溝に沿って動き昇降板330が下降する。これによって、座部板2mは下方に移動して図35に示す位置に至る。これが第3運動であり、座部敷具の差替えはこの状態において行う。第3運動終了後に、原動体450を図35の位置から図34に示す位置まで後進させると、座部板2mは前記第3運動の動きを逆に辿って図34の位置に至る。これが第4運動である。第4運動の終了後に、引手433を前方に引くと、下脚板2nは第2運動の動きを逆に辿って図33の位置に戻り、そこで固定する。その後、原動体450を後進させて図32の位置まで戻すと、下脚板2nは、図32の位置に復帰する。これが第5運動である。
一方、図35に示す位置より原動体450を前進させると、昇降板330は上昇し、座部板2mも上方に移動する。これが付加第1運動である。昇降板の上昇限度は、座部板2mの上面が直接臥床者座部に接触する図36の位置であり、この位置まで昇降板を上げることによって座部板の直使用が可能になる。付加第1運動を終了した段階で引手433を前方に引くと、下脚板2nは前方に移動する。これが付加第2運動である。下脚板2nは、前方に移動する途中、図37の位置で一旦固定するが、ストッパー390の操作により固定状態を解除し更に前方に移動すれば図38の位置に至る。図38の段階では、臥床者が座部板2mに腰掛けることが可能になる。図38の状態において、原動体450を図35に示す位置までを限度として後進させると、座部板2mは下方に移動する。これが付加第3運動である。図39は、座部板が最低位置まで移動した状態を示す。付加第3運動が終了した段階で、原動体450を付加第3運動開始時の位置まで前進させると、座部板2mは付加第3運動の動きを逆に辿り付加第3運動開始時の位置に戻る。これが付加第3運動始点復帰運動である。前記復帰運動終了後に、引手433を後方に引き、途中でストッパー390を操作し更に引けば、下脚板2nは、後方に移動して付加第2運動開始時の位置に戻る。これが、付加第2運動始点復帰運動である。原動体450を付加第2運動開始時の位置から付加第1運動開始時の位置まで後進させると、座部板2mは下方に移動して図35の位置に戻る。これが付加第1運動始点復帰運動である。
The movement of the support plate in the second embodiment will be described with reference to FIGS. FIG. 32 shows a basic form. When the prime mover 450 is moved forward from the position shown in FIG. 32, the follower 362 is pushed by the front end face of the prime mover to rotate the rotating plate 360. As a result, the movable leg operator 363 pushes up the movable leg member 371. Then, the moving leg 370 is operated. With the operation of the moving leg 370, the moving leg member 373 moves obliquely upward on the front side, and the lower leg plate 2n moves in the same manner to reach the position shown in FIG. This is the first motion in the second embodiment. When the lower leg plate stopper 390 is manually operated to release the fixed state of the lower leg plate 2n and the lower leg plate handle 433 is pulled backward, the lower leg plate 2n moves rearward and reaches the position shown in FIG. . This is the second exercise. The operation of the pull handle 433 is performed by, for example, a pull string that is stretched between the left and right pull handles. The drawstring hung over the handle can also be used as a hook processing means when the seat laying piece is replaced. When the prime mover 450 is moved forward from the position shown in FIG. 34 after the second movement, the lower leg plate 2n does not move, the follower 331 moves along the cam groove, and the elevating plate 330 is lowered. As a result, the seat plate 2m moves downward to reach the position shown in FIG. This is the third movement, and the seat covering is replaced in this state. When the prime mover 450 is moved backward from the position shown in FIG. 35 to the position shown in FIG. 34 after the end of the third movement, the seat plate 2m reversely follows the movement of the third movement and reaches the position shown in FIG. This is the fourth movement. When the handle 433 is pulled forward after the end of the fourth movement, the lower leg plate 2n reversely follows the movement of the second movement and returns to the position shown in FIG. 33, where it is fixed. Thereafter, when the driving body 450 is moved backward to the position shown in FIG. 32, the lower leg plate 2n returns to the position shown in FIG. This is the fifth movement.
On the other hand, when the prime mover 450 is moved forward from the position shown in FIG. 35, the elevating plate 330 rises and the seat plate 2m also moves upward. This is an additional first motion. The upper limit of the lift plate is the position in FIG. 36 where the upper surface of the seat plate 2m directly contacts the bedridden seat portion, and the seat plate can be used directly by raising the lift plate to this position. When the pulling handle 433 is pulled forward at the stage where the additional first movement is finished, the lower leg plate 2n moves forward. This is an additional second motion. While the lower leg plate 2n is moved forward, it is temporarily fixed at the position shown in FIG. 37. However, when the fixed state is released by operating the stopper 390 and moved further forward, the lower leg plate 2n reaches the position shown in FIG. In the stage of FIG. 38, the bedridden person can sit on the seat plate 2m. In the state shown in FIG. 38, when the prime mover 450 is moved backward up to the position shown in FIG. 35, the seat plate 2m moves downward. This is an additional third movement. FIG. 39 shows a state in which the seat plate has moved to the lowest position. When the prime mover 450 is advanced to the position at the start of the additional third movement at the stage where the additional third movement has been completed, the seat plate 2m reversely follows the movement of the additional third movement, and the position at the start of the additional third movement. Return to. This is the additional third motion start point return motion. After the return movement is finished, if the handle 433 is pulled backward, and the stopper 390 is operated and further pulled halfway, the lower leg plate 2n moves rearward and returns to the position at the start of the additional second movement. This is the additional second motion start point return motion. When the driving body 450 is moved backward from the position at the start of the additional second movement to the position at the start of the additional first movement, the seat plate 2m moves downward and returns to the position of FIG. This is the additional first motion start point return motion.

第三実施形態について図40〜図45により説明する。第三実施形態は、基板3aと、基板3aの上に設けた上体部脚体3cと座部脚体3dと下脚部脚体3gと、前記各脚体の上端部に取付けた上体板3kと座部板3mと下脚板3nと、前記各支持板の上に取付けた上体部敷具3pと座部敷具3qと下脚部敷具3rと、下脚部脚体3gの駆動装置3vと、からなる。各脚体は、各一対の基脚とそれに取付けた部材とで構成されるが、各基脚は、いずれも基板3aの左右両側部から上方に向け直角方向に接続し、基板に固着している。上体部脚体3cは、上体部基脚500と、上体部基脚500の上部に固着した上体板受け510とからなる。座部脚体3dは左右で構造が異なっている。一方の連結側は、座部基脚520と、連結側主脚板530と、連結脚532と、連結側座部板受け535とからなる。主脚板530は、外側の面に連結脚支持枠531を備える。前後一対の連結脚532は、下端部が軸533により支持枠531の内側に枢着し、上端部が軸534により座部板受け535に枢着している。座部板受け535ははボルトで座部板3mの下面に固着しているため、連結側では、座部板3mと脚体が繋がる構造となっている。また連結側脚体は、支持枠531の左右方向側板に連結脚532の上部を当接させ且つ座部板受け535の上面を基板3aに対して平行にすると、座部板3mをちょうどそれの基本位置において支持できるように構成されている。もう一方の引下げ側脚体は、座部基脚520と、板止め受け542を持つ操作板支持体541を備えた引下げ側主脚板540と、操作板支持体541を介して主脚板540に上下移動自由に取付けた操作板550と、からなる。引下げ側脚体は座部板3mと分離している。また、引下げ側脚体は、板止め553を板止め受け542の上に乗せ、且つ座部板下面の固定足621を操作板550の内面に当接させると、操作板上端が座部板3mをちょうどその基本位置で支持するように構成されている。なお、前後一対の板止め553は板止め支持体552に固着し、板止め支持体552は操作板550に枢着している。また、主脚板530及び540は、それぞれ座部基脚520に取外し可能に取付けられている。下脚部脚体3gは、下脚部基脚560と、動脚570と、連結体580と、からなる。動脚570は、動脚材571と572と573で構成され、動脚材573の下脚板支持面は基板3aに平行である。動脚材571の下端は、下脚部基脚560に設けた横長の透孔部を通る部材562によって原動体650に枢着し、原動体650の動きに従い前後方向に移動自由である。一方、571上端は部材574により動脚材573に枢着する。動脚材572の下端は、部材563により基脚560に枢着し、572上端は、動脚材573の透孔部569に部材575により前後動・回動自由に取付けられている。動脚材571と572とは、部材576によって互いに回動できるように中央で拘束され、また、4つの部材562、563、574及び575は、一辺が基板3aに平行であり且つ内角すべてが直角である四辺形をなす。動脚材573は、連結体580によって左右が結合し一体化しており、その左右いずれか一方に下脚板ストッパー590を備えている。上体板3k及び下脚板3nは、それぞれ支持板本体と敷具当て板とによって構成される。上体板3kは、その支持面に対して平行方向には動かないが直角方向に持上げれば簡単に外れるように脚体に取付けている。座部板3mは、連結側では脚体と離れないように連結する一方、引下げ側では固定足621を当接させて操作板上端に乗っているだけである。下脚板3nは、動脚材573の下脚板受け部577に左右側端部を通すようにして取付けている。下脚板3nは、連結体580上の下部支持車581と下脚板受け部577の上部支持車579とによって、上下を挟まれるように支持されており、円滑に前後方向に移動する。下脚板ストッパー590は、下脚板固定子591と、操作子支持体593と、支持体593に枢着し内面の突片を介してバネにより固定子591を上方に付勢する操作子592と、により構成され、固定子591の頭部を固定子受け631に挿入して下脚板3nを所定の位置で固定する一方、操作子592により固定子591を引下げれば固定状態を解除する。固定子591を引下げるには、操作子592の前端部を下げるように手動で操作する。上体部敷具3p、座部敷具3q及び下脚部敷具3rの取付け手段は、通常、面ファスナーである。もし敷具が特殊であって面ファスナーの使用が適さない場合は、座部板や当て板を交換する等の方法で対応する。なお、座部敷具3qは臥床者の座部下で取付け取外しを行う必要があるので、座部敷具取付け手段は敷具差替え側だけに設ける。座部敷具は前後を他の敷具に挟まれて動き難い状態にあるため、こうした取付け方法であっても問題を生じることはない。駆動装置3vは、670を動力源としたネジ輪660の回転による原動体650の前進後進によって、動脚570を駆動させるものである。原動体650は、動脚材571が枢着する左右一対の動脚連結部652と、前記左右連結部を結合して一体化する中央部651とで構成され、中央部にはネジ軸用ネジが形成されている。  A third embodiment will be described with reference to FIGS. The third embodiment includes a board 3a, an upper body leg 3c, a seat leg 3d, a lower leg 3g provided on the board 3a, and an upper body plate attached to the upper end of each leg. 3k, a seat plate 3m, a lower leg plate 3n, an upper body covering 3p, a seat covering 3q, a lower leg covering 3r mounted on the respective support plates, and a driving device 3v for the lower leg landing 3g. And consist of Each leg is composed of a pair of base legs and members attached thereto, and each base leg is connected to the board 3a from both the left and right sides of the board 3a in a perpendicular direction and fixed to the board. Yes. The upper body leg 3c includes an upper body base 500 and an upper body holder 510 fixed to the upper part of the upper body base 500. The seat leg 3d has different structures on the left and right. One connection side includes a seat base leg 520, a connection side main leg plate 530, a connection leg 532, and a connection side seat plate receiver 535. The main leg plate 530 includes a connecting leg support frame 531 on the outer surface. The pair of front and rear connecting legs 532 has a lower end portion pivotally attached to the inside of the support frame 531 by a shaft 533 and an upper end portion pivotally attached to the seat plate receiver 535 by a shaft 534. Since the seat plate receiver 535 is fixed to the lower surface of the seat plate 3m with a bolt, the seat plate 3m and the leg are connected on the connection side. Further, when the upper part of the connecting leg 532 is brought into contact with the left and right side plates of the support frame 531, and the upper surface of the seat part plate receiver 535 is made parallel to the substrate 3a, the connecting side leg body makes the seat part plate 3m exactly the same. It is comprised so that it can support in a basic position. The other lower side leg is vertically moved to the main leg plate 540 via the seat base 520, the lower main leg plate 540 including the operation plate support 541 having the plate stopper 542, and the operation plate support 541. And an operation plate 550 attached freely. The lower leg is separated from the seat plate 3m. In addition, when the lower leg is placed on the plate stopper 542 and the fixed foot 621 on the lower surface of the seat plate is brought into contact with the inner surface of the operation plate 550, the upper end of the operation plate is the seat plate 3m. Is configured to support at its basic position. The pair of front and rear plate stoppers 553 are fixed to the plate stopper support 552, and the plate stopper support 552 is pivotally attached to the operation plate 550. The main leg plates 530 and 540 are detachably attached to the seat base 520, respectively. The lower leg leg 3g includes a lower leg base leg 560, a moving leg 570, and a connecting body 580. The moving leg 570 includes moving leg members 571, 572, and 573, and the lower leg plate support surface of the moving leg member 573 is parallel to the substrate 3a. The lower end of the moving leg member 571 is pivotally attached to the driving body 650 by a member 562 passing through a horizontally long through hole provided in the lower leg base leg 560, and is freely movable in the front-rear direction according to the movement of the driving body 650. On the other hand, the upper end of 571 is pivotally attached to the moving leg material 573 by a member 574. The lower end of the moving leg member 572 is pivotally attached to the base leg 560 by a member 563, and the upper end of the 572 is attached to the through hole portion 569 of the moving leg member 573 so as to freely move back and forth and turn by the member 575. The movable leg members 571 and 572 are constrained at the center so that they can rotate with respect to each other by a member 576, and the four members 562, 563, 574 and 575 are parallel to the substrate 3a on one side and all the inner angles are right angles. This is a quadrilateral. The left and right of the moving leg member 573 are integrated by a connecting body 580, and a lower leg plate stopper 590 is provided on either one of the left and right sides. The upper body plate 3k and the lower leg plate 3n are each composed of a support plate body and a laying plate application plate. The upper body plate 3k does not move in a direction parallel to the support surface, but is attached to the leg so that it can be easily removed if it is lifted in a right angle direction. The seat part plate 3m is connected so as not to be separated from the leg on the connection side, and is only on the upper end of the operation plate with the fixed foot 621 in contact with the lowering side. The lower leg plate 3n is attached so that the left and right end portions are passed through the lower leg plate receiving portion 577 of the moving leg material 573. The lower leg plate 3n is supported by the lower support wheel 581 on the coupling body 580 and the upper support wheel 579 of the lower leg plate receiving portion 577 so as to be sandwiched between the upper and lower sides, and smoothly moves in the front-rear direction. The lower leg plate stopper 590 includes a lower leg plate stator 591, an operation element support 593, an operation element 592 pivotally attached to the support 593 and biasing the stator 591 upward by a spring via a protrusion on the inner surface, The head of the stator 591 is inserted into the stator receiver 631, and the lower leg plate 3n is fixed at a predetermined position. On the other hand, when the stator 591 is pulled down by the operating element 592, the fixed state is released. In order to lower the stator 591, it is manually operated so as to lower the front end of the operator 592. The attaching means for the upper body part covering 3p, the seat part covering 3q and the lower leg covering 3r is usually a hook-and-loop fastener. If the bedding is special and the use of hook-and-loop fasteners is not appropriate, it can be handled by replacing the seat plate and the backing plate. In addition, since it is necessary to attach and detach the seat part laying tool 3q under the sitting part of the bedridden person, the seat part laying means attaching means is provided only on the laying tool replacement side. Since the seat laying tool is in a state in which it is difficult to move because it is sandwiched between other laying tools, such a mounting method does not cause a problem. The driving device 3v drives the moving leg 570 by the forward and backward movement of the driving body 650 by the rotation of the screw wheel 660 using the power source 670 as a power source. The driving body 650 includes a pair of left and right moving leg connecting portions 652 to which a moving leg material 571 is pivotally attached, and a central portion 651 that combines and integrates the left and right connecting portions. Is formed.

第三実施形態における支持板の動きを図46〜図50により説明する。図46は基本形態を示す。操作子592の操作により下脚板3nの固定状態を解除した後で引手633を前方に引くと、下脚板3nは前方に移動する。下脚板3nが図47の位置まで移動した段階で原動体650を前進させると、動脚570が動いて動脚材573が上昇する。動脚材573の上昇とともに、下脚板3nも上方に移動して図48の位置に至る。図47の位置を経て図48の位置に至る下脚板3nの動きが、第三実施形態における第1運動である。第1運動終了後に引手633を後方に引き、途中で操作子592を操作して更に引けば、下脚板3nは後方に移動して図49の位置に至る。これが第2運動である。第2運動の終了後に、座部の引下げ側操作板550を下に下げてから座部板を引下げ側の方に引くと、座部板3mは、引下げ側に突出るようにしながら斜下方に移動して図50の位置に至る。これが第3運動であり、座部敷具の差替えはこの状態において行う。なお、操作板550を下げるには、板止め支持体552を手動で回動させ板止め553を板止め受け542から外せばよい。第3運動の終了後に、座部板を連結側の方に押して連結脚支持枠531の側板に連結脚532の上部を当接させた上で、操作板550を引き上げ板止め553を板止め受け542に乗せると、座部板3mは図49の位置に戻る。これが第4運動である。第4運動の終了後に、先ず引手633を前方に引いて下脚板を図48の位置に移動させ、次に原動体650を図46の位置まで後進させ、最後に引手633により下脚板を引き戻すと、下脚板3nは第2運動と第1運動の動きを逆に辿って図46の位置に復帰する。これが第5運動である。  The movement of the support plate in the third embodiment will be described with reference to FIGS. FIG. 46 shows a basic form. When the handle 633 is pulled forward after the fixed state of the lower leg plate 3n is released by the operation of the operation element 592, the lower leg plate 3n moves forward. When the driving body 650 is advanced at the stage where the lower leg plate 3n has moved to the position of FIG. 47, the moving leg 570 moves and the moving leg material 573 rises. As the moving leg material 573 rises, the lower leg plate 3n also moves upward to reach the position shown in FIG. The movement of the lower leg plate 3n from the position of FIG. 47 to the position of FIG. 48 is the first movement in the third embodiment. When the handle 633 is pulled backward after the end of the first movement, and the operator 592 is further pulled by operating it halfway, the lower leg plate 3n moves backward to reach the position shown in FIG. This is the second exercise. After the end of the second movement, when the seat-side lowering operation plate 550 is lowered and then the seating plate is pulled toward the lowering side, the seating plate 3m is inclined downward while projecting to the lowering side. It moves to the position of FIG. This is the third movement, and the seat covering is replaced in this state. In order to lower the operation plate 550, the plate stopper support 552 may be manually rotated to remove the plate stopper 553 from the plate stopper receiver 542. After completion of the third movement, the seat plate is pushed toward the connection side to bring the upper portion of the connection leg 532 into contact with the side plate of the connection leg support frame 531, and then the operation plate 550 is pulled up to receive the plate stop 553. When it is put on 542, the seat plate 3m returns to the position shown in FIG. This is the fourth movement. After the end of the fourth movement, first the pull handle 633 is pulled forward to move the lower leg plate to the position of FIG. 48, then the prime mover 650 is moved backward to the position of FIG. 46, and finally the lower leg plate is pulled back by the pull handle 633. The lower leg plate 3n returns to the position of FIG. 46 by following the movements of the second movement and the first movement in reverse. This is the fifth exercise.

第四実施形態について図51〜図53により説明する。第四実施形態は、基板4aと、基板4aの上に設けた上体部脚体4cと座部脚体4dと下脚部脚体4gと、前記各脚体の上端部に取付けた上体板4kと座部板4mと下脚板4nと、前記各支持板の上に取付けた上体部敷具4pと座部敷具4qと下脚部敷具4rと、座部脚体4dを動かす駆動装置4wと下脚部脚体4gを動かす駆動装置4vと、からなる。各脚体は、各一対の基脚とそれに取付けた部材とで構成されるが、各基脚は、いずれも基板4aの左右両側部から上方に向けて直角方向に接続し、基板に固着している。上体部脚体4cは、上体部基脚700と、上体部基脚700の上部に固着した上体板受け710とからなり、座部脚体4dは、座部基脚720と、昇降自由に座部基脚に取付けた昇降板730とからなる。昇降板730は外面下部に従動子731を備える。下脚部脚体4gは、下脚部基脚740と、動脚750と、連結体760と、からなる。動脚750は、動脚材751と752と753で構成され、動脚材753の下脚板支持面は基板4aに平行である。動脚材751の下端は、下脚部基脚740に設けた横長の透孔部を通る部材742によって原動体820に枢着し、前記原動体の動きに従い前後方向に移動自由である。一方、751上端は部材754により動脚材753に枢着している。動脚材752の下端は部材743により基脚740に枢着し、752上端は動脚材753の透孔部749に部材755により前後動・回動自由に取付けられている。動脚材751と752とは、部材756によって互いに回動できるように中央で拘束され、また、4つの部材742、743、754及び755は、一辺が基板4aに平行であり且つ内角すべてが直角である四辺形をなす。動脚材753は、後部車輪758と、下脚板つなぎ手受け部757を備え、連結体760により左右が結合し一体化している。上体板4k及び下脚板4nは、それぞれ支持板本体と敷具当て板とによって構成される。上体板4kと座部板4mは、その支持面に対して平行方向には動かないが直角方向に持上げれば簡単に外れるような取付手段によって、各脚体に取付けている。下脚板4nは、左右一対のつなぎ手801をつなぎ手受け部757にそれぞれ通すようにして動脚材753に取付けている。下脚板4nは左右側端部に、車輪802と、引手803と、下脚板固定装置と、を備えている。前記下脚板固定装置は、下脚板固定子805と、固定子操作体807と、固定子805を下方に付勢するバネ806と、操作体807を後方に付勢するバネ808と、からなる。下脚板4nと座部板4mがともに基本位置にあるときには、図53のように固定子805を下げることにより下脚板4nを固定することができる。なお、固定子を上げるときは固定子を手で直接押上げ、下げるときは操作体807を前方に動かす。上体部敷具4p、座部敷具4q及び下脚部敷具4rの取付け手段は、通常面ファスナーである。もし、敷具が特殊であって面ファスナーの使用が適さない場合は、座部板や当て板を交換する等の方法で対応する。座部板4m、当て板780及び810はいずれも簡単に差替えることができる。なお、座部敷具4qは臥床者の座部下で取付け取外しを行う必要があるので、座部敷具取付け手段は敷具差替え側だけに設ける。座部敷具は前後を他の敷具に挟まれて動き難い状態にあるため、こうした取付け方法であっても問題を生じることはない。駆動装置4wは、880を動力源とする一対のネジ軸870それぞれに、螺合した走行子860を介して原動体850を取付け、ネジ軸870の回転による原動体850の前進後進によって従動子731を駆動させるものである。原動体850は、内側の面に従動子731用のカム溝851を備え、底面には車輪を備えている。駆動装置4vは、ネジ軸の回転による原動体820の前進後進によって動脚750を駆動させるものである。原動体820は、動脚材751が枢着する左右一対の動脚連結部と、前記左右連結部を結合して一体化する中央部とで構成され、中央部にはネジ軸用ネジが形成されている。なお、駆動装置4vは、第三実施形態の駆動装置3vと同じ構造である。  A fourth embodiment will be described with reference to FIGS. The fourth embodiment includes a substrate 4a, an upper body leg 4c, a seat leg 4d, a lower leg 4g provided on the substrate 4a, and an upper body plate attached to the upper end of each leg. 4k, a seat plate 4m, a lower leg plate 4n, an upper body covering 4p, a seat covering 4q, a lower leg covering 4r mounted on each of the support plates, and a drive device for moving the seat leg 4d 4w and a driving device 4v for moving the lower leg leg 4g. Each leg is composed of a pair of base legs and members attached thereto, and each base leg is connected to the board 4a from both the left and right sides of the board 4a in a perpendicular direction and fixed to the board. ing. The upper body leg 4c includes an upper body base 700 and an upper body support 710 fixed to an upper portion of the upper body base 700, and the seat leg 4d includes a seat base 720, The lift plate 730 is attached to the seat base so as to freely move up and down. The elevating plate 730 includes a follower 731 on the lower outer surface. The lower leg leg 4g includes a lower leg base leg 740, a moving leg 750, and a connecting body 760. The moving leg 750 includes moving leg members 751, 752, and 753, and the lower leg plate support surface of the moving leg member 753 is parallel to the substrate 4a. The lower end of the moving leg member 751 is pivotally attached to the driving body 820 by a member 742 that passes through a horizontally long through hole provided in the lower leg base leg 740, and is freely movable in the front-rear direction according to the movement of the driving body. On the other hand, the upper end of 751 is pivotally attached to the moving leg member 753 by a member 754. The lower end of the moving leg member 752 is pivotally attached to the base leg 740 by a member 743, and the upper end of 752 is attached to the through hole portion 749 of the moving leg member 753 by a member 755 so as to freely move back and forth and turn. The moving leg members 751 and 752 are constrained at the center so that they can rotate with respect to each other by a member 756, and the four members 742, 743, 754, and 755 have one side parallel to the substrate 4a and all the inner angles are right angles. This is a quadrilateral. The moving leg member 753 includes a rear wheel 758 and a lower leg plate joint receiving part 757, and the left and right are coupled and integrated by a connecting body 760. The upper body plate 4k and the lower leg plate 4n are each composed of a support plate body and a laying plate application plate. The upper body plate 4k and the seat plate 4m are attached to each leg by attachment means that does not move in a direction parallel to the support surface but can be easily removed if lifted in a right angle direction. The lower leg plate 4n is attached to the moving leg member 753 so that the pair of right and left joints 801 are passed through the joint receivers 757, respectively. The lower leg plate 4n includes wheels 802, a handle 803, and a lower leg plate fixing device at left and right end portions. The lower leg plate fixing device includes a lower leg plate stator 805, a stator operation body 807, a spring 806 that urges the stator 805 downward, and a spring 808 that urges the operation body 807 rearward. When both the lower leg plate 4n and the seat plate 4m are in the basic position, the lower leg plate 4n can be fixed by lowering the stator 805 as shown in FIG. When raising the stator, the stator is pushed up directly by hand, and when lowering, the operating body 807 is moved forward. The attachment means for the upper body part covering 4p, the seat part covering 4q and the lower leg covering 4r is usually a surface fastener. If the bedding is special and it is not appropriate to use a hook-and-loop fastener, it can be handled by replacing the seat plate or the backing plate. The seat plate 4m and the contact plates 780 and 810 can be easily replaced. In addition, since it is necessary to attach and remove the seat part laying tool 4q under the seated part of the bedridden person, the seat part laying means attaching means is provided only on the laying tool replacement side. Since the seat laying material is in a state in which it is difficult to move because it is sandwiched between other laying materials, such a mounting method does not cause a problem. The driving device 4w attaches a driving body 850 to each of a pair of screw shafts 870 having a power source of 880 via screwed runners 860, and a follower 731 is driven by the forward and backward movement of the driving body 850 by the rotation of the screw shaft 870. Is driven. The prime mover 850 includes a cam groove 851 for the follower 731 on the inner surface, and a wheel on the bottom surface. The drive device 4v drives the moving leg 750 by the forward and backward movement of the prime mover 820 caused by the rotation of the screw shaft. The prime mover 820 is composed of a pair of left and right moving leg connecting parts pivotally attached to the moving leg material 751 and a central part that combines and integrates the left and right connecting parts, and a screw shaft screw is formed in the central part. Has been. The drive device 4v has the same structure as the drive device 3v of the third embodiment.

第四実施形態の第1運動、第2運動及び第5運動は、前記運動それぞれに対応する第三実施形態の運動とほぼ同じである。図54は、第四実施形態の基本形態を示している。第2運動の終了後に原動体850を図54が示す位置から後進させると、座部板4mは下方に移動して図55の位置に至る。これが第四実施形態における第3運動である。また、第3運動の終了後に原動体850を元の位置まで前進させると、座部板4mは第3運動の動きを逆に辿って基本位置に戻る。これが第4運動である。
なお説明を省くが、第四実施形態は、下脚板4nの前後動機構と駆動装置4wによって、第一実施形態や第二実施形態と同様に、付加第1運動から付加第3運動を経て付加第1運動始点復帰運動に至る一連の六つの付加運動を行うことができる。
The first movement, the second movement, and the fifth movement of the fourth embodiment are substantially the same as the movement of the third embodiment corresponding to each of the movements. FIG. 54 shows a basic form of the fourth embodiment. When the prime mover 850 is moved backward from the position shown in FIG. 54 after the end of the second movement, the seat plate 4m moves downward to reach the position shown in FIG. This is the third motion in the fourth embodiment. Further, when the prime mover 850 is advanced to the original position after the end of the third motion, the seat plate 4m reverses the movement of the third motion and returns to the basic position. This is the fourth movement.
In addition, although explanation is omitted, the fourth embodiment is added through the additional first movement from the additional first movement by the forward / backward movement mechanism of the lower leg plate 4n and the driving device 4w as in the first embodiment and the second embodiment. A series of six additional movements leading to the first movement start point return movement can be performed.

1a,2a,3a,4a 基板
1c,2c,3c,4c 上体部脚体
1d,2d,3d,4d 座部脚体
1g,2g,3g,4g 下脚部脚体
1k,2k,3k,4k 上体板
1m,2m,3m,4m 座部板
1n,2n,3n,4n 下脚板
1p,2p,3p,4p 上体部敷具
1q,2q,3q,4q 座部敷具
1r,2r,3r,4r 下脚部敷具
1t,2t 座部・下脚部駆動装置
3v,4v 下脚部駆動装置
4w 座部駆動装置
1a, 2a, 3a, 4a Substrate 1c, 2c, 3c, 4c Upper leg 1d, 2d, 3d, 4d Seat leg 1g, 2g, 3g, 4g Lower leg leg 1k, 2k, 3k, 4k Body plate 1m, 2m, 3m, 4m Seat plate 1n, 2n, 3n, 4n Lower leg plate 1p, 2p, 3p, 4p Upper body seat 1q, 2q, 3q, 4q Seat seat 1r, 2r, 3r, 4r Lower leg covering 1t, 2t Seat / lower leg driving device 3v, 4v Lower leg driving device 4w Seat driving device

Claims (7)

上体部の支持板である上体板と坐部の支持板である坐部板と下脚部の支持板である下脚板とを別個に形成し、上体部・坐部・下脚部それぞれの敷具としてそれぞれ所定のサイズ・形状・質を備えた敷具である、上体部敷具と坐部敷具と下脚部敷具とを前記各支持板に装着して使用するベッド等であって、
ベッド等が基本形態をとっている状態から、坐部敷具の差替えを阻害する新たな要因を発生させることなく、且つベッド等上に仰臥した臥床者が下脚部敷具に脚を載せることができる状態を維持しながら、少なくとも下脚板の後端が基本位置にある座部敷具の上方に位置するようになるまで、前記下脚板が移動する、第1運動と、
前記坐部敷具の差替えを阻害する新たな要因を発生させることなく、且つベッド等上に仰臥した臥床者が前記下脚部敷具に脚を載せることができる状態を維持しながら、前記下脚板の後部が基本位置にある前記坐部敷具の上方に間隔をあけて重なるように、前記下脚板が後方に移動する、前記第1運動に続く第2運動と、
前記坐部敷具の差替えを阻害する新たな要因を発生させることなく、坐部板がその基本位置から下方に移動する、前記第2運動に続く第3運動と、
座部敷具を装着した状態で前記座部板がその基本位置に移動する、前記第3運動に続く第4運動と、
ベッド等上に仰臥した臥床者が前記下脚部敷具に脚を載せることができる状態を維持しながら、前記下脚板がその基本位置に移動するとともに、ベッド等が基本形態に復帰する、前記第4運動に続く第5運動と、を各運動所定の支持板等に行わせる運動手段と、
臥床者の身体の下で、坐部敷具をベッド等から取外し、またベッド等に取付けることを、少なくとも前記第3運動が終了した段階において行うことができる、坐部敷具取外し取付け手段と、
臥床者の身体の下から、左方、右方または前方のうち少なくともいずれか一方へ、座部敷具を取出しまた逆に戻入れることを可能にする開口部が、少なくとも前記第3運動が終了した段階において確保される構造と、
を具備し、
前記運動手段による前記第1運動は、ベッド等上に臥床者が仰臥した状態において、坐部敷具前面に密接する下脚部敷具を臥床者の脚を押上げつつ上方に離隔することによって、坐部敷具の前後二面が下脚部敷具と上体部敷具とにより挟扼されている状態を解消するとともに、第2運動に対応し易い体位へ臥床者を誘導し、前記第2運動は、臥床者の脚部を屈曲させながら大腿部に向かって下脚板を押し進め、下脚部敷具を介して臥床者の下半身を下から支え、前記第3運動は、坐部板を下方に移動させることによって、坐部敷具の上下二面が臥床者座部と坐部敷具取付け部とにより挟扼されている状態を解消して座部敷具の差替えを可能とし、前記第4運動は、座部板と座部敷具とをそれぞれの基本位置に移動させ、前記第5運動は、下脚板と下脚部敷具とをそれぞれの基本位置に移動させるとともに、ベッド等を基本形態に復帰させる、坐部敷具差替えベッド等。
An upper body plate that is a support plate for the upper body part, a seat plate that is a support plate for the seat part, and a lower leg plate that is a support plate for the lower leg part are separately formed, and each of the upper body part, the seat part, and the lower leg part is formed. A bed or the like in which an upper body laying seat, a seat laying laying material, and a lower leg laying laying device, each of which has a predetermined size, shape and quality, are attached to each of the support plates. And
From the state that the bed etc. is in the basic form, the bedridden who lies on the bed etc. may put his leg on the lower leg laying without generating a new factor that impedes replacement of the sitting laying. A first movement in which the lower leg plate moves, at least until the rear end of the lower leg plate is positioned above the seat laying in the basic position while maintaining a state where it can be performed;
The lower leg plate while maintaining a state in which a bedridden lying on a bed or the like can place a leg on the lower leg laying material without generating a new factor that impedes replacement of the sitting laying material A second movement following the first movement, wherein the lower leg plate moves rearward so that the rear part overlaps with a gap above the sitting laying piece in a basic position;
A third movement following the second movement, in which the seat plate moves downward from its basic position without generating a new factor that impedes replacement of the sitting laying;
A fourth movement following the third movement, in which the seat plate moves to its basic position with the seat laying piece mounted;
The lower leg plate moves to its basic position while maintaining a state in which a bedridden lying on a bed or the like can place his / her legs on the lower leg covering material, and the bed or the like returns to its basic form. 5th exercise following 4 exercises, and exercise means for causing each exercise predetermined support plate, etc.,
Under the body of the bedridden person, the sitting floor covering can be removed from the bed or the like and attached to the bed or the like, at least at the stage where the third movement is completed,
An opening that allows the seat covering to be removed from the underbody's body to the left, right, or at least one of the front and back, and at least the third movement is completed. The structure secured at the stage
Comprising
In the state where the bedridden lies on the bed or the like, the first movement by the movement means is performed by separating the lower leg bed sheet in close contact with the front of the sitting bed sheet while pushing up the bed of the bed bed, The front and back surfaces of the seat laying piece are eliminated by the lower leg laying piece and the upper body laying piece, and the bedridden person is guided to a posture that can easily cope with the second movement. The exercise pushes the lower leg plate toward the thigh while bending the bedside of the bedridden person, and supports the lower body of the bedbed person from below through the lower leg laying, and the third movement moves the sitting board down. By moving the seat rug, the upper and lower surfaces of the seat rug are eliminated by the bedside seat and the seat rug attachment part, and the seat rug can be replaced. The 4 movements move the seat plate and the seat covering to the respective basic positions, and the fifth movement is the lower leg. And a lower leg portion insole device is moved to the respective basic position and to return the bed or the like in the basic form, sitting portion laying tool replacement bed like.
上体部の支持板である上体板と坐部の支持板である坐部板と下脚部の支持板である下脚板とを別個に形成し、上体部・坐部・下脚部それぞれの敷具としてそれぞれ所定のサイズ・形状・質を備えた敷具である、上体部敷具と坐部敷具と下脚部敷具とを前記各支持板に装着して使用するベッド等であって、
基本位置にある下脚板と下脚部敷具とをそれぞれ左右方向に投影してなる投影部を一つに合せた形状を甲1とし、基本位置にある座部板と座部敷具とをそれぞれ左右方向に投影してなる投影部を一つに合せた形状を甲2とし、基本位置にある前記座部板と前記座部敷具とをそれぞれ上下方向に投影してなる投影部を重ね合せた形状を乙2とし、
更に、基準平面、即ちベッド等の中心を通り左右方向に対し直角である平面の上に中心を持つとともに一辺が左右方向を示し他の一辺が前後方向を示す長方形であり、左右長が前記下脚板の最大左右長より50ミリ長く前後長が前記下脚板の最大前後長より300ミリ長い長方形であり、前記乙2との間に30ミリの上下方向投影距離がある長方形であり、且つ基本位置にある前記座部板の前方にあってその坐部板の上面より150ミリ下方に位置する長方形である、という条件を備えた長方形を下面とし、基本位置にある前記座部敷具の上面より250ミリ上方に位置する長方形を上面とする、直方体と、
前記基準平面上に中心を持ち前記直方体の後面に接するとともに一辺が左右方向を示し、前記直方体の左右長と等しい左右長を持つ長方形を前面とし、基本位置にある前記坐部敷具の上面よりも上方に位置するとともに300ミリの前後長を持つ長方形を下面とし、且つ基本位置にある前記座部敷具の上面よりも150ミリ上方に位置する長方形を上面とする、直方体と、によって構成される立体の内部を下脚板移動域として、
ベッド等が基本形態をとっている状態から、坐部敷具の差替えを阻害する新たな要因を発生させることなく、且つ基本位置にあるときの前記下脚板の上面において左右方向に並ぶ二つの点を結ぶ線分が左右方向を示す状態を保ちながら、前記下脚板が、先ず、前記甲1の前記甲2との接触部を前記甲2から真直ぐ前へまたは斜め前へ離隔するようにして前記下脚板移動域内に移動し、次いで、前記甲1が前記甲2から離れた状態を保ちながら、少なくとも前記下脚板の後端が基本位置にある前記座部敷具の上方に位置するようになるまで、前記下脚板移動域内を通って移動する、第1運動と、
前記坐部敷具の差替えを阻害する新たな要因を発生させることなく、且つ基本位置にあるときの下脚板上面で左右に並ぶ前記二点を結ぶ線分が左右方向を示す状態を保ちながら、前記下脚板の後部が基本位置にある前記坐部敷具の上方に重なるように、前記下脚板移動域内を通って前記下脚板が後方に移動する、前記第1運動に続く第2運動と、
前記坐部敷具の差替えを阻害する新たな要因を発生させることなく、前記坐部板がその基本位置から下方に移動する、前記第2運動に続く第3運動と、
座部敷具を装着した状態で前記座部板がその基本位置に移動する、前記第3運動に続く第4運動と、
基本位置にあるときの下脚板上面で左右に並ぶ前記二点を結ぶ線分が左右方向を示す状態を保ちながら、前記下脚板移動域内を通って前記下脚板がその基本位置に移動するとともに、ベッド等が基本形態に復帰する、前記第4運動に続く第5運動と、を各運動所定の支持板等に行わせる運動手段と、
臥床者の身体の下で、坐部敷具をベッド等から取外し、またベッド等に取付けることを、少なくとも前記第3運動が終了した段階において行うことができる、坐部敷具取外し取付け手段と、
臥床者の身体の下から、左方、右方または前方のうち少なくともいずれか一方へ、座部敷具を取出しまた逆に戻入れることを可能にする開口部が、少なくとも前記第3運動が終了した段階において確保される構造と、
を具備し、
前記運動手段による前記第1運動は、ベッド等上に臥床者が仰臥した状態において、坐部敷具前面に密接する下脚部敷具を臥床者の脚を押上げつつ上方に離隔することによって、坐部敷具の前後二面が下脚部敷具と上体部敷具とにより挟扼されている状態を解消するとともに、第2運動に対応し易い体位へ臥床者を誘導し、前記第2運動は、臥床者の脚部を屈曲させながら大腿部に向かって下脚板を押し進め、下脚部敷具を介して臥床者の下半身を下から支え、前記第3運動は、坐部板を下方に移動させることによって、坐部敷具の上下二面が臥床者座部と坐部敷具取付け部とにより挟扼されている状態を解消して座部敷具の差替えを可能とし、前記第4運動は、座部板と座部敷具とをそれぞれの基本位置に移動させ、前記第5運動は、下脚板と下脚部敷具とをそれぞれの基本位置に移動させるとともに、ベッド等を基本形態に復帰させる、坐部敷具差替えベッド等。
An upper body plate that is a support plate for the upper body part, a seat plate that is a support plate for the seat part, and a lower leg plate that is a support plate for the lower leg part are separately formed, and each of the upper body part, the seat part, and the lower leg part is formed. A bed or the like in which an upper body laying seat, a seat laying laying material, and a lower leg laying laying device, each of which has a predetermined size, shape and quality, are attached to each of the support plates. And
The shape that combines the projected parts formed by projecting the lower leg plate and the lower leg laying sheet in the basic position in the left-right direction is taken as one, and the seat plate and the sitting laying sheet in the basic position are respectively The shape obtained by projecting the projection parts in the left and right directions into one is instep 2, and the projection parts that project the seat plate and the seat covering in the basic position in the vertical direction are superimposed. The second shape is B2,
Furthermore, it is a rectangle having a center on a reference plane, i.e., a plane that passes through the center of the bed or the like and is perpendicular to the left-right direction, one side indicates the left-right direction, and the other side indicates the front-rear direction, and the left-right length is the lower side. It is a rectangle that is 50 mm longer and longer than the maximum length of the lower leg plate and 300 mm longer than the maximum length of the lower leg plate, and has a vertical projection distance of 30 mm between the bottom plate 2 and the basic position. A rectangle with the condition that it is a rectangle located 150 mm below the upper surface of the seat plate in front of the seat plate in the lower surface, and from the upper surface of the seat laying material in the basic position A rectangular parallelepiped with the top surface of a rectangle located 250 mm above;
From the upper surface of the sitting lie at the basic position, with a center on the reference plane and in contact with the rear surface of the rectangular parallelepiped, with one side indicating the left-right direction, a rectangular shape having a lateral length equal to the lateral length of the rectangular parallelepiped. And a rectangular parallelepiped having a rectangle with a longitudinal length of 300 mm as the lower surface and a rectangle positioned 150 mm above the upper surface of the seat covering as a basic position as the upper surface. As the lower leg plate movement area,
Two points aligned in the left-right direction on the upper surface of the lower leg plate when it is in the basic position without generating a new factor that hinders the replacement of the sitting laying material from the state in which the bed etc. is in the basic form The lower leg plate firstly separates the contact portion of the upper 1 with the upper 2 from the upper 2 straightly forward or obliquely forward while maintaining the state in which the line segment connecting the left and right is maintained. The lower leg plate moves to the lower leg plate movement area, and then the upper 1 is kept away from the upper 2 while at least the rear end of the lower leg plate is positioned above the seat laying in the basic position. A first movement that moves through the lower leg plate movement area,
Without generating a new factor that hinders the replacement of the sitting laying, and while maintaining a state in which the line segment connecting the two points arranged side by side on the upper surface of the lower leg plate at the basic position indicates the left-right direction, A second movement following the first movement, in which the lower leg plate moves backward through the lower leg plate movement area so that the rear part of the lower leg plate overlaps the upper part of the seat laying device in the basic position;
A third movement following the second movement, in which the seat plate moves downward from its basic position without generating a new factor that impedes replacement of the sitting laying;
A fourth movement following the third movement, in which the seat plate moves to its basic position with the seat laying piece mounted;
The lower leg plate moves to the basic position through the lower leg plate moving area while maintaining the state in which the line connecting the two points arranged side by side on the lower leg plate upper surface when in the basic position indicates the left and right direction, A movement means for causing a predetermined support plate or the like to perform a fifth movement following the fourth movement, in which a bed or the like returns to a basic form,
Under the body of the bedridden person, the sitting floor covering can be removed from the bed or the like and attached to the bed or the like, at least at the stage where the third movement is completed,
An opening that allows the seat covering to be removed from the underbody's body to the left, right, or at least one of the front and back, and at least the third movement is completed. The structure secured at the stage
Comprising
In the state where the bedridden lies on the bed or the like, the first movement by the movement means is performed by separating the lower leg bed sheet in close contact with the front of the sitting bed sheet while pushing up the bed of the bed bed, The front and back surfaces of the seat laying piece are eliminated by the lower leg laying piece and the upper body laying piece, and the bedridden person is guided to a posture that can easily cope with the second movement. The exercise pushes the lower leg plate toward the thigh while bending the bedside of the bedridden person, and supports the lower body of the bedbed person from below through the lower leg laying, and the third movement moves the sitting board down. By moving the seat rug, the upper and lower surfaces of the seat rug are eliminated by the bedside seat and the seat rug attachment part, and the seat rug can be replaced. The 4 movements move the seat plate and the seat covering to the respective basic positions, and the fifth movement is the lower leg. And a lower leg portion insole device is moved to the respective basic position and to return the bed or the like in the basic form, sitting portion laying tool replacement bed like.
請求項1記載の座部板の上面における前後左右4端部それぞれの示す方向が、前記座部板が基本位置にあるときと同じになるようにして、且つ前記座部板の上面が臥床者座部に直接接触する位置を上限として、請求項1記載の座部板が臥床者座部の方に所望の距離だけ移動する、付加第1運動と、
ベッド等上に仰臥した臥床者が請求項1記載の下脚部敷具に脚を載せることができる状態を維持しながら、請求項1記載の下脚板が所望の距離だけ前方に移動する、前記付加第1運動に続く付加第2運動と、
ベッド等上に仰臥した臥床者が前記下脚部敷具に脚を載せることができる状態を維持しながら、前記下脚板が前記付加第2運動開始時の位置に復帰する、前記付加第2運動に続く付加第2運動始点復帰運動と、
前記付加第1運動開始時の状態に復帰する前記座部板等の運動である、前記付加第2運動始点復帰運動に続く付加第1運動始点復帰運動と、を、
請求項1記載の第3運動の終了後であり、且つ請求項1記載の第4運動の開始前である段階において、各運動所定の支持板等に行わせる運動手段を具備した、請求項1記載の坐部敷具差替えベッド等。
The front and rear, left and right end portions of the upper surface of the seat plate according to claim 1 are indicated in the same direction as when the seat plate is in the basic position, and the upper surface of the seat plate is a bedridden person. An additional first movement in which the seat plate according to claim 1 moves by a desired distance toward the bedridden seat, with the position directly contacting the seat as an upper limit,
2. The addition according to claim 1, wherein the lower leg plate according to claim 1 moves forward by a desired distance while maintaining a state in which a bedridden lying on a bed or the like can place his / her legs on the lower leg laying device according to claim 1. An additional second movement following the first movement;
In the additional second movement, the lower leg plate returns to the position at the start of the additional second movement while maintaining a state in which a bedridden lying on a bed or the like can put his / her legs on the lower leg covering material. The following additional second movement start point return movement,
An additional first motion start point return motion following the additional second motion start point return motion, which is a motion of the seat plate or the like returning to the state at the start of the additional first motion,
2. The apparatus according to claim 1, further comprising exercise means for causing a predetermined support plate to perform each movement at a stage after the end of the third movement according to claim 1 and before the start of the fourth movement according to claim 1. The seat laying bed replacement bed described.
請求項2記載の座部板の上面における前後左右4端部それぞれの示す方向が、前記座部板が基本位置にあるときと同じになるようにして、且つ前記座部板の上面が臥床者座部に直接接触する位置を上限として、請求項2記載の座部板が臥床者座部の方に所望の距離だけ移動する、付加第1運動と、
基本位置にあるときの下脚板の上面で左右に並ぶ、請求項2記載の二点を結ぶ線分が左右方向を示す状態を保ちながら、請求項2記載の下脚板移動域内を通って、請求項2記載の下脚板が所望の距離だけ前方に移動する、前記付加第1運動に続く付加第2運動と、
下脚板上面で左右に並ぶ前記二点を結ぶ線分が左右方向を示す状態を保ちながら、前記下脚板移動域内を通って、前記下脚板が前記付加第2運動開始時の位置に復帰する、前記付加第2運動に続く付加第2運動始点復帰運動と、
前記付加第1運動開始時の状態に復帰する前記座部板等の運動である、前記付加第2運動始点復帰運動に続く付加第1運動始点復帰運動と、を、
請求項2記載の第3運動の終了後であり、且つ請求項2記載の第4運動の開始前である段階において、各運動所定の支持板等に行わせる運動手段を具備した、請求項2記載の坐部敷具差替えベッド等。
The direction indicated by each of the four front, rear, left, and right ends of the upper surface of the seat plate according to claim 2 is the same as when the seat plate is in the basic position, and the upper surface of the seat plate is a bedridden person. An additional first movement in which the seat plate according to claim 2 moves by a desired distance toward the bedridden seat, with the position directly contacting the seat as an upper limit,
The line segment connecting the two points according to claim 2 arranged side by side on the upper surface of the lower leg plate when in the basic position passes through the lower leg plate movement area according to claim 2 while maintaining the state indicating the left-right direction. An additional second movement following the additional first movement, wherein the lower leg plate according to Item 2 moves forward by a desired distance;
The lower leg plate returns to the position at the start of the additional second movement through the lower leg plate moving area while maintaining a line segment connecting the two points arranged side by side on the upper surface of the lower leg plate in the left-right direction. An additional second motion start point return motion following the additional second motion;
An additional first motion start point return motion following the additional second motion start point return motion, which is a motion of the seat plate or the like returning to the state at the start of the additional first motion,
3. A movement means for causing each predetermined movement plate to perform the movement at a stage after the end of the third movement according to claim 2 and before the start of the fourth movement according to claim 2. The seat laying bed replacement bed described.
請求項1、請求項2、請求項3または請求項4記載の座部板の下方に、所定の衛生機器・医療機器等を設置するための場所を設けた構造と、前記座部板を取替えることができる構造と、を具備した、請求項1、請求項2、請求項3または請求項4記載の坐部敷具差替えベッド等。  A structure in which a place for installing a predetermined sanitary device / medical device or the like is provided below the seat plate according to claim 1, 2, 3, or 4 and the seat plate are replaced. A sitting bed laying replacement bed or the like according to claim 1, claim 2, claim 3, or claim 4. 請求項1記載の座部板の上面における前後左右4端部それぞれの示す方向が、前記座部板が基本位置にあるときと同じになるようにして、且つ前記座部板の上面が臥床者座部に直接接触する位置を上限として、請求項1記載の座部板が臥床者座部の方に所望の距離だけ移動する、付加第1運動と、
ベッド等上に仰臥した臥床者が請求項1記載の下脚部敷具に脚を載せることができる状態を維持しながら、請求項1記載の下脚板の後端と前記座部板の前端との間から臥床者が足を下ろすことができるようになる前方の位置に、請求項1記載の下脚板が移動する、前記付加第1運動に続く付加第2運動と、
前記座部板の上面における前後左右4端部それぞれが示す方向をいずれも変えることなく保ちながら、前記座部板が、所定の位置を下限として所望の距離だけほぼ真直ぐ下方に移動する、前記付加第2運動に続く付加第3運動と、
前記座部板の上面における前後左右4端部それぞれが示す方向をいずれも変えることなく保ちながら、前記座部板がほぼ真直ぐ上方に移動して前記付加第3運動開始時の位置に復帰する、前記付加第3運動に続く付加第3運動始点復帰運動と、
ベッド等上に仰臥した臥床者が前記下脚部敷具に脚を載せることができる状態を維持しながら、前記下脚板が前記付加第2運動開始時の位置に復帰する、前記付加第3運動始点復帰運動に続く付加第2運動始点復帰運動と、
前記付加第1運動開始時の状態に復帰する前記座部板等の運動である、前記付加第2運動始点復帰運動に続く付加第1運動始点復帰運動と、を、
請求項1記載の第3運動の終了後であり、且つ請求項1記載の第4運動の開始前である段階において、各運動所定の支持板等に行わせる運動手段と、
所定の衛生器機・医療機器等を設置するための場所を前記座部板の下方に設けた構造と、前記座部板を取替えることができる構造と、
前記坐部板の前端下方に、臥床者の足置き場を設けた構造と、
を具備した、請求項1記載の坐部敷具差替えベッド等。
The front and rear, left and right end portions of the upper surface of the seat plate according to claim 1 are indicated in the same direction as when the seat plate is in the basic position, and the upper surface of the seat plate is a bedridden person. An additional first movement in which the seat plate according to claim 1 moves by a desired distance toward the bedridden seat, with the position directly contacting the seat as an upper limit,
While maintaining a state in which a bedridden lying on a bed or the like can place his / her legs on the lower leg laying device according to claim 1, the rear end of the lower leg plate according to claim 1 and the front end of the seat plate An additional second movement following the additional first movement, wherein the lower leg plate moves to a forward position from which the bedridden is able to lower the foot;
The addition, wherein the seat plate is moved substantially straight downward by a desired distance with a predetermined position as a lower limit while keeping the directions indicated by the four front, rear, left and right ends on the upper surface of the seat plate without changing any of the directions. An additional third movement following the second movement;
The seat plate moves almost straight upward and returns to the position at the start of the additional third movement while keeping the directions indicated by the front, rear, left and right four ends on the upper surface of the seat plate without changing any of them. An additional third motion starting point return motion following the additional third motion;
The additional third movement start point, wherein the lower leg plate returns to the position at the start of the additional second movement while maintaining a state in which a bedridden lying on a bed or the like can place his / her legs on the lower leg covering material An additional second movement start point return movement following the return movement;
An additional first motion start point return motion following the additional second motion start point return motion, which is a motion of the seat plate or the like returning to the state at the start of the additional first motion,
In the stage after the end of the third movement according to claim 1 and before the start of the fourth movement according to claim 1, a movement means for causing each movement predetermined support plate to perform,
A structure in which a place for installing a predetermined sanitary device / medical device or the like is provided below the seat plate, and a structure in which the seat plate can be replaced;
Below the front end of the seat plate, a structure for providing a footrest for the bedridden person,
A sitting bed laying replacement bed or the like according to claim 1.
請求項2記載の座部板の上面における前後左右4端部それぞれの示す方向が、前記座部板が基本位置にあるときと同じになるようにして、且つ前記座部板の上面が臥床者座部に直接接触する位置を上限として、請求項2記載の座部板が臥床者座部の方に所望の距離だけ移動する、付加第1運動と、
基本位置にあるときの下脚板の上面において左右に並ぶ、請求項2記載の二点を結ぶ線分が左右方向を示す状態を保ちながら、請求項2記載の下脚板の後端と前記坐部板の前端との間から臥床者が足を下ろすことができるようになる前方の位置に、請求項2記載の下脚板移動域内を通って、請求項2記載の下脚板が移動する、前記付加第1運動に続く付加第2運動と、
前記座部板の上面における前後左右4端部それぞれの示す方向をいずれも変えることなく保ちながら、前記座部板が、所定の位置を下限として所望の距離だけほぼ真直ぐ下方に移動する、前記付加第2運動に続く付加第3運動と、
前記座部板の上面における前後左右4端部それぞれの示す方向をいずれも変えることなく保ちながら、前記座部板がほぼ真直ぐ上方に移動して前記付加第3運動開始時の位置に復帰する、前記付加第3運動に続く付加第3運動始点復帰運動と、
下脚板上面で左右に並ぶ前記二点を結ぶ線分が左右方向を示す状態を保ちながら、前記下脚板移動域内を通って、前記下脚板が前記付加第2運動開始時の位置に復帰する、前記付加第3運動始点復帰運動に続く付加第2運動始点復帰運動と、
前記付加第1運動開始時の状態に復帰する前記座部板等の運動である、前記付加第2運動始点復帰運動に続く付加第1運動始点復帰運動と、を、
請求項2記載の第3運動の終了後であり、且つ請求項2記載の第4運動の開始前である段階において、各運動所定の支持板等に行わせる運動手段と、
所定の衛生器機・医療機器等を設置するための場所を前記座部板の下方に設けた構造と、前記座部板を取替えることができる構造と、
前記坐部板の前端下方に、臥床者の足置き場を設けた構造と、
を具備した、請求項2記載の坐部敷具差替えベッド等。
The direction indicated by each of the four front, rear, left, and right ends of the upper surface of the seat plate according to claim 2 is the same as when the seat plate is in the basic position, and the upper surface of the seat plate is a bedridden person. An additional first movement in which the seat plate according to claim 2 moves by a desired distance toward the bedridden seat, with the position directly contacting the seat as an upper limit,
The rear end of the lower leg plate and the seat portion while maintaining a state in which the line segment connecting the two points according to claim 2 arranged in the left and right directions on the upper surface of the lower leg plate at the basic position indicates a left-right direction. The additional leg, wherein the lower leg plate according to claim 2 moves through the lower leg plate movement area according to claim 2 to a front position where the bedridden can lower the foot from between the front end of the board. An additional second movement following the first movement;
The addition, wherein the seat plate moves substantially straight downward by a desired distance with a predetermined position as a lower limit while maintaining the directions indicated by the four front and rear, left and right ends on the upper surface of the seat plate without changing any of them. An additional third movement following the second movement;
The seat plate moves almost straight upward and returns to the position at the start of the additional third motion while keeping the directions indicated by the front, rear, left and right four ends on the upper surface of the seat plate without changing any of them. An additional third motion starting point return motion following the additional third motion;
The lower leg plate returns to the position at the start of the additional second movement through the lower leg plate moving area while maintaining a line segment connecting the two points arranged side by side on the upper surface of the lower leg plate in the left-right direction. An additional second motion start point return motion following the additional third motion start point return motion;
An additional first motion start point return motion following the additional second motion start point return motion, which is a motion of the seat plate or the like returning to the state at the start of the additional first motion,
In the stage after the end of the third movement according to claim 2 and before the start of the fourth movement according to claim 2, exercise means for causing each movement predetermined support plate to perform,
A structure in which a place for installing a predetermined sanitary device / medical device or the like is provided below the seat plate, and a structure in which the seat plate can be replaced;
Below the front end of the seat plate, a structure for providing a footrest for the bedridden person,
A sitting bed laying replacement bed or the like according to claim 2.
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110652405A (en) * 2019-10-28 2020-01-07 河南孝道科技有限公司 Full-automatic medical nursing bed for old people or severe patients
CN115212052A (en) * 2022-07-27 2022-10-21 连云港市妇幼保健院(连云港市第三人民医院) Multifunctional nursing bed and method for obstetrical nursing

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JPH0280047A (en) * 1988-09-16 1990-03-20 Paramaunto Bed Kk Body supporting unit and bed using same
JP2008136780A (en) * 2006-12-05 2008-06-19 Unicare Corp Bed
JP2009268789A (en) * 2008-05-09 2009-11-19 Koyo:Kk Chair bed

Patent Citations (3)

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Publication number Priority date Publication date Assignee Title
JPH0280047A (en) * 1988-09-16 1990-03-20 Paramaunto Bed Kk Body supporting unit and bed using same
JP2008136780A (en) * 2006-12-05 2008-06-19 Unicare Corp Bed
JP2009268789A (en) * 2008-05-09 2009-11-19 Koyo:Kk Chair bed

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110652405A (en) * 2019-10-28 2020-01-07 河南孝道科技有限公司 Full-automatic medical nursing bed for old people or severe patients
CN115212052A (en) * 2022-07-27 2022-10-21 连云港市妇幼保健院(连云港市第三人民医院) Multifunctional nursing bed and method for obstetrical nursing
CN115212052B (en) * 2022-07-27 2023-07-18 连云港市妇幼保健院(连云港市第三人民医院) Obstetrical nursing is with multi-functional nursing bed

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