JP5827547B2 - Drape and disposable medical equipment set - Google Patents

Description

  The present invention relates to a sheet-shaped drape that covers a patient during surgery, and a disposable medical device set including the drape.

  Conventionally, when a medical procedure such as a surgical operation is performed in an operating room, the body surface of a patient, which is defined as an unclean area, is covered with a medical drape and the clean area is isolated from the unclean area. ing. For example, Patent Document 1 discloses a drape used for shoulder arthroscopic surgery. The drape includes a base cloth that covers the whole body of the patient, a liquid receiving pouch that receives waste liquid, and a discharge port that discharges the liquid in the liquid receiving pouch. The base fabric is formed with an opening through which the patient's arm is inserted to expose the shoulder joint.

JP 2009-72445 A

  By the way, in a drape like patent document 1, when the patient who receives an operation is thin, a gap will be formed between the shoulder part of the patient inserted into the opening and the base fabric, and perfusion fluid or the like is discharged from the gap. There is a risk of flowing into the unclean side. Even if the patient's arm is not thin, the opening expands when passing near the shoulder joint of the patient, and there is a gap between the shoulder and the base fabric at the position where the shoulder joint is exposed from the base fabric. It may be possible.

  This invention is made | formed in view of the said subject, and aims at making the opening peripheral part of a drape closely_contact | adhere to a patient.

The invention according to claim 1 is a sheet-shaped drape that covers a patient during surgery, and has a drape body having an opening into which any one of the limbs of the patient is inserted, and a periphery of the drape body around the opening. An opening adjustment unit that adjusts the size of the opening so as to closely contact the peripheral part of the opening with one of the limbs of the patient by bringing the two parts of the peripheral part of the opening that are parts close together and maintaining the close state And a pouch that is fixed in the vicinity of the opening on the clean surface of the drape main body and receives liquid from a surgical site, and the pouch has an opening larger than the opening of the drape main body, and the opening Is disposed so as to overlap the opening of the drape main body, and the opening peripheral portion is a portion exposed from the opening of the pouch in the drape main body, and the opening adjusting portion is Disposed on the clean surface of the drape body at the mouth periphery.

  Invention of Claim 2 is the drape of Claim 1, Comprising: The said opening peripheral part is an elastic sheet.

  Invention of Claim 3 is a drape of Claim 1 or 2, Comprising: The said opening adjustment part is a pair of fixation which was fixed to the said 2 places of the said opening peripheral part in the clean surface of the said drape main body. And a band portion that extends from at least one of the pair of fixing portions and can change the length of a portion between the pair of fixing portions.

  The invention according to claim 4 is the drape according to claim 3, wherein the band portion extends from one fixed portion, and the band portion and the other fixed portion are detachable surface fasteners. .

  Invention of Claim 5 is a drape in any one of Claim 1 thru | or 4, Comprising: When the said limb of the said patient is inserted in the said opening, the said opening adjustment part is the said opening. It arrange | positions to the said patient's head side among peripheral parts.

A sixth aspect of the present invention is the drape according to any one of the first to fifth aspects, wherein the pouch surrounds the left and right sides and the lower side of the opening and receives liquid from a surgical site. Have a mouth .

  The invention described in claim 7 is a disposable medical device set, and includes the drape according to any one of claims 1 to 6.

  In the present invention, the periphery of the opening can be brought into close contact with the patient.

It is a top view of the drape which concerns on one embodiment. It is a top view of a disposable medical device set. It is sectional drawing of a drape. It is an enlarged view which shows a part of drape. It is an enlarged view which shows a part of other drape.

  FIG. 1 is a diagram showing a medical drape 1 according to an embodiment of the present invention. The medical drape 1 (hereinafter simply referred to as “drape 1”) is a sheet that isolates a clean area from a body surface of a patient, which is an unclean area, by covering a patient who is undergoing a medical procedure such as surgery in a medical facility. Shaped member. The drape 1 is used for, for example, endoscopic surgery of a shoulder joint and a knee joint. In this embodiment, a drape 1 used for endoscopic surgery for a shoulder joint will be described.

  As shown in FIG. 2, the drape 1 is included in a disposable medical device set 6 that is a set of a plurality of disposable medical devices prepared in accordance with the contents of the medical procedure. The drape 1 is housed in a tray 61 of the disposable medical device set 6 in a folded state, and the tray 61 is housed in a packaging bag 62 having air permeability drawn by a two-dot chain line.

  As shown in FIG. 1, the drape 1 includes a sheet-like drape main body 11 that covers a patient, and a medical pouch 2 (hereinafter simply referred to as “pouch 2”) that is fixed to the drape main body 11. In the following description, the surface of the drape body 11 opposite to the patient is referred to as “clean surface 111”, and the surface of the drape body 11 on the patient side is referred to as “unclean surface 112”. In FIG. 1, the drape 1 is drawn with the clean surface 111 facing forward.

  The drape body 11 has a substantially circular opening 110 into which the patient's arm is inserted. During the operation, the patient's arm is inserted into the opening 110 from the dirty surface 112 side of the drape main body 11. The opening 110 is located at a position where the shoulder joint of the patient is exposed to the clean surface 111 side from the drape body 11, and the opening peripheral portion 113, which is a portion around the opening 110 of the drape body 11, is placed under the patient's armpit or shoulder joint. It touches the area inside (ie, the patient's head). In the present embodiment, the diameter of the opening 110 in the drape 1 before use (that is, the diameter of the opening 110 before the patient's arm is inserted) is about 12 cm.

  The pouch 2 is a so-called water receiving bag that receives liquid from a surgical site. In endoscopic surgery of the shoulder joint, a perfusion solution such as physiological saline is continuously or intermittently applied to the surgical site of the patient, and the liquid received by the pouch 2 is the perfusion solution or And blood and body fluids. FIG. 1 shows a state before the pouch 2 is used (that is, when it is not used). The pouch 2 includes a pouch body 21 and a substantially cylindrical drain pipe 24. The pouch main body 21 has a substantially pentagonal shape in plan view, and is fixed on the clean surface 111 of the drape main body 11 in the vicinity of the opening 110.

  FIG. 3 is a cross-sectional view of the drape 1 taken along the line AA in FIG. In FIG. 3, in order to facilitate understanding of the drawing, the components of the drape 1 that are joined to each other are also drawn apart from each other. As shown in FIGS. 1 and 3, the pouch body 21 is provided with a substantially rectangular opening 215 larger than the opening 110 of the drape body 11, so that the opening 215 overlaps the opening 110 of the drape body 11. (That is, so as to include the opening 110 in a plan view). The length of each side of the opening 215 is about twice the diameter of the opening 110. As shown in FIG. 1, in the pouch body 21, a liquid receiving port 210 that receives liquid from the surgical site is formed at a position surrounding the left and right sides and the lower side of the opening 215 in FIG. 1. The drainage pipe 24 is disposed at the lower end of the drape body 11 in FIG. 1 (corresponding to the lower side in the direction of gravity during the operation, hereinafter simply referred to as “lower side”). The liquid that has flowed into the pouch main body 21 is discharged.

  As shown in FIGS. 1 and 3, the drape main body 11 includes a base fabric 12, an absorbent sheet 13, and an opening sheet 14. The base fabric 12 is a substantially rectangular sheet member in plan view, and a substantially rectangular opening 121 is provided at approximately the center. Since the shape of the opening 121 is substantially the same as that of the opening 215 of the pouch 2, the illustration is omitted in FIG. The absorbent sheet 13 is a sheet member in which a substantially triangular notch 131 is provided at the center of one side of a substantially rectangular shape (the upper side in FIG. 1) in plan view. The absorbent sheet 13 is fixed to the clean surface 111 side of the base fabric 12 such that the opening 121 of the base fabric 12 (see the opening 215 of the pouch body 21) is located in the notch 131. In addition, the lower side of the absorbent sheet 13 approximately coincides with the lower side of the base fabric 12, and a plurality of cord holders 135 for fixing piping, wiring, and the like are provided on the left and right sides of the absorbent sheet 13. It is done.

  The opening sheet 14 is a substantially rectangular stretchable sheet member in plan view, and is slightly larger than the opening 121 of the base fabric 12. The substantially circular opening 110 described above is provided at approximately the center of the opening sheet 14. The opening sheet 14 is disposed on the clean surface 111 side of the base cloth 12 so as to cover the opening 121 of the base cloth 12, and is fixed to the base cloth 12 with a double-sided tape or the like around the opening 121. In the drape 1, the pouch 2 is fixed to the clean surface 111 side of the drape main body 11 so that the opening 215 of the pouch main body 21 substantially coincides with the opening 121 of the base fabric 12. A portion around the opening 215 of the pouch 2 is fixed to the outer peripheral portion of the opening sheet 14.

  In the present embodiment, the base fabric 12 of the drape body 11 is formed by laminating a nonwoven fabric and a plastic film. For example, the base fabric 12 is formed by sandwiching a polyethylene film between two spunbond nonwoven fabrics. The absorbent sheet 13 is formed of a non-woven fabric (for example, SMS (spunbond / meltblown / spunbond) non-woven fabric) subjected to water absorption treatment. The opening sheet 14 is a stretchable sheet formed of urethane or the like, and a portion of the opening sheet 14 exposed from the opening 215 of the pouch 2 is the above-described opening peripheral portion 113. When the opening sheet 14 is relatively large, a portion of the opening sheet 14 around the opening 110 becomes the opening peripheral portion 113. The pouch body 21 of the pouch 2 is formed of a transparent or translucent flexible resin material such as polyethylene. The base fabric 12 and the absorbent sheet 13 may have various structures other than those described above. For example, the base fabric 12 is formed of only a nonwoven fabric (for example, spunlace nonwoven fabric), and the absorbent sheet 13 is formed on the lower side of the nonwoven fabric. You may form by laminating | stacking a plastic film.

  As shown in FIG. 1, the drape 1 further includes an opening adjusting portion 15 provided on the clean surface 111 side of the opening sheet 14 in the opening 215 of the pouch 2. FIG. 4 is an enlarged view showing the vicinity of the opening adjustment unit 15. As shown in FIG. 4, the opening adjusting portion 15 is disposed above the opening 110 in the opening peripheral portion 113. In a state where the patient's arm is inserted into the opening 110 of the drape 1 and the opening 110 is positioned inside the shoulder joint, the opening adjusting unit 15 is disposed on the patient's head side in the opening peripheral portion 113.

  The opening adjusting portion 15 includes a substantially strip-shaped tape portion 151 extending in the left-right direction, and a to-be-attached portion 154 to which the tape portion 151 is fixed. One end 152 of the tape portion 151 is fixed to the clean surface 111 side of the opening peripheral portion 113. In FIG. 4, a parallel oblique line is given to the end portion 152. A part 153 (hereinafter referred to as “band part 153”) extending from the end 152 of the tape part 151 toward the fixing part 154 is not fixed to the opening peripheral part 113 of the drape main body 11. A number of hook elements of hook-and-loop fasteners are provided on the surface of the band portion 153 facing the opening peripheral portion 113. The to-be-fixed part 154 is fixed to the clean surface 111 side of the opening peripheral part 113 over substantially the entire surface. A large number of hook receiving elements (for example, loop elements) to which the hook elements of the band portion 153 can be locked are provided on the surface of the to-be-fixed portion 154 opposite to the opening peripheral portion 113. In the opening adjustment part 15, the band part 153 and the to-be-attached part 154 of the tape part 151 are detachable surface fasteners.

  When there is a possibility that a gap may be generated between the shoulder portion of the patient inserted into the opening 110 and the opening sheet 14 of the drape main body 11, the band portion 153 is picked and pulled toward the to-be-attached portion 154. By locking the hook element to the hook receiving element of the fixing portion 154, the band portion 153 is fixed to the fixing portion 154. As a result, the portion between the one end 152 of the tape portion 151 and the to-be-attached portion 154 (that is, the pair of fixing portions fixed to the two locations of the opening peripheral portion 113 in the clean surface 111 of the drape main body 11). The length is changed to be shorter. In other words, the two places of the opening peripheral portion 113 are brought close to each other, and the close state is maintained. As a result, in the drape main body 11, the size of the opening 110 can be adjusted to bring the opening peripheral portion 113 into close contact with the patient, and the recovery rate of the perfusate or the like by the pouch 2 can be improved.

  In the drape 1, since the opening peripheral part 113 is an elastic sheet, the opening peripheral part 113 can be further adhered to the patient. In addition, the opening adjustment portion 15 extends from the end portion 152 and the to-be-attached portion 154 of the tape portion 151 and the end portion 152 of the tape portion 151 which are a pair of fixing portions fixed at two locations on the opening peripheral portion 113. By providing the band portion 153 that can change the length of the portion between the end portion 152 and the adherend portion 154, the size of the opening 110 can be easily adjusted. Furthermore, since the band part 153 and the to-be-attached part 154 are hook-and-loop fasteners, the detachable opening adjusting part 15 can be easily realized. As a result, when the shoulder portion swells due to the influence of the perfusate or the like during the operation, the band portion 153 is once peeled off from the to-be-attached portion 154, and the size of the opening 110 is readjusted to the to-be-attached portion 154 again. It can be easily fixed.

  As described above, the opening adjusting unit 15 is disposed on the patient's head side in the opening peripheral portion 113 in a state where the patient's arm is inserted into the opening 110 and the shoulder joint is exposed from the drape main body 11. Thereby, it is prevented that the opening adjustment part 15 is located in the shadow of a patient's body. As a result, the practitioner can easily pick the band portion 153 of the opening adjustment portion 15 and can easily operate the opening adjustment portion 15. In addition, due to insufficient adjustment of the size of the opening 110, wrinkles occur in the drape main body 11 between the end portion 152 of the tape portion 151 and the to-be-fixed portion 154, and the drape main body 11 and the patient are in contact with the wrinkle portion. Even if there is a slight gap between them, the perfusate etc. flows away from the patient's head, so that the perfusate etc. are prevented from flowing into the gap.

  As mentioned above, although embodiment of this invention has been described, this invention is not limited to the said embodiment, A various change is possible.

  For example, in the opening adjustment part 15, the band part 153 may be an adhesive tape, and the to-be-adhered part 154 may be a plastic film etc. to which the said adhesive tape is affixed. Further, in the drape 1, a plurality of opening adjustment portions 15 may be provided in the opening peripheral portion 113. Further, if the opening adjustment unit 15 can be operated, the opening adjustment unit 15 does not necessarily need to be arranged on the patient's head side in the opening peripheral portion 113. For example, the two opening adjustment units 15 include the opening 110. It may be arranged on both the left and right sides.

  The opening adjusting unit 15 may have various structures other than the structure shown in the above embodiment. For example, the opening adjustment unit 15a illustrated in FIG. 5 includes two string members 155. One end of the two string-like members 155 is a fixing portion 156 that is fixed to two locations of the opening peripheral portion 113 on the clean surface 111 of the drape main body 11. When a portion other than the fixing portion 156 of each string-like member 155 is referred to as a “band portion 157”, the two band portions 157 are connected so that the length of the portion between the pair of fixing portions 156 is shortened. Two locations of the opening peripheral portion 113 to which the pair of fixing portions 156 are fixed are brought close to each other, and the close state is maintained. Thereby, the magnitude | size of the opening 110 is adjusted and the opening peripheral part 113 can be closely_contact | adhered to a patient.

  Further, in the opening adjustment portion, one string-like member having both ends fixed is provided at two locations on the opening peripheral portion 113, and a portion (that is, a band portion) between the both ends of the string-like member is bundled. Thereby, the length of the site | part between the both ends (namely, a pair of fixing | fixed part) of the said string-like member may be shortened. As described above, in the opening adjustment portion, the band portion that changes the length of the portion between the pair of fixing portions may extend from both of the pair of fixing portions, like the opening adjustment portion 15 shown in FIG. Moreover, you may extend only from one fixing | fixed part. In other words, the band portion extends from at least one of the pair of fixing portions.

  The opening adjustment part does not necessarily include a pair of fixing parts and a band part. For example, an opening adjustment part similar to the structure provided in the opening part of the so-called drawstring bag may be provided around the opening 110. . Specifically, as the opening adjusting portion, a substantially annular two-layer portion that surrounds the entire periphery of the opening 110 in the opening peripheral portion 113 and a sheet between the two sheets of the two-layer portion. A string-like member is provided. By pulling both ends of the string-like member extending outward from the two-layer portion, the opening 110 becomes smaller toward the center, and the opening peripheral portion 113 can be brought into close contact with the patient.

In the drape 1, the opening peripheral portion 113 does not necessarily need to be a stretchable sheet, and may be a sheet that does not substantially have stretchability (for example, an olefin-based sheet such as polyethylene). Further, the shape of the pouch main body 21 may be appropriately changed according to the use of the drape 1. The drape according to art related to the present invention, if the pouch 2 is not required, Dre flop either et pouch 2 may be omitted.

  When the drape 1 is used for endoscopic surgery of the knee joint, the patient's leg is inserted into the opening 110 from the dirty surface 112 side. The drape 1 covers the patient in a state where the opening 110 is positioned above the patient's knee joint, and the opening adjusting unit 15 is disposed above the knee joint, that is, on the patient's head side in the peripheral part 113 of the opening. The The structure of the drape 1 may be used for surgery other than endoscopic surgery of the shoulder joint and knee joint, and any one of the patient's limbs is inserted into the opening 110.

  The configurations in the above embodiment and each modification may be combined as appropriate as long as they do not contradict each other.

DESCRIPTION OF SYMBOLS 1 Drape 2 Pouch 6 Disposable medical equipment set 11 Drape main body 15,15a Opening adjustment part 110 Opening 111 Clean surface 113 Opening peripheral part 152 End part 153 Band part 154 Securing part 156 Fixing part 157 Band part

Claims (7)

A sheet of drape that covers the patient during surgery,
A drape body having an opening into which any of the patient's limbs are inserted;
The size of the opening is adjusted by adjusting the size of the opening by bringing the two positions of the opening peripheral part of the drape body around the opening close to each other and maintaining the close state. An opening adjusting portion to be in close contact with any of the above,
A pouch that is fixed in the vicinity of the opening on the clean surface of the drape body and receives liquid from a surgical site;
Equipped with a,
The pouch includes an opening larger than the opening of the drape main body, and the opening is arranged to overlap the opening of the drape main body,
The opening periphery is a portion exposed from the opening of the pouch in the drape main body,
The drape is characterized in that the opening adjusting portion is disposed on the clean surface of the drape main body in the periphery of the opening . A drape according to claim 1, wherein
A drape in which the periphery of the opening is an elastic sheet. A drape according to claim 1 or 2,
The opening adjusting portion is
A pair of fixed parts fixed at the two locations around the opening in the clean surface of the drape body;
A band part extending from at least one of the pair of fixing parts and capable of changing a length of a portion between the pair of fixing parts;
A drape characterized by comprising. A drape according to claim 3, wherein
The band portion extends from one fixed portion;
The drape characterized in that the band part and the other fixing part are detachable surface fasteners. A drape according to any of claims 1 to 4,
The drape is characterized in that when one of the limbs of the patient is inserted into the opening, the opening adjusting portion is arranged on the head side of the patient in the periphery of the opening. A drape according to any of claims 1 to 5,
The pouch has a liquid receiving port that surrounds the left and right sides and the lower side of the opening and receives liquid from a surgical site . A disposable medical device set,
A disposable medical device set comprising the drape according to any one of claims 1 to 6.

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