JP2013118909A - Photo-curable medical fixing material and photo-curable medical fixing material set - Google Patents

Photo-curable medical fixing material and photo-curable medical fixing material set Download PDF

Info

Publication number
JP2013118909A
JP2013118909A JP2011267379A JP2011267379A JP2013118909A JP 2013118909 A JP2013118909 A JP 2013118909A JP 2011267379 A JP2011267379 A JP 2011267379A JP 2011267379 A JP2011267379 A JP 2011267379A JP 2013118909 A JP2013118909 A JP 2013118909A
Authority
JP
Japan
Prior art keywords
fixing material
light
photocurable
medical fixing
sensitive
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
JP2011267379A
Other languages
Japanese (ja)
Other versions
JP5945842B2 (en
Inventor
Masanori Tamada
真規 玉田
Yoshikazu Matsumoto
義和 松本
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Alcare Co Ltd
Original Assignee
Alcare Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Alcare Co Ltd filed Critical Alcare Co Ltd
Priority to JP2011267379A priority Critical patent/JP5945842B2/en
Publication of JP2013118909A publication Critical patent/JP2013118909A/en
Application granted granted Critical
Publication of JP5945842B2 publication Critical patent/JP5945842B2/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Landscapes

  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

PROBLEM TO BE SOLVED: To provide a medical fixing material capable of suppressing deterioration in a biological function caused by the fixing while fixing an affected site, etc.SOLUTION: The photo-curable medical fixing material 1A contains photo-curable resin 100, and includes a light-sensitive part 10 which is cured after light irradiation, and a non-sensitive part 15 which is not cured after light irradiation. The non-sensitive part 15 may cover a projection or movable part in an attached body. In the photo-curable medical fixing material 1A, the light-sensitive part 10 located in the affected site, etc. in the attached body can be selectively cured while the projection or movable part can be selectively left uncured by light irradiation.

Description

本発明は、光硬化型医療用固定材及び光硬化型医療用固定材セットに関する。より詳しくは、人や動物の骨折や捻挫等の治療又は予防を目的として、また、スポーツ等において、転倒や衝撃等から身体を保護することを目的とした光硬化型医療用固定材等に関する。   The present invention relates to a photocurable medical fixing material and a photocurable medical fixing material set. More specifically, the present invention relates to a photocurable medical fixing material for the purpose of treating or preventing fractures and sprains of humans and animals, and for protecting the body from falls and impacts in sports and the like.

従来、医療分野においては、骨折や捻挫等の治療等を目的として様々な外科用固定材が用いられている。外科用固定材としては、例えば、水硬化型の樹脂を基材に保持させた水硬化型医療用固定材が用いられてきている(例えば、特許文献1を参照)。特許文献1では、水硬化型医療用固定材が、水に対する耐性が強く、機械的強度も高いため、有用である旨記載されている。   Conventionally, in the medical field, various surgical fixing materials have been used for the purpose of treating fractures and sprains. As a surgical fixing material, for example, a water-curable medical fixing material in which a water-curable resin is held on a base material has been used (see, for example, Patent Document 1). Patent Document 1 describes that a water-curable medical fixing material is useful because it has high resistance to water and high mechanical strength.

また、光硬化型樹脂を基材に保持させた光硬化型医療用固定材が用いられることもある(例えば、特許文献2を参照)。特許文献2では、光硬化型医療用固定材が、水硬化型医療用固定材とは異なり、装着時に水を必要としないので、水により患部等を湿らしてしまうという懸念なく用いることが可能である旨記載されている。   Moreover, the photocurable medical fixing material which hold | maintained the photocurable resin to the base material may be used (for example, refer patent document 2). In Patent Document 2, the photo-curable medical fixing material does not require water at the time of wearing unlike the water-curable medical fixing material, so that it can be used without concern that the affected area will be moistened with water. It is described that.

特開2002−325785号公報JP 2002-325785 A WO2006/090605号公報WO2006 / 090605

しかしながら、骨折や捻挫等をして、従来の水硬化型医療用固定材や光硬化型医療用固定材等の固定材を、骨折や捻挫等をした部位又は矯正をした部位(以下、患部等と記す。)に装着した場合、固定材の装着部位は、筋委縮や筋拘縮等を起こしたり、関節の可動域が制限されたりする等の生体機能の低下が誘起されるという問題があった。そこで、本発明は、上記問題に鑑みてなされたものであり、患部等の固定をしつつ、当該固定による生体機能の低下を抑制できる医療用固定材を提供することを主目的とする。   However, fractures, sprains, etc., and conventional fixing materials such as water-curing medical fixing materials and photo-curing medical fixing materials are used to fix fractures or sprains, etc. In the case of attaching to the fixing material, there is a problem that the attachment site of the fixing material induces a decrease in biological function such as muscle contraction or muscle contracture, or a limited range of motion of the joint. It was. Then, this invention is made | formed in view of the said problem, and it aims at providing the medical fixing material which can suppress the fall of the biological function by the said fixation, fixing an affected part etc.

上記課題を解決するため、本発明は、光硬化型樹脂を含んでなり、光照射後硬化する光感受部と、光照射後硬化しない非光感受部と、を有する光硬化型医療用固定材を提供する。
上記課題についてより詳述すると、従来、医療用固定材は、患部等を強固に固定することにより、骨折や捻挫等の回復を促すことができるものの、この強固な固定に伴い、リハビリ等の運動を抑制するため、結果として、筋委縮や筋拘縮を生じさせてしまうという問題があった。つまり、医療用固定材による固定は、「骨折や捻挫等の回復を促す」という有益な効果を得ることができるが、その一方で、「筋委縮や筋拘縮等」という問題が生じてしまうという、いわゆる二律背反の関係にある問題を抱えていた。
しかしながら、本発明では、「光硬化型」医療用固定材の「一部」である、(患部等に位置する)光感受部を選択的に硬化させることにより、患部等を固定し、「骨折や捻挫等の回復」を促すとともに、固定材のその他の部位(患部等以外の部位)を非硬化状態(柔らかい状態)とすることにより、リハビリ等の運動を可能とし、「筋委縮や筋拘縮」を予防する。
これにより、本発明は、二律背反の関係にあった「骨折や捻挫等の回復」と「筋委縮や筋拘縮の防止」を共に実現することができる。
前記非光感受部は、被装着体における凸部又は可動部を被覆してもよい。
この場合、前記光硬化型医療用固定材では、光照射により、患部等に位置する光感受部が選択的に硬化し、凸部及び/又は可動部に位置する非光感受部が選択的に非硬化状態となる。これにより、患部等の固定をしつつ、凸部に対する固定材の接触による痛みを低減したり、可動部に対する固定材の接触による動作の制限を抑制したりすることが可能である。
前記非光感受部は、光硬化型樹脂と、該光硬化型樹脂を覆って遮光する遮光部材と、を含んでいてもよい。
また、前記光感受部と、前記非光感受部とは、例えば、異なる材料で構成されていてもよい。この場合、前記非光感受部は、例えば、2以上の前記光感受部を連結し、長さを調整可能な部材で形成されていてもよい。
また、前記光硬化型医療用固定材は、上肢に装着され、上腕骨部、橈骨部、及び尺骨部のうちの少なくとも何れか1つの部位の凸部及び/又は可動部に前記非光感受部が位置するものであってもよい。
前記光硬化型医療用固定材は、下肢に装着され、大腿骨部、膝蓋骨部、及び脛骨部、腓骨部、及び舟状骨のうちの少なくとも何れか1つの部位の凸部及び/又は可動部に前記非光感受部が位置するものであってもよい。
前記光硬化型医療用固定材は、体幹に装着され、腸骨部及び/又は胸骨部の凸部及び/又は可動部に前記非光感受部が位置するものであってもよい。
前記光硬化型医療用固定材は、被装着体に装着された状態の前記光硬化型医療用固定材の端部にも前記非光感受部を備えていてもよい。
なお、ここでいう、凸部とは、人体において主に骨が突出して形成されている骨突起部又は腹圧等の圧力を逃すための、上肢、下肢、又は体幹に位置する部位を指す。
凸部として、上肢においては、上腕骨部、橈骨部、又は尺骨部が挙げられる。そして、上腕骨部としては、より具体的には、上腕骨内側上顆部や上腕骨外側上顆部等の上腕骨顆部又は肘頭部が挙げられる。また、橈骨部としては、より具体的には、橈骨茎状突起部が挙げられ、尺骨部としては、尺骨茎状突起部又は尺骨頭部、肘頭部が挙げられる。
また、凸部として、下肢においては、膝蓋骨部、大腿骨部、脛骨部、腓骨部、及び舟状骨部が挙げられる。そして、大腿骨部としては、より具体的には、大腿骨の内側顆部や大腿骨の外側顆部等の大腿骨顆部が挙げられる。また、脛骨部としては、より具体的には、脛骨の内側顆部又は外側顆部、内果、脛骨粗面が挙げられ、腓骨としては、外果が挙げられ、舟状骨部としては、舟状骨粗面部が挙げられる。
また、凸部として、体幹においては、腸骨部又は胸骨部が挙げられ、腸骨部としては、より具体的には、腸骨稜部が挙げられる。また、凸部として、体幹においては、腹部も挙げられる。
また、ここでいう、可動部とは、人体において動作させることが可能であって、上肢、下肢、又は体幹に位置する部位を指す。
可動部として、上肢においては、肘の関節部、手の関節部、手首の関節部、指の関節部が挙げられる。そして、肘の関節部としては、腕尺関節部、腕橈関節部、又は上橈尺関節部等の肘関節部が挙げられる。また、手の関節としては、より具体的には、橈骨手根関節部、手根間関節部、手根中央関節部、若しくは豆状骨関節部等の手根の関節部、指の関節部、より具体的には、手根中手関節部、母指の手根中手関節部、若しくは中手間関節部等の中手の関節、又は中手指節関節部や手の指節間関節部等の指の関節部が挙げられる。
また、可動部として、下肢においては、膝の関節部、足の関部節、足の指の関節部が挙げられる。そして、膝の関節部としては、より具体的には、膝関節部が挙げられ、足の関節部としては、距腿関節部、距骨下関節部、又はショパール関節部等の足関節部が挙げられる。
また、可動部として、体幹においては、腹部が挙げられる。
In order to solve the above-mentioned problems, the present invention comprises a photocurable medical fixing material comprising a photocurable resin and having a light-sensitive part that is cured after light irradiation and a non-photosensitive part that is not cured after light irradiation. I will provide a.
In more detail, the medical fixing material can promote recovery of fractures, sprains, etc. by firmly fixing the affected part, etc. As a result, there is a problem that muscle atrophy or muscle contracture is caused. In other words, fixation with a medical fixing material can obtain a beneficial effect of “promoting recovery of fractures, sprains, etc.”, but on the other hand, problems such as “muscle atrophy or muscle contracture” occur. I had a problem with a so-called trade-off.
However, according to the present invention, the affected part or the like is fixed by selectively curing the photosensitive part (located in the affected part or the like), which is a “part” of the “photo-curable” medical fixing material. And other parts of the fixing material (parts other than the affected area) are made non-hardened (soft), enabling rehabilitation and other exercises. Prevent "shrinking".
As a result, the present invention can realize both “recovery of fractures and sprains” and “prevention of muscle atrophy and muscle contracture” which are in a contradictory relationship.
The non-light-sensitive part may cover a convex part or a movable part in the mounted body.
In this case, in the photocurable medical fixing material, the light-sensitive part located at the affected part or the like is selectively cured by light irradiation, and the non-light-sensitive part located at the convex part and / or the movable part is selectively selected. It becomes a non-hardened state. Accordingly, it is possible to reduce pain due to the contact of the fixing material with the convex portion or to suppress the restriction of the operation due to the contact of the fixing material with respect to the movable portion while fixing the affected part or the like.
The non-photosensitive portion may include a photocurable resin and a light shielding member that covers and shields the photocurable resin.
Moreover, the said light receiving part and the said non-light receiving part may be comprised with a different material, for example. In this case, the non-light-sensitive part may be formed of, for example, a member capable of connecting two or more light-sensitive parts and adjusting the length.
Further, the photo-curable medical fixing material is attached to an upper limb, and the non-light-sensitive part is provided on a convex part and / or a movable part of at least one of a humerus part, a rib part, and an ulna part. May be located.
The photo-curable medical fixing material is attached to a lower limb, and includes a convex portion and / or a movable portion of at least one of a femoral portion, a patella portion, a tibia portion, a rib portion, and a scaphoid bone. The non-light-sensitive part may be located at the same position.
The photo-curable medical fixing material may be attached to a trunk and the non-light-sensitive part may be located on a convex part and / or a movable part of the iliac part and / or sternum part.
The photocurable medical fixing material may include the non-photosensitive portion at an end portion of the photocurable medical fixing material in a state of being attached to a mounting body.
In addition, a convex part here refers to the site | part located in an upper limb, a lower limb, or a trunk for releasing pressure, such as a bone projection part or abdominal pressure which is mainly formed in the human body, and a bone protrudes. .
As a convex part, in the upper limb, a humerus part, a radius part, or an ulna part is mentioned. More specifically, examples of the humerus include humeral condyles such as the humerus inner epicondyle and the humerus outer epicondyle, or the elbow head. More specifically, examples of the radius part include a radial styloid projection part, and examples of the ulna part include an ulnar styloid projection part, an ulna head, and an elbow head.
Moreover, as a convex part, in a lower limb, a patella part, a femur part, a tibia part, a rib part, and a scaphoid part are mentioned. More specifically, examples of the femur include femoral condyles such as a medial condyle of the femur and a lateral condyle of the femur. In addition, as the tibia part, more specifically, the medial condyle or lateral condyle part of the tibia, the internal medulla, the rough surface of the tibia, the ribs include the external fruit, and the scaphoid part, A scaphoid rough surface is mentioned.
Moreover, as a convex part, an iliac part or a sternum part is mentioned in a trunk, More specifically, an iliac crest part is mentioned as an iliac part. Moreover, an abdominal part is also mentioned as a convex part in a trunk.
In addition, the movable part here refers to a part that can be operated in the human body and is located on the upper limb, the lower limb, or the trunk.
Examples of the movable part include an elbow joint, a hand joint, a wrist joint, and a finger joint in the upper limb. And as an elbow joint part, an elbow joint part, such as an arm ulnar joint part, a brachial joint part, or an upper ulnar joint part, is mentioned. Further, as the hand joint, more specifically, the carpal joint, the carpal joint, the carpal joint, or the bean joint, the finger joint, More specifically, the middle joint of the carpal joint, the middle carpal joint of the thumb, the middle joint of the thumb, or the joint of the middle hand, or the joint of the middle carpal joint or the joint of the hand. The joint part of a finger is mentioned.
Moreover, as a movable part, in a lower limb, a joint part of a knee, a joint part of a foot, and a joint part of a toe are mentioned. More specifically, the knee joint part includes a knee joint part, and the foot joint part includes an ankle joint part such as a thigh joint part, a subtalar joint part, or a Chopard joint part. It is done.
Moreover, as a movable part, an abdominal part is mentioned in a trunk.

また、本発明は、光硬化型樹脂と、該光硬化型樹脂の一部を覆って遮光する遮光部材と、を備え、被装着体が装着した固定材に対する光照射後、前記遮光部材により覆われていない前記光硬化型樹脂を硬化し、且つ前記遮光部材により覆われており、前記被装着体における凸部及び/又は可動部に位置する前記光硬化型樹脂を硬化しない状態を維持した光硬化型医療用固定材を提供する。   The present invention also includes a photocurable resin and a light shielding member that covers a part of the photocurable resin and shields the light, and after the light irradiation to the fixing material attached to the mounted body, the light shielding member covers the light shielding resin. Light that has cured the uncured photocurable resin and is covered with the light shielding member, and maintains the uncured state of the photocurable resin located on the convex portion and / or the movable portion of the mounted body. A curable medical fixing material is provided.

また、本発明は、光硬化型樹脂を含んで形成された固定材と、前記光硬化型樹脂の少なくとも一部を覆うための遮光部材と、を備えた光硬化型医療用固定材セットも提供する。   The present invention also provides a photocurable medical fixing material set comprising a fixing material formed containing a photocurable resin and a light shielding member for covering at least a part of the photocurable resin. To do.

以上説明したように本発明によれば、患部等の固定をしつつ、当該固定による生体機能の低下を抑制することができる。   As described above, according to the present invention, it is possible to suppress a decrease in biological function due to the fixation while fixing the affected part or the like.

人体の凸部又は可動部の具体例を説明するための説明図である。It is explanatory drawing for demonstrating the specific example of the convex part of a human body, or a movable part. 本発明の第1実施形態に係る光硬化型医療用固定材を説明するための説明図である。It is explanatory drawing for demonstrating the photocurable medical fixing material which concerns on 1st Embodiment of this invention. 本発明の第1実施形態に係る光硬化型医療用固定材の構成を示す斜視図である。It is a perspective view which shows the structure of the photocurable medical fixing material which concerns on 1st Embodiment of this invention. 本発明の第1実施形態に係る光硬化型医療用固定材を患者に装着する手順を説明するための説明図である。It is explanatory drawing for demonstrating the procedure which equips a patient with the photocurable medical fixing material which concerns on 1st Embodiment of this invention. 本発明の第1実施形態の第1及び第2変形例に係る光硬化型医療用固定材を説明するための説明図であるIt is explanatory drawing for demonstrating the photocurable medical fixing material which concerns on the 1st and 2nd modification of 1st Embodiment of this invention. 本発明の第1実施形態の第3変形例に係る光硬化型医療用固定材を説明するための説明図である。It is explanatory drawing for demonstrating the photocurable medical fixing material which concerns on the 3rd modification of 1st Embodiment of this invention. 本発明の第1実施形態の第4及び第5変形例に係る光硬化型医療用固定材を患者に装着した状態を説明するための説明図である。It is explanatory drawing for demonstrating the state which mounted | wore the patient with the photocurable medical fixing material which concerns on the 4th and 5th modification of 1st Embodiment of this invention. 本発明の第2実施形態に係る光硬化型医療用固定材を患者に装着する手順を説明するための説明図である。It is explanatory drawing for demonstrating the procedure which equips a patient with the photocurable medical fixing material which concerns on 2nd Embodiment of this invention. 本発明の第2実施形態の第1及び第2変形例に係る光硬化型医療用固定材を患者に装着した状態を説明するための説明図である。It is explanatory drawing for demonstrating the state which mounted | wore the patient with the photocurable medical fixing material which concerns on the 1st and 2nd modification of 2nd Embodiment of this invention. 本発明の第2実施形態の第3〜第5変形例に係る光硬化型医療用固定材を患者に装着した状態を説明するための説明図である。It is explanatory drawing for demonstrating the state which mounted | wore the patient with the photocurable medical fixing material which concerns on the 3rd-5th modification of 2nd Embodiment of this invention. 本発明の第2実施形態の第6変形例に係る光硬化型医療用固定材を患者に装着した状態を説明するための説明図である。It is explanatory drawing for demonstrating the state which mounted | wore the patient with the photocurable medical fixing material which concerns on the 6th modification of 2nd Embodiment of this invention. 本発明の第2実施形態の第7及び第8変形例に係る光硬化型医療用固定材を患者に装着した状態を説明するための説明図である。It is explanatory drawing for demonstrating the state which mounted | wore the patient with the photocurable medical fixing material which concerns on the 7th and 8th modification of 2nd Embodiment of this invention. 本発明の各実施形態で用いられる光硬化型樹脂における光照度に対する三点曲げ強度の測定結果を示すグラフである。It is a graph which shows the measurement result of the three-point bending strength with respect to the light illuminance in the photocurable resin used in each embodiment of the present invention.

以下、本発明を実施するための好適な形態について、添付の図面を参照して詳細に説明する。なお、以下に説明する実施形態は、本発明の代表的な実施形態の一例を示したものであり、これにより本発明の範囲が狭く解釈されることはない。   DESCRIPTION OF EXEMPLARY EMBODIMENTS Hereinafter, preferred embodiments for carrying out the invention will be described in detail with reference to the accompanying drawings. In addition, embodiment described below shows an example of typical embodiment of this invention, and, thereby, the range of this invention is not interpreted narrowly.

まず、図1を参照しながら、後述する本発明の各実施形態に係る光硬化型医療用固定材を装着する人体Hについて説明する。以下、各実施形態では、光硬化型医療用固定材が装着される被装着体として人体Hを例に説明する。   First, a human body H to which a photocurable medical fixing material according to each embodiment of the present invention to be described later is attached will be described with reference to FIG. Hereinafter, in each embodiment, a human body H will be described as an example of a mounted body to which a photocurable medical fixing material is mounted.

図1は、人体Hの凸部L1、L2、L3、及び可動部M1、M2、M3、M4の具体例を説明するための説明図であり、人体Hの下肢X、上肢Y、及び体幹Zを示す。   FIG. 1 is an explanatory diagram for explaining specific examples of convex portions L1, L2, and L3 and movable portions M1, M2, M3, and M4 of the human body H. The lower limb X, the upper limb Y, and the trunk of the human body H Z is shown.

従来の医療用固定材を下肢Xの患部等及びその隣接部に装着し固定した際に、図1に示す果部X1、大腿骨顆部X3、又は膝蓋骨X4等の凸部L1が固定され、凸部L1の機能が低下する可能性がある。なお、ここでいう、機能の低下とは、例えば、筋委縮や筋拘縮等を生じたり、関節可動域が制限されたりすること等を指す。また、ここでいう、上記凸部とは、人体において主に骨が突出して形成されている骨突起部又は腹圧等の圧力を逃すための部位を指す。   When a conventional medical fixing material is attached and fixed to the affected part of the lower limb X and the adjacent part thereof, the convex part L1 such as the fruit part X1, the femoral condyle part X3, or the patella X4 shown in FIG. The function of the convex portion L1 may be reduced. Here, the function deterioration refers to, for example, muscle atrophy or muscle contracture, or a limited range of motion of the joint. Moreover, the said convex part here points out the site | part for releasing pressures, such as a bone projection part or abdominal pressure which are formed mainly by the bone | frame protruding in a human body.

また、上記医療用固定材を上肢Yの患部等及びその隣接部に装着し固定した際には、図1に示す上腕骨顆部Y1、橈骨茎状突起部Y2、又は尺骨茎状突起部Y3等の凸部L2が固定され、凸部L2の機能が低下する可能性がある。また、その他に、手首の可動部M1、足首の可動部M2、足底の可動部M3、又は腹部の可動部M4(なお、腹部は凸部にもなりうる)等の周辺に、医療用固定材を装着した際にも、上記可動部の動作を制限してしまう可能性がある。なお、ここでいう、上記可動部とは、人体において動作させることが可能な部位を指す。   Further, when the medical fixing material is attached and fixed to the affected part of the upper limb Y and the adjacent part thereof, the humeral condyle part Y1, the radial pedicle-like protrusion part Y2, or the ulnar pedicle-like protrusion part Y3 shown in FIG. Etc., the convex portion L2 may be fixed, and the function of the convex portion L2 may be reduced. In addition, medical fixed around a movable part M1 of the wrist, a movable part M2 of the ankle, a movable part M3 of the sole, or a movable part M4 of the abdomen (the abdomen can also be a convex part). Even when a material is mounted, the operation of the movable part may be limited. In addition, the said movable part here points out the site | part which can be operated in a human body.

また、上記医療用固定材を体幹Zの患部等及びその隣接部に装着し固定した際に、図1に示す腸骨稜部における凸部L3が固定され、凸部L3の機能が低下する可能性がある。   Further, when the medical fixing material is attached and fixed to the affected part of the trunk Z and the adjacent part thereof, the convex part L3 at the iliac crest shown in FIG. 1 is fixed, and the function of the convex part L3 is lowered. there is a possibility.

この点、以下に詳述する本発明に係る光硬化型医療用固定材は、鋭意検討により完成されたものであり、患部等の固定をしつつ、当該固定による生体機能の低下を抑制することができるようにされたものである。   In this regard, the photocurable medical fixing material according to the present invention described in detail below has been completed through intensive studies, and suppresses deterioration of biological functions due to the fixation while fixing the affected part and the like. It was made to be able to.

なお、上述した従来の医療用固定材により生体機能が低下されうる凸部又は可動部としては、上述した例に限られず、以下の表1又は表2に記載の部位も挙げられる。ここで、表1は、上肢Y、下肢X、及び体幹Zにおける凸部の具体例を示した表である。凸部としては、上肢Y、下肢X、又は体幹Zにおける骨の部位が主に挙げられる。また、表2は、上肢Y、下肢X、及び体幹Zにおける可動部の具体例を示した表である。可動部としては、上肢Y、下肢X、又は体幹Zにおける関節の部位が主に挙げられる。このように、以下に詳述する本発明に係る光硬化型医療用固定材により被覆される凸部又は可動部としては、表1又は表2に示される部位も含まれる。   In addition, as a convex part or a movable part which a biological function can be reduced by the conventional medical fixing material mentioned above, it is not restricted to the example mentioned above, The site | part of the following Table 1 or Table 2 is also mentioned. Here, Table 1 is a table showing specific examples of convex portions in the upper limb Y, the lower limb X, and the trunk Z. As a convex part, the site | part of the bone in the upper limb Y, the lower limb X, or the trunk Z is mainly mentioned. Table 2 is a table showing specific examples of movable parts in the upper limb Y, the lower limb X, and the trunk Z. As a movable part, the site | part of the joint in the upper limb Y, the lower limb X, or the trunk Z is mainly mentioned. Thus, as the convex part or the movable part covered with the photocurable medical fixing material according to the present invention described in detail below, the parts shown in Table 1 or Table 2 are also included.

ここで、表1及び表2の見方として、表1においては、例えば、上腕骨内側上顆部は、上肢において、上腕骨として大分類されたもののうち、更に上腕骨顆部として中分類されたものの中で、小分類されたもののうちの一つを指す。同様に、例えば、表2において、橈骨手根関節部は、上肢において、手の関節として大分類されたもののうち、更に手根の関節として中分類されたものの中で、小分類されたもののうちの一つを指す。   Here, as a view of Table 1 and Table 2, in Table 1, for example, the humerus medial epicondyle is classified as the humerus condyle in the upper limb, among those that are largely classified as the humerus. This refers to one of the subdivided items. Similarly, in Table 2, for example, the radial carpal joint portion is classified as a joint of the hand in the upper limb, and further subdivided among those classified in the middle of the wrist joint. Point to one.

Figure 2013118909
Figure 2013118909

Figure 2013118909
Figure 2013118909

ここでは、まず、図2〜図4を参照しながら、本発明の第1実施形態に係る光硬化型医療用固定材1Aについて説明する。図2は、本実施形態に係る光硬化型医療用固定材1Aの模式図である。図3(A)は、本実施形態に係る光硬化型医療用固定材1Aの光感受部10の構成を示す斜視図である。図3(B)は、本実施形態に係る光硬化型医療用固定材1Aの非光感受部15の構成を示す斜視図である(なお、図3(A)及び(B)では、各構成の説明のために、図2における一部分(後述する光感受部10Aが位置する部分)のみを示しており、光感受部10Aをカバー材300A、300Bから露出させた状態のものを示している。)。図4は、本実施形態に係る光硬化型医療用固定材1Aを下肢Xに装着する手順を説明するための説明図である。なお、以下、各実施形態で参照する各図面において、実質的に同一の機能構成を有するものについては、同一の符号を付して重複した説明を省略する。   Here, first, the photocurable medical fixing material 1A according to the first embodiment of the present invention will be described with reference to FIGS. FIG. 2 is a schematic view of the photocurable medical fixing material 1A according to the present embodiment. FIG. 3A is a perspective view showing a configuration of the photosensitive part 10 of the photocurable medical fixing material 1A according to the present embodiment. FIG. 3B is a perspective view showing a configuration of the non-photosensitive portion 15 of the photocurable medical fixing material 1A according to the present embodiment (in FIGS. 3A and 3B, each configuration is shown). For the sake of explanation, only a part of FIG. 2 (a part where a photosensitive part 10A described later is located) is shown, and the photosensitive part 10A is exposed from the cover members 300A and 300B. ). FIG. 4 is an explanatory diagram for explaining a procedure for mounting the photocurable medical fixing material 1 </ b> A according to the present embodiment on the lower limb X. Hereinafter, in each drawing referred to in each embodiment, those having substantially the same functional configuration are denoted by the same reference numerals, and redundant description is omitted.

光硬化型医療用固定材1Aは、スプリント材として、下肢X等に装着され、患部等の固定又は支持をするために用いられる。図2に示す光硬化型医療用固定材1Aは、光硬化型樹脂を含んでなり、光照射後硬化する光感受部と、光照射後硬化しない非光感受部と、を備えている。つまり、光硬化型医療用固定材1Aは、光照射後硬化する光感受部10と、光照射後硬化しない非光感受部15とを主に有する。   The photocurable medical fixing material 1A is attached to the lower limb X or the like as a splint material, and is used for fixing or supporting an affected part or the like. A photocurable medical fixing material 1A shown in FIG. 2 includes a photocurable resin, and includes a light-sensitive part that is cured after light irradiation and a non-light-sensitive part that is not cured after light irradiation. That is, the photocurable medical fixing material 1A mainly includes the light-sensitive part 10 that is cured after light irradiation and the non-light-sensitive part 15 that is not cured after light irradiation.

まず、光硬化型医療用固定材1Aの構成を詳述する前提として、光感受部10と非光感受部15について説明する(図3(A)、図3(B)参照)。図3(A)に示すように、光感受部10は、光硬化型樹脂100と、基材200とを有する。また、光感受部10は、人体に装着された際に上記光感受部10の患部等側を覆うカバー材300Aと、当該患部等側と向かい合う側から光感受部10を覆うカバー材300Bとを有する。更に、カバー材300Aの上記患部等側には、緩衝材400が設けられる。光感受部10は、光を照射することにより硬化する。光感受部10を硬化する光の光源は、後述する光重合開始剤の吸収波長の光を出す光源(例えば、可視光や400nm以下の波長を出す光源等)であればよい。   First, as a premise for detailed description of the configuration of the photocurable medical fixing material 1A, the light-sensitive part 10 and the non-light-sensitive part 15 will be described (see FIGS. 3A and 3B). As illustrated in FIG. 3A, the light receiving unit 10 includes a photocurable resin 100 and a base material 200. In addition, the photosensitive part 10 includes a cover material 300A that covers the affected part side of the photosensitive part 10 and a cover material 300B that covers the photosensitive part 10 from the side facing the affected part side when mounted on the human body. Have. Further, a cushioning material 400 is provided on the affected part side of the cover material 300A. The photosensitive part 10 is cured by irradiating light. The light source for curing the photosensitive part 10 may be a light source that emits light having an absorption wavelength of a photopolymerization initiator described later (for example, a light source that emits visible light or a wavelength of 400 nm or less).

図3(B)に示すように、非光感受部15は、光硬化型樹脂100と、該光硬化型樹脂100を覆って遮光する遮光部材150と、を含んでいる。より具体的には、非光感受部15は、(上記した光感受部10にも用いられている)光硬化型樹脂100と、基材200と、カバー材300A、カバー材300B、緩衝材400とを有し、更に光硬化型樹脂100を遮光する遮光部材150を有する。すなわち、非光感受部15は、光硬化型樹脂100を遮光部材150により遮光したものであり、遮光部材150により覆われている点で光感受部10と異なる。   As shown in FIG. 3B, the non-photosensitive portion 15 includes a photocurable resin 100 and a light shielding member 150 that covers the photocurable resin 100 and shields it from light. More specifically, the non-photosensitive portion 15 includes the photocurable resin 100 (also used in the above-described photosensitive portion 10), the base material 200, the cover material 300A, the cover material 300B, and the buffer material 400. And a light shielding member 150 that shields the light curable resin 100 from light. That is, the non-photosensitive portion 15 is obtained by shielding the photocurable resin 100 with the light shielding member 150 and is different from the light sensitive portion 10 in that it is covered with the light shielding member 150.

非光感受部15に含まれる光硬化型樹脂100は、遮光部材150により遮光されているため、光照射後も硬化せず、光感受部10に含まれる光硬化型樹脂100よりも低い硬度を有する。つまり、非光感受部15は、光感受部10と異なり、光照射後も変形することが可能なものである。よって、非光感受部15が光照射後も非硬化状態を保ちつつ、光感受部10は光照射後に硬化するため、非光感受部15が後述する図4に示す果部X1及び足底部M3を覆うことで、光硬化型医療用固定材1Aが果部X1及び足底部M3を固定することを防止可能になる。   Since the photocurable resin 100 included in the non-photosensitive portion 15 is shielded from light by the light shielding member 150, the photocurable resin 100 does not cure even after light irradiation and has a lower hardness than the photocurable resin 100 included in the photosensitive portion 10. Have. That is, the non-light-sensitive part 15 is different from the light-sensitive part 10 and can be deformed even after light irradiation. Therefore, since the non-light-sensitive part 15 maintains the non-cured state after the light irradiation and the light-sensitive part 10 is cured after the light irradiation, the non-light-sensitive part 15 is shown in FIG. It is possible to prevent the photocurable medical fixing material 1A from fixing the fruit portion X1 and the sole M3.

なお、光感受部10に含まれる光硬化型樹脂と、非光感受部15に含まれる光硬化型樹脂とは、同一の符号100を付して説明しているが、光感受部10と非光感受部15とは、必ずしも同一の光硬化型樹脂を含んでいなくてもよい。   In addition, although the photocurable resin contained in the photosensitive part 10 and the photocurable resin contained in the non-photosensitive part 15 are described with the same reference numeral 100, The photosensitive part 15 does not necessarily include the same photocurable resin.

また、図3(A)及び図3(B)では、説明のために、基材200上に光硬化型樹脂100が積層されている例を示しているが、本実施形態は当該例に限定されない。例えば、光硬化型樹脂100は基材200によって保持されていてもよい。なお、ここでいう、「保持する」こととは、例えば、含浸、積層、貼付、塗付すること等が挙げられる。   3A and 3B show an example in which the photocurable resin 100 is laminated on the base material 200 for the sake of explanation, but this embodiment is limited to this example. Not. For example, the photocurable resin 100 may be held by the base material 200. Here, “holding” includes, for example, impregnation, lamination, sticking, and application.

本実施形態に係る基材200は、6層に積層された構造を有している。なお、積層構造については、例えば、より薄型の5層もしくはそれ以下の薄型の積層構造でもよいし、もしくは、逆に、より厚型の7層もしくはそれ以上の厚型の積層構造でもよい。   The base material 200 according to the present embodiment has a structure in which six layers are stacked. The laminated structure may be, for example, a thinner laminated structure of 5 layers or less, or conversely, a thicker 7 layer or thicker laminated structure.

次に、光硬化型医療用固定材1Aの構成を説明した上で、光硬化型医療用固定材1Aを構成する光硬化型樹脂100、遮光部材150、基材200、カバー材300A、300B、緩衝材400についてより詳細に説明する。   Next, after describing the configuration of the photocurable medical fixing material 1A, the photocurable resin 100, the light shielding member 150, the base member 200, the cover materials 300A and 300B, which form the photocurable medical fixing material 1A, The cushioning material 400 will be described in more detail.

図2に示すように、上記光感受部10は、光感受部10A、光感受部10Bの2つの部位から構成される。また、非光感受部15は、非光感受部15A、非光感受部15B、及び非光感受部15Cの3つの部位から構成される。非光感受部15Aは、光感受部10A、10Bに連結して設けられている。   As shown in FIG. 2, the light receiving unit 10 includes two parts, a light receiving unit 10A and a light receiving unit 10B. Further, the non-light-sensitive part 15 includes three parts, that is, a non-light-sensitive part 15A, a non-light-sensitive part 15B, and a non-light-sensitive part 15C. The non-photosensitive part 15A is provided so as to be connected to the photosensitive parts 10A and 10B.

後述する図4に示すように、光感受部10A及び光感受部10Bが、下肢Xにおいて、果部X1と足底部M3との間の位置を覆う。そして、非光感受部15は、被装着体における凸部及び/又は可動部を被覆する。光硬化型医療用固定材1Aは、下肢に装着され、果部X1の凸部及び/又は可動部に非光感受部15が位置する。より具体的には、非光感受部15Aが足底部M3を覆い、非光感受部15B及び15Cが果部X1を覆う。   As shown in FIG. 4 to be described later, the light receiving unit 10A and the light receiving unit 10B cover the position between the fruit part X1 and the sole M3 in the lower limbs X. And the non-light-sensitive receiving part 15 coat | covers the convex part and / or movable part in a to-be-mounted body. 1 A of photocurable medical fixing materials are mounted | worn with a leg, and the non-light-sensitive part 15 is located in the convex part and / or movable part of the fruit part X1. More specifically, the non-light-sensitive part 15A covers the sole M3, and the non-light-sensitive parts 15B and 15C cover the fruit part X1.

なお、光硬化型医療用固定材1Aが人体の下肢Xを覆うことを鑑み、人体のサイズに応じて適宜光硬化型医療用固定材1Aの寸法については調整することが可能である。   In view of the fact that the photocurable medical fixing material 1A covers the lower limb X of the human body, the dimensions of the photocurable medical fixing material 1A can be appropriately adjusted according to the size of the human body.

光感受部10及び非光感受部15に含まれる光硬化型樹脂100は、光照射により硬化する樹脂である。光硬化型樹脂100としては、感光性樹脂、光重合開始剤等のその他の成分を含有している。   The photocurable resin 100 included in the light-sensitive part 10 and the non-light-sensitive part 15 is a resin that is cured by light irradiation. The photocurable resin 100 contains other components such as a photosensitive resin and a photopolymerization initiator.

感光性樹脂としては、例えば、光照射により架橋し得る感光性基を有する樹脂がある。具体的には、例えば、アクリル酸エステル、メタクリル酸エステル等を有するアクリル系の光硬化性の樹脂、光ラジカル付加型および光カチオン重合型の樹脂等が挙げられる。また、光重合開始剤としては、光照射により、ラジカルもしくはカチオンを生成する物質であればよい。また、必要に応じて光増感剤等の成分を含有していてもよい。   As photosensitive resin, there exists resin which has the photosensitive group which can be bridge | crosslinked by light irradiation, for example. Specific examples include acrylic photocurable resins having acrylic acid esters, methacrylic acid esters, and the like, photoradical addition-type and photocationic polymerization-type resins, and the like. Moreover, as a photoinitiator, what is necessary is just the substance which produces | generates a radical or a cation by light irradiation. Moreover, you may contain components, such as a photosensitizer, as needed.

光硬化型樹脂100としては、特に限定されるものではないが、例えば、イソシアネート基を2つ有するポリイソシアネートと活性水素基を有する(メタ)アクリル酸誘導体によって得られるウレタン系(メタ)アクリル酸誘導体オリゴマーと、400〜700nmの光を吸収するチタノセン系光重合開始剤を含む光硬化型樹脂を使用可能である(詳細については、WO2006/090605号公報参照。)。   Although it does not specifically limit as the photocurable resin 100, For example, the urethane type (meth) acrylic acid derivative obtained by the polyisocyanate which has two isocyanate groups, and the (meth) acrylic acid derivative which has an active hydrogen group A photocurable resin containing an oligomer and a titanocene photopolymerization initiator that absorbs light of 400 to 700 nm can be used (for details, refer to WO2006 / 090605).

光硬化型樹脂100には、必要に応じて更に種々の成分を配合することができる。例えば、安定剤(貯蔵中にゲル化を防止し、貯蔵安定性を維持するための添加剤)を配合することができる。重合禁止剤、酸化防止剤、タックフリー化剤、チキソトロピー性付与剤、シランカップリング剤、界面活性剤、光増感剤、有機または無機微粒子などがある。   Various components can be further blended into the photocurable resin 100 as necessary. For example, a stabilizer (additive for preventing gelation during storage and maintaining storage stability) can be blended. Examples include polymerization inhibitors, antioxidants, tack-free agents, thixotropic agents, silane coupling agents, surfactants, photosensitizers, and organic or inorganic fine particles.

光硬化型医療用固定材1Aの人体への装着後に光感受部15を光照射により硬化させ、患部等の固定を十分なものとしつつ装着性を良好なものとするためには、光硬化型樹脂100の3点曲げ強度については、20〜120N/cmであることが好ましく、より好ましくは、30〜120N/cmである。なお、第2実施形態に係る光硬化型医療用固定材として、後述するキャスト材に含まれる光硬化型樹脂についても、同等の3点曲げ強度を有する。   In order to harden the photosensitive part 15 by light irradiation after the photocurable medical fixing material 1A is attached to the human body, and to fix the affected part etc. sufficiently, the photocurable type fixing material 1A is photocurable. The three-point bending strength of the resin 100 is preferably 20 to 120 N / cm, and more preferably 30 to 120 N / cm. In addition, as a photocurable medical fixing material according to the second embodiment, a photocurable resin contained in a cast material described later also has an equivalent three-point bending strength.

非光感受部15において遮光部材150は、光硬化型樹脂100を遮光する部材である。遮光部材150は、要は、人体Hに装着後、光硬化型樹脂100を遮光するものであればよく、例えば、金属薄膜、金属固着フィルム、不透明着色フィルム、顔料・染料等が塗工されているフィルム等の薄膜とすることが可能である。なお、遮光部材150は、人体Hへの装着前に光硬化型医療用固定材1Aに取り付けられていてもよいし、人体Hへの装着時に光硬化型医療用固定材1Aに取り付けられてもよい。   In the non-light-sensitive part 15, the light blocking member 150 is a member that blocks the light curable resin 100. The light shielding member 150 may be anything as long as it shields the photocurable resin 100 after being mounted on the human body H. For example, the light shielding member 150 is coated with a metal thin film, a metal fixing film, an opaque colored film, a pigment / dye, or the like. It can be a thin film such as a film. The light shielding member 150 may be attached to the photocurable medical fixing material 1A before being attached to the human body H, or may be attached to the photocurable medical fixing material 1A when being attached to the human body H. Good.

遮光部材150の厚みについては、人体Hへの光硬化型医療用固定材1Aの装着後、遮光部材150が人体の運動の妨げとならず、且つ光硬化型樹脂100を遮光可能なものにするという観点から0.01〜5mm程度であることが好ましい。より好ましくは、上記厚みは0.01〜1mm程度である。   Regarding the thickness of the light shielding member 150, after the photocurable medical fixing material 1 </ b> A is attached to the human body H, the light shielding member 150 does not interfere with the movement of the human body, and the photocurable resin 100 can be shielded from light. From the viewpoint, it is preferably about 0.01 to 5 mm. More preferably, the thickness is about 0.01 to 1 mm.

基材200は、光硬化型医療用固定材1Aを形成するために光硬化型樹脂100を保持する部材である。基材200としては、各種の繊維を使用した織物、編物、不織布等が使用できる。その繊維としては、天然繊維、化学繊維が使用でき、例えば、綿、毛、レーヨン、ポリアミド繊維、ポリエステル繊維、アクリル繊維、ポリオレフィン繊維、ガラス繊維、カーボン繊維、その他の繊維がある。基材200の厚みについては、3〜25mm程度であることが好ましく、より好ましくは、5〜15mm程度である。   The substrate 200 is a member that holds the photocurable resin 100 in order to form the photocurable medical fixing material 1A. As the base material 200, woven fabrics, knitted fabrics, nonwoven fabrics and the like using various fibers can be used. As the fiber, natural fiber and chemical fiber can be used, and examples thereof include cotton, hair, rayon, polyamide fiber, polyester fiber, acrylic fiber, polyolefin fiber, glass fiber, carbon fiber, and other fibers. About the thickness of the base material 200, it is preferable that it is about 3-25 mm, More preferably, it is about 5-15 mm.

カバー材300A、300Bは、光を透過し、且つ、光硬化型樹脂100の患部等に対して水平方向の側面を覆い、硬化前の光硬化型樹脂100が流動して、光硬化型医療用固定材1Aの内部から漏れ出すことを防止するための樹脂止め用部材である(図3(A)及び図3(B)参照)。なお、カバー材300A、300Bは、光硬化型樹脂100が浸透して表面に出ずに、光硬化型樹脂100と非反応性であることが好ましい。   The cover members 300A and 300B transmit light and cover the side surface in the horizontal direction with respect to the affected part of the photocurable resin 100, and the photocurable resin 100 before curing flows, so that the photocurable medical material is used. This is a resin stopper for preventing leakage from the inside of the fixing member 1A (see FIGS. 3A and 3B). The cover materials 300A and 300B are preferably non-reactive with the photocurable resin 100 without penetrating the photocurable resin 100 and coming out of the surface.

上記カバー材300A、300Bとして、光を透過するフィルムを使用することもできる。材料としては、ポリエステル系、例えば、ポリプロピレン(PP)やポリエチレン(PE)等のポリオレフィン系、ポリ塩化ビニル系、ナイロン、ポリウレタン等を使用できる。なお、カバー材は、上記した編み物、織物、不織布、シートなどと併用してもよい。また、カバー材が患部に対して垂直方向に複数設けられてもよい。   A film that transmits light can also be used as the cover members 300A and 300B. As the material, polyester, for example, polyolefin such as polypropylene (PP) and polyethylene (PE), polyvinyl chloride, nylon, polyurethane and the like can be used. The cover material may be used in combination with the above-described knitted fabric, woven fabric, non-woven fabric, sheet or the like. A plurality of cover materials may be provided in a direction perpendicular to the affected area.

緩衝材400は、光硬化型医療用固定材1Aの人体への接触による緩衝性を有するものである。また、緩衝材400は、適度な通気性を有し、硬化時における光硬化型樹脂100の反応熱が患部等の側へ伝わりにくく、患部等の形状に追随して変形しやすく、成形性の良いものがよい。緩衝材400として、例えば、ポリエステル系等の繊維、不織布、発泡体、ネオプレンゴム等を用いることもできる。上記緩衝材400は複層にしてもよいし、患部と反対側にも設けてもよい。   The cushioning material 400 has a cushioning property due to contact of the photocurable medical fixing material 1A with the human body. Further, the cushioning material 400 has appropriate air permeability, the reaction heat of the photocurable resin 100 at the time of curing is not easily transmitted to the side of the affected part, etc., is easily deformed following the shape of the affected part, and has moldability. Good things are good. As the buffer material 400, for example, polyester-based fibers, nonwoven fabrics, foams, neoprene rubber, or the like can be used. The buffer material 400 may be a multilayer or may be provided on the side opposite to the affected part.

次に、本実施形態に係る光硬化型医療用固定材1Aの作用効果を説明する。図4を参照しながら、上述した光硬化型医療用固定材1Aを人体Hに装着する手順を説明しつつ、光硬化型医療用固定材1Aの作用効果を詳述する。   Next, the effect of the photocurable medical fixing material 1A according to the present embodiment will be described. With reference to FIG. 4, the operation and effect of the photocurable medical fixing material 1 </ b> A will be described in detail while explaining the procedure for mounting the above-described photocurable medical fixing material 1 </ b> A to the human body H.

図4に示すように、ここでは、本実施形態に係る光硬化型医療用固定材1Aが下肢Xに装着される場合を例に説明する(図4(A)参照)。下肢Xに対し、光透過性を有さない包装材等から取り出された光硬化型医療用固定材1を装着する(図4(B)参照)。図4(B)に示すように、光感受部10A及び光感受部10Bが下肢Xの足底部M3と果部(より具体的には、内果、外果)X1の上から装着する。   As shown in FIG. 4, here, a case where the photocurable medical fixing material 1A according to the present embodiment is attached to the lower limb X will be described as an example (see FIG. 4A). The photocurable medical fixing material 1 taken out from a packaging material or the like that does not have light permeability is attached to the lower limb X (see FIG. 4B). As shown in FIG. 4B, the light receiving unit 10A and the light receiving unit 10B are mounted on the sole M3 and the fruit part (more specifically, the inner fruit and outer fruit) X1 of the lower limb X.

次に、光硬化型医療用固定材1Aの足底部M3の位置に遮光部材150を取り付け、非光感受部15Aが形成される(図4(C)参照)。また、光硬化型医療用固定材1Aの果部X1の位置に遮光部材150が取り付けられ、非光感受部15B及び非光感受部15Cが形成される。   Next, the light-shielding member 150 is attached to the position of the sole M3 of the photocurable medical fixing material 1A to form the non-light-sensitive part 15A (see FIG. 4C). Moreover, the light shielding member 150 is attached to the position of the fruit part X1 of the photocurable medical fixing material 1A, and the non-light-sensitive part 15B and the non-light-sensitive part 15C are formed.

なお、遮光部材150の取り付けについては、光硬化型医療用固定材1Aへの遮光部材150の巻き付けや貼り付け等、任意の方法を採用することが可能である。また、上記実施形態においては、光硬化型医療用固定材1Aを装着した後に、遮光部材150を光硬化型医療用固定材1Aに取り付ける場合を例に説明したが、光硬化型医療用固定材1Aでは、光硬化型医療用固定材1Aを人体Hに装着する前に、予め遮光部材150が光硬化型医療用固定材1Aに取り付けられていてもよい。   In addition, about attachment of the light shielding member 150, it is possible to employ | adopt arbitrary methods, such as winding and sticking of the light shielding member 150 to 1 A of photocurable medical fixing materials. In the above-described embodiment, the case where the light shielding member 150 is attached to the photocurable medical fixing material 1A after the photocurable medical fixing material 1A is mounted has been described as an example. In 1A, before attaching the photocurable medical fixing material 1A to the human body H, the light shielding member 150 may be attached to the photocurable medical fixing material 1A in advance.

次に、光硬化型医療用固定材1Aに光500を照射する(図4(D)参照)。光照射により、光感受部10A、光感受部10Bは硬化する。一方で、非光感受部15A、15B、15Cは、光照射後も非硬化状態を保つ。そのため、光硬化型医療用固定材1Aでは、果部X1(凸部)及び足底部M3(可動部)を固定することが防止可能になる。   Next, the light 500 is irradiated to the photocurable medical fixing material 1A (see FIG. 4D). The light receiving unit 10A and the light receiving unit 10B are cured by the light irradiation. On the other hand, the non-light-sensitive parts 15A, 15B, and 15C maintain a non-cured state even after light irradiation. For this reason, in the photocurable medical fixing material 1A, it is possible to prevent the fruit portion X1 (convex portion) and the sole M3 (movable portion) from being fixed.

このように、光硬化型医療用固定材1Aによれば、光感受部10で下肢Xを固定しつつ、果部X1(凸部)及び足底部M3(可動部)に位置する非光感受部15を硬化させないようにすることができる。   Thus, according to the photocurable medical fixing material 1A, the non-light-sensitive part located at the fruit part X1 (convex part) and the sole M3 (movable part) while fixing the lower limbs X by the light-sensitive part 10. 15 can be prevented from curing.

そのため、光硬化型医療用固定材1Aでは、果部X1(凸部)及び足底部M3(可動部)にかかる圧力を分散することができ、光硬化型医療用固定材1Aを装着した人は光硬化型医療用固定材1Aを装着していない場合と同等の状態で歩行等の運動をすることができる。特に、可動部となる足底部M3については、下肢Xの動作を可能なものとし、適宜リハビリテーションを実行することができる。即ち、光硬化型医療用固定材1Aでは、患部等を固定し、「骨折や捻挫等の回復」を促すとともに、固定材のその他の部位を非硬化状態とすることにより、リハビリ等の運動を可能とし、「筋委縮や筋拘縮」を予防することができる。すなわち、光硬化型医療用固定材1Aでは、「骨折や捻挫等の回復」と「筋委縮や筋拘縮の防止」という二律背反の関係を解消することができる。   Therefore, in the photocurable medical fixing material 1A, the pressure applied to the fruit portion X1 (convex portion) and the sole M3 (movable portion) can be dispersed, and the person wearing the photocurable medical fixing material 1A It is possible to exercise such as walking in a state equivalent to the case where the photocurable medical fixing material 1A is not worn. In particular, with respect to the sole M3 serving as a movable portion, the lower limb X can be operated, and rehabilitation can be appropriately performed. That is, in the photo-curable medical fixing material 1A, the affected part or the like is fixed, and “recovery of fractures, sprains, etc.” is promoted, and other parts of the fixing material are brought into a non-hardened state, thereby performing rehabilitation and the like. It is possible to prevent “muscle atrophy or muscle contracture”. That is, in the photo-curable medical fixing material 1A, the contradictory relationship between “recovery of fractures and sprains” and “prevention of muscle atrophy and muscle contracture” can be solved.

患部等のリハビリテーションにおいて可動させる場合に、凸部である果部X1について光硬化型医療用固定材1Aが接触することによる痛みを低減することが可能になる。また、光硬化型医療用固定材1Aを下肢Xに装着した際に足底部M3を柔軟な状態に保つことは、捻挫した患者に有効となる。   When moving in rehabilitation of an affected part or the like, it is possible to reduce pain due to the photocuring medical fixing material 1A coming into contact with the fruit part X1 which is a convex part. In addition, it is effective for a sprained patient to keep the sole M3 in a flexible state when the photocuring medical fixing material 1A is attached to the lower limb X.

また、光硬化型医療用固定材1Aでは、非光感受部15が非硬化状態を維持するため、光硬化型医療用固定材1Aを患部等及びその隣接する部位に十分に固定することができる。そのため、光硬化型医療用固定材1Aでは、凸部の痛みを低減しつつ、凸部となる果部X1と光硬化型医療用固定材1Aとの装着性を向上させることができる。特に、光硬化型医療用固定材1Aでは、人体と装具との間に空気層を存在させずに固定することが可能であるため、人体と装具との間に空気を注入する固定材に比べ、固定力を非常に高度なものとすることができる。   Further, in the photocurable medical fixing material 1A, the non-photosensitive portion 15 maintains the non-cured state, and therefore the photocurable medical fixing material 1A can be sufficiently fixed to the affected part and the adjacent portion. . Therefore, in the photocurable medical fixing material 1A, it is possible to improve the mounting property between the fruit portion X1 serving as the convex portion and the photocurable medical fixing material 1A while reducing the pain of the convex portion. In particular, the photo-curing medical fixing material 1A can be fixed without an air layer between the human body and the brace, and therefore, compared with a fixing material that injects air between the human body and the brace. The fixing force can be very advanced.

更に、図4においては図示しなかったが、光硬化型医療用固定材1Aを下肢Xに装着する際に、光硬化型医療用固定材1Aの下地として靴下等を下肢Xに着用させることも可能である。下肢Xに靴下等を着用した状態で光硬化型医療用固定材1Aを装着することで、下肢Xに対する衝撃性をより緩和しつつ、良好な装着感を得ることができる。   Further, although not shown in FIG. 4, when the photocurable medical fixing material 1 </ b> A is attached to the lower limb X, socks or the like may be worn on the lower limb X as a base of the photocurable medical fixing material 1 </ b> A. Is possible. By wearing the photocurable medical fixing material 1A while wearing socks or the like on the lower limb X, it is possible to obtain a good wearing feeling while further reducing the impact on the lower limb X.

また、光硬化型医療用固定材1Aを下肢Xに装着する際に、果部X1を柔軟にすることで、装着感を良好にすると共に、果部X1(凸部)に別途緩衝性を有するパッド等を装着することが不要となる。   Further, when the photo-curable medical fixing material 1A is attached to the lower limb X, the fruit part X1 is made flexible to improve the feeling of wearing, and the fruit part X1 (convex part) has additional buffering properties. It becomes unnecessary to attach a pad or the like.

以上説明したように、本実施形態に係る光硬化型医療用固定材1Aでは、患部等の固定をしつつ、当該固定による生体機能の低下を抑制することができる。   As described above, in the photocurable medical fixing material 1A according to the present embodiment, it is possible to suppress a decrease in biological function due to the fixation while fixing the affected part or the like.

なお、光感受部の形状は上記実施形態に限らず、図5(図5(A)、図5(B))に示すような他の公正を用いてもよい。図5(A)は、本発明の第1実施形態の第1変形例に係る光硬化型医療用固定材1Bの模式図である。図5(B)は、本発明の第1実施形態の第2変形例に係る光硬化型医療用固定材1Cの模式図である。   In addition, the shape of the photosensitive part is not limited to the above embodiment, and other fairness as shown in FIG. 5 (FIGS. 5A and 5B) may be used. FIG. 5A is a schematic view of a photocurable medical fixing material 1B according to a first modification of the first embodiment of the present invention. FIG. 5 (B) is a schematic view of a photocurable medical fixing material 1C according to a second modification of the first embodiment of the present invention.

例えば、図5(A)に示すような光感受部10A及び光感受部10Bに対して、夫々光感受部11A及び光感受部11Bが屈曲した部位を構成する光感受部11を有する光硬化型医療用固定材1Bでもよい。これにより、全体として非光感受部16のうち非光感受部16Aが突出して凸形状を成すように形成される。光硬化型医療用固定材1Bでは、このような形状を有することで、非光感受部16Aが、足底部M3(可動部)において土踏まずの部位を覆うことが可能になる。これにより、光硬化型医療用固定材1Bでは、特に、下肢Xに装着した際に非光感受部16Aが土踏まずの部位を覆われており、足底部M3が柔らかいため、非光感受部16Aが足底部M3にフィットした形状となり、結果として、地面と接地する足底部M3全体の面積が裸足の状態に近くなり、装着者は安定した通常の歩行を行うことができる。   For example, with respect to the light sensing part 10A and the light sensing part 10B as shown in FIG. 5A, the photo-curing type having the light sensing part 11 that constitutes a bent part of the light sensing part 11A and the light sensing part 11B, respectively. The medical fixing material 1B may be used. Thereby, the non-light-sensitive part 16A of the non-light-sensitive part 16 as a whole is formed so as to protrude and form a convex shape. By having such a shape in the photocurable medical fixing material 1B, the non-photosensitive portion 16A can cover the arch portion in the sole M3 (movable portion). As a result, in the photo-curable medical fixing material 1B, the non-light-sensitive part 16A covers the part of the arch particularly when worn on the lower limb X, and the sole M3 is soft. The shape fits the sole M3, and as a result, the entire area of the sole M3 that comes in contact with the ground is close to a bare foot state, and the wearer can perform a stable normal walk.

また、図5(B)に示すように、非光感受部17のうち図5(A)の非光感受部16Aの部位に遮光部材150が覆われておらず、光感受部12の一部として光感受部12Cが形成されている光硬化型医療用固定材1Cでもよい。光硬化型医療用固定材1Cでは、下肢Xに装着された場合に足底部M3(可動部)に位置する部位が光感受部12Cである。すなわち、光硬化型医療用固定材1Cでは、光照射により足底部M3を硬化することが可能になる。   Further, as shown in FIG. 5B, the light shielding member 150 is not covered with the portion of the non-light-sensitive part 17 </ b> A of FIG. 5A in the non-light-sensitive part 17, and a part of the light-sensitive part 12. The photocurable medical fixing material 1C in which the photosensitive part 12C is formed may be used. In the photocurable medical fixing material 1 </ b> C, a portion that is located on the sole M <b> 3 (movable portion) when attached to the lower limb X is the light receiving portion 12 </ b> C. That is, in the photocurable medical fixing material 1C, the sole M3 can be cured by light irradiation.

このように、光硬化型医療用固定材1Cでは、下肢Xに装着した際に足底部M3を硬化し、果部X1(凸部)を非硬化とするため、特に骨折をした患者に有効に用いられる。   Thus, in the photo-curable medical fixing material 1C, the sole M3 is cured when worn on the lower limb X, and the fruit X1 (convex part) is not cured. Used.

また、非光感受部についても、上記実施形態に限らず、例えば、図6に示すような(上記実施形態における)非光感受部15Aに代わり非光感受部25Aを設けてもよい。図6(A)は、本発明の第1実施形態の第3変形例に係る光硬化型医療用固定材2Aの模式図である。図6(B)は、本変形例に係る光硬化型医療用固定材2Aを下肢Xに装着した状態を説明するための説明図である。   Further, the non-light-sensitive part is not limited to the above-described embodiment, and for example, a non-light-sensitive part 25A may be provided instead of the non-light-sensitive part 15A (in the above-described embodiment) as shown in FIG. FIG. 6A is a schematic view of a photocurable medical fixing material 2A according to a third modification of the first embodiment of the present invention. FIG. 6B is an explanatory diagram for explaining a state in which the photocurable medical fixing material 2A according to the present modification is attached to the lower limb X.

この場合における、非光感受部25は、非光感受部25A、非光感受部15B、及び非光感受部15Cの3つの部位から構成され、光感受部20は、光感受部10A及び光感受部10Bの2つの部位から構成される。光硬化型医療用固定材2Aは、図6(B)に示すように、下肢Xに装着される。光感受部10A、10Bが脛部を覆い、非光感受部15B、15Cが果部X1(凸部)を覆い、非光感受部25Aが足底部M3(可動部)を覆う。光硬化型医療用固定材2Aを下肢Xに装着した際に足底部M3(可動部)を柔軟な状態に保つことは、患者が捻挫した場合に有効となる。   In this case, the non-light-sensitive part 25 includes three parts, a non-light-sensitive part 25A, a non-light-sensitive part 15B, and a non-light-sensitive part 15C. The light-sensitive part 20 includes the light-sensitive part 10A and the light-sensitive part. It consists of two parts of the part 10B. The photocurable medical fixing material 2A is attached to the lower limb X as shown in FIG. The photosensitive parts 10A and 10B cover the shin part, the non-photosensitive parts 15B and 15C cover the fruit part X1 (convex part), and the non-photosensitive part 25A covers the sole M3 (movable part). Keeping the sole M3 (movable part) in a flexible state when the photocurable medical fixing material 2A is attached to the lower limb X is effective when the patient is sprained.

図6(A)に示す非光感受部25Aは、光照射後硬化しないものであり、光感受部20とは異なる材料で構成されている。また、非光感受部25は、2つの光感受部10A、10Bを連結し、長さを調整することで、光感受部10Aと光感受部10Bとの間隔を調整することが可能なものである。これにより、光硬化型医療用固定材2Aでは、非光感受部25Aの長さを調整することができ、光感受部10Aと光感受部10Bとの間隔を調整することが可能になる。すなわち、光硬化型医療用固定材2Aでは、足底部M3(可動部)に位置する部分の長さを調整することが可能になり、種々のサイズの下肢Xに対応させることができる。   The non-light-sensitive part 25A shown in FIG. 6A is not cured after light irradiation and is made of a material different from that of the light-sensitive part 20. In addition, the non-light-sensitive part 25 can adjust the distance between the light-sensitive part 10A and the light-sensitive part 10B by connecting the two light-sensitive parts 10A and 10B and adjusting the length. is there. Thereby, in the photocurable medical fixing material 2A, the length of the non-photosensitive portion 25A can be adjusted, and the interval between the photosensitive portion 10A and the photosensitive portion 10B can be adjusted. That is, in the photocurable medical fixing material 2A, it is possible to adjust the length of the portion located at the sole M3 (movable part), and it is possible to correspond to the lower limbs X of various sizes.

なお、非光感受部25Aの構成としては、特に限定されるものではなく、例えば、面ファスナーとすることが可能である。また、非光感受部25Aとしては、ゴムベルト等の弾性体とすることも可能である。また、図示しないが、長さを調整することが可能であれば、非弾性体で形成されていてもよい。この場合、非光感受部25Aとしては、例えば、2つの部材から形成されるものであって、一方の部材にボタンが取り付けてあり、他方の部材に複数のボタン孔が設けられているものが挙げられる。非光感受部25Aがこのようなボタンを有する部材であることで、ボタンの取り付け位置を調整することで、長さを調整することが可能になる。   Note that the configuration of the non-photosensitive portion 25A is not particularly limited, and for example, a hook-and-loop fastener can be used. Further, the non-photosensitive portion 25A may be an elastic body such as a rubber belt. Moreover, although not shown in figure, as long as the length can be adjusted, it may be formed with the inelastic body. In this case, the non-light-sensitive part 25A is formed of, for example, two members, and a button is attached to one member and a plurality of button holes are provided to the other member. Can be mentioned. Since the non-light-sensitive part 25A is a member having such a button, the length can be adjusted by adjusting the mounting position of the button.

なお、光感受部の形状は上記実施形態に限らず、図7に示すように、光感受部を他の形状としてもよい。図7(A)は、本発明の第1実施形態の第4変形例に係る光硬化型医療用固定材2Bを下肢Xに装着した状態を説明するための説明図である。本変形例に係る光感受部21を構成する光感受部21A、21Bは、平面から見た形状が、いわゆる略L字形状又は略J字形状であり、下肢Xの側部(果部の上側)のみならず足の甲に近接する部位についても被覆されている。これにより、光硬化型医療用固定材2Bでは、光照射により側部のみならず、足の甲に近接する部位についても硬化しつつ、果部X1(凸部)及び足底部M3(可動部)を硬化させないようにすることができる。   The shape of the photosensitive part is not limited to the above embodiment, and the photosensitive part may have other shapes as shown in FIG. FIG. 7A is an explanatory diagram for explaining a state in which the photocurable medical fixing material 2B according to the fourth modification of the first embodiment of the present invention is attached to the lower limb X. FIG. The light-sensitive portions 21A and 21B constituting the light-sensitive portion 21 according to this modification are so-called substantially L-shaped or substantially J-shaped when viewed from the plane, and the side portion of the lower limb X (the upper side of the fruit portion). ) As well as the parts close to the instep. Thereby, in the photocurable medical fixing material 2B, not only the side part but also the part close to the instep of the foot is cured by light irradiation, and the fruit part X1 (convex part) and the sole part M3 (movable part) are cured. Can be prevented from curing.

また、図7(B)に示すように、足の甲及び踵部に位置する部位に、非光感受部27D、非光感受部27Eを設けてもよい。図7(B)は、本発明の第1実施形態の第5変形例に係る光硬化型医療用固定材2Cを下肢Xに装着した状態を説明するための説明図である。本変形例に係る光硬化型医療用固定材2Cでは、踵部及び足の甲に位置する部位は、非光感受部27D、27Eで覆われている。すなわち、踵部及び足の甲に位置する部位が、夫々遮光部材150により覆われている。また、上述した第3変形例に係る光硬化型医療用固定材2Aと同様に、ベルクロ等から構成される非光感受部25Aが足底部M3(可動部)を覆い、果部X1(凸部)を非光感受部15B、15Cが覆う。これにより、光硬化型医療用固定材2Cでは、踵部及び足の甲も含めた凸部及び可動部を柔軟な状態にするため、患部等の固定をしつつ、当該固定による生体機能の低下をより精度良く抑制することができる。   In addition, as shown in FIG. 7B, a non-light-sensitive part 27D and a non-light-sensitive part 27E may be provided at sites located on the instep and the heel. FIG. 7B is an explanatory diagram for explaining a state in which the photocurable medical fixing material 2C according to the fifth modification of the first embodiment of the present invention is attached to the lower limb X. In the photocurable medical fixing material 2C according to this modification, the portions located on the buttocks and the instep are covered with the non-light sensitive portions 27D and 27E. That is, the parts located on the buttocks and the instep are covered with the light shielding member 150, respectively. Similarly to the photocurable medical fixing material 2A according to the third modification described above, the non-photosensitive portion 25A made of Velcro or the like covers the sole M3 (movable portion), and the fruit portion X1 (convex portion) ) Is covered by the non-light-sensitive portions 15B and 15C. Thereby, in the photocurable medical fixing material 2C, the convex part including the buttocks and the instep and the movable part are made in a flexible state, so that the affected part is fixed and the biological function is lowered by the fixing. Can be suppressed with higher accuracy.

次に、図8を参照しながら、本発明の第2実施形態に係る光硬化型医療用固定材3Aについて説明する。図8は、本実施形態に係る光硬化型医療用固定材3Aを下肢Xに装着する手順を説明するための説明図である。   Next, the photocurable medical fixing material 3A according to the second embodiment of the present invention will be described with reference to FIG. FIG. 8 is an explanatory diagram for explaining a procedure for mounting the photocurable medical fixing material 3 </ b> A according to the present embodiment to the lower limb X.

ここで、まず、光硬化型医療用固定材3Aの構成を説明するために、図8中、下肢Xに光硬化型医療用固定材3Aを装着し、光照射をした図である図8(D)を参照する。図8(D)に示す光硬化型医療用固定材3Aは、足関節周辺の骨折、捻挫や、下腿骨骨幹部、遠位端骨折等において、キャスト材として、下肢に装着され、患部等の固定又は支持するために用いられる。図8(D)に示すように、光硬化型医療用固定材3Aは、光硬化型樹脂100を含んでなり、光照射後硬化する光感受部30と、光照射後硬化しない非光感受部35A、35B、35Cとを主に有する。   Here, first, in order to explain the configuration of the photocurable medical fixing material 3A, the photocurable medical fixing material 3A is attached to the lower limb X in FIG. See D). The photo-curable medical fixing material 3A shown in FIG. 8D is attached to the lower limb as a cast material in fractures and sprains around the ankle joint, a crus of the lower leg bone, a distal end fracture, etc. Used to fix or support. As shown in FIG. 8D, the photo-curable medical fixing material 3A includes a photo-curable resin 100, and a light-sensitive part 30 that cures after light irradiation and a non-light-sensitive part that does not cure after light irradiation. 35A, 35B, and 35C.

光感受部30は、光照射により硬化する。光感受部30は光硬化型樹脂100を含んでなる。また、光硬化型医療用固定材30は、光硬化型樹脂100を保持する帯状に形成された基材200を含んでいてもよい。光硬化型樹脂100については、上述した第1実施形態に係る光硬化型医療用固定材1Aで用いられる樹脂と同様の樹脂を用いることが可能である。また、基材200についても上述した第1実施形態に係る光硬化型医療用固定材1Aで用いられる基材と同様の基材を用いることが可能である。   The photosensitive part 30 is cured by light irradiation. The photosensitive part 30 includes a photocurable resin 100. In addition, the photocurable medical fixing material 30 may include a base material 200 formed in a belt shape that holds the photocurable resin 100. About the photocurable resin 100, it is possible to use the same resin as the resin used in the photocurable medical fixing material 1A according to the first embodiment described above. Further, the base material 200 can be the same base material as the base material used in the photocurable medical fixing material 1A according to the first embodiment described above.

非光感受部35A、35B、35Cは、光照射後も硬化しない。すなわち、光照射により、非光感受部35A、35B、35Cは、光感受部30よりも低い硬度を有する。また、非光感受部35A、35B、35Cは、光照射後も変形することが可能である。非光感受部35A、35B、35Cは、光硬化型樹脂100及び基材200を含んでなり、更に光硬化型樹脂100を覆って遮光する遮光部材150を含む。なお、遮光部材150については、アルミ箔からなるシール等を用いる場合には、光硬化型医療用固定材3Aに対する巻き付けに限られず、貼り付けること等も可能である。非光感受部35A、35B、35Cに含まれる光硬化型樹脂100及び基材200は、光感受部35A、35B、35Cに含まれる光硬化型樹脂100及び基材200と同一のものとすることが可能である。また、遮光部材150については、上述した第1実施形態に係る光硬化型医療用固定材1Aで用いられる遮光部材150と同様のものを用いることが可能である。   The non-photosensitive portions 35A, 35B, and 35C are not cured even after light irradiation. That is, the non-light-sensitive portions 35 </ b> A, 35 </ b> B, and 35 </ b> C have lower hardness than the light-sensitive portion 30 due to light irradiation. Further, the non-light-sensitive portions 35A, 35B, and 35C can be deformed even after light irradiation. The non-photosensitive portions 35 </ b> A, 35 </ b> B, and 35 </ b> C include the light curable resin 100 and the base material 200, and further include a light shielding member 150 that covers the light curable resin 100 and shields light. In addition, about the light shielding member 150, when using the seal | sticker which consists of aluminum foils, it is not restricted to winding around 3 A of photocurable medical fixing materials, Affixing etc. are also possible. The photocurable resin 100 and the base material 200 included in the non-photosensitive portions 35A, 35B, and 35C are the same as the photocurable resin 100 and the base material 200 included in the photosensitive portions 35A, 35B, and 35C. Is possible. As the light shielding member 150, the same light shielding member 150 as that used in the above-described photocurable medical fixing material 1A according to the first embodiment can be used.

次に、第2実施形態に係る光硬化型医療用固定材3Aの作用効果を説明する。図8を参照しながら、上述した光硬化型医療用固定材3Aを人体に装着する手順について説明しつつ、光硬化型医療用固定材3Aの作用効果を説明する。   Next, functions and effects of the photocurable medical fixing material 3A according to the second embodiment will be described. With reference to FIG. 8, the operation and effect of the photocurable medical fixing material 3 </ b> A will be described while explaining the procedure for mounting the above-described photocurable medical fixing material 3 </ b> A on the human body.

図8に示すように、ここでは、本実施形態に係る光硬化型医療用固定材3Aが下肢Xに装着される場合を例に説明する(図8(A)参照)。図8(A)に示すように、下肢Xには、予め皮膚の保護材として下巻材を装着しておいてもよい。上記下肢Xに対して、光透過性を有さない包装材等から取り出された光硬化型医療用固定材3Aが巻き付けられ(図8(B)参照)、この光硬化型医療用固定材3Aに対して、遮光部材150が非光感受部35A、35B、35Cとするべき位置に巻き付けられる(図8(C)参照)。本実施形態に係る非光感受部35Aは、下肢Xの足関節部位(可動部)に位置する。また、非光感受部35Bは、下肢Xの膝関節の下部(可動部)に位置する。   As shown in FIG. 8, here, a case where the photocurable medical fixing material 3A according to the present embodiment is attached to the lower limb X will be described as an example (see FIG. 8A). As shown in FIG. 8 (A), the lower limb X may be preliminarily fitted with a lower wound material as a skin protective material. A photo-curable medical fixing material 3A taken out from a packaging material or the like that does not have light permeability is wound around the lower limb X (see FIG. 8B), and this light-curable medical fixing material 3A. On the other hand, the light shielding member 150 is wound around the positions where the light non-sensitive portions 35A, 35B, and 35C are to be formed (see FIG. 8C). The non-light-sensitive part 35A according to the present embodiment is located at the ankle joint part (movable part) of the lower limb X. Further, the non-light-sensitive part 35B is located at the lower part (movable part) of the knee joint of the lower limb X.

次に、光硬化型医療用固定材3Aに光が照射される(図8(D)参照)。光照射により、光感受部30は硬化する。一方で、遮光部材150が巻き付けられた非光感受部35A、35Bは、光照射後も非硬化状態を保つ。そのため、足関節及び膝関節(可動部)を固定することを防止することが可能になる。また、本実施形態では、光硬化型医療用固定材3Aにおいて、下肢Xに装着された際に、光硬化型医療用固定材3Aの端部となる部位の領域に、遮光部材150が巻き付けられた非光感受部35Cが設けられており、この非光感受部35Cは、光照射後も非硬化状態を保つ。また、図8(D)に示すように、非光感受部35Cが覆う部位についても上記端部の一例となりうる。このように、上記端部を光照射後も非硬化とすることにより、上記端部が人体に接触することによる痛みが発生することを防止する。   Next, light is irradiated to the photocurable medical fixing material 3A (see FIG. 8D). The light receiving unit 30 is cured by the light irradiation. On the other hand, the non-light-sensitive portions 35A and 35B around which the light shielding member 150 is wound keep the non-cured state even after light irradiation. Therefore, it is possible to prevent the ankle joint and the knee joint (movable part) from being fixed. Further, in the present embodiment, when the photocurable medical fixing material 3A is attached to the lower limb X, the light shielding member 150 is wound around a region that is an end portion of the photocurable medical fixing material 3A. In addition, a non-light-sensitive part 35C is provided, and the non-light-sensitive part 35C maintains a non-cured state even after light irradiation. Further, as shown in FIG. 8D, the part covered by the non-light-sensitive part 35C can be an example of the end part. Thus, by making the said edge part non-hardened even after light irradiation, it is prevented that the pain by the said edge part contacting a human body generate | occur | produces.

このように、光硬化型医療用固定材3Aによれば、光感受部30により下肢Xを固定しつつ、足関節(可動部)、膝関節の下部(可動部)、及び光硬化型医療用固定材3Aの端部に位置する非光感受部35A、35B、35Cを硬化させないようにすることができる。   As described above, according to the photocurable medical fixing material 3A, the lower limbs X are fixed by the light receiving unit 30, while the ankle joint (movable part), the lower part of the knee joint (movable part), and the photocurable medical use. It is possible to prevent the non-photosensitive portions 35A, 35B, and 35C located at the end portion of the fixing material 3A from being cured.

そのため、可動部となる足関節及び膝関節の動作を制限してしまうことを抑制でき、光硬化型医療用固定材3Aを装着された人は光硬化型医療用固定材3Aを装着していない場合と同等の状態で歩行をすることができる。特に、足関節の動作を可能なものとし、適宜リハビリテーションを実行することができる。   Therefore, it can suppress restrict | limiting the operation | movement of the ankle joint used as a movable part, and a knee joint, and the person wearing the photocurable medical fixing material 3A does not wear the photocurable medical fixing material 3A. You can walk in the same state as the case. In particular, an ankle joint can be operated, and rehabilitation can be appropriately performed.

また、患部等のリハビリテーションにおいて可動させる場合に、凸部ともなる膝関節の下部について光硬化型医療用固定材3Aが接触することによる痛みを低減することが可能になる。   Moreover, when moving in rehabilitation of an affected part etc., it becomes possible to reduce the pain by the photocuring type medical fixing material 3A coming into contact with the lower part of the knee joint which is also a convex part.

以上説明したように、本実施形態に係る光硬化型医療用固定材3Aでは、患部等の固定をしつつ、当該固定による生体機能の低下を抑制することができる。より具体的には、光硬化型医療用固定材3Aでは、患部等を固定し、「骨折や捻挫等の回復」を促すとともに、光硬化型医療用固定材3Aの患部等以外の部位(非光感受部35A、35B、35C)を非硬化状態(柔らかい状態)とすることにより、リハビリ等の運動を可能とし、「筋委縮や筋拘縮」を予防することができる。すなわち、光硬化型医療用固定材3Aでは、「骨折や捻挫等の回復」と「筋委縮や筋拘縮の防止」という二律背反の関係を解消することができる。   As described above, in the photocurable medical fixing material 3A according to the present embodiment, it is possible to suppress a decrease in biological function due to the fixation while fixing the affected part or the like. More specifically, in the photo-curable medical fixing material 3A, the affected part is fixed to promote “recovery of fractures, sprains, etc.” and the photo-curable medical fixing material 3A other than the affected part (non-affected part) By making the photosensitive portions 35A, 35B, and 35C) non-hardened (soft), it is possible to perform rehabilitation and prevent "muscle atrophy or muscle contracture". That is, in the photo-curable medical fixing material 3A, the contradictory relationship between “recovery of fractures and sprains” and “prevention of muscle atrophy and muscle contracture” can be solved.

なお、あえて図示はしないが、足底部(可動部)、踵部(凸部)に位置する部位等にも遮光部材150を取り付け、光照射によって非硬化状態を保つことも可能である。この場合、例えば、下巻材が劣化してきた際に光硬化型医療用固定材3Aが足底部、踵部に接触しても痛みが出ることを抑制することができる。   Although not shown, it is also possible to attach the light shielding member 150 to a part or the like located on the sole (movable part) or the heel (convex part) and keep the uncured state by light irradiation. In this case, for example, even when the light-curing medical fixing material 3 </ b> A comes into contact with the sole or the heel when the lower wound material has deteriorated, it is possible to suppress pain.

なお、上述したような、いわゆるキャスト材の形状については上記実施形態に限らず、図9に示すような他の構成でもよい。図9(A)は、第2実施形態の第1変形例に係る光硬化型医療用固定材3Bを患者に装着した状態を説明するための説明図である。図9(B)は、第2実施形態の第2変形例に係る光硬化型医療用固定材3Cを患者に装着した状態を説明するための説明図である。   Note that the shape of the so-called cast material as described above is not limited to the above embodiment, and other configurations as shown in FIG. 9 may be used. FIG. 9A is an explanatory diagram for explaining a state in which the photocurable medical fixing material 3B according to the first modification of the second embodiment is attached to a patient. FIG. 9B is an explanatory diagram for explaining a state in which the photocurable medical fixing material 3C according to the second modification of the second embodiment is attached to a patient.

例えば、図9(A)に示すように、膝関節周辺の骨折、大腿骨遠位端骨折、脛骨近位端骨折等の際に、大腿ギプスとして用いられる光硬化型医療用固定材3Bでもよい。光硬化型医療用固定材3Bは、下肢Xの広範囲に渡って覆うように装着され、患部等の固定又は支持をするために用いられる。   For example, as shown in FIG. 9A, a photo-curable medical fixing material 3B used as a femoral cast may be used in the case of a fracture around the knee joint, a distal femoral fracture, a proximal tibia fracture, or the like. . The photo-curable medical fixing material 3B is attached so as to cover a wide range of the lower limbs X, and is used for fixing or supporting an affected part or the like.

光硬化型医療用固定材3Bでは、光照射により、膝関節周辺(可動部)に位置する非光感受部36A、36Bを非硬化状態に保ち、光硬化型医療用固定材3Bにおける非光感受部36A、36B以外の部位となる光感受部31は硬化し患部等を固定する。これにより、膝関節の動作を制限してしまうことを抑制でき、光硬化型医療用固定材3Bを装着した人は光硬化型医療用固定材3Bを装着していない場合と同等の状態で歩行をすることができる。   In the photo-curable medical fixing material 3B, the non-light-sensitive portions 36A and 36B located around the knee joint (movable part) are kept in a non-hardened state by light irradiation, and the non-light-sensitive in the photo-curable medical fixing material 3B. The photosensitive part 31, which is a part other than the parts 36A and 36B, is cured and fixes the affected part and the like. Thus, it is possible to prevent the movement of the knee joint from being restricted, and a person wearing the photocurable medical fixing material 3B walks in a state equivalent to the case where the photocurable medical fixing material 3B is not worn. Can do.

また、図9(B)に示すように、膝関節の捻挫、膝蓋骨の骨折等の際に、シリンダーキャストとして、下肢Xに装着され、患部等の固定又は支持をするために用いられる光硬化型医療用固定材3Cでもよい。   Further, as shown in FIG. 9 (B), a photo-curing type that is attached to the lower limb X as a cylinder cast and used for fixing or supporting an affected area or the like in the case of a sprain of a knee joint, a fracture of a patella, or the like. The medical fixing material 3C may be used.

光硬化型医療用固定材3Cでは、光照射により、膝関節周辺に位置する非光感受部37A、37B(それぞれ、大腿骨顆(凸部)、膝蓋骨(凸部)に相当する位置)、足関節周辺に位置する非光感受部37C(距腿関節に相当する位置)を非硬化状態に保つ。これに対し、光硬化型医療用固定材3Cにおける(非光感受部37A、37B以外の部位となる)光感受部32は、硬化し患部等を固定する。そのため、可動部となる足関節及び膝関節の動作を制限してしまうことを抑制でき、光硬化型医療用固定材3Cを装着された人は光硬化型医療用固定材3Cを装着していない場合と同等の状態で歩行をすることができる。   In the photo-curable medical fixing material 3C, non-photosensitive portions 37A and 37B (positions corresponding to the femoral condyle (convex portion) and the patella (convex portion), respectively), feet, The non-light-sensitive part 37C (position corresponding to the thigh joint) located around the joint is kept in a non-hardened state. On the other hand, the photosensitive part 32 (being a part other than the non-photosensitive parts 37A and 37B) in the photocurable medical fixing material 3C is cured and fixes the affected part and the like. Therefore, it can suppress restrict | limiting the operation | movement of the ankle joint used as a movable part, and a knee joint, and the person wearing the photocurable medical fixing material 3C does not wear the photocurable medical fixing material 3C. You can walk in the same state as the case.

また、図10に示すように、キャスト材を上肢に装着してもよい。図10(A)は、第2実施形態の第3変形例に係る光硬化型医療用固定材4Aを患者に装着した状態を説明するための説明図である。図10(B)は、第2実施形態の第4変形例に係る光硬化型医療用固定材4Bを患者に装着した状態を説明するための説明図である。図10(C)は、第2実施形態の第5変形例に係る光硬化型医療用固定材4Cを患者に装着した状態を説明するための説明図である。   Further, as shown in FIG. 10, a cast material may be attached to the upper limb. FIG. 10A is an explanatory diagram for explaining a state in which the photocurable medical fixing material 4A according to the third modification of the second embodiment is attached to a patient. FIG. 10B is an explanatory diagram for explaining a state in which the photocurable medical fixing material 4B according to the fourth modification of the second embodiment is attached to a patient. FIG. 10C is an explanatory diagram for explaining a state in which the photocurable medical fixing material 4C according to the fifth modification of the second embodiment is attached to a patient.

図10(A)に示すように、手関節周辺の骨折、捻挫や、手根骨骨折、橈骨遠位端骨折等の際に、前腕ギプスとして、上肢Yに装着され、患部等の固定又は支持をするために用いられる光硬化型医療用固定材4Aでもよい。   As shown in FIG. 10 (A), it is attached to the upper limb Y as a forearm cast during fractures, sprains, carpal bone fractures, distal radius fractures, etc. around the wrist joint, and fixing or supporting the affected area, etc. It may be a photo-curable medical fixing material 4A used for the purpose.

光硬化型医療用固定材4Aでは、光照射により、手関節周辺に位置する非光感受部45A(橈骨茎状突起(凸部)に相当する位置)、45B(尺骨茎状突起(凸部)、尺骨頭(凸部)に相当する位置)、及び非光感受部45C(光硬化型医療用固定材の端部に相当する位置)を非硬化状態に保ち、光硬化型医療用固定材4Aにおいて非光感受部45A、45B、45C以外の部位となる光感受部40は、硬化し患部等を固定する。そのため、前腕の回旋運動や、手関節の運動等を制限してしまうことを抑制でき、光硬化型医療用固定材4Aを装着された人は光硬化型医療用固定材4Aを装着していない場合と同等の状態で前腕に関する運動をすることができる。これにより、光硬化型医療用固定材4Aによれば、光硬化型医療用固定材4Aを光感受部40により上肢Yを固定しつつ、手関節に位置する非光感受部45A、45Bを硬化させないようにすることができる。そのため、手関節の動作を制限してしまうことを抑制でき、光硬化型医療用固定材4Aを装着された人は光硬化型医療用固定材4Aを装着していない場合と同等の状態で運動をすることができる。   In the photo-curable medical fixing material 4A, non-light-sensitive portions 45A (positions corresponding to the radial styloid projections (convex portions)) and 45B (ulnar styloid projections (convex portions)) located around the wrist joint by light irradiation. , The position corresponding to the ulna head (convex portion)) and the non-light-sensitive part 45C (position corresponding to the end of the photo-curable medical fixing material) are kept in a non-hardened state, and the photo-curable medical fixing material 4A In FIG. 5, the light-sensitive part 40 which is a part other than the non-light-sensitive parts 45A, 45B, 45C is cured and fixes the affected part and the like. Therefore, it can suppress restricting the forearm rotation motion, wrist joint motion, etc., and the person wearing the photo-curable medical fixing material 4A does not wear the photo-curable medical fixing material 4A. You can exercise your forearm in the same condition. Thereby, according to the photocurable medical fixing material 4A, the non-photosensitive portions 45A and 45B located at the wrist joints are cured while the photocurable medical fixing material 4A is fixed to the upper limb Y by the light sensitive portion 40. You can avoid it. Therefore, it is possible to prevent the movement of the wrist joint from being restricted, and a person wearing the photo-curing medical fixing material 4A exercises in a state equivalent to the case where the photo-curing medical fixing material 4A is not worn. Can do.

また、患部等のリハビリテーションにおいて可動させる場合に、凸部ともなる手関節について光硬化型医療用固定材4Aが接触することによる痛みを低減することが可能になる。更に、橈骨部(凸部)、及び尺骨部(凸部)(より具体的には、橈骨茎状突起、尺骨茎状突起、尺骨頭)に位置する部位も非硬化とすることで、例えば、下巻材が劣化してきた際に光硬化型医療用固定材4Aが橈骨部、及び尺骨部等に接触しても痛みが出ることを抑制することができる。   Moreover, when moving in rehabilitation of an affected part etc., it becomes possible to reduce the pain by the photocuring type medical fixing material 4A coming into contact with the wrist joint which also becomes a convex part. Furthermore, by making the part located in the radius part (convex part) and the ulna part (convex part) (more specifically, the radial styloid process, the ulnar styloid process, the ulnar head) non-hardening, for example, Even when the photocuring medical fixing material 4A comes into contact with the rib part, the ulna part, or the like when the lower wound material has deteriorated, it is possible to suppress pain.

また、図10(B)に示すように、肘関節周辺の骨折、捻挫や、上腕骨顆上、顆部骨折、橈尺骨骨幹部、近位端骨折等の際に、上腕ギプスとして、上肢Yに装着され、患部等の固定又は支持をするために用いられる光硬化型医療用固定材4Bでもよい。光硬化型医療用固定材4Bでは、光照射により、手関節周辺(可動部)に位置する非光感受部46A、46B、及び非光感受部46C(光硬化型医療用固定材の端部に相当する位置)を非硬化状態に保ち、肘関節周辺に位置する非光感受部46Dを非硬化状態に保つ。一方で、光硬化型医療用固定材4Bにおいて非光感受部46A、46B、46C、46D以外の部位となる光感受部41は光照射により硬化し患部等を固定する。そのため、光硬化型医療用固定材4Bでは、肘関節の運動や、前腕の回旋運動等を制限してしまうことを抑制でき、光硬化型医療用固定材4Bを装着された人は光硬化型医療用固定材4Bを装着していない場合と同等の状態で前腕を運動させることができる。   Further, as shown in FIG. 10 (B), the upper limb Y is used as a humerus cast during fractures, sprains around the elbow joint, humeral condyles, condylar fractures, ulna shafts, proximal end fractures, and the like. It may be a photo-curing type medical fixing material 4B that is attached to and used for fixing or supporting an affected part or the like. In the photo-curable medical fixing material 4B, non-photosensitive portions 46A and 46B and non-photosensitive portions 46C (on the ends of the photo-curable medical fixing material) positioned around the wrist joint (movable portion) by light irradiation. (Corresponding position) is kept in a non-hardened state, and the non-photosensitive portion 46D located around the elbow joint is kept in a non-hardened state. On the other hand, in the photo-curable medical fixing material 4B, the light-sensitive part 41 which is a part other than the non-light-sensitive parts 46A, 46B, 46C, and 46D is cured by light irradiation and fixes the affected part and the like. Therefore, in the photocurable medical fixing material 4B, it is possible to suppress the movement of the elbow joint, the forearm rotation and the like, and the person wearing the photocurable medical fixing material 4B is photocurable. The forearm can be exercised in the same state as when the medical fixing material 4B is not worn.

また、図10(C)に示すように、主に母指基部の骨折、捻挫、舟状骨骨折等の際に、Thumb spica castとして、上肢Yに装着され、患部等の固定又は支持をするために用いられる光硬化型医療用固定材4Cとしてもよい。光硬化型医療用固定材4Cでは、光硬化型医療用固定材4Aと比し、特に、母指周辺(可動部)の非光感受部47Cを光照射により非硬化状態に保つ。また、非光感受部47A、47B、47Dについても同様に光照射により非硬化状態を保つ。一方で、光硬化型医療用固定材4Cにおいて非光感受部47A、47B、47C、47D以外の部位となる光感受部42は光照射により硬化し患部等を固定する。これにより、光硬化型医療用固定材4Cでは、母指の運動等を制限してしまうことを抑制でき、光硬化型医療用固定材4Cを装着された人は光硬化型医療用固定材4Cを装着していない場合と同等の状態で母指等を運動させることができる。   Further, as shown in FIG. 10C, the thumb spica cast is attached to the upper limb Y mainly for fracture of the thumb base, sprain, scaphoid fracture, etc., to fix or support the affected part or the like. It is good also as the photocurable medical fixing material 4C used for this purpose. Compared with the photo-curable medical fixing material 4A, the photo-curable medical fixing material 4C keeps the non-photosensitive portion 47C around the thumb (movable part) in a non-hardened state by light irradiation. Similarly, the non-light-sensitive portions 47A, 47B, and 47D are kept in an uncured state by light irradiation. On the other hand, in the photo-curable medical fixing material 4C, the light-sensitive part 42 which is a part other than the non-light-sensitive parts 47A, 47B, 47C and 47D is cured by light irradiation and fixes the affected part and the like. Thereby, in the photocurable medical fixing material 4C, it is possible to prevent the movement of the thumb and the like from being restricted, and a person wearing the photocurable medical fixing material 4C can use the photocurable medical fixing material 4C. The thumb or the like can be exercised in the same state as when the wearer is not worn.

また、図11に示すように、キャスト材を体幹に装着してもよい。図11は、第2実施形態の第6変形例に係る光硬化型医療用固定材5Aを患者に装着した状態を説明するための説明図である。   Further, as shown in FIG. 11, a cast material may be attached to the trunk. FIG. 11 is an explanatory diagram for explaining a state in which the photocurable medical fixing material 5A according to the sixth modification of the second embodiment is attached to a patient.

図11に示すように、胸腰椎骨折等の際に、体幹ギプスとして、体幹Zに装着され、患部等の固定又は支持をするために用いられる光硬化型医療用固定材5Aでもよい。光硬化型医療用固定材5Aでは、光照射により、手関節周辺(可動部)に位置する非光感受部55A、55B、肘関節に位置する非光感受部55C、腸骨部(主に、腸骨稜)(凸部)に位置する55D、55E、腹部に位置する非光感受部55F、胸骨部(主に、胸骨体)(凸部)に位置する非光感受部55Gを非硬化状態に保つ。一方で、光硬化型医療用固定材5Aにおいて、非光感受部55A、55B、55C、55D、55E、55F、55G以外の部位となる光感受部50は、光照射により硬化し患部等を固定する。また、凸部となる手関節、肘関節、腸骨、胸骨等の接触による痛みを抑制することができる。腹部においても、符号55Fで示すように、非硬化状態を保つため、腹圧を抑制し、装着性を向上しつつ、光硬化型医療用固定材5Aの固定を安定なものとすることができる。   As shown in FIG. 11, a photo-curable medical fixing material 5 </ b> A that is attached to the trunk Z as a trunk cast and used for fixing or supporting the affected part or the like may be used in the case of a thoracolumbar fracture or the like. In the photocurable medical fixing material 5A, by light irradiation, the non-light-sensitive parts 55A and 55B located around the wrist joint (movable part), the non-light-sensitive part 55C located at the elbow joint, and the iliac part (mainly, 55D and 55E located at the iliac crest (convex part), the non-light-sensitive part 55F located at the abdomen, and the non-light-sensitive part 55G located at the sternum part (mainly the sternum body) (convex part) Keep on. On the other hand, in the photocurable medical fixing material 5A, the photosensitive part 50 which is a part other than the non-photosensitive parts 55A, 55B, 55C, 55D, 55E, 55F, and 55G is cured by light irradiation and fixes the affected part and the like. To do. In addition, it is possible to suppress pain due to contact of the wrist joint, elbow joint, iliac bone, sternum, and the like that become convex portions. Also in the abdomen, as indicated by reference numeral 55F, the non-cured state is maintained, so that the abdominal pressure is suppressed and the wearability is improved, and the fixing of the photocurable medical fixing material 5A can be made stable. .

以上、上記第2実施形態では、キャスト材として光硬化型医療用固定材を用いる例を説明したが、本発明に係る光硬化型医療用固定材は他の用途にも適用しうる。例えば、図示しないが、肩関節周辺の骨折、鎖骨の骨折の際には、光硬化型医療用固定材をshoulder spica castとして、体幹に装着し、患部等の固定又は支持をするために用いることが可能である。この場合には、(非光感受部に相当する)肩関節(可動部)に位置する部位を遮光部材により遮光し、光照射後においても非硬化状態を保つことで、肩関節の運動を制限してしまうことを抑制できる。   As described above, in the second embodiment, the example in which the photocurable medical fixing material is used as the cast material has been described. However, the photocurable medical fixing material according to the present invention can be applied to other applications. For example, although not shown, in the case of a fracture around the shoulder joint or a clavicle fracture, a photocurable medical fixing material is used as a shoulder spica cast to fix or support the affected part or the like. It is possible. In this case, the movement of the shoulder joint is limited by shielding the part located in the shoulder joint (movable part) (corresponding to the non-light-sensitive part) with a light shielding member and keeping the non-hardened state even after light irradiation. Can be suppressed.

また、股関節周辺の骨折、捻挫鎖骨骨折、大腿骨の際には、光硬化型医療用固定材をhip spica castとして、体幹に装着し、患部等の固定又は支持をするために用いることが可能である。この場合には、(非光感受部に相当する)股関節(可動部)、膝関節(可動部)に位置する部位を遮光部材により遮光し、光照射後においても非硬化状態を保つことで、股関節、膝関節の運動を制限してしまうことを抑制できる。   In the case of fractures around the hip joints, sprained clavicle fractures, and femurs, a photo-curing medical fixing material is used as a hip spica cast, which is used to fix or support the affected area. Is possible. In this case, the part located in the hip joint (movable part) and knee joint (movable part) (corresponding to the non-light-sensitive part) is shielded by the light shielding member, and the non-cured state is maintained even after the light irradiation, Limiting the movement of the hip and knee joints can be suppressed.

また、あえて図示はしないが、非光感受部は、上記実施形態に限らず、例えば、被装着体が、光硬化型医療用固定材の装着部に創傷部と、皮膚疾患部と、を有していた場合には、光硬化型医療用固定材は、創傷部及び皮膚疾患部も非光感受部を備える。これにより、開放骨折や手術により創傷を伴う場合や骨折部位に皮膚病を伴う場合にも、光硬化型医療用固定材は、骨折や捻挫をした部位を固定しつつ、光硬化型医療用固定材の装着部における創傷や皮膚疾患の疼痛軽減を図ったり、処置や観察を行ったりすることができる。   Although not shown, the non-light-sensitive part is not limited to the above-described embodiment.For example, the mounted body has a wound part and a skin disease part in the attachment part of the photocurable medical fixing material. In such a case, the photocurable medical fixing material includes a non-light-sensitive part in the wound part and the skin disease part. As a result, the photo-curable medical fixing material can be used to fix a fractured or sprained part while fixing a fractured or sprained part even when the fracture is caused by an open fracture or surgery, or when the fracture site is accompanied by skin disease. It is possible to reduce the pain of wounds and skin diseases in the wearing part of the material, and to perform treatment and observation.

なお、上記いずれの実施形態も、図12に示すように、市販の装具を用いて、固定をより強化してもよい。図12(A)は、本発明の第2実施形態の第7変形例に係る光硬化型医療用固定材6Aを患者に装着した状態を説明するための説明図である。また、図12(B)は、本発明の第2実施形態の第8変形例に係る光硬化型医療用固定材6Bを患者に装着した状態を説明するための説明図である。   In any of the above-described embodiments, as shown in FIG. 12, the fixation may be further strengthened using a commercially available appliance. FIG. 12A is an explanatory diagram for explaining a state in which the photocurable medical fixing material 6A according to the seventh modification of the second embodiment of the present invention is attached to a patient. FIG. 12B is an explanatory diagram for explaining a state in which the photocurable medical fixing material 6B according to the eighth modification of the second embodiment of the present invention is attached to a patient.

例えば、図12(A)に示すように、市販の装具65を用い、装具65に、光照射により硬化する光感受部60を取り付けた光硬化型医療用固定材6Aを構成してもよい(図12(A)参照)。また、光硬化型樹脂100及び基材200を含む光感受部61を足に取り付けて光照射により硬化させつつ、足に履かせる形態の装具66を装着してもよい(図12(B)参照)。   For example, as shown to FIG. 12 (A), you may comprise the photocuring type medical fixing material 6A which attached the photosensitive part 60 which hardens | cures to the brace 65 by light irradiation using the commercially available brace | tool 65 ( (See FIG. 12A). In addition, a light receiving part 61 including the photocurable resin 100 and the base material 200 may be attached to the foot, and a device 66 that is put on the foot while being cured by light irradiation may be attached (see FIG. 12B). ).

なお、本実施形態に係る光感受部60については、上述した光感受部10と同様の構成とすることができ、光硬化型樹脂100及び基材200を含むものとすることが可能である。図12(A)、図12(B)に示す光硬化型医療用固定材6A、6Bにおいて、非光感受部を示していないが、非光感受部を設けることができ、この非光感受部には第1実施形態に係る非光感受部15と同様の構成とすることができる。また、装具65は、図12(A)に示すように下肢Xの膝部分(可動部)に取り付けられるものに限られず、人体の動作を制限しないものであればどのようなものでも採用することが可能である。   In addition, about the photosensitive part 60 which concerns on this embodiment, it can be set as the structure similar to the photosensitive part 10 mentioned above, and can include the photocurable resin 100 and the base material 200. FIG. In the photocurable medical fixing materials 6A and 6B shown in FIGS. 12A and 12B, a non-light-sensitive part is not shown, but a non-light-sensitive part can be provided. This non-light-sensitive part It can be set as the structure similar to the non-light-sensitive part 15 which concerns on 1st Embodiment. In addition, as shown in FIG. 12A, the orthosis 65 is not limited to the one attached to the knee portion (movable part) of the lower limb X, and any device that does not restrict the movement of the human body may be adopted. Is possible.

このように、本実施形態に係る光硬化型医療用固定材6A、6Bでは、種々の装具と、光感受部とを組み合わせて用いることで、人体の固定を簡便、且つ広範囲に渡ってすることができる。   Thus, in the photocurable medical fixing materials 6A and 6B according to the present embodiment, the fixing of the human body can be performed easily and over a wide range by using a combination of various devices and the light receiving part. Can do.

なお、上述した各実施形態に係る光硬化型医療用固定材では、手術等の後において人体に、チタン、チタンコート金属、又はステンレス等を有する金属プレート(ワイヤーやポリ乳酸等であってもよい)を埋めつつ、人体に装着することも可能である。上記金属プレート等を体内に埋めたとしても、骨同士が接着等をするまでに時間を要する場合に、上記金属プレートと、各実施形態に係る光硬化型医療用固定材とを併用することが特に有用である。   In addition, in the photocurable medical fixing material according to each of the embodiments described above, a metal plate (such as wire or polylactic acid may be used) having titanium, titanium-coated metal, stainless steel, or the like on the human body after surgery or the like. ) Can also be worn on the human body. Even if the metal plate or the like is buried in the body, if it takes time for the bones to adhere to each other, the metal plate and the photocurable medical fixing material according to each embodiment may be used in combination. It is particularly useful.

なお、上述した光硬化型医療用固定材は、光硬化型樹脂を含んで形成された固定材と、光硬化型樹脂の少なくとも一部を覆うための遮光部材と、を備えた光硬化型医療用固定材セットと捉えることもできる。   The photocurable medical fixing material described above is a photocurable medical that includes a fixing material that includes a photocurable resin and a light shielding member that covers at least a part of the photocurable resin. It can also be regarded as a fixed material set.

<光硬化型医療用固定材の作製>
基材には、ガラス繊維を経糸14本/2.54cm、緯糸11本/2.54cm、目付け270g/m、厚さ1.02mmで幅100mmにラッシェル編みしたテープ状基材を用いた。
<Production of photocurable medical fixing material>
As the base material, a tape-shaped base material in which glass fibers are Raschel knitted to a width of 100 mm with a basis weight of 270 g / m 2 , a basis weight of 270 g / m 2 , a weft of 11 / 2.54 cm, and a weft of 270 g / m 2 was used.

光硬化型樹脂には、フェニルグリシジルエーテル(メタ)アクリレートヘキサメチレンジイソシアネートウレタンプレポリマーであるAH−600(共栄社化学社製)99.9重量部をビーカーに採り60℃に加温し、光重合開始剤イルガキュア784(ビス(シクロペンタジエニル)−ビス(2,6−ジフルオロ−3−(ピロール−1−イル)フェニル)チタニウム:BASF社製)0.05重量部を希釈溶剤としてN−メチル−2−ピロリドン0.05重量部に溶解させたものを加えて調整した。   For the photo-curing resin, 99.9 parts by weight of AH-600 (manufactured by Kyoeisha Chemical Co., Ltd.), a phenylglycidyl ether (meth) acrylate hexamethylene diisocyanate urethane prepolymer, was placed in a beaker and heated to 60 ° C., and photopolymerization initiator Irgacure 784 (bis (cyclopentadienyl) -bis (2,6-difluoro-3- (pyrrol-1-yl) phenyl) titanium: manufactured by BASF) 0.05 parts by weight of N-methyl-2- A solution dissolved in 0.05 part by weight of pyrrolidone was added for adjustment.

基材に光硬化樹脂を260g/mを含浸させ、それを6層積層した。1分間2kPa加圧し層間を密着させ芯材とした。 The base material was impregnated with 260 g / m 2 of a photocurable resin, and six layers thereof were laminated. Pressurized at 2 kPa for 1 minute to adhere the layers to form a core material.

緩衝材には、2層構造の不織布で、一つの層がポリエステル不織布(内側=芯材側)で、もう一つの層がレーヨンとポリエステルの混紡不織布(外側=肌側)で構成され、厚さ3.2mm、目付け300g/mのニードルパンチの2層式不織布を用いた。
芯材をカバー材(ポリエチレン/ナイロンラミネートフィルム)で覆い、緩衝材上に配置した。
The cushioning material is a non-woven fabric with a two-layer structure, one layer is a polyester non-woven fabric (inner side = core material side), and the other layer is made of a blended non-woven fabric of rayon and polyester (outer side = skin side). A two-layer nonwoven fabric of needle punch having a diameter of 3.2 mm and a basis weight of 300 g / m 2 was used.
The core material was covered with a cover material (polyethylene / nylon laminate film) and placed on the cushioning material.

すなわち、光硬化型医療用固定材は、身体側から緩衝材、カバー材、芯材、カバー材の順に積層される構造となっている。   That is, the photocurable medical fixing material has a structure in which a cushioning material, a cover material, a core material, and a cover material are laminated in this order from the body side.

<光硬化型医療用固定材への光照射>
室温23℃、湿度65%RHに調整した測定室で、光源として、ライティングユニット・LED(アルケア社製)を用いた。照度は、アズワン社製LM−332を用いて10cm四方面内を4分割してその中心点を測定し、4点の平均値が約0〜15000luxとなるように光源とサンプルの距離を調整した。光硬化型固定材を10cm四方に切り、夫々の照度について1分間固定材に対して照射した。
<Light irradiation to photocurable medical fixing material>
In a measurement room adjusted to a room temperature of 23 ° C. and a humidity of 65% RH, a lighting unit / LED (manufactured by Alcare) was used as a light source. Illuminance was measured by dividing the 10 cm square area into 4 parts using LM-332 manufactured by ASONE Co., Ltd., and the center point was measured, and the distance between the light source and the sample was adjusted so that the average value of the 4 points was about 0 to 15000 lux. . The photocurable fixing material was cut into a 10 cm square, and the fixing material was irradiated for 1 minute for each illuminance.

<評価方法>
(3点曲げ強度)
測定にはオートグラフAG-D((株)島津製作所製・コンピューター計測制御式精密万能試験機)を用い、3点曲げ試験冶具を用いてJIS K7171に準じて曲げ試験を行った。3点曲げ試験冶具は、支点間距離を50mmとした。試験速度は100mm/minで行った。結果を表3及び図13に示す。
なお、非光感受部については、上記と同等の光源を用いたとしても、3点曲げ最大強度は、0.40〜0.87N/cmである。
<Evaluation method>
(3-point bending strength)
For the measurement, an autograph AG-D (manufactured by Shimadzu Corporation, computer measurement control type precision universal testing machine) was used, and a bending test was performed according to JIS K7171 using a three-point bending test jig. In the three-point bending test jig, the distance between the fulcrums was set to 50 mm. The test speed was 100 mm / min. The results are shown in Table 3 and FIG.
As for the non-photosensitive part, even if a light source equivalent to the above is used, the maximum three-point bending strength is 0.40 to 0.87 N / cm.

Figure 2013118909
Figure 2013118909

本発明に係る光硬化型医療用固定材は、光照射により部分的に硬化させ、その他の部分を非硬化な状態にするものである。従って、上記光硬化型医療用固定材では、患部等の固定をしつつ、可動部又は凸部等については固定せずに機能の低下を抑制することができるようにされたものである。   The photocurable medical fixing material according to the present invention is partially cured by light irradiation, and other portions are brought into an uncured state. Therefore, in the photocurable medical fixing material, it is possible to suppress the deterioration of the function without fixing the movable part or the convex part or the like while fixing the affected part or the like.

1A〜C、2A〜C、3A〜C、4A〜C、5A、6A、6B 光硬化型医療用固定材
10、11、12、20、21、22、30、31、32、40、41、50、60、61 光感受部
15、16、17、25、26、27、35、36、37、45、46、47、55、65、66 非光感受部
100 光硬化型樹脂
150 遮光部材
200 基材
300 カバー材
400 緩衝材
L 凸部
M 可動部
X 下肢
Y 上肢
Z 体幹
1A-C, 2A-C, 3A-C, 4A-C, 5A, 6A, 6B Photocurable medical fixing material 10, 11, 12, 20, 21, 22, 30, 31, 32, 40, 41, 50, 60, 61 Photosensitive part 15, 16, 17, 25, 26, 27, 35, 36, 37, 45, 46, 47, 55, 65, 66 Non-photosensitive part 100 Photocurable resin 150 Light shielding member 200 Base material 300 Cover material 400 Buffer material L Convex part M Movable part X Lower limb Y Upper limb Z Trunk

Claims (11)

光硬化型樹脂を含んでなり、光照射後硬化する光感受部と、
光照射後硬化しない非光感受部と、を備える光硬化型医療用固定材。
A photosensitive part comprising a photocurable resin, which is cured after light irradiation;
A photocurable medical fixing material comprising: a non-photosensitive portion that does not cure after light irradiation.
前記非光感受部は、被装着体における凸部及び/又は可動部を被覆する、請求項1記載の光硬化型医療用固定材。   The photocurable medical fixing material according to claim 1, wherein the non-light-sensitive part covers a convex part and / or a movable part of the mounted body. 前記非光感受部は、光硬化型樹脂と、該光硬化型樹脂を覆って遮光する遮光部材と、を含む、請求項1又は2に記載の光硬化型医療用固定材。   The photocurable medical fixing material according to claim 1, wherein the non-photosensitive portion includes a photocurable resin and a light shielding member that covers the photocurable resin and shields light. 前記光感受部と、前記非光感受部とは、異なる材料で構成されている、請求項1又は2に記載の光硬化型医療用固定材。   The photocurable medical fixing material according to claim 1, wherein the light-sensitive part and the non-light-sensitive part are made of different materials. 前記非光感受部は、2以上の前記光感受部を連結し、長さを調整可能な部材で形成されている、請求項4記載の光硬化型医療用固定材。   The photocurable medical fixing material according to claim 4, wherein the non-light-sensitive part is formed of a member that connects two or more of the light-sensitive parts and is adjustable in length. 上肢に装着され、
上腕骨部、橈骨部、及び尺骨部のうちの少なくとも何れか1つの部位の凸部及び/又は可動部に前記非光感受部が位置する、請求項1〜5の何れか1項に記載の光硬化型医療用固定材。
Worn on the upper limbs,
The said non-light-sensitive part is located in the convex part and / or movable part of at least any one site | part among a humerus part, a rib part, and an ulna part, The any one of Claims 1-5. Photo-curable medical fixing material.
下肢に装着され、
大腿骨部、膝蓋骨部、脛骨部、腓骨部、及び舟状骨部のうちの少なくとも何れか1つの部位の凸部及び/又は可動部に前記非光感受部が位置する、請求項1〜5の何れか1項に記載の光硬化型医療用固定材。
Worn on the lower limbs,
The said non-light-sensitive part is located in the convex part and / or movable part of at least any one site | part among a femur part, a patella part, a tibia part, a rib part, and a scaphoid part. The photocurable medical fixing material according to any one of the above.
体幹に装着され、
腸骨部及び/又は胸骨部の凸部及び/又は可動部に前記非光感受部が位置する、請求項1〜5の何れか1項に記載の光硬化型医療用固定材。
Attached to the trunk,
The photocurable medical fixing material according to any one of claims 1 to 5, wherein the non-light-sensitive part is located on a convex part and / or a movable part of the iliac part and / or sternum part.
被装着体に装着された状態の前記光硬化型医療用固定材の端部にも前記非光感受部を備える、請求項2〜8のいずれか1項に記載の光硬化型医療用固定材。   The photocurable medical fixing material according to any one of claims 2 to 8, further comprising the non-photosensitive portion at an end portion of the photocurable medical fixing material in a state of being mounted on a mounted body. . 光硬化型樹脂と、
該光硬化型樹脂の一部を覆って遮光する遮光部材と、を備え、
被装着体が装着した固定材に対する光照射後、前記遮光部材により覆われていない前記光硬化型樹脂を硬化し、且つ前記遮光部材により覆われており、前記被装着体における凸部及び/又は可動部を被覆する前記光硬化型樹脂を硬化しない状態を維持した光硬化型医療用固定材。
A photocurable resin;
A light shielding member that covers a part of the photocurable resin and shields light,
After irradiating light to the fixing material mounted on the mounted body, the photocurable resin not covered with the light blocking member is cured and covered with the light blocking member, and a convex portion on the mounted body and / or A photocurable medical fixing material that maintains a state in which the photocurable resin that coats the movable portion is not cured.
光硬化型樹脂を含んで形成された固定材と、
前記光硬化型樹脂の少なくとも一部を覆うための遮光部材と、
を備えた光硬化型医療用固定材セット。
A fixing material formed to contain a photocurable resin;
A light shielding member for covering at least a part of the photocurable resin;
A photo-curable medical fixing material set.
JP2011267379A 2011-12-06 2011-12-06 Photo-curable medical fixing material and photo-curable medical fixing material set Expired - Fee Related JP5945842B2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2011267379A JP5945842B2 (en) 2011-12-06 2011-12-06 Photo-curable medical fixing material and photo-curable medical fixing material set

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP2011267379A JP5945842B2 (en) 2011-12-06 2011-12-06 Photo-curable medical fixing material and photo-curable medical fixing material set

Publications (2)

Publication Number Publication Date
JP2013118909A true JP2013118909A (en) 2013-06-17
JP5945842B2 JP5945842B2 (en) 2016-07-05

Family

ID=48771875

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2011267379A Expired - Fee Related JP5945842B2 (en) 2011-12-06 2011-12-06 Photo-curable medical fixing material and photo-curable medical fixing material set

Country Status (1)

Country Link
JP (1) JP5945842B2 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2014042786A (en) * 2012-08-24 2014-03-13 Alcare Co Ltd Photocurable boot for crus ulcer, and photocurable boot set for crus ulcer

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS51146786A (en) * 1975-06-02 1976-12-16 Merck & Co Inc Photoosetting orthopedic surgical splint
JPS59140716U (en) * 1983-03-09 1984-09-20 新垣 篤志 infant arm immobilization medical device
JP2002291861A (en) * 2001-04-03 2002-10-08 Sojiro Maeda Plaster cast material
JP2005082928A (en) * 2003-09-09 2005-03-31 Takenaka Seni Kk Fiber fixture with hardened area
JP2006219776A (en) * 2005-02-10 2006-08-24 Toyama Prefecture Human body supporting member
WO2010054341A1 (en) * 2008-11-09 2010-05-14 Bespoke Innovations, Inc. Custom braces, casts and devices and methods for designing and fabricating

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS51146786A (en) * 1975-06-02 1976-12-16 Merck & Co Inc Photoosetting orthopedic surgical splint
JPS59140716U (en) * 1983-03-09 1984-09-20 新垣 篤志 infant arm immobilization medical device
JP2002291861A (en) * 2001-04-03 2002-10-08 Sojiro Maeda Plaster cast material
JP2005082928A (en) * 2003-09-09 2005-03-31 Takenaka Seni Kk Fiber fixture with hardened area
JP2006219776A (en) * 2005-02-10 2006-08-24 Toyama Prefecture Human body supporting member
WO2010054341A1 (en) * 2008-11-09 2010-05-14 Bespoke Innovations, Inc. Custom braces, casts and devices and methods for designing and fabricating

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2014042786A (en) * 2012-08-24 2014-03-13 Alcare Co Ltd Photocurable boot for crus ulcer, and photocurable boot set for crus ulcer

Also Published As

Publication number Publication date
JP5945842B2 (en) 2016-07-05

Similar Documents

Publication Publication Date Title
Halanski et al. Cast and splint immobilization: complications
CA2532210C (en) Orthotic protective device
KR100446556B1 (en) Splint combined use cast absence for bone fracture fixing
US20050065458A1 (en) Splint combined use cast absence for bone fracture fixing
JPH03254744A (en) Supporter
US20200214869A1 (en) Soft braces to prevent injury to a joint or body segment
US11963899B2 (en) Conforming rigid cast, brace and splint comprising a curable polymeric material
KR101268599B1 (en) Functional elastic inner wear
JP5945842B2 (en) Photo-curable medical fixing material and photo-curable medical fixing material set
Querol et al. Orthoses in haemophilia
Gowling et al. Walking boot design: a gait analysis study
Wirth et al. The history and classification of knee braces
US9480592B2 (en) Topical proprioceptive ACL tube and methods of use
US20170367897A1 (en) Conforming rigid cast and brace comprising a curable polymeric material
JP3189271U (en) Achilles tendon guide and Achilles tendon treatment device
JP2016063869A (en) Individually corresponding apparatus
JP2014042786A (en) Photocurable boot for crus ulcer, and photocurable boot set for crus ulcer
Paluska et al. Using patellofemoral braces for anterior knee pain
Rizzone et al. Using casts, splints, and braces in the emergency department
Ogundunmade et al. Safeguarding the paretic limb knee to prevent genu-recurvatum–Physiotherapy as
KR200268250Y1 (en) Splint combined use cast absence for bone fracture fixing
Land et al. Soft Tissue Injuries
Lai et al. Effects of anterior ankle-foot orthoses and modified custom-made hinged orthoses on the walking of patients with stroke
Şimşek et al. Physiotherapy in Orthopedic Knee Injuries: Rehabilitation Program Following Tibial and Femoral Osteotomies
Morrill Final Culminating Project

Legal Events

Date Code Title Description
A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20141015

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20150804

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20150811

A521 Written amendment

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20151005

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20160308

A521 Written amendment

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20160405

TRDD Decision of grant or rejection written
A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

Effective date: 20160510

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20160513

R150 Certificate of patent or registration of utility model

Ref document number: 5945842

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150

LAPS Cancellation because of no payment of annual fees