JP3765635B2 - Special function room - Google Patents

Special function room Download PDF

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Publication number
JP3765635B2
JP3765635B2 JP08277097A JP8277097A JP3765635B2 JP 3765635 B2 JP3765635 B2 JP 3765635B2 JP 08277097 A JP08277097 A JP 08277097A JP 8277097 A JP8277097 A JP 8277097A JP 3765635 B2 JP3765635 B2 JP 3765635B2
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JP
Japan
Prior art keywords
air
room
pathogen
chamber
dissection
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 - Fee Related
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JP08277097A
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Japanese (ja)
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JPH10272138A (en
Inventor
剛 松浦
智義 安沢
実 川上
道治 泉
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.)
Sakura Seiki Co Ltd
Airtech Japan Ltd
Original Assignee
Sakura Seiki Co Ltd
Airtech Japan 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
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Priority to JP08277097A priority Critical patent/JP3765635B2/en
Publication of JPH10272138A publication Critical patent/JPH10272138A/en
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Publication of JP3765635B2 publication Critical patent/JP3765635B2/en
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Expired - Fee Related legal-status Critical Current

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Description

【0001】
【発明の属する技術分野】
この発明は、病原体感染により死亡した患者の病理解剖と、臓器移植のための遺体からの臓器摘出とを交互に行なう特殊機能作業室に関し、解剖術者が病原体に感染したり、摘出した臓器に雑菌が付着したりするのを防止できる特殊機能作業室を得ようとするものである。
【0002】
【従来の技術】
病原体に感染して死亡した患者を病理解剖する際には、解剖術者が病原菌に感染することを防ぐと共に、病原体が周囲に飛散しないようにすることが重要な課題である。従来の解剖台は、単に遺体を載せることだけを考えたステンレスの板状体に過ぎず、病原体の感染防止構造の設けられていないものが一般である。
【0003】
実用新案登録第1957866号(以下先考案という)の解剖台は、上記の不都合を改善するために、遺体を囲む新鮮な下降空気流、即ちラミナーフローを解剖台の下方に吸込んで、解剖術者を病原体から守ると共に、病原体の飛散を防止したものである。
【0004】
図2は、この先考案解剖台の概要を示す。遺体を載せる簀の子状の板状体1とその下の滅菌液槽2とを収容した縦長ボックス状の本体ケース3には、解剖術者4が上半身を入れられる開口部5が設けられている。本体ケース3の上部には、微細な細菌をも除き得る高性能フィルタ(以下これをヘパフィルタという)6と送風機7とを設けて、清浄空気を本体ケース内で板状体1に向けてラミナーフローとして吹き下す。本体ケース3の下部は、送風機8を設けたダクト9に通じ、板状体1の周囲のスリット10から吸込んだ空気をヘパフィルタ11を経て除菌して吸引する。吸引された空気は、更にヘパフィルタ12を経て一層無害化され、送風機13により室外に排出される。ダクト9を通った空気の一部は、分岐ダクト14により本体ケース3の上部へ導かれる。この本体ケース3を設けた解剖室15の上部には、ヘパフィルタ16、送風機17を設けて、外気を無菌化して解剖室15へ送給する。解剖時に出た血液や組織細片等は、板状体1の簀の子状の隙間から滅菌液槽2へ落ち、又はスリット10から滅菌液槽18に落ちて滅菌される。19は冷暖房装置である。
【0005】
以上の各送風機7、8、13、17により発生する気流のため、解剖室15内の空気は開口部5から本体ケース3に吸込まれるので、遺体から出る病原体が解剖室内に飛散することはなく、本体ケース3内に上半身を入れて解剖を行なう術者4も病原体を吸込む危険がなく、病原体が解剖室15の外へ排出されることもなく、安全に解剖を行なうことができる。
【0006】
又、上記のように病原体感染により死亡した患者の解剖時に解剖術者を病原体感染から防護することが必要であると共に、この解剖室15及び板状体1を使用して、臓器移植のため遺体から臓器を摘出するときは、無菌の環境で行なうことが望ましい。即ち、臓器に外気中の雑菌が付着し汚染されたまま移植が行なわれると、移植後に病変を生じて移植を不成功に終らせる危険が大きい。臓器摘出を無菌環境で行なうことについては、従来、適切な対策は示されていなかった。
【0007】
【発明が解決しようとする課題】
この発明は、病原体に感染する危険なく病理解剖を安全に行なえると共に、移植のための臓器摘出を無菌状態で行なうことのできる特殊機能作業室を得ようとするものである。
【0008】
【課題を解決するための手段】
この発明は、前記先考案の解剖台を備え、病原体による死亡者の解剖時と臓器摘出のための解剖時とによって、室内を陰圧又は陽圧に切換えられる室内気圧切換装置を設けた特殊機能作業室を得て、上記の課題を解決したものである。
【0009】
【作用】
病原体による死亡者の病理解剖を行なうときは、先考案の解剖台により、解剖術者を病原体から防護すると共に、作業室内に病原体が飛散することを防止できる。また、作業室内を陰圧にするから、たとえ病原体が作業室内に漏出してもこれが室外にまで出る危険はなく、室外の安全を図ることができる。
【0010】
臓器摘出の場合は、室内を陽圧にする。従って、外部から作業室内に雑菌等が侵入する危険がなく、臓器が雑菌等で汚染されることはない。
【0011】
【発明の実施の形態】
図1は、本発明の室内圧力の調整可能な特殊機能作業室の構成を略示する縦断側面図である。
【0012】
解剖術者、補助者等が衣服等の準備をする前室21を付属させ、気密に構成された作業室22内には、ヘパフィルタ6を通した清浄空気のラミナーフローを簀の子状の板状体1に向けて吹き下す先考案の、ラミナーフロー送風機23a、解剖台23bが設けられている。ヘパフィルタ、送風機よりなる給気装置24から、給気ダクト26を通って清浄な外気が冷暖房装置19に入り、温度、湿度等を調整された新鮮空気がダクト27を通って作業室22へ供給される。前室21と作業室22との隔壁28には、圧力調整ダンパ29が、また前室21の外壁には圧力調整ダンパ30が設けられている。前室21及び作業室22には、それぞれ給気ダクト26に通じるモータダンパ31、32の開閉により各室内に清浄な外気を供給するヘパフィルタ33、34が設けられている。前室21内は、ダクト35を通って、また作業室22内は、解剖台23bのスリット10、ダクト9を通って、ヘパフィルタ、送風機より成る排気装置25にそれぞれ通じている。36は給気装置24、排気装置25、モータダンパ31、32等を制御して室内気圧を陰陽に切換える室内気圧切換装置である。
【0013】
以上のように構成されるから、室内気圧切換装置36により、給気装置24、排気装置25による給気、排気またはモータダンパ31、32による給気を制御することにより、作業室22、前室21の圧力を陰圧または陽圧に切換えることができる。この場合の陰圧の程度は、作業室で−3〜−5mmaq、前室で−1〜−3mmaq位である。
【0014】
病原体に感染し死亡した患者を病理解剖するときは、先考案のラミナーフロー送風機23a、解剖台23bにより解剖術者の安全を図ることができるが、更にたとえ作業室22の気密が劣化したときでも病原体を作業室22外に漏出させないために、排気装置25による排気量を多く、給気装置24、モータダンパ32による給気量を少なくして作業室22内を陰圧にする。これにより作業室22内は外気より低圧となり、たとえ作業室22の気密が劣化しても、病原体が作業室22外へ漏出することは防止できる。
【0015】
このときは前室21へ給気しているモータダンパ31は停止させて、ヘパフィルタ33を経て外気が前室21に流入するのを停止する。
【0016】
次に臓器摘出の場合は、万一、解剖室の気密が劣化していると、室外から雑菌が侵入して摘出した臓器を汚染する懼れがあるから、作業室内を陽圧にする。そのためには、給気装置24による給気を多くし、排気装置25による排気を少なくしたりして作業室22、前室21の圧力を外気よりも高くする。この圧力を高くする程度は、作業室で3〜5mmaq、前室で1〜3mmaqの程度である。陽圧の余剰分は圧力調整ダンパ29、30により室外へ排出される。
【0017】
【発明の効果】
以上のように作業室を構成して、作業の性質により作業室の内圧を陰圧又は陽圧に切換えるから、病理解剖時に、解剖術者を感染性病原体から守ると共に、病原体が作業室外へ漏出することを防止し、また臓器摘出時に雑菌が摘出した臓器に付着してこれを汚染することが防止され、安全な解剖及び臓器摘出を行なうことができる。
【図面の簡単な説明】
【図1】特殊機能作業室の構成例を略示する縦断側面図。
【図2】先考案の解剖台を略示する縦断側面図。
【符号の説明】
1 板状体
2 滅菌液槽
3 本体ケース
4 解剖術者
5 開口部
6 ヘパフィルタ
7、8 送風機
9 ダクト
10 スリット
11、12 ヘパフィルタ
13 送風機
14 分岐ダクト
15 解剖室
16 ヘパフィルタ
17 送風機
18 滅菌液槽
19 冷暖房装置
21 前室
22 作業室
23a ラミナーフロー送風機
23b 解剖台
24 給気装置
25 排気装置
26 給気ダクト
27 ダクト
28 隔壁
29、30 圧力調整ダンパ
31、32 モータダンパ
33、34 ヘパフィルタ
35 ダクト
36 室内気圧切換装置
[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a special function work room that alternately performs pathological anatomy of a patient who died due to pathogen infection and organ removal from a corpse for organ transplantation. It is intended to obtain a special function working room that can prevent contamination of bacteria.
[0002]
[Prior art]
When pathologically dissecting a patient who died by infection with a pathogen, it is important to prevent the dissector from being infected with the pathogen and to prevent the pathogen from being scattered around. The conventional dissection table is merely a stainless steel plate-like body that simply considers a dead body, and is generally not provided with a pathogen infection prevention structure.
[0003]
In order to remedy the above-mentioned problems, the dissecting table of Utility Model Registration No. 1957866 (hereinafter referred to as the prior device) sucks a fresh downward air flow surrounding the body, that is, a laminar flow, below the dissecting table. Protects against pathogens and prevents the pathogens from scattering.
[0004]
FIG. 2 shows an outline of the prior art dissection table. A vertically long box-shaped main body case 3 that accommodates a cocoon-like plate-like body 1 on which a body is placed and a sterilizing solution tank 2 therebelow is provided with an opening 5 through which an anatomist 4 can put the upper body. A high-performance filter (hereinafter referred to as “hepa filter”) 6 and a blower 7 that can remove fine bacteria are provided on the upper portion of the main body case 3, and clean air is directed toward the plate-like body 1 in the main body case 3 . Blow down as a flow. The lower part of the main body case 3 communicates with a duct 9 provided with a blower 8 to sterilize and suck the air sucked from the slits 10 around the plate-like body 1 through the hepa filter 11. The sucked air is further detoxified through the hepa filter 12 and discharged to the outside by the blower 13. Part of the air that has passed through the duct 9 is guided to the upper part of the main body case 3 by the branch duct 14. A hepa filter 16 and a blower 17 are provided on the upper part of the dissection room 15 provided with the main body case 3 to sterilize the outside air and feed it to the dissection room 15. Blood, tissue debris, and the like produced at the time of dissection are sterilized by falling into the sterilizing liquid tank 2 from the claw-like gaps of the plate-like body 1 or falling into the sterilizing liquid tank 18 from the slit 10. Reference numeral 19 denotes an air conditioner.
[0005]
Because of the airflow generated by each of the blowers 7, 8, 13, and 17 described above, the air in the dissection room 15 is sucked into the main body case 3 from the opening 5, so that pathogens that emerge from the corpse are scattered in the dissection room. In addition, the surgeon 4 who dissects the upper body in the main body case 3 has no danger of inhaling the pathogen, and the pathogen is not discharged out of the dissection room 15 and can be safely dissected.
[0006]
In addition, it is necessary to protect the dissector from pathogen infection at the time of anatomy of a patient who died due to pathogen infection as described above, and the corpse for organ transplantation using this dissection room 15 and plate 1. When removing an organ from a mouse, it is desirable to perform it in a sterile environment. In other words, if transplantation is performed with various germs in the open air attached to the organ and contaminated, there is a high risk of causing a lesion after the transplantation and causing the transplantation to end unsuccessfully. No appropriate measures have been shown for organ removal in an aseptic environment.
[0007]
[Problems to be solved by the invention]
An object of the present invention is to obtain a special function working room that can safely perform pathological dissection without risk of infection with a pathogen and can perform organ removal for transplantation in aseptic conditions.
[0008]
[Means for Solving the Problems]
The present invention is provided with the above-described anatomical table, and is provided with a special function provided with an indoor air pressure switching device capable of switching the room to a negative pressure or a positive pressure depending on the dissection of the dead due to the pathogen and the dissection for organ removal. A work room is obtained to solve the above problems.
[0009]
[Action]
When performing pathological anatomy of a dead person due to a pathogen, the dissecting table of the present invention can protect the anatomist from the pathogen and prevent the pathogen from scattering into the working chamber. In addition, since the working chamber is set to a negative pressure, even if a pathogen leaks into the working chamber , there is no risk that it will go out of the room, and the safety of the outdoor can be ensured.
[0010]
For organ removal, use a positive pressure in the room. Therefore, there is no risk that germs and the like enter the work chamber from the outside, and the organ is not contaminated with germs.
[0011]
DETAILED DESCRIPTION OF THE INVENTION
FIG. 1 is a longitudinal side view schematically showing the configuration of a special function working chamber with adjustable indoor pressure according to the present invention.
[0012]
A front chamber 21 where an anatologist, an assistant, and the like prepare clothes is attached, and a laminar flow of clean air through a hepa filter 6 is passed through a hepa filter 6 in an airtight work chamber 22. A laminar flow blower 23a and a dissecting table 23b, which are previously conceived to blow down toward 1, are provided. From the air supply device 24 comprising a hepa filter and a blower, clean outside air enters the air conditioning device 19 through the air supply duct 26, and fresh air whose temperature, humidity, etc. are adjusted is supplied to the work room 22 through the duct 27. The A pressure adjusting damper 29 is provided on the partition wall 28 between the front chamber 21 and the working chamber 22, and a pressure adjusting damper 30 is provided on the outer wall of the front chamber 21. The front chamber 21 and the work chamber 22 are provided with hepa filters 33 and 34 for supplying clean outside air into the respective chambers by opening and closing motor dampers 31 and 32 communicating with the air supply duct 26 , respectively. The inside of the anterior chamber 21 passes through the duct 35, and the inside of the work chamber 22 passes through the slit 10 and the duct 9 of the dissecting table 23b and communicates with the exhaust device 25 including a hepa filter and a blower. Reference numeral 36 denotes an indoor air pressure switching device that controls the air supply device 24, the exhaust device 25, the motor dampers 31, 32, and the like to switch the indoor air pressure to Yin and Yang.
[0013]
Since it is configured as described above, the indoor air pressure switching device 36 controls the air supply by the air supply device 24 and the exhaust device 25, the exhaust air or the air supply by the motor dampers 31 and 32, so that the work chamber 22 and the front chamber 21 are controlled. Can be switched to negative or positive pressure. The degree of negative pressure in this case is about -3 to -5 mmaq in the working chamber and about -1 to -3 mmaq in the front chamber.
[0014]
When autopsy patients infected died pathogens, previously devised a laminar flow fan 23a, but it is possible to secure the dissection surgeon by dissecting table 23b, even when the still even airtight working chamber 22 is degraded In order to prevent pathogens from leaking out of the work chamber 22, the exhaust amount by the exhaust device 25 is increased, and the air supply amount by the air supply device 24 and the motor damper 32 is decreased to create a negative pressure in the work chamber 22 . As a result, the inside of the work chamber 22 has a lower pressure than the outside air, and even if the airtightness of the work chamber 22 is deteriorated, the pathogen can be prevented from leaking out of the work chamber 22 .
[0015]
At this time, the motor damper 31 supplying air to the front chamber 21 is stopped, and the flow of outside air into the front chamber 21 through the hepa filter 33 is stopped.
[0016]
Next, in the case of organ excision, if the airtightness of the dissection room is deteriorated, germs may invade from the outside and contaminate the removed organ. For this purpose, the pressure in the working chamber 22 and the front chamber 21 is made higher than that in the outside air by increasing the amount of air supplied by the air supply device 24 and decreasing the amount of exhaust by the exhaust device 25. The degree of increasing the pressure is about 3 to 5 mmaq in the working chamber and about 1 to 3 mmaq in the front chamber. The surplus positive pressure is discharged to the outside by the pressure adjusting dampers 29 and 30.
[0017]
【The invention's effect】
The work room is configured as described above, and the internal pressure of the work room is switched between negative pressure and positive pressure depending on the nature of the work. Therefore, at the time of pathological dissection, the anatomist is protected from infectious pathogens and the pathogen leaks out of the work room. In addition, it is possible to prevent the bacteria from adhering to and contaminating the removed organ during organ removal, and perform safe dissection and organ removal.
[Brief description of the drawings]
FIG. 1 is a longitudinal side view schematically showing a configuration example of a special function working room.
FIG. 2 is a longitudinal side view schematically showing a dissecting table according to the present invention.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 1 Plate-like body 2 Sterilization liquid tank 3 Main body case 4 Anatomist 5 Opening part 6 Hepa filter 7, 8 Blower 9 Duct 10 Slit 11, 12 Hepa filter 13 Blower 14 Branching duct 15 Dissection room 16 Hepa filter 17 Blower 18 Sterilization liquid tank 19 Air conditioning Device 21 Front chamber 22 Work chamber 23a Laminar flow blower 23b Dissecting table 24 Air supply device 25 Exhaust device 26 Air supply duct 27 Duct 28 Bulkhead 29, 30 Pressure adjusting damper 31, 32 Motor damper 33, 34 Hepa filter 35 Duct 36 Indoor air pressure switching device

Claims (1)

上部からラミナーフローの空気流を遺体を載せる板状体に向けて吹き下すラミナーフロー送風機及び吹き下された空気を板状体の周囲から吸入して解剖術者を病原体感染から保護する解剖台を気密室内に設け、感染性病原体で死亡した患者の病理解剖時には室内を陰圧にして病原体の室外漏出を防止し、臓器移植のための臓器摘出時には室内を陽圧にして室外空気の進入を防止する室内気圧切換装置を設けた特殊機能作業室。A laminar flow blower that blows the air flow of laminar flow from the top toward the plate on which the body is placed and a dissecting table that inhales the blown air from the periphery of the plate to protect the anatomist from pathogen infection Installed in an airtight chamber to prevent negative leakage of pathogens during pathological anatomy of patients who died from infectious pathogens, and to prevent outdoor air from entering the rooms positively when removing organs for organ transplantation Special function work room with an indoor air pressure switching device.
JP08277097A 1997-04-01 1997-04-01 Special function room Expired - Fee Related JP3765635B2 (en)

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Application Number Priority Date Filing Date Title
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JP3765635B2 true JP3765635B2 (en) 2006-04-12

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP4473931B1 (en) * 2009-03-27 2010-06-02 近藤工業株式会社 Formaldehyde diffusion prevention device on dissection table
JP5787336B2 (en) * 2010-02-17 2015-09-30 株式会社テクノ菱和 Dissection table ventilation system
JP2013253761A (en) * 2012-06-08 2013-12-19 Nippon Ika Kikai Seisakusho:Kk Bioclean room and relay unit
KR102329069B1 (en) 2020-06-22 2021-11-22 신유준 System for preventing indoor infection

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