JP2574457Y2 - Labia magnum - Google Patents
Labia magnumInfo
- Publication number
- JP2574457Y2 JP2574457Y2 JP518592U JP518592U JP2574457Y2 JP 2574457 Y2 JP2574457 Y2 JP 2574457Y2 JP 518592 U JP518592 U JP 518592U JP 518592 U JP518592 U JP 518592U JP 2574457 Y2 JP2574457 Y2 JP 2574457Y2
- Authority
- JP
- Japan
- Prior art keywords
- plate
- opening
- labia
- lever
- closing
- 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.)
- Expired - Lifetime
Links
Description
【0001】[0001]
【産業上の利用分野】本案は女性頸髄損傷者の自己導尿
に用いる陰唇開大器に関するものである。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a labia magnifier used for self-urinating a woman suffering from cervical spinal cord injury.
【0002】[0002]
【従来の技術】神経因性膀胱障害を有する者の排尿方法
に、尿道口からカテーテルを挿入して尿を排出する自己
導尿法があり、多くの者が行っている。脊髄を損傷した
場合も神経因性膀胱障害を呈するため、排尿管理法の一
つとしてこの方法が取られることが多い。脊髄損傷者の
中でも女性頸髄損傷者の場合は、手指の巧緻性が欠ける
ためカテーテルを挿入する事前動作である尿道口を露出
させるための陰唇を開く動作ができなかった。このため
介助者による介助導尿を受けざるをえなかった。2. Description of the Related Art As a method of urinating a person having a neuropathic bladder disorder, there is a self-urinating method in which a catheter is inserted through a urethra orifice to discharge urine, and many people use this method. Injury to the spinal cord also causes neuropathic bladder disorders, so this method is often used as one of urination management methods. Among females with spinal cord injury, those with female cervical spinal cord injury were unable to open the labia to expose the urethral opening, which is the pre-operation for inserting a catheter, due to lack of finger dexterity. For this reason, assistance urinary urination was inevitable.
【0003】完全麻痺の女性頸髄損傷者の場合は、適切
な収尿器対策が無いこともあり、当センターでは急性期
に意図的に膀胱壁の過伸展をおこして、尿閉状態から回
復しないようにする方法がとられている。この方法で急
性期を管理された者は、膀胱容量が増加し自己導尿を行
うことで尿失禁を起こさない尿路管理が可能となるた
め、頸髄損傷者でも適切な自己導尿用具を開発すること
で、排尿行為を自立することが可能であると考えてい
る。[0003] In the case of female cervical spinal cord injuries with complete paralysis, there is no proper urinary respiratory measures, and the center does not recover from urinary retention due to intentional hyperextension of the bladder wall in the acute phase There is a way to do that. For those who manage the acute phase by this method, the urinary tract can be managed without urinary incontinence by increasing the bladder capacity and performing self-urineation. By doing so, we believe that it is possible to become independent of urination.
【0004】従来、尿道口を完全に露出させずにカテー
テルが陰唇に触れながら(菌が膀胱内に入る危険性を伴
いながら)挿入してしまったり、前述したように介助者
の協力を得て介助導尿を行っている場合が殆どであっ
た。[0004] Conventionally, a catheter is inserted while touching the labia (with the risk of bacteria entering the bladder) without completely exposing the urethral orifice, or as described above, with the cooperation of a caregiver. In most cases, assisted urine was given.
【0005】従来、男性頸髄損傷者の場合は、残存レベ
ルがC6Aの手指動作で自己導尿が可能となっている
が、女性の場合は胸髄レベル以下にならないと自己導尿
動作を自立することは難しいのが現状である。看護婦に
よる陰唇開大の指導では、片手の示指と中指で外陰部に
当て、押しつけながら且つ指を開いて陰唇を開き、尿道
口を出す。そして、他方の手でカテーテルを挿入する。
C6BΙΙ〜C8レベル女性頸髄損傷者が自己導尿を自
立できない理由の一つとして、このレベルの手指動作で
は、片手で陰唇を開き尿道口を出せないことが挙げられ
る。Conventionally, in the case of male cervical spinal cord injuries, the residual level can be self-urinated by the finger motion of C6A, but in the case of females, the self-urinating operation becomes independent if the level does not fall below the thoracic spinal cord level. It is difficult at present. In the nurse's instruction of dilation of the labia, the index finger and the middle finger of one hand are applied to the vulva, and while pressing and opening the fingers, the labia are opened and the urethral opening is put out. Then, insert the catheter with the other hand.
C6B 理由 -C8 level One of the reasons that a female cervical spinal cord injured person cannot support self-urine insufficiency is that with this level of finger movement, the labia can be opened with one hand and the urethral opening cannot be put out.
【0006】[0006]
【考案が解決しようとする課題】そこで、本案は手指動
作の巧緻性に乏しい頸髄損傷者でも陰唇を開大し、自己
導尿を可能とする陰唇開大器を使用することで、一日5
回から8回の排尿の度に介助者に依存していた排尿動作
を自立させることを目的とする。[Problems to be Solved by the Invention] Therefore, the present invention provides a method for opening a labia even in a person with cervical spinal cord injury who has poor hand movements and using a labia magnifier that enables self-urination.
It is an object of the present invention to make a urination operation that has been dependent on an assistant every time the urination is repeated from eight to eight times.
【0007】[0007]
【課題を解決するための手段】上記の目的を達成するた
め本案は添え板に複数の前腕固定ベルトを設け、該添え
板の前端に該板と交差する腕板を設け、該腕板の基部に
開閉板を軸支し、該開閉板及び上記腕板の先端部を同長
に揃え、かつ開閉板を腕板と平行方向に開閉自在とな
し、上記先端部にそれぞれ陰唇間挿入片を突設し、かつ
開閉板の基端部に該開閉板の開閉動作用レバーを設け、
該レバーのストッパーを腕板側に設けてなる陰唇開大器
上記ストッパーが上記レバーを保持し、上記開閉板を開
状態に自己保持可能である上記考案記載の陰唇開大器に
よって構成される。SUMMARY OF THE INVENTION In order to achieve the above object, according to the present invention, a plurality of forearm fixing belts are provided on an attachment plate, an arm plate intersecting the plate is provided at the front end of the attachment plate, and a base portion of the arm plate is provided. The opening and closing plate is pivotally supported, and the opening and closing plate and the end of the arm plate are aligned at the same length, and the opening and closing plate is made freely openable and closable in the direction parallel to the arm plate. And a lever for opening and closing the opening and closing plate is provided at the base end of the opening and closing plate,
A labia magnifier with the lever provided on the arm plate side. The stopper comprises the labia magnifier according to the invention, wherein the stopper holds the lever and can self-hold the open / close plate in an open state.
【0008】[0008]
【作用】本案では添え板1を片方の前腕9及び手10の
下面に図3に示すように上記固定ベルト2、2で固定
し、肩周囲筋と二頭筋によって上記挿入片6、6を外陰
部に押し当て陰唇11、11間に挿入し(図4)、他方
の手で上記レバー7を図1実線位置から仮想線位置まで
傾けると、該レバー7はストッパー8に保持され、かつ
軸支部5を中心として開閉板4が図1実線位置から仮想
線位置に開いた状態に自己保持され、図5に示すように
陰唇11、11が開かれて尿道口12が露出し、陰唇開
大状態が保持される。According to the present invention, the attachment plate 1 is fixed to the lower surface of one of the forearm 9 and the hand 10 with the fixing belts 2, 2, as shown in FIG. When the lever 7 is pressed against the vulva and inserted between the labia 11 and 11 (FIG. 4), and the other hand is used to tilt the lever 7 from the solid line position to the imaginary line position in FIG. The opening / closing plate 4 is self-maintained in a state of being opened from the solid line position to the imaginary line position in FIG. 1 around the support 5, and the labia 11, 11 are opened to expose the urethral opening 12 as shown in FIG. State is maintained.
【0009】その状態において図5に示すように他方の
手でカテーテル13を尿道口12から挿入し導尿を行
い、その後他方の手に把持した消毒器で尿道口12の消
毒を行い、さらに他方の手で上記レバー7をストッパー
8から外して元の位置(図1実線位置)に回動させる
と、上記挿入片6、6は図1実線位置に閉じ、その状態
で該挿入片6、6を局部から離脱し、自己導尿動作を終
る。In this state, as shown in FIG. 5, the catheter 13 is inserted from the urethral opening 12 with the other hand to conduct urine, and then the urethral opening 12 is disinfected by the disinfecting device held by the other hand. When the lever 7 is removed from the stopper 8 and rotated to the original position (the position indicated by the solid line in FIG. 1), the insertion pieces 6, 6 are closed to the position indicated by the solid line in FIG. Is removed from the local part, and the self-urinating operation ends.
【0010】[0010]
【実施例】透明合成樹脂製の添え板1に複数の前腕固定
ベルト2、2の中程をかしめ14、14によって止着
し、一端にベルト挿通折返し金具15を設け、該金具1
5に挿通した他端を折返して面ファースナー16によっ
て左腕9及び掌に添え板1を締付固定するものである
(図3参照)。DESCRIPTION OF THE PREFERRED EMBODIMENTS The middle of a plurality of forearm fixing belts 2 and 2 is fixed to a base plate 1 made of a transparent synthetic resin by caulking 14 and 14, and a belt insertion / return fitting 15 is provided at one end.
The other end inserted through 5 is folded back and the attachment plate 1 is fastened and fixed to the left arm 9 and the palm by the hook-and-loop fastener 16 (see FIG. 3).
【0011】添え板1の前端は下方にほぼ90度屈曲さ
せて該添え板1と交差する腕板3を形成し、該腕板3の
基部に開閉板4を軸支5する。The front end of the attachment plate 1 is bent downward by approximately 90 degrees to form an arm plate 3 that intersects the attachment plate 1, and an opening / closing plate 4 is pivotally supported 5 at the base of the arm plate 3.
【0012】この開閉板4及び上記腕板3は先端部を同
長に揃え、かつ開閉板4を腕板3と平行方向に軸支部5
を中心に開閉自在に形成し、上記先端部にそれぞれ陰唇
間挿入片6、6を手前に向って突設する。The opening / closing plate 4 and the arm plate 3 are arranged such that the ends thereof are made equal in length, and the opening / closing plate 4 is pivoted in a direction parallel to the arm plate 3.
Are formed to be freely openable and closable around the center, and the interlabial insertion pieces 6, 6 are respectively protruded toward the front side at the front end portions.
【0013】そして上記開閉板4の基端部に該開閉板4
の開閉動作用レバー7を設け、該レバー7のストッパー
8を腕板3の基部に設ける。The opening and closing plate 4 is provided at the base end of the opening and closing plate 4.
Is provided, and a stopper 8 of the lever 7 is provided at the base of the arm plate 3.
【0014】このストッパー8は弾力性を有する合成樹
脂製C形筒によって形成され、該ストッパー8の開口溝
8’から上記レバー7を嵌合し、嵌合した該レバー7を
自己保持することができ、それによって開閉板4を開
き、かつ上記挿入片6、6を図1実線位置から仮想線位
置に軸支部5を中心に開き、その状態を自己保持するよ
うになっている。The stopper 8 is formed of a C-shaped cylinder made of a synthetic resin having elasticity. The lever 7 is fitted into the stopper 8 through an opening groove 8 'of the stopper 8, and the fitted lever 7 can be held by itself. Thus, the opening / closing plate 4 is opened, and the insertion pieces 6, 6 are opened from the solid line position to the imaginary line position in FIG.
【0015】上記レバー7は他方の手で動作することが
可能である。尚図中17で示すものは上記ベルト2の他
端に設けた牽引金具、13’はカテーテルに穿設した小
孔である。The lever 7 can be operated with the other hand. Reference numeral 17 in the figure denotes a pulling fitting provided at the other end of the belt 2, and reference numeral 13 'denotes a small hole formed in the catheter.
【0016】[0016]
【考案の効果】本案は上述のように構成したので、これ
まで、自己導尿動作を自立できなかったC6BΙΙ〜C
8レベル女性頸髄損傷者が、この陰唇開大器を使用する
ことで、介助者の手を借りずに一方の手10のみで陰唇
11、11を開大保持し、尿道口12を露出し得て、他
方の手でカテーテル挿入による自己導尿を行い得る状態
となし得るものである。[Effects of the Invention] Since the present invention is constructed as described above, C6BΙΙ to C6C which have not been able to self-support the self urinating operation until now.
An eight-level female cervical spinal cord injured person can use this labia magnifier to open the labia 11 and 11 with only one hand 10 and to expose the urethral orifice 12 without the help of an assistant. Thus, a state in which self urination can be performed by inserting a catheter with the other hand can be achieved.
【図1】本案の陰唇開大器を示す斜視図である。FIG. 1 is a perspective view showing a labia magnifier according to the present invention.
【図2】図1を右方から見た側面図である。FIG. 2 is a side view of FIG. 1 as viewed from the right.
【図3】使用状態の斜視図である。FIG. 3 is a perspective view of a use state.
【図4】図1A−A線による拡大平面図である。FIG. 4 is an enlarged plan view taken along line AA of FIG. 1;
【図5】陰唇開大状態の平面図である。FIG. 5 is a plan view of a labia divergent state.
【図6】カテーテルの先端部拡大図である。FIG. 6 is an enlarged view of a distal end portion of the catheter.
1 添え板 2 前腕固定ベルト 3 腕板 4 開閉板 5 軸支部 6 陰唇間挿入片 7 開閉動作用レバー 8 ストッパー DESCRIPTION OF SYMBOLS 1 Attached plate 2 Forearm fixing belt 3 Arm plate 4 Opening / closing plate 5 Shaft support part 6 Interlabial insertion piece 7 Opening / closing operation lever 8 Stopper
Claims (2)
該添え板の前端に該板と交差する腕板を設け、該腕板の
基部に開閉板を軸支し、該開閉板及び上記腕板の先端部
を同長に揃え、かつ開閉板を腕板と平行方向に開閉自在
となし、上記先端部にそれぞれ陰唇間挿入片を突設し、
かつ開閉板の基端部に該開閉板の開閉動作用レバーを設
け、該レバーのストッパーを腕板側に設けてなる陰唇開
大器。1. A plurality of forearm fixing belts are provided on an attachment plate,
An arm plate that intersects the plate is provided at the front end of the attachment plate, an opening / closing plate is pivotally supported at the base of the arm plate, and the opening / closing plate and the tip of the arm plate are aligned to the same length, and the opening / closing plate is armed. It can be opened and closed freely in the direction parallel to the board, and interlabial insertion pieces are protrudingly provided at the tip ends,
A labia magnifier with a lever for opening and closing the opening and closing plate provided at the base end of the opening and closing plate, and a stopper for the lever provided on the arm plate side.
上記開閉板を開状態に自己保持可能である請求項(1) 記
載の陰唇開大器。2. The stopper holds the lever,
The labia magnifier according to claim 1, wherein the openable plate can be held in an open state by itself.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP518592U JP2574457Y2 (en) | 1992-02-12 | 1992-02-12 | Labia magnum |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP518592U JP2574457Y2 (en) | 1992-02-12 | 1992-02-12 | Labia magnum |
Publications (2)
Publication Number | Publication Date |
---|---|
JPH0563553U JPH0563553U (en) | 1993-08-24 |
JP2574457Y2 true JP2574457Y2 (en) | 1998-06-11 |
Family
ID=11604174
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP518592U Expired - Lifetime JP2574457Y2 (en) | 1992-02-12 | 1992-02-12 | Labia magnum |
Country Status (1)
Country | Link |
---|---|
JP (1) | JP2574457Y2 (en) |
-
1992
- 1992-02-12 JP JP518592U patent/JP2574457Y2/en not_active Expired - Lifetime
Also Published As
Publication number | Publication date |
---|---|
JPH0563553U (en) | 1993-08-24 |
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