JP5737703B2 - Acupuncture tools - Google Patents

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JP5737703B2
JP5737703B2 JP2010178119A JP2010178119A JP5737703B2 JP 5737703 B2 JP5737703 B2 JP 5737703B2 JP 2010178119 A JP2010178119 A JP 2010178119A JP 2010178119 A JP2010178119 A JP 2010178119A JP 5737703 B2 JP5737703 B2 JP 5737703B2
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heel
protective cover
packaging material
pusher
acupuncture
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JP2012034865A (en
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善彦 小井土
善彦 小井土
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本発明は鍼治療具に関するものである。   The present invention relates to an acupuncture device.

医学の進歩に伴い、近年、鍼治療における押し手を介した感染のおそれが顕在化しつつある。これに対し、このような感染の防止を図るためのものとして、従来、特許文献1に記載の鍼灸施術用補助具が知られている。この補助具は、チューブ状に形成された本体と、この本体の下端部に形成された円形状の鍔とから構成され、合成樹脂材により形成されて柔軟性を備える。上記本体には上下両端部間に渡ってスリットが形成されるとともに、上記鍔には切込みが設けられる。   In recent years, with the advance of medicine, the risk of infection via a pusher in acupuncture is becoming apparent. On the other hand, as an object for preventing such infection, an auxiliary tool for acupuncture described in Patent Document 1 is conventionally known. This auxiliary tool includes a main body formed in a tube shape and a circular ridge formed at the lower end of the main body, and is formed of a synthetic resin material and has flexibility. A slit is formed between the upper and lower ends of the main body, and a notch is provided in the scissors.

上記補助具は鍼に被せられる鍼管に取り付けられ、本体が押手と鍼との間に介在することで施術者と鍼との接触が遮断され、また、鍔により患者の刺入部位が保護される。さらに、上記スリットおよび切込みによって鍼管に対して補助具を容易に着脱することができる。   The above-mentioned assisting device is attached to a fistula tube that is covered with a sputum, and the contact between the practitioner and the scissors is blocked by the main body being interposed between the pusher and the scissors, and the patient's insertion site is protected by the scissors. The Further, the auxiliary tool can be easily attached to and detached from the soot tube by the slit and the cut.

以上の補助具は、主に施術者の押手が鍼に触れることによる感染の防止を図るものであるが、押手を介した感染というものを防止するためには、特に、患者の鍼刺し入れ位置近傍の肌と施術者の押手とを接触させないことが重要であると考えることができる。すなわち、例えば鍼が刺し入れられることによって患者が鍼刺し入れ位置から出血し、鍼刺し入れ位置近傍の肌に患者の血液が広がってしまった場合に、この血液に押手が触れてしまうことが想定される。   The above-mentioned auxiliary tools are intended mainly to prevent infection caused by the operator's pusher touching the heel, but in order to prevent infection via the pusher, in particular, the patient's piercing position. It can be considered that it is important not to contact the skin in the vicinity with the pusher of the practitioner. That is, for example, when a hemorrhoid is inserted, the patient bleeds from the insertion position, and the blood of the patient spreads to the skin near the insertion position, it is assumed that the presser touches this blood. Is done.

この点、上述した補助具は、鍔によってこのような患者の鍼刺し入れ位置近傍の肌と施術者の押手との接触を防止することが必ずしも不可能ではないと思われる。   In this regard, it is considered that the above-described auxiliary tool is not necessarily impossible to prevent contact between the skin in the vicinity of the patient's piercing position and the pusher of the practitioner by the scissors.

特開2002-126038号公報Japanese Patent Laid-Open No. 2002-126038

しかしながら、上述した補助具を用いる場合には、手間がかかるという欠点がある。   However, when using the above-mentioned auxiliary tool, there is a drawback that it takes time.

すなわち、鍼は、清潔に保持するために、例えば鍼管を被せた状態などで個別包装されて販売されているのが一般的であり、上述した補助具を用いる場合には、この包装を解いた後に鍼管に補助具を取り付けなければならない。この取り付けに際しては、施術時の押手の位置を考慮して鍼管と補助具のそれぞれの一端を正確に合わせるなどする必要があり、鍼管をスリット等に通過させる取り付け作業とともに正確な位置合わせ作業が要求される。   In other words, in order to keep the jar clean, it is generally sold individually packaged, for example, with a tub tube on it. You must attach an auxiliary tool to the fistula after it has been. At the time of this installation, it is necessary to accurately align the ends of the fistula and the auxiliary tool in consideration of the position of the pusher during the operation. Is required.

本発明は以上の欠点を解消すべくなされたものであって、押手を介した感染を防止することができ、かつ、取り扱いの容易な鍼治療具の提供を目的とする。   The present invention has been made to solve the above drawbacks, and an object of the present invention is to provide an acupuncture device that can prevent infection through a pusher and is easy to handle.

本発明によれば上述した目的は、
刺し入れ位置近傍を押手1により支持して患者2に刺し入れ可能な鍼3と、
鍼3を全長に渡って封止する包装材を兼ね、開封により鍼3に長手方向に移動自在に外嵌合するとともに、一端が前記刺し入れ位置近傍を覆って患者2と押手1の間に介装可能で、かつ押手1による鍼3の支持が可能な柔軟性を備える液体非透過性を有する材料により形成される保護カバー4とを有し、
前記保護カバー4は、袋状に形成されて内部に鍼3を収容し、鍼3の両端に対応する両端対応部5、5を開封可能で、鍼3の刺し入れ先端6に対応する一端側を鍔状にめくり上げ可能にされる鍼治療具を提供することにより達成される。
According to the present invention, the above-described object is
A heel 3 capable of being inserted into the patient 2 while supporting the vicinity of the insertion position with the pusher 1;
It also serves as a packaging material that seals the heel 3 over its entire length, and is fitted to the heel 3 so as to be movable in the longitudinal direction by opening, and one end covers the vicinity of the insertion position and is between the patient 2 and the pusher 1. possess the interposed possible, and Oshide protective cover 4 1 by the support of acupuncture 3 is formed of a material having a liquid-permeable with flexibility as possible,
The protective cover 4 is formed in a bag shape, accommodates the collar 3 inside, can open both ends corresponding portions 5 and 5 corresponding to both ends of the collar 3, and is one end side corresponding to the insertion tip 6 of the collar 3. This is achieved by providing an acupuncture device that can be turned into a bowl shape .

本発明によれば、鍼治療具は、患者2の鍼3刺し入れ位置近傍と施術者の押手1との間に介装可能な保護カバー4を有し、この保護カバー4を鍼3に外嵌合して構成され、これにより保護カバー4の鍼3への取り付け作業を省くことができるようにされる。上述した従来における補助具を用いる場合のように鍼3に鍼管を被せて使用する場合には、予め鍼3の外側に鍼管を装着しておくことがこのような装着の手間を省くためには望ましく、この場合には鍼管を介在させて鍼3に保護カバー4を外嵌合すれば足りる。   According to the present invention, the acupuncture device has the protective cover 4 that can be interposed between the vicinity of the heel 3 insertion position of the patient 2 and the pusher 1 of the practitioner, and the protective cover 4 is attached to the heel 3. It is configured to be fitted so that the work of attaching the protective cover 4 to the flange 3 can be omitted. In the case of using a tub tube on the heel 3 as in the case of using the above-mentioned conventional auxiliary tool, it is possible to save the trouble of wearing such a tub tube by attaching the tub tube to the outside of the heel 3 in advance. In this case, it is only necessary to externally fit the protective cover 4 to the flange 3 with a soot tube interposed.

また、この保護カバー4は鍼3の長手方向に移動自在にされ、これにより鍼3の長手方向にスライド移動させるだけで鍼3に対する位置合わせ作業を容易に行うことができる。この場合、保護カバー4を長手方向に対する直交方向に脱離不能に鍼3に保持させれば、スライド移動が安定する。保護カバー4を鍼3の長手方向に移動自在にするには、例えば、鍼3や上述した鍼管よりも内径が大きい筒状などであれば足り、このため保護カバー4を後述するように筒状に変化できるようにすればよい。 Further, the protective cover 4 can be moved in the longitudinal direction of the flange 3, so that the positioning operation with respect to the flange 3 can be easily performed only by sliding the protective cover 4 in the longitudinal direction of the flange 3. In this case, if the protective cover 4 is held on the collar 3 so as not to be detached in the direction orthogonal to the longitudinal direction, the sliding movement is stabilized. The protective cover 4 to move freely in the longitudinal direction of the needle 3, for example, sufficient if the cylindrical like inner diameter greater than the needle 3 and above鍼管, to discussed later a protective cover 4 for this What is necessary is just to enable it to change to a cylinder shape.

さらに、保護カバー4は、液体非透過性を有する材料により形成され、一端が鍼3の刺し入れ位置近傍を覆って該刺し入れ位置近傍と押手1との間に介装可能にされることにより、これらの接触を禁止することができ、体液を浸透させないことで上述した感染を防止することができる。患者2と押手1との間に介装する方法としては、上述した従来の補助具にもあるように、保護カバー4に鍔状の部分があれば足り、保護カバー4にめくり上げることにより鍔状に変形できるような部分を形成すればよい。この場合、鍼状の部分は、円環形状でもよいが、花弁状であったり、押手1を構成する母指と示指に対応して鍼3周りの二方向に延びるものでもあっても足りる。 Further, the protective cover 4 is formed of a material having liquid impermeability, and one end covers the vicinity of the insertion position of the heel 3 so that it can be interposed between the vicinity of the insertion position and the presser 1. These contacts can be prohibited, and the infection described above can be prevented by not allowing the body fluid to permeate. As a method of interposing between the patient 2 and the pusher 1, as in the above-described conventional assisting device, it is sufficient if the protective cover 4 has a hook-shaped portion, and by turning up the protective cover 4, A portion that can be deformed into a shape may be formed. In this case, the hook-shaped portion may have an annular shape, but it may be petal-shaped or may extend in two directions around the hook 3 corresponding to the thumb and the index finger constituting the presser 1.

また、上述した鍔状の部分を設けた場合において、これに適宜の剛性を持たせた場合には、上述した保護カバー4のスライド移動は、押手1で鍔状の部分を押すことにより可能になり、スライド移動後に鍼3の刺し入れ作業にスムーズに移行することができる。すなわち、母指と示指により鍼3を跨ぐ対向位置で鍔部を均等に押せば、そのまま押手1として患者2の肌に押し当てて鍼治療に入ることができる。   Further, in the case where the hook-shaped portion described above is provided, when the above-mentioned rigidity is given, the above-described sliding movement of the protective cover 4 can be performed by pushing the hook-shaped portion with the pusher 1. Thus, it is possible to smoothly shift to the piercing operation of the bag 3 after the slide movement. That is, if the buttocks are pressed evenly at the opposing position across the heel 3 with the thumb and the index finger, they can be pressed against the skin of the patient 2 as the pusher 1 as it is to enter the acupuncture treatment.

以上の保護カバー4は、押手1による鍼3の支持が可能な柔軟性を備えた材料で形成されるために、押手1による鍼3の支持や、患者2への触診などの押手1の機能をあまり損ねることもない。   Since the protective cover 4 is formed of a material having flexibility that can support the heel 3 by the pusher 1, the functions of the pusher 1 such as support of the heel 3 by the pusher 1 and palpation to the patient 2 are provided. There is not much damage.

したがって本発明によれば、上述した従来例のように位置合わせした状態で鍼管等をスリットに通すような細かい作業が不要となり、位置合わせ作業も容易になるために、視力に障害のある場合が比較的多い鍼師において、このような障害のある場合にも容易に取り扱うことができるようになる。   Therefore, according to the present invention, it is not necessary to perform a fine work such as passing a fistula or the like through a slit in the state of alignment as in the above-described conventional example, and the alignment work is facilitated, so that the visual acuity is impaired. Acupuncturists who have a relatively large number can easily handle such obstacles.

上述した保護カバー4は、鍼3を包装する包装材を兼ねており、これにより鍼治療具の部品点数を減らして製造コストを低減することができる。具体的には、袋状に形成されて内部に鍼3を収容し、鍼3の両端に対応する両端対応部5、5を開封可能で、鍼3の刺し入れ先端6に対応する一端側を鍔状にめくり上げ可能に保護カバー4を構成することによって、開封することにより上述したような筒状に変化させることができ、めくり上げることによって押手1と患者2との間に介装することもできるようになる。



The protective cover 4 described above also serves as a packaging material for wrapping the acupuncture 3, thereby reducing the number of parts of the acupuncture treatment device and reducing the manufacturing cost. Specifically, it is formed in a bag shape, accommodates the heel 3 inside, can open both end corresponding portions 5 and 5 corresponding to both ends of the heel 3, and has one end side corresponding to the insertion tip 6 of the heel 3 By forming the protective cover 4 so that it can be turned up like a bowl, it can be changed into a cylindrical shape as described above by opening it, and it is interposed between the pusher 1 and the patient 2 by turning up. You will also be able to.



包装材を兼ねた保護カバー4は、具体的には例えば、上述したような柔軟性を備えた材料で形成されたシート材の二枚を重ね合わせ、鍼3の収容スペースを除く周縁部を剥離操作可能に接着して構成することができる。このように構成すれば、表裏のシート材同士を引き剥がすようにしてめくり上げることにより、母指と示指に対応して二箇所に分かれた鍔状の部分を形成することも可能になる。また、このようなめくり上げ操作がなされることで、めくり上げ量によって鍼3の長手方向における保護カバー4の長さも短くなるために、鍼3や鍼管の両端を十分に露出させて施術をしやすくすることも可能になる。   Specifically, the protective cover 4 that also serves as a packaging material is formed by, for example, stacking two sheets of a sheet material made of a material having flexibility as described above, and peeling the peripheral portion excluding the storage space of the bag 3 It can be configured to be operably bonded. If comprised in this way, it will also become possible to form the hook-shaped part divided | segmented into two places corresponding to a thumb and an index finger by turning up so that the sheet materials of front and back may be peeled off. Moreover, since the length of the protective cover 4 in the longitudinal direction of the rod 3 is shortened depending on the amount of the flip-up, the operation is performed by sufficiently exposing both ends of the rod 3 and the rod. It is also possible to make it easier.

この場合においてさらに、めくり上げによって鍔状の部分を形成する側のシート材同士の接着しろを長く設定し、例えば鍔状の部分として張り出させたい寸法に合わせれば、めくり上げ操作によって保護カバー4を鍼3に対して位置合わせした状態にすることも可能になる。   In this case, further, if the margin of adhesion between the sheet materials on the side where the bowl-shaped part is formed by turning up is set long, for example, according to the size to be projected as the bowl-shaped part, the protective cover 4 is turned up by turning-up operation. It is also possible to make the state aligned with the ridge 3.

また、鍼3や患者2の鍼3刺し入れ位置近傍の肌に接触することを考慮すれば、保護カバー4、より具体的には上述した鍔状の部分の患者2側の面や筒状の内壁面などは、鍼3同様に清潔に保持することが望ましい。包装材を兼ねて構成すると、袋の内面が鍔状の部分の患者2側の面や筒状の内壁面を構成することになるため、これらを容易に清潔に保つことができる。 In consideration of contact with the skin in the vicinity of the insertion position of the heel 3 or the heel 3 of the patient 2, the protective cover 4, more specifically, the surface of the above-described heel-shaped portion on the patient 2 side or a cylindrical shape. such as the inner wall surface, not to desired to acupuncture 3 similarly clean held. Configuration also serves as a packing materials result, this means that the inner surface of the bag constitutes a flange-shaped inner wall surface of the patient 2 side faces and the cylindrical portion, it is possible to keep them easily clean.

さらに、保護カバー4が包装材を兼ねる場合、上述した両端対応部5の外形形状を異ならせることにより、内包されている鍼3の差し入れ先端側と末端側を保護カバー4により容易に判別することができる。したがってこの場合には、押手1を考慮した向きで開封前の包装材としての保護カバー4を掴むことが容易になり、取り扱い性がさらに向上する。また、両端対応部5の差異を外形形状に持たせることで、視覚以外に触覚でも判別することが可能になり、視力に障害のある場合でも容易に取り扱うことができる。
なお、本発明によれば、
刺し入れ位置近傍を押手1により支持して患者2に刺し入れ可能な鍼3と、
鍼3に長手方向に移動自在に外嵌合され、一端が前記刺し入れ位置近傍を覆って患者2と押手1の間に介装可能で、かつ押手1による鍼3の支持が可能な柔軟性を備える液体非透過性を有する材料により形成される保護カバー4とを有する鍼治療具を提供することも可能である。



Furthermore, when the protective cover 4 also serves as a packaging material, the insertion cover distal end side and the distal end side of the included bag 3 can be easily identified by the protective cover 4 by making the outer shape of the corresponding end portions 5 different from each other. Can do. Therefore, in this case, it becomes easy to grip the protective cover 4 as the packaging material before opening in the direction that takes the pusher 1 into consideration, and the handling property is further improved. In addition, by providing the outer shape with a difference between the corresponding ends 5, it is possible to determine by tactile sense as well as visual sense, and it can be easily handled even when the visual acuity is impaired.
According to the present invention,
A heel 3 capable of being inserted into the patient 2 while supporting the vicinity of the insertion position with the pusher 1;
Flexibility, which is externally fitted to the heel 3 so as to be movable in the longitudinal direction, can be interposed between the patient 2 and the pusher 1 with one end covering the vicinity of the insertion position, and can support the heel 3 by the pusher 1 It is also possible to provide an acupuncture device having a protective cover 4 formed of a liquid-impermeable material.



以上の説明から明らかなように、本発明によれば、押手を介した感染を防止することができ、かつ、取り扱いの容易な鍼治療具を提供することができるために、鍼治療の安全性の向上を図ることができる。   As is clear from the above description, according to the present invention, it is possible to prevent infection through a pusher and to provide an acupuncture device that is easy to handle. Can be improved.

本発明に係る鍼治療具を示す図で、(a)は平面図、(b)は(a)の1B-1B線断面図、(c)は(b)の1C-1C線断面図、(d)は(b)の1D-1D線断面図であって接着領域を示す図である。It is a figure which shows the acupuncture device which concerns on this invention, (a) is a top view, (b) is the 1B-1B sectional view taken on the line of (a), (c) is the 1C-1C sectional view taken on the line of (b), d) is a cross-sectional view taken along the line 1D-1D of FIG. 使用状態を説明する図で、(a)は包装の開封段階を示す図、(b)は弾入段階を示す図である。It is a figure explaining a use condition, (a) is a figure which shows the opening stage of packaging, (b) is a figure which shows an impacting stage. 使用状態を説明する図で、(a)は刺入段階を示す図、(b)は(a)の3B-3B線断面図である。It is a figure explaining a use condition, (a) is a figure which shows the insertion stage, (b) is the 3B-3B sectional view taken on the line of (a). 使用状態を説明する図で、刺鍼が完了した段階、および抜去段階を示す図である。It is a figure explaining a use state, and is a figure showing the stage where acupuncture was completed, and the extraction stage. 変形例を示す図で、(a)は包装の開封段階を示す図、(b)は刺鍼の準備段階を示す図である。It is a figure which shows a modification, (a) is a figure which shows the opening stage of packaging, (b) is a figure which shows the preparation stage of acupuncture.

図1ないし図4に本発明の実施の形態を示す。この実施の形態において、鍼治療具は、図1に示すように、鍼3と鍼管11を有し、これらを包装材(保護カバー4)で包装して形成される。上記鍼3は、例えば40mmなどの人体に先端部のみを刺鍼3するに適した長さの鍼体3aを有し、刺し入れ位置近傍を押手1により支持して患者2に刺し入れ可能に形成される。この鍼3は具体的には、線径が0.12mmのステンレス鋼線からなるいわゆる単回使用毫鍼として市販されているものであり、刺し入れ先端6としての鍼尖は尖頭状に形成され、鍼体3aの末端側には、把持しやすいように鍼体3aよりもやや径の太い合成樹脂材等からなる鍼柄3bが設けられる。   1 to 4 show an embodiment of the present invention. In this embodiment, the acupuncture device has an acupuncture tube 3 and an acupuncture tube 11 as shown in FIG. 1 and is formed by packaging them with a packaging material (protective cover 4). The heel 3 has, for example, a skeleton 3a having a length suitable for piercing the tip 3 of a human body such as 40 mm, and the vicinity of the puncture position is supported by the pusher 1 so that the patient 2 can be pierced. It is formed. Specifically, the hook 3 is commercially available as a so-called single-use hook made of a stainless steel wire having a wire diameter of 0.12 mm, and the pinnacle as the piercing tip 6 is formed in a pointed shape. On the end side of the housing 3a, a collar 3b made of a synthetic resin material having a diameter slightly larger than that of the housing 3a is provided so as to be easily grasped.

また、上記鍼管11は、鍼体3aよりもやや長寸の筒状をなし、その内径を上述した鍼柄3bよりも大径にして形成される。この鍼管11は、具体的には、合成樹脂材を成形して形成されるもので、上述した鍼3とセットにして市販されているものである。   The soot tube 11 has a cylindrical shape slightly longer than that of the housing 3a, and has an inner diameter larger than that of the above-described collar 3b. Specifically, the soot tube 11 is formed by molding a synthetic resin material, and is commercially available as a set with the soot 3 described above.

以上の鍼3と鍼管11は、鍼体3aを鍼管11内に収容した状態で鍼管11から鍼柄3bの後端部が弾入(切皮)に適した長さ寸法で突出するようにして組み付けられ、また、この実施の形態においては、図示省略されるが鍼柄3bと鍼管11を微小面積で接着、嵌合させることにより組み付け姿勢が維持でき、かつ、使用時には指で鍼柄3bの側面を押すことにより接着、嵌合状態を解除できるようにされたものが使用される。   In the above-described rod 3 and rod 11, the rear end portion of the rod pattern 3 b protrudes from the rod tube 11 with a length suitable for impact (cutting) in a state where the rod body 3 a is accommodated in the rod tube 11. In this embodiment, although not shown in the drawings, the assembling posture can be maintained by adhering and fitting the rod pattern 3b and the rod tube 11 in a very small area, and with a finger during use. What was made to be able to cancel | release an adhesion | attachment and a fitting state by pushing the side surface of the collar pattern 3b is used.

一方、包装材4は、柔軟性および液体非透過性を備えた短冊形状のシート材4aの2枚を重ねてこれらの周縁部を接着し、内部に上述したようにして組み付けられた鍼3と鍼管11を収容可能な空間4bを形成した袋状にされる。この包装材4は、具体的には例えばポリエチレンなどの適宜の合成樹脂材など、望ましくは肌触りの良好なものにより形成され、例えばエチレンオキサイドガスを充填して密閉された収容空間4bに滅菌処理した鍼3を個別包装する。また、包装材4は、透明あるいは半透明にされることで内部の鍼3等が見えるようにされ、さらに、鍼3等が包装内部で妄りに動かないように、上述した収容空間4bは、鍼3と鍼管11を組み付けたときの外形形状よりもひとまわり大きい程度の大きさに設定される。   On the other hand, the wrapping material 4 is formed by stacking two sheets of strip-shaped sheet material 4a having flexibility and liquid impermeability, and adhering the peripheral portions thereof, and the bag 3 assembled inside as described above. It is formed into a bag shape in which a space 4b capable of accommodating the soot tube 11 is formed. Specifically, the packaging material 4 is formed of, for example, an appropriate synthetic resin material such as polyethylene, and preferably has a good touch, and is sterilized in, for example, an enclosed storage space 4b filled with ethylene oxide gas. Package 鍼 3 individually. Further, the packaging material 4 is made transparent or semi-transparent so that the inner bag 3 and the like can be seen, and further, the storage space 4b described above is configured so that the bag 3 and the like do not move loosely inside the package. It is set to a size that is slightly larger than the outer shape when the rod 3 and the rod tube 11 are assembled.

加えて、上記包装材4は、押手1としての示指1aや母指1bが患者2の肌に接触するときの指の長手方向の寸法よりも広い幅寸法に形成され、また、図1(d)に示すように、鍼3の刺し入れ先端6側の接着しろ12に余長部13を設定し、該先端側5Aを末端側5Bに比して長寸にして形成される。この刺し入れ先端6側の接着しろ12の長さは、内部に収容される鍼管11の鍼3の刺し入れ先端6側の一端11aまで剥がしたときに、押手1の指の幅寸法よりも長くなるように設定される。さらに、包装材4の先端側5aおよび末端側5B、すなわち長手方向の両端部5、5(両端対応部)には、上述したシート材4a同士を引き剥がしやすいように、引き剥がしに際して摘むことができる摘みしろ14が設定される。なお、この摘みしろ14は、上述したシート材4a、4a同士が接着されていなければ足り、図1(b)においてはシート材4a、4a同士が分離した状態にされるが、重なり合っていても問題ない。   In addition, the packaging material 4 is formed in a width that is wider than the longitudinal dimension of the finger when the index finger 1a or the thumb 1b as the pusher 1 contacts the skin of the patient 2, and FIG. ), The extra length portion 13 is set in the bonding margin 12 on the insertion tip 6 side of the heel 3 so that the tip side 5A is longer than the end side 5B. The length of the adhesive margin 12 on the piercing tip 6 side is larger than the width dimension of the finger of the presser 1 when the heel 3 of the tub tube 11 accommodated therein is peeled up to one end 11a on the piercing tip 6 side. It is set to be long. Further, the sheet material 4a described above may be picked at the front end side 5a and the end side 5B of the packaging material 4, that is, the both end portions 5 and 5 (both end corresponding portions) in the longitudinal direction at the time of peeling so as to easily peel off each other. A possible margin 14 is set. The tab margin 14 is sufficient if the sheet materials 4a and 4a are not bonded to each other. In FIG. 1B, the sheet materials 4a and 4a are separated from each other. no problem.

また、この実施の形態において、視力に障害のある鍼師が触覚でわかるように、包装材4は、先端側5Aの隅角部に隅取り15を設けて形成され、かかる隅取り15がされない末端側5Bと識別できるようにされる。   Further, in this embodiment, the packaging material 4 is formed by providing a corner 15 at the corner portion of the distal end side 5A so that an acupuncturist with a visual impairment can be detected by tactile sense. It can be distinguished from the side 5B.

以上の鍼治療具は、包装材4で包装された状態で鍼灸院などにおいて保管され、鍼治療に際して開梱されて使用される。図2(a)は包装を解く際を示すもので、先ず最初に、包装材4の先端側5Aの摘みしろ14を両手で摘み、図2に示すように鍼管11の先端の位置まで、余長部13を鍼3の末端側に向かってめくり上げるようにして包装を解く。このとき、先端側5Aを上に向けた姿勢にすれば、鍼管11の包装材4からの脱落を防止でき、鍼管11の先端11a位置に合わせて簡単にめくり上げることができる。また、この状態で包装材4の先端側5Aが鍔状になる。   The above acupuncture devices are stored in acupuncture or the like in a state of being packaged with the packaging material 4, and are unpacked and used for acupuncture. FIG. 2 (a) shows the unpacking process. First, the handle 14 on the distal end side 5A of the packaging material 4 is picked with both hands, and as shown in FIG. The packaging is unwound so that the extra length 13 is turned up toward the end side of the basket 3. At this time, if the distal end side 5A is oriented upward, it can be prevented from falling off the packaging material 4 of the soot tube 11, and can be easily turned up according to the position of the tip 11a of the soot tube 11. In this state, the front end side 5A of the packaging material 4 has a bowl shape.

次に、鍼3や鍼管11が未だ包装材4内に残っている状態のまま、鍼管11の先端11aをシャーレの底面に突き当てるなどして鍼3等が包装材4から脱落しないようにし、この状態で包装材4の末端側5Bの摘みしろ14を摘んでめくり上げるようにして開放する。このときめくり上げる長さは、めくり上げによって露出する鍼柄3bを刺手により把持して刺入できるような程度以上にされる。以上の開梱により、包装材4は両端対応部5、5が開放した状態になり、中間部には、開放されずに筒状をなし、後述するように母指1bと示指1aで把持可能な把持部16が形成される。また、この把持部16の鍼3刺し入れ先端6側には、上述した余長部13により、後述するように押手1と患者2の針刺し入れ位置近傍との間に介装される鍔部17が形成される。   Next, the bag 3 or the like is not dropped from the packaging material 4 by, for example, abutting the tip 11a of the tube 11 against the bottom surface of the petri dish while the bag 3 or the tube 11 still remains in the packaging material 4. Then, in this state, the knob 14 on the end side 5B of the packaging material 4 is picked and turned up to be opened. At this time, the length to be turned up is set to be more than the extent that the handle 3b exposed by turning up can be grasped and inserted by a stabter. By the above unpacking, the packaging material 4 is in a state in which both end corresponding parts 5 and 5 are opened, and the intermediate part is not opened but is formed in a cylindrical shape and can be gripped by the thumb 1b and the indicating finger 1a as described later. A gripping portion 16 is formed. Further, on the side of the heel 3 insertion tip 6 side of the gripping portion 16, the heel portion 17 interposed between the pusher 1 and the vicinity of the needle insertion position of the patient 2 as will be described later by the extra length portion 13 described above. Is formed.

なお、以上の開放操作は、包装材4の先端側5Aと末端側5Bとで順序を逆にして行っても足りる。また、包装材4の末端側5Bのめくり上げ長さは、少なくとも包装材4を構成する2枚のシート材4a、4a同士が完全に分離してしまう程度よりも短ければ足り、多少長くすることも可能である。   The opening operation described above may be performed in the reverse order between the front end side 5A and the end side 5B of the packaging material 4. Further, it is sufficient that the turn-up length of the end side 5B of the packaging material 4 is at least shorter than the extent that the two sheet materials 4a and 4a constituting the packaging material 4 are completely separated from each other. Is also possible.

このようにして開梱を終えたら、図2(b)に二点鎖線で示すように、鍼管11を示指1aと母指1bで包装材4の外側から挟むようにして、包装材4を厚さ方向に把持する。このときの把持位置は、示指1aと母指1bの中指側の側面が鍼管11の先端11aに揃う位置、すなわち、押手1の患者2側の面を鍼管11の先端11a側の端面に揃えたような状態にする。また、この状態で鍼柄3bの側面を押手1とは反対の手で押して鍼3と鍼管11の接着、嵌合状態を解除するとともに、解除後に鍼3が脱落しないように、示指1aと母指1bで鍼管11をややつぶすように握って鍼3を把持して支える。以上で治療行為前の準備は完了し、続いて治療行為を行う。   When unpacking is completed in this way, as shown by a two-dot chain line in FIG. 2 (b), the tub tube 11 is sandwiched from the outside of the packaging material 4 by the index finger 1a and the thumb 1b, and the packaging material 4 is thickened. Grip in the direction. The gripping position at this time is a position where the side surface of the middle finger side of the index finger 1a and the thumb 1b is aligned with the distal end 11a of the heel tube 11, that is, the surface of the pusher 1 on the patient 2 side is the end surface of the heel tube 11 on the distal end 11a side. Make it aligned. Also, in this state, the side of the handle 3b is pushed with the hand opposite to the presser 1 to release the adhesion and fitting state between the hook 3 and the hook tube 11, and to prevent the hook 3 from dropping off after release, The thumb 1 is gripped with the thumb 1b so that it is slightly crushed, and the heel 3 is gripped and supported. The preparation before the treatment is completed, and the treatment is subsequently performed.

治療行為は、先ず、上述したように押手1で包装材4の把持部16を把持した姿勢のまま、鍼管11の先端11aを患者2の鍼3刺し入れ位置に合わせる。このとき、鍔部17は押手1と患者2の肌との間に介装され、鍔部17を介して押手1で刺し入れ位置近傍を押すようにしてツボの位置を確認する。なお、これに先立って、患者2の施術野は消毒、揉法される。また、包装材4を把持しない状態で押手1によりツボのおおよその位置を確認しておけば、ツボの位置の確認をスムーズに進めることができる。また、包装材4の把持する向きは、隅取り15の有無によって判断することができる。   In the treatment action, first, the distal end 11a of the fistula 11 is adjusted to the heel 3 insertion position of the patient 2 while keeping the gripping portion 16 of the packaging material 4 with the pusher 1 as described above. At this time, the heel part 17 is interposed between the presser 1 and the skin of the patient 2, and the position of the acupuncture point is confirmed by pressing the vicinity of the insertion position with the pusher 1 through the heel part 17. Prior to this, the surgical field of patient 2 is sterilized and treated. Further, if the approximate position of the acupoint is confirmed by the presser 1 without holding the packaging material 4, the position of the acupoint can be confirmed smoothly. Further, the direction in which the packaging material 4 is gripped can be determined by the presence or absence of the cornering 15.

次に、図2(b)に示すように、鍼3刺し入れ位置に立管された鍼管11の後端から露出し、包装材4の後端からも露出する鍼柄3bを押手1とは反対の手で押して、弾入(切皮)する。このとき患者2に鍼管11や押手1をやや強く押し当てることにより、その痛みが軽減される。   Next, as shown in FIG. 2 (b), the handle 3 b exposed from the rear end of the hook tube 11 standing upright at the bag 3 insertion position and exposed from the rear end of the packaging material 4 Press with the opposite hand to enter the bullet. At this time, the pain is alleviated by slightly pressing the fistula 11 and the pusher 1 against the patient 2.

弾入を終えたら、図3(a)に示すように、示指1aと母指1bによる包装材4の挟み付けを緩めて鍼管11を取り外した後、再度示指1aと母指1bにより包装材4を挟み付け、鍼3の先端部を支持する。上述したように包装材4が柔軟性を備え、また、その優れた変形能により、図3(b)に示すように鍼3周りを対向方向からやや包むようにして捕捉することができる。   After the insertion, as shown in FIG. 3A, after loosening the sandwiching of the packaging material 4 by the index finger 1a and the thumb 1b and removing the tub tube 11, the packaging material is again used by the index finger 1a and the thumb 1b. 4 is pinched and the front-end | tip part of the collar 3 is supported. As described above, the packaging material 4 has flexibility, and due to its excellent deformability, as shown in FIG.

この後、図3(a)に示すように、刺手18を添えて刺入する。このとき、押手1により、患者2の刺し入れ位置近傍をやや強く押すことでその痛みを軽減させることができる。また、上述した包装材4の柔軟性等を利用することにより、押手1によって、鍼3を支持してその湾曲や折鍼を防止することができ、さらに、気が至る感覚を感じて治療効果を評価することができる。   Thereafter, as shown in FIG. 3A, the stab 18 is inserted and inserted. At this time, the pain can be reduced by pushing the vicinity of the insertion position of the patient 2 slightly strongly with the pusher 1. In addition, by utilizing the flexibility of the packaging material 4 described above, the presser 1 can support the heel 3 to prevent its bending and folds, and can also feel a sense of sensation and have a therapeutic effect. Can be evaluated.

以上のようにして刺入を終えたら、図4に示すように、包装材4を取り外し、症状などに応じて所定時間刺入状態を維持した後、同図に二点鎖線で示すように、酒精綿19などで示指1aと母指1bにより鍼3を摘んで抜鍼する。この後、刺し入れ位置を消毒や揉法し、治療行為が終了する。   When the insertion is completed as described above, as shown in FIG. 4, after removing the packaging material 4 and maintaining the insertion state for a predetermined time according to symptoms, etc., as shown by the two-dot chain line in FIG. The cocoon 3 is picked with the index finger 1a and the thumb 1b with a spirit cotton 19 or the like and extracted. Thereafter, the insertion position is sterilized or ridden, and the treatment is completed.

なお、以上の実施の形態においては鍼管11を備えた場合を示したが、管鍼法を使用しない場合などに応じ、鍼管11を除いて構成することも可能で、この場合には、包装材4の収容空間4bを鍼3よりもひとまわり大きい程度にすれば操作性を良好に維持することができる。   In addition, although the case where the soot tube 11 was provided was shown in the above embodiment, according to the case where a tube method is not used, it is also possible to comprise without the soot tube 11, and in this case, packaging If the accommodation space 4b of the material 4 is made slightly larger than the flange 3, the operability can be maintained well.

図5に本発明の変形例を示す。なお、この変形例において、上述した実施の形態と同一の構成要素は、図中に同一の符号を付して説明を省略する。この変形例において、包装材4には、上述した余長部13が設定されず、治療行為前の準備段階において鍼管11との位置合わせや鍔部17の長さが確保される。   FIG. 5 shows a modification of the present invention. In this modification, the same components as those in the above-described embodiment are denoted by the same reference numerals in the drawing, and description thereof is omitted. In this modification, the extra length portion 13 described above is not set in the packaging material 4, and the alignment with the heel tube 11 and the length of the heel portion 17 are ensured in the preparation stage before the treatment action.

すなわち、図5(a)に示すように、余長部13のない包装材4の先端側を上述した実施の形態と同様の長さまでめくり上げると、鍼管11が中間部まで露出してしまい、めくり上げ終端が鍼管11の先端11aを超えてしまうが、包装材4の両端対応部5、5を開放させた状態で、図5(b)に示すように、包装材4に対して鍼3と鍼管11を後方に引き下げることにより、鍼管11の先端11aをめくり上げ終端位置に合わせることができる。なお、上述したように鍼3と鍼管11を包装材4に対して引き下げることに代えて、包装材4を鍼3や鍼管11に対して先端側5Aにスライド移動させても足りる。   That is, as shown in FIG. 5 (a), when the leading end side of the packaging material 4 without the extra length portion 13 is turned up to the same length as in the above-described embodiment, the soot tube 11 is exposed to the middle portion. In the state where both ends corresponding portions 5 and 5 of the packaging material 4 are opened, as shown in FIG. By pulling down the tub 3 and the tub tube 11 backward, the tip 11a of the tub tube 11 can be turned up and adjusted to the end position. As described above, instead of pulling down the tub 3 and the tub tube 11 with respect to the packaging material 4, the wrapping material 4 may be slid to the distal side 5 </ b> A with respect to the tub 3 or the tub tube 11.

したがってこの変形例によれば、鍼治療具をよりコンパクトにすることができ、保管や運搬に際してスペースをあまり要さない。   Therefore, according to this modification, the acupuncture device can be made more compact, and less space is required for storage and transportation.

1 押手
2 患者
3 鍼
4 保護カバー
5 両端対応部
6 刺し入れ先端
DESCRIPTION OF SYMBOLS 1 Pusher 2 Patient 3 4 Protective cover 5 Both ends corresponding part 6 Insertion tip

Claims (2)

刺し入れ位置近傍を押手により支持して患者に刺し入れ可能な鍼と、
鍼を全長に渡って封止する包装材を兼ね、開封により鍼に長手方向に移動自在に外嵌合するとともに、一端が前記刺し入れ位置近傍を覆って患者と押手の間に介装可能で、かつ押手による鍼の支持が可能な柔軟性を備える液体非透過性を有する材料により形成される保護カバーとを有し、
前記保護カバーは、袋状に形成されて内部に鍼を収容し、鍼の両端に対応する両端対応部を開封可能で、鍼の刺し入れ先端に対応する一端側を鍔状にめくり上げ可能にされる鍼治療具。
A heel that can be inserted into a patient by supporting the vicinity of the insertion position with a pusher,
It also serves as a packaging material that seals the heel over its entire length. and have a protective cover which is formed of a material having a liquid-permeable with a flexibility capable of supporting the acupuncture by Oshide,
The protective cover is formed in a bag shape, accommodates a bag inside, can open both ends corresponding to both ends of the bag, and can flip up one end side corresponding to the piercing tip of the bag in a bowl shape Acupuncture tool to be used.
前記保護カバーは、両端対応部の外形形状が異なる請求項1記載の鍼治療具。 The acupuncture device according to claim 1 , wherein the protective cover has different external shapes at both ends .
JP2010178119A 2010-08-06 2010-08-06 Acupuncture tools Expired - Fee Related JP5737703B2 (en)

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CN109498445B (en) * 2019-01-17 2021-02-12 湖北理工学院 Acupuncture positioner
CN112754922B (en) * 2021-01-19 2022-02-01 厦门大学 Acupuncture locator for traditional Chinese medicine diagnosis and treatment

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JP2006021009A (en) * 2004-07-08 2006-01-26 Nisshin Giken Kk Clean/safe treatment acupuncture
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JP2008023117A (en) * 2006-07-21 2008-02-07 Seirin Kk Packing container of acupuncture and moxibustion needle
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