JP2020081612A - Nasal cavity insertion tool - Google Patents

Nasal cavity insertion tool Download PDF

Info

Publication number
JP2020081612A
JP2020081612A JP2018223355A JP2018223355A JP2020081612A JP 2020081612 A JP2020081612 A JP 2020081612A JP 2018223355 A JP2018223355 A JP 2018223355A JP 2018223355 A JP2018223355 A JP 2018223355A JP 2020081612 A JP2020081612 A JP 2020081612A
Authority
JP
Japan
Prior art keywords
nasal cavity
insertion tool
end side
main body
wall
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
JP2018223355A
Other languages
Japanese (ja)
Other versions
JP7165467B2 (en
Inventor
良昭 秋広
Yoshiaki Akihiro
良昭 秋広
和宏 矢崎
Kazuhiro Yazaki
和宏 矢崎
常一 小山田
Joichi Oyamada
常一 小山田
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.)
Patakara Co Ltd
Original Assignee
Patakara 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 Patakara Co Ltd filed Critical Patakara Co Ltd
Priority to JP2018223355A priority Critical patent/JP7165467B2/en
Publication of JP2020081612A publication Critical patent/JP2020081612A/en
Application granted granted Critical
Publication of JP7165467B2 publication Critical patent/JP7165467B2/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Landscapes

  • Surgical Instruments (AREA)

Abstract

To make it easy to be inserted into nasal cavities, send enough air into respiratory tracts through the nasal cavities when inserted into the nasal cavities, and prevent them from falling out of the nasal cavities as much as possible.SOLUTION: A nasal cavity insertion tool 1 used during respiration through nasal cavities has: a right-side body part 2R and a left-side body part 2L internally having a hollow part 10 being cylindrical and extended from an end 2aa of one end side 2a to an end 2bb of the other end side 2b, and inserted into the nasal cavities; an opening 11 for opening the hollow part 10 to the outside in the end 2aa of the one end side 2a of the right-side body part 2R and the left-side body part 2L; an opening 12 for opening the hollow part 10 to the outside in the end 2bb of the other end side 2b of the right-side body part 2R and the left-side body part 2L; and a pressing part 13 provided at the other end side 2b of the right-side body part 2R and the left-side body part 2L, and being movable between a projected position laterally projected from the right-side body part 2R or the left-side body part 2L viewed from the other end side 2b and an overlapping position overlapped with the hollow part 10.SELECTED DRAWING: Figure 1

Description

本発明は、鼻腔を介して呼吸する際に使用される鼻腔挿入具に関する。 The present invention relates to a nasal cavity insertion tool used when breathing through the nasal cavity.

睡眠時に一時的に呼吸が停止する睡眠時無呼吸症候群(SAS)の症状に悩まされている老若男女が多数存在している。睡眠時無呼吸症候群の症状を生じた際においては、血液中の酸化還元反応が不十分となり、脳に送られる血液が酸欠状態となる。これにより、脳神経組織のみならずホルモン代謝にも悪影響を及ぼし、心疾患、糖尿病又は脳血管疾患と言われる生活習慣病を引き起こす恐れもある。 There are many men and women of all ages who are suffering from the symptoms of sleep apnea syndrome (SAS) in which breathing is temporarily stopped during sleep. When the symptoms of sleep apnea syndrome occur, the redox reaction in the blood becomes insufficient and the blood sent to the brain becomes oxygen deficient. This adversely affects not only the cranial nerve tissue but also the hormone metabolism, and may cause a lifestyle-related disease called heart disease, diabetes or cerebrovascular disease.

従来、睡眠時において鼻腔に挿入されて鼻腔を拡張することにより、睡眠時無呼吸症候群の症状を緩和する鼻腔拡張器が知られている(例えば、特許文献1)。このような鼻腔拡張器は、鼻腔に挿入された際に鼻腔を拡張した状態で鼻腔の内部に留まって、鼻腔を介して気道に空気を送り込むことを可能にする。 BACKGROUND ART Conventionally, a nasal cavity dilator that relieves symptoms of sleep apnea syndrome by inserting the nasal cavity into the nasal cavity during sleep and expanding the nasal cavity is known (for example, Patent Document 1). Such a nasal dilator, when inserted into the nasal cavity, remains inside the nasal cavity with the nasal cavity expanded, allowing air to be pumped through the nasal cavity into the respiratory tract.

特表2006−501889号公報Japanese Patent Publication No. 2006-501889

しかしながら、従来の鼻腔挿入具においては、鼻腔を介して気道により多くの空気を送り込むためには、鼻腔をより拡張させる必要があるが、鼻腔を拡張させるために鼻腔挿入具の全体を大きくした場合には鼻腔挿入具の鼻腔への挿入が困難になる。一方、鼻腔挿入具の全体を小さくした場合には、鼻腔挿入具を鼻腔に挿入し易いが、鼻腔を十分に拡張させることができないために鼻腔を介して気道により多くの空気を送り込むことができず、また鼻腔挿入具が鼻腔から脱落し易い。従って、従来の鼻腔挿入具は、鼻腔へ挿入し易くすることと、鼻腔により多くの空気を送り込むこと及び鼻腔からの脱落を防止することと、の両立を図ることができないという課題を有する。 However, in the conventional nasal cavity insertion tool, it is necessary to further expand the nasal cavity in order to send more air to the airway through the nasal cavity, but when the entire nasal cavity insertion tool is enlarged to expand the nasal cavity, It becomes difficult to insert the nasal cavity insertion tool into the nasal cavity. On the other hand, when the size of the nasal cavity insertion tool is made small, it is easy to insert the nasal cavity tool into the nasal cavity, but the nasal cavity cannot be expanded sufficiently, so more air can be sent to the airway through the nasal cavity. Moreover, the nasal cavity insertion tool is likely to fall out of the nasal cavity. Therefore, the conventional nasal cavity insertion tool has a problem that it is not possible to achieve both easy insertion into the nasal cavity, sending more air into the nasal cavity and preventing the air from falling out of the nasal cavity.

本発明の目的は、鼻腔に挿入し易くすることができ、鼻腔に挿入した際には鼻腔を介して十分な量の空気を気道に送り込むことができると共に、鼻腔から脱落することを極力防ぐことができる鼻腔挿入具を提供することである。 An object of the present invention is to facilitate insertion into the nasal cavity, and when inserted into the nasal cavity, it is possible to send a sufficient amount of air to the airway through the nasal cavity, and to prevent falling out of the nasal cavity as much as possible. A nasal cavity insertion tool capable of

本発明に係る鼻腔挿入具は、鼻腔を介して呼吸する際に使用される鼻腔挿入具であって、筒状であり、一端側の端部から他端側の端部まで延設される中空部を内部に有すると共に鼻腔に挿入される本体部と、前記本体部の前記一端側の端部において前記中空部を外部に開放する第1の開口部と、前記本体部の前記他端側の端部において前記中空部を外部に開放する第2の開口部と、前記本体部の他端側に設けられ、前記他端側から見て前記本体部よりも側方に突出する突出位置と前記中空部と重なる重なり位置との間で移動可能な押圧部と、を有する。 The nasal cavity insertion tool according to the present invention is a nasal cavity insertion tool used when breathing through a nasal cavity, is a tubular shape, and is hollow extending from one end to the other end. A main body portion having a portion inside and being inserted into the nasal cavity, a first opening portion that opens the hollow portion to the outside at the end portion on the one end side of the main body portion, and the other end side of the main body portion A second opening portion that opens the hollow portion to the outside at an end portion, a protruding position that is provided on the other end side of the main body portion, and that protrudes laterally beyond the main body portion when viewed from the other end side, and A pressing portion movable between the hollow portion and an overlapping position where the hollow portion overlaps.

押圧部が重なり位置にある状態で本体部を鼻腔に挿入し、鼻腔に挿入後に押圧部を重なり位置から突出位置に移動させることにより、押圧部によって鼻腔の内壁を押圧すると共に、押圧部による鼻腔の内壁を押圧する反動で、押圧部によって押圧する鼻腔の内壁の反対側の内壁を本体部によって押圧して鼻腔全体を拡張させた状態で、第2の開口部から中空部に取り込んだ空気を第1の開口部から排出して気道に送り込む。 Insert the main body into the nasal cavity with the pressing portion in the overlapping position, and after inserting the body into the nasal cavity, move the pressing portion from the overlapping position to the protruding position, thereby pressing the inner wall of the nasal cavity with the pressing portion and nasal cavity by the pressing portion. When the inner wall opposite to the inner wall of the nasal cavity pressed by the pressing portion is pressed by the main body by the recoil of pressing the inner wall of the body, the entire nasal cavity is expanded, and the air taken in from the second opening into the hollow portion is removed. Discharge through the first opening and into the respiratory tract.

本発明によれば、鼻腔に挿入し易くすることができ、鼻腔に挿入した際には鼻腔を介して十分な量の空気を気道に送り込むことができると共に、鼻腔から脱落することを極力防ぐことができる。 According to the present invention, it is possible to facilitate insertion into the nasal cavity, and when inserted into the nasal cavity, it is possible to send a sufficient amount of air to the airway through the nasal cavity, and at the same time to prevent falling out of the nasal cavity as much as possible. You can

本発明の実施形態に係る鼻腔挿入具の上方の斜め前方から見た斜視図である。FIG. 3 is a perspective view of the nasal cavity insertion tool according to the embodiment of the present invention as seen from diagonally above and above. 本発明の実施形態に係る鼻腔挿入具の押圧部が突出位置に移動した状態の正面図である。It is a front view of the state where the pressing portion of the nasal cavity insertion tool according to the embodiment of the present invention has moved to the protruding position. 本発明の実施形態に係る鼻腔挿入具の平面図である。It is a top view of the nasal cavity insertion tool which concerns on embodiment of this invention. 本発明の実施形態に係る鼻腔挿入具の下方の斜め後方から見た斜視図である。FIG. 3 is a perspective view of the nasal cavity insertion tool according to the embodiment of the present invention as viewed from diagonally below and below. 本発明の実施形態に係る鼻腔挿入具の本体部の拡大断面図である。It is an expanded sectional view of the main part of the nasal cavity insertion tool concerning the embodiment of the present invention. 本発明の実施形態に係る鼻腔挿入具の本体部の一端側の拡大断面図である。It is an expanded sectional view of the one end side of the main part of the nasal cavity insertion tool concerning the embodiment of the present invention. 本発明の実施形態に係る鼻腔挿入具の押圧部が重なり位置に移動した状態の正面図である。It is a front view of the state where the pressing portion of the nasal cavity insertion tool according to the embodiment of the present invention has moved to the overlapping position.

以下、図面を適宜参照して、本発明の実施形態に係る鼻腔挿入具につき、詳細に説明する。図中、x軸、y軸及びz軸は、3軸直交座標系を成し、y軸の正方向を前方向、y軸の負方向を後ろ方向、x軸の正方向を右方向、x軸の負方向を左方向、z軸の正方向を上方向、及びz軸の負方向を下方向として説明する。 Hereinafter, a nasal cavity insertion tool according to an embodiment of the present invention will be described in detail with reference to the drawings. In the figure, the x-axis, y-axis and z-axis form a three-axis orthogonal coordinate system, where the positive direction of the y-axis is the forward direction, the negative direction of the y-axis is the backward direction, the positive direction of the x-axis is the right direction, and the x-axis is the right direction. The negative direction of the axis will be described as leftward, the positive direction of the z axis as upward, and the negative direction of the z axis as downward.

<鼻腔挿入具の構成>
本発明の実施形態に係る鼻腔挿入具1につき、図1から図7を参照しながら、以下に詳細に説明する。
<Structure of nasal cavity insertion tool>
The nasal cavity insertion tool 1 according to the embodiment of the present invention will be described below in detail with reference to FIGS. 1 to 7.

鼻腔挿入具1は、弾力性のある合成樹脂により一体に形成されており、全体が弾性変形可能になっている。ここで、鼻腔挿入具1を形成する合成樹脂は、例えばスチレン系・エラストマー、ポリエステル・エラストマー、シリコンゴム、ポリエチレン又は塩化ビニルである。 The nasal cavity insertion tool 1 is integrally formed of an elastic synthetic resin and is elastically deformable as a whole. Here, the synthetic resin forming the nasal cavity insertion tool 1 is, for example, styrene-based elastomer, polyester-elastomer, silicon rubber, polyethylene or vinyl chloride.

鼻腔挿入具1は、左側の鼻腔に挿入される左側本体部2Lと、右側の鼻腔に挿入される右側本体部2Rと、左側本体部2Lと右側本体部2Rとを連結する連結部4と、を有している。左側本体部2Lと右側本体部2Rとは、y軸に対して対称形状になっている。 The nasal cavity insertion tool 1 includes a left body portion 2L that is inserted into the left nasal cavity, a right body portion 2R that is inserted into the right nasal cavity, and a connecting portion 4 that connects the left body portion 2L and the right body portion 2R, have. The left body 2L and the right body 2R are symmetrical with respect to the y axis.

左側本体部2L及び右側本体部2Rの各々は、筒状であると共に、他端側2bの端部2bbから一端側2aの端部2aaに向けて窄まった形状を有しており、一端側2aから鼻腔に挿入される。具体的には、左側本体部2L及び右側本体部2Rの各々は、中空部10と、開口部11と、開口部12と、押圧部13と、ガイド片14と、内部凹部15と、外部凹部16と、連通孔17と、を有している。 Each of the left body portion 2L and the right body portion 2R has a tubular shape, and has a shape narrowed from the end portion 2bb of the other end side 2b to the end portion 2aa of the one end side 2a. 2a is inserted into the nasal cavity. Specifically, each of the left body portion 2L and the right body portion 2R has a hollow portion 10, an opening 11, an opening 12, a pressing portion 13, a guide piece 14, an internal recess 15, and an external recess. 16 and a communication hole 17.

中空部10は、左側本体部2L及び右側本体部2Rの内部に設けられ、一端側2aの端部2aaから他端側2bの端部2bbまで延設されていると共に、端部2bbから端部2aaに向けて窄まった形状を有している。中空部10は、左右方向に延設されている壁部21と、上下方向に延設されている壁部22と、壁部23と、によって囲まれている。壁部21と壁部22とは、互いの延設方向の端部が接続されていると共に、互いに直交する方向に延設されている。壁部23は、壁部21と壁部22とを接続している。左側本体部2Lの壁部23は、右側方に凸となる湾曲形状を有している。右側本体部2Rの壁部23は、左側方に凸となる湾曲形状を有している。壁部21と壁部22との接続部、壁部21と壁部23との接続部、及び壁部22と壁部23との接続部は、各々湾曲している。 The hollow portion 10 is provided inside the left body portion 2L and the right body portion 2R, extends from the end portion 2aa of the one end side 2a to the end portion 2bb of the other end side 2b, and from the end portion 2bb to the end portion 2bb. It has a narrowed shape toward 2aa. The hollow portion 10 is surrounded by a wall portion 21 extending in the left-right direction, a wall portion 22 extending in the up-down direction, and a wall portion 23. The wall portion 21 and the wall portion 22 are connected to each other at their ends in the extending direction and extend in directions orthogonal to each other. The wall portion 23 connects the wall portion 21 and the wall portion 22. The wall portion 23 of the left main body portion 2L has a curved shape that is convex toward the right side. The wall portion 23 of the right main body portion 2R has a curved shape that is convex toward the left side. The connecting portion between the wall portion 21 and the wall portion 22, the connecting portion between the wall portion 21 and the wall portion 23, and the connecting portion between the wall portion 22 and the wall portion 23 are respectively curved.

開口部11は、一端側2aの端部2aaにおいて、中空部10を外部に開放している。 The opening portion 11 opens the hollow portion 10 to the outside at the end portion 2aa on the one end side 2a.

開口部12は、他端側2bの端部2bbにおいて、中空部10を外部に開放している。開口部12の内径は、開口部11の内径よりも大きい。 The opening portion 12 opens the hollow portion 10 to the outside at the end portion 2bb on the other end side 2b. The inner diameter of the opening 12 is larger than the inner diameter of the opening 11.

押圧部13は、左側本体部2Lの他端側2b及び右側本体部2Rの他端側2bに各々設けられている。左側本体部2Lに設けられている押圧部13は、他端側2bから見て、左側本体部2Lよりも側方である右方に突出する図2に示す突出位置と、中空部10と重なる図7に示す重なり位置と、の間で移動可能であると共に、左側本体部2Lが鼻腔に挿入された際に突出位置において鼻中隔下制筋を押圧する。また、右側本体部2Rに設けられている押圧部13は、他端側2bから見て、右側本体部2Rよりも側方である左方に突出する図2に示す突出位置と、中空部10と重なる図7に示す重なり位置と、の間で移動可能であると共に、右側本体部2Rが鼻腔に挿入された際に突出位置において鼻中隔下制筋を押圧する。 The pressing portions 13 are provided on the other end side 2b of the left body 2L and the other end 2b of the right body 2R, respectively. The pressing portion 13 provided on the left main body portion 2L overlaps the hollow portion 10 with the protruding position shown in FIG. 2 that protrudes to the right, which is the side of the left main body portion 2L, when viewed from the other end side 2b. It is movable between the overlapping position shown in FIG. 7 and presses the subnasal septal muscle at the protruding position when the left body 2L is inserted into the nasal cavity. Further, the pressing portion 13 provided on the right side main body portion 2R has a protruding position shown in FIG. 2 that protrudes leftward, which is a side of the right side main body portion 2R when viewed from the other end side 2b, and the hollow portion 10. It is movable between the overlapping position shown in FIG. 7 and the overlapping position, and when the right body 2R is inserted into the nasal cavity, it pushes the nasal septal muscle at the protruding position.

押圧部13は、中間部131と、突出部132と、ヒンジ部133と、を備えている。 The pressing portion 13 includes an intermediate portion 131, a protruding portion 132, and a hinge portion 133.

中間部131は、一対のヒンジ部133の間に設けられている。 The intermediate portion 131 is provided between the pair of hinge portions 133.

突出部132は、中間部131よりも厚みが厚い肉厚になっていると共に前後方向の幅が幅広になっており、押圧部13が突出位置に移動した際に鼻中隔下制筋を押圧する位置に設けられている。 The protruding portion 132 is thicker than the intermediate portion 131 and has a wide width in the front-rear direction, and is a position that presses the nasal septal muscle when the pressing portion 13 moves to the protruding position. It is provided in.

ヒンジ部133は、中間部131及び突出部132よりも厚みが薄い肉薄になっていると共に、前後方向の幅が中間部131の前後方向の幅と同一になっている。ヒンジ部133は、中間部131と突出部132との間、及び中間部131と左側本体部2L又は右側本体部2Rとの間に設けられている。 The hinge portion 133 is thinner than the intermediate portion 131 and the protruding portion 132, and the width in the front-rear direction is the same as the width in the front-rear direction of the intermediate portion 131. The hinge portion 133 is provided between the intermediate portion 131 and the protruding portion 132, and between the intermediate portion 131 and the left body portion 2L or the right body portion 2R.

ここで、押圧部13は、突出位置において他端側2bから見て、突出部132の一部が左側本体部2L又は右側本体部2Rよりも側方に突出する場合に限らず、突出部132の全体が左側本体部2L又は右側本体部2Rよりも側方に突出するようにしてもよい。また、押圧部13は、重なり位置において他端側2bから見て、突出部132の全体が中空部10と重なる場合に限らず、突出部132の一部が中空部10と重なるようにしてもよい。 Here, the pressing portion 13 is not limited to the case where a part of the protruding portion 132 protrudes more laterally than the left body portion 2L or the right body portion 2R when viewed from the other end side 2b at the protruding position, and the protruding portion 132 is not limited thereto. The entire body may protrude laterally more than the left body portion 2L or the right body portion 2R. Further, the pressing portion 13 is not limited to the case where the entire protruding portion 132 overlaps the hollow portion 10 when viewed from the other end side 2b at the overlapping position, and the protruding portion 132 may partially overlap the hollow portion 10. Good.

ガイド片14は、板状であると共に一対設けられている。ガイド片14は、一端側2aの中空部10の周囲の内壁部101に設けられると共に開口部11から外部に突出して互いに離れる方向に延設されている。一対のガイド片14は、図6に示すように、中空部10の中心軸Pに対して所定角度θの傾きを有している。ここで、所定角度θは、30度であることが好ましい。 The guide pieces 14 are plate-shaped and are provided in pairs. The guide pieces 14 are provided on the inner wall portion 101 around the hollow portion 10 on the one end side 2a, and extend outward from the opening 11 so as to separate from each other. As shown in FIG. 6, the pair of guide pieces 14 has an inclination of a predetermined angle θ with respect to the central axis P of the hollow portion 10. Here, the predetermined angle θ is preferably 30 degrees.

内部凹部15は、図5に示すように、中空部10の周囲の内壁101をすり鉢状に窪ませで形成されており、複数設けられている。 As shown in FIG. 5, the internal recess 15 is formed by recessing the inner wall 101 around the hollow portion 10 into a mortar shape, and a plurality of internal recesses 15 are provided.

外部凹部16は、図5に示すように、左側本体部2Lの外壁102及び右側本体部2Rの外壁102をすり鉢状に窪ませて形成されており、内部凹部15と互いに背中合わせとなる位置に設けられている。 As shown in FIG. 5, the external recess 16 is formed by recessing the outer wall 102 of the left main body 2L and the outer wall 102 of the right main body 2R in a mortar shape, and is provided at a position where they are back-to-back with the internal recess 15. Has been.

連通孔17は、図6に示すように、一端が内部凹部15の内底面に開口すると共に他端が外部凹部16の内底面に開口しており、中空部10を外部に連通している。 As shown in FIG. 6, one end of the communication hole 17 is opened to the inner bottom surface of the inner recess 15 and the other end is opened to the inner bottom surface of the outer recess 16 to communicate the hollow portion 10 to the outside.

連結部4は、左側本体部2Lに設けられている押圧部13と、右側本体部2Rに設けられている押圧部13と、を接続している。連結部4は、当接部42と対向する方向に突出していると共に突出方向の先端面が尖っている規制部41と、規制部41と対向する方向に突出していると共に突出方向の先端面が平坦になっている当接部42と、を備えている。 The connecting portion 4 connects the pressing portion 13 provided on the left main body portion 2L and the pressing portion 13 provided on the right main body portion 2R. The connecting portion 4 protrudes in a direction facing the contact portion 42 and has a sharp tip surface in the projecting direction, and the connecting portion 4 projects in a direction facing the regulating portion 41 and has a tip surface in the projecting direction. And a flat contact portion 42.

上記の構成を有する鼻腔挿入具1は、使用するユーザに応じて、左側本体部2L及び右側本体部2Rの全体的な大きさを変更する。具体的には、子供向け及び女性向けの鼻腔挿入具1は、成人男性向けの鼻腔挿入具1よりも左側本体部2L及び右側本体部2Rの全体的な大きさを小さくする。 The nasal cavity insertion tool 1 having the above-described configuration changes the overall size of the left main body 2L and the right main body 2R according to the user who uses it. Specifically, the nasal cavity insertion tool 1 for children and women has a smaller overall size of the left side body portion 2L and the right side body portion 2R than the nasal cavity insertion tool 1 for adult males.

<鼻腔挿入具の動作>
本発明の実施形態に係る鼻腔挿入具1の動作につき、図1から図7を参照しながら、以下に詳細に説明する。
<Operation of nasal cavity insertion tool>
The operation of the nasal cavity insertion tool 1 according to the embodiment of the present invention will be described below in detail with reference to FIGS. 1 to 7.

まず、図1の状態の鼻腔挿入具1において、ヒンジ部133を屈曲させて押圧部13を図7に示す重なり位置に位置させた状態で、左側本体部2Lを一端側2aから左側の鼻腔に挿入すると共に、右側本体部2Rを一端側2aから右側の鼻腔に挿入する。この際に、押圧部13を重なり位置に位置させておくことにより、鼻腔に対して鼻腔挿入具1を容易に挿入することができる。 First, in the nasal cavity insertion tool 1 in the state of FIG. 1, with the hinge portion 133 bent and the pressing portion 13 positioned at the overlapping position shown in FIG. 7, the left body portion 2L is moved from the one end side 2a to the left nasal cavity. At the same time as the insertion, the right body 2R is inserted into the right nasal cavity from the one end side 2a. At this time, by positioning the pressing portion 13 at the overlapping position, the nasal cavity insertion tool 1 can be easily inserted into the nasal cavity.

左側本体部2L及び右側本体部2Rを鼻腔に挿入した後に、連結部4を前方に引っ張ることにより、屈曲しているヒンジ部133が伸張して、押圧部13を重なり位置から突出位置に移動させる。この際に、押圧部13の重なり位置から突出位置への移動は、押圧部13にヒンジ部133を設けることにより一挙動で行うことができる。また、連結部4は、対向している規制部41と当接部42とが互いに当接して移動を規制されることにより、必要以上に操作されることを防ぐことができる。このように、連結部4を操作して押圧部13を重なり位置から突出位置に移動させることができるので、押圧部13を容易に移動させることができる。 After inserting the left main body 2L and the right main body 2R into the nasal cavity, pulling the connecting portion 4 forward extends the bent hinge portion 133 to move the pressing portion 13 from the overlapping position to the protruding position. .. At this time, the movement of the pressing portion 13 from the overlapping position to the projecting position can be performed in one movement by providing the pressing portion 13 with the hinge portion 133. Further, the connecting portion 4 can be prevented from being operated more than necessary because the restricting portion 41 and the contact portion 42 facing each other are in contact with each other and movement thereof is restricted. In this way, since the pressing portion 13 can be moved from the overlapping position to the protruding position by operating the connecting portion 4, the pressing portion 13 can be easily moved.

押圧部13が重なり位置から突出位置に移動することにより、押圧部13、左側本体部2L及び右側本体部2Rが鼻腔の内壁を押圧すると共に、押圧部13が鼻中隔下制筋を押圧する。従って、鼻腔挿入具1によって鼻腔をより拡張することができると共に、鼻腔挿入具1の鼻腔からの脱落を防ぐことができる。また、押圧部13によって鼻中隔下制筋を押圧することにより、鼻腔の容積を下方に拡大することができるため、鼻腔を介してより多くの外気を取り込んだり、鼻腔を介してより多くの呼気を排出することができると共に、舌を口蓋まで上昇させることができるため、口呼吸を防止することができ、鼾の発生を抑制することができる。更に、押圧部13による鼻腔の内壁を押圧する反動で、押圧部13によって押圧する鼻腔の内壁の反対側の内壁を、左側本体部2L及び右側本体部2Rによって押圧することができるので、鼻腔全体を拡張することができると共に、鼻腔挿入具1の鼻腔からの脱落を更に抑制することができる。 By moving the pressing portion 13 from the overlapping position to the protruding position, the pressing portion 13, the left main body portion 2L, and the right main body portion 2R press the inner wall of the nasal cavity, and the pressing portion 13 presses the intranasal septum control muscle. Therefore, the nasal cavity can be expanded further by the nasal cavity insertion tool 1, and the nasal cavity insertion tool 1 can be prevented from falling out of the nasal cavity. In addition, since the volume of the nasal cavity can be expanded downward by pressing the subnasal septal muscle by the pressing portion 13, more outside air can be taken in through the nasal cavity or more exhaled air can be taken through the nasal cavity. Since it can be discharged and the tongue can be raised to the palate, mouth breathing can be prevented and the occurrence of snoring can be suppressed. Further, the inner wall of the nasal cavity opposite to the inner wall of the nasal cavity pressed by the pressing section 13 can be pressed by the left main body section 2L and the right main body section 2R by the recoil of pressing the inner wall of the nasal cavity by the pressing section 13. Can be expanded and the nasal cavity insertion tool 1 can be further prevented from falling out of the nasal cavity.

左側本体部2L及び右側本体部2Rは、側方に凸となる湾曲形状を有する壁部23と、互いに直交する方向に延設されている壁部21及び壁部22と、を備えることにより、鼻腔の形状に合致した形状にすることができるため、鼻腔の内壁の全体を広げることができると共に鼻腔からの脱落を極力防ぐことができる。 The left body portion 2L and the right body portion 2R are provided with a wall portion 23 having a curved shape that is convex laterally, and a wall portion 21 and a wall portion 22 that extend in directions orthogonal to each other, Since the shape can match the shape of the nasal cavity, it is possible to widen the entire inner wall of the nasal cavity and prevent the nasal cavity from falling off as much as possible.

中空部を他端側2bの端部2bbから一端側2aの端部2aaに向けて窄まった形状にすることにより、鼻腔挿入具1を鼻腔に挿入した状態で鼻腔を介して呼吸をする際に、開口部12から中空部10に取り込んだ外気を、中空部10の他端側2bの端部2bbから一端側2aの端部2aaに向けて流速を速くして開口部11から鼻腔に排出することができ、鼻腔を介して十分な量の空気を気道に送り込むことができる。 When breathing through the nasal cavity with the nasal cavity insertion tool 1 inserted into the nasal cavity by forming the hollow portion into a shape that is narrowed from the end portion 2bb on the other end side 2b toward the end portion 2aa on the one end side 2a In addition, the outside air taken into the hollow portion 10 from the opening portion 12 is discharged from the opening portion 11 to the nasal cavity by increasing the flow rate from the end portion 2bb on the other end side 2b of the hollow portion 10 to the end portion 2aa on the one end side 2a. And can deliver a sufficient amount of air to the respiratory tract via the nasal cavity.

また、中空部10を流れる空気を内部凹部15により渦状にして乱流とすることにより、中空部10を流れる空気の流速を速くすることができる。 Further, by making the air flowing through the hollow portion 10 into a turbulent flow by making the air in the hollow portion 15 into a vortex, the flow velocity of the air flowing through the hollow portion 10 can be increased.

また、内部凹部15における空気の流れにより、外部凹部16及び連通孔17の空気が内部凹部15に吸い出されて外部凹部16及び連通孔17が内部凹部15よりも陰圧となることにより、鼻の粘膜から分泌される体液が外部凹部16及び連通孔17に蒸発し易くなる。外部凹部16及び連通孔17に蒸発した体液は、外部凹部16及び連通孔17から内部凹部15に吸引されて中空部10に達すると共に、更に中空部10における空気の流れに乗って鼻腔の奥部又は咽頭部粘膜組織に達する。これにより、鼻腔の奥部又は咽頭部粘膜組織を湿潤に保つことができると共に、鼻腔の奥部又は咽頭部粘膜組織の機能を保護することができる。 Further, the air in the inner recess 15 sucks the air in the outer recess 16 and the communication hole 17 into the inner recess 15 so that the outer recess 16 and the communication hole 17 become a negative pressure more than the inner recess 15. The body fluid secreted from the mucous membrane of E. coli easily evaporates in the external recess 16 and the communication hole 17. The body fluid evaporated in the outer recess 16 and the communication hole 17 is sucked by the inner recess 15 from the outer recess 16 and the communication hole 17 to reach the hollow portion 10, and further rides on the air flow in the hollow portion 10 to reach the inner part of the nasal cavity. Or reaches mucosal tissue of pharynx. This makes it possible to keep the inner part of the nasal cavity or the pharyngeal mucosal tissue moist and protect the function of the inner part of the nasal cavity or the pharyngeal mucosal tissue.

更に、開口部11から鼻腔に排出される空気の流速をガイド片14によって速くすることができると共に、開口部11から鼻腔に排出される空気をガイド片14にガイドさせて中鼻道に向かって送り出すことができ、喉頭に流れる空気の速度を減速させないようにすることができる。ここで、一対のガイド片14を中空部10の中心軸Pに対して各々30度の傾きを有して延設されるように形成することにより、開口部11から鼻腔に排出される空気の流速を速くできることが実験により確認されている。 Further, the flow velocity of the air discharged from the opening 11 to the nasal cavity can be increased by the guide piece 14, and the air discharged from the opening 11 to the nasal cavity can be guided by the guide piece 14 toward the middle nasal passage. It can be delivered and the velocity of the air flowing to the larynx can be kept from slowing. Here, by forming the pair of guide pieces 14 so as to extend with an inclination of 30 degrees with respect to the central axis P of the hollow portion 10, the air discharged from the opening 11 to the nasal cavity can be prevented. Experiments have confirmed that the flow velocity can be increased.

このように、鼻腔挿入具1を介して鼻腔に取り込む空気の流速を速くすることにより、肺に達する空気の流速を速くして肺胞をより広げることができる。また、肺胞をより広げることにより、その反動で肺胞を効率よく萎めることができるために呼気の流速を速くすることができ、気管支における呼気又は吸気の停滞に伴う呼気と吸気との混濁率を小さくすることができると共に、呼吸量を増加させることができるため、血中酸素飽和度SpO2を上昇させることができる。 In this way, by increasing the flow rate of the air taken into the nasal cavity via the nasal cavity insertion tool 1, the flow rate of the air reaching the lungs can be increased and the alveoli can be further expanded. Further, by further expanding the alveoli, it is possible to efficiently wither the alveoli due to its recoil, so that the flow rate of the expiratory air can be increased, and the expiratory and inspiratory air accompanying the stagnation of exhaled air or inhalation in the bronchus Since the turbidity can be reduced and the respiratory volume can be increased, the blood oxygen saturation SpO2 can be increased.

更に、押圧部13により鼻腔の内壁を外方に押圧することにより、鼻腔の周囲の筋群のストレッチ効果を得ることができる。 Furthermore, by pressing the inner wall of the nasal cavity outward by the pressing portion 13, it is possible to obtain the stretching effect of the muscle group around the nasal cavity.

鼻腔挿入具1を鼻腔から取り外す際には、規制部41と当接部42とが離れる方向に連結部4を操作することにより、押圧部13を突出位置から重なり位置に移動させて、押圧部13による鼻腔の内壁への押圧を解除する。この際に、押圧部13の突出位置から重なり位置への移動は、押圧部13にヒンジ部133を設けることにより一挙動で行うことができる。これにより、鼻腔挿入具1を鼻腔から容易に取り外すことができる。また、連結部4を操作して押圧部13を突出位置から重なり位置に移動させることができるので、押圧部13を容易に移動させることができる。 When removing the nasal cavity insertion tool 1 from the nasal cavity, the pressing portion 13 is moved from the protruding position to the overlapping position by operating the connecting portion 4 in the direction in which the restricting portion 41 and the contact portion 42 are separated from each other. The pressure applied to the inner wall of the nasal cavity by 13 is released. At this time, the movement of the pressing portion 13 from the protruding position to the overlapping position can be performed in one movement by providing the pressing portion 13 with the hinge portion 133. This allows the nasal cavity insertion tool 1 to be easily removed from the nasal cavity. Moreover, since the pressing portion 13 can be moved from the protruding position to the overlapping position by operating the connecting portion 4, the pressing portion 13 can be easily moved.

このように、本実施形態によれば、一端側2aの端部2aaから他端側2bの端部2bbまで延設される中空部10を内部に有すると共に鼻腔に挿入される右側本体部2R及び左側本体部2Lの他端側2bに設けられ、他端側2bから見て右側本体部2R又は左側本体部2Lよりも側方に突出する突出位置と中空部10と重なる重なり位置との間で移動可能な押圧部13を設けることにより、鼻腔に挿入し易くすることができ、鼻腔に挿入した際には鼻腔を介して十分な量の空気を気道に送り込むことができると共に、鼻腔から脱落することを極力防ぐことができる。 Thus, according to the present embodiment, the right side main body portion 2R having the hollow portion 10 extending from the end portion 2aa on the one end side 2a to the end portion 2bb on the other end side 2b inside and inserted into the nasal cavity and It is provided on the other end side 2b of the left side body 2L, and between a protruding position that protrudes more laterally than the right side main body 2R or the left side main body 2L when viewed from the other end side 2b, and an overlapping position where the hollow portion 10 overlaps. By providing the movable pressing portion 13, it is possible to facilitate insertion into the nasal cavity, and when inserted into the nasal cavity, a sufficient amount of air can be sent to the airway via the nasal cavity and fall out from the nasal cavity. This can be prevented as much as possible.

また、本実施形態によれば、左側本体部2Lと右側本体部2Rとを連結部4で連結することにより、左側本体部2L及び右側本体部2Rの何れか一方の紛失又は携行忘れを防ぐことができる。 Further, according to the present embodiment, by connecting the left main body 2L and the right main body 2R with the connecting portion 4, it is possible to prevent loss or forgetting to carry either one of the left main body 2L and the right main body 2R. You can

本発明は、部材の種類、配置、個数等は前述の実施形態に限定されるものではなく、その構成要素を同等の作用効果を奏するものに適宜置換する等、発明の要旨を逸脱しない範囲で適宜変更可能であることはもちろんである。 The present invention is not limited to the above-mentioned embodiment in the kind, arrangement, number, etc. of the members, and appropriately replaces the constituent elements thereof with those having the same operational effects, etc. within a range not departing from the gist of the invention. Of course, it can be changed appropriately.

具体的には、上記実施形態において、左側本体部2Lと右側本体部2Rとを連結部4により接続したが、左側本体部と右側本体部とを連結部を用いずに分離してもよい。 Specifically, in the above embodiment, the left main body 2L and the right main body 2R were connected by the connecting portion 4, but the left main body and the right main body may be separated without using the connecting portion.

また、上記実施形態において、押圧部13によって鼻中隔下制筋を押圧したが、押圧部13によって鼻腔の鼻中隔下制筋以外の内壁を押圧するようにしてもよい。 Further, in the above-described embodiment, the nasal septum restraining muscle is pushed by the pressing portion 13, but the inner wall of the nasal cavity other than the nasal septal restraining muscle may be pressed by the pressing portion 13.

また、上記実施形態において、押圧部13におけるヒンジ部133の数を押圧部13と連結部4との接続部を挟んで各々2つ設けたが、押圧部13におけるヒンジ部133の数を押圧部13と連結部4との接続部を挟んで各々1つ又は3つ以上の任意の数だけ設けることができる。 Further, in the above-described embodiment, the number of the hinge portions 133 in the pressing portion 13 is two, and the number of the hinge portions 133 in the pressing portion 13 is the sandwiching portion between the pressing portion 13 and the connecting portion 4. It is possible to provide one or three or more arbitrary numbers sandwiching the connecting portion between the connection portion 13 and the connecting portion 4.

本発明は、鼻腔を介して呼吸する際に使用される鼻腔挿入具に好適である。 The present invention is suitable for a nasal cavity insertion tool used when breathing through the nasal cavity.

1 鼻腔挿入具
2a 一端側
2aa 端部
2b 他端側
2bb 端部
2L 左側本体部
2R 右側本体部
4 連結部
10 中空部
11 開口部
12 開口部
13 押圧部
14 ガイド片
15 内部凹部
16 外部凹部
17 連通孔
21 壁部
22 壁部
23 壁部
41 規制部
42 当接部
131 中間部
132 突出部
133 ヒンジ部
1 Nasal cavity insertion tool 2a One end side 2aa End part 2b Other end side 2bb End part 2L Left side body part 2R Right side body part 4 Connecting part 10 Hollow part 11 Opening part 12 Opening part 13 Pressing part 14 Guide piece 15 Internal recessed part 16 External recessed part 17 Communication hole 21 Wall part 22 Wall part 23 Wall part 41 Control part 42 Contact part 131 Intermediate part 132 Projection part 133 Hinge part

Claims (9)

鼻腔を介して呼吸する際に使用される鼻腔挿入具であって、
筒状であり、一端側の端部から他端側の端部まで延設される中空部を内部に有すると共に鼻腔に挿入される本体部と、
前記本体部の前記一端側の端部において前記中空部を外部に開放する第1の開口部と、
前記本体部の前記他端側の端部において前記中空部を外部に開放する第2の開口部と、
前記本体部の他端側に設けられ、前記他端側から見て前記本体部よりも側方に突出する突出位置と前記中空部と重なる重なり位置との間で移動可能な押圧部と、
を有することを特徴とする鼻腔挿入具。
A nasal cavity insertion tool used when breathing through the nasal cavity,
A tubular body, having a hollow portion extending from one end side end portion to the other end side end portion inside and a body portion that is inserted into the nasal cavity
A first opening portion that opens the hollow portion to the outside at the end portion on the one end side of the main body portion;
A second opening portion that opens the hollow portion to the outside at the end portion on the other end side of the main body portion;
A pressing portion that is provided on the other end side of the main body portion and is movable between a projecting position that projects laterally from the main body portion when viewed from the other end side and an overlapping position that overlaps the hollow portion,
The nasal cavity insertion tool characterized by having.
前記本体部は、
第1の壁部と第2の壁部と第3の壁部とによって囲まれる前記中空部を有し、
前記第1の壁部と前記第2の壁部とは、
互いに接続すると共に直交する方向に延設され、
前記第3の壁部は、
前記第1の壁部と前記第2の壁部とを接続すると共に側方に凸となる湾曲形状を有し、
前記押圧部は、
前記他端側から見て前記突出位置において前記第1の壁部及び前記第2の壁部よりも側方に突出する、
ことを特徴とする請求項1記載の鼻腔挿入具。
The main body is
Having the hollow portion surrounded by the first wall portion, the second wall portion and the third wall portion,
The first wall portion and the second wall portion,
Connected to each other and extended in the orthogonal direction,
The third wall is
Having a curved shape that connects the first wall portion and the second wall portion and is convex to the side,
The pressing portion is
When projecting from the other end side, the first wall portion and the second wall portion project laterally at the projecting position.
The nasal cavity insertion tool according to claim 1, wherein:
前記押圧部は、
前記本体部が鼻腔に挿入された際に前記突出位置において鼻中隔下制筋を押圧する、
ことを特徴とする請求項1又は請求項2記載の鼻腔挿入具。
The pressing portion is
When the body portion is inserted into the nasal cavity, presses the subnasal septal muscle at the protruding position,
The nasal cavity insertion tool according to claim 1 or 2, characterized in that.
一対の前記本体部の各々に設けられた前記押圧部を互いに接続すると共に、前記押圧部を前記突出位置と前記重なり位置との間で移動可能にする連結部を有する、
ことを特徴とする請求項1から請求項3のいずれかに記載の鼻腔挿入具。
While connecting the pressing portions provided on each of the pair of main body portions to each other, a connecting portion that allows the pressing portions to move between the protruding position and the overlapping position,
The nasal cavity insertion tool according to any one of claims 1 to 3, which is characterized in that.
前記押圧部は、
前記突出位置から前記重なり位置に移動する際に屈曲し、前記重なり位置から前記突出位置に移動する際に伸張するヒンジ部を備える、
ことを特徴とする請求項1から請求項4のいずれかに記載の鼻腔挿入具。
The pressing portion is
A hinge portion that bends when moving from the protruding position to the overlapping position, and extends when moving from the overlapping position to the protruding position,
The nasal cavity insertion tool according to any one of claims 1 to 4, wherein
前記中空部は、
前記他端側の端部から前記一端側の端部に向けて窄まった形状を有する、
ことを特徴とする請求項1から請求項5のいずれかに記載の鼻腔挿入具。
The hollow portion is
It has a shape narrowed from the end on the other end side toward the end on the one end side,
The nasal cavity insertion tool according to any one of claims 1 to 5, wherein
前記本体部は、
前記中空部の周囲の内壁を窪ませて形成した複数の内部凹部を備える、
ことを特徴とする請求項1から請求項6のいずれかに記載の鼻腔挿入具。
The main body is
A plurality of internal recesses formed by recessing the inner wall around the hollow portion;
The nasal cavity insertion tool according to any one of claims 1 to 6, which is characterized in that.
前記本体部は、
外壁を窪ませて形成した複数の外部凹部と、一端が前記内部凹部に開口されると共に他端が前記外部凹部に開口されて前記中空部を外部に連通する連通孔と、を備える、
ことを特徴とする請求項7記載の鼻腔挿入具。
The main body is
A plurality of external recesses formed by recessing the outer wall; and a communication hole having one end opened to the internal recess and the other end opened to the external recess to communicate the hollow portion to the outside,
The nasal cavity insertion tool according to claim 7, wherein
前記本体部は、
前記一端側に設けられると共に前記第1の開口部から外部に突出して互いに離れる方向に延設される複数の板状のガイド片を備える、
ことを特徴とする請求項1から請求項8のいずれかに記載の鼻腔挿入具。
The main body is
A plurality of plate-shaped guide pieces that are provided on the one end side and that extend outward from the first opening and extend in directions away from each other;
The nasal cavity insertion tool according to any one of claims 1 to 8, which is characterized in that.
JP2018223355A 2018-11-29 2018-11-29 nasal insert Active JP7165467B2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2018223355A JP7165467B2 (en) 2018-11-29 2018-11-29 nasal insert

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP2018223355A JP7165467B2 (en) 2018-11-29 2018-11-29 nasal insert

Publications (2)

Publication Number Publication Date
JP2020081612A true JP2020081612A (en) 2020-06-04
JP7165467B2 JP7165467B2 (en) 2022-11-04

Family

ID=70905052

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2018223355A Active JP7165467B2 (en) 2018-11-29 2018-11-29 nasal insert

Country Status (1)

Country Link
JP (1) JP7165467B2 (en)

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH11192251A (en) * 1997-12-29 1999-07-21 Hidetoshi Araki Preventive method and preventive device of snore
US20020177871A1 (en) * 2001-05-22 2002-11-28 Ernest Santin Nasal breathing assist devices
JP2006501889A (en) * 2002-09-18 2006-01-19 エイエスエイピー ブリーズ アシスト プロプライエタリ リミテッド Nasal dilator
JP2007195604A (en) * 2006-01-24 2007-08-09 Moment:Kk Respiration assisting utensil
JP2010540188A (en) * 2007-10-03 2010-12-24 サノステック コーポレーション Nose insert
JP2015147025A (en) * 2014-02-07 2015-08-20 田川 麻里 Sleep apnea improving appliance

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH11192251A (en) * 1997-12-29 1999-07-21 Hidetoshi Araki Preventive method and preventive device of snore
US20020177871A1 (en) * 2001-05-22 2002-11-28 Ernest Santin Nasal breathing assist devices
JP2006501889A (en) * 2002-09-18 2006-01-19 エイエスエイピー ブリーズ アシスト プロプライエタリ リミテッド Nasal dilator
JP2007195604A (en) * 2006-01-24 2007-08-09 Moment:Kk Respiration assisting utensil
JP2010540188A (en) * 2007-10-03 2010-12-24 サノステック コーポレーション Nose insert
JP2015147025A (en) * 2014-02-07 2015-08-20 田川 麻里 Sleep apnea improving appliance

Also Published As

Publication number Publication date
JP7165467B2 (en) 2022-11-04

Similar Documents

Publication Publication Date Title
TWI660756B (en) Nasal inserter
TWI673076B (en) Nasal inserter
RU2424833C2 (en) Children nasal joint mask
JP5575644B2 (en) Pressure reducing valve with flexible cuff
RU2556520C2 (en) Development of breathing appliance
JP2015530209A (en) Patient interface device with frame and clip
US10322257B2 (en) Humidifier assembly and method of providing moisture to supplied gas in a pressure support system
US20080083409A1 (en) Inhaler
JPH0548708B2 (en)
US20140069433A1 (en) Low profile mask attachment element
JP2024042085A (en) Adjustable frame for interface device
US9211386B2 (en) Respiratory tract bore opening keeping device
US20220096768A1 (en) Exhaust arrangement for patient interface device and patient interface including same
JP2020081612A (en) Nasal cavity insertion tool
JP7145939B2 (en) Customizable masks and how to adjust their size
JP2019180567A (en) Nasal cavity insertion tool
WO2014163110A2 (en) Nasal intubation tube
CN112638458B (en) Nose portion and patient interface device including the same
CN219878877U (en) Tracheostoma protective clothing and related components
JP6980277B2 (en) Nasal cannula
TWI797660B (en) Positive pressure breathing apparatus
US20230398015A1 (en) Nasal dilator
JP6115875B1 (en) catheter
CN113368457B (en) Nasal obstruction type respiration training device with respiration impedance
JP2023505371A (en) Mask and tube adapters for patient interface devices and patient interface devices including adapters

Legal Events

Date Code Title Description
A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20211118

TRDD Decision of grant or rejection written
A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20220930

A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

Effective date: 20221004

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20221020

R150 Certificate of patent or registration of utility model

Ref document number: 7165467

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150