JP5201709B2 - Cover for prevention of drip indwelling needle removal - Google Patents

Cover for prevention of drip indwelling needle removal Download PDF

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JP5201709B2
JP5201709B2 JP2007101652A JP2007101652A JP5201709B2 JP 5201709 B2 JP5201709 B2 JP 5201709B2 JP 2007101652 A JP2007101652 A JP 2007101652A JP 2007101652 A JP2007101652 A JP 2007101652A JP 5201709 B2 JP5201709 B2 JP 5201709B2
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indwelling needle
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JP2008253659A (en
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智美 中尾
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智美 中尾
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Description

本発明は、手の甲等に処置された点滴留置針の離脱を防止するためのカバーに関する。   The present invention relates to a cover for preventing detachment of a drip indwelling needle treated on the back of a hand or the like.

従来、患者の手の甲の血管に装着した点滴留置針は、絆創膏で手の甲に固定していたので、絆創膏がはげ落ちたりすると留置針が離脱するという問題があった。特に子供の場合には、手の甲に留置針を絆創膏等で固定した留置針が見えるため、不安感や恐怖感を与えてしまうと共に、自分で留置針を引き抜いてしまうという問題があった。この問題を解決するため、本出願人は、手の甲に施された点滴の留置針が見えないように隠蔽できると共に、留置針が手の甲から離脱することを防止できるようにした離脱防止用カバーを提案している(特許文献1)。   Conventionally, an infusion indwelling needle attached to a blood vessel on the back of a patient's hand has been fixed to the back of the hand with a bandage, and there has been a problem that the indwelling needle is detached when the bandage is peeled off. In particular, in the case of a child, the indwelling needle with the indwelling needle fixed on the back of the hand with a plaster or the like can be seen, which gives a sense of anxiety and fear and also causes the indwelling needle to be pulled out by itself. In order to solve this problem, the present applicant has proposed a cover for preventing the indwelling of the infusion needle on the back of the hand so that it cannot be seen and prevents the indwelling needle from being detached from the back of the hand. (Patent Document 1).

特開2003−339859号公報JP 2003-339859 A

ところで、医療現場では点滴の留置針が適切に処置された状態であるかを定期的に点検する必要があり、留置針が離脱しそうになっている場合、或いは既に離脱してしまっている場合には処置し直す必要がある。これは上記特許文献1の離脱防止用カバーを装着した場合であっても同様であり、患者が寝返りした際に点滴チューブが引っ張られて留置針が離脱する可能性があることから定期点検や留置針を処置し直す作業は必要である。   By the way, in the medical field, it is necessary to periodically check whether the indwelling needle is properly treated, and when the indwelling needle is about to be detached or has already been removed. Needs to be re-treated. This is the same even when the cover for preventing detachment of Patent Document 1 is attached, and when the patient lies down, the drip tube may be pulled and the indwelling needle may be detached, so that periodic inspection and indwelling are possible. Reworking the needle is necessary.

しかし、上記特許文献1の離脱防止用カバーを装着した場合には、手の甲の留置針が位置する部位がカバーによって完全に隠蔽されているため、看護師等が定期点検する際、留置針の状態を確認するのが難しい。例えば、この離脱防止用カバーは手の甲の留置針が位置する部位とは異なる部分に通気性を確保するためのメッシュ部材を設けており、このメッシュ部材を留置針が位置する部位までずらずことによってメッシュ部材を通して留置針の状態を確認することはできる。ところが、メッシュ部材を留置針が位置する部位までずらずためには、患者の手を押さえた状態でカバーのみをずらす必要があり、患者に与える刺激が大きい。そのため睡眠中の患者を起こしてしまう可能性がある。   However, when the cover for preventing detachment of Patent Document 1 is attached, the position of the indwelling needle on the back of the hand is completely hidden by the cover. It is difficult to confirm. For example, this detachment prevention cover is provided with a mesh member for ensuring air permeability in a part different from the part where the indwelling needle on the back of the hand is located, and the mesh member is not moved to the part where the indwelling needle is located. The state of the indwelling needle can be confirmed through the mesh member. However, in order not to shift the mesh member to the position where the indwelling needle is located, it is necessary to shift only the cover while holding the patient's hand, and the stimulation given to the patient is great. Therefore, there is a possibility of waking up a sleeping patient.

また留置針の状態を確認した結果、留置針が離脱しそうになっている場合や既に離脱している場合には離脱防止用カバーを患者の手から一旦取り外して留置針を適切な状態に処置し直し、その後再び、離脱防止用カバーを装着する必要がある。このときもまた睡眠中の患者を起こしてしまう可能性があり、カバーの取り外しと再装着の際には慎重な作業が求められる。   Also, as a result of checking the condition of the indwelling needle, if the indwelling needle is about to be detached or has already been removed, remove the removal prevention cover from the patient's hand and treat the indwelling needle to an appropriate state. After that, it is necessary to attach a cover for preventing separation again. Again, this can wake the sleeping patient and requires careful work when removing and replacing the cover.

このように従来の離脱防止用カバーは点滴の留置針が患者の手の甲から離脱することを防止できるものの、看護師等による点検作業や留置針を適切な状態にするためにカバーの取り外しや再装着の作業が繁雑であるうえ、それらの作業によって睡眠中の患者を起こしてしまう可能性があるという問題を有していた。   In this way, the conventional removal prevention cover can prevent the drip indwelling needle from coming off from the back of the patient's hand, but the inspection work by nurses and the like, and removal and reattachment of the cover to put the indwelling needle in an appropriate state In addition to the complexity of the work, there is a problem that the work may cause a sleeping patient.

本発明は、上記従来の問題点を解決することを目的としてなされたものであり、上記従来の離脱防止用カバーを改良し、看護師等による留置針の点検作業を簡単に行えるようにすると共に、留置針が離脱しそうになっている場合や既に離脱している場合でも離脱防止用カバーを患者の手から外すことなく留置針を適切に処置することができるようにした点滴留置針の離脱防止用カバーを提供するものである。   The present invention has been made for the purpose of solving the above-mentioned conventional problems, and has improved the above-mentioned conventional cover for preventing detachment so that a nurse or the like can easily inspect the indwelling needle. The infusion indwelling needle can be properly treated without removing the removal prevention cover from the patient's hand even when the indwelling needle is about to come off or has already been removed. Cover is provided.

上記目的を達成するために、本発明が解決手段として採用したところは、手の甲を覆い、点滴の留置針の離脱を防止するための略筒状のカバーであって、一方端の親指を除いた指先を突出させる指先突出用開口部と、側部の親指を突出させる側部開口部と、他方端の挿通用開口部とを有し、前記指先突出用開口部には適宜な伸縮性を有する伸縮部材を設けると共にその開口縁に締付手段を設け、前記挿通用開口部には適宜な伸縮性を有する伸縮部材を設けると共にその開口縁に締付手段を設け、前記カバーを手に装着したとき手の甲に処置された留置針に対応する位置に前記留置針の被覆部材を設けると共に、前記カバーを装着した状態で前記指先突出用開口部の伸縮部材及び前記被覆部材を開閉させるスライド方式のファスナー部材を備え、このファスナー部材は前記指先突出用開口部から前記挿通用開口部に向かう分離線に沿って設けており、前記指先突出用開口部の伸縮部材及び前記被覆部材を前記ファスナー部材をスライド操作することで前記指先突出用開口部側から開いて留置針が位置する部位を露出させることを可能とすると共に、前記指先突出用開口部の伸縮部材の開口縁に設けた締付手段で前記伸縮部材の両端を接合させる点にある。かかる構成によれば、ファスナー部材をスライド操作して被覆部材を開けることで留置針の点検や留置針の処置ができるようになる。そして、上記点滴留置針の離脱防止用カバーにおいては、前記ファスナー部材は前記指先突出用開口部から前記挿通用開口部に向かう分離線に沿って設けており、前記被覆部材を前記ファスナー部材をスライド操作することで前記指先突出用開口部側から開いて留置針が位置する部位を露出させるように構成することが好ましい。この場合、被覆部材を左右に大きく開いて留置針が位置する部位を露出するさせることができるので、留置針の処置が行い易くなる。 In order to achieve the above object, the present invention adopts a substantially cylindrical cover that covers the back of the hand and prevents the drip indwelling needle from being removed, except for the thumb at one end. It has a fingertip projecting opening for projecting the fingertip, a side opening for projecting the thumb on the side, and an insertion opening on the other end, and the fingertip projecting opening has appropriate elasticity. An elastic member is provided and a fastening means is provided at the opening edge thereof. An elastic member having an appropriate elasticity is provided at the insertion opening, and a fastening means is provided at the opening edge, and the cover is attached to the hand. A slide-type fastener that provides a covering member for the indwelling needle at a position corresponding to the indwelling needle treated on the back of the hand, and opens and closes the expansion / contraction member of the fingertip protruding opening and the covering member with the cover attached With components The fastener member is provided along the separating line towards the insertion opening from the fingertip projecting opening, the elastic member and the covering member of the fingertip projecting opening by sliding operation of said fastener member It is possible to expose a portion where the indwelling needle is located by opening from the fingertip protruding opening side, and at both ends of the expansion / contraction member by tightening means provided at the opening edge of the expansion / contraction member of the fingertip protruding opening It is in the point to join . According to this configuration, the indwelling needle can be inspected and the indwelling needle can be treated by sliding the fastener member to open the covering member. In the drip indwelling needle removal prevention cover, the fastener member is provided along a separation line from the fingertip protruding opening to the insertion opening, and the covering member slides on the fastener member. It is preferable to configure so as to expose the part where the indwelling needle is located by opening from the fingertip protruding opening side by operation. In this case, the covering member can be opened widely to the left and right to expose the site where the indwelling needle is located, so that the indwelling needle can be easily treated.

また上記指先突出用開口部の開口縁に設ける締付手段、及び、上記挿通用開口部の開口縁に設ける締付手段は、帯状の面ファスナー部材で構成した。これにより、それぞれの開口縁を指の付け根部分や手首や腕に適度に締め付けた状態でカバーを固定させる。 The tightening means provided at the opening edge of the fingertip protruding opening and the tightening means provided at the opening edge of the insertion opening are constituted by a band-shaped surface fastener member. Thereby, the cover is fixed in a state in which each opening edge is appropriately tightened to the base of the finger, the wrist, or the arm.

また上記点滴留置針の離脱防止用カバーにおいては、小指側の側部から掌側を覆う部材の少なくとも一部をメッシュ部材によって構成することが好ましい。この場合、カバー内部の通気性を確保できる。   In the drip indwelling needle removal prevention cover, it is preferable that at least a part of a member covering the palm side from the little finger side is constituted by a mesh member. In this case, the air permeability inside the cover can be secured.

また上記点滴留置針の離脱防止用カバーにおいては、掌から手首内側を覆う部分に手首固定用シーネを収納する袋体を設けた構成とすることが好ましい。この場合、点滴中の手首の動きを規制できるので、留置針が外れに難くなる。   Moreover, it is preferable that the cover for preventing the drip indwelling needle is provided with a bag body for housing the wrist fixing cine in a portion covering the inner side of the wrist from the palm. In this case, since the movement of the wrist during the drip can be regulated, it becomes difficult for the indwelling needle to come off.

更に上記点滴留置針の離脱防止用カバーにおいては、前記被覆部材は、少なくとも一部に手の甲の留置針が位置する部位を視認可能とする透明カバー部材を備え、その透明カバー部材には模様を付した構成とすることが好ましい。この場合、留置針の点検の際、ファスナー部材を操作して被覆部材を開放する必要が無くなる。   Furthermore, in the drip indwelling needle removal prevention cover, the covering member is provided with a transparent cover member that allows at least a part of the indwelling needle on the back of the hand to be visually recognized, and the transparent cover member is provided with a pattern. It is preferable to adopt the configuration described above. In this case, when the indwelling needle is inspected, it is not necessary to operate the fastener member to open the covering member.

本発明に係る点滴留置針の離脱防止用カバーによれば、カバーを装着した状態で被覆部材を開閉させるファスナー部材を備えている。そのため、ファスナー部材を閉じた状態では被覆部材が手の甲に処置された留置針を覆うので、留置針が離脱するのを防止できると共に、患者に与える不安感や恐怖感を低減できる。そして留置針の状態を点検する際、或いは留置針を適切な状態に処置する際には、ファスナー部材を開放して被覆部材を開けることにより、それら作業を簡単に行うことができる。   According to the cover for preventing detachment of the drip indwelling needle according to the present invention, the fastener member for opening and closing the covering member in a state where the cover is attached is provided. Therefore, in a state where the fastener member is closed, the covering member covers the indwelling needle treated on the back of the hand, so that the indwelling needle can be prevented from being detached, and anxiety and fear given to the patient can be reduced. When checking the state of the indwelling needle or treating the indwelling needle to an appropriate state, these operations can be easily performed by opening the fastener member and opening the covering member.

またファスナー部材を指先突出用開口部から挿通用開口部に向かう分離線に沿って設け、被覆部材を指先突出用開口部側から開いて留置針が位置する部位を露出させることができるようにした場合には、被覆部材を左右に大きく開いて留置針が位置する部位を露出させることができるので、留置針の処置が行い易くなる。 In addition, the fastener member is provided along a separation line from the fingertip protruding opening to the insertion opening, and the covering member is opened from the fingertip protruding opening to expose the portion where the indwelling needle is located. In this case, the covering member can be opened to the left and right to expose the site where the indwelling needle is located, so that the indwelling needle can be easily treated.

また点滴留置針の離脱防止用カバーにおける小指側の側部から掌側を覆う部材の少なくとも一部をメッシュ部材によって構成することにより、カバー内部の通気性を確保でき、蒸れや痒みを防止できる。   Further, by configuring at least a part of the member covering the palm side from the side of the little finger in the drip indwelling needle removal prevention cover, air permeability inside the cover can be secured, and stuffiness and stagnation can be prevented.

また掌から手首内側を覆う部分に手首固定用シーネを収納する袋体を設けた場合には、点滴中の手首の動きを規制できるので、留置針が外れに難くなり、更に優れた離脱防止効果を発揮する。   In addition, when a bag body that holds the cine for fixing the wrist is provided in the part that covers the wrist from the palm side, the movement of the wrist during infusion can be controlled, making it difficult for the indwelling needle to come off, and an even better removal prevention effect Demonstrate.

更に被覆部材の少なくとも一部に手の甲の留置針が位置する部位を視認可能とする透明カバー部材を設けると共に、その透明カバー部材に模様を付した場合には、留置針点検の際、ファスナー部材を開放して被覆部材を開ける必要がなくなり、作業効率が一層向上する。またこの場合、患者の注意を絵柄に向けることができるので、患者に与える不安感や恐怖感も低減できる。   In addition, a transparent cover member is provided on at least a part of the covering member so that the part where the indwelling needle on the back of the hand is located can be visually confirmed. There is no need to open the covering member and work efficiency is further improved. Further, in this case, since the patient's attention can be directed to the pattern, anxiety and fear given to the patient can be reduced.

以下図面に基づいて本発明の好ましい実施形態を詳述する。尚、以下の図例では右手用に構成した点滴留置針の離脱防止用カバーを示すが、左手用の場合は左右対称の構成とすれば良い。   Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the drawings. In the following example of the drawing, a cover for preventing the drip indwelling needle configured for the right hand is shown, but in the case of the left hand, it may be configured symmetrically.

(第1実施形態)
図1及び図2はそれぞれ本発明の第1実施形態における点滴留置針の離脱防止用カバー1を示す図である。図1(a)及び(b)に示すように、離脱防止用カバー1は、点滴の留置針が処置される手の甲を覆うことができるように略筒状に構成されており、一方端に、親指を除く他の指先を突出させる指先突出用開口部2を設けると共に、側部に親指を突出させる側部開口部3を設けており、他方端には装着時に手を挿入するための挿通用開口部4を設けている。より具体的には、手の甲を覆うように配置された被覆部材5と、掌を覆うように配置された通気性を有するメッシュ部材6とを親指側と小指側の両側部で互いに縫着しており、一方の指先突出用開口部2側に親指を除く他の指を若干締め付ける程度の伸縮性を有する伸縮部材7を配置すると共に、他方の挿通用開口部4側に手首や腕を若干締め付ける程度の伸縮性を有する伸縮部材8を環状に配置して略筒状の構成としている。そして伸縮部材7には指先突出用開口部2の開口縁を指の付け根部分にフィットさせるための締着手段10として面ファスナー部材10a,10bが設けられており、伸縮部材8には挿通用開口部4の開口縁を手首や腕にフィットさせるための締着手段11として面ファスナー部材11aが設けられる。但し、締着手段10,11は面ファスナー部材に限定するものではなく、紐を締め付けることなどで締着するようにしてもよい。尚、側部開口部3の周縁にも伸縮部材を配置することが好ましい。
(First embodiment)
FIG. 1 and FIG. 2 are views showing the drip indwelling needle removal prevention cover 1 in the first embodiment of the present invention. As shown in FIGS. 1 (a) and 1 (b), the detachment prevention cover 1 is configured in a substantially cylindrical shape so as to cover the back of the hand to be treated with an indwelling needle, and at one end, A fingertip projecting opening 2 for projecting other fingertips excluding the thumb is provided, and a side opening 3 for projecting the thumb is provided on the side, and the other end is used for inserting a hand when worn. An opening 4 is provided. More specifically, the covering member 5 disposed so as to cover the back of the hand and the mesh member 6 having air permeability disposed so as to cover the palm are sewn to each other on both the thumb side and the little finger side. An elastic member 7 having a degree of elasticity that slightly tightens the other fingers except the thumb is disposed on one fingertip protruding opening 2 side, and a wrist and an arm are slightly tightened on the other insertion opening 4 side. The elastic member 8 having a certain degree of elasticity is arranged in a ring shape to form a substantially cylindrical shape. The elastic member 7 is provided with hook-and-loop fastener members 10a and 10b as fastening means 10 for fitting the opening edge of the fingertip protruding opening 2 to the base of the finger, and the elastic member 8 has an insertion opening. A hook-and-loop fastener member 11a is provided as fastening means 11 for fitting the opening edge of the portion 4 to the wrist or arm. However, the fastening means 10 and 11 are not limited to hook-and-loop fastener members, and may be fastened by fastening a string or the like. In addition, it is preferable to arrange an elastic member also on the periphery of the side opening 3.

被覆部材5と伸縮部材7は、手の甲のほぼ中央を通り、指先突出用開口部から挿通用開口部に向かう分離線Lに沿って左右に分離可能に設けられている。被覆部材5は、この分離線Lを境にして手の甲の親指側の約半分領域を覆う第1被覆部材5aと、小指側の約半分領域を覆う第2被覆部材とを備えており、これら第1及び第2被覆部材5a,5bを手の甲のほぼ中央で重ね合わせると共に、その重ね合わせた部分の第1及び第2被覆部材5a,5bの間に分離線Lに沿ってファスナー部材9を設けている。また伸縮部材7の外面には帯状の面ファスナー部材10a,10b等で構成される締着部材10が設けられ、左右に分離可能な伸縮部材7の両端を接合させた状態とし、更に指の付け根の部分を適度に締め付けた状態でカバー先端を手の周りに固定することができる。   The covering member 5 and the expansion / contraction member 7 are provided so as to be separable right and left along a separation line L that passes through substantially the center of the back of the hand and extends from the fingertip protruding opening to the insertion opening. The covering member 5 includes a first covering member 5a that covers about a half area on the thumb side of the back of the hand, and a second covering member that covers about a half area on the little finger side, with the separation line L as a boundary. The first and second covering members 5a and 5b are overlapped at the center of the back of the hand, and a fastener member 9 is provided along the separation line L between the first and second covering members 5a and 5b of the overlapped portion. Yes. Further, a fastening member 10 composed of strip-shaped surface fastener members 10a, 10b and the like is provided on the outer surface of the stretchable member 7, and both ends of the stretchable member 7 separable to the left and right are joined, and the base of the finger is further provided. It is possible to fix the tip of the cover around the hand in a state in which the portion is moderately tightened.

図1(a)はファスナー部材9を閉じた状態を示しており、(b)はファスナー部材9を開けた状態を示している。ファスナー部材9を閉じた場合には、被覆部材5は点滴留置針が処置された手の甲をほぼ完全に覆うことができる。被覆部材5は、柔軟性があり、内部を見えないように隠蔽できる素材であれば良い。例えば綿等を内包した厚手の布地を使用することが好ましいが、これに限られるものではなく、薄手の布地、皮、毛糸、不織布等を使用しても良い。また被覆部材5の表面にキャラクターの絵柄など模様を付しても良い。ファスナー部材9を閉じたときには、この被覆部材5が手の甲に施した点滴留置針を見えないように隠蔽するので、子供に不安感や恐怖感を与えてしまうといった問題を解消できると共に、子供が自分で留置針を引き抜いてしまうことも防止できる。このとき指先突出用開口部2を形成する伸縮部材7に設けた面ファスナー部材10a,10bを互いに接合させ、指先突出用開口部2の開口縁を指の付け根部分にフィットさせておくことにより、指先突出用開口部2から指を挿入して患者が自分で留置針を引き抜くことも防止できる。   1A shows a state in which the fastener member 9 is closed, and FIG. 1B shows a state in which the fastener member 9 is opened. When the fastener member 9 is closed, the covering member 5 can almost completely cover the back of the hand treated with the drip indwelling needle. The covering member 5 may be a material that is flexible and can be concealed so that the inside cannot be seen. For example, although it is preferable to use a thick fabric containing cotton or the like, the present invention is not limited to this, and a thin fabric, leather, wool yarn, non-woven fabric, or the like may be used. A pattern such as a character pattern may be attached to the surface of the covering member 5. When the fastener member 9 is closed, the covering member 5 hides the drip indwelling needle on the back of the hand so that it cannot be seen. It is also possible to prevent the indwelling needle from being pulled out. At this time, the hook-and-loop fastener members 10a and 10b provided on the elastic member 7 forming the fingertip protruding opening 2 are joined to each other, and the opening edge of the fingertip protruding opening 2 is fitted to the base of the finger, It is also possible to prevent the patient from pulling out the indwelling needle by himself by inserting a finger from the fingertip protruding opening 2.

一方、ファスナー部材9をスライドさせて開けた状態では、図1(b)に示すように伸縮部材7に設けた締着手段10の面ファスナー部材10a,10bを開放することにより、被覆部材5を大きく左右に開放することができる。ファスナー部材9の開閉操作は、指先突出用開口部2の開口縁又は挿通用開口部4の開口縁を摘んだ状態で行えば、患者に大きな刺激を与えることなく、被覆部材5のほぼ中央を開閉することができる。   On the other hand, when the fastener member 9 is slid open, the covering member 5 is opened by opening the surface fastener members 10a and 10b of the fastening means 10 provided on the elastic member 7 as shown in FIG. It can be opened to the left and right. If the opening / closing operation of the fastener member 9 is performed in a state in which the opening edge of the fingertip protruding opening 2 or the opening edge of the insertion opening 4 is picked, the center of the covering member 5 is substantially centered without giving a large stimulus to the patient. Can be opened and closed.

図2は点滴留置針を手の甲に施して離脱防止用カバー1を装着した状態を示す図であり、(a)は被覆部材5を閉じた状態を示しており、(b)は点検時にファスナー部材9をスライドさせて被覆部材5の中央を開放した状態を示しており、(c)は留置針を適切に処置するために被覆部材5を大きく左右に開放した状態を示している。図2(a)に示すように点滴中はファスナー部材9が被覆部材5を閉じた状態としておくことにより、留置針が隠蔽される。また被覆部材5は手の甲に施した留置針が位置する部位を保護する機能も有している。このとき伸縮部材8に設けた締着手段11を適度に締め付けて点滴チューブ21を手首や腕に固定しておくことにより、寝返り等で点滴チューブ21が引っ張られた場合であっても留置針が抜けることを抑制できる。そして看護師等が留置針の状態を確認する際には、図2(b)に示すようにファスナー部材9をスライド操作して被覆部材5の中央を開放することにより、手の甲に施した留置針20の状態を確認することができる。そして確認した結果、留置針20が離脱しそうになっている場合や既に離脱してしまっている場合には、図2(c)に示すように指先側の締着部材10を開放して被覆部材5を指先突出用開口部2側から左右に大きく開いて留置針20が位置する部位を露出させ、留置針20を適切な状態に処置する。このとき手首側の締着手段11は手首や腕にフィットさせた状態で作業を行うことができ、この作業中、離脱防止用カバー1を患者の手から取り外す必要はない。尚、点検の際、図2(c)に示す如く、被覆部材5を大きく左右に開放して留置針20の状態を確認するようにしても良い。   FIG. 2 is a view showing a state in which a drip indwelling needle is applied to the back of the hand and a cover 1 for preventing detachment is attached, (a) shows a state where the covering member 5 is closed, and (b) shows a fastener member during inspection. 9 shows a state in which the center of the covering member 5 is opened by sliding, and (c) shows a state in which the covering member 5 is largely opened left and right in order to appropriately treat the indwelling needle. As shown in FIG. 2A, the indwelling needle is concealed by the fastener member 9 keeping the covering member 5 closed during the drip. The covering member 5 also has a function of protecting the portion where the indwelling needle applied to the back of the hand is located. At this time, by properly tightening the fastening means 11 provided on the elastic member 8 and fixing the drip tube 21 to the wrist or arm, the indwelling needle can be moved even when the drip tube 21 is pulled by turning over or the like. It can be suppressed from coming off. When the nurse or the like confirms the state of the indwelling needle, the indwelling needle applied to the back of the hand is opened by sliding the fastener member 9 to open the center of the covering member 5 as shown in FIG. 20 states can be confirmed. As a result of confirmation, if the indwelling needle 20 is about to be detached or has already been separated, the fingertip side fastening member 10 is opened as shown in FIG. 5 is opened to the left and right from the fingertip protruding opening 2 side to expose a portion where the indwelling needle 20 is located, and the indwelling needle 20 is treated in an appropriate state. At this time, the wrist side fastening means 11 can be operated with the wrist or arm fitted, and during this operation, it is not necessary to remove the detachment prevention cover 1 from the patient's hand. At the time of inspection, as shown in FIG. 2C, the covering member 5 may be largely opened to the left and right to check the state of the indwelling needle 20.

以上の点滴留置針の離脱防止用カバー1は、患者の手に装着してファスナー部材9を閉じた状態では被覆部材5が手の甲の留置針20が位置する部位を覆い、留置針20が見えないように隠蔽するので、留置針20が離脱するのを防止できると共に、患者に与える不安感や恐怖感も低減できる。このとき手の親指は側部開口部3から突出し、親指を除く他の指は指先突出用開口部2から突出するので、点滴中にも手の指を自由に使えるという利点がある。また掌を覆うように配置されたメッシュ部材6は、離脱防止用カバー1を装着した状態での通気性を確保し、蒸れや痒みを防止する。   In the above-described drip indwelling needle removal prevention cover 1, the covering member 5 covers the part where the indwelling needle 20 on the back of the hand is located and the indwelling needle 20 cannot be seen when the cover 1 is attached to the patient's hand and the fastener member 9 is closed. Thus, the indwelling needle 20 can be prevented from detaching, and the anxiety and fear given to the patient can be reduced. At this time, the thumb of the hand protrudes from the side opening 3, and the other fingers except the thumb protrude from the opening 2 for protruding the fingertip. Therefore, there is an advantage that the finger of the hand can be used freely during the drip. Further, the mesh member 6 arranged so as to cover the palm ensures air permeability in a state where the cover 1 for preventing detachment is mounted, and prevents stuffiness and stagnation.

そして看護師等が定期点検する際には、ファスナー部材9をスライド操作して被覆部材5を開放することにより、手の甲に施した留置針20の状態を確認することができる。ファスナー部材9を開閉する際には患者の手を押さえる必要がないので患者に大きな刺激を与えることがなく、睡眠中の患者を起こさずに確認作業を行うことができる。   When a nurse or the like periodically checks, the state of the indwelling needle 20 applied to the back of the hand can be confirmed by sliding the fastener member 9 to open the covering member 5. When the fastener member 9 is opened and closed, it is not necessary to hold the patient's hand, so that the patient is not greatly stimulated and the confirmation work can be performed without waking up the sleeping patient.

そして留置針20が離脱しそうになっている場合や既に離脱してしまっている場合には、指先突出用開口部2を締め付ける締着部材10を開放して指先突出用開口部2の開口縁を開き、被覆部材5を左右に大きく開放させることによって留置針20の処置が行い易くなり、離脱防止用カバー1を患者の手から外すことなく、適切な処置を行える。このときも、カバーの取扱いに関しては患者に大きな刺激を与えることがないので、睡眠中の患者を起こすことなく適切な処置を行える。特に、留置針20を適切な状態に処置し直す際、離脱防止用カバー1を患者の手から外す必要がないので、看護師等による作業の軽減に優れた効果を発揮する。   When the indwelling needle 20 is about to be detached or has already been detached, the fastening member 10 for fastening the fingertip protruding opening 2 is opened to open the opening edge of the fingertip protruding opening 2. By opening the cover member 5 to the left and right, the indwelling needle 20 can be easily treated, and an appropriate treatment can be performed without removing the removal prevention cover 1 from the patient's hand. Also at this time, since the patient is not greatly stimulated regarding the handling of the cover, an appropriate treatment can be performed without waking up the sleeping patient. In particular, when the indwelling needle 20 is treated again in an appropriate state, it is not necessary to remove the detachment prevention cover 1 from the patient's hand, so that an excellent effect in reducing work by a nurse or the like is exhibited.

(第2実施形態)
図3は本発明の第2実施形態における点滴留置針の離脱防止用カバー1aを示す図である。図3では第1実施形態で説明した構成部材と同様の部材については同一符号を付している。本実施形態における離脱防止用カバー1aは、掌から手首内側を覆う部分に手首固定用シーネ25を収納する袋体15を設けた構成であり、通気性を確保するためのメッシュ部材6は筒状体の小指側の側部に設けられている。手首固定用シーネ25は、アルミ板の表面にスポンジ状の弾性部材を貼着し、その外面に包袋等を巻き付けた装具であり、点滴中の手首の動きを規制するために使用される。袋体15は伸縮性のある二枚の布地16,17を表裏に重ね合わせて配置し、その周縁を被覆部材5、メッシュ部材6、伸縮部材7,8と一体に縫着し、内部を中空として手首固定用シーネ25を収納できるようにした構成である。袋体15の開口部18は離脱防止用カバー1aの指先突出用開口部2と同じ側に設けられ、二枚の布地16,17の先端部16a,17aは開口部18の開口縁を超えて更に先端側に延びている。この先端部16a,17aは手首固定用シーネ25を装着したとき、手首固定用シーネ25がカバー1aから離脱しないように開口部18を閉鎖する閉鎖手段19として機能する。すなわち、手首固定用シーネ25を袋体15の開口部18から内側に挿入して装着した後、先端部16a,17aをそれぞれ袋体15の内側に折り返して収納することにより、先端部16a,17aのいずれか一方が手首固定用シーネ25を巻き込んだ状態で開口部18を閉鎖するので、手首固定用シーネ25が離脱することを防止できる。尚、図例では、二枚の布地16,17の先端部16a,17aの双方を開口部18の開口縁よりも延設して閉鎖手段19を構成する場合を例示したが、いずれか一方を延設して閉鎖手段19を構成しても良い。また閉鎖手段19は、袋体15を形成する布地16,17の先端部を開口部18の開口縁よりも延設して構成する場合に限られず、例えばボタンや面ファスナーによる係止構造や巾着構造等で構成しても良い。
(Second Embodiment)
FIG. 3 is a view showing a cover 1a for preventing detachment of a drip indwelling needle in the second embodiment of the present invention. In FIG. 3, the same members as those described in the first embodiment are denoted by the same reference numerals. The cover 1a for preventing detachment in the present embodiment has a configuration in which a bag body 15 for storing a wrist fixing cine 25 is provided in a portion covering the inside of the wrist from the palm, and the mesh member 6 for ensuring air permeability is cylindrical. It is provided on the side of the body on the little finger side. The wrist fixing cine 25 is a device in which a sponge-like elastic member is attached to the surface of an aluminum plate, and a wrapping bag or the like is wound around the outer surface of the aluminum plate, and is used to regulate the movement of the wrist during infusion. The bag body 15 is formed by placing two stretchable fabrics 16 and 17 on the front and back, and sewing the periphery together with the covering member 5, the mesh member 6, and the stretchable members 7 and 8, and the inside is hollow. The wrist fixing cine 25 can be stored. The opening 18 of the bag 15 is provided on the same side as the fingertip protruding opening 2 of the detachment prevention cover 1 a, and the tips 16 a and 17 a of the two fabrics 16 and 17 extend beyond the opening edge of the opening 18. Furthermore, it extends to the tip side. The distal end portions 16a and 17a function as closing means 19 for closing the opening 18 so that the wrist fixing cine 25 is not detached from the cover 1a when the wrist fixing cine 25 is attached. That is, after the cine 25 for fixing the wrist is inserted and attached to the inside from the opening 18 of the bag body 15, the tip portions 16 a and 17 a are folded back and stored inside the bag body 15, respectively. Since the opening part 18 is closed in the state in which any one of these includes the wrist fixing cine 25, it is possible to prevent the wrist fixing cine 25 from being detached. In the example shown in the drawing, the closing means 19 is configured by extending both the tip portions 16a and 17a of the two fabrics 16 and 17 from the opening edge of the opening 18, but either one of them is shown. The closing means 19 may be configured by extending. Further, the closing means 19 is not limited to the case where the tips of the fabrics 16 and 17 forming the bag body 15 are extended from the opening edge of the opening 18, for example, a locking structure using a button or a hook-and-loop fastener or a purse string You may comprise by structure etc.

以上の点滴留置針の離脱防止用カバー1aは、第1実施形態と同様の作用効果を奏すると共に、掌から手首内側を覆う部分に手首固定用シーネ25を収納する袋体15を設けているので、点滴の際、手首の動きを規制することができる。一般に、点滴中に手首が激しく動くと、手の甲に施された留置針に負荷がかかり、留置針が次第に抜けていくことがあるが、本実施形態の場合は袋体15に手首固定用シーネ25に装着しておくことにより、手首を固定して安定させておくことができるので、留置針にかかる負荷を低減し、留置針の離脱予防効果をより一層高めることができる。   The above drip indwelling needle removal prevention cover 1a has the same effect as the first embodiment, and is provided with the bag body 15 for storing the wrist fixing cine 25 in the portion covering the inside of the wrist from the palm. It is possible to regulate wrist movement during infusion. In general, when the wrist moves vigorously during the infusion, the indwelling needle applied to the back of the hand is loaded, and the indwelling needle may gradually come out. In this embodiment, the sine 25 for fixing the wrist to the bag 15 is used. By attaching to the wrist, the wrist can be fixed and stabilized, so that the load applied to the indwelling needle can be reduced and the effect of preventing the indwelling needle from being detached can be further enhanced.

尚、本実施形態では、通気性を確保するためのメッシュ部材6を筒状体の小指側の側部に設けているので、患者は意図的な動作をしない限り、メッシュ部材6を通して手の甲の留置針20を見ることはできないようになっている。但し、メッシュ部材6を小指側の側部に設けることに限定するものではなく、袋体15を設ける位置に応じてメッシュ部材6の位置を適当に変更したものであっても構わない。   In the present embodiment, since the mesh member 6 for ensuring air permeability is provided on the side of the cylindrical finger on the little finger side, the patient can place the back of the hand through the mesh member 6 unless intentional movement is performed. The needle 20 cannot be seen. However, the mesh member 6 is not limited to being provided on the side portion on the little finger side, and the position of the mesh member 6 may be appropriately changed according to the position where the bag body 15 is provided.

(第3実施形態)
図4は本発明の第3実施形態における点滴留置針の離脱防止用カバー1bを示す図であり、点滴留置針を手の甲に施して離脱防止用カバー1bを装着した状態を示している。図4では上記各実施形態で説明した構成部材と同様の部材については同一符号を付している。本実施形態における離脱防止用カバー1bは、手の甲を覆う被覆部材5の一部に手の甲に施した留置針20が位置する部位を視認可能とする透明カバー部材30を設けており、該透明カバー部材30にキャラクターの絵柄などの模様31を付した構成である。透明カバー部材30は無色透明であっても良いが、好ましくは有色透明である。模様31は、留置針が位置する部位を視認することができるように設けられており、例えばカバー内部の視認性を妨げるようなインクが使用される場合には、留置針20が位置する部位を避けた位置に配置される。またインク自体が透明性を有する場合には透明カバー部材30の全体に模様31を配置しても良い。尚、模様31は、子供など患者の注意を惹くものであることが好ましい。
(Third embodiment)
FIG. 4 is a view showing a drip indwelling needle removal prevention cover 1b according to the third embodiment of the present invention, and shows a state in which the drip indwelling needle is applied to the back of the hand and the removal prevention cover 1b is attached. In FIG. 4, members that are the same as the constituent members described in the above embodiments are given the same reference numerals. The cover 1b for preventing detachment in the present embodiment is provided with a transparent cover member 30 that makes it possible to visually recognize a portion where the indwelling needle 20 provided on the back of the hand is located on a part of the covering member 5 that covers the back of the hand. 30 has a pattern 31 such as a character pattern. The transparent cover member 30 may be colorless and transparent, but is preferably colored and transparent. The pattern 31 is provided so that the part where the indwelling needle is located can be visually confirmed. For example, when ink that hinders the visibility inside the cover is used, the part where the indwelling needle 20 is located is provided. Arranged at the avoidance position. Further, when the ink itself has transparency, the pattern 31 may be disposed on the entire transparent cover member 30. Note that the pattern 31 preferably attracts the attention of a patient such as a child.

以上の点滴留置針の離脱防止用カバー1bは、第1実施形態と同様の作用効果を奏すると共に、掌から手首内側を覆う部分に第2実施形態で述べた袋体15を設けた場合には、第2実施形態と同様の作用効果も奏する。そして本実施形態の離脱防止用カバー1bは、手の甲を覆う被覆部材5の一部を手の甲に施した留置針20が位置する部位を視認可能とする透明カバー部材30で構成しているので、看護師等が留置針20の状態を定期的に点検する際には、透明カバー部材30を通して留置針20の状態を確認できるので、ファスナー部材9を操作して被覆部材5を開ける必要がない。   The drip indwelling needle removal prevention cover 1b has the same effect as the first embodiment, and when the bag body 15 described in the second embodiment is provided in a portion covering the palm from the palm to the inside of the wrist. The same effects as those of the second embodiment are also achieved. The separation preventing cover 1b of the present embodiment is composed of a transparent cover member 30 that allows a portion where the indwelling needle 20 is located with a part of the covering member 5 covering the back of the hand to be visible. When a teacher or the like regularly checks the state of the indwelling needle 20, the state of the indwelling needle 20 can be confirmed through the transparent cover member 30, so there is no need to operate the fastener member 9 to open the covering member 5.

ところで、透明カバー部材30はカバー内部を視認可能に設けているので、子供などの患者も手の甲の留置針20が施された部位を見ることができる。しかし、透明カバー部材30にはキャラクターの絵柄などの模様31が付されているので、子供などが透明カバー部材30を見たときには模様31に注意が向けられ、透明カバー部材30の更に奥にある留置針20は注視されない。したがって、子供などの患者に与える不安感や恐怖感を低減することができる。   By the way, since the transparent cover member 30 is provided so that the inside of the cover can be visually recognized, a patient such as a child can also see the portion where the indwelling needle 20 on the back of the hand is applied. However, since the transparent cover member 30 is provided with a pattern 31 such as a character's pattern, attention is directed to the pattern 31 when a child or the like looks at the transparent cover member 30, and it is further in the back of the transparent cover member 30. The indwelling needle 20 is not watched. Therefore, anxiety and fear given to patients such as children can be reduced.

このように本実施形態の離脱防止用カバー1bは、看護師等が留置針20の状態を定期点検する際、被覆部材5を開ける必要がないので、点検作業を効率良く行うことができると共に、患者に与える不安感や恐怖感を低減できるように構成されている。尚、透明カバー部材30を通して確認した結果、留置針20が離脱しそうになっている場合や既に離脱してしまっている場合には、留置針20を処置し直すことが必要になるが、その場合には上述したようにファスナー部材9をスライド操作して被覆部材5を左右に大きく開いた状態とすれば良い。   As described above, the separation preventing cover 1b of the present embodiment does not require the covering member 5 to be opened when a nurse or the like periodically checks the state of the indwelling needle 20, so that the inspection work can be performed efficiently, It is configured to reduce anxiety and fear given to patients. As a result of checking through the transparent cover member 30, if the indwelling needle 20 is about to be detached or has already been detached, the indwelling needle 20 needs to be treated again. As described above, the fastener member 9 may be slid and the covering member 5 may be opened to the left and right.

第1実施形態における点滴留置針の離脱防止用カバーを示す図である。It is a figure which shows the cover for detachment | leave prevention of the drip indwelling needle in 1st Embodiment. 第1実施形態における点滴留置針の離脱防止用カバーを装着した状態を示す図である。It is a figure which shows the state which mounted | wore the removal prevention cover of the drip indwelling needle in 1st Embodiment. 第2実施形態における点滴留置針の離脱防止用カバーを示す図である。It is a figure which shows the cover for detachment | leave prevention of the drip indwelling needle in 2nd Embodiment. 第3実施形態における点滴留置針の離脱防止用カバーを装着した状態を示す図である。It is a figure which shows the state which mounted | wore the drip indwelling needle removal prevention cover in 3rd Embodiment.

符号の説明Explanation of symbols

1,1a,1b 点滴留置針の離脱防止用カバー
2 指先突出用開口部
3 側部開口部
4 挿通用開口部
5 被覆部材
5a 第1被覆部材
5b 第2被覆部材
6 メッシュ部材
9 ファスナー部材
15 袋体
20 点滴留置針
25 手首固定用シーネ
30 透明カバー部材
31 模様
L 分離線
1, 1a, 1b Drip indwelling needle removal prevention cover 2 Fingertip protruding opening 3 Side opening 4 Inserting opening 5 Covering member 5a First covering member 5b Second covering member 6 Mesh member 9 Fastener member 15 Bag Body 20 Infusion indwelling needle 25 Wrist fixing cine 30 Transparent cover member 31 Pattern L Separation line

Claims (5)

手の甲を覆い、点滴の留置針の離脱を防止するための略筒状のカバーであって、
一方端の親指を除いた指先を突出させる指先突出用開口部と、側部の親指を突出させる側部開口部と、他方端の挿通用開口部とを有し、前記指先突出用開口部には適宜な伸縮性を有する伸縮部材を設けると共にその開口縁に締付手段を設け、前記挿通用開口部には適宜な伸縮性を有する伸縮部材を設けると共にその開口縁に締付手段を設け、前記カバーを手に装着したとき手の甲に処置された留置針に対応する位置に前記留置針の被覆部材を設けると共に、前記カバーを装着した状態で前記指先突出用開口部の伸縮部材及び前記被覆部材を開閉させるスライド方式のファスナー部材を備え、このファスナー部材は前記指先突出用開口部から前記挿通用開口部に向かう分離線に沿って設けており、前記指先突出用開口部の伸縮部材及び前記被覆部材を前記ファスナー部材をスライド操作することで前記指先突出用開口部側から開いて留置針が位置する部位を露出させることを可能とすると共に、前記指先突出用開口部の伸縮部材の開口縁に設けた締付手段で前記伸縮部材の両端を接合させることを特徴とする点滴留置針の離脱防止用カバー。
A substantially cylindrical cover that covers the back of the hand and prevents the infusion needle from dropping.
A fingertip protruding opening for protruding the fingertip excluding the thumb at one end, a side opening for protruding the thumb at the side, and an insertion opening at the other end, the fingertip protruding opening Is provided with a stretchable member having appropriate stretchability and a fastening means at its opening edge, and provided with a stretchable member with suitable stretchability at the opening for opening and a fastening means at its opening edge, A covering member for the indwelling needle is provided at a position corresponding to the indwelling needle treated on the back of the hand when the cover is attached to the hand, and the expansion member and the covering member of the opening for protruding the fingertip in a state where the cover is attached comprising a fastener member of a sliding manner to open and close, and the fastener member is provided along the separating line towards the insertion opening from the fingertip protruding opening, elastic member and the covering of the fingertip projecting opening With indwelling needle opening from the fingertip projecting opening side by sliding operation of said fastener member to wood is it possible to expose the site located on the opening edge of the elastic member of the fingertip projecting opening A drip indwelling needle removal prevention cover , characterized in that both ends of the expansion and contraction member are joined by a provided fastening means .
上記指先突出用開口部の開口縁に設ける締付手段、及び、上記挿通用開口部の開口縁に設ける締付手段は、帯状の面ファスナー部材で構成される請求項1記載の点滴留置針の離脱防止用カバー。 2. The drip indwelling needle according to claim 1 , wherein the tightening means provided at the opening edge of the fingertip protruding opening and the tightening means provided at the opening edge of the insertion opening are constituted by a band-shaped surface fastener member . Detachment prevention cover. 小指側の側部から掌側を覆う部材の少なくとも一部をメッシュ部材によって構成した請求項1又は2記載の点滴留置針の離脱防止用カバー。   The cover for preventing detachment of the drip indwelling needle according to claim 1 or 2, wherein at least a part of a member covering the palm side from the side portion on the little finger side is constituted by a mesh member. 掌から手首内側を覆う部分に手首固定用シーネを収納する袋体を設けた請求項1乃至3のいずれかに記載の点滴留置針の離脱防止用カバー。   The cover for preventing the drip indwelling needle according to any one of claims 1 to 3, wherein a bag body is provided in a portion covering the wrist from the palm to the wrist. 前記被覆部材は、少なくとも一部に手の甲の留置針が位置する部位を視認可能とする透明カバー部材を備えており、該透明カバー部材には模様を付した請求項1乃至4のいずれかに記載の点滴留置針の離脱防止用カバー。   The said covering member is equipped with the transparent cover member which makes it possible to visually recognize the site | part in which the indwelling needle | hook of the back of a hand is located in at least one part, The pattern was attached | subjected to this transparent cover member. Cover for preventing the drip indwelling needle from coming off.
JP2007101652A 2007-04-09 2007-04-09 Cover for prevention of drip indwelling needle removal Active JP5201709B2 (en)

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Cited By (1)

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Publication number Priority date Publication date Assignee Title
KR101999724B1 (en) * 2018-02-14 2019-07-12 손강 Self-Defense hand cover

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JP2013153891A (en) * 2012-01-30 2013-08-15 Systec:Kk Medical intubation fixture
JP2017018575A (en) * 2015-07-09 2017-01-26 国立大学法人島根大学 Supporter for drip infusion
JP7190869B2 (en) * 2018-10-30 2022-12-16 国立大学法人鳥取大学 sheath for catheter

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JP2570416Y2 (en) * 1991-06-21 1998-05-06 株式会社竹虎 Infusion tube fixture
US5188608A (en) * 1992-04-02 1993-02-23 Fritts Mark A Protective stabilizing sleeve for IV needle
JP2002172164A (en) * 2000-12-08 2002-06-18 Matsumi Nobukawa Arm protector for preventing pull-out of needle
JP2002224216A (en) * 2001-01-31 2002-08-13 Sachiko Naka Fixing bag for injection
JP3455741B1 (en) * 2002-05-23 2003-10-14 智美 中尾 Cover for preventing indwelling needle from dropping
JP4492950B2 (en) * 2003-12-11 2010-06-30 隆子 大前 Medical tube fixing device and medical tube protective gloves
JP2006212219A (en) * 2005-02-03 2006-08-17 Univ Kurume Head and neck-fixing implement for radiation therapy, template, seal and sheet material for producing the same, and method of producing head and neck fixing implement for radiation therapy

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR101999724B1 (en) * 2018-02-14 2019-07-12 손강 Self-Defense hand cover

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