JP4876069B2 - Surgical tent - Google Patents

Description

The present invention relates to a surgical tent. The surgical tent forms a substantially sealed space between a patient and a practitioner, and is a sealed tent-like structure for aseptic operation that is configured so that surgery can be performed aseptically within the sealed space. It is.

  Conventionally, a surgical operation in an operating room and a catheter diagnosis / treatment in an angiography room are performed in an environment in which prevention of bacterial infection of a patient is considered.

  However, the risk of infection of the surgeon by blood that bleeds from the operative field or blood vessel puncture site is not fully considered, and the operator is always exposed to the risk of blood infection. The technique is performed in. Traditionally, surgical gowns and masks have been used to avoid danger to a certain extent, but these are primarily intended to protect the patient and protect the operator from the risk of infection. It cannot be said that it can be avoided.

  Accordingly, there has been a strong desire to provide a device that can easily and completely avoid the risk of blood infection of an operator without impairing the degree of freedom of the operator's procedure. Also, treatments involving surgery have the problem of bedside contamination with blood.

The present invention has been made in view of the above circumstances, and is substantially sealed so that bedside contamination by blood and infection of an operator can be prevented, and surgery can be performed aseptically. An object of the present invention is to provide a surgical tent configured to hold a space.

The surgical tent of the present invention has a bottom wall placed on the patient's body, and covers the part of the patient's body surface including the treatment site with the bottom wall to perform aseptic operation. A surgical tent that provides a space for the structure, a support member that forms a skeleton of a sealed tent-like structure, and a transparent and flexible sheet-like tent body that forms an outer shell or wall of the sealed tent-like structure; a flexible sheet of the bottom wall which closes the bottom, the tent comprises a flexible sheet-shaped sidewalls to close the longitudinal ends of the body, the strut member is provided tent body integrally, wherein the bottom wall is provided with a treatment site exposure opening of the patient, the tent body is in proximity to the treatment site exposure opening, a pair of hands to insert the hand of the operator in the tent An insertion part is provided, and the tent body or the side wall A closed medical device entrance for opening and closing the medical device necessary for the operation is provided at a position away from the surgical site exposure opening. Adhesive means for adhering the periphery around the surgical site is provided, so that the surgical site exposure opening is prevented from shifting from the surgical site and the outside air is prevented from flowing into the tent. It is characterized by becoming.

  The sheet forming the tent body is preferably a film formed of a transparent plastic such as polyethylene, polyester, soft polyvinyl chloride, polyamide, or a soft thin sheet. Further, the sheet forming the bottom wall and the side wall may be a flexible film or sheet formed of plastic such as polyethylene, polyester, soft polyvinyl chloride, and polyamide, and need not be transparent. Absent. Therefore, the sheet forming the bottom wall and the side wall may be opaque in order to shield the region other than the treatment site. The materials of the tent body sheet, the bottom wall sheet, and the side wall sheet may be the same or different from each other.

  As the support member, any member can be used as long as it has an inflatable membrane structure and can form an air column. Preferably, the support member expands by gas injection to form a skeleton of a sealed tent-like structure. A flexible tubular member is employed. Further, the support member is usually formed integrally from a plurality of support elements. In this case, even if adjacent support elements are directly connected, a part or all of them are connected via a connector. May be. The strut element may be formed separately from the sheet constituting the tent body, or may be formed integrally with the sheet constituting the tent body. When the support element is formed separately from the sheet constituting the tent body, for example, two long sheets are bonded to each other in the longitudinal direction. When the support element is formed integrally with the sheet constituting the tent body, for example, the support element is formed by welding two longitudinal sides of a long sheet to the sheet forming the wall. . Also, after folding the four sides of the rectangular sheet for the tent main body and overlapping the edges, placing the strip sheet crossing over it, and welding the overlapped portion of the strip sheet and the rectangular sheet for the tent main body The strut member may be formed by welding along both edges of the strip sheet and both edges of the overlapped portion of the tent main body rectangular sheet. The gas inlet to the support member is preferably provided in a portion adjacent to the bottom wall of the support member.

  The hand insertion part is formed in a glove box composed of an arm attachment part and a glove-like hand attachment part, and at least the hand attachment part itself has excellent lubricity. The tip of the mounting portion is formed to a length that can be easily broken by wearing a finger and that the finger is sufficiently exposed after the breaking.

  Although the present invention has been generally described above, a better understanding can be obtained by reference to certain specific embodiments. These examples are provided herein for illustrative purposes only and are not limiting unless otherwise specified.

According to the present invention, the following effects can be expected. That is, this surgical tent has a flat shape that is folded when not in use, and inflates the column member by injecting air or other gas into the column member during use, thereby forming a skeleton. A substantially sealed space is formed between the patient and the practitioner with the sheet, and aseptic surgery or the like can be performed in the sealed space.

  Therefore, since operations such as surgery, diagnosis and treatment can be performed in a substantially sealed space isolated from the operator, bedside contamination and risk of blood infection of the operator can be prevented. . In addition, since the surgical site and the site of insertion into the blood vessel can be maintained in a cleaner environment, the risk of patient infection can be further reduced. This eliminates the need for conventional gowns, masks, and coverings, which is economical. In addition, since it is mainly composed of a column member and a wall sheet, it is lightweight and easy to fold, and disposal after use is easy.

1 is a perspective view of a surgical tent according to an embodiment of the present invention. It is a figure which shows the state which expand | deployed the tent main body in the tent for surgery of FIG. It is explanatory drawing of the hand insertion part shown in FIG. 2 is an explanatory diagram of a support element forming method in Embodiment 1. FIG. 2 is an explanatory diagram of a support element forming method in Embodiment 1. FIG. 2 is an explanatory diagram of a support element forming method in Embodiment 1. FIG. 6 is an explanatory diagram of a support element forming method in Embodiment 2. FIG. 6 is an explanatory diagram of a support element forming method in Embodiment 2. FIG.

1 Column member 111, 112, 121, 122, 131, 132, 141, 142, 151, 152 Column element 101, 102, 103, 104, 105, 106, 107, 108, 109, 1010, 1011 Welded part 2 Tent body Sheet 20 Tent body 21, 22, 23, 24 Side wall 25 parallel to longitudinal direction Bottom wall 26, 27 Side wall at both longitudinal ends 3 Treatment site exposure opening 4 Hand insertion part 41 Arm attachment part 42 Hand attachment part 43 Finger attachment Portion 5 Medical device inlet 6 Gas inlet 7 Mandrel assembly 71, 72, 73, 74, 75, 76, 77, 78, 79, 710 Mandrel 81, 82, 83 Connector

The surgical tent according to the present invention forms a substantially sealed space between a patient and a practitioner, and the surgical tent is expanded by gas injection to form a skeleton of a sealed tent-like structure. , A transparent and flexible sheet-like tent body that forms an outer shell or wall of a sealed tent-like structure when the skeleton is formed by expanding the support member, and a flexible structure that closes its bottom A sheet-like bottom wall and a flexible sheet-like side wall closing both longitudinal ends of the tent body, and the support member is formed integrally with the tent body. The bottom wall is provided with an opening for exposing a surgical site of a patient, and the tent body is at least for aseptically inserting an operator's hand into the tent in proximity to the surgical site exposure opening. A pair of hand insertion portions are provided, and the tent main body or the side wall is a closed medical device entrance that is openable and closable for carrying a medical device necessary for the treatment at a position away from the opening for exposing the treatment site. Is provided.

  An adhesive tape is provided on the periphery of the treatment site exposure opening to bring the periphery into close contact with the treatment site. The hand insertion part is formed in a glove box including an arm attachment part and a glove-like hand attachment part. The finger mounting portion of the hand mounting portion is formed to have a length that can be easily broken by mounting the finger on the tip and that the finger is sufficiently exposed after the break. Further, the support members are integrally formed by directly connecting adjacent support elements.

1 is a perspective view of a surgical tent according to an embodiment of the present invention, FIG. 2 is a diagram showing a state in which the tent body of the surgical tent of FIG. 1 is expanded, and FIG. 3 is a manual insertion portion shown in FIG. It is explanatory drawing of.

As shown in FIGS. 1 and 2, the surgical tent according to the first embodiment includes a flexible tubular column member 1 that is expanded by gas injection to form a skeleton of a sealed tent-like structure, and a sealed tent-like structure. A transparent and flexible sheet-like tent body 20 constituting the object wall, a flexible sheet-like bottom wall 25 for closing the bottom, and a flexible sheet-like shape for closing both longitudinal ends of the sealed tent-like structure. The column member 1 includes side walls 26 and 27, and the column member 1 is formed integrally with the tent body 20. These members are made of a transparent and flexible plastic such as polyethylene.

  The tent body 20 is formed of a rectangular sheet 2 that forms a front wall and a back wall of a sealed tent-like structure, and side walls 21, 22, 23, parallel to the longitudinal direction of the sealed tent-like structure by the column member 1. 24. The bottom wall 25 is formed of a rectangular sheet having the same length as that of the tent body sheet 2 and a narrower width than the tent body sheet 2, and the long sides thereof are welded to the long sides of the tent body sheet 2. The short sides are welded to the bottoms of the side walls 26 and 27, respectively. The side wall 26 has its side edge and arch part welded to the short side edge of the tent main body sheet 2, but the side wall 27 is the short side part of the tent main body sheet 2 at the lower part of the side edge part. The remaining insertion edge portion and arch portion are fixed to the tent main body sheet 2 with an adhesive tape or a hook-and-loop fastener (for example, Velcro (registered trademark)).

  The bottom wall 25 is provided with a treatment site exposure opening 3 adjacent to the side wall 26, and a pair of hand insertion portions adjacent to the treatment site exposure opening 3 is provided on the side wall 21 adjacent to the side wall 26. 4 is provided, and a side wall 27 opposite to the longitudinal side wall 26 is provided with a closed medical device entrance 5 for opening and closing the medical device necessary for the operation.

  The strut member 1 is a flexible member constituting the skeleton of a sealed tent-like structure, has an inflatable membrane structure, expands into a tube shape by injecting gas such as compressed air, and forms an air column. And is composed of a plurality of flexible strut elements (for example, in FIG. 1 and FIG. 2, strut elements 111, 112, 121, 122, 131, 132, 141, 142, 151, 152, 161). 162).

  The column member 1 uses, for example, a tent main body sheet 2 and a plurality of two types of long sheets 201 and 212 respectively equal to the length and width of the tent main body sheet 2 as shown in FIG. The tent body 20 is integrally formed. Specifically, for example, as shown in FIG. 4, the column member 1 is first formed on a column element forming portion including four sides of a rectangular tent body sheet 2, that is, on the tent body sheet 2. The long sheets 202 are arranged in parallel with the longitudinal direction at a predetermined interval in the width direction, and the long sheets 201 are arranged in parallel with the width direction at a predetermined interval in the longitudinal direction. The overlapped portion of 212 is welded. Next, a tubular member that forms an openable and closable gas inlet 6 for expanding the column member 1 is disposed at an appropriate position of the tent main body sheet 2, for example, a portion adjacent to the bottom wall 25. 2, the tent main body sheet 2 and the long sheets 201 and 212 are welded at the hatched portion 101 to form the outer wall of the column element along the four sides of the tent main body sheet 2. Next, as shown in FIG. 6, if the hatched portions 102, 103, 104, and 105 are welded along the long sheets 201 and 212 at a predetermined interval inside the welded portion 101, the column member 1 is formed. I can do it. The welding portion 101 can be used as a welding allowance for welding the bottom wall 25 and wall sheets 26 and 27 at both ends in the longitudinal direction.

  Further, the side wall 27 is welded to the adjacent bottom wall 25 portion and the bottom wall adjacent portion of the welding margin 101 of the column elements 151 and 152, and the other portion is attached to the welding margin 101 of the column elements 151 and 152 by a button or the like. It is detachably fixed by a sealing means (not shown) such as a hook-and-loop fastener, and can be used as an entrance 5 for medical devices such as a tray and a guide wire. The medical device etc. entrance 5 may be used for carrying only the tray, and a mouth for carrying the medical device may be provided separately on the side wall 24 or the like as necessary.

  Since the tent is placed on the patient's body, the shape of the welding side of the side walls 26, 27 and the bottom wall 25 may be formed in a circular arc shape so as to be easily deformed along the patient's body shape. . Further, by attaching a hook-and-loop fastener to the bottom wall 25 so that the bottom wall 25 can be fixed to an operation support base or the like, and the fixing width is slightly narrower than the width of the bottom wall, the bottom wall 25 is slightly It may be possible to bend.

  The shape of the roof of the tent may be, for example, a flat roof shape or a dome shape having a top wall. However, as shown in FIG. It may be formed in the shape of a bowl and with the intersection as a ridge.

  An adhesive tape 31 for attaching the periphery to the periphery of the treatment site is attached to the periphery of the treatment site exposure opening 3 to prevent the treatment site exposure opening 3 from being displaced from the operation site, and the outside air. Inflow into the tent is prevented.

  The hand insertion portion 4 is a so-called glove box including an arm attachment portion 41 and a glove-like hand attachment portion 42. At least the hand attachment portion 42 is usually made of polyethylene, polyamide, polytetrafluoroethylene, or the like. It is made of a plastic that itself has excellent lubricity. The tip of the finger mounting portion 43 of the hand mounting portion 42 is formed to a length that can be easily broken by wearing the finger and that the finger is sufficiently exposed after the breaking. Lubricity may be improved by applying silicone oil to the outer wall of the hand mounting portion 42. Although not shown, the side wall 21 may be provided with a similar assistant hand insertion portion for inserting an assistant's hand from the hand insertion portion 4 to the support element 141 side. The bottom wall 25 may be provided with a drain hole (not shown) adjacent to the side wall 27.

  This is easy to manufacture because the column member 1 is formed integrally with the side wall parallel to the longitudinal direction, and the bottom wall 25 and the side walls 26 and 27 at both ends in the longitudinal direction are attached thereto. Further, if the material for forming the hand mounting portion 4 is made of the same material as the material for forming the side wall, this can be easily fixed to the side wall 21 by a method such as welding, so Can be fixed to the side wall.

A second embodiment of the present invention will be described.
In the surgical tent of Example 2, as shown in FIG. 7, first, a support member 1 is formed separately, and a wall sheet is attached thereto so as to be integrated.

  Specifically, a strut member forming mandrel assembly 7 formed by combining a plurality of mandrels is prepared, and two types of long sheets (strips) 201 and 202 similar to those of the first embodiment are respectively provided in the mandrel assembly. It arrange | positions so that the corresponding position of the solid | solid 7 may be pinched | interposed, and as shown in FIG. Next, the mandrels 71, 72, 73, 74 are first pulled out to secure the outlets for the remaining mandrels 75, 76, 77, 78, 79, 710, and then, as shown in FIG. The hatched portions 107, 108, 109, 1010, and 1011 including the re-welded portions are finally connected to the connectors 81, 82, 83, 82, 81 and the air inlet member XX having shapes corresponding to the column elements of the respective portions. If it mounts | wears and welds, the support | pillar member 1 can be formed.

  In this example, a column member that is the skeleton of the tent is formed in advance, and the tent body sheet 2 is attached to the column member. Therefore, the column member 1 itself is formed more easily than in the first embodiment. Is bad. Since the strut elements are formed from a pair of long members, the strut members expand equally on the welding surface symmetrically. Further, since the hand mounting portion 4 and the assistant hand mounting portion can be formed in advance, the overall workability is the same as that of the first embodiment.

Claims (9)

A surgical tent having a bottom wall placed on the patient's body and providing a space for performing an aseptic operation by covering a part of the patient's body surface including the treatment site with the bottom wall. Because
A strut member which forms the skeleton of the tent-like structure, a transparent, flexible and sheet-shaped tent body, a flexible sheet of the bottom closing the bottom to form a provided strut member sealed tent-like structures A wall and a flexible sheet-like side wall closing both longitudinal ends of the tent body,
The bottom wall is provided with an opening for exposing a treatment site of a patient,
Wherein the tent body, in proximity to the treatment site exposure opening, the operator's hand pair of hand insertion portion for insertion into the tent is provided,
The tent main body or the side wall is provided with a closed medical device entrance that can be opened and closed for carrying a medical device necessary for the treatment at a position away from the treatment site exposure opening,
Adhesive means for adhering the periphery to the periphery of the surgical site is provided at the peripheral edge of the surgical site exposure opening, preventing the surgical site exposure opening from being displaced from the surgical site, and the outside air tent. Surgical tent that is designed to prevent inflow. The surgical tent according to claim 1, wherein the support member is a flexible tubular member. The surgical tent according to claim 2, wherein a gas injection port for injecting gas into the tubular member is provided in a portion adjacent to the bottom wall of the support member. The surgical tent according to any one of claims 1 to 3, wherein the adhesive means is an adhesive tape. The surgical tent according to any one of claims 1 to 4, wherein the support member is integrally formed of a plurality of support elements. The surgical tent according to claim 5, wherein the adjacent strut elements are directly connected to each other. 6. The surgical tent according to claim 5, wherein the column element is formed by bonding two long sheets on two sides in the longitudinal direction. The surgical tent according to claim 5, wherein the support element is formed integrally with the sheet-like tent body. The surgical tent according to claim 8, wherein the support element is formed by welding two longitudinal sides of a long sheet to the sheet-like tent body.

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