JP4922813B2 - Gas supply tool for inhalation - Google Patents
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Description
本発明は、吸入用ガスを吸入する為の吸入用具に関する。更に詳細には、在宅酸素療法等に使用される酸素富化ガス、疲労回復を目的とした低濃度酸素ガスや、アロマセラピーで使用される香り物質等を、吸入用具を外鼻周辺に配置せず、皮膚の圧迫なしに、かつ、美観を損なわずに供給する吸入用ガス供給用具に関するものである。 The present invention relates to an inhalation device for inhaling inhalation gas. More specifically, oxygen-rich gas used for home oxygen therapy, low-concentration oxygen gas for fatigue recovery, and fragrance materials used for aromatherapy should be placed around the outer nose. In particular, the present invention relates to an inhalation gas supply device that supplies without damaging the skin and without damaging the appearance.
在宅酸素療法やアロマセラピー等での吸入用ガス吸入には、一般に鼻孔カニューラが使用されている。鼻孔カニューラは、酸素濃縮器やガスボンベ等から供給される吸入用ガスを使用者の鼻孔まで導く為、途中で分岐したカニューラを左右両耳に掛け、患者鼻腔に挿入する吸入用ガス供給管(プロング)を有する鼻部分岐部にカニューラ開放端を接続することで吸入用ガスを使用者鼻孔に供給する用具である。 Nasal cannula is generally used for inhalation gas inhalation in home oxygen therapy and aromatherapy. A nostril cannula is an inhalation gas supply tube (prongs) that can be inserted into the patient's nasal cavity by hanging the cannula branched in the middle on the left and right ears to guide the inhalation gas supplied from an oxygen concentrator or gas cylinder to the user's nostril. ) To supply the inhalation gas to the user's nostril by connecting the open end of the cannula to the nose branch.
鼻孔カニューラはシンプルな形状の吸入用ガス投与具で、使い易く、安価であり、長期酸素療法等には適した吸入用具である。一方で、以下の不利益な点を含んでいる。
1.供給用具接触による頬・鼻孔部の刺激
2.プロング装着による美観の悪化
The nostril cannula is a simple-shaped inhalation gas administration device that is easy to use and inexpensive and suitable for long-term oxygen therapy. On the other hand, the following disadvantages are included.
1. 1. Stimulation of cheeks and nostrils by contact with supply tools Deterioration of aesthetics with prongs
上記不利益を解決する形態として、US6065473号公報(特許文献1)では、ヘッドセット型の支持体により酸素供給チューブを固定し、酸素富化ガス供給チューブ端に酸素富化ガス放出ノズルを設け、酸素富化ガス供給用ノズルが鼻孔に接触することなく、酸素富化ガスを投与する手段が開示されている。このシステムでは、供給用具が顔部に非接触のため頬や鼻孔部への刺激が少ない。しかしながら、酸素を吸入する為には酸素供給用ノズルを鼻・口付近に配置する支持体が必要で、その支持体は美観を悪化させる。また、酸素富化ガス供給用ノズルから放出される酸素富化ガスは直進性の噴流であり、噴出方向が鼻・口近辺から外れると吸入気酸素濃度低下の危険がある。顔部と離れた酸素富化ガス供給用ノズルの向きを調節するのは困難を要する。 As a form to solve the above disadvantages, in US Pat. No. 6,065,473 (Patent Document 1), an oxygen supply tube is fixed by a headset-type support, and an oxygen-enriched gas discharge nozzle is provided at the end of the oxygen-enriched gas supply tube. Means are disclosed for administering oxygen-enriched gas without the oxygen-enriched gas supply nozzle contacting the nostril. In this system, there is little irritation to the cheeks and nostrils because the supply device does not contact the face. However, in order to inhale oxygen, a support body in which oxygen supply nozzles are arranged near the nose and mouth is necessary, and the support body deteriorates aesthetics. Further, the oxygen-enriched gas discharged from the oxygen-enriched gas supply nozzle is a straight jet, and there is a risk of a decrease in the intake air oxygen concentration if the ejection direction deviates from the vicinity of the nose or mouth. It is difficult to adjust the direction of the oxygen-enriched gas supply nozzle away from the face.
また、US6450166号公報(特許文献2)には、ヘッドセット型の支持体により酸素富化ガス供給チューブを固定し、同様にチューブ端に酸素富化ガス放出ノズルを設け、外鼻部に対し非接触で酸素富化ガスを投与する手段が開示されている。このシステムは、酸素富化ガス放出ノズル部にディフューザ(拡散ノズル)を設けている為、広範囲に酸素富化ガスを拡散させる。これによりディフューザの設置位置の調節は容易となる。しかしながら、拡散させて酸素供給するため、ディフューザを鼻口付近に設置せねばならず、装着時にディフューザが目立つ欠点がある。 Further, in US Pat. No. 6,450,166 (Patent Document 2), an oxygen-enriched gas supply tube is fixed by a headset-type support, and similarly an oxygen-enriched gas discharge nozzle is provided at the end of the tube so Means for administering oxygen enriched gas in contact are disclosed. In this system, since the diffuser (diffusion nozzle) is provided in the oxygen-enriched gas discharge nozzle portion, the oxygen-enriched gas is diffused over a wide range. This makes it easy to adjust the installation position of the diffuser. However, in order to supply oxygen by diffusing, it is necessary to install a diffuser in the vicinity of the nostril, and there is a drawback that the diffuser is conspicuous when worn.
上記のように、現在、普及している鼻孔カニューラには、頬・鼻孔への刺激、美観悪化の課題があり、特許文献1の方法では、頬・鼻孔への刺激は緩和されているものの、ノズルの位置調節が困難という課題があり、特許文献2の方法では、頬・鼻孔への刺激、ノズル調節の困難さは緩和されるが、美観が悪化する。本願発明は、かかる課題を解決する吸入用のガス供給用具を提供するものである。 As described above, currently popular nostril cannula has a problem of irritation to cheeks and nostrils and deterioration of aesthetics. In the method of Patent Document 1, although irritation to cheeks and nostrils is alleviated, There is a problem that it is difficult to adjust the position of the nozzle. In the method of Patent Document 2, stimulation to the cheeks and nostrils and difficulty of nozzle adjustment are alleviated, but the aesthetics deteriorate. The present invention provides a gas supply tool for inhalation that solves this problem.
かかる課題を解決する手段として本発明者は以下の吸入用ガス投与方法を見出した。すなわち本発明は、吸入用ガスを供給するノズルを鼻口以外の顔外周面上に設置し、該ノズルと顔外周面の成す角度が鋭角とすることで、該ノズルから噴出する吸入用ガス流をコアンダ効果により顔部外周面に付着させて、鼻口付近へ吸入用ガスを供給することを特徴とする吸入用ガス供給用具を提供するものである。 As means for solving such a problem, the present inventor has found the following inhalation gas administration method. That is, according to the present invention, the nozzle for supplying the inhalation gas is installed on the outer peripheral surface of the face other than the nostril, and the angle formed by the nozzle and the outer peripheral surface of the face is an acute angle, so that the inhalation gas flow ejected from the nozzle An inhalation gas supply tool is provided in which an inhalation gas is supplied to the vicinity of the nostril by adhering to the outer peripheral surface of the face by the Coanda effect.
本願発明の吸入用ガス供給用具を用いることにより、従来の鼻孔カニューラのように供給用具が顔部に接触しないため、頬・鼻孔刺激が軽減される。また、鼻・口付近にノズルを設置する必要が無いため、美観を損なわずに吸入用ガス吸入を行なうことができる。しかも、コアンダ効果により、吸入用ガス噴流の到達距離は、自由噴流よりも長くなり、鼻・口から、さらに離れた位置にノズルを設置可能である。また、顔部外周面上にノズルを固定する為、位置調節が容易である。 By using the inhalation gas supply device of the present invention, the supply device does not come into contact with the face as in the conventional nostril cannula, so cheek and nostril stimulation is reduced. Further, since it is not necessary to install a nozzle near the nose / mouth, it is possible to perform inhalation gas inhalation without impairing the beauty. Moreover, due to the Coanda effect, the reach distance of the suction gas jet is longer than that of the free jet, and the nozzle can be installed at a position further away from the nose and mouth. Further, since the nozzle is fixed on the outer peripheral surface of the face portion, the position adjustment is easy.
本発明の吸入用ガス供給用具の実施態様例を以下に説明する。
本発明の吸入用ガス供給用具は、ガスボンベ等の吸入用ガス供給源から吸入用ガス供給チューブを介して供給される吸入用ガスを使用者の鼻または口に供給する用具である。吸入用ガス供給用具は、装着者の頭部にかける支持体、該支持体に固定される吸入用ガス供給用ノズルを備え、かかるノズルの一方の端部には吸入用ガス供給用チューブの固定部が、他方の端部は装着者の鼻・口から離れた位置に位置し、該他方の端部から装着者の顔部外周面上の鼻・口方向に吸入用ガスを送風する供給端部を備える。供給先端部のノズル管路方向と装着部顔部表面のなす角度は鋭角であり、供給された吸入用ガスは、鼻・口以外の顔部外周面へ放出され、放出された吸入用ガス噴流はコアンダ効果により顔部外周面に付着した状態で流れ、鼻・口周辺まで輸送される。
Embodiment examples of the inhalation gas supply device of the present invention will be described below.
The inhalation gas supply device of the present invention is a device for supplying inhalation gas supplied from an inhalation gas supply source such as a gas cylinder through an inhalation gas supply tube to the user's nose or mouth. The inhalation gas supply tool includes a support member that is placed on the wearer's head and an inhalation gas supply nozzle that is fixed to the support member, and a suction gas supply tube is fixed to one end of the nozzle. The other end is located away from the wearer's nose and mouth, and the supply end that blows inhalation gas from the other end toward the nose and mouth on the outer peripheral surface of the wearer's face A part. The angle formed between the nozzle line direction of the supply tip and the face of the attachment part is an acute angle, and the supplied suction gas is discharged to the outer peripheral surface of the face other than the nose and mouth, and the released suction gas jet Flows in the state of adhering to the outer peripheral surface of the face due to the Coanda effect, and is transported to the periphery of the nose and mouth.
吸入用ガス供給源としては、ガスボンベの他、液体酸素や空気中の酸素を分離し酸素富化ガスを供給する酸素富化膜を用いた膜式酸素濃縮装置やゼオライトを窒素吸着剤として用いた圧力変動吸着型酸素濃縮装置、電気化学的に酸素を分離する酸素濃縮装置などを用いることができる。 As a gas supply source for suction, in addition to a gas cylinder, a membrane-type oxygen concentrator using an oxygen-enriched membrane that separates liquid oxygen and oxygen in the air and supplies an oxygen-enriched gas or zeolite was used as a nitrogen adsorbent. A pressure fluctuation adsorption type oxygen concentrator, an oxygen concentrator that electrochemically separates oxygen, and the like can be used.
コアンダ効果とは、気体や液体の噴流が噴流軸の方向と湾曲した壁の方向とが離れていても、壁の曲面に沿った方向の近くを流れようとする傾向をいい、本発明の吸入用ガス供給用具は、この性質を利用し、顔面正面や鼻孔先端部まで供給用具であるプロングなどを設けず、離れた位置である頬などに吸入用ガスを噴出させ、皮膚表面に沿って鼻孔あるいは口まで流す。これにより鼻孔カニューラ装着時の美観を維持することができる。 The Coanda effect refers to the tendency that a jet of gas or liquid tends to flow near the direction along the curved surface of the wall, even if the direction of the jet axis is away from the direction of the curved wall. The gas supply device uses this property and does not provide a prong or the like as a supply device up to the front of the face or the tip of the nostril. Or pour it to the mouth. Thereby, the beauty | look at the time of a nostril cannula wearing can be maintained.
吸入用ガス吸入用具を装着者の頭部で支持するための支持体を備える。例えば、耳で支持する場合には、外耳にリング等で掛ける耳掛け型や耳穴挿入型(イヤホン型)とすることで実現でき、装着者の頭頂部で吸入用具を支持する場合には、ヘッドセット型の支持体とすることで実現できる。 A support for supporting the inhalation gas inhalation device on the head of the wearer is provided. For example, in the case of supporting with an ear, it can be realized by using an ear hook type or an ear hole insertion type (earphone type) that hangs on the outer ear with a ring or the like. This can be realized by using a set-type support.
支持体には、吸入用ガスを供給するための吸入用ガス供給用ノズルが固定される。かかるノズルには、一方の端部に吸入用ガス供給用チューブの固定部、他方の端部から装着者の顔部外周面上の鼻・口方向に吸入用ガスを送風する供給端部を備える。吸入用ガス供給用ノズルの吸入用ガス供給先端部のノズル管路方向と装着部顔部表面のなす角度は鋭角とすることで上記コアンダ効果を実現することができる。支持体の形態を変えることで、コアンダ効果を実現するようノズルを額部、顎部、頬部、耳部などに選択的に設置でき、使用状況(昼間活動時、夜間睡眠時)に適した吸入用ガス供給を実現できる。 A suction gas supply nozzle for supplying suction gas is fixed to the support. Such a nozzle includes a fixed portion of a suction gas supply tube at one end, and a supply end that blows the suction gas from the other end toward the nose and mouth on the outer peripheral surface of the wearer's face. . The above-mentioned Coanda effect can be realized by making the angle between the nozzle line direction of the suction gas supply tip of the suction gas supply nozzle and the surface of the mounting portion face portion an acute angle. By changing the form of the support, nozzles can be selectively installed on the forehead, jaw, cheeks, ears, etc. to achieve the Coanda effect, making it suitable for use situations (during daytime activities and nighttime sleep) Inhalation gas supply can be realized.
装着方法、装着者によってノズル方向が変化することから、供給方向を補正する回転式部材を備え、或いはノズル自体を可撓性部材とするなど、供給方向を調節する方向可変部を備える。 Since the nozzle direction changes depending on the mounting method and the wearer, a rotating member that corrects the supply direction is provided, or a direction variable unit that adjusts the supply direction is provided, such as a flexible member.
吸入用ガス供給用ノズルの供給端部には、吸入用ガス供給用ノズルの吸入用ガスの供給方向と装着部顔部表面のなす角度を変更する角度切替手段備を備える。供給する吸入用ガスの流速によって鋭角とする供給角度の調整を行い、調整範囲は、吸入用ガス供給用ノズルの吸入用ガスの供給方向と顔部表面のなす角度が15度より大きく80度未満、より確実にコアンダ効果を実現しつつ吸入用ガスを供給するためには15度〜60度、更に好ましくは15度〜45度の範囲とする。 At the supply end of the suction gas supply nozzle, there is provided an angle switching means for changing the angle formed by the suction gas supply direction of the suction gas supply nozzle and the mounting portion face surface. The supply angle is adjusted to an acute angle according to the flow velocity of the supplied suction gas. The adjustment range is such that the angle formed between the suction gas supply direction of the suction gas supply nozzle and the face surface is greater than 15 degrees and less than 80 degrees. In order to supply the inhalation gas while realizing the Coanda effect with more certainty, the angle is in the range of 15 to 60 degrees, more preferably 15 to 45 degrees.
吸入用ガス流速が早くなるとコアンダ効果なしにそのまま吸入用ガスが拡散してしまうため、吸入用ガス供給用ノズルのノズル管路径は、吸入用ガスの最大流速が20m/秒以下、より好ましくは5m/秒、更に好ましくは1m/秒となる口径であり、流速を微調整する絞り弁を備えることが好ましい。
吸入用ガス供給用ノズルのノズル長は、美観と供給量を加味し適宜可変可能な伸縮機構を有することが好ましい。
If the suction gas flow rate is increased, the suction gas diffuses without any Coanda effect. Therefore, the nozzle flow path of the suction gas supply nozzle has a maximum suction gas flow rate of 20 m / second or less, more preferably 5 m. It is preferable to provide a throttle valve that finely adjusts the flow rate.
It is preferable that the nozzle length of the suction gas supply nozzle has a telescopic mechanism that can be appropriately changed in consideration of the beauty and supply amount.
図1に、本発明の吸入用ガス供給用具の実施態様例の模式図を示す。
吸入用ガス供給源から供給された吸入用ガスは吸入用ガス供給チューブを通り、吸入用ガス吸入用具へ供給される。吸入用ガス供給チューブは吸入用ガス供給チューブ固定部に接続されている。本例では外耳に載せる半リング状の台座を支持体とする吸入用具を図示している。
FIG. 1 shows a schematic view of an embodiment of the inhalation gas supply device of the present invention.
The suction gas supplied from the suction gas supply source passes through the suction gas supply tube and is supplied to the suction gas suction tool. The suction gas supply tube is connected to the suction gas supply tube fixing portion. In this example, an inhaler using a semi-ring-shaped pedestal mounted on the outer ear as a support is illustrated.
図2に示すように、供給された吸入用ガスは吸入用ガス放出部から噴出する。噴出箇所は、鼻・口部ではない顔部表面であり、本例では耳穴と頬骨の間に位置している。放出した吸入用ガス噴流は鼻口部に向かって流れる。なお、本例に示す通り、吸入用ガス供給用具は鼻・口から離れた位置にあり、チューブが顔表面を這う事がないため、美観を損なわない。 As shown in FIG. 2, the supplied suction gas is ejected from the suction gas discharge section. The eruption site is the face surface that is not the nose or mouth, and in this example is located between the ear hole and the cheekbone. The discharged gas jet for inhalation flows toward the nostril. As shown in the present example, the gas supply tool for inhalation is located away from the nose and mouth, and the tube does not crawl the face surface.
図3は、図1を断面Aで切断した断面図であり、吸入用ガス噴出口を示している。この吸入用ガス噴出口のノズル方向、衝突部である顔表面とのなす角度は鋭角である(図4)。
図5に示す通り、ノズルには、吸入用ガス供給チューブ先端を受ける差込部を備えている。
図6に示す通り、放出部は噴出速度を調節するため、絞り手段として異なる開口面積の複数孔を備えた調節機構を備えてもよい。流量調節機構の詳細図を図7に示す。
FIG. 3 is a cross-sectional view of FIG. 1 cut along a cross-section A, and shows a suction gas outlet. The angle formed by the nozzle direction of the suction gas outlet and the face surface as the collision part is an acute angle (FIG. 4).
As shown in FIG. 5, the nozzle includes an insertion portion that receives the tip of the suction gas supply tube.
As shown in FIG. 6, in order to adjust the ejection speed, the discharge unit may include an adjusting mechanism having a plurality of holes having different opening areas as the throttle means. A detailed view of the flow rate adjusting mechanism is shown in FIG.
また、噴流が付着する距離は、噴出方向と衝突面(顔部)の角度によって異なるため、噴出角度を調節する機構が必要な場合は、例えば図8に示すように、開口方向の異なる複数孔を備えた調節機構を用いるとよい。 Further, since the distance to which the jet flow adheres differs depending on the ejection direction and the angle of the collision surface (face part), when a mechanism for adjusting the ejection angle is necessary, for example, as shown in FIG. An adjustment mechanism provided with
別の態様として、吸入用ガス供給チューブ固定部は、図9に示すような吸入用ガス供給チューブを把持する方法でも良く、この場合は吸入用ガス放出口が、吸入用ガス供給チューブの先端となるが、吸入用ガス放出出口の位置は、吸入用ガス供給チューブの把持位置を変えることで調節できる。吸入用ガス放出口であるチューブ先端は供給角度が鋭角となるようにする。 As another embodiment, the suction gas supply tube fixing portion may be a method of gripping the suction gas supply tube as shown in FIG. 9, in which case the suction gas discharge port is connected to the tip of the suction gas supply tube. However, the position of the suction gas discharge outlet can be adjusted by changing the gripping position of the suction gas supply tube. The tube tip, which is the suction gas discharge port, is set to an acute angle.
図10に、本発明の吸入用ガス供給用具の別の態様例として吸入用ガス放出口を2つ持つ実施例を示す。この実現態様例では鼻・口正面で吸入用ガス噴流を衝突させることができ、鼻口周辺の吸入用ガス濃度を上げることができる。 FIG. 10 shows an embodiment having two suction gas discharge ports as another embodiment of the suction gas supply device of the present invention. In this embodiment, the suction gas jet can collide with the front of the nose and mouth, and the concentration of the suction gas around the nose can be increased.
図2に示した吸入用ガス供給用具を用い、吸入用ガスを実際に吸入することが可能かどうか確認する試験を、頭部の擬似モデル及び人工肺を用い実施した。吸入用ガスには酸素富化ガスを用いた。試験方法の概略を図11に示す。呼吸回数:20回/分、一回換気量:500mlの呼吸に設定し、噴出角度(θ)が人工肺の末端の酸素濃度に与える影響を調べた。 Using the inhalation gas supply tool shown in FIG. 2, a test for confirming whether or not inhalation gas can actually be inhaled was conducted using a simulated model of the head and an artificial lung. An oxygen-enriched gas was used as the inhalation gas. An outline of the test method is shown in FIG. The respiration frequency was set to 20 breaths / min, and the tidal volume was set to 500 ml. The influence of the ejection angle (θ) on the oxygen concentration at the end of the artificial lung was examined.
図12に示した結果の通り、酸素噴出方向と顔表面のなす角度が0度(噴流と頬が平行関係)である場合には、酸素富化ガス供給流量を変化させても、人工肺末端の酸素濃度は21[%O2]であり、環境の酸素濃度と変わらず、酸素富化ガスが人工肺末端に供給されていないことが分かる。一方、噴出方向と顔表面のなす角度が30度である場合は、人工肺末端の酸素濃度が上昇しており、酸素富化ガスを吸入できている。 As shown in FIG. 12, when the angle formed between the oxygen ejection direction and the face surface is 0 degree (the jet and cheek are in a parallel relationship), the end of the artificial lung can be obtained even if the oxygen-enriched gas supply flow rate is changed. The oxygen concentration is 21 [% O2], which is the same as the oxygen concentration in the environment, and it can be seen that the oxygen-enriched gas is not supplied to the end of the oxygenator. On the other hand, when the angle formed between the ejection direction and the face surface is 30 degrees, the oxygen concentration at the end of the artificial lung is increased and oxygen-enriched gas can be inhaled.
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