JP2012250003A - Solid assembly-type oxygen mask holder - Google Patents
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- JP2012250003A JP2012250003A JP2011136754A JP2011136754A JP2012250003A JP 2012250003 A JP2012250003 A JP 2012250003A JP 2011136754 A JP2011136754 A JP 2011136754A JP 2011136754 A JP2011136754 A JP 2011136754A JP 2012250003 A JP2012250003 A JP 2012250003A
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酸素マスクに関するものである。 It relates to an oxygen mask.
従来の酸素マスクの装着方法は、1本のゴム紐を患者の耳から頭部に回して使用されている。長期間断続的に使用しているとゴムの圧力で耳が切れ出血するなどの事故が多いうえ酸素マスクが鼻からずれ、そのまま数時間放置すると脳に酸素が供給されず、低酸素脳症となり患者は植物状態になる危険性がある。看護師の頻繁な巡回監視が必要となり看護師不足の現状では現在なお重要問題として課題にあがっている。 A conventional method of wearing an oxygen mask is used by turning one rubber strap from a patient's ear to the head. Patients who suffer from frequent accidents such as bleeding and bleeding due to rubber pressure when used intermittently for a long period of time, oxygen masks deviate from the nose, and if left for several hours, oxygen is not supplied to the brain, resulting in hypoxic encephalopathy Is in danger of becoming a plant. The frequent monitoring of nurses is necessary, and the current situation of nurse shortages is still an important issue.
現場の看護師スタッフは当番の時、見落とす等の要因で患者が死亡するなどした場合、看護師本人や病院の責任も追及される重大問題を抱えている。一刻も早く本題を解決しなくてはならない全国病院の重大課題でもある。
酸素マスク装着患者の殆どがずれるので、少々ずれるのは仕方ないとか、当たり前との誤った認識麻痺があるが、この問題の解決手段は今迄に無くどうすることもできなかった。The on-site nurse staff has a serious problem in which the responsibility of the nurse and the hospital is pursued if the patient dies due to oversight or other factors on duty. It is also a critical issue for national hospitals that must resolve this issue as soon as possible.
Since most of the patients wearing oxygen masks are displaced, there is no choice but to make a mistake, and there is a false recognition paralysis that is taken for granted.
上記の課題を解決するための手段は、▲1▼既存の酸素マスクに改良を加えることなく、其のままの状態で素早く酸素マスクずれ防止具に装着できること。▲2▼体向して仰向け状態や臥状態にしても酸素マスクがずれないこと。▲3▼日に数回痰の吸引などで酸素マスクを患者から離すことがあり、酸素マスクとの脱着が素早く且つ安全に安心してできなくてはならないこと。以上の3点が最も重要な事項である。そこで長時間肌に接しても優しい柔軟素材を選定し、引張りに強く肌からずれ難いもので且つ肌に食い込んだりして圧迫性壊疽状態にならない素材、ゴム紐固定具が簡単に取り外しできること。以上の重要点を解決して、酸素マスクと切り離して独立させた、組立て立体型酸素マスクずれ防止具を考案して解決した。解決手段を以下に記す。 Means for solving the above-mentioned problems are as follows: (1) The oxygen mask can be quickly mounted on the oxygen mask misalignment prevention device without modifying the existing oxygen mask. (2) The oxygen mask should not be displaced even when facing the body or lying on its back. (3) Oxygen mask may be separated from the patient by aspiration several times a day, and it should be possible to detach from the oxygen mask quickly and safely. The above three points are the most important matters. Therefore, select a flexible material that is gentle to the skin even if it is in contact with the skin for a long time, and can easily remove materials that are strong against tension and difficult to dislodge from the skin. The above-mentioned important points have been solved, and an assembled three-dimensional oxygen mask misalignment prevention device that has been separated from the oxygen mask and made independent has been devised and solved. Solutions are described below.
手段(1)既存の酸素マスクに改良を加えることなく、其のままの状態で素早く酸素マスクずれ防止具に装着できる解決手段は、既存の酸素マスク全てに付いているゴム紐である。本発明の着目はその余分のゴム紐部分を利用して酸素マスクのずれない角度にゴム紐を固定し、固定したゴム紐が移動しなければ酸素マスクはずれないことを臨床試験で発見し、その手段を採用した。
手段(2)体向して臥状態や仰向け状態にしても酸素マスクがずれないようにするための手段は、平面の部材を変形T字型や局面など様々な形に切り抜いて、各所に必要な接合凹凸部と、ゴム紐止めクリップを取り付け、素早く酸素マスクの余りゴム紐を挟んで固定させた。本考案の組立て立体型酸素マスクずれ防止具は、立体構造に組立て患者の頭に被せる形状になっている。患者の髪が枕に接する面積と組立て帽子型酸素マスクずれ防止具が、当たる面積の比率を後者の方を極力少なくすることで安定度が極めて高くなり、酸素マスクがずれないようになった。Means (1) A solution that can be quickly attached to the oxygen mask misalignment prevention device without modification to the existing oxygen mask is a rubber string attached to all the existing oxygen masks. The focus of the present invention is to fix the rubber strap at an angle where the oxygen mask does not shift using the extra rubber strap portion, and to discover that the oxygen mask does not come off unless the fixed rubber strap moves. Adopted means.
Means (2) Means for preventing the oxygen mask from being displaced even if the body is in a heeled state or a supine state are cut out of a flat member into various shapes such as a modified T-shape and a situation, and are necessary in various places. A simple bonding uneven part and a rubber string retaining clip were attached, and the remaining rubber string of the oxygen mask was quickly sandwiched and fixed. The assembled three-dimensional oxygen mask misalignment prevention device of the present invention has a shape that is assembled into a three-dimensional structure and put on the patient's head. By making the ratio of the area where the patient's hair touches the pillow and the assembly hat type oxygen mask slip prevention tool the area of contact with the latter as much as possible, the stability becomes extremely high and the oxygen mask does not slip.
国内外の病院で酸素マスクを必要としている患者は何十万人と計り知れない。ずれない酸素マスクの発明により以下の効果がある。(1)従来の酸素マスクは断続的に使用すると患者の耳にゴム圧がかかり切れて出血するのでゴム紐がかけられなく、酸素マスクの使用が困難であったが、本発明の酸素マスクずれ防止具はずれないのでその心配はなくなった。(2)酸素マスクを使用すると患者の唇や、口中乾燥して荒れてくるうえ口中に分泌物が固く付着し其の塊が気管に入ると窒息死するなどの危険があった。口中の乾燥を緩和させるために水を含ませたガーゼを酸素マスクの脇に挟みこんで処置していたが、酸素マスクがずれるので緩和策は無意味で効果なくその心配もなくなった。
また、看護師さんは、日に数回、痰の吸引他のチェックで酸素マスクを患者から離すことがあり酸素マスクとの脱着が素早く且つ安全にできるようにすることが肝要であるが、本考案の組立て立体型酸素マスクずれ防止具で解決できた。Hundreds of thousands of patients need oxygen masks at hospitals in Japan and abroad. The invention of the oxygen mask that does not shift has the following effects. (1) If the conventional oxygen mask is used intermittently, the rubber pressure is applied to the patient's ear and bleeding occurs, so that the rubber string cannot be applied and the use of the oxygen mask is difficult. Since the protective gear cannot be removed, the worry is gone. (2) When the oxygen mask was used, there was a risk that the patient's lips and the mouth were dry and rough, and the secretions adhered firmly in the mouth and the mass entered the trachea, resulting in death from suffocation. In order to relieve dryness in the mouth, gauze containing water was placed on the side of the oxygen mask for treatment, but the oxygen mask was displaced, so the relaxation measure was meaningless and no longer worried.
Also, it is important that nurses remove the oxygen mask from the patient several times a day by suction and other checks, so that it can be quickly and safely detached from the oxygen mask. It was possible to solve the problem by using the designed three-dimensional oxygen mask displacement prevention device.
従来の酸素マスク装着患者は10人使用中8人がずれているのが病院の現状である。耳にゴム圧がかかり傷になり黴菌が浸入し他の病気の併発や、脳に酸素が供給されず、低酸素脳症、植物状態後死亡の経過を辿り医療事故として訴訟になるなど担当者と病院側にも大きなリスクがあり、看護師の頻繁な見回りによる監視が必要で目が離せなかった。看護師不足の現状のなか病院は過酷な条件下で悩んでいたが、ずれない酸素マスクの発明で前述の問題が解決でき、且つ病院の抱えているリスクが減少し、人件費の削減、於いては国の医療費の削減に大きく貢献できるなど計り知れない効果がある。 The current situation of the hospital is that 8 out of 10 patients with conventional oxygen masks are out of use. With a person in charge such as a medical accident involving a rubber pressure on the ear and injury resulting from invasion of gonorrhea and other diseases, oxygen supply to the brain, hypoxic encephalopathy, death after plant condition, etc. There was a big risk on the hospital side, too, and it was necessary to keep an eye on the nurse's frequent patrols. Although the hospital was worried under severe conditions due to the shortage of nurses, the above-mentioned problems could be solved by the invention of the oxygen mask that does not deviate, the risk of the hospital was reduced, and labor costs were reduced. In other words, it has a tremendous effect such as greatly contributing to the reduction of medical expenses in the country.
上記のように構成された組立て立体型酸素マスクずれ防止具は、既存の酸素マスクに改良を加えることなく其のままの状態で素早く装着できるようにした、酸素マスクと切り離して独立させた器具である。体向で仰向け状態や臥状態にしても酸素マスクがずれないようにして、日に数回痰の吸引などで酸素マスクを患者から離すことがあるが、酸素マスクとの脱着が簡単且つ安全にできるのが好ましい。発明を実施するにあたり、以上の点が発明を実施するうえで最も重要な形態である。 The assembled three-dimensional oxygen mask misalignment prevention device configured as described above is an instrument that is separated from the oxygen mask and can be quickly installed without modification to the existing oxygen mask. is there. Although the oxygen mask does not shift even if the body is in a supine or heeled state, the oxygen mask may be separated from the patient by several times a day of suction, etc., but it is easy and safe to detach from the oxygen mask. Preferably it is possible. In carrying out the invention, the above points are the most important modes for carrying out the invention.
酸素マスク必要患者の殆どは正常な判断力や動作力の低下した患者であり、酸素マスクを嫌がって外そうとしても外し難い構造にして、且つ酸素マスクずれ防止具から容易に脱着できる構造でなければならない。また、国内外酸素マスク全メーカー全製品に手を加えることなく、酸素マスクの両側に通してある、ゴム紐の余りを利用して、酸素マスクがずれない形態にした。 Most patients who require oxygen masks have poor normal judgment and ability to operate, and must have a structure that makes it difficult to remove the oxygen mask even if it does not want to be removed. I must. In addition, without making any changes to all the oxygen mask manufacturers in Japan and overseas, the oxygen mask is made to be in a form that does not shift by using the remainder of the rubber straps that are passed through both sides of the oxygen mask.
臨床試験に於ける実施例について図面を参照して説明する如く、[図1]は酸素マスク装着患者図であり、[図2]に示すように短時間で酸素マスクは鼻からずれてくる。この状態のときゴム紐が延びて耳にゴム圧がかかり出血する。植物状態で口や顎を動かせない患者以外の殆どが同状態となる。[図3]は酸素マスクがずれてゴム圧で耳が切れ出血して布やガーゼを当てての処置状態図。このようにしても直ぐマスクがずれてくるので看護師などの常時監視が欠かせず其の労力は大変である。 As will be described with reference to the drawings in Examples in clinical trials, FIG. 1 is a patient wearing an oxygen mask, and the oxygen mask is displaced from the nose in a short time as shown in FIG. In this state, the rubber string is extended, and rubber pressure is applied to the ear to cause bleeding. Most of the patients except the patient who cannot move the mouth and jaw in the plant state are in the same state. [FIG. 3] is a treatment state diagram in which the oxygen mask is displaced, the ears are cut and bleeding due to rubber pressure, and a cloth or gauze is applied. Even if it does in this way, since a mask will shift | deviate immediately, regular monitoring by a nurse etc. is indispensable and the labor is serious.
[図4]は酸素マスクずれ防止具初期試作臨床試験図でこの図に示す如く酸素マスクのゴム紐は耳から外して首に回し頭の中央部にゴム紐を伸ばして止める。その角度は首に回したゴム紐に対して30〜50度以内で効果がみられた。しかし患者の体向等で真横状にした時や患者が頭を動かした時などの臨床試験では頭に回した数本の帯ベルト状のものが枕に接した面積が少なく、髪の毛が絡んで滑って位置が変わるなどした。8回目の試作でずれない基本原理を発見し、改良を加えて以下のものを考案した。 [FIG. 4] is an oxygen mask misalignment prevention device initial trial clinical test diagram. As shown in this figure, the rubber strap of the oxygen mask is removed from the ear, turned to the neck, and stretched to the center of the head and stopped. The effect was observed within 30 to 50 degrees with respect to the rubber cords that were turned around the neck. However, in clinical trials, such as when the patient's body is placed sideways or when the patient moves the head, several belt belts that are turned around the head have little area in contact with the pillow, and the hair is entangled I slipped and changed the position. I discovered the basic principle that was not misplaced in the 8th trial production, and devised the following with improvements.
[図5]は組立て立体型酸素マスクずれ防止具の分解右側部であり、平面部材を変形T字型右サイドパネル(2)の形状に切抜き、各部に役割を果たす、フロントヘッドバンド上(4)、バッグヘッドバンド下(5)トップヘッドバンド下(6)を設けて、接合テープA(12)を接着または縫製して固定させる。また耳除け部(8)のアール部分を数か所に設けて、ゴム紐止めクリップ(17)を必要に応じ数個、接着または縫製して固定させる。[FIG. 5] is an exploded right side portion of the assembled three-dimensional oxygen mask misalignment prevention device. The flat member is cut into the shape of the deformed T-shaped right side panel (2) and plays a role in each portion (4 ), Under the bag headband (5), and under the top headband (6), and bonding tape A (12) is bonded or sewn and fixed. In addition, the rounded portions of the ear protection portion (8) are provided at several places, and a plurality of rubber strap fastening clips (17) are adhered or sewn and fixed as necessary.
[図6]は組立て立体型酸素マスクずれ防止具の分解左側部で、平面部材を変形T字型左サイドパネル(3)の形状に切抜き、各部に役割を果たす、フロントヘッドバンド下(9)、バッグヘッドバンド上(10)トップヘッドバンド上(11)を設けて、接合テープA(12)を接着または縫製して固定させる。また耳除け部(8)のアール部分を数か所に設けて、ゴム紐止めクリップ(17)を必要に応じ数個、接着又は縫製して固定させる。 [FIG. 6] is an exploded left side portion of the assembled three-dimensional oxygen mask misalignment prevention device. The flat member is cut out in the shape of the deformed T-shaped left side panel (3), and plays a role in each portion. The bag headband (10) and the top headband (11) are provided, and the bonding tape A (12) is bonded or sewn and fixed. In addition, the rounded portions of the ear protection portion (8) are provided at several places, and a plurality of rubber strap fastening clips (17) are adhered or sewn and fixed as necessary.
[図7]に示す如く、組立て立体型酸素マスクずれ防止具の組立て前の分解斜視図、変形T字型右サイドパネル(2)と変形T字型左サイドパネル(3)の二枚の部品を、立体型に組立てる方法の説明図であり、接合テープA(12)と接合テープB(13)を接着または縫製して固定させ、脱着可能な接合テープが絡み合って、[図10]に示すように患者(20)の頭に合わせて調整できるべくようにされている。 As shown in FIG. 7, an exploded perspective view of the assembled three-dimensional oxygen mask misalignment prevention device before assembling, two parts of a modified T-shaped right side panel (2) and a modified T-shaped left side panel (3) FIG. 10 is an explanatory view of a method of assembling a three-dimensional mold, in which the joining tape A (12) and the joining tape B (13) are bonded or sewn and fixed, and the detachable joining tape is entangled. Thus, it can be adjusted according to the head of the patient (20).
通常の酸素マスク使用方法は[図1][図2][図3]のように耳にゴム紐がかかり装着されている。本発明の組立て立体型酸素マスクずれ防止具(1)の装着方法を[図10]で説明する如く、酸素マスク(14)に付随している酸素マスクゴム紐(16)は患者(20)の首に回して、酸素マスク余りゴム紐(15)を[図9]に示すゴム紐止めクリップ(17)のゴム紐鋏みベロ(18)の溝(19)に挟み込んで1回または2回廻して止める。其の方法は酸素マスク余りゴム紐(15)の脱着が素早く出来るとともに、患者(20)に装着時、酸素マスク(14)が外れない仕組みに構成されているので安心である。 A normal method of using an oxygen mask is to attach an elastic band to an ear as shown in [FIG. 1], [FIG. 2] and [FIG. 3]. As will be described in FIG. 10 with respect to the method of mounting the assembled three-dimensional oxygen mask displacement prevention device (1) of the present invention, the oxygen mask rubber string (16) attached to the oxygen mask (14) is the neck of the patient (20). The oxygen mask surplus rubber string (15) is sandwiched in the groove (19) of the rubber string gripping tongue (18) of the rubber string retaining clip (17) shown in FIG. 9 and stopped once or twice. . The method is reassuring because the oxygen mask surplus rubber string (15) can be quickly attached and detached and the oxygen mask (14) cannot be removed when worn on the patient (20).
酸素マスクがずれない器具としては今日まで国内販売されてなく、また酸素マスクがずれない装置の付いた酸素マスクも販売されていない。酸素マスクに関連するものは医療用機器として厚生省の認可が必要である。酸素マスクずれ防止具を酸素マスクと一体で販売すると、医療器具となり厚生省認可までに相当の時間が掛かり世に出回るまでに相当の年月と莫大な投資が必要となる。それまでに、何千人、何万人の命が失われないとも限らない。
本発明の組立て立体型酸素マスクずれ防止具は、酸素マスクと切り離して使用できるようにしたため医療器具でなく雑具扱いでの認可となり、酸素マスクメーカー又は医療機器販売店に窓口を絞り、宣伝費をかけなくても病院が必ず購入して使用するものである。また医療費の削減、病院の経費削減に一役買う画期的な発明であり、産業上の利用可能性は無限で其の経済効果も期待できる。To date, no oxygen mask is sold in Japan, and no oxygen mask with a device that does not shift the oxygen mask is sold. Items related to oxygen masks must be approved by the Ministry of Health and Welfare as medical devices. If an oxygen mask slip prevention device is sold together with an oxygen mask, it will take a considerable amount of time and enormous investment until it becomes a medical device and takes a considerable amount of time to be approved by the Ministry of Health and Welfare. Until then, the lives of thousands and tens of thousands of people will not be lost.
The assembled three-dimensional oxygen mask displacement prevention device of the present invention can be used separately from the oxygen mask, so it is approved for handling miscellaneous goods instead of medical devices. Even if it is not applied, the hospital must purchase and use it. In addition, it is an epoch-making invention that helps to reduce medical expenses and hospital expenses. Industrial applicability is infinite and its economic effects can be expected.
1 組立て立体型酸素マスクずれ防止具
2 変形T字型右サイドパネル
3 変形T字型左サイドパネル
4 フロントヘッドバンド上
5 バックヘッドバンド下
6 トップヘッドバンド下
7 耳
8 耳除けアール部
9 フロントヘッドバンド下
10 バックヘッドバンド上
11 トップヘッドバンド上
12 接合テープA
13 接合テープB
14 酸素マスク
15 酸素マスク余りゴム紐
16 酸素マスクゴム紐
17 ゴム紐止めクリップ
18 ゴム紐鋏みベロ
19 溝
20 患者DESCRIPTION OF SYMBOLS 1 Assembling type | mold three-dimensional oxygen mask
13 Bonding tape B
14 Oxygen mask 15 Oxygen mask
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JP2011136754A JP2012250003A (en) | 2011-06-01 | 2011-06-01 | Solid assembly-type oxygen mask holder |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP6084748B1 (en) * | 2016-11-15 | 2017-02-22 | 佐藤 創一 | Mask holder |
JPWO2016059838A1 (en) * | 2014-10-16 | 2017-04-27 | Ikk株式会社 | Fixing device for ventilator |
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2011
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPWO2016059838A1 (en) * | 2014-10-16 | 2017-04-27 | Ikk株式会社 | Fixing device for ventilator |
JP6084748B1 (en) * | 2016-11-15 | 2017-02-22 | 佐藤 創一 | Mask holder |
JP2018080408A (en) * | 2016-11-15 | 2018-05-24 | 佐藤 創一 | Mask holding tool |
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