JP6905361B2 - Surgical drape - Google Patents

Description

The present invention relates to a reusable surgical drape that covers a patient during surgery.

In order to maintain the cleanliness of the surgical field during surgery and prevent infection due to the scattering of blood and body fluids of the patient, a surgical drape that covers the outer circumference of the affected area of the patient has been conventionally used. In the conventional surgical drape, an opening is arranged in the drape body so that the affected part can be exposed, and the treatment is performed through the opening while maintaining the cleanliness of the surgical field. In some cases, the opening In some cases, a catheter or the like may be inserted into the affected area.

Jikkenhei 6-52808

However, when a catheter, a drain bag tube, or the like is inserted into the affected area through the opening of the surgical drape as described above, the presence of the catheter or the like makes it difficult to remove the surgical drape from the patient. In addition, when removing the surgical drape from the patient, great care should be taken to keep the surgical field clean so that unclean parts of the surgical drape, blood, tissues, etc. that adhered during the operation do not pass through or come into contact with the surgical field. There is a need.

In addition, when it is unavoidable to expand the surgery due to a change in surgical procedure during surgery and it becomes necessary to widen the opening, conventionally, the surgical drape was cut to widen the opening, or a wider opening was provided. It had to be replaced with a surgical drape. However, if the surgical drape is cut to widen the opening, repeated use becomes difficult, and when replacing the surgical drape with a wider opening, the surgical drape that has been used up to that point is replaced by the patient. When removing the surgical drape, the dirty part of the surgical drape, blood, tissue, etc., which adhered during the operation as described above, may pass through or come into contact with the surgical field and become dirty.

Therefore, in order to avoid the situation where the unclean part of the surgical drape adhered during the operation and blood, tissues, etc. pass through or come into contact with the surgical field as described above, the perforations formed in the surgical drape in advance as shown in Patent Document 1 are formed. In some cases, the surgical drape was removed from the patient by cutting after surgery or cutting the surgical drape directly with scissors.

However, if the surgical drape is cut as described above, it cannot be used repeatedly, so that a new surgical drape is required, and the cost is high. Further, when a perforation is made in the surgical drape as shown in Patent Document 1, the patient's body fluid or blood that has flowed out from the affected area to the surface of the surgical drape may flow into the patient side again from the perforation, which is hygienic. There was a risk of problems with.

Therefore, the present invention is intended to solve the above-mentioned problems, and can be smoothly removed from the patient after the operation, can be used repeatedly, and can maintain a good clean state at the time of the operation. It is an attempt to obtain a surgical drape that can be done.

In order to solve the above-mentioned problems in the present invention, in the first and second inventions of the present application, an opening is provided in the drape body so that the affected portion can be exposed. Then, it is provided with a cutting portion provided in the direction of one side of the drape body from this opening, and a pair of facing pieces formed on both sides of the cutting portion and composed of one facing piece and the other facing piece.

By providing the cut portion in this way, it is not necessary to cut the drape main body with scissors or the like, and the opening area of the opening can be widened by opening the pair of opposing pieces on both sides of the cut portion, and the drape main body can be formed. Can be smoothly removed from the patient. Therefore, even when the catheter or the drain bag tube is inserted into the affected area, the drape body can be quickly and efficiently attached and detached.

In the first invention of the present application, of the pair of opposing pieces formed on both sides of the cut portion, one opposing piece is provided with a folded portion formed by folding the edge portion facing the other opposing piece toward the surface side, and the other. The facing piece is provided with a flap that can cover the folded portion. By providing the folded portion on one facing piece and the flap on the other facing piece in this way, the body fluid or the like that has flowed out from the opening to the surface of the drape body flows from the cut portion to the patient side again due to the presence of the folded portion or the flap. It is possible to prevent the inflow and keep the affected area clean.

Further, in the second invention of the present application, the other facing piece is provided with a flap that protrudes to the one facing side facing the other facing piece and has a water absorbing material on the front surface, and this flap is provided on the back surface side of the one facing piece. It is arranged in layers. By arranging the flaps provided with the water absorbing material on the back surface side of the one facing piece in this way, the cut portion between the one facing piece and the other facing piece is covered with the flap. Therefore, the body fluid or the like that has flowed out from the opening to the surface of one facing piece or the other facing piece of the drape body passes through the flap before flowing into the cutting portion, and is absorbed by the water-absorbing material of the flap. Therefore, it is possible to prevent the body fluid or the like flowing out from the opening from flowing into the patient side from the cut portion again, and the cleanliness of the affected portion can be kept good.

One facing plate of the second aspect of the present invention is also set only the folded portion formed by folding back the edge of the one facing plate on the surface side. By providing the folded portion in contrast to the facing plates as this, for such a body fluid flowing out toward one facing plate through the opening is blocked by the presence of the folded portion, it is possible to prevent a situation that flows into the patient from the cutting portion ..

The first or application, drape body of the second invention, the surface of the opening periphery of the base fabric, there is provided a sheet having a waterproof and bacteria barrier properties, yet the sheet is a surface It may be provided with a water absorbing cloth. Further, at least the folded portion is provided at the place where the sheet is arranged.

By providing a waterproof and bacterial barrier sheet on the outer periphery of the opening of the base cloth in this way, even if body fluid or the like adheres to the outer periphery of the opening, which is a critical zone where cleanliness must be maintained. , It is possible to prevent a situation in which body fluids, bacteria, etc. permeate the drape body and invade the affected area again.

Further, by providing the water absorbing cloth on the surface of the sheet, the body fluid or the like flowing out on the sheet can be absorbed by the water absorbing cloth, so that the inflow from the opening or the cut portion to the affected part can be effectively prevented. .. Similarly, by providing at least a folded portion on this sheet, it is possible to prevent a situation in which body fluid or the like that has flowed out to the outer peripheral surface of the opening again flows from the cut portion to the affected portion side due to the presence of the folded portion and the flap. .. Therefore, the cleanliness of the affected area can be kept good.

Further, in the first and second inventions of the present application, one engaging member is provided on one facing piece, and the other engaging member capable of engaging with the one engaging member is provided at a position facing the one engaging member on the flap. By engaging the one engaging member and the other engaging member, the one facing piece and the flap may be detachably connected to each other.

By engaging the one-sided piece and the flap with the engaging member in this way, the flap can be fixedly arranged on the one-sided piece, so that the flap is disengaged from the one-sided piece during the operation and the cut portion is open. It is possible to prevent such a situation and maintain good cleanliness of the affected area during surgery.

Further, in the first and second inventions of the present application, the one-side engaging member may be provided at the folded-back portion of the one facing piece, and the one-side engaging member may be provided at a position beyond the folded-back portion of the one facing piece. It may be provided in.

Further, the flap may be sewn to the sheet and the base cloth of the drape body, and the needle hole may be closed by covering the needle hole formed by this sewing with a tape. It may be sewn to the sheet of the main body, and the base cloth of the drape main body may be covered and arranged in the needle hole formed by this sewing. By closing the needle hole with tape or covering the needle hole with a base cloth in this way, it is possible to prevent a situation in which body fluid or the like that has flowed out to the surface of the drape body flows into the affected area through the needle hole.

Further, in the first invention of the present application, a protruding piece is provided between the other facing piece and the flap so as to project toward the folded portion side of the one facing piece, and a water absorbing portion is provided on the protruding piece, and the water absorbing portion is used as the folded portion. The protruding pieces may be arranged so as to face each other, or the protruding pieces may be composed of a pair of small pieces, and the folded portions may be inserted and arranged at intervals of the pair of small pieces.

By arranging the protruding piece between the other facing piece and the flap so that the water absorbing portion faces the folded portion, when the body fluid or the like flows out from the opening in the direction of forming the cut portion on the sheet, this Since the body fluid or the like can be absorbed by the water absorbing portion of the protruding piece, it is possible to effectively prevent the situation in which the body fluid or the like flowing out from the opening flows into the affected portion side from the cut portion. Further, since the folded state of the folded portion can be more reliably held by the protruding piece, the inflow of body fluid or the like into the cut portion can be more effectively prevented by the folded portion.

The first and second inventions of the present application particularly describe surgical operations, specifically open surgery and laparoscopic surgery in general gastrointestinal surgery, open surgery and laparoscopic surgery in biliary and pancreatic surgery, and open surgery in gynecology. It can be used for laparoscopic surgery, abdominal surgery and laparoscopic surgery in urology, heart surgery in heart surgery, chest opening and laparoscopic surgery in thoracic surgery, and the like. It can also be used in orthopedic artificial joint replacement, arthroscopic surgery, lower limb ligament reconstruction, osteosynthesis, general spinal plasty and fusion.

Since the present invention is configured as described above, it is possible to prevent the body fluid or the like that has flowed out to the surface of the drape body from flowing into the patient side from the cut portion by the folded portion or the flap. That is, in the first invention of the present application, when a body fluid or the like flows out from an opening to the surface of one facing piece, the facing piece is provided with a folded portion, so that the body fluid flowing out by this folded portion is dammed up. Therefore, it becomes difficult for the outflowing body fluid to flow from the cut portion into the affected portion. Further, when the body fluid or the like flows out from the opening to the surface of the other facing piece, the other facing piece is provided with a flap, and the cut portion is covered with this flap, so that the body fluid or the like is cut. It becomes difficult to flow from the part to the affected part. Therefore, the presence of the folded portion and the flap can keep the affected portion clean.

Further, in the second invention of the present application, when body fluid or the like flows out from the opening to the surface of one facing piece or the other facing piece, the other facing piece is provided with a flap provided with a water absorbing material, so that the one facing piece is provided. On the other hand, the body fluid that has flowed out to the opposite piece circulates on the flap before reaching the cut portion and is absorbed by the water-absorbing material of the flap. Therefore, it becomes difficult for the body fluid that has flowed out from the opening to flow into the affected area from the cut portion, and the cleanliness of the affected area can be kept good.

Further, in the first and second inventions of the present application, even when a catheter, a drain bag tube, or the like is inserted into the affected area through the opening, the surgical drape can be smoothly removed from the patient by separating the pair of opposing pieces. The surgical drape can be attached and detached quickly and smoothly. In addition, since the cutting portion is provided in advance, it is not necessary to cut with scissors or the like, so that it can be used repeatedly and the cost can be kept low, and the pair of opposing pieces can be partially expanded for cutting. Since the opening area of the opening can be widened by widening the portion, it is not necessary to replace it with a surgical drape having an opening having a wider opening area.

The plan view in the state which the flap shows the Example 1 of the 1st invention of this application is opened. FIG. 1 is a partially enlarged plan view of FIG. The figure of use at the time of laparotomy of Example 1. FIG. 5 is a partially enlarged plan view in a state where the flap is closed in the first embodiment. FIG. 4 is an enlarged end view taken along the line AA. The figure of use at the time of the orthopedic operation of Example 1. FIG. 2 is a partially enlarged plan view in a state where the flap is closed in the second embodiment of the first invention. FIG. 2 is a partially enlarged plan view in a state where the flap is opened in the second embodiment. FIG. 7 is an enlarged end view taken along line BB. The plan view in the state which the flap which shows Example 3 of 1st invention is closed. A partially enlarged plan view of the third embodiment with the flap open. FIG. 10 is an enlarged end view taken along line CC. The plan view in the state which the flap which shows Example 4 of 2nd invention is closed. FIG. 6 is a partial plan view showing one side facing one side and the other side facing each other in the fourth embodiment. FIG. 13 is an enlarged end view of the DD line .

Explaining Example 1 in the first invention of the present application, as shown in FIG. 1, (1) is a drape body, and the affected part can be exposed to the central portion of the waterproof base cloth (22) constituting the drape body. The opening (2) is arranged. A substantially square sheet (3) having waterproof and bacterial barrier properties is fixedly arranged on the surface (4) of the base cloth (22) on the outer circumference of the opening (2). By providing the waterproof and bacterial barrier sheet (3) on the outer periphery of the opening (2) in this way, even if body fluid or the like adheres to the outer periphery of the opening (2), the body fluid, bacteria, etc. It is possible to maintain cleanliness by preventing the situation where the bacteria soak into the base cloth (22) and invade the affected area again.

A water absorbing cloth (21) is provided on the surface of the sheet (3) as shown in FIG. By providing the water absorbing cloth (21) in this way, the body fluid or the like that has flowed out on the sheet (3) can be absorbed by the water absorbing cloth (21), so that the body fluid or the like that has flowed out from the opening (2) can be absorbed again. It is possible to effectively prevent the inflow to the patient side in the drape body (1).

Further, as shown in FIGS. 1 and 2, a cut portion (5) is formed by making a continuous cut from the opening (2) to one side of the drape body (1). By forming the cut portion (5) in this way, even when a catheter, a drain bag tube (6), or the like is inserted into the affected part through the opening (2) during surgery as shown in FIG. 3, this cut portion is formed. By opening (5), the surgical drape can be smoothly removed from the patient, and the surgical drape can be quickly attached and detached. Further, since the cutting portion (5) is provided in advance, it is not necessary to cut the drape body (1) with scissors or the like during the operation, so that it can be used repeatedly and the cost can be kept low.

Further, by providing the cutting portion (5), a pair of opposing pieces are formed on both sides of the cutting portion (5) as shown in FIG. Then, as shown in FIG. 2, the edge portion (10) facing the other opposing piece (8) is folded back toward the surface (11) side of the pair of opposing pieces, so that the folded portion (7) is folded back. 12) is formed. This folded-back portion (12) is formed at the seat (3) arrangement location, and one opposite piece (7) of this portion is folded back to form the folded-back portion (12), and the folded-back portion (12) is formed. , It is sewn and fixed to multiple places on the opposite piece (7) by the bartack (13). In this embodiment and the second embodiment below, the bartack (13) is used as the fixing means, but in other different embodiments, the method is not limited to this, and a stitch stop, a hook-and-loop fastener, a button, or the like may be used.

Further, as shown in FIG. 4, a flap (14) capable of covering the folded-back portion (12) is connected and arranged on the opposite piece (8). The flap (14) is formed in a substantially rectangular shape, and as shown in FIG. 1, the flap (14) corresponds to the length of the edge (15) of the other facing piece (8), and the other is from one end of the edge. It is connected and arranged continuously to the end by sewing.

In this embodiment, as described above, since the flap (14) is connected and arranged on the other facing piece (8) by sewing, the needle hole (23) is formed by sewing. Therefore, bacteria, body fluids, etc. that have flowed out from the opening (2) to the drape body (1) may pass through the needle hole (23) and flow into the patient side. Therefore, in order to prevent such a situation, as shown in FIG. 5, the needle hole (23) of the connecting portion is closed by providing a tape (16) having waterproof and bacterial barrier properties in the sewn portion. ing. Further, the flap (14) is formed of a material having waterproof and bacterial barrier properties as in the above sheet (3).

Further, as shown in FIG. 1, the one facing piece (7) has a one-side engaging member (17) snapped along the surface (11) edge portion (10) from one end to the other end of the edge portion (10). Multiple fixed arrangements are made at equal intervals. Then, as shown in FIG. 5, the other engaging member (18) capable of engaging with the one engaging member (17) is placed on the inner surface (18) of the flap (14) which is opposed to the one engaging member (17). 20) are fixedly arranged at the corresponding positions of the one-sided engaging member (17).

Further, as shown in FIG. 2, the one-side engaging member (17) is fixedly arranged on the sheet (3) of the one-sided facing piece (7) at a position beyond the folded-back portion (12). In this embodiment and the following embodiments, snaps are used as the one engaging member (17) and the other engaging member (20) as described above, but the other different embodiments are not limited to this and the buttons are not limited to this. , Other engaging means such as hook-and-loop fasteners can also be used.

As described above, the one-sided engaging member (7) and the flap (14) are provided with the one-sided engaging member (17) and the other engaging member (20), respectively, so that the one-sided engaging member (17) and the other facing member (17) are opposed to each other. By engaging the other engaging member (20), the one facing piece (7) and the flap (14) can be detachably connected to each other. On the other hand, by connecting the opposing piece (7) and the flap (14), the flap (14) is fixedly arranged in a state of covering the folded-back portion (12) as shown in FIG.

As described above, the folded portion (12) and the flap (14) are connected and fixed by connecting and fixing the one facing piece (7) and the other facing piece (8) in a state where the folded portion (12) is covered with the flap (14). Therefore, it is possible to prevent the body fluid or the like that has flowed out to the surface (4) of the drape body (1) from flowing into the patient side from the cut portion (5).

That is, when body fluid or the like flows out from the opening (2) to the surface (11) of the one facing piece (7), the flowing body fluid is dammed up by the folded-back portion (12) provided on the facing piece (7). It is possible to prevent the outflow of body fluid from flowing into the affected area from the cut part (5).

Further, when body fluid or the like flows out from the opening (2) to the surface of the other facing piece (8), the cut portion (5) is covered with the flap (14) of the other facing piece (8). The presence of this flap (14) can prevent body fluids and the like from flowing into the affected area from the cut portion (5). Therefore, the presence of the folded-back portion (12) and the flap (14) makes it possible to prevent the inflow of body fluid or the like from the cut portion (5), and the cleanliness of the affected portion can be kept good.

Further, as shown in FIG. 3, even when the tube (6) or the like is inserted into the affected area through the opening (2), the one engaging member (17) and the other engaging member (20) are engaged after the operation. By releasing the above, the surgical drape can be easily removed from the patient while maintaining the state in which the tube (6) or the like is inserted without cutting the surgical drape. In addition, since the surgical drape can be removed from the patient without bringing blood or tissue attached to the surgical drape into contact with the affected portion, the cleanliness of the affected portion can be reliably maintained.

Even if it is necessary to widen the opening (2) during surgery, the connection between the one engaging member (17) and the other engaging member (20) on the opening (2) side can be partially disconnected. , The opening (2) can be widened by greatly expanding the cutting portion (5) on the opening (2) side. Therefore, it is not necessary to replace it with another surgical drape, and the operation can proceed quickly and smoothly.

In this example and the following examples, the case of using it for laparotomy as shown in FIG. 3 is mainly described, but it can also be used in the case of performing surgery as shown in FIG. can.

Further, in the first embodiment, as shown in FIG. 2, the one engaging member (17) is fixedly arranged on the sheet (3) of the one facing piece (7) at a position beyond the folded-back portion (12). In the second embodiment, the one-side engaging member (47) is provided at the folded-back portion (42). Explaining in detail the second embodiment of the first invention of the present application, as shown in FIG. 7, an opening (opening) that allows the affected portion to be exposed in the central portion of the waterproof base cloth (52) constituting the drape body (31). 32) is placed. A substantially square sheet (33) having waterproof and bacterial barrier properties is fixedly arranged on the surface (34) of the base cloth (52) on the outer circumference of the opening (32).

By providing the waterproof and bacterial barrier sheet (33) on the outer periphery of the opening (32) in this way, even if body fluid or the like adheres to the outer periphery of the opening (32), the body fluid, bacteria, etc. It is possible to prevent the situation where the bacterium soaks into the base cloth (52) and invades the affected area again. Further, as shown in FIG. 9, a water absorbing cloth (51) is provided on the surface of the sheet (33) as in the first embodiment, and the body fluid or the like flowing out on the sheet (33) is collected by the water absorbing cloth (51). It is made absorbable by.

Further, a cut portion (35) is formed by making a continuous cut from the opening (32) to one side of the drape body (31). By forming the cut portion (35) in this way, even when a catheter, a drain bag tube (36), or the like is inserted into the affected part through the opening (32), the cut portion (35) is opened and a surgical drape is performed. Can be smoothly removed from the patient, and the surgical drape can be removed quickly. Further, since the cutting portion (35) is provided in advance, it is not necessary to cut the drape body (31) with scissors or the like during the operation, so that it can be used repeatedly and the cost can be kept low.

Then, by providing the cutting portion (35) as described above, a pair of opposing pieces are formed on both sides of the cutting portion (35). Of the pair of facing pieces, one facing piece (37) has a folded portion (42) by folding back the edge portion (40) facing the other facing piece (38) toward the surface (41) side as shown in FIG. ) Is formed. This folded-back portion (42) is formed at the location where the sheet (33) is arranged, and the pair of opposing pieces of this portion are folded back and the bartack (43) formed in the direction parallel to the edge portion (40) is used. It is sewn and fixed in multiple places.

Further, as shown in FIG. 7, a flap (44) capable of covering the folded-back portion (42) is connected and arranged on the surface of the opposite piece (38). This flap (44) is formed in a substantially rectangular shape, and as shown in FIG. 7, it is sewn from the opening (32) of the opposite piece (38) to a position beyond the seat (33) arrangement location. The connection is arranged.

In this embodiment, as described above, since the flap (44) is connected and arranged on the other facing piece (38) by sewing, a needle hole (53) is formed at the sewing point and the opening (32) is formed. ), Bacteria, body fluids, etc. that have flowed out from the drape body (31) may pass through the needle hole (53) and flow into the patient side. Therefore, in order to prevent such a situation, as shown in FIG. 9, the sewn portion is provided with a tape (46) having waterproof and bacterial barrier properties to close the needle hole (53) of the connecting portion. ing. Further, the flap (44) is formed of a material having waterproof and bacterial barrier properties similar to the above sheet (33).

Further, as shown in FIG. 8, a plurality of one-sided engaging members (47) that are snaps along the edge portion (40) are fixedly arranged on the surface of the one-sided facing piece (37). Then, as shown in FIGS. 8 and 9, the inner surface (48) of the flap (44) facing the one engaging member (47) is engaged with the other engaging member (47) capable of engaging with the one engaging member (47). The member (50) is fixedly arranged at the corresponding position of the engaging member (47). Further, the one-side engaging member (47) is directly fixedly arranged on the folded-back portion (42).

As described above, one engaging member (47) and the other engaging member (50) are provided on the one facing piece (37) and the flap (44), respectively, and the one engaging member (47) and the other engaging member (47) facing each other are engaged. By engaging the mating member (50), the facing piece (37) and the flap (44) can be detachably connected to each other. On the other hand, by connecting the opposing piece (37) and the flap (44), the flap (44) is fixedly arranged in a state of covering the folded-back portion (42) as shown in FIG.

As described above, the surface of the drape body (31) is formed by connecting and fixing the one engaging member (47) and the other engaging member (50) in a state where the folded portion (42) is covered and arranged by the flap (44). It is possible to prevent the body fluid or the like that has flowed out to (34) from flowing into the patient side from the cut portion (35).

That is, when body fluid or the like flows out from the opening (32) to the surface (41) of the one facing piece (37), the body fluid that has flowed out is dammed up by the folded-back portion (42) provided on the facing piece (37). It is possible to prevent the outflow of body fluid from flowing into the affected area from the cut portion (35). On the other hand, when body fluid or the like flows out from the opening (32) to the surface of the other facing piece (38), the cut portion (35) is covered with a flap (44) provided on the other facing piece (38). Therefore, it is possible to prevent body fluids and the like from flowing into the affected area through the cut portion (35). Therefore, the presence of the folded-back portion (42) and the flap (44) makes it possible to prevent the inflow of body fluid or the like from the cut portion (35), and the cleanliness of the affected portion can be kept good.

After the surgery, the tube (36) or the like is inserted into the affected area through the opening (32) by disengaging the one engaging member (47) and the other engaging member (50). Even in this case, the surgical drape can be easily removed from the patient while maintaining the tube (36) inserted without cutting the surgical drape, and blood or tissue adhering to the surgical drape during surgery can be applied to the affected area. Since the surgical drape can be removed from the patient without contact, it is possible to reliably maintain the cleanliness of the affected area.

Further, even if it is necessary to widen the opening (32) during surgery, by partially disconnecting the one engaging member (47) and the other engaging member (50) on the opening (32) side. , The cut portion (35) on the opening (32) side can be greatly widened to widen the opening (32). Therefore, it is not necessary to replace the surgical drape with another surgical drape, and the operation can proceed quickly and smoothly.

Explaining the third embodiment of the first invention of the present application, similarly to the first embodiment, the central portion of the waterproof base cloth (87) constituting the drape body (61) has an opening that allows the affected portion to be exposed. (62) is placed. A sheet (63) having waterproof and bacterial barrier properties is fixedly arranged on the surface (64) of the base cloth (87) on the outer periphery of the opening (62). By providing the waterproof and bacterial barrier sheet (63) on the outer periphery of the opening (62) in this way, even if body fluid or the like adheres to the outer periphery of the opening (62), the body fluid, bacteria, etc. It is possible to prevent the situation where the bacteria soak into the base cloth (87) and invade the affected area again, and it is possible to maintain cleanliness. Further, as shown in FIG. 12, a water absorbing cloth (85) is provided on the surface of the sheet (63) as in the first embodiment, and the body fluid or the like flowing out on the sheet (63) is collected by the water absorbing cloth (85). It is made absorbable by.

Further, as shown in FIG. 10, a cut portion (65) is formed by making a continuous cut from the opening (62) to one side of the drape body (61). By forming the cut portion (65) in this way, even if a catheter, a drain bag tube, or the like is inserted into the affected part, the cut portion (65) can be opened and the surgical drape can be smoothly removed from the patient. , The surgical drape can be attached and detached quickly and smoothly. Further, since the cutting portion (65) is provided in advance, it is not necessary to cut the drape body (61) with scissors or the like during the operation, so that it can be used repeatedly and the cost can be kept low.

Then, by providing the cutting portion (65) as described above, a pair of opposing pieces are formed on both sides of the cutting portion (65) as shown in FIG. One of the pair of opposing pieces (67) is formed with a folded portion (72) in which the edge portion (70) facing the other opposing piece (68) is folded back toward the surface (71) side. .. Then, the folded-back portion (72) is sewn and fixed to a plurality of locations on the opposite piece (67) by a V-shaped stitch (73). In this embodiment and the following embodiment, V-shaped stitching (73) is performed as a fixing means, but the present invention is not limited to this in other different embodiments, and other stitch stoppers, hook-and-loop fasteners, buttons, etc. may be used. good.

Further, as shown in FIG. 11, a flap (74) capable of covering the folded-back portion (72) is connected and arranged on the other facing piece (68). This flap (74) is formed in a substantially rectangular shape, and as shown in FIG. 10, is continuously connected by sewing from one end side to the other end side of the edge portion (75) of the other facing piece (68). It is arranged. Then, the needle hole (88) formed by this sewing is closed with tape as shown in FIG. As a result, it is possible to prevent a situation in which body fluid or the like flowing out from the opening (62) to the surface of the drape body (61) passes through the needle hole (88) and flows into the patient side.

Further, between the other facing piece (68) and the flap (74) formed as described above, a protruding piece (protruding toward the folded portion (72)) provided on the one facing piece (67) as shown in FIG. 76) is provided. This protruding piece (76) is formed by stacking a pair of rectangular small pieces (77), and between the other facing piece (68) and the flap (74), the one facing piece (67) Arranged so as to project to the folded-back portion (72) side, one side (78) side of this projecting piece (76) is sewn and fixed to the other facing piece (68), and the other side (80) side is used as a free end. There is. Further, the facing surfaces of the pair of small pieces (77) are each designated as a water absorbing portion (81).

Then, as shown in FIG. 11, the flap (74) is covered and arranged on the folded portion (72) in a state where the folded portion (72) is inserted and arranged at the interval of the pair of small pieces (77) formed as described above. The protruding piece (76) is in a fixed position between the other opposing piece (68) and the flap (74). By fixing the position of the protruding piece (76) in this way, the water absorbing portion (81) of the protruding piece (76) is positioned so as to face the folded-back portion (72) as shown in FIG.

Therefore, when the body fluid or the like flows out from the opening (62) in the forming direction of the cutting portion (65), the water absorbing portion (81) of the protruding piece (76) can absorb the body fluid or the like, so that the opening It is possible to effectively prevent the situation in which the body fluid or the like flowing out from (62) flows from the cut portion (65) to the affected portion side. In addition, since the protruding piece (76) can more reliably hold the folded state of the folded portion (72), the inflow of body fluid or the like into the cut portion (65) by the folded portion (72) is more effective. It can be stopped.

Further, in this embodiment, the flap (74) is formed wider than in Examples 1 and 2. By forming the flap (74) wide in this way, the presence of the wide flap (74) causes the patient to see the cut portion (65) of body fluid or the like flowing out from the opening (62) to the surface of the sheet (63). The inflow to the side can be prevented more effectively, and the cleanliness of the affected area can be kept good.

Further, as shown in FIG. 11, two rows of one-sided engaging members (82), which are snaps, are fixedly arranged on the surface (71) of the one-sided facing piece (67) along the edge portion (70). Further, at the opposite positions of the one engaging member (82) on the inner surface (83) of the flap (74), the other engaging member (84) capable of engaging with the one engaging member (82) is fixedly arranged. There is. Further, the one-side engaging member (82) is fixedly arranged at a position beyond the folded-back portion (72) of the one-sided facing piece (67).

By providing the one-sided engaging member (82) and the other engaging member (84) on the one-sided facing piece (67) and the flap (74) as described above, the one-sided engaging member (82) and the other engaging member (84) are respectively opposed to each other as shown in FIG. By engaging the member (82) and the other engaging member (84), the one facing piece (67) and the flap (74) can be detachably connected to each other. Then, by connecting the opposing piece (67) and the flap (74), the flap (74) is fixedly arranged in a state of covering the folded-back portion (72) and the protruding piece (76) as shown in FIG.

As described above, the sheet (63) is connected and fixed to the one facing piece (67) and the other facing piece (68) in a state where the folded portion (72) and the protruding piece (76) are covered and arranged by the flap (74). ) Flowed out to the patient side from the cut part (65) by the folded part (72), the protruding piece (76), the water absorbing cloth (85), and the wide flap (74). Can be prevented.

That is, when body fluid or the like flows out from the opening (62) to the surface (71) of the one facing piece (67), the body fluid that has flowed out is dammed up by the folded-back portion (72) provided on the facing piece (67). It is possible to prevent the outflowed body fluid from flowing from the cut portion (65) into the affected portion. Further, when body fluid or the like flows out from the opening (62) to the surface of the other facing piece (68), the other facing piece (68) is provided with a wide flap (74), so that this flap ( The cut portion (65) is widely covered by the 74), and the flap (74) can prevent body fluids and the like from flowing into the affected portion from the cut portion (65).

Therefore, the presence of the folded-back portion (72) and the wide flap (74) can prevent the inflow of body fluid or the like from the cut portion (65), so that the cleanliness of the affected portion can be kept good. Further, the body fluid or the like flowing out from the opening (62) passed between the flap (74) and the sheet (63) from the upper end portion (86) of the flap (74) without passing through the surface of the flap (74). In this case, body fluids and the like can be absorbed by the water absorbing part (81) of the protruding piece (76) or the water absorbing cloth (85) of the sheet, so that the situation of flowing from the cut part (65) to the affected part side is effective. Can be prevented.

Further, by disengaging the one engaging member (82) and the other engaging member (84), even if a tube or the like is inserted into the affected area through the opening (62), the surgical operation is performed after the operation. The surgical drape can be easily removed from the patient while maintaining the state in which the tube or the like is inserted without cutting the drape. Further, since the surgical drape can be removed from the patient without bringing blood or tissue adhering to the surgical drape into contact with the affected portion during the operation, the cleanliness of the affected portion can be reliably maintained.

Also, even if it is necessary to widen the opening (62) during surgery, by partially disconnecting the one engaging member (82) and the other engaging member (84) on the opening (62) side. , The cut portion (65) on the opening (62) side can be greatly widened to widen the opening (62). Therefore, it is not necessary to replace the surgical drape with another surgical drape, and the operation can proceed quickly and smoothly.

Explaining Example 4 in the second invention of the present application, as shown in FIG. 13, an opening (92) in the central portion of the waterproof base cloth (99) constituting the drape body (91) allows the affected portion to be exposed. ) Is placed. A sheet (93) having waterproof and bacterial barrier properties is fixedly arranged on the surface (94) of the base cloth (99) on the outer periphery of the opening (92).

By providing a waterproof and bacterial barrier sheet (93) on the outer periphery of the opening (92) in this way, even if body fluid or the like adheres to the outer periphery of the opening (92), body fluid, bacteria, etc. It is possible to prevent the situation where the bacteria soak into the base cloth (99) and invade the affected area again, and it is possible to maintain cleanliness. In addition, since the surface of this sheet (93) is covered with a water-absorbent cloth (95), the surface of the sheet (93) absorbs body fluids that have scattered or flowed out near the opening (92). Can be done.

Further, as shown in FIG. 13, a cut portion (96) is formed by making a continuous cut from the opening (92) to one side of the drape body (91). By forming the cut portion (96) in this way, even if a catheter, a drain bag tube, or the like is inserted into the affected part through the opening (92) during surgery, the cut portion (96) is opened to perform surgical drape. It can be smoothly removed from the patient, and the surgical drape can be quickly attached and detached. In addition, since the drape body (91) is provided with a cutting portion (96) in advance, it is not necessary to cut the drape body (91) with scissors during surgery, and it can be used repeatedly and the cost can be kept low. can.

Further, by providing the cutting portion (96) as described above, a pair of opposing pieces are formed on both sides of the cutting portion (96) as shown in FIG. Then, a folded portion (102) is formed on one of the pair of opposed pieces (97) by folding the edge portion (100) facing the other opposed piece (98) toward the surface (101) side. ing. The folded-back portion (102) is formed at a location where the sheet (93) is arranged, and the folded-back portion (102) is sewn and fixed at a plurality of locations by V-shaped stitches (103).

Further, as shown in FIG. 14, a flap (104) capable of covering the folded-back portion (102) is connected and arranged on the opposite piece (98). The connection of the flap (104) will be described in detail. As shown in FIG. 15, the flap (104) is sewn to the sheet (93) located on the surface side of the drape body (91), and the flap (104) is sewn to the sheet (93). The base cloth (99) located on the back surface side of the sheet (93) is covered and arranged in the needle hole (111) formed in the above. As a result, even if the body fluid or the like that has flowed out to the sheet (93) located on the surface side of the drape body (91) passes through the needle hole (111), the needle hole (111) such as the body fluid is provided by the base cloth (99). It is possible to prevent the inflow from the patient to the patient side and maintain good cleanliness.

In this embodiment, in order to maintain a good connection between the flap (104) and the sheet, a reinforcing cloth (109) is provided between the sheet (93) and the base cloth (99), and is shown in FIG. The flap (104) is sewn and fixed in a state where the reinforcing cloth (109) and the sheet (93) are overlapped with each other. Further, the flap (104) is formed in a substantially rectangular shape, and is arranged along the edge of the other facing piece (98) as shown in FIG. Further, this flap (104) is formed of a material having waterproof and bacterial barrier properties similar to the above sheet (93), and a water absorbing material (105) is coated on the surface (108) as shown in FIG. is doing.

Further, on the back surface (106) of the one facing piece (97), a plurality of snaps, which are one engaging members (107), are fixedly arranged along the edge portion (100) as shown in FIG. Then, on the surface (108) of the flap (104), the other engaging member (110) capable of engaging with the one engaging member (107) is fixedly arranged at a position facing the one engaging member (107). is doing.

In this way, one engaging member (107) and the other engaging member (110) are provided on the back surface (106) of the one facing piece (97) and the front surface (108) of the flap (104), respectively, and FIG. By engaging the one-sided engaging member (107) and the other-facing engaging member (110) as shown in the above, the one-sided facing piece (97) and the flap (104) can be detachably connected to each other. It becomes. Further, as shown in FIG. 15, the flap (104) is arranged so as to overlap the back surface (106) side of the one facing piece (97), and the one engaging member (107) and the other engaging member (110) are engaged with each other. By doing so, the folded-back portion (102) of the facing piece (97) is fixedly arranged in a state of being exposed on the surface (101).

As described above, the flaps (104) are placed so as to overlap the back surface (106) side of the one facing piece (97), and the folded portion (102) of the one facing piece (97) is exposed to the front surface (101). When body fluid or the like flows out from the opening (92) to the surface of one facing piece (97) or the other facing piece (98), the flowing body fluid is absorbed by the water-absorbing material (105) of the flap (104) and folded back. Since the flow of body fluid is blocked by the portion (102), it is possible to prevent the outflow of body fluid from flowing into the affected portion from the cut portion (96). Therefore, the cleanliness of the affected area can be kept good by the presence of the flap (104) and the folded portion (102).

Further, even when a tube or the like is inserted into the affected part through the opening (92), the surgical engagement is performed by disengaging the one engaging member (107) and the other engaging member (110) after the operation. The surgical drape can be easily removed from the patient while maintaining the inserted state of the tube or the like without cutting the drape. Further, since the surgical drape can be removed from the patient without bringing blood or tissue attached to the surgical drape into contact with the affected portion, the cleanliness of the affected portion can be reliably maintained.

Further, even when it is necessary to widen the opening (92) during surgery, the connection between the one engaging member (107) and the other engaging member (110) on the opening (92) side should be partially disconnected. As a result, the cut portion (96) on the opening (92) side can be greatly expanded to widen the opening (92). Therefore, it is not necessary to replace the surgical drape with another surgical drape, and the operation can proceed quickly and smoothly.

1,31,61,9 1 drape body 2,32,62,9 second opening 3,33,63,93 sheet 5,35,65,9 6 cuts 7,37,67,9 7 whereas facing plates 8 , 38, 68, 98 8 Opposite pieces 10, 40, 70, 100 Edges 11, 41, 71, 101 Surface 12, 42, 72, 102 Folded parts 14, 44, 74, 10 4 flaps 16, 46, 66 Tape 17, 47, 82, 10 7 One engaging member 20, 50, 84, 110 The other engaging member 21, 51, 85, 95 Water absorbing cloth 22, 52, 87, 99 Base cloth 23, 53, 88, 111 Needles Hole 81 Water absorption part 10 5 Water absorption material 106 Back side 108 Front side

Claims (9)

In the case where the drape body is provided with an opening that allows the affected area to be exposed, a cut portion provided in the direction of one side of the drape body from the opening and a pair of opposing pieces formed on both sides of the cut portion are provided. Of the pair of facing pieces, one facing piece is provided with a folded portion formed by folding the edge portion facing the other facing piece toward the surface side, and the other facing piece is provided with a flap capable of covering the folded portion. the setting only, the drape body, the surface of the opening periphery of the base fabric, provided with a sheet having a waterproof and bacteria barrier properties, the folded back sheet arrangement position with at least the waterproof and bacteria barrier properties Surgical drape characterized by forming a part. In the case where the drape body is provided with an opening that allows the affected area to be exposed, a cut portion provided in the direction of one side of the drape body from this opening, and one facing piece and the other facing piece formed on both sides of the cut portion. It is provided with a pair of opposing pieces made of, and the other opposing piece is provided with a flap that protrudes to one opposite side facing the other opposing piece and has a water absorbing material on the front surface, and this flap is provided on the back surface of the one opposing piece. The one facing piece is provided with a folded portion formed by folding the edge of the facing piece toward the surface side, and the drape body is waterproof on the outer peripheral surface of the opening of the base cloth. A surgical drape characterized in that a sheet having a bacterial barrier property is provided, and the folded-back portion is formed at least at a position where the sheet having the waterproof property and a bacterial barrier property is arranged. On the other hand, one engaging member is provided on the opposing piece, and the other engaging member capable of engaging with the one engaging member is provided at the position of the flap facing the one engaging member. The surgical drape according to claim 1 or 2, wherein the opposite piece and the flap can be detachably connected by engaging with the one. The surgical drape according to claim 3, wherein the engaging member is provided at the folded-back portion of the opposite piece. The surgical drape according to claim 3, wherein the engaging member is provided at a position beyond the folded-back portion of the opposite piece. Between the other facing piece and the flap, a protruding piece protruding toward the folded-back portion of the one facing piece was provided, and a water-absorbing portion was provided on the protruding piece, and the water-absorbing portion was arranged so as to face the folded-back portion. The surgical drape of claim 1 as a feature. The surgical drape according to claim 6, wherein the projecting piece is composed of a pair of small pieces, and a folded portion is inserted and arranged at intervals of the pair of small pieces. The flap was sewn to the waterproof and bacterial barrier sheet and base cloth of the drape body, and the needle hole was closed by covering the needle hole formed by this sewing with a tape. The surgical drape according to claim 1 or 2. Flap claims with sewing the sheet with a waterproof and bacteria barrier properties of the drape body, the needle holes formed by the stitching, and wherein the coated placing base fabric drape body 1 or 2 surgical drapes.

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