JP7157874B2 - assistive device - Google Patents

assistive device Download PDF

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JP7157874B2
JP7157874B2 JP2021513111A JP2021513111A JP7157874B2 JP 7157874 B2 JP7157874 B2 JP 7157874B2 JP 2021513111 A JP2021513111 A JP 2021513111A JP 2021513111 A JP2021513111 A JP 2021513111A JP 7157874 B2 JP7157874 B2 JP 7157874B2
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assisted
person
angle
support member
support
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JPWO2020208771A1 (en
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聡志 清水
伸幸 中根
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10Parts, details or accessories
    • A61G5/104Devices for lifting or tilting the whole wheelchair
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10Parts, details or accessories
    • A61G5/1091Cushions, seats or abduction devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10Parts, details or accessories
    • A61G5/12Rests specially adapted therefor, e.g. for the head or the feet
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10Parts, details or accessories
    • A61G5/14Standing-up or sitting-down aids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/10Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2200/00Information related to the kind of patient or his position
    • A61G2200/30Specific positions of the patient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2200/00Information related to the kind of patient or his position
    • A61G2200/50Information related to the kind of patient or his position the patient is supported by a specific part of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2203/00General characteristics of devices
    • A61G2203/70General characteristics of devices with special adaptations, e.g. for safety or comfort

Description

本明細書は、被介助者の起立動作を介助する介助装置に関する。 The present specification relates to an assistance device that assists a person being assisted in standing up.

高齢化社会の進展に伴い、介助装置のニーズが増大している。介助装置は、一般的に、被介助者の身体の一部を支持した支持部材を動作させて介助を行う。介助装置の導入によって、介助者および被介助者の身体的な負担が軽減されるとともに、介助者の人手不足も緩和される。介助装置の一例として、被介助者の座位姿勢からの起立動作を介助する装置がある。この種の介助装置に関連する技術例が特許文献1、2に開示されている。 With the progress of the aging society, the needs for assistive devices are increasing. Assistance devices generally provide assistance by operating a support member that supports a part of the body of the person being assisted. The introduction of the assisting device reduces the physical burden on the caregiver and the care recipient, and alleviates the shortage of caregivers. An example of an assist device is a device that assists a person being assisted in standing up from a sitting posture. Patent Documents 1 and 2 disclose technical examples related to this type of assistive device.

特許文献1には、基台と、基台に対して少なくとも上下動可能な動作部材と、動作部材に設けられて被介助者の上体を支持する支持部材とを備え、支持部材が下方の使用位置と上方の逃げ位置との間で自由傾動可能に動作部材に設けられた介助装置が開示されている。これによれば、支持部材が自由傾動可能に設けられるので、支持部材が下方の物体に突き当たったときの衝撃が緩和される、とされている。上記した物体には被介助者の脚部が含まれており、被介助者の脚部は、支持部材と基台の間に挟まれない。 Japanese Patent Application Laid-Open No. 2002-200000 discloses a system comprising a base, a motion member capable of at least vertical movement with respect to the base, and a support member provided on the motion member for supporting the upper body of the person being assisted. An assist device is disclosed which is mounted on a motion member for free tilting between a use position and an upper relief position. According to this, since the support member is provided so as to be freely tiltable, it is said that the impact when the support member collides with an object below is alleviated. The above-mentioned objects include the legs of the person being assisted, and the legs of the person being assisted are not sandwiched between the support member and the base.

また、特許文献2には、被介助者を保持する保持具と、保持具の下端部の上下方向位置を維持しつつ変位させて被介助者の背筋を伸ばす延伸手段と、背筋が伸びた被介助者を持ち上げるリフト手段と、を備える介助装置が開示されている。これによれば、保持具の下端部と被介助者の当接位置がずれず、被介助者に不快感を与えない、とされている。 Patent Document 2 discloses a holder for holding a care receiver, an extension means for extending the back of the care receiver by displacing the lower end of the care receiver while maintaining the vertical position of the care receiver, and a patient with the back muscle stretched. and lifting means for lifting a caregiver. According to this, the contact position of the lower end of the holder and the person being assisted does not deviate, and the person being assisted does not feel uncomfortable.

国際公開第2017/134815号WO2017/134815 特開2013-90842号公報JP 2013-90842 A

ところで、特許文献1、2の構成に限らず一般的に、介助装置は、複数の被介助者に共用される場合が多い。そして、複数の被介助者の様々な体型に適合するように、被介助者を支持する支持部材(保持具)の構成に工夫が凝らされている。例えば、支持部材は、弾性変形可能な材料によって形成され、被介助者の体圧が一箇所に集中しないようになっている。しかしながら、支持部材の構成が被介助者の体型のばらつきに対応しきれず、被介助者の使用快適性が低下する場合がある。特に、胸囲と比較して相対的に腹囲が大きな肥満体型の被介助者は、腹部の圧迫感などを訴える場合が多い。このため、支持部材に関連する構成をさらに改良することが必要である。 By the way, not only in the configurations of Patent Documents 1 and 2, but generally, there are many cases in which an assistance device is shared by a plurality of persons being assisted. In addition, the configuration of the support member (holding tool) that supports the care recipients is devised so as to suit the various body types of the care recipients. For example, the support member is made of an elastically deformable material so that the body pressure of the person being assisted is not concentrated at one point. However, the structure of the support member may not be able to cope with variations in the body shape of the person being assisted, and the use comfort of the person being assisted may be reduced. In particular, obese care recipients, whose waist circumference is relatively large compared to their chest circumference, often complain of pressure in their abdomen. Therefore, there is a need for further improvements in the construction associated with the support member.

本明細書では、複数の被介助者の様々な体型に対応して、良好な使用快適性を確保することができる介助装置を提供することを課題とする。 An object of the present specification is to provide an assistance device capable of ensuring good comfort in use, corresponding to various body types of a plurality of persons being assisted.

本明細書は、被介助者の座位姿勢から起立姿勢への起立動作を介助する介助装置であって、基台と、前記基台に対して少なくとも上下方向に動作可能な動作部材と、前記動作部材に対して所定の取り付け角度で取り付けられ、前記被介助者の上体の前面と接触して前記被介助者を支持する支持部材と、前記被介助者が前記支持部材に接触する以前の初期状態において、前記取り付け角度を調整する角度調整部と、を備える介助装置を開示する。 The present specification is an assistance device for assisting a person being assisted in standing up from a sitting posture to a standing posture, comprising: a base; a support member attached at a predetermined attachment angle to a member and supporting the care receiver by contacting the front surface of the care receiver's upper body; and an initial stage before the care receiver contacts the support member. and an angle adjuster for adjusting the mounting angle in a state of the assistance device.

本明細書で開示する介助装置では、角度調整部により、支持部材の動作部材への取り付け角度が調整可能となっている。このため、複数の被介助者のそれぞれの上体前面の状態に適合するように支持部材の取り付け角度を調整して、各被介助者と支持部材の位置関係を良好にすることができる。これにより、各被介助者は、良好な使用快適性を感じる。したがって、介助装置は、複数の被介助者の様々な体型に対応して、良好な使用快適性を確保することができる。 In the assistive device disclosed in this specification, the attachment angle of the support member to the motion member can be adjusted by the angle adjustment section. Therefore, it is possible to adjust the mounting angle of the support member so as to match the condition of the front surface of the upper body of each of a plurality of persons being assisted, thereby improving the positional relationship between each person being assisted and the support member. As a result, each person being assisted feels comfortable in use. Therefore, the assisting device can accommodate various body types of a plurality of assisted persons and ensure good comfort in use.

第1実施形態の介助装置の初期状態を示す側面図である。It is a side view which shows the initial state of the assistance apparatus of 1st Embodiment. 角度調整部が、支持部材の取り付け角度を標準体型用角度に調整した場合の側面図である。FIG. 10 is a side view when the angle adjustment unit adjusts the attachment angle of the support member to the angle for the standard figure. 角度調整部が、支持部材の取り付け角度を肥満体型用角度に調整した場合の側面図である。FIG. 10 is a side view when the angle adjuster adjusts the mounting angle of the support member to the obese type angle. 角度調整部の構成を模式的に示す側面部分断面図である。FIG. 4 is a side partial cross-sectional view schematically showing the configuration of an angle adjusting portion; 介助を受ける準備をする標準体型の被介助者と、支持部材との位置関係を模式的に表す側面図である。FIG. 2 is a side view schematically showing the positional relationship between a standard-sized person being assisted who is preparing to receive assistance and a support member. 介助を受ける準備をする肥満体型の被介助者と、取り付け角度の調整が行われなかった支持部材との位置関係を模式的に表す側面図である。FIG. 4 is a side view schematically showing the positional relationship between an obese person being assisted who is preparing to receive assistance and a support member whose attachment angle has not been adjusted. 図6に続いて、肥満体型の被介助者が起立動作している状況を表す側面図である。FIG. 7 is a side view showing a state in which the obese person being assisted is standing up, continued from FIG. 図7の起立動作の後に、肥満体型の被介助者が着座動作している状況を表す側面図である。FIG. 8 is a side view showing a state in which an obese person being assisted is seated after the standing action of FIG. 7; 介助を受ける準備をする肥満体型の被介助者と、取り付け角度の調整が適切に行われた支持部材との位置関係を模式的に表す側面図である。FIG. 4 is a side view schematically showing the positional relationship between an obese person being assisted who is preparing to receive assistance and a support member whose attachment angle has been appropriately adjusted. 図9に続いて、肥満体型の被介助者が起立動作している状況を表す側面図である。FIG. 10 is a side view showing a state in which the obese person being assisted is standing up, continued from FIG. 9; 図10の起立動作の後に、肥満体型の被介助者が着座動作している状況を表す側面図である。FIG. 11 is a side view showing a situation in which an obese person being assisted is seated after the standing action of FIG. 10; 第2実施形態の介助装置の初期状態を示す側面図である。It is a side view which shows the initial state of the assistance apparatus of 2nd Embodiment. 第2実施形態の角度調整部を概念的に説明する側面図である。It is a side view which explains notionally the angle adjustment part of 2nd Embodiment.

1.第1実施形態の介助装置1の構成
第1実施形態の介助装置1の構成について、図1~図4を参考にして説明する。介助装置1は、例えば、被介助者のベッドと車椅子と間の移乗や、車椅子と便座の間の移乗など、異なる二箇所の間の移乗に利用される。介助装置1は、被介助者の上体を支持して、座位姿勢から起立姿勢への起立動作、および起立姿勢から座位姿勢への着座動作を介助する。
1. Configuration of Assistance Device 1 of First Embodiment The configuration of the assistance device 1 of the first embodiment will be described with reference to FIGS. 1 to 4. FIG. The assistance device 1 is used for transferring between two different places, such as transferring between a bed and a wheelchair of a person being assisted, or transferring between a wheelchair and a toilet seat. The assistance device 1 supports the upper body of the person being assisted, and assists the person to stand up from a sitting posture to a standing posture and to sit down from a standing posture to a sitting posture.

ここで、起立姿勢は、臀部が座面から浮いて脚部が伸びた姿勢を意味し、立位姿勢および中腰姿勢を含む。つまり、起立姿勢は、上体が概ね直立した立位姿勢、および上体が前傾した中腰の前かがみの姿勢などを含む。また、介助装置1は、移乗する二箇所が離れている場合に、起立姿勢の被介助者を移送することができる。介助装置1は、基台2、動作部材3、支持部材4、アクチュエータ5、膝当て部材6、位置調整部7、角度調整部8、および図略の制御部などで構成される。 Here, the standing posture means a posture in which the buttocks are lifted from the seat surface and the legs are extended, and includes a standing posture and a crouching posture. In other words, the standing posture includes a standing posture in which the upper body is generally upright, a posture in which the upper body is leaning forward, and a half-bent forward posture. In addition, the assistance device 1 can transfer the person being assisted in a standing posture when the two transfer locations are separated from each other. The assistance device 1 includes a base 2, an action member 3, a support member 4, an actuator 5, a knee rest member 6, a position adjustment section 7, an angle adjustment section 8, a control section (not shown), and the like.

基台2は、足載置台21、基台ロッド25、取り付け板26、および前輪28などで形成される。足載置台21は、床面Fに近接して概ね水平に配置される。足載置台21は、被介助者が足を載せる部位である。足載置台21の上面の前側寄りに、アクチュエータ支持部22が上向きに設けられる。左右一対の後輪23は、足載置台21の下面の後部の左右に設けられる。左右一対の中輪24は、足載置台21の下面の前側寄りの左右に設けられる。 The base 2 is formed by a footrest 21, a base rod 25, a mounting plate 26, a front wheel 28, and the like. The footrest 21 is arranged substantially horizontally close to the floor surface F. As shown in FIG. The footrest 21 is a part on which the person being assisted puts his or her feet. An actuator support portion 22 is provided upward on the upper surface of the footrest 21 toward the front side. A pair of left and right rear wheels 23 are provided on the left and right sides of the rear portion of the lower surface of the footrest 21 . A pair of left and right middle wheels 24 are provided on the left and right sides of the lower surface of the footrest 21 near the front side.

左右一対の基台ロッド25は、足載置台21の前側の左右にそれぞれ設けられる。基台ロッド25は、前方に延び、さらに上方へ向かって屈曲している。基台ロッド25の屈曲した上部に、左右一対の取り付け板26がそれぞれ垂直に設けられる。左右一対の取り付け板26の上部の前側に、揺動支持座27がそれぞれ設けられる。左右一対の取り付け板26の下部の前側に、左右一対の前輪28が設けられる。前輪28および後輪23の転舵機能により、介助装置1は、直進移動および旋回移動だけでなく、横移動および超信地旋回が可能となっている。さらに、前輪28は、移動を規制するロック機能を備える。 A pair of left and right base rods 25 are provided on the left and right sides of the front side of the footrest 21, respectively. The base rod 25 extends forward and is bent upward. A pair of left and right mounting plates 26 are provided vertically on the bent upper portion of the base rod 25 . A rocking support seat 27 is provided on the upper front side of the pair of left and right mounting plates 26 . A pair of left and right front wheels 28 are provided on the front side of the lower portion of the pair of left and right mounting plates 26 . Due to the steering function of the front wheels 28 and the rear wheels 23, the assistance device 1 is capable of not only straight movement and turning movement, but also lateral movement and pivot turning. Furthermore, the front wheel 28 has a locking function that restricts movement.

左右一対の取り付け板26の上方に、位置調整部7が配置される。位置調整部7は、被介助者の体格などに合わせて、膝当て部材6の前後方向の位置を調整する手動調整機構である。膝当て部材6は、被介助者の膝が当接する部材である。膝当て部材6が膝の位置を定めることにより、被介助者の起立動作や着座動作が安定化する。膝当て部材6は、ベースプレート61、支持ロッド62、硬質緩衝部材63、および軟質緩衝部材64などで形成される。 The position adjusting section 7 is arranged above the pair of left and right mounting plates 26 . The position adjustment unit 7 is a manual adjustment mechanism that adjusts the position of the knee support member 6 in the front-rear direction according to the physique of the person being assisted. The knee support member 6 is a member against which the knees of the person being assisted come into contact. The knee support member 6 determines the position of the knee, thereby stabilizing the assisted person's standing motion and sitting motion. The knee support member 6 is formed of a base plate 61, a support rod 62, a hard cushioning member 63, a soft cushioning member 64, and the like.

ベースプレート61は、図1に示されるように、垂直方向よりも少しだけ前傾して配置される。また、ベースプレート61は、左右方向に延在し、左右両側が後向きに斜めに屈折している。ベースプレート61の前面の左右に、前向き斜め下方向に延びる一対の支持ロッド62が設けられる。ベースプレート61および支持ロッド62は、アルミなどの金属材料を用いて形成される。 The base plate 61, as shown in FIG. 1, is arranged with a slight forward tilt relative to the vertical direction. Also, the base plate 61 extends in the left-right direction, and both the left and right sides are obliquely bent rearward. A pair of support rods 62 are provided on the left and right sides of the front surface of the base plate 61 so as to extend forward and obliquely downward. The base plate 61 and the support rods 62 are formed using a metal material such as aluminum.

硬質緩衝部材63は、ベースプレート61の後側に接して配置される。軟質緩衝部材64は、硬質緩衝部材63の後側に接して配置される。硬質緩衝部材63および軟質緩衝部材64は、ベースプレート61と同様、左右両側が後向きに斜めに屈折している。硬質緩衝部材63および軟質緩衝部材64は、弾性変形可能な材料、例えばウレタンフォームを用いて形成される。ただし、軟質緩衝部材64は、硬質緩衝部材63と比較して低反発性であり、弾性変形しやすい。軟質緩衝部材64の後面に、被介助者の両方の膝が当接する。硬質緩衝部材63および軟質緩衝部材64は、布製や皮製の保護カバー65で覆われている。 The hard cushioning member 63 is arranged in contact with the rear side of the base plate 61 . The soft cushioning member 64 is arranged in contact with the rear side of the hard cushioning member 63 . Both the left and right sides of the hard cushioning member 63 and the soft cushioning member 64 are obliquely bent rearward similarly to the base plate 61 . The hard cushioning member 63 and the soft cushioning member 64 are made of an elastically deformable material such as urethane foam. However, the soft cushioning member 64 has a lower resilience than the hard cushioning member 63 and is easily elastically deformed. Both knees of the person being assisted come into contact with the rear surface of the soft cushioning member 64 . The hard cushioning member 63 and the soft cushioning member 64 are covered with a protective cover 65 made of cloth or leather.

位置調整部7は、左右一対のスライド支持部71、スライド移動部72、および位置決めピン73で構成される。スライド支持部71は、前後方向に延びる金属製円筒状の部材であり、取り付け板26の上方に固定される。スライド支持部71の後部の上面に、ピン孔74が穿孔されている。スライド移動部72は、前後方向に延びる金属製丸棒状の部材であり、膝当て部材6の支持ロッド62の前側に固定されている。スライド移動部72は、スライド支持部71の内部を前後方向にスライド移動する。スライド移動部72の上面には、前後方向に並ぶ複数の位置決め孔が設けられる。位置決めピン73は、スライド支持部71のピン孔74に挿入され、さらに、スライド移動部72のいずれかの位置決め孔に挿入される。これにより、膝当て部材6の前後方向の位置が調整される。 The position adjusting portion 7 is composed of a pair of left and right slide support portions 71 , a slide movement portion 72 and a positioning pin 73 . The slide support portion 71 is a metal cylindrical member extending in the front-rear direction, and is fixed above the mounting plate 26 . A pin hole 74 is formed in the top surface of the rear portion of the slide support portion 71 . The slide movement part 72 is a metal round bar member extending in the front-rear direction, and is fixed to the front side of the support rod 62 of the knee support member 6 . The slide movement portion 72 slides in the front-rear direction inside the slide support portion 71 . A plurality of positioning holes arranged in the front-rear direction are provided on the upper surface of the slide moving portion 72 . The positioning pin 73 is inserted into the pin hole 74 of the slide support portion 71 and further into one of the positioning holes of the slide moving portion 72 . Thereby, the position of the knee rest member 6 in the front-rear direction is adjusted.

動作部材3は、基台2に対して少なくとも上下方向に動作可能である。動作部材3は、図1に示されるように、側方から見て途中で屈折したアーム形状に形成される。動作部材3の下部に、左右一対の揺動軸32が設けられる。揺動軸32は、取り付け板26の揺動支持座27に揺動可能に支持される。動作部材3の揺動角度範囲を規制するために、図略のストッパ機構が揺動支持座27の近傍に設けられる。これにより、動作部材3は、基台2に対して上前方向および下後方向に揺動可能となっている。動作部材3の上前方向への揺動(図1における時計回りの揺動)は、被介助者の起立動作を介助する。また、動作部材3の下後方向への揺動は、被介助者の着座動作を介助する。 The motion member 3 can move at least vertically with respect to the base 2 . As shown in FIG. 1, the motion member 3 is formed in the shape of an arm bent in the middle when viewed from the side. A pair of left and right rocking shafts 32 are provided below the motion member 3 . The swing shaft 32 is swingably supported by the swing support seat 27 of the mounting plate 26 . A stopper mechanism (not shown) is provided in the vicinity of the swing support seat 27 in order to regulate the swing angle range of the operating member 3 . As a result, the motion member 3 can swing upward and forward and downward and rearward with respect to the base 2 . The upward and forward swinging of the action member 3 (clockwise swinging in FIG. 1) assists the person being assisted in standing up. Further, the downward and rearward swinging motion of the motion member 3 assists the assisted person's seating motion.

動作部材3の内部には、図略のバッテリおよびリンク機構が収納される。バッテリは、アクチュエータ5および制御部の電源となる。なお、本願出願人は、リンク機構の詳細な構成例を国際公開第2018/167856号に開示している。動作部材3の上部の後側に符号略の揺動支持部が設けられ、揺動支持部に揺動部材45が設けられる。揺動部材45は、動作部材3に対して揺動する。ただし、被介助者が支持部材4に接触する以前の初期状態において、揺動部材45は、リンク機構に規制されて揺動しない。 A battery and a link mechanism (not shown) are housed inside the operating member 3 . The battery serves as a power source for the actuator 5 and the controller. The applicant of the present application discloses a detailed configuration example of the link mechanism in International Publication No. 2018/167856. A rocking support portion whose reference numeral is omitted is provided on the rear side of the upper portion of the operating member 3, and a rocking member 45 is provided on the rocking support portion. The swinging member 45 swings with respect to the motion member 3 . However, in the initial state before the care receiver contacts the support member 4, the swing member 45 is restricted by the link mechanism and does not swing.

図1~図3に示されるように、揺動部材45は、後側にベースプレート42を有する。ベースプレート42は、金属製や樹脂製の剛性の大きな板材を用いて概ね矩形に形成される。ベースプレート42は、動作部材3に設けられて支持部材4が取り付けられる取り付け座に相当する。ベースプレート42は、ハンドル46を前面に有する。ハンドル46は、概ね四角形の枠形状に形成され、動作部材3の上方に延在する。ハンドル46は、被介助者が把持する部位であるとともに、介助装置1を移動させるために介助者が把持する部位でもある。 As shown in FIGS. 1-3, the swinging member 45 has a base plate 42 on the rear side. The base plate 42 is formed in a substantially rectangular shape using a highly rigid plate material made of metal or resin. The base plate 42 corresponds to a mounting seat provided on the motion member 3 and to which the support member 4 is mounted. The base plate 42 has a handle 46 on its front face. The handle 46 is formed in a substantially rectangular frame shape and extends above the motion member 3 . The handle 46 is a part that is gripped by the person being assisted and also a part that is gripped by the caregiver to move the assistance device 1 .

支持部材4は、被介助者の上体の前面と接触して被介助者を支持する。支持部材4は、上体支持部材41および左右一対の脇支持部材47を含んで形成される。上体支持部材41は、角度調整部8を介して、ベースプレート42の後面に取り付けられる。なお、図2において、角度調整部8を構成する後述のスペーサ81は用いられていない。上体支持部材41は、初期状態において前傾した取り付け角度となっている。支持部材4の全体は、ベースプレート42および揺動部材45を介して動作部材3の揺動支持部に連結され、揺動支持部を中心にして揺動する。支持部材4の前方への揺動(図1における時計回りの揺動)は、被介助者の起立動作を介助する。また、支持部材4の後方への揺動は、被介助者の着座動作を介助する。 The support member 4 supports the care receiver by contacting the front surface of the care receiver's upper body. The support member 4 is formed including an upper body support member 41 and a pair of left and right side support members 47 . The upper body support member 41 is attached to the rear surface of the base plate 42 via the angle adjuster 8 . In FIG. 2, a later-described spacer 81 that constitutes the angle adjusting portion 8 is not used. The upper body support member 41 has an attachment angle inclined forward in the initial state. The entire support member 4 is connected to the swing support portion of the action member 3 via the base plate 42 and the swing member 45, and swings around the swing support portion. The forward swinging of the support member 4 (clockwise swinging in FIG. 1) assists the person being assisted in standing up. In addition, the rearward swinging of the support member 4 assists the person being assisted in sitting down.

図1~図4に示されるように、上体支持部材41は、硬質緩衝部材43、および軟質緩衝部材44などで形成される。硬質緩衝部材43は、ベースプレート42に近接して配置される。軟質緩衝部材44は、硬質緩衝部材43の後側に接して配置される。硬質緩衝部材43および軟質緩衝部材44は、弾性変形可能な材料、例えば、ウレタンフォームを用いて形成される。ただし、軟質緩衝部材44は、硬質緩衝部材43と比較して低反発性であり、弾性変形しやすい。軟質緩衝部材44の後面に、被介助者の上体の前面、換言すると胸部から腹部の辺りが接触する。 As shown in FIGS. 1-4, the upper body support member 41 is formed of a hard cushioning member 43, a soft cushioning member 44, and the like. A hard cushioning member 43 is arranged close to the base plate 42 . The soft cushioning member 44 is arranged in contact with the rear side of the hard cushioning member 43 . The hard cushioning member 43 and the soft cushioning member 44 are made of an elastically deformable material such as urethane foam. However, the soft cushioning member 44 has a lower resilience than the hard cushioning member 43 and is easily elastically deformed. The rear surface of the soft cushioning member 44 is in contact with the front surface of the upper body of the person being assisted, in other words, the region from the chest to the abdomen.

左右一対の脇支持部材47は、ベースプレート42に取り付けられ、上体支持部材41の左右両側に配置される。脇支持部材47は、鈍角に屈曲するL字状に形成される。脇支持部材47は、図略の芯部材および外周部材などで形成される。芯部材は、例えば、金属製または硬質樹脂製の丸棒やパイプが屈曲されて形成される。外周部材は、クッション材を用いて、芯部材の外周を覆う筒状に形成される。脇支持部材47の取り付け側の基端から屈曲位置までの短い直線状部分は肩受け部となり、屈曲位置から先端までの長い直線状部分は脇進入部となる。肩受け部は、被介助者の肩の前面を支持する。脇進入部は、被介助者の脇に進入して上体を支持する。上体支持部材41および脇支持部材47は、布製や皮製の保護カバーで覆われていてもよい。 A pair of left and right side support members 47 are attached to the base plate 42 and arranged on both left and right sides of the upper body support member 41 . The side support member 47 is formed in an L shape bent at an obtuse angle. The side support member 47 is formed of a core member and an outer peripheral member (not shown). The core member is formed, for example, by bending a round bar or pipe made of metal or hard resin. The outer peripheral member is formed into a tubular shape that covers the outer periphery of the core member using a cushioning material. A short linear portion from the proximal end on the mounting side of the armpit support member 47 to the bent position serves as a shoulder receiving portion, and a long linear portion from the bent position to the distal end serves as the armpit entry portion. The shoulder support supports the front surface of the shoulder of the person being assisted. The armpit entry section enters the side of the person being assisted to support the upper body. The upper body support member 41 and the side support members 47 may be covered with a cloth or leather protective cover.

アクチュエータ5は、伸縮アクチュエータであり、本体部51、可動部52、およびモータ53などで構成される。本体部51は、上下に長い太径の円筒状の部材であり、上方に開口する開口部を有する。本体部51の下端は、基台2のアクチュエータ支持部22に支持される。可動部52は、上下に長い細径の丸棒状の部材である。可動部52の上端は、動作部材3のリンク機構に接続される。可動部52の下部は、本体部51の開口部に嵌入している。 The actuator 5 is a telescopic actuator, and includes a body portion 51, a movable portion 52, a motor 53, and the like. The body portion 51 is a vertically elongated cylindrical member with a large diameter, and has an opening that opens upward. A lower end of the body portion 51 is supported by the actuator support portion 22 of the base 2 . The movable part 52 is a vertically elongated thin round bar member. The upper end of the movable portion 52 is connected to the link mechanism of the motion member 3 . A lower portion of the movable portion 52 is fitted into an opening of the main body portion 51 .

モータ53は、本体部51の下部の前側に取り付けられる。モータ53は、図略の制御部によって流れる電流の方向が制御され、可動部52の伸び動作および縮み動作を駆動する。モータ53からの駆動により、可動部52は、本体部51に対して伸縮動作する。図1は、可動部52が縮んでアクチュエータ5が短縮長さとなった初期状態を示している。なお、アクチュエータ5は、モータ53に代えて油圧や空気圧を用いた圧力駆動源などの別種の駆動源を用いることができる。 The motor 53 is attached to the front side of the lower portion of the main body portion 51 . The motor 53 controls the direction of current flow by a control unit (not shown), and drives the extension and contraction of the movable portion 52 . Driven by the motor 53 , the movable portion 52 expands and contracts with respect to the main body portion 51 . FIG. 1 shows an initial state in which the movable portion 52 is contracted and the actuator 5 has a shortened length. It should be noted that the actuator 5 can use another type of drive source such as a pressure drive source using hydraulic pressure or air pressure instead of the motor 53 .

アクチュエータ5は、短縮長さから所定の途中長さまで伸びる第一伸び動作、途中長さから伸長長さまで伸びる第二伸び動作、および、伸長長さから途中長さを経て短縮長さまで縮む縮み動作を行う。アクチュエータ5の第一伸び動作は、リンク機構を介して揺動部材45に伝達される。これにより、支持部材4は、揺動部材45とともに前方に揺動する。アクチュエータ5の第二伸び動作は、リンク機構を介して動作部材3に伝達される。これにより、動作部材3は、上前方向に揺動する。アクチュエータ5の縮み動作により、まず動作部材3が下後方向に揺動し、続いて支持部材4が後方に揺動する。 The actuator 5 performs a first extension operation extending from the shortened length to a predetermined intermediate length, a second extension operation extending from the intermediate length to the extended length, and a contraction operation from the extended length through the intermediate length to the shortened length. conduct. The first extension motion of the actuator 5 is transmitted to the swing member 45 via the link mechanism. As a result, the support member 4 swings forward together with the swing member 45 . A second extension motion of the actuator 5 is transmitted to the motion member 3 via the link mechanism. As a result, the motion member 3 swings upward and forward. Due to the contraction of the actuator 5, the operating member 3 first swings downward and rearward, and then the support member 4 swings rearward.

図略の制御部は、操作器および制御本体部などで構成される。操作器は、アクチュエータ5を操作する上昇ボタンおよび下降ボタンを有する。操作器は、介助者によって操作される。制御本体部は、CPUを有してソフトウェアで動作するコンピュータ装置を用いて構成される。制御本体部は、上昇ボタンおよび下降ボタンの操作情報に応じて、アクチュエータ5のモータ53に流れる電流の有無、および流れる方向を制御する。これにより、アクチュエータ5の動作および停止、ならびに伸び動作と縮み動作の切り替えが制御される。 The control unit (not shown) is composed of an operation unit, a control main unit, and the like. The operator has a raise button and a lower button that operate the actuator 5 . The operating device is operated by a caregiver. The control main unit is configured using a computer device that has a CPU and operates with software. The control main unit controls the presence or absence of current flowing through the motor 53 of the actuator 5 and the direction of current flow according to the operation information of the up button and the down button. Thereby, the operation and stop of the actuator 5 and the switching between the extension operation and the contraction operation are controlled.

2.角度調整部8の構成
次に、角度調整部8の構成について詳述する。角度調整部8は、被介助者が支持部材4に接触する以前の初期状態において、動作部材3に対する支持部材4の取り付け角度を調整する。したがって、調整終了後の介助装置1の介助動作の進行に伴う支持部材4の角度変化や、被介助者からの作用による支持部材4の角度変化は、取り付け角度の調整に含まれない。
2. Configuration of Angle Adjusting Section 8 Next, the configuration of the angle adjusting section 8 will be described in detail. The angle adjuster 8 adjusts the attachment angle of the support member 4 with respect to the motion member 3 in the initial state before the care recipient contacts the support member 4 . Therefore, the angle change of the support member 4 accompanying the progress of the assistance operation of the assistance device 1 after the adjustment and the angle change of the support member 4 due to the action of the person being assisted are not included in the adjustment of the attachment angle.

角度調整部8は、側方から見て楔形状であって、動作部材3に設けられた取り付け座と支持部材4との間に着脱可能に挿入されるスペーサ81を含む。図4に示されるように、スペーサ81は、下側が尖り、上側が厚みWを有する楔形状に形成されている。また、スペーサ81は、左右方向に延在して、上体支持部材41と同程度の幅寸法を有する。スペーサ81の有無に関わらず、支持部材4を安定的にベースプレート42に取り付けるため、上体支持部材41の前側の上部および下部に面ファスナー85が設けられる。 The angle adjuster 8 has a wedge shape when viewed from the side, and includes a spacer 81 detachably inserted between the mounting seat provided on the operating member 3 and the support member 4 . As shown in FIG. 4, the spacer 81 is formed in a wedge shape with a sharp lower side and a thickness W on the upper side. Moreover, the spacer 81 extends in the left-right direction and has a width dimension approximately equal to that of the upper body support member 41 . In order to stably attach the support member 4 to the base plate 42 regardless of the presence or absence of the spacers 81 , hook-and-loop fasteners 85 are provided on the front upper and lower portions of the upper body support member 41 .

面ファスナー85は、フック状の起毛を有するフック面86、および、ループ状の起毛を有するループ面87からなる。上部の面ファスナー85において、フック面86およびループ面87の一方は、上体支持部材41からスペーサ81の上方およびベースプレート42の上方を経由し、前方に延在する。また、フック面86およびループ面87の他方は、上体支持部材41からスペーサ81の上方を経由し、ベースプレート42に設けられた貫通穴を通り、前方に延在する。そして、ベースプレート42の前側で、フック面86およびループ面87が屈曲されて相互に重ねられ、密着結合される。 The hook-and-loop fastener 85 is composed of a hook surface 86 having hook-like bristles and a loop surface 87 having loop-like bristles. In the upper hook-and-loop fastener 85 , one of the hook surface 86 and the loop surface 87 extends forward from the upper body support member 41 via above the spacer 81 and above the base plate 42 . The other of the hook surface 86 and the loop surface 87 extends forward from the upper body support member 41 via above the spacer 81 and through a through hole provided in the base plate 42 . Then, on the front side of the base plate 42, the hook surface 86 and the loop surface 87 are bent, overlapped with each other, and tightly bonded.

下部の面ファスナー85において、フック面86およびループ面87の一方は、上体支持部材41からスペーサ81の下方およびベースプレート42の下方を経由し、前方に延在する。また、フック面86およびループ面87の他方は、上体支持部材41からスペーサ81の下方を経由し、ベースプレート42に設けられた貫通穴を通り、前方に延在する。そして、ベースプレート42の前側で、フック面86およびループ面87が屈曲されて相互に重ねられ、密着結合される。 One of the hook surface 86 and the loop surface 87 of the lower hook-and-loop fastener 85 extends forward from the upper body support member 41 via below the spacer 81 and below the base plate 42 . The other of the hook surface 86 and the loop surface 87 extends forward from the upper body support member 41 via below the spacer 81 and through a through hole provided in the base plate 42 . Then, on the front side of the base plate 42, the hook surface 86 and the loop surface 87 are bent, overlapped with each other, and tightly bonded.

したがって、スペーサ81は、上下の面ファスナー85の間に安定的に保持され、脱落が防止される。加えて、スペーサ81の着脱作業は、上部の面ファスナー85のみを操作すればよいので容易であり、かつ短時間で済む。また、スペーサ81が用いられない場合、支持部材4とベースプレート42の間に隙間が生じないように、上部の面ファスナー85の密着箇所が調整される。さらに、上下の面ファスナー85を開くことにより、上体支持部材41の全体を取り外すことができる。 Therefore, the spacer 81 is stably held between the upper and lower hook-and-loop fasteners 85 and prevented from falling off. In addition, the attachment and detachment of the spacer 81 can be easily performed in a short period of time because only the hook-and-loop fastener 85 on the upper side needs to be operated. Also, when the spacer 81 is not used, the close contact location of the upper hook-and-loop fastener 85 is adjusted so that a gap does not occur between the support member 4 and the base plate 42 . Furthermore, the entire upper body support member 41 can be removed by opening the upper and lower hook-and-loop fasteners 85 .

図2は、標準体型の被介助者に対応して、角度調整部8により支持部材4の取り付け角度が標準体型用角度に調整された場合を示している。図示されるように、角度調整部8としてのスペーサ81は用いられていない。なお、本明細書において、標準体型とは、胸囲と腹囲の間に大きな差が無い体型を意味する。 FIG. 2 shows a case where the mounting angle of the support member 4 is adjusted by the angle adjuster 8 to a standard body type angle for a person to be assisted who has a standard body type. As illustrated, the spacer 81 as the angle adjuster 8 is not used. In this specification, the standard body type means a body type in which there is no large difference between the chest circumference and the waist circumference.

一方、図3は、肥満体型の被介助者に対応して、角度調整部8により支持部材4の取り付け角度が肥満体型用角度に調整された場合を示している。図示されるように、ベースプレート42と上体支持部材41の間に、スペーサ81が挿入される。これにより、支持部材4の取り付け角度は、前傾程度が減少して直立方向に近付く。なお、本明細書において、肥満体型とは、胸囲と比較して相対的に腹囲が大きな体型、例えば内臓脂肪型の肥満体型を意味する。したがって、身長と比較して胸囲および腹囲の両方が大きな肥満状態は、肥満体型にあてはまらない。 On the other hand, FIG. 3 shows a case where the attachment angle of the support member 4 is adjusted to an obese type angle by the angle adjusting section 8 in correspondence with an obese person to be assisted. A spacer 81 is inserted between the base plate 42 and the upper body support member 41 as shown. As a result, the mounting angle of the support member 4 is reduced in the degree of forward inclination and approaches the upright direction. In the present specification, the obese body type means a body type with a relatively large abdominal circumference compared to the chest circumference, for example, an obese body type with visceral fat. Therefore, an obese state in which both chest and waist circumferences are large relative to height does not apply to the obese body type.

角度調整部8は、スペーサ81を用いるか否かを選択して、支持部材4の2種類の取り付け角度を選択的に調整する。これに限定されず、角度調整部8は、被介助者の肥満の程度に応じて、3種類以上の取り付け角度のいずれかに調整するようにしてもよい。例えば、厚みWが小さなスペーサ81の複数個を予め準備しておくことにより、角度調整部8は、スペーサ81の挿入個数を可変に調整することができる。また例えば、厚みWが相違するスペーサ81の複数個を予め準備しておくことにより、角度調整部8は、いずれかのスペーサ81を選択することができる。 The angle adjuster 8 selects whether or not to use the spacer 81 to selectively adjust two types of mounting angles of the support member 4 . The angle adjustment unit 8 may be configured to adjust any one of three or more attachment angles according to the degree of obesity of the person being assisted. For example, by preparing a plurality of spacers 81 having a small thickness W in advance, the angle adjusting section 8 can variably adjust the number of spacers 81 to be inserted. Further, for example, by preparing a plurality of spacers 81 having different thicknesses W in advance, the angle adjusting section 8 can select one of the spacers 81 .

3.第1実施形態の介助装置1の動作
次に、第1実施形態の介助装置1の動作について説明する。以降では、被介助者の座位姿勢からの起立動作を介助する場合について説明する。介助者は、まず、アクチュエータ5を短縮長さまで戻して、図1に示される初期状態とする。続いて、介助者は、ハンドル46を把持して介助装置1を移動させ、座位姿勢の被介助者に接近させる。次に、介助者は、角度調整部8を操作し、被介助者の体型に合わせて支持部材4の取り付け角度を調整する。また、介助者は、位置調整部7を操作し、被介助者の体格などに合わせて膝当て部材6を適正な位置に配置する。これにより、介助装置1を使用する準備が整う。
3. Operation of Assistance Device 1 of First Embodiment Next, operation of the assistance device 1 of the first embodiment will be described. In the following, a case of assisting the person being assisted in standing up from a sitting posture will be described. The caregiver first returns the actuator 5 to the shortened length to the initial state shown in FIG. Subsequently, the caregiver grips the handle 46 to move the assistance device 1 to approach the person being assisted who is in the sitting posture. Next, the caregiver operates the angle adjuster 8 to adjust the attachment angle of the support member 4 according to the body shape of the caregiver. In addition, the caregiver operates the position adjustment unit 7 to place the knee support member 6 at an appropriate position according to the physique of the person being assisted. This completes preparations for using the assistive device 1 .

被介助者は、下半身を支持部材4の下方の領域に進入させ、両足を足載置台21に載置する。被介助者は、膝を膝当て部材6に当接させることで、安定した姿勢が得られる。続いて、被介助者は、上体を上体支持部材41に寄り付かせて面接触させるとともに、両脇で脇支持部材47にもたれかかって、上体を預ける。このとき、上体支持部材41は起立した方向(図1の反時計回りの方向)に揺動しているので、上体の前傾角度は小さくて済む。また、脇支持部材47がほぼ水平か僅かに後下がりとなるので、被介助者は、脇支持部材47に容易にもたれかかることができる。 The person being assisted moves the lower half of the body into the area below the support member 4 and places both feet on the footrest 21 . The person being assisted can obtain a stable posture by bringing the knees into contact with the knee support member 6 . Subsequently, the person to be assisted leans against the side support members 47 on both sides while bringing the upper body closer to the upper body support member 41 so as to make surface contact with the upper body support member 41 and deposits the upper body. At this time, since the upper body support member 41 is rocking in the standing direction (counterclockwise direction in FIG. 1), the forward inclination angle of the upper body can be small. In addition, since the armpit support members 47 are almost horizontal or slightly downward, the person being assisted can easily lean against the armpit support members 47 .

続いて、介助者は、操作器の上昇ボタンを押して、介助動作を進める。アクチュエータ5が第一伸び動作を行うと、支持部材4は前方に揺動する。この動作は、アクチュエータ5が所定の途中長さまで伸びるまで継続される。このとき、脇支持部材47が前下がりとなるので、被介助者は、後方への移動が規制されて支持部材4から脱落しない。 Subsequently, the caregiver pushes the lift button on the manipulator to proceed with the assistance action. When the actuator 5 performs the first extension motion, the support member 4 swings forward. This operation is continued until the actuator 5 extends to a predetermined intermediate length. At this time, since the armpit support members 47 are lowered forward, the person being assisted is restricted from moving backward and does not fall off the support members 4 .

さらに、アクチュエータ5が第二伸び動作を行うと、動作部材3は、上前方向に揺動する。この動作は、動作部材3の揺動がストッパ機構によって規制される終期状態まで継続される。これにより、被介助者は、臀部が座面から大きく上昇して、脚部が伸びた起立姿勢となる。 Further, when the actuator 5 performs the second extension motion, the motion member 3 swings upward and forward. This operation continues until the end state where the swinging motion of the operating member 3 is restricted by the stopper mechanism. As a result, the assisted person assumes a standing posture in which the buttocks are largely lifted from the seat surface and the legs are extended.

4.角度調整部8の作用
次に、角度調整部8の作用について詳述する。図5は、胸囲K1と腹囲H1の間に大きな差が無い標準体型の被介助者M1が介助を受ける準備をする状況を示している。標準体型の被介助者M1に対し、角度調整部8としてのスペーサ81は不要である。図示されるように、標準体型の被介助者M1の腹部が上体支持部材41の下部に接触するとき、被介助者M1の胸部と上体支持部材41の上部の離間距離L1は小さい。したがって、被介助者M1は、上体をわずかに動かすだけで支持部材4に寄り付ついて、上体を預けることができる。
4. Action of Angle Adjuster 8 Next, the action of the angle adjuster 8 will be described in detail. FIG. 5 shows a situation in which a person to be assisted M1 of a standard figure, who has no large difference between the chest circumference K1 and the waist circumference H1, is preparing to receive assistance. The spacer 81 as the angle adjuster 8 is unnecessary for the person M1 who has a standard figure. As shown in the figure, when the abdomen of the person being assisted M1 with a standard body touches the lower part of the upper body supporting member 41, the separation distance L1 between the chest of the person being assisted M1 and the upper part of the upper body supporting member 41 is small. Therefore, the person being assisted M1 can come close to the support member 4 and put his/her upper body on by just moving his/her upper body slightly.

一方、図6は、胸囲K1と比較して相対的に腹囲H2が大きな肥満体型の被介助者M2が介助を受ける準備をする状況を示している。肥満体型の被介助者M2に対して、角度調整部8は、本来スペーサ81を用いて支持部材4の取り付け角度を調整すべきであるが、ここでは取り付け角度を調整しなかった場合(スペーサ81を用いない場合)を想定する。この場合、肥満体型の被介助者M2の腹部が上体支持部材41の下部に接触するとき、被介助者M2の胸部と上体支持部材41の上部の離間距離L2が大きくなる。このため、被介助者M2は、上体を大きく動かさないと支持部材4に寄り付つくことができず、上体を預けることが難しい。つまり、被介助者M2の準備動作時の使用快適性が低下する。 On the other hand, FIG. 6 shows a situation in which an obese person M2, whose waist circumference H2 is relatively large compared to his chest circumference K1, prepares to receive assistance. The angle adjuster 8 should originally adjust the attachment angle of the support member 4 using the spacer 81 for the obese person M2 to be assisted. is not used). In this case, when the abdomen of the obese person M2 contacts the lower part of the upper body support member 41, the separation distance L2 between the chest of the person M2 and the upper part of the upper body support member 41 increases. For this reason, the person being assisted M2 cannot approach the support member 4 unless the upper body is largely moved, and it is difficult to leave the upper body. In other words, the use comfort of the person being assisted M2 during the preparatory movement is reduced.

また、図7に示されるように、支持部材4および動作部材3の揺動(矢印R1参照)による起立動作時に、肥満体型の被介助者M2の胸部と、上体支持部材41の上部との間に比較的大きな隙間が残る。このため、被介助者M2の体圧が腹部に集中しがちとなる。そして、被介助者M2の腹部は、上体支持部材41の下部から圧迫される(矢印P1参照)。つまり、被介助者M2の起立動作時の使用快適性が低下する。 Further, as shown in FIG. 7, when the support member 4 and the motion member 3 swing (see arrow R1) to stand up, the chest of the obese person M2 being assisted and the upper part of the upper body support member 41 are displaced. A relatively large gap remains between them. Therefore, the body pressure of the person being assisted M2 tends to be concentrated on the abdomen. Then, the abdomen of the person being assisted M2 is pressed from the lower part of the upper body support member 41 (see arrow P1). In other words, the use comfort of the person being assisted M2 during the standing motion is reduced.

さらに、図8に示されるように、支持部材4および動作部材3の逆方向の揺動(矢印R2参照)による着座動作時に、やはり、肥満体型の被介助者M2の胸部と、上体支持部材41の上部との間に比較的大きな隙間が残る。このため、被介助者M2の腹部は、上体支持部材41の下部によって挟まれるように圧迫される。つまり、被介助者M2の着座動作時の使用快適性が低下する。 Furthermore, as shown in FIG. 8, when the support member 4 and the motion member 3 swing in opposite directions (see arrow R2) during the sitting motion, the chest of the obese person M2 and the upper body support member A relatively large gap remains with the upper part of 41 . For this reason, the abdomen of the person being assisted M2 is pressed so as to be sandwiched between the lower parts of the upper body support member 41. As shown in FIG. In other words, the use comfort of the person being assisted M2 during the sitting motion is reduced.

上記した使用快適性の低下は、角度調整部8が適切に機能しなかったことに起因して発生する。なお、角度調整部8を備えない従来構成の介助装置では、標準体型の被介助者M1を想定して支持部材4の取り付け角度が定められる。このため、肥満体型の被介助者M2が従来構成の介助装置を使用すると、上記した使用快適性の低下がいつも発生する。以降では、角度調整部8が適切に機能した場合の作用について述べる。 The decrease in comfort in use described above occurs due to the angle adjustment unit 8 not functioning properly. In addition, in the assisting apparatus having the conventional configuration without the angle adjusting portion 8, the attachment angle of the supporting member 4 is determined assuming the assisted person M1 having a standard body type. For this reason, when the obese person M2 to be assisted uses the assisting device of the conventional configuration, the above-described decrease in comfort in use always occurs. Hereinafter, the operation when the angle adjusting section 8 functions properly will be described.

角度調整部8が適切に機能すると、図3および図9に示されるように、肥満体型の被介助者M2に対して、スペーサ81が用いられる。換言すると、角度調整部8は、支持部材4が被介助者M2の胸部に接近するように調整する。肥満体型の被介助者M2の腹部が支持部材4の下部に接触するとき、被介助者M2の胸部と上体支持部材41の上部の離間距離L3は、図6と比較して小さくなり、または無くなる。詳細には、離間距離L3は、図6の離間距離L2よりも概ねスペーサ81の厚みWの分だけ小さくなる。このため、被介助者M2は、上体をわずかに動かすだけで支持部材4に寄り付ついて、上体を預けることができる。つまり、被介助者M2の準備動作時の使用快適性が良好となる。 When the angle adjuster 8 functions properly, a spacer 81 is used for the obese assisted person M2, as shown in FIGS. In other words, the angle adjuster 8 adjusts the support member 4 to come close to the chest of the person being assisted M2. When the abdomen of the obese person M2 contacts the lower part of the support member 4, the separation distance L3 between the chest of the person being assisted M2 and the upper part of the upper body support member 41 becomes smaller than in FIG. 6, or disappear. Specifically, the separation distance L3 is smaller than the separation distance L2 in FIG. 6 by approximately the thickness W of the spacer 81 . Therefore, the person being assisted M2 can come close to the support member 4 and put his/her upper body on the support member 4 by only slightly moving his/her upper body. In other words, the use comfort of the person being assisted M2 during the preparatory movement is improved.

また、図10に示されるように、支持部材4および動作部材3の揺動(矢印R1参照)による起立動作時に、肥満体型の被介助者M2の胸部と、上体支持部材41の上部との隙間は、図7と比較して小さくなり、または無くなる。このため、被介助者M2の体圧の腹部への集中が抑制される。そして、被介助者M2の腹部が上体支持部材41の下部から受ける圧迫は抑制される。つまり、被介助者M2の起立動作時の使用快適性が良好となる。 Further, as shown in FIG. 10, when the support member 4 and the motion member 3 swing (see arrow R1) to stand up, the chest of the obese person M2 being assisted and the upper part of the upper body support member 41 are displaced. The gap is reduced or eliminated compared to FIG. Therefore, concentration of body pressure on the abdomen of the person being assisted M2 is suppressed. Thus, the pressure exerted on the abdomen of the person being assisted M2 from the lower part of the upper body support member 41 is suppressed. In other words, the use comfort of the person being assisted M2 when standing up is improved.

さらに、図11に示されるように、支持部材4および動作部材3の逆方向の揺動(矢印R2参照)による着座動作時に、やはり、肥満体型の被介助者M2の胸部と、上体支持部材41の上部との隙間は、図8と比較して小さくなり、または無くなる。このため、被介助者M2の腹部が上体支持部材41の下部によって挟まれる圧迫は抑制される。つまり、被介助者M2の着座動作時の使用快適性が良好となる。 Further, as shown in FIG. 11, when the support member 4 and the motion member 3 swing in the opposite directions (see arrow R2) during the sitting motion, the chest of the obese person M2 and the upper body support member also move. The gap to the top of 41 is reduced or eliminated compared to FIG. For this reason, the pressure of the abdomen of the person being assisted M2 being pinched by the lower part of the upper body support member 41 is suppressed. In other words, comfort in use of the person being assisted M2 during the sitting motion is improved.

第1実施形態の介助装置1では、角度調整部8により、支持部材4の動作部材3への取り付け角度が調整可能となっている。このため、複数の被介助者(M1、M2)のそれぞれの上体前面の状態に適合するように支持部材4の取り付け角度を調整して、各被介助者(M1、M2)と支持部材4の位置関係を良好にすることができる。これにより、各被介助者(M1、M2)は、良好な使用快適性を感じる。したがって、介助装置1は、複数の被介助者(M1、M2)の様々な体型に対応して、良好な使用快適性を確保することができる。 In the assisting device 1 of the first embodiment, the attachment angle of the support member 4 to the motion member 3 can be adjusted by the angle adjusting section 8 . For this reason, the attachment angle of the support member 4 is adjusted so as to match the condition of the front surface of the upper body of each of the persons being assisted (M1, M2), and each person being assisted (M1, M2) and the support member 4 are attached to each other. positional relationship can be improved. As a result, each person being assisted (M1, M2) feels comfortable in use. Therefore, the assisting device 1 can ensure good comfort in use, corresponding to various body types of a plurality of assisted persons (M1, M2).

5.第2実施形態の介助装置1A
次に、第2実施形態の介助装置1Aについて、第1実施形態と異なる点を主にして説明する。図12に示されるように、第2実施形態の介助装置1Aは、基台2A、動作部材に相当する昇降部材3Aおよびアーム部材3B、支持部材4A、角度調整部8A(図13参照)、および図略の制御部などで構成される。基台2Aは、床面Fに平行配置される足載置台21、左右一対の後輪23、および左右一対の前輪28を備える。基台2Aの上面の前輪28の間に、支柱29が立設されている。支柱29の下部から後方に向けて、膝当て部材6Aが高さ調整可能に設けられる。
5. Assistive device 1A of the second embodiment
Next, the assistance device 1A of the second embodiment will be described, mainly focusing on the points different from the first embodiment. As shown in FIG. 12, the assistance device 1A of the second embodiment includes a base 2A, a lifting member 3A and an arm member 3B corresponding to motion members, a support member 4A, an angle adjusting section 8A (see FIG. 13), and It is composed of a control unit (not shown) and the like. The base 2A includes a footrest 21 arranged parallel to the floor surface F, a pair of left and right rear wheels 23, and a pair of left and right front wheels 28. As shown in FIG. A strut 29 is erected between the front wheels 28 on the upper surface of the base 2A. A knee rest member 6A is provided rearward from the lower portion of the support 29 so as to be adjustable in height.

昇降部材3Aは、支柱29の後面に設けられ、図略の直動装置によって昇降駆動される。昇降部材3Aの後側の上部に、アーム部材3Bが設けられる。アーム部材3Bは、図略の駆動装置に駆動されて、上前方向および下後方向に揺動する。アーム部材3Bは、概ね四角形の枠形状に形成されたハンドル46Aを有する。ハンドル46Aの取り付け位置は調整可能とされている。アーム部材3Bの後端に、揺動支持部33が設けられる。 The elevating member 3A is provided on the rear surface of the column 29 and is driven up and down by a linear motion device (not shown). An arm member 3B is provided on the upper rear side of the lifting member 3A. The arm member 3B is driven by a driving device (not shown) to swing upward and forward and downward and rearward. The arm member 3B has a handle 46A formed in a substantially rectangular frame shape. The mounting position of the handle 46A is adjustable. A swing support portion 33 is provided at the rear end of the arm member 3B.

上体支持部材41および左右一対の脇支持部材47を有する支持部材4Aは、揺動支持部33に揺動可能に取り付けられる。支持部材4Aの初期状態における取り付け角度は、図13に示されるように、ハンドル46Aの下部によって規定される。つまり、支持部材4Aは、自重の作用により揺動支持部33の周りを下方に揺動してハンドル46Aに当接した取り付け位置で安定する。したがって、ハンドル46Aは、支持部材4Aの取り付け角度を規定する角度規定部を兼ねている。これに限定されず、専用の角度規定部が設けられてもよい。 A support member 4A having an upper body support member 41 and a pair of left and right side support members 47 is attached to the swing support portion 33 so as to be swingable. The mounting angle of the support member 4A in its initial state is defined by the lower portion of the handle 46A, as shown in FIG. That is, the support member 4A swings downward around the swing support portion 33 by the action of its own weight and is stabilized at the mounting position where it abuts against the handle 46A. Therefore, the handle 46A also serves as an angle defining portion that defines the mounting angle of the support member 4A. It is not limited to this, and a dedicated angle regulating portion may be provided.

支持部材4Aは、取り付け角度を一端とする動作角度範囲内で、アーム部材3Bに対して揺動可能である。したがって、被介助者の脚部が下方から支持部材4Aに衝突したとき、支持部材4Aは、図示された取り付け角度の位置から上方の逃げ位置に自由揺動する(図13の矢印R3参照)。このため、被介助者の脚部は、支持部材4Aと基台2Aの間に挟まれない。 The support member 4A can swing with respect to the arm member 3B within an operating angle range whose one end is the mounting angle. Therefore, when the leg of the person being assisted collides with the support member 4A from below, the support member 4A freely swings upward from the illustrated mounting angle position to the relief position (see arrow R3 in FIG. 13). Therefore, the legs of the person being assisted are not caught between the support member 4A and the base 2A.

角度調整部8Aは、図13に実線で示されるハンドル46Aの標準体型用位置を、破線で示される肥満体型用位置に調整する。これにより、支持部材4Aの取り付け角度は、直立方向に近づく。つまり、角度調整部8は、支持部材4Aが肥満体型の被介助者M2の腹部から遠ざかるように調整する。なお、角度調整部8Aは、上体支持部材41だけでなく脇支持部材47の取り付け角度を併せて調整している。第2実施形態の角度調整部8Aの作用は、図9~図11を用いて説明した第1実施形態の作用と同様である。 The angle adjuster 8A adjusts the standard body position of the handle 46A indicated by the solid line in FIG. 13 to the obese body position indicated by the broken line. As a result, the mounting angle of the support member 4A approaches the upright direction. In other words, the angle adjuster 8 adjusts the support member 4A away from the abdomen of the obese person M2 being assisted. The angle adjusting section 8A adjusts the attachment angle of not only the upper body support member 41 but also the armpit support member 47. As shown in FIG. The action of the angle adjuster 8A of the second embodiment is the same as that of the first embodiment described with reference to FIGS. 9-11.

6.実施形態の変形および応用
なお、支持部材(4、4A)の構造は変形可能であり、変形に応じてスペーサ81の形状および挿入箇所を変更することが可能である。また、角度調整部(8、8A)は、第1および第2実施形態の態様に限定されない。例えば、アクチュエータを使用した角度調整機構により、角度調整部を構成することができる。さらに、動作部材3(昇降部材3A、アーム部材3Bを含む)および支持部材(4、4A)の動作は、説明した態様に限定されず、例えば、動作部材によって支持部材が単純に上下動するだけの態様でもよい。その他にも、本実施形態は、様々な変形や応用が可能である。
6. Modifications and Applications of the Embodiments The structure of the support members (4, 4A) can be modified, and the shape and insertion location of the spacer 81 can be changed according to the modification. Also, the angle adjusters (8, 8A) are not limited to the aspects of the first and second embodiments. For example, the angle adjustment section can be configured by an angle adjustment mechanism using an actuator. Furthermore, the motions of the motion member 3 (including the lifting member 3A and the arm member 3B) and the support members (4, 4A) are not limited to the described aspects, and for example, the motion member simply moves the support member up and down. may be in the form of In addition, various modifications and applications are possible for this embodiment.

1、1A:介助装置 2、2A:基台 3:動作部材 3A:昇降部材 3B:アーム部材 4、4A:支持部材 41:上体支持部材 46A:ハンドル(角度規定部) 5:アクチュエータ 6、6A:膝当て部材 7:位置調整部 8、8A:角度調整部 81:スペーサ 85:面ファスナー M1:標準体型の被介助者 M2:肥満体型の被介助者 Reference Signs List 1, 1A: Assistance Device 2, 2A: Base 3: Motion Member 3A: Lifting Member 3B: Arm Member 4, 4A: Supporting Member 41: Upper Body Supporting Member 46A: Handle (Angle Regulating Part) 5: Actuator 6, 6A : Knee rest member 7: Position adjusting part 8, 8A: Angle adjusting part 81: Spacer 85: Hook-and-loop fastener M1: Standard-type person being assisted M2: Obese-type person being assisted

Claims (5)

被介助者の座位姿勢から起立姿勢への起立動作を介助する介助装置であって、
基台と、
前記基台に対して少なくとも上下方向に動作可能な動作部材と、
前記動作部材に対して所定の取り付け角度で取り付けられ、前記被介助者の上体の前面と接触して前記被介助者を支持する支持部材と、
前記被介助者が前記支持部材に接触する以前の初期状態において、前記取り付け角度を調整する角度調整部と、を備え
前記角度調整部は、側方から見て楔形状であって、前記動作部材に設けられた取り付け座と前記支持部材との間に着脱可能に挿入されるスペーサを含む、
介助装置。
An assistance device for assisting a person being assisted in standing from a sitting posture to a standing posture,
a base;
a motion member capable of moving at least vertically with respect to the base;
a support member that is attached at a predetermined attachment angle to the action member and that contacts the front surface of the upper body of the person being assisted to support the person being assisted;
an angle adjustment unit that adjusts the attachment angle in an initial state before the person being assisted contacts the support member ;
The angle adjusting portion has a wedge shape when viewed from the side, and includes a spacer detachably inserted between a mounting seat provided on the operating member and the supporting member,
Assistive device.
前記被介助者の肥満の程度に応じて、前記スペーサの挿入個数が可変とされている、請求項に記載の介助装置。 2. The assistance device according to claim 1 , wherein the number of said spacers to be inserted is variable according to the degree of obesity of said person being assisted. 前記被介助者の肥満の程度に応じて、楔形状の厚みが相違する複数種類の前記スペーサのいずれかが選択されて挿入される、請求項に記載の介助装置。 2. The assisting device according to claim 1 , wherein one of the plurality of types of wedge-shaped spacers having different thicknesses is selected and inserted according to the degree of obesity of the person being assisted. 被介助者の座位姿勢から起立姿勢への起立動作を介助する介助装置であって、
基台と、
前記基台に対して少なくとも上下方向に動作可能な動作部材と、
前記動作部材に対して所定の取り付け角度で取り付けられ、前記被介助者の上体の前面と接触して前記被介助者を支持する支持部材と、
前記被介助者が前記支持部材に接触する以前の初期状態において、前記取り付け角度を調整する角度調整部と、を備え
前記支持部材は、角度規定部により前記取り付け角度が規定されるとともに、前記取り付け角度を一端とする動作角度範囲内で前記動作部材に対して揺動可能であり、
前記角度調整部は、前記角度規定部を調整して前記取り付け角度を調整する、
介助装置。
An assistance device for assisting a person being assisted in standing from a sitting posture to a standing posture,
a base;
a motion member that can move at least vertically with respect to the base;
a support member that is attached at a predetermined attachment angle to the action member and that contacts the front surface of the upper body of the person being assisted to support the person being assisted;
an angle adjustment unit that adjusts the attachment angle in an initial state before the person being assisted contacts the support member ;
The mounting angle of the supporting member is defined by the angle defining portion, and the supporting member is capable of swinging with respect to the operating member within an operating angle range whose one end is the mounting angle,
The angle adjusting section adjusts the mounting angle by adjusting the angle defining section.
Assistive device.
前記角度調整部は、胸囲と比較して相対的に腹囲が大きな肥満体型の前記被介助者に対して、前記支持部材が前記被介助者の胸部に接近するように、または、前記支持部材が前記被介助者の腹部から遠ざかるように前記取り付け角度を調整する、請求項1~4のいずれか一項に記載の介助装置。 The angle adjusting section is adapted to adjust the support member to approach the chest of the care receiver, or to adjust the support member to the obese care receiver whose abdominal circumference is relatively large compared to the chest circumference. 5. The assistance device according to any one of claims 1 to 4 , wherein said attachment angle is adjusted so as to move away from the abdomen of said person being assisted.
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