JP5810456B2 - Excretion care device - Google Patents

Description

  The present invention is an elderly person, a person who needs care, a self-excretion due to physical circumstances, and a care apparatus for people who have difficulty in processing (wiping off), and also for a caregiver, reduction of bad odor and excretion that makes disposal work easy. The present invention relates to a care device.

  Conventionally, the excretion of care recipients is mainly related to the shape and processing method of paper diapers, cloth diapers, etc., or there is no excretion care device similar to the present invention as a matter of toilet facilities.

  JP 2004-160113 A

  The technology disclosed in the published patent document of the conventional excretion care device has the following drawbacks. Paper diapers, cloth diapers, and things that have been excreted in a special intake container are stored in a carrying box, and the accumulated excrement is flowed to the toilet, etc. However, the work environment of caregivers has not been improved (bad odor, disgust).

  If it is a fixed paper diaper, cloth diaper, and a dedicated intake container, a certain amount of excretion after excretion always adheres to the crotch and anus around the care recipient. Then, depending on the position of the care recipient, it may get wet with hot water, and water may soak into the underwear and care clothes around the buttocks due to a shift in the receptacle or a change in the position, making it difficult to dry.

Since there is no physical wiping device after excretion of the care recipient, unless the caregiver manually wipes it off, the care recipient does not feel the end of excretion. It is disgusting and very painful, and its dignity is hurt for those who need it.
The present invention solves the above problems and adds proposals.

  A main body case provided behind the buttocks of the care recipient, a wrapping sheet stocker provided outside the main body case for accumulating the wrapping sheet, and an excrement introduced into the central part formed to cover the anus of the care recipient A wrapping sheet outer frame having a mouth, an anus opening / closing arm provided at the inner front end of the main body case, and pulling out the wrapping sheet from the wrapping sheet stocker and reversing from the outer peripheral surface of the wrapping sheet outer frame to the inner peripheral surface Passing the inner side of the anal opening / closing arm through the excrement introduction port, forming a wrapper sheet into a trumpet shape and feeding it backward, An excretion care device provided with a thermal suit that is cut and separated after bonding, and an adhesive cutting device.

  By using the present invention, since it is not a fixed diaper, always touching the skin of the care recipient, and the new packaging sheet is always touched while moving, so that the excrement directly touches the skin of the care recipient. Even if it touches, it will be wiped off immediately by the movement of the wrapping sheet, and the discomfort is reduced and the caregiver's wiping work is eliminated, leading to an improvement in the working environment.

  The wrapping sheet outer frame at the portion serving as an entrance for excrement can be formed flexibly in accordance with the body shape of the care recipient, and a more closely attached excrement introduction port is created. At the end of excretion, the excrement around the anus is wiped off by opening and closing movement of the anal opening and closing arm and movement of the composite sheet, and further, a water-absorbing polymer is pasted on the inner surface of the composite sheet, By placing the medicine, fragrance, etc., it prevents the excretion urine from getting wet, does not cause discomfort to the care recipient, keeps the buttocks clean, and does not require washing with warm water or the like.

  The encased excrement is sealed, cut and separated by a heat-fitting and adhesive cutting device, and the excrement is completely encapsulated and can be disposed of as general waste, which can be disposed of by the caregiver's disposal work environment. It leads to improvement.

  If the anal opening / closing arm is provided with a convex protrusion so as to bite into the lower part of the anus, the residual excretion in the anus can be expected to be scraped by the opening / closing movement of the anal opening / closing arm.

  It is an introduction part figure example of an excretion care apparatus, (A) is an introduction part front view, (B) is an introduction part side view, (C) is an enlarged view of a composite sheet outer frame 5B part, and (D) is AA. It is sectional drawing.   It is an example of an introduction part structure figure of an excretion care device, (A) is an introduction part structure front view, (B) is an introduction part structure side view, and (C) is an introduction part structure plane sectional view.   FIG. 2 is an example of the structure of the heat exchanging and bonding / cutting device part of the excretion care device, (A) is the heat-fitting and front view of the bonding / cutting device, (B) is the heat-fitting and side view of the bonding / cutting device, and (C) is the heat-fitting. Bonding and cutting apparatus plan view, (D) is a cross-sectional view of heat-bonding and bonding-cutting apparatus AA, and (E) is a heat-bonding and hot-cutting and cutting of the bonding-cutting apparatus AA.   It is an example of sensor arrangement drawing of an excretion care device.   It is an example of the side view of the structure of the chuck moving device of the excretion care device.   It is a human body holder structural drawing example of an excretion care device, (A) is a human body holder top view, and (B) is an AA sectional view.   It is example 1 of a human body wearing state figure of an excretion care device, (A) is a human body wearing state side view, (B) is an enlarged view of part A, and (C) is a human body wearing state plan view.   It is an example of an operation | movement flowchart.   It is an example of a control board surface drawing.   It is the human body mounting | wearing figure example 2 of an excretion care apparatus.   It is Example 2 figure of an excretion care apparatus, (A) is side sectional drawing, (B) is plane sectional drawing, (C) is a front view.   FIG. 1 is an example of a composite sheet feeding device section, where (A) is a side sectional view and (B) is a front sectional view.   FIG. 2 is an example of a composite sheet feeding device section, where (A) is a side sectional view, (B) is a plan sectional view, and (C) is a front sectional view.   It is an excretion care apparatus wearing example figure at the time of movement.   It is a composite sheet outer-frame attachment drawing, (A) is a side view, (B) is AA sectional drawing (C) is a top view.   It is an example of anal opening-and-closing arm structural drawing, (A) is side surface sectional drawing, (B) is plane sectional drawing.   It is a wearing state figure to a pet, (A) is a side view, (B) is a front view.   It is a portable excretion care apparatus figure which attached the handle to the excretion care apparatus.

In addition, each part is shown typically and this invention is not limited to illustration or form (shape, quantity, etc.). In addition, the positional relationship in the description regarding this excretion care device is such that the heel side direction of the care recipient is the front, the excretion care device side direction is the rear, the right arm side direction of the lying care recipient is the right side, and the left arm side direction is the left side. explain.
(Embodiment 1)
Hereinafter, Embodiment 1 of the present invention will be described with reference to FIGS.

  The wrapping sheet 3 has a resin (biodegradable film or the like) on the outer surface and a water-absorbing polymer material, cloth, paper, or the like attached to the inner surface at regular intervals, and contains a sterilizing solution, a fragrance, or the like 2 It may be a heavy structure, or may be made of a simple inner / outer surface resin or water-resistant paper or cloth.

  Since the outer frame 5 of the composite sheet has a shape according to the body shape of the care recipient, the material is a piano wire, a shape memory alloy bar or the like (FIG. 1 (C)), and the body shape requiring care is required. It is a structure that is formed into a trumpet shape (FIGS. 1A and 1B) along a shape collected by a mold or the like, and is pin-bonded to the body case (8) so that its installation angle can freely rotate.

  The outer periphery of the envelope sheet 5 is coated with a fin material 6 such as soft silicone rubber so that the outer periphery of the envelope sheet 5 is closely attached to the buttocks of the care recipient and prevents leakage.

  The anal opening / closing arm 4 has a substantially U-shape and two sets symmetrically, each has a cantilever structure, and is pin-supported at the tip of the body case 8 with the right side as a fulcrum, and is formed by a stroke cylinder A11. The pin is connected to the torque disc 10 which is rotationally driven, and is also connected to the crank rod 9 to be opened and closed.

  The anal opening / closing arm 4 is provided with a convex projection 7 on the lower surface of the anal opening / closing arm in order to have a shape that better conforms to the form of attachment to the care recipient's anus, to prevent leakage of excrement, and to improve adhesion May be.

  The packaged excrement shape shaping frame 12 is installed on the inner surface of the main body case 8, and the shape is adjusted by squeezing the outer periphery when the packaged excrement is moved, and is combined by interference with other installation devices. Prevents excrement tears and leaks.

  The heat-bonding / bonding / cutting device 56 sandwiches the wrapping sheet 3 between the electric heating block 19 and the cushion block 20 and bonds with heat-bonding (power source power) (power source air pressure, oil pressure, water pressure). And it is an apparatus which cut | disconnects with the cutter 21 simultaneously, after fixing with the wrapping sheet holding | suppressing sheet 22.

  The slide rail A18 is inserted and attached to the slide rail fixing block 16 installed on the slide rail fixing block seat 17 above the main body case 8.

  The cushion block 20 has a structure in which a heat-resistant rubber block 27 is sandwiched between U-shaped fittings supported by a shaft, and is installed together with the cutter 21 on the slide block 14A via an interference coil spring 26.

  The electric heating block 19 is installed on the slide block B15 together with the packing sheet fixing bracket 22.

The packing sheet chuck 34 chucks the packing sheet 3 and is fastened to the chuck block 35, and is reciprocated by the transmission band 40 along the track of the slide rail B36, whereby the packing sheet 3 is taken out rearward.
A composite sheet feeding mechanism is constituted by the composite sheet chuck 34, the chuck block 35, the slide rail B 36, and the transmission band 40.

  The transmission band 40 includes a drive pulley 37 that is installed in the main body case 8 and driven by an electric motor 42 attached to the motor bracket 41, and a driven pulley 38 that is also installed in the main body case 8 and attached to the take block 39. It is hung in between.

  The human body holder 43 is provided with C-shaped lashing bands at two positions on the left and right sides as shown in FIG. 7 of the human body wearing state diagram example 1 and is attached to the thigh by means of Velcro (registered trademark) A44. The excrement care apparatus main body case 8 is attached to the C-shaped lashing band provided in the central portion with Velcro (registered trademark) B45, but there are other restraint bands 61 and clothing such as underwear. 62 can also be worn on the caregiver's body.

  The body case 8 can be connected to the excrement volume due to individual differences by connecting the middle part shown in the mounting diagram example 2 of FIG. It may be a structure that can be installed on a person other than the center of the human body, or may be a fixed type as shown in FIG.

  Two excretion start detection sensors are mounted on the upper side of the lower abdomen of the care recipient, and the excretion juke motion detection sensor 29 for detecting the large intestine juk motion, and two on the upper side of the lower abdomen, Two sets of body surface capacitance sensors 30 for detecting changes in the capacitance of the muscle surface, or simple excretion push buttons 57 and excretion voice sensors 58 provided by human power, can be used as an excretion start detection sensor.

  The excrement head detection sensor 31 is attached to the anal opening / closing arm 4 and is a light (photoelectric) sensor that is set to project and receive light (however, in the reflective type, it is integrated with light and received light). It is a sensor that detects the tip of excreta excreted from the anus by blocking and reflecting light when an object passes, and other mechanical limit switches, ultrasonic, electromagnetic wave sensors, pneumatic limit A switch can also be used.

  The excretion detection sensor 25 is a light (photoelectric) sensor installed at the center of the heat-bonding / bonding / cutting device 56, and is a set of light projection and light reception (however, the reflection type is a light projection and light reception integrated type). When the excrement passes between them, the light is blocked and reflected, and the excrement in the packing sheet 3 sent by the movement of the packing sheet chuck is detected. Limit switches, electromagnetic sensors, and pneumatic limit switches can also be used.

  The excrement leakage detection sensor 32 is a sensor that detects leakage of excrement according to the degree of odor by an odor detection sensor installed in the human body holder 43.

  The chuck movement limit detection sensor 33 uses a mechanical micro switch that detects by tilting an arm that rotates forward and reverse via a spring, and also uses a photoelectric sensor, an electromagnetic wave sensor, and a pneumatic limit switch. I can do it.

  The stroke cylinder B operation confirmation sensor 28 also uses a mechanical limit switch, an electromagnetic wave sensor, a pneumatic limit switch, a photoelectric sensor, and a magnetic detection sensor that are detected by tilting an arm that rotates forward and reverse via a spring. I can do it.

  The controller 54 may be controlled by any method of an electromagnetic relay (relay control) method, a pneumatic relay method, a sequencer method, and a personal computer method.

  The power source may be any of electric power, air pressure, oil pressure, and water pressure (including glycol etc.).

  Next, an example of operation when the power of the excretory care apparatus is in power will be described with reference to FIGS.

  When the power switch 47 is turned on (step S0), the controller 54 activates the thermocouple (temperature sensor) 53 (S1), and automatically maintains the heat deposition set temperature of the electric heating block 19.

  The mode of single-acting operation and linked automatic operation is switched by the select switch 48 (S2). The single-acting operation mode is mainly for maintenance or attachment of the composite sheet 3, and the interlocking operation mode is a mode during normal use of the apparatus.

  In the compound sheet stocker 1, a certain amount of the compound sheet 3 is folded and stocked in advance. The stock can be manually inserted or electrically operated, but the description is omitted here.

  In the single-acting operation mode, the end portion of the wrapping sheet 3 is inverted manually from the outer peripheral surface of the wrapping sheet outer frame 5 to the inner peripheral surface via the sheet pressing clip 2 to manually move the anal opening / closing arm 4. Is passed through the inner surface side of the wrapping sheet 3 and formed into a trumpet shape and brought to the chuck position (S3).

  It waits for a fixed time until the temperature of the electric heating block 19 rises to an appropriate temperature (S4).

  The chuck closing push button 49 is pressed to chuck the composite sheet 3 on the composite sheet chuck 34 (S5).

  The heat-bonding / bonding cutting push button 50 is pressed (S6), and the stroke cylinder B13 is contracted (S7).

  In step (S7), the stroke cylinder B13 is contracted to press the cushion block 20, the electric heating block 19, and the composite sheet fixing bracket 22 and the left and right racks 23 (gears) in synchronism with the pinions 24 (gears). At the same time, it is cut by the cutter 21 at the same time.

  Based on detection of the stroke cylinder B operation confirmation sensor 28 (S8), the heat deposition timer of the controller 54 is activated to determine whether the time is up. (S9)

  After the time-up (Y), after the stroke cylinder B13 is moved out (S10), the chuck closing push button 49 is cut (S11), and the end cut of the composite sheet 3 cut out manually is taken out (S12).

  Further, the end of the newly heat-bonded and bonded and cut-off bonding sheet 3 is pushed by pressing the chuck closing push button 49, the chucking sheet chuck 34 is chucked again (S13), and the excrement care device ready push button 51 is pushed, At the same time as the completion signal is sent, the completion signal is stored in the memory in the controller 54 to complete the preparation (S14).

  In the automatic operation mode, when the select switch 48-linked automatic operation mode is selected, each operation process monitoring device in the controller 54 is activated (S36), and at the same time, it is confirmed whether a completion signal is stored in the memory in the controller 54 (S15). ).

  If the completion signal is stored (S15Y), it is detected by the excretion start sensor detection (S16) of the excretion juke motion detection sensor 29 or the body surface capacitance detection sensor 30, excretion push button 57, excretion voice sensor 58. The anus opening / closing arm 4 is opened by the stroke cylinder A11 (S17).

Further, simultaneously with the signal detection of the excrement head detection sensor 31 (S18), the inclusion sheet chuck 34 that holds the inclusion sheet 3 until the detection signal from the excretion presence / absence detection sensor 25 disappears is attached to the electric motor 42. Then, the drive pulley 37 and the driven pulley 38 are moved by the transmission band 40 (S19).
Since the excretion presence / absence detection sensor 25 does not operate because there is no excretion 46 at the first time, the movement of the excretion 46 is detected by the detection position of the excretion presence / absence detection sensor 25 by the initial movement sheet feed timer in the controller 54. The movement is backed up for a certain period of time (S20).

  If the excrement 46 enters the composite sheet 3 and is moved by the backup timer in the controller 54 simultaneously with the composite sheet 3, the excrement detection sensor 25 can detect the excrement 46. The inclusion sheet 3 and the excrement 46 are continuously moved until the detection signal from the presence / absence detection sensor 25 disappears (S21, Y).

  The wrapping sheet chuck 34 moves to the movement limit counter set value in the controller 54, but when overrun, the chuck movement limit sensor 33 (S22) is activated and an alarm is issued (S37).

  The inclusion sheet chuck 34 stops moving due to the absence of excretion detection by the excretion presence / absence detection sensor 25 or the movement counter and count up in the controller 54 (S24).

  If the detection signal from the excretion detection sensor 25 disappears, the wiping start timer in the controller 54 is activated at the same time (S25). If there is no detection signal from the excretion head detection sensor 31 again for a certain period of time, the excretion ends. Until the wiping start timer expires, the above operation is repeated every time the detection signal of the excrement head detection sensor 31 is received.

  After the end of excretion, at the set time of the wiping start timer in the controller 54, the excretion ends and the anal opening / closing arm 4 is opened and closed while further feeding the wrapping sheet 3 a certain number of times to perform the wiping operation (S26).

  The excretion is ended by counting up the anus opening / closing arm operation constant times (S27) and detecting the absence of excretion by the excretion presence / absence sensor 25.

  After the end of excretion, the thermal wearing and adhesive cutting start timer in the controller 54 is started (S28).

  After time-up of the heat fitting and the adhesive cutting timer, the stroke cylinder B13 is contracted (S29), the electric heating block 19 and the cushion block 20 are connected to the left and right racks 23 (teeth) via the pinion 24 (gear), Synchronized and pressure-welded, heat-bonding, bonding, and excrement contained at the same time, the packing sheet is fixed with the packing sheet fixing bracket 22, cut by the cutter 21, and at the same time the rear of the next packing sheet is heated The attached and encapsulated excreta is cut and separated. At this time, the composite sheet in the next step is also heat-sealed and bonded at the same time, so it is not necessary to prepare the composite sheet in the single-action operation mode until the composite sheet 3 disappears in the composite sheet stocker 1. .

  Simultaneously with the detection of the contraction of the stroke cylinder B13 (S30), the thermal adhesion and adhesive cutting timer in the controller 54 is started (S31).

  After the heat fitting, adhesive cutting timer, and time up, the stroke cylinder B13 is moved out (S32).

  The controller 54 outputs an excrement inclusion separation completion signal (S33).

  The excrement separated and separated is taken out by a caregiver and the reset push button 55 is pressed (S34). As a result, the inclusion sheet chuck 34 returns to the movement start position and sequentially holds the inclusion sheets 3 (S35).

  When the signal from the excretion leak detection sensor 32 and each process defect are detected, an excretion defect signal is output (S37) to notify the outside and process.

  All defective operations are detected by providing a reset switch in the controller 54 as necessary.

(Embodiment 2)
A second embodiment of the present invention will be described with reference to FIGS.

  The wrapping sheet feeding device 63, which is a feeding mechanism for the wrapping sheet 3, is not only the feeding operation by the transmission band 40 of the wrapping sheet chuck 34 described in the first embodiment, but is pre-packed as shown in FIG. Hook holes 66 are provided on both moving end faces of the sheet 3 at the same pitch as the teeth of the feed gear 65, and the feed gear 65 is hooked by the idle pulley 67 and rotated while being fed, and sent regardless of the stroke length. It is also good.

  Similarly, an apparatus may be used in which the composite sheet chuck 34 is fed by the movement of the moving table 72 installed via the feed nut 71 by the rotation of the screw shaft 70 as shown in FIG.

  As shown in FIG. 11, the introduction part 68 and the heat-bonding / bonding / cutting device 56 and the wrapping sheet feeding mechanism 63 have a compact integrated structure, and the excrement stock container 70 is connected by a flexible tube 60 made of a flexible material. By attaching it to any one leg part or any position of the care recipient shown in FIG. 14, it becomes possible to flexibly synchronize with the change in the position of the wearer, and excretion during sleeping or walking is facilitated.

  The introduction part 68 is a composite sheet stocker 1, a sheet holding clip 2, a clip set bolt 69, a composite sheet 3, an anal opening / closing arm 4, a composite sheet outer frame 5, a fin material 6 such as silicon rubber, a convex protrusion 7, The front end of the main body case 8, the crank rod 9, the torque disk 10, the stroke cylinder A11, the double-tooth rack 79, the pinion 80, the stroke cylinder C81, the guide roller 82, the excrement introduction port 83, the composite sheet outer frame pressing plate 76, The wrapping sheet outer frame adjustment tightening bolt 77 and the wrapping sheet outer frame mounting bracket 78 are referred to. The sheet holding clip 2 is made of a bar of piano wire or spring material, set with a clip set bolt 69, and can be freely moved back and forth or rotated by loosening the bolt to contact the wrapping sheet 3 to suppress the generation of static electricity. The structure is such that the dragged excess packing sheet 3 is prevented from being fed and is stably pulled out from the packing sheet stocker 1.

  As shown in Wearing Example 3 in FIG. 14, the main body case 8 is attached to a single leg by connecting the main body case 8 to the main body case 8a and the main body case 8b by a flexible flexible tube 60 as shown in the mounting example 3 of FIG. It is good also as a structure which can synchronize with the posture of a human body by mounting | wearing the excretion care apparatus with the holder 75. FIG.

  Adjustment of movement and rotation in the front-rear direction by sandwiching the envelope sheet outer frame 5 between the envelope sheet outer frame mounting bracket 78 and the envelope sheet presser 76 and loosening the envelope sheet outer frame adjustment tightening bolt 77 The anus opening / closing arm 4 and the wrapping sheet outer frame 5 are adapted to fit and fit the body shape of the care recipient.

  The anal opening / closing arm 4 is supported by the guide roller 82 shown in FIG. 16, and the pinion 80 provided at the rotation fixed end of the anal opening / closing arm 4 is moved forward and backward by the reciprocating movement of the both-tooth rack 79 attached to the stroke cylinder C81. It is good also as a structure opened and closed by reversely rotating.

  From the introduction part 68 shown in FIG. 17, the flexible tube 60 between the heat-sealing / bonding / cutting device 56, the wrapping sheet feeding device 63, and the wrapping waste excrement stocker 74 is curved in a J-shape, and the pet restraint band 84. Or it can be set as the excretion care apparatus for pets by mounting | wearing with the underwear 85 for pets.

  If the structure is provided with the handle 86 shown in FIG. 18 and the battery 87 and the pressure accumulator 88 are portable, the excrement excreted by the care recipient or pet who has been excreted by mistake. An excretion care device capable of collecting, storing and wiping can be provided.

DESCRIPTION OF SYMBOLS 1 Composite sheet stocker 2 Sheet pressing clip 3 Composite sheet 4 Anal opening / closing arm 5 Composite sheet outer frame 6 Fins of silicon rubber, etc. 7 Convex projection 8 Main body case 9 Crank rod 10 Torque disk 11 Stroke cylinder A
12 Comprehensive excrement shape shaping frame 13 Stroke cylinder B
14 Slide block A
15 Slide block B
16 Slide rail fixed block 17 Slide rail fixed block seat 18 Slide rail A
19 Electric Heat Block 20 Cushion Block 21 Cutter 22 Packing Sheet Fixing Bracket 23 Rack (Gear)
24 pinion (gear)
25 Excrement detection sensor 26 Interference coil spring 27 Heat resistant rubber block 28 Stroke cylinder B operation confirmation sensor 29 Excretion juke motion detection sensor 30 Body surface capacitance detection sensor 31 Excretion head detection sensor 32 Excretion leak detection sensor 33 Chuck movement Limit detection sensor 34 Composite sheet chuck 35 Chuck block 36 Slide rail B
37 Drive pulley 38 Driven pulley 39 Take block 40 Drive belt 41 Motor bracket 42 Electric motor 43 Human body holder 44 Magic tape A
45 Magic Tape B
46 Excrement 47 Power Switch 48 Select Switch 49 Chuck Close Push Button 50 Heating and Bonding Cutting Push Button 51 Excretion Care Device Ready Push Button 52 Heating and Bonding Cutting Temperature Controller 53 Thermocouple (Temperature Sensor)
54 controller 55 reset push button 56 heat-bonding / bonding / cutting device 57 excretion push button 58 excretion voice sensor 59 control panel 60 flexible tube 61 restraint band 62 clothing such as underwear 63 package sheet feeding device 64 screw shaft 65 feeding gear 66 for hooking Hole 67 Idle pulley 68 Introduction portion 69 Clip set bolt 70 Screw shaft 71 Feed nut 72 Moving table 73 Moving rail 74 Completion excrement stocker 75 Single leg mounting holder 76 Comprising sheet outer frame pressing plate 77 Comprising sheet outer frame adjustment Tightening bolt 78 Fitting sheet outer frame mounting bracket 79 Double-tooth rack 80 Pinion 81 Stroke cylinder C
82 Guide roller 83 Excrement introduction port 84 Restraint band for pet 85 Underwear for pet 86 Handle 87 Battery 88 Pressure accumulator

Claims (8)

A main body case (8) provided behind the buttocks of the care recipient, a packing sheet stocker (1) provided outside the main body case (8) and storing the packing sheet (3), and an anus of the care recipient A composite sheet outer frame (5) formed to cover the periphery and having an excretion inlet (83) in the center, an anus opening / closing arm (4) provided at the inner end of the main body case (8), The composite sheet (3) is pulled out from the composite sheet stocker (1) and inverted from the outer peripheral surface of the composite sheet outer frame (5) to the inner peripheral surface, and the anal opening / closing arm (4 ) is passed through the excrement introduction port (83). ) Through the inner surface side, forming a wrapper sheet (3) in a trumpet shape and feeding it backwards, and the envelope sheet (3) containing excreta is cut after heat-sealing or bonding Excrement care apparatus provided with the heat-contact and the adhesive cutting device (56) which isolate | separate.   With the start of excretion, the anus is opened by the anal opening / closing arm (4), and the excretion excreted is encapsulated in the encapsulating sheet (3), while the enveloping sheet (3) is sent backward by the enveloping sheet feeding mechanism, 2. The excretion care device according to claim 1, wherein excrement is continuously introduced into the trumpet-shaped wrapping sheet (3) for wrapping. When the excretion action disappears and a certain period of time elapses, the anus opening / closing arm (4) is simultaneously opened and closed a predetermined number of times while the occluding sheet (3) is further fed backward by the occluding sheet feeding mechanism, and the excrement is wiped off. The excretion care apparatus of Claim 1 or Claim 2. After the wiping operation of the excrement is completed, the heat-bonding / bonding / cutting device (56) is operated, and the excrement packed in the wrapping sheet (3) passes through the heat-bonding / bonding device (56) and has already been heat-bonded. In the bonding device (56) , the two parts in the front-rear direction of the composite sheet (3), which is only the composite sheet (3), are heat-sealed and bonded simultaneously to confine excrement, and the front heat-contact and adhesive part 4. The excretion care device according to any one of claims 1 to 3, wherein the heat exchanging of the back and the central part of the adhesive part are cut to prepare for the next excretion, and further, the encapsulated excrement is separated. Condition for inclusion sheet (3) inner surface directly, since it is a structure that is in contact with the skin surface of the main caregiver, condition for inclusion sheet (3) to the inner surface, pasted net, cloth, paper and water-absorbent polymer over, sterile material, necessary medicinal materials, is filled with the fragrance material, sterile when wiping around the anus, deodorant, also a condition for inclusion sheet for absorbing moisture excrement (3) according to any one of claims 1-4 Excretion care device. And introducing section excretion care apparatus (68), thermal bonding, an adhesive disconnecting device (56), a condition for inclusion sheet feeder (63), as an independent device and a condition for inclusion completion excreta stocker (74), The main body case (8) is divided into two parts, a first main body case (8a) and a second main body case (8b), and an introduction portion (68) is installed in the first main body case (8a) to be independent and restrained. A heat- sealing / bonding / cutting device (56), a packing sheet feeding device (63), a packing complete excrement stocker (74) to be worn by a care recipient by means of a band (61) and clothing (62) such as underwear; Is installed in the second body case (8b), and the introduction part (68) is connected by a flexible tube (60) that can be flexibly deformed. 75) or other free position. The excretion care device according to any one of claims 1 to 5 , wherein the excretion care device can be excreted regardless of the body position in synchronization with the movement (walking ) and the body position change. The excretion care device according to any one of claims 1 to 6 , wherein the excretion care device can be collected, stored, and wiped during movement by providing and carrying a handle (86) on the excretion care device. From the introduction part (68), the flexible tube (60) between the heat-sealing / bonding / cutting device (56), the combined sheet feeding device (63), and the combined waste excrement stocker (74) The excretion care device according to any one of claims 1 to 7 , wherein the excretion care device can be used as a pet excretion care device by curving into a shape and wearing with a pet restraint band (84) or a pet underwear (85).