JP6066229B2 - Transfer assist device for nursing care - Google Patents

Description

  The present invention is a care transfer that reduces the labor of a caregiver by using it when transferring a caregiver whose legs and legs are weak from a bed to a wheelchair or from a wheelchair onto a western toilet of a toilet. It relates to an auxiliary device.

In the following Patent Document 1, a manual handle is attached to the upper part of the upright rotating shaft, a horizontal movable plate is attached to the lower part, and a chair portion is erected on the horizontal movable plate. A rotary transfer chair for nursing care is shown in which a horizontal movable plate is rotated around and stopped at an arbitrary position.
Further, Patent Document 2 below discloses a nursing turntable that is installed along a wall surface of a toilet or bathroom and can move from the outside of the room to the inside through an entrance opening in a sitting position.

Japanese Patent Laid-Open No. 11-178858 JP 2010-119458 A

However, the chair-type transfer assist devices shown in these patent documents cannot be used unless the cared person has the ability to transfer by himself.
On the other hand, a cared person who does not have the ability to transfer by himself / herself, or a cared person who is not confident to transfer by himself / herself, for example, is transferred from a bed to a wheelchair, or is transferred from a wheelchair onto a Western-style toilet. When taking care of a caregiver who has weak legs and legs, a large physical burden is placed on the caregiver, causing the caregiver to hurt his / her waist and / or cause muscle pain. For this reason, it was a situation that forced caregivers too much labor.
In order to reduce such a burden on a caregiver, a lift device that lifts a cared person with a belt or the like has been conventionally known. However, the lift device requires installation work and requires a large installation space, so it is often difficult to install it in a narrow toilet or bathroom in the home, for example, home care It was unsuitable for such an environment.
The present invention is intended to solve the above problems.

For this purpose, the nursing care transfer assisting device according to the present invention includes a moving base arranged to be movable in the front-rear direction by providing a roller or a linear guide, and the moving base to stop the moving base in a non-movable manner. A locking device provided on the moving table, a rotating table disposed on the moving table so as to be rotatable in a horizontal plane, a chair with a backrest erected on the rotating table, and locked in an engagement hole. A rotation lock device that disables rotation of the turntable by engaging a pin, and a footrest portion that is part of the turntable and corresponds to a portion below the front edge of the seat portion of the chair And a stop operation part of the stop device and a rotation lock operation part of the rotation lock device are respectively arranged on a part of the chair so that a caregiver can operate in a state of sitting on the chair, The person becomes crotch-shaped at the front of the chair and holds both legs The caregiver is placed in a face-to-face condition with the stop device and the rotation lock device, and the caregiver holds the caregiver by putting both feet of the caregiver on the footrest. In other words, the cared person is placed on the turntable by sitting on the chair, and the rotation lock device is released by the posture and the turntable is rotated to change the orientation of the cared person's body. It was made to be able to do it.

  According to the transfer assisting apparatus according to the present invention, a cared person with weak legs and legs can be easily and safely transferred to a wheelchair or the like, and labor required by the caregiver is greatly reduced. In addition, the transfer assist device according to the present invention is suitable for use in home care because it does not require a space and can be used in a narrow place and does not require installation work.

The perspective view of the transfer assistance apparatus for care which concerns on this invention. The side view of the transfer assistance apparatus for care which concerns on this invention. The bottom view of the transfer assistance apparatus for care which concerns on this invention. The longitudinal cross-sectional view of the principal part of the transfer assistance apparatus for care which concerns on this invention. AA line sectional view of Drawing 4. The side view which showed the use condition of the transfer assistance apparatus for care which concerns on this invention. The side view which showed the use condition of the transfer assistance apparatus for care which concerns on this invention. The longitudinal cross-sectional view of the principal part which shows the other Example of the transfer assistance apparatus for care which concerns on this invention. BB sectional drawing of FIG. The perspective view which shows the other Example of the transfer assistance apparatus for nursing care which concerns on this invention. The bottom view of the transfer assistance apparatus for care shown in FIG. The longitudinal cross-sectional view of the principal part of the transfer assistance apparatus for care shown in FIG. The CC sectional view taken on the line of FIG. The DD sectional view taken on the line of FIG. EE sectional view taken on the line of FIG.

  Next, the configuration of the nursing care transfer assisting apparatus according to the present invention will be described with reference to the drawings. The disk-shaped moving table 1 located at the bottom of the apparatus is arranged so as to be movable in the front-rear direction on the floor surface by including a plurality of rubber rollers 2a to 2d. The rollers 2a to 2d support the frame-shaped bearing body 4 that rotatably supports the rollers 2a to 2d so that the outer peripheral surface protrudes downward from a rectangular mounting hole 3 provided in the movable table 1. It is attached by adhering to the movable table 1 by the above. An annular slide rail mechanism 6 is provided between the upper surface of the moving table 1 and the lower surface of the rotating table 7, and the rotating table 7 is placed on the moving table 1 in a horizontal plane by interposing the slide rail mechanism 6. It is supported so that it can rotate freely. The slide rail mechanism 6 is configured such that an annular rail 8 fixed to the upper surface of the movable table 1 and an annular rail 9 fixed to the lower surface of the rotary table 7 are slidable with respect to each other. A bearing type turntable marketed under a trade name such as “Mawar Mini” is used.

  On the turntable 7, a chair 16 with a backrest comprising a hollow cylindrical support leg 10, a rear support leg 11, a seat part 12, both armrests 13 and 14, and a backrest 15 is erected. In addition, the lower end part of the supporting leg 10 is fixed by welding on the substrate 10b fixed on the turntable 7 by screws 10a. A stop device 17 is provided on the roller 2 a so that the movable table 1 cannot be moved, and a stop operation unit 18 is provided on one armrest 13. Reference numeral 19 denotes a rotation lock device that makes the turntable 7 unrotatable, and 20 denotes a rotation lock operation unit provided on the other armrest 14.

  As shown in FIGS. 4 and 5, the stopping device 17 fixes one end of the brake band 21 to the upper surface of the moving table 1 with a stopper 22 and makes a part of the outer peripheral surface of the roller 2 a have a small diameter. The brake band 21 is wound around the small-diameter portion 23 formed thereby, and the other end portion of the brake band 21 is connected to a flexible push-pull wire 24 via a connecting member 25. 26 is a flexible coiled tube through which the push-pull wire 24 is inserted so as to be able to move forward and backward. The tube 26 is disposed in the stop operating portion 18 through the support leg 10, and the push-pull wire 24 The other end is connected to the operation lever 27 of the stop operation unit 18. The stop operating portion 18 is provided with an engaging mechanism that can hold the operating lever 27 in an operating state, that is, a state in which the push-pull wire 24 is pulled, and the engaging mechanism presses the push button 28. It is comprised so that it can cancel | release by doing.

  The rotation lock device 19 has an engagement plate 30 fixed to the upper surface of the movable table 1, and a plurality of engagement holes 31 are formed in the engagement plate 30 so as to be positioned on a concentric circle on which the rotation table 7 rotates. At the same time, a small column 32 protrudes from the base of the support leg 10 on the turntable 7, and the link 34 is tiltably supported by a support shaft 33 provided at the upper end of the small column 32. A lock pin 36 is coupled to the support pin 35 via a support shaft 35, and a lower portion of the lock pin 36 is suspended from a through-hole 37 formed in the turntable 7 so as to face the engagement hole 31. A coil spring 38 is mounted on the outer periphery of the lock pin 36 to urge the lock pin 36 upward. A flexible push-pull wire 39 is connected to the other end of the link 34, and one end of the flexible coiled tube 41 is fixed to the support piece 40 protruding from the side surface of the support leg 10. The push-pull wire 39 is inserted so as to be able to move forward and backward, the other end of the tube 41 is disposed in the rotation lock operation unit 20, and the other end of the push-pull wire 39 is connected to the operation lever 42 of the rotation lock operation unit 20. It is linked to. The rotation lock operation unit 20 is provided with an engagement mechanism that can hold the operation lever 42 in an operated state, that is, a state in which the push-pull wire 39 is pulled, and the engagement mechanism presses the push button 43. It can be released by operating.

In addition, footrest portions 50 a and 50 b that are positions below the front edge portion of the seat portion 12 of the chair 16 and on which the feet of the cared person can be positioned are formed on the upper surface of the turntable 7. A jetty 51 is formed around the foot rests 50 a and 50 b so that both feet of the care receiver B do not protrude from the turntable 7. Reference numeral 54 denotes a semicircular concave notch formed at the center of the front of the turntable 7, and the concave notch is formed by the caregiver A sitting on the chair 16 positioning the heel in the concave notch. It is formed so that the rotation of the turntable 7 is stopped. In addition, streaky irregularities 55 are formed on the surfaces of the footrest portions 50a and 50b so that the feet do not slip.
Further, the backrest 15 of the chair 16 is formed to be slightly inclined rearward with respect to the seat portion 12, and a horizontally elongated hole-like gripping portion 52 is formed at the upper end portion of the backrest 15.
Reference numeral 53 denotes a pair of casters juxtaposed on the lower surface of the rear edge of the turntable 7. The casters are normally juxtaposed on the lower surface of the rear edge of the turntable 7 so as to be separated from the floor surface. The caster tilts the transfer assist device backward so that it reaches the floor when carrying the transfer assist device, and can carry the transfer assist device easily by placing the hand on the grip 52. To.

  The transfer assist device configured as described above, for example, transfers a cared person sitting on the end of a bed or a normal chair to a wheelchair, or transfers a cared person sitting in a wheelchair onto a western toilet of a toilet. Used when That is, the rollers 2a to 2d are freely rotated, the transfer assist device is moved immediately before the care receiver B sitting on a bed or the like, and the caregiver A sitting on the chair 16 operates the operation lever 27. By operating the engagement mechanism and holding the push-pull wire 24 in a pulled state, that is, by holding the stop device 17 in an operating state, the roller 2a is made non-rotatable, and the movable table 1 does not move against an external force. In addition, the push-pull wire 39 is loosened by pressing the push button 43 of the rotation lock operation unit 20, and the lower part of the lock pin 36 is loosely moved into the engagement hole 31 of the engagement plate 30 by the elasticity of the coil spring 38. The turntable 7 is made non-rotatable. Then, as shown in FIG. 6, the caregiver A wears both feet on the floor at the front of the chair 16 and faces the caregiver B in a crotch-like posture. B's legs are passed between the legs of the caregiver A, the legs of the cared person B are positioned on the foot rests 50a and 50b, and the carer A turns both hands from the armpit of the cared person B to the back. The caregiver B is held and the caregiver A falls back in such a posture and sits on the seat 12.

  At this time, since both feet of the cared person B are located on the footrests 50a and 50b, the cared person B stands on the turntable 7 as shown in FIG. In this way, although the care receiver B is leaning forward, his / her weight is supported by both feet and gets on the turntable 7. For this reason, it is possible to reduce the physical burden on the caregiver A and place the care receiver B on the turntable 7. The backrest 15 is indispensable for providing support when the caregiver A falls back. Further, when the cared person B gets on the turntable 7, as shown in FIG. 7, the cared person B can hold the grip portion 52 with both hands, so that the standing state can be maintained with peace of mind. The lock pin 36 is detached from the engagement hole 31 of the engagement plate 30 by gripping the operation lever 42 of the rotation lock operation unit 20 while holding the care receiver B in this manner. The caretaker A kicks the floor surface with his / her foot so that the turntable 7 can be rotated in a certain direction such as a wheelchair, and the wheelchair or the Western-style toilet is positioned behind the care receiver B. To do. Then, the caregiver A presses the push button 43 so that the lock pin 36 is loosely fitted into the engagement hole 31 so that the turntable 7 cannot be rotated again, and then the caregiver B is held while holding the care receiver B. Cause Caregiver B to fall on a wheelchair or Western toilet. At this time, the caregiver A can stand by the recoil of the weight of the care receiver B who falls backward, so that the weight of the caregiver A is not directly applied to the caregiver A and the physical burden on the caregiver A is light.

  In this way, the cared person B is held by the carer A and is transferred with both feet on the turntable 7, so that even a cared person with no physical strength can feel safe without having anxiety or fear. It can be transferred to a wheelchair or a Western-style toilet. Further, according to this transfer assist device, the care receiver can be rotated at a required angle, for example, 180 degrees on the spot by holding the care receiver and rotating the toilet. In this case, it becomes easy to transfer the cared person from the wheelchair to the western style toilet or from the western style toilet to the wheelchair. In addition, the care recipient can be transferred safely without imposing a heavy physical burden on the caregiver. Moreover, since it can be used without requiring installation work like a conventional lift device, there is a beneficial effect such as being suitable for home care.

  Next, a second embodiment of the nursing care transfer assisting device according to the present invention will be described with reference to FIGS. In the figure, the same reference numerals as those in FIGS. 1 to 7 denote the same or corresponding parts. In the second embodiment, a bottom plate 60 placed on the floor surface is provided, a pair of linear guides (linear bearings) 61 are provided in parallel on the upper surface of the bottom plate 60, and the movable table 1 is moved in the front-rear direction by the linear guide 61. The chair 16 is disposed so as to be freely supported, a support column 62 is established at the center of the movable table 1, and the chair 16 is rotatably supported by a bearing 63 provided at the upper end of the support column 62. The cylindrical body 65 is suspended from the flange portion 64 fixed to the lower surface of the cylindrical body 12, and the rotary base 7 is horizontally fixed to the lower end of the cylindrical body 65, so that the rotary base 7 is placed on the upper part of the movable base 1. It supports so that it can rotate freely, and the footrest part 50a, 50b is formed in this turntable 7. As shown in FIG. Reference numeral 66 denotes an annular bearing provided between the movable table 1 and the rotary table 7 so as to rotatably support the rotary table 7.

  Then, an engagement plate 68 having a plurality of engagement holes 67 is provided between the linear guides 61 on the bottom plate 60 with appropriate spacing in the front-rear direction, and a through hole formed in the center portion of the column 62 69, a tube 26 of a push-pull wire 24 connected to the stop operating portion 18 is inserted, and a lock pin 70 fixed to the tip of the push-pull wire 24 is opposed to the engagement plate 68. By configuring the stop device 17 in this way, the stop operation portion 18 shown in the first embodiment is operated to loosen the push-pull wire 24 and loosely fit the lock pin 70 into any of the engagement holes 67. Thus, the movable table 1 can be fixed so as not to move in the front-rear direction. The rotation lock device 19 has the same configuration as that of the first embodiment. In FIG. 8, an engagement plate 30 facing the lock pin 36 is fixed on the upper surface of the movable table 1, and the rotation lock operation unit The push-pull wire 39 is loosened by pressing the push button 43 of the 20 and the lower part of the lock pin 36 is loosely fitted into the engagement hole 31 of the engagement plate 30 by the elasticity of the coil spring 38 to rotate the turntable 7. Can be disabled.

  Even if it is the transfer assistance apparatus comprised in this way, it becomes possible to transfer a cared person safely, without imposing a big physical burden on a caregiver by using it similarly to Example 1. FIG.

  On the other hand, FIGS. 10 to 15 show the transfer for care of the third embodiment according to the present invention in which the structures of the stop device 17, the stop operation portion 18, the rotation lock operation portion 20, etc. of the first and second embodiments are slightly different. An auxiliary device is shown. In the figure, the same reference numerals as those in FIGS. 1 to 7 denote the same or corresponding parts. In the care transfer assisting device of the third embodiment, the support 16 of the chair 16 is placed on the substrate 10b fixed to the upper surface of the turntable 7 with screws 10a so that the support leg 10 is located slightly in front of the rotation center of the turntable 7. The support leg 10 is established. Further, as the stop device 18, a rectangular opening 75 is formed in the central portion of the moving base 1, and a brake piece 77 in which a shaft-shaped portion 76 is integrally formed in the center of the upper surface is accommodated in the opening 75. A cap-like body 49 that protrudes upward through a through-hole 78 formed at the rotation center of the turntable 7 and the substrate 10b and is fixed to the upper end of the shaft-like portion 76 and the substrate 10b. The spring 80 is compressed and interposed between the brake piece 77 and the elastic force of the spring 80 so that the brake piece 77 is always kept away from the floor surface, and the brake piece 77 is moved up and down. Support movably. Note that the lower surface of the brake piece 77 is formed in a concavo-convex shape to increase frictional resistance and prevent slipping.

  On the other hand, the stop operation portion 18 rotatably supports the operation shaft 82 by bearing pieces 81a and 81b fixed to the lower surface of the seat portion 12, and forms a lever 83 by bending one end of the operation shaft 82 orthogonally. The lever 83 is disposed on one side edge of the seat portion 12, a support piece 84 is projected from the rear side surface of the support leg 10, and a support shaft 85 projecting from the side surface of the support piece is connected to the link 86. The link 86 is supported so as to move up and down by loosely fitting into the formed long hole 87, the large diameter portion 88 at the lower end of the link 86 is opposed to the cap-like body 79, and the upper end of the link 86 is And an eccentric ring 89 formed so as to protrude in the radial direction on the operation shaft 82 by inserting a pin 90 therethrough. The operation shaft 82 is provided with a stopper 91 that limits the rotation range of the operation shaft 82 by contacting the bearing 81b.

  Therefore, when the lever 83 is rotated in the direction of the arrow shown in FIG. 10 and the operation shaft 82 is rotated, the eccentric ring 89 pushes down the link 86, and the link 86 makes the shaft portion 76 elastic to the spring 80. By pushing down against the brake piece 77, the brake piece 77 is lowered and the brake piece 77 is pressed against the floor surface. For this reason, the movable table 1 becomes immovable due to the frictional resistance with the floor surface. At that time, the eccentric ring 89 pushes down the link 86 as much as possible by rotating and further stops slightly so that the stopper 98 comes into contact with the bearing 81b. It is held in a lowered state against elasticity. For this reason, the movable stand 1 can be kept immovable. Further, by operating the lever 83 in the opposite direction in this state, the depressed state by the link 86 is released, and the brake piece 77 is lifted by the elasticity of the spring 80 and separated from the floor surface, so that the movable table 1 can move. It becomes. The shape of the brake piece 77 is not limited to a rectangular shape as viewed from the bottom as shown in this embodiment, and can be changed as appropriate. Moreover, you may provide such a brake piece in multiple places.

  Further, the rotation lock operation unit 20 shown in the third embodiment has a configuration in which the lock pin 36 can be raised and lowered by stepping on a pedal 92 provided on the front upper portion of the turntable 7 with a foot. That is, a support shaft 93 is provided on both sides of the support leg 10, and a bifurcated operation rod 94 formed with a pedal 92 is pivotally attached to the support shaft 93 so as to be tilted. By pulling the operating rod 94 by a spring 95 engaged with the operating rod 94, the operating rod 94 is always urged so that the pedal 92 is directed upward, and a round shaft 96 spanned between the distal ends of the operating rod 94. A link 97 is pivotally attached to the upper end portion of the lock pin 36 via a pin 98. For this reason, when the pedal 92 is stepped on, the lock pin 36 rises and is disengaged from the engagement hole 31 of the engagement plate 30, whereby the turntable 7 becomes rotatable. For this reason, the rotary table 7 rotates, and when the foot is released from the pedal 92, the operating rod 94 urges the lock pin 36 downward by the elasticity of the spring 95, so that the lock pin 36 is lowered, The lock pin 36 is also loosely fitted into one of the engagement holes 31 so that the turntable 7 is locked so as not to rotate in that state.

  As described above, in the care assisting transfer device according to the present invention, a mechanism for moving the movable table 1 back and forth, a mechanism for rotatably supporting the rotary table 7, a stop device 17, a stop operation unit 18, a rotation lock device 19, and a rotation The structure of the lock operation unit 20 and the like is not limited to that shown in the above embodiment, and can be appropriately changed in design.

DESCRIPTION OF SYMBOLS 1 Moving stand 2a-2d Roller 6 Slide rail mechanism 7 Turntable 10 Support leg 11 Back support leg 15 Backrest 16 Chair 17 Stop device 18 Stop operation part 19 Rotation lock apparatus 20 Rotation lock operation part 50a, 50b Footrest part 52 Grip part 60 Bottom plate 61 Linear guide 62 Post 63 Bearing 65 Tubular body 66 Bearing A Caregiver B Caregiver

Claims (2)

The movable table 1 arranged so as to be movable in the front-rear direction by providing the rollers 2a to 2d or the linear guide 61, and a stop device provided on the movable table 1 for stopping the movable table 1 so as not to move. 17, a turntable 7 disposed on the movable table 1 so as to be rotatable in a horizontal plane, a chair 16 with a backrest standing on the turntable 7, and an engagement hole 31. A rotation lock device 19 that disables rotation of the turntable 7 by engaging a pin 36, and corresponds to a part of the turntable 7 and below the front edge of the seat 12 of the chair 16. In the state where the caregiver A is sitting on the chair 16 with the stop operation portion 18 of the stop device 17 that forms the footrest portions 50a and 50b at the parts to be moved and makes the movable table 1 immovable or movable. The operation lever 27 of the stop operation unit 18 can be operated. The caregiver A sits on the chair 16 with the rotation lock operating portion 20 of the rotation lock device 19 disposed on one armrest 13 of the chair 16 and making the turntable 7 unrotatable or rotatable. In the state, it is arranged on the other armrest 14 of the chair 16 so that the operation lever 42 of the rotation lock operation unit 20 can be operated, and the caregiver A becomes a crotch shape at the front part of the chair 16 and both feet are floored. The caregiver B is brought into a face-to-face state and the stop device 17 and the rotation lock device 19 are in an activated state, and both feet of the care receiver B are put on the footrest portions 50a and 50b. When A holds the cared person B and sits on the chair 16, the cared person B is placed on the turntable 7, and the rotation lock device 19 is deactivated by the posture and the turntable 7 is moved. By rotating the care recipient B Nursing ERROR assisting apparatus characterized by orientation of body is to be changed. The movable table 1 arranged so as to be movable in the front-rear direction by providing the rollers 2a to 2d or the linear guide 61, and a stop device provided on the movable table 1 for stopping the movable table 1 so as not to move. 17, a turntable 7 disposed on the movable table 1 so as to be rotatable in a horizontal plane, a chair 16 with a backrest standing on the turntable 7, and an engagement hole 31. A rotation lock device 19 that disables rotation of the turntable 7 by engaging a pin 36, and corresponds to a part of the turntable 7 and below the front edge of the seat 12 of the chair 16. The foot rests 50a and 50b are formed on the parts to be moved, and the stop operating portion 18 of the stop device 17 that makes the movable table 1 immovable or movable is stopped while the caregiver A is sitting on the chair 16 Front so that the lever 83 of the operation unit 18 can be operated. A caregiver A sits on the chair 16 with the rotation lock operation unit 20 of the rotation lock device 19 arranged below the seat 12 of the chair 16 and making the turntable 7 unrotatable or rotatable. In the state, it is arranged on the support leg 10 of the chair 16 so that the pedal 92 of the rotation lock operation unit 20 can be stepped on, and the caregiver A becomes a crotch shape at the front part of the chair 16 and both feet are on the floor surface. It arrives and faces the cared person B, and after the stop device 17 and the rotation lock device 19 are activated, both the feet of the cared person B are put on the foot rests 50a and 50b. By holding the cared person B on the chair 16 and sitting on the chair 16, the cared person B is placed on the turntable 7, and the rotation lock device 19 is released from its posture to rotate the turntable 7. The direction of the body of the care recipient B changes Nursing ERROR assisting device is characterized in that so as to be.

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