JP7612770B2 - Body lift system and body lift method - Google Patents

Body lift system and body lift method Download PDF

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JP7612770B2
JP7612770B2 JP2023113127A JP2023113127A JP7612770B2 JP 7612770 B2 JP7612770 B2 JP 7612770B2 JP 2023113127 A JP2023113127 A JP 2023113127A JP 2023113127 A JP2023113127 A JP 2023113127A JP 7612770 B2 JP7612770 B2 JP 7612770B2
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lying
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support
bed
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JP2023121867A (en
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倫子 木戸
忠夫 岡田
誠 藤井
勇太 井上
優子 大野
豊恵 石井
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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
    • A61G1/00Stretchers
    • A61G1/04Parts, details or accessories, e.g. head-, foot-, or like rests specially adapted for stretchers
    • 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

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Description

本発明は、医療、看護、又は介護を含む処置に使用され、臥床面に接触している臥床者と前記臥床面との間へ挿入される挿入部材を有する身体リフトシステム、医療、看護、又は介護を含む処置に使用され、臥床者と臥床面との間へ挿入される挿入部材を有する身体リフトシステム、及び身体リフト方法に関する。 The present invention relates to a body lift system for use in treatments including medical care, nursing, or caregiving, and having an insertion member that is inserted between a person in contact with a bed surface and the bed surface, a body lift system for use in treatments including medical care, nursing, or caregiving, and having an insertion member that is inserted between a person in contact with the bed surface and the bed surface, and a body lift method.

平成28年の日本高齢化白書によると、日本の高齢化人口比率は26.7%であり、2007年から65歳以上の人口は21%を超え、日本は超高齢社会となったことは良く知られている。又、該日本高齢化白書に記載されている高齢者介護のデータからは、介護なしに日常生活を営むことが困難な要介護4、ほぼ不可能な要介護5の方々の合計が日本の総人口比率1%と算出され、日本国内では約130万人の方々が看護師や介護者の密なる援助を受けながら生活されておられると推計される。ベッド上や布団の上で一時的に、又は、常時生活しておられる方々(本明細書では臥床者と呼ぶ)は、少しは動ける方々から寝たきりの方々まであり、特に寝たきり臥床者の場合、食事、清潔、排泄など生活面での重要な活動全般に、看護、介護の補助が必要とされ、寝たきり臥床者御本人の生活の質(QOL)の向上と、看護師や介護者などケアーを担当される方々の介助作業の軽減が社会的課題となっていた。 According to the 2016 White Paper on Ageing in Japan, the elderly population in Japan is 26.7%, and since 2007 the population over 65 has exceeded 21%, making it well known that Japan has become a super-aged society. Furthermore, the data on elderly care provided in the White Paper on Ageing in Japan indicates that the total proportion of people who require care level 4, meaning they have difficulty living an everyday life without care, and level 5, meaning they are almost unable to do so, is calculated to be 1% of Japan's total population, and it is estimated that approximately 1.3 million people in Japan are living with the close support of nurses and caregivers. People who spend their time temporarily or permanently in bed or on a futon (referred to as bedridden in this specification) range from those who can move around a little to those who are bedridden. In particular, bedridden people require nursing and care assistance for all important daily activities such as eating, hygiene, and excretion, and improving the quality of life (QOL) of bedridden people themselves and reducing the burden of assistance on nurses, caregivers, and other caregivers who are responsible for their care have become social issues.

寝たきり臥床者は、自由に動くことが困難で、自らベッド上で部分的にでも身体を変形させ任意の身体部分をベッドから浮かすことが必ずしも容易ではない方も多い。その結果、下着のベッド面との接触部分、又、布団のシーツとの接触部分が、常時、臥床者身体の特定部分で押えられ、清拭や排泄時などの下着の部分的脱衣、入浴や下着交換時の完全脱衣、便器やおむつ挿入時などに必要なベッドと身体特定箇所との間の空間の確保が難しい。又、シーツの交換やシーツのしわの除去に必要な、一時的であっても形成したいベッドと身体直下との間の全域にわたる自由な空間の確保が、寝たきり臥床者故に困難を極めている。看護師や介護者は、例えば、臥床者の肩から頸部を支えるように上肢を差し入れ、腰部の少し上あたりなどに手を差し入れ(非特許文献1)、空間を作って看護、介護を実施し、臥床者のニーズに鋭意対応しているが、全てのニーズには対応しきれていない現状にある。又、身体の微小回転が難しい寝たきり臥床者もおり、これら臥床者においては、身体の同一箇所にいつも体重がかるため、褥瘡の原因となる。日本褥瘡学会では、体重がかかる箇所を変更するために、2時間を超えない範囲での看護・介護者による体位変換を推奨している(非特許文献2)。 Bedridden people have difficulty moving freely, and for many it is not easy to change their body shape even partially on the bed to lift any part of their body off the bed. As a result, the part of the underwear that comes into contact with the bed surface or the futon sheets is always pressed down by a specific part of the bedridden person's body, making it difficult to secure the space between the bed and a specific part of the body that is necessary for partial removal of underwear when wiping or defecating, complete removal of underwear when bathing or changing underwear, and when inserting a toilet or diaper. In addition, because they are bedridden, it is extremely difficult to secure the free space between the bed and the body, even if only temporarily, that is necessary for changing sheets or removing wrinkles in the sheets. Nurses and caregivers, for example, insert their upper limbs from the shoulders of a bedridden person to support their neck, and insert their hands slightly above the waist to create space to provide nursing care and respond to the needs of bedridden people, but the current situation is that it is not possible to meet all needs. In addition, there are bedridden people who have difficulty turning their bodies slightly, and for these bedridden people, the weight is always placed on the same part of the body, which can cause bedsores. The Japanese Society of Pressure Ulcers recommends that nurses and caregivers change the position of the person's body every two hours or less to change the part on which the weight is placed (Non-Patent Document 2).

成人臥床者の体重は、60kg程度あるため、看護師や介護者のハンドケアーでは、60kg程度の体重の少なくとも一部を両手又は片手で支える必要がしばしばあり、看護師や介護者からは両手を自由に使用して排泄などのケアーを実施したいとの要望は多い。現状は、臥床者への侵襲を避けるために、往々にして看護師や介護者自身が、例えば片手で重量を支える折、力学的に不安定な体位を取る場面が多く、看護師や介護者の予想しない箇所へ、予想しない力や、力のモーメントがかかり、看護師や介護者が腰痛に見舞われることが多く、腰痛防止が重要な課題となっている。1998年にオーストラリア看護連盟(ビクトリア州)が看護師の腰痛防止のためにノーリフティングポリシー(被介護者を持ち上げないポリシー)を提言し、日本でも日本ノーリフト協会が活動していることは良く知られている(非特許文献3)。腰痛防止は、昨今増えつつある在宅介護において、必ずしも腰痛防止の体位などの専門的トレーニングを受けておられない介護者においては、より厳しい問題である。中には、高齢者が高齢者を介護されている場合もあり、ベッドなどの臥床面と臥床者身体直下との間の自由な空間の確保が容易にできる技術の提供が社会的課題となっていた。 The weight of an adult bedridden person is about 60 kg, so in hand care by nurses and caregivers, it is often necessary to support at least a part of the weight of about 60 kg with both hands or one hand, and there are many requests from nurses and caregivers to be able to use both hands freely to perform care such as excretion. Currently, in order to avoid invasiveness to bedridden people, nurses and caregivers themselves often take a mechanically unstable position when supporting the weight with one hand, for example, and unexpected forces and force moments are applied to places that the nurses and caregivers do not expect, which often causes back pain for nurses and caregivers, making prevention of back pain an important issue. In 1998, the Australian Nursing Federation (Victoria) proposed a no-lifting policy (a policy of not lifting the care recipient) to prevent back pain in nurses, and it is well known that the Japan No-Lift Association is active in Japan as well (Non-Patent Document 3). Preventing back pain is a more severe problem for caregivers who do not necessarily receive specialized training on positions to prevent back pain, such as in the case of home care, which has been increasing recently. In some cases, elderly people are caring for other elderly people, and providing technology that makes it easy to ensure free space between the bed or other surface and directly underneath the body of the person lying down has become a social issue.

臥床者とベッドの間に看護師や介護者が手を入れずに、又は、短時間だけ手を入れて、体を部分的に持ち上げ、清拭、排泄、移動などに活用できる各種の装置、方法が提案されている。排泄時などにベッドと臀部の間に空間を作る方法として、特許文献1では、パイプやモータを使用した駆動装置からなる、膝裏で足にかかる膝掛けを後ろへ反転して上昇する円軌道に沿って足を持ち上げ得ると共に、随所で停止し得るように構成した寝たきり老人のおむつ取替用尻上げ装置が提案されている。当該おむつ取替用尻上げ装置は、上半身は臥床状態を保ちながら、下半身の両膝を装置で吊り上げ、反転中心を股関節から腰部へ移動しながらベッドと臀部の間に空間を作る装置が提案されている。
又、特許文献2においても、パイプで形成されたU字状、又はL字状のテコと呼ばれるフレームに軸着された左右の脚保持台に下腿を載せ、テコを持ち上げることで下脚、大腿、臀部が上がり、局部の清拭やおむつ交換の空間を作る方法が提案されている。
Various devices and methods have been proposed that allow a nurse or caregiver to partially lift the body of a person in bed without inserting their hands between the bed and the person, or by inserting their hands only for a short time, and to be used for wiping, excretion, transfer, etc. As a method for creating space between the bed and the buttocks during excretion, Patent Document 1 proposes a buttocks-lifting device for changing diapers for bedridden elderly people, which is made of a drive device using pipes and a motor, and is configured to lift the legs along a circular orbit that rises by inverting a knee rug that is placed on the back of the knees backwards and can be stopped at any point. The buttocks-lifting device for changing diapers is proposed as a device that lifts both knees of the lower body while keeping the upper body in a lying state, and creates a space between the bed and the buttocks by moving the center of inversion from the hip joint to the waist.
Patent Document 2 also proposes a method in which the lower legs are placed on left and right leg support platforms that are pivoted on a U- or L-shaped frame called a lever, which is made of pipes, and the lower legs, thighs, and buttocks are raised by lifting the lever, creating space for wiping the private parts and changing diapers.

又、腰を上げる方法としては、特許文献3にて、上半身の下にビニールやゴムシートの周囲を溶着又は接着して作った楔形エアーバッグを敷き、エアポンプで膨らませ、腰部を最も高く、背部から肩部に向かって穏やかな傾斜を付けるようにし、間接的に臀部も持ち上げ、ベッド床面と臥床者臀部の間に空間を作り、おむつ交換と臀部の清拭に使用する方法が提案されている。
特許文献4にも、腰部持ち上げ装置が提案されており、当該腰部持ち上げ装置では、綿布から構成されるベルトが予めベッドのシーツの上に置かれてあり、被介護人の腰部の下に敷かれ、臥床者を上から跨ぐように置かれたパイプや電動モータからなる持ち上げ装置でベルトを持ち上げ、ベッド床面と臥床者臀部の間に空間を作り、おむつ交換や陰部の清拭に用いることができる。
As a method of raising the hips, Patent Document 3 proposes a wedge-shaped air bag made by welding or gluing the edges of a vinyl or rubber sheet, placed under the upper body, and inflated with an air pump so that the hips are highest and there is a gentle slope from the back to the shoulders, thereby indirectly lifting the buttocks and creating a space between the bed surface and the buttocks of the person in bed, which can be used for changing diapers and wiping the buttocks.
Patent Document 4 also proposes a lumbar lifting device, in which a belt made of cotton cloth is placed on the bed sheets in advance and laid under the waist of the person being cared for. The belt is lifted by a lifting device consisting of pipes and an electric motor placed so as to straddle the person from above, creating a space between the bed surface and the buttocks of the person, which can be used for changing diapers and wiping the genitals.

臀部や腰部の身体の一部分のみならず、体全体を持ち上げる方法も提案されている。特許文献5では、頭、胸、腰、尻、下腿部などに平行に複数本の膨縮自在なエアー袋を配置し、エアー供給、排気により被介護者を上昇・下降させ介護者の労働を軽減しつつ被介護者の床ずれを防止する方法を提案している。当該方法では、エアー袋を配置していない部分に、ベッド床面と臥床者身体との間の空間が形成できる。
又、シーツ交換も可能な、全身を持ち上げる方法としては、特許文献6では、腰上部、大腿部、足首上部など病人とベッドの間の手を差し込み易い部分にのみ、自動車のシートベルトのようなベルトを通して臥床者から見て天井側にあるT定規様の部材にベルトを掛け、T字形部材を吊上機で吊り上げ、介護者が労力を使用することなく老人又は病人をベッドから移動する方法が提案されている。
Methods have also been proposed for lifting the entire body, not just parts of the body such as the buttocks and lower back. Patent Document 5 proposes a method in which multiple expandable and contractible air bags are arranged in parallel on the head, chest, lower back, buttocks, lower legs, etc., and air is supplied and exhausted to raise and lower the care recipient, reducing the caregiver's workload and preventing bedsores in the care recipient. In this method, a space can be formed between the bed surface and the body of the care recipient in the area where the air bags are not arranged.
Furthermore, Patent Document 6 proposes a method of lifting the entire body, which also allows for sheet changing, in which a belt, like a seat belt in an automobile, is passed only around parts of the patient's body that are easy to reach between the patient and the bed, such as the upper waist, thighs, and upper ankles, and the belt is attached to a T-square-like member located on the ceiling side as seen from the patient's side. The T-shaped member is then hoisted with a hoist, allowing the caregiver to move the elderly or sick person from the bed without exerting any effort.

特許文献7には、寝たきり患者用移動キャリアの記載がある。患者の下にネットを敷き、患者の下に該ネットを敷く方法の記載はないが、ネットをフックワイヤーにかけワイヤーの巻上げを行うことにより、ベッドより寝たきり患者を持ち上げることができ、シーツ交換やベッドメイク、入浴などの作業を1人の看護師で行うことができるとある。
又、特許文献8には、シーツ交換を容易に行えるベッドについての記載があり、リフトバーに臥床する病人の下に敷いたネットまたは布を結びつけて、リフトバー上昇下降により病人をベッド上の布団またはマット上面から浮沈させ病人を人力で持ち上げることなくシーツの交換を可能とするとある。
尚、本文献では、ネット吊り具を手に持ち病人の体の下に手を差し入れて、機織りの杼のようにネット吊り具を病人の体の下を通過させることができるとある。
Patent Document 7 describes a moving carrier for bedridden patients. Although there is no description of how to lay a net under the patient, it does state that the net can be attached to a hook wire and the wire can be rolled up, allowing the bedridden patient to be lifted from the bed and for tasks such as changing sheets, making the bed, and bathing to be performed by a single nurse.
Furthermore, Patent Document 8 describes a bed that allows easy sheet changing, in which a net or cloth is tied to a lift bar that is placed underneath a patient lying down, and by raising and lowering the lift bar, the patient can be raised and lowered above the futon or mattress on the bed, making it possible to change the sheets without having to manually lift the patient.
Furthermore, this document states that the net sling can be held in the hand and passed under the patient's body like a weaving shuttle.

特許文献9では、固体様物体をベッドと臥床者の間に挿入し空間を作る方法が提案されている。具体的には、持ち上げ台と呼ばれるビーム状のものを反りの内側を上にして病人の腰部下へ差し入れ、オイルジャッキで尻を10cm位持ち上げ、持ち上げ台の前後に、ベッド床面と臥床者身体の間に空間を作り、紙おむつの交換に使用する方法が提案されている。
又、特許文献10では、体の下に縦50cm、横120cm程のベニヤ板もしくはポリプロピレン系の板を中芯として使用し、その上下に薄いスポンジをかぶせ、表皮にポリエステル系素材等で覆われた厚さ5mm程度の板を差し込み、板を上げる事でそのまま体を横に倒し、横に倒すことにより、ベッド床面と臀部の間に空間を作り、オシメ交換、シーツ交換が可能であることが開示されている。又、ベッドからベッドへ移すときに担架としての機能を果たすとある。
特許文献11では、ベッド間、ベッドとストレッチャー間などの移し替え具として、被介護者の下面に差し込まれる移し替え具としての板状部の記載がある。差し込み方法についての記載はないが、移し替え具に転置された被介護者を横に配置したベッドなどに引っ張り移動する方法が提案されている。
特許文献12には、仰臥位、または半座位の状態の患者のベッドに接触する当接面に複数枚に分割した摺動具を介在させるもので臥床状態にある被介護者を斜め横に向けてボードを差込み、スライドボードの利用によって多少の凹凸や段差、間隙や傾斜があっても、また、利用者が円背状態であって水平位になれなくても、被介護者を容易に迅速にスライドさせることができるとある。
Patent Document 9 proposes a method of creating a space by inserting a solid object between the bed and the patient. Specifically, a beam-like object called a lifting platform is inserted under the patient's lower back with the inside of the curve facing up, and the buttocks are raised about 10 cm with an oil jack, creating a space between the bed surface and the patient's body in front of and behind the lifting platform, which can be used for changing disposable diapers.
Patent Document 10 discloses that a plywood or polypropylene board about 50 cm long and 120 cm wide is used as a core under the body, thin sponges are placed on the top and bottom of the board, and a board about 5 mm thick with a polyester material or the like is inserted as a surface, and by lifting the board, the body is turned to the side, creating a space between the bed surface and the buttocks, making it possible to change diapers and sheets.It also functions as a stretcher when transferring from bed to bed.
Patent Document 11 describes a plate-shaped part that is inserted under the care recipient as a transfer device between beds, between a bed and a stretcher, etc. Although there is no description of the insertion method, a method is proposed in which the care recipient who has been transferred to the transfer device is pulled and moved to a bed or the like placed next to it.
Patent Document 12 describes a device that uses a sliding device divided into several pieces on the contact surface that comes into contact with the bed of a patient in a supine or semi-sitting position.The board is inserted so that the cared-for person in a lying position faces diagonally to the side, and by using the slide board, the cared-for person can be easily and quickly slid even if there are some unevenness, steps, gaps, or inclinations, or even if the user is hunched and cannot assume a horizontal position.

特許文献13では、傷害者を主な対象とし、平たい縦長の強度のある荷重を支える腕木を、フレームの左右の端を形成するパイプを貫通する形で有し、まずは、腕木をフレームの外側に引き出しておき、フレームの内部の空域を患者に被せ、その後、腕木を左右両端から患者の下に滑りこませ、両側から挿入された腕木は、患者を挟むことがないように両板の邂逅を避け、何枚かの腕木は左右のフレームを支点に片持ちの状態で患者を支え、その後フレームを持ち上げ移動する方法が提案されている。本装置の部品は金属、プラスチック、木材、又は、適当な材料と記載されている。
又、特許文献14では、特許文献13と同じ発明者が特許文献13のフレームを用い、本文献では、腕木には、スチールやアルミ、その他の合金で体重を支持するのに極めて剛く強い材料からなり、上下する装置と組み合わせ、又、上げてから前に出す装置と組み合わせ患者の移動と手術台への移動を提案している。
特許文献15では、特許文献13、14と同じく、人を持ち上げる装置が提案されており、引っ込めることの出来る腕木をベッド上の患者の下に、ベッドと患者の間に機械的に挿入することが提案されており、特許文献13、14とは異なり、片方からのみ挿入し、反対側は支持しない片持ち方式で、又、背中のケアーには、片持ちの支点をピボット方式にして、脚を片側だけ下降させ、できたすき間を使用して実施するなどが記載されている。
Patent Document 13 proposes a method for treating injured people, in which flat, elongated, strong arms for supporting loads are inserted through pipes that form the left and right ends of the frame, the arms are first pulled out to the outside of the frame, the patient is placed over the space inside the frame, the arms are then slid under the patient from both ends, the arms inserted from both sides avoid meeting each other so as not to pinch the patient, some arms support the patient in a cantilevered state with the left and right frames as fulcrums, and the frame is then lifted and moved. The parts of this device are described as being made of metal, plastic, wood, or other suitable material.
In addition, in Patent Document 14, the same inventor as in Patent Document 13 uses the frame of Patent Document 13, and in this document, the arms are made of steel, aluminum, or other alloys that are extremely rigid and strong enough to support body weight, and are combined with a device that moves up and down, and with a device that lifts it up and then moves it forward, to propose moving the patient and moving them to the operating table.
Patent Document 15, like Patent Documents 13 and 14, proposes a device for lifting people, proposing that a retractable arm be mechanically inserted under the patient on the bed, between the bed and the patient. Unlike Patent Documents 13 and 14, this uses a cantilever system in which the arm is inserted from only one side, with the other side not supported, and it also describes that for back care, the fulcrum of the cantilever is made to be a pivot system, and the legs are lowered on only one side, using the resulting gap for carrying out care.

実開昭63-201532号公報Japanese Utility Model Application Publication No. 63-201532 特開平4-75657号公報Japanese Patent Application Publication No. 4-75657 特開2001-149395号公報JP 2001-149395 A 特開平10-24886号公報Japanese Patent Application Publication No. 10-24886 特開2007-190150号公報JP 2007-190150 A 特開平11-342163号公報Japanese Patent Application Publication No. 11-342163 特開平6-63079号公報Japanese Patent Application Publication No. 6-63079 特開平9-19462号公報Japanese Patent Application Publication No. 9-19462 特開平9-192178号公報Japanese Patent Application Publication No. 9-192178 実用新案登録第3134185号公報Utility Model Registration No. 3134185 特開平8-47513号公報Japanese Patent Application Publication No. 8-47513 特開2008-212186号公報JP 2008-212186 A 米国特許第2,391,928号明細書U.S. Pat. No. 2,391,928 米国特許第3,015,114号明細書U.S. Pat. No. 3,015,114 米国特許第5,323,498号明細書U.S. Pat. No. 5,323,498

阿曽洋子、井上智子、氏家幸子著、「基礎看護技術」、第7版、日本、医学書院、2011年2月15日、P87-93Yoko Aso, Tomoko Inoue, Sachiko Ujiie, "Basic Nursing Techniques", 7th edition, Japan, Igaku Shoin, February 15, 2011, P87-93 「褥瘡の予防について、1.体位変換の方法と時間間隔」、[online]、日本褥瘡学会、[2016年11月20日検索]、インターネット<URL:http://www.jspu.org/jpn/patient/protect.html>"Prevention of bedsores, 1. Methods and time intervals for changing positions," [online], Japan Society of Bedsores, [searched November 20, 2016], Internet <URL: http://www.jspu.org/jpn/patient/protect.html> 「設立の趣旨及び目的」、[online]、日本ノーリフト協会、[2016年12月10日検索]、インターネット<URL:http://www.nolift.jp/aboutus/>"Objectives and Purposes of Establishment", [online], Japan Nolift Association, [searched on December 10, 2016], Internet <URL: http://www.nolift.jp/aboutus/>

乳幼児、心身障害者、高齢者を問わず、寝たきり臥床者のQOLの向上には、清潔の確保が必要である。できれば毎日、寝具のシーツ交換や臥床者の清拭、1日に何回か必要になる排泄、又、褥瘡予防のための2時間に1回程度の体位変換などの看護・介護のケアーが必要である。乳幼児では体重が軽いため、それ程苦にはならないが、60kg程度の体重を有する臥床成人では、看護師や介護者一人では持ち上がらず、それでも無理をする場合も多く、看護師や介護者の腰痛予防も重要な課題となっている。 Ensuring cleanliness is essential to improving the quality of life of bedridden people, whether they are infants, people with physical or mental disabilities, or the elderly. If possible, nursing and caregiving should include changing bedding sheets every day, wiping the bedridden person down, allowing them to go to the bathroom several times a day, and changing their position about once every two hours to prevent bedsores. Since infants are light in weight, this does not pose much of a problem, but in the case of bedridden adults weighing around 60 kg, nurses and caregivers are unable to lift them on their own, and even then they often push themselves too hard, so preventing back pain for nurses and caregivers is also an important issue.

例えば、臥床者向けに毎日実施したいシーツ交換やシーツ上のしわ除去では、ベッドの臥床面と臥床者直下との間の全域にわたる非接触の自由な空間が1分程度保持できると容易く実施できる。又、清拭では、例えば臥床者が仰臥位で横たわっている時、ベッドの臥床面と臥床者直下との間の必要な部分、例えば、臀部、又は、腰部、又は、肩部などの各部に非接触の自由空間が1分程度形成できると、蒸しタオルで軟らかく拭うなどのケアーが容易く実施できる。又、排泄では、ベッドの臥床面と臥床者の臀部や陰部の間に空間が5分~10分程度できると、下半身の下着の着脱、便器の挿入やおむつの交換、陰部洗浄など、排泄ケアーが、シーツを汚す恐れもなく容易くできる。又、これら自由な空間により看護師や介護者も両手を使って床上排泄のケアーなどが可能となり、被介護者に対し、より良いケアーが実施できる。
又、ベッドの臥床面と臥床者直下の間の全域に、所要時間、自由な空間ができると、ベッドを臥床者直下から移動し、代わりに車椅子を臥床者の臀部直下におくことにより、寝たきり臥床者を車椅子上に移乗することも可能となる。
For example, changing sheets and removing wrinkles on sheets, which are to be performed daily for bedridden people, can be easily performed if a free, non-contact space can be maintained for about one minute over the entire area between the bed surface and the person directly below. In addition, in wiping, for example, when a bedridden person is lying in a supine position, if a free, non-contact space can be formed for about one minute in each of the necessary parts between the bed surface and the person directly below, such as the buttocks, waist, or shoulders, care such as soft wiping with a steamed towel can be easily performed. In addition, in excretion, if a space of about 5 to 10 minutes can be created between the bed surface and the buttocks or genitals of the bedridden person, excretion care such as putting on and taking off underwear for the lower body, inserting the toilet, changing diapers, washing the genitals, etc. can be easily performed without the risk of soiling the sheets. Furthermore, this free space allows nurses and caregivers to use both hands to assist with care such as bedside excretion, enabling better care to be provided to the care recipient.
Furthermore, if free space is created for the required time in the entire area between the bed surface and directly underneath the patient, it will be possible to transfer the bedridden patient onto a wheelchair by moving the bed from directly underneath the patient and placing the wheelchair directly underneath the patient's buttocks instead.

ベッドと臥床者の身体の間の一部に空間を作り、看護・介護に用いる方法は、既に多数提案されており、伝統的には、看護師や介護者が手掌や腕を腰部に差し入れたりする。しかしながら、手掌の厚み自体、成人では30mm程度あり、又幅は120mm程度、介護者の腕を付け根まで挿入すると約500mm、臥床者の身体には30mm×120mm×500mm程度の直方体で近似できるが、これら突起物挿入の侵襲がかかっている。 Many methods have already been proposed for creating a space between the bed and the body of a person in bed for use in nursing and care. Traditionally, nurses and caregivers insert their palms or arms into the lower back. However, the thickness of an adult's palm is about 30 mm, and the width is about 120 mm; if the caregiver's arm is inserted all the way into the space, it will be about 500 mm; the body of the person in bed can be approximated by a rectangular parallelepiped measuring about 30 mm x 120 mm x 500 mm, and the insertion of these protruding objects is invasive.

特許文献1、2では、これら文献の図にあるように、上半身はベッドの上にあり、臥床者の下腿、大腿、臀部、腰部は上方へ弓なりに曲げられ、ベッド床面から臀部を浮かし、空間を作り、おむつを取り換える方法が提供されているが、おむつ交換が順調に行えればシーツの汚れはないが、排泄物は液状から固体状など、臥床者の健康状態に応じ性状が各種変化する性質のものであり、予期せぬ漏洩や臀部へ付着した排泄物の拭き取りなど、ベッドのシーツを汚すことがよくある。シーツがよごれた場合のシーツ替えなどの対処方法も合せて必要とされるが、該特許文献1,2には記載されていない。又、臥床者の下腿、大腿、臀部、腰部は上方へ弓なりに曲げられるため、臥床者への侵襲が大きく、下腿~腰部の下半身に障害を有する臥床者には適用困難である。 In Patent Documents 1 and 2, as shown in the diagrams in these documents, the upper body is on the bed, and the lower legs, thighs, buttocks, and waist of the bedridden person are bent upward in an arched manner, raising the buttocks from the bed surface and creating space, and a method is provided for changing the diaper. If the diaper change is carried out smoothly, the sheets will not be soiled, but the nature of excrement changes in various ways depending on the health condition of the bedridden person, such as from liquid to solid, and it is common for the sheets to become soiled due to unexpected leakage or wiping off the excrement that has adhered to the buttocks. A method for dealing with the situation, such as changing the sheets when they become soiled, is also required, but this is not described in Patent Documents 1 and 2. In addition, because the lower legs, thighs, buttocks, and waist of the bedridden person are bent upward in an arched manner, the invasiveness to the bedridden person is great, and it is difficult to apply to bedridden people with disabilities in the lower half of the body from the lower legs to the waist.

特許文献3は、エアーバッグを臥床者の背部・肩部に敷き、エアーバッグを膨らませ、又、特許文献4は、支持部材のベルトを臥床者の腰部の下に敷き、該ベルトを持ち上げ、その折り布団と臥床者の身体は、臀部の部分にも空間を作り、おむつ交換や陰部清掃に用いるものである。しかしながら、両文献とも、患者が既にベッド上に臥床している場合において必要となる、エアーバッグや支持部材であるベルトの敷き込み方法の記載がなく、身体とベッドの間に空間を形成するのが難しい寝たきり者には敷き込みが困難であり適用が難しい。又、特許文献1、2と同じく、身体の一部、背や腰部などを持ち上げるので、これら部分に障害を有する臥床者には適用が困難である。
又、全身を持ち上げる技術ではないため、おむつ交換などの排泄援助に使用した折り、シーツを汚した場合のシーツ交換も困難である。
In Patent Document 3, an airbag is placed on the back and shoulders of a bedridden person and the airbag is inflated, and in Patent Document 4, a belt of a support member is placed under the waist of the bedridden person and the belt is lifted, and the folded futon and the body of the bedridden person create a space in the buttocks area, which can be used for changing diapers and cleaning the genitals. However, neither document describes how to lay the airbag or the belt of the support member, which is necessary when the patient is already lying on the bed, and it is difficult to lay them down for bedridden people who have difficulty creating a space between their body and the bed, making them difficult to apply. Also, as in Patent Documents 1 and 2, parts of the body, such as the back and waist, are lifted, making it difficult to apply to bedridden people who have disabilities in these areas.
In addition, since this is not a technique for lifting the entire body, it is difficult to change the sheets when they are soiled, even when used for excretion assistance such as changing diapers.

特許文献5では、ベッドの上にエアー袋体5つが配置され、被介護者がその上に仰臥した状態でエアー袋体の位置を調整し、その後エアーが供給され、身体を穏やかに持ち上げ、ベッド床面と臥床者身体の間に空間をつくりおむつ交換時の腰部持ち上げが出来る。しかしながら、エアー袋体はベッドの上にあり、患者に敷かれる形になっており、又、本法では身体全域にわたり空間をつくることが困難なため、シーツ交換に適用するのは困難である。加えて、寝たきり臥床者が、エアー袋体が配置されたベッドに臥床する必要があり、寝たきり者などが臥床しているベッドの臥床者の下に敷き込む方法の記載がなく、既に臥床している寝たきり臥床者に適用するのは困難である。
又、特許文献6では、身体の下にベルトを通して全体を持ち上げるので、排泄介助でシーツを汚した時はシーツの交換などは容易であるが、身体を持ち上げるベルトは、病人とベッド間の手の差し込み易い部分に装着するとあり、頭部、脇の下部、腰骨上部、大腿部、足首上部などであり、ベルトで吊り上げられた時、その部分に応力が集中し、ベルトのかかった部分が優先的に上方へ上がり、体の各部所に凹凸の変形が生じ、特に軟らかい部分にベルトが食い込むリスクがあり、病人の身体への侵襲が大きいことと、又、これら部分に障害を有する臥床者には適用が困難である。
In Patent Document 5, five air bags are placed on a bed, and the position of the air bags is adjusted while the care recipient lies on the bed, and then air is supplied to gently lift the body, creating a space between the bed surface and the body of the care recipient, allowing the waist to be lifted when changing diapers. However, the air bags are placed on the bed and laid on the patient, and since it is difficult to create a space over the entire body with this method, it is difficult to apply this method to sheet changes. In addition, the bedridden person needs to lie on the bed on which the air bags are placed, and there is no description of a method of laying the air bags under the bed on which the bedridden person is already lying, making it difficult to apply this method to bedridden people who are already lying.
In addition, in Patent Document 6, a belt is passed under the patient's body to lift the entire body, making it easy to change the sheets if they become soiled during excretion assistance; however, the belt used to lift the body is attached to parts of the bed that are easy to reach with one's hand, such as the head, lower armpits, upper hips, thighs, and upper ankles. When a patient is lifted up with the belt, stress is concentrated in these parts, and the parts on which the belt is placed rise preferentially upwards, causing uneven deformation in various parts of the body, with a particular risk of the belt digging into soft parts of the body; this is highly invasive to the patient's body and is difficult to apply to bedridden patients with disabilities in these parts.

特許文献7では、寝たきり患者の下に敷いたネットのフックを移動キャリアのワイヤーにかけ、寝たきり患者をネットにより持ち上げ、シーツ交換やベッドメイク、入浴などを行うと、寝たきり患者を持ち上げる必要性は認識されているが、肝心のネットを寝たきり患者の下にしきこむ方法の記載がない。
又、特許文献8も、病人をシーツから浮かせてシーツの交換を行える介護用ベッドと、臥床病人を浮かせる必要性は認識されているが、ネット吊り具を手に持ち病人の体の下に手を差し入れて、機織りの杼のようにネット吊り具を病人の体の下を通過させることができるとあり、手を差し入れる侵襲の低減は提案されていない。
In Patent Document 7, the hooks of a net placed under a bedridden patient are attached to the wires of a mobile carrier, and the bedridden patient is lifted up by the net to perform sheet changes, bed making, bathing, etc., and although this recognizes the need to lift up a bedridden patient, there is no description of how to tuck the essential net under the bedridden patient.
Furthermore, Patent Document 8 also recognizes a nursing bed that can lift a sick person off the sheets so that they can be changed, and the need to lift a bedridden sick person, but it describes how the net sling can be held in the hand and inserted under the sick person's body like a weaving shuttle, and does not propose reducing the invasiveness of inserting the hand.

特許文献9~12は、臥床者の身体とベッドの間に棒や板を挿入する技術が提案されており、特許文献9では、持ち上げ台と呼ばれる棒状の物体を病人の腰部と布団の間に1本挿入し持ち上げるものであるが、持ち上げ台に支えられた部分を凸に身体が変形し、持ち上げ台に支えられた部分に応力が集中し、体の変形と応力集中による侵襲が大きく、又、おむつ交換の用途が記載されているが、身体の部分的な持ち上げ方法のため、シーツを排泄物で汚染した場合などに必要なシーツ交換などには適していない。
又、特許文献10では、縦60cm、横120cm程のベニヤ板もしくはポリプロピレン系の板を中芯としたものを使用しており、板を差し込み、患者を横向きにしながら使用するもので、回転運動を伴い、体の背面や腹面の片側に障害を持つ臥床者には侵襲が大きく使用し難い。
特許文献11では、プラスチックボードなどの引っ張りの手段を備えている長さ方向の寸法1220mm、幅方向の寸法520mm、板厚3mm、側縁は丸みを持った円滑な差し込みをなし得る構成の例えばテフロン(登録商標)樹脂ボードなどのプラスチックボードなどの板状部を、差し込み方法については記載されていないが、ベッドなどに臥している被介護者の下面から円滑に押し入れできるとあり、図からは横に配置したベッドなどに引っ張り移動するベッド間や、ベッドとストレッチャー間の移し替えに使用するものであり、被介護者の身体全体を移し替え具ごと摺動移動するので、被介護者の身体の変形や回転による侵襲はない。しかしながら、引っ張り移動では、少なくとも、被介護者と臥床面の一部は常時接触しており、シーツ交換や清拭などに必要な臥床者の直下への空間形成には使い難い。又、被介護者が背中などに傷害を有する時は、該移し替え具が被介護者のベッドと接触している背面の全面を覆うものであり、傷害部分を避けて使用することは難しく、被介護者への大きな侵襲は避け難い問題を有す。
特許文献12も、被介護者を斜め横に向けてボードを差込むなど、被介護者がベッドに接触する面に傷害を有している時の侵襲防止が難しく、又、摺動移動する仕様のため、シーツを張り替えたベッドへ摺動移動した時のシーツのしわへの対応など難しいと考えられる。
Patent Documents 9 to 12 propose techniques for inserting a rod or board between the body of a recumbent person and the bed. Patent Document 9 proposes inserting a rod-shaped object called a lifting platform between the patient's lower back and the futon to lift the patient up, but this causes the part of the body supported by the lifting platform to deform into a convex shape and stress is concentrated in the part supported by the lifting platform, resulting in significant invasiveness due to the deformation of the body and the concentration of stress. Also, although the method is described as being used for changing diapers, because it only lifts part of the body, it is not suitable for changing sheets, which is necessary when the sheets have been soiled with excrement.
Furthermore, in Patent Document 10, a plywood or polypropylene board measuring approximately 60 cm in length and 120 cm in width is used as a core, and the board is inserted and used by turning the patient on his/her side. This involves a rotational movement, and is highly invasive and difficult to use for bedridden patients with disabilities on one side of the back or abdomen of the body.
In Patent Document 11, a plate-shaped part such as a plastic board, for example a Teflon (registered trademark) resin board, equipped with a pulling means such as a plastic board, has a length of 1220 mm, a width of 520 mm, a thickness of 3 mm, and rounded side edges, and is configured to be inserted smoothly, but does not describe how to insert it, and it is described that it can be smoothly pushed in from below the person lying on a bed, etc., and from the figure it is used for transferring between beds arranged side by side by pulling it between them, or between a bed and a stretcher, and since the entire body of the person is slid together with the transfer tool, there is no invasiveness due to deformation or rotation of the body of the person. However, when pulling it, at least a part of the person lying on the bed is always in contact with the person lying on the bed, and it is difficult to use it to create a space directly under the person lying on the bed, which is necessary for changing sheets or wiping. Furthermore, when the person being cared for has an injury to the back or the like, the transfer device covers the entire back of the person being cared for that is in contact with the bed, making it difficult to use the device while avoiding the injured area, which poses the problem that a significant invasion of the person being cared for is difficult to avoid.
In Patent Document 12, the board is inserted diagonally sideways toward the cared-for person, making it difficult to prevent invasion when the cared-for person has injuries on the surface that comes into contact with the bed. Also, because the board is designed to slide, it is thought to be difficult to deal with wrinkles in the sheets when the cared-for person slides to a bed with new sheets.

特許文献13~15は、傷害者や患者が臥床している面と傷害者や患者の間に腕木を同一方向に何本も挿入する技術であり、問題なく腕木が挿入できれば、傷害者や患者を背面から持ち上げることができ、優れた技術と考えられる。しかしながら、傷害者や患者は、往々にして切傷や褥瘡や色々の疾患を背中に有し、機械に合わせて一方向に板を挿入すると、これら傷害に接触してしまうが、回避する方法の記載がなく、このままでは傷害者や患者の病状を悪くする。
又、特許文献13では、腕木の材料は、金属、プラスチック、木材、その他適当なものとある。特許文献13と発明者が同一人である特許文献14では、腕木は平らで細長く、極めて硬く強い材料で、患者を支持するのに十分な強度を有する鋼、アルミ、その他合金と記載されている。傷害者や患者が臥床している面と傷害者や患者の間に挿入する腕木をこれら特許文献13、14のように、一層を横にならべる形では、傷害者や患者の体重を支える必要上、材料は硬くて強い刃物と同様の材料を使わざるを得ず、臥床者のパジャマなど布製品に引っかかったり、巻き込んだり、切断のリスクもある。又、体重による歪を考えた場合、軟らかい材料では必然的に厚みも厚くなり、あまり厚いと挿入よりも臥床者を押してしまいベッドから落下の危険も存在する。特許文献13、14の発明は、挿入時の侵襲の懸念と、そもそも挿入可否の問題を含み、これら文献には傷害者や患者が臥床している面と傷害者や患者の間にどのように挿入すれば良いのかの記載がなく、これら発明の後、半世紀が経過しているが、未だ、ベッドサイドでこれらの発明が実行されていることを見かけない。又、特許文献13、14の技術では、フレームに腕木を通すため、腕木を敷き詰めることが出来ず、臥床者の体重による応力分散には限界がある。
特許文献15では、腕木の材料の記載もなく、又、特許文献13、14とは異なり、腕木は片持ちの一端から支えるのみの構造であり、特許文献13、14に比し、歪を抑え体重を支えるためには、力学的により硬く強い、若しくは、厚みの厚い材料の使用が必要となり、又、特許文献13、14と同様に挿入方法の記載がないため、傷害者や患者を対象にする時には必ず付随する傷害者や患者の背中などの臥床面と接触する箇所の障害に対する方法の記載がないため、腕木の挿入により生ずる侵襲により、却って、病状の悪化は避けられず、本発明が主な対象とする寝たきり者、一般的に、皮膚の防御機能が弱い、褥瘡が発生しやすい方が多いが、これらの方々には適応が難しい。
又、特許文献15の技術は、腕木をピボット式に上下させ、板を動かすメカニズムのため、特許文献13、14と同様に腕木を敷き詰めることが出来ず、臥床者の体重による応力分散には限界がある。
Patent documents 13 to 15 describe a technique for inserting multiple arms in the same direction between the injured person or patient and the surface on which the injured person or patient lies, and if the arms can be inserted without any problems, the injured person or patient can be lifted from the back, which is considered to be an excellent technique. However, injured people or patients often have cuts, bedsores, and various other diseases on their backs, and if a board is inserted in one direction to match the machine, it will come into contact with these injuries, but there is no description of how to avoid this, and if left as is, the injured person's or patient's condition will worsen.
Also, in Patent Document 13, the material of the arm is metal, plastic, wood, or other suitable material. In Patent Document 14, which has the same inventor as Patent Document 13, the arm is described as flat, elongated, extremely hard and strong material, such as steel, aluminum, or other alloys, which has sufficient strength to support the patient. If the arm inserted between the surface on which the injured person or patient lies and the injured person or patient is arranged horizontally in one layer as in Patent Documents 13 and 14, the material must be hard and strong like a blade in order to support the weight of the injured person or patient, and there is a risk that the arm will get caught or wrapped around the cloth products such as the patient's pajamas, or be cut. Also, when considering distortion due to weight, a soft material will inevitably be thick, and if it is too thick, it will push the patient rather than inserting it, and there is a risk of the patient falling off the bed. The inventions of Patent Documents 13 and 14 have concerns about the invasiveness of insertion and the problem of whether insertion is possible at all, and these documents do not describe how to insert the device between the surface on which the injured person or patient is lying and the injured person or patient, and although half a century has passed since these inventions, we have not yet seen these inventions being used at the bedside. Also, with the technology of Patent Documents 13 and 14, since the arms are passed through a frame, the arms cannot be spread out, and there is a limit to the distribution of stress caused by the weight of the lying person.
Patent Document 15 does not disclose any material for the arms, and unlike Patent Documents 13 and 14, the arms are only supported from one end of a cantilever, which requires the use of a material that is mechanically harder and stronger or thicker in order to suppress distortion and support the body weight compared to Patent Documents 13 and 14. Furthermore, like Patent Documents 13 and 14, there is no disclosure of the insertion method, and therefore no disclosure of a method for treating injuries that inevitably occur when treating injured or patient patients, such as their backs, which come into contact with the bed. As a result, the invasiveness caused by inserting the arms makes it inevitable that the condition will worsen, and this makes it difficult to apply this invention to bedridden people, who are the main target of this invention, and who generally have weak skin defenses and are prone to developing bedsores.
Furthermore, because the technology of Patent Document 15 uses a mechanism that pivots the arms up and down and moves the boards, it is not possible to lay the arms out as in Patent Documents 13 and 14, and there is a limit to the distribution of stress caused by the weight of the recumbent.

本発明が解決しようとする課題は、医療又は看護又は介護を含む処置に際し、寝たきり者などの臥床者の不必要な身体の屈曲や回転を避け、臥床者がベッドなどの臥床面に安定体位で臥床しているそのままの姿勢を保ちながら、又、臥床者の体重を支えるための装置の挿入に際しては、伝統的な、看護、介護者がベッドなどの臥床面の間に手や腕を差し込むことで臥床者に与えてしまっている侵襲以下に侵襲を押さえ、寝たきり者などの臥床者が、ベッドと接触している身体の部分に、例えば、褥瘡などの障害を有していても、障害部分を避けて、且つ、臥床者にかかる応力を分散するために、臥床者の必要な部分を臥床面側から覆うことができ、覆った部分に空間形成に必要な臥床者を支える力を作用し、臥床面と接触している直下、即ち、臥床者と臥床面との間に空間を形成することにあり、これら空間を利用し、臥床者への侵襲を極力避けた状態で医療又は看護又は介護を含む処置を実施することにある。
これらの課題を解決する身体リフトシステムを提供し、本装置を応用した、医療又は看護又は介護を含む処置に、例えば、臥床者のQOLに配慮した毎日のシーツ交換やシーツのしわの除去、清拭、排泄の介助、車椅子への移乗やトイレ、浴室への移動などの方法を提供する。
The problem to be solved by the present invention is to prevent unnecessary bending and rotation of the body of a bedridden person or other such person during treatment, including medical care, nursing, or caregiving, while maintaining the same posture of the bedridden person lying in a stable position on a bed or other bed surface, and when inserting a device to support the weight of the bedridden person, to suppress the invasiveness to less than that which is traditionally given to the bedridden person by a nurse or caregiver inserting their hand or arm between the bed or other bed surface, and to enable the bedridden person or other such person to easily move between the bed and the bed. Even if the part of the body that is in contact has an impairment such as a bedsore, the necessary parts of the person can be covered from the side of the bed surface, avoiding the impaired part and dispersing the stress on the person, and a force that supports the person and is necessary to form a space is applied to the covered part, forming a space directly below the point of contact with the bed surface, i.e., between the person and the bed surface, and these spaces can be used to carry out treatments including medical care or nursing or care while avoiding invasion to the person as much as possible.
We provide a body lift system that solves these problems, and provide methods for applying this device to treatments including medical care, nursing care, and caregiving, such as daily sheet changes, removal of wrinkles from sheets, wiping, assistance with excretion, transfer to a wheelchair, and transportation to the toilet or bathroom, with consideration for the QOL of bedridden people.

上記目的を達成するための身体リフトシステムは、医療、看護、又は介護を含む処置に使用され、臥床面に接触している臥床者と前記臥床面との間へ挿入される挿入部材を有する身体リフトシステムであって、その特徴構成は、前記挿入部材は、少なくとも一部に可撓性を有すると共に、平板で矩形形状である挿入支持部材を含むものであり、前記挿入支持部材は、前記臥床者と前記臥床面との間への挿入方向での挿入先端部の挿入先端角部位及び挿入先端稜線部位の一方又は両方が面取り加工され、前記臥床者と前記臥床面との間への挿入状態にある前記挿入支持部材を支持する荷重支持部材を備え、前記荷重支持部材に支持され前記挿入状態にある前記挿入支持部材と前記臥床面との間を離間させる昇降機構を備え、前記昇降機構を働かせて、前記臥床者と前記臥床面との間に医療、看護、又は介護を含む処置を行う空間を形成する点にある。 The body lift system for achieving the above object is used in treatments including medical care, nursing care, or caregiving, and has an insertion member inserted between a lying person in contact with a lying surface and the lying surface, and its characteristic configuration is that the insertion member includes an insertion support member that is at least partially flexible and has a flat rectangular shape, and the insertion support member has a chamfered end at one or both of the insertion tip corner portion and the insertion tip ridge portion of the insertion tip portion in the insertion direction between the lying person and the lying surface, and includes a load support member that supports the insertion support member in an inserted state between the lying person and the lying surface, and includes a lifting mechanism that separates the insertion support member in the inserted state supported by the load support member, and the lying surface, and operates the lifting mechanism to form a space between the lying person and the lying surface for treatments including medical care, nursing care, or caregiving.

本願の発明者らは、鋭意検討した結果、家庭のベッドや病院のベッド上の布団やシーツなどの臥床面上に横臥している人や動物などの臥床者の身体をそのまま、身体の各部を可能な限り、不必要に相対的に動かすことなく、又、看護師や介護者の手や腕の挿入、自動車のシートベルトのようなベルトの挿入に比べ、凹凸による侵襲が格段に小さく、又、臥床者の体重支持や持ち上げ時の、臥床者身体への応力集中を避けるために、必要に応じ臥床者の身体直下の全域を覆い応力分散をすることもでき、又、必要に応じ身体直下の一部のみを覆うこともでき、加えて、持ち上げ箇所に障害を有する臥床者には、その直下部分を支持や持ち上げ箇所から外して使用することができる装置で、身体を持ち上げ、又は、身体を支えた状態でベッド上の布団やシーツなどの臥床面を低下させるなどにより、臥床者と臥床面を相対的に上下分離し、臥床者直下と臥床面の間に空間を形成することができる装置及び方法、即ち、身体リフトシステム、及び身体リフト方法を完成した。 As a result of extensive research, the inventors of the present application have come to the conclusion that it is possible to develop a device that can support the body of a person or animal lying on a bed surface such as the futon or sheets on a bed at home or a hospital bed without unnecessary relative movement of each part of the body, and that is much less invasive due to unevenness than the insertion of the hands and arms of a nurse or caregiver, or the insertion of a belt such as a seat belt in a car, and that can cover the entire area directly below the body of the person as necessary to disperse stress in order to avoid concentration of stress on the body of the person when supporting or lifting the person's weight. It can also be used to cover only a portion of the body directly below the body if necessary, and in addition, for a person with a disability in the lifting area, the device can be used to remove the portion directly below the body from the support or lifting area. By lifting the body or supporting the body and lowering the bed surface such as the comforter or sheets on the bed, the device and method can relatively separate the person from the bed surface, creating a space between the area directly below the person and the bed surface, i.e., a body lift system and a body lift method.

臥床者直下と臥床面の間に挿入する挿入部材としての挿入支持部材は、1枚でも良く、複数枚使用しても良い。臥床者直下と臥床面の間への挿入において、臥床者への侵襲を低下させるため、何枚かの挿入支持部材に分割して、臥床者直下の水平方向に挿入支持部材をすき間なく並べるように順次挿入し、臥床者の身体直下の全域を挿入した挿入支持部材で被覆することができる。挿入支持部材をすき間なく並べるためには、分割して挿入する挿入支持部材の形状は、幾何学的な要請から、矩形であることが好ましい。更に、挿入支持部材は、挿入時の操作性の観点から可撓性を有することが好ましい。
又、臥床者の健康状態などの必要に応じ、臥床者直下と臥床面の間の水平方向の一部にのみ挿入支持部材を挿入し、臥床者の身体直下の一部のみを被覆してもよい。臥床者が成人など大きな人になるに従い、分割した挿入支持部材を用いると挿入が容易である。
The insertion support member to be inserted between the area directly below the lying person and the bed surface may be one piece or multiple pieces. In order to reduce the invasiveness of the insertion support member when it is inserted between the area directly below the lying person and the bed surface, it is possible to divide it into several pieces of insertion support members and insert them successively so as to be lined up without gaps in the horizontal direction directly below the lying person, so that the entire area directly below the body of the lying person is covered with the inserted insertion support members. In order to line up the insertion support members without gaps, it is preferable that the shape of the divided insertion support member to be inserted is rectangular from the viewpoint of geometric requirements. Furthermore, it is preferable that the insertion support member has flexibility from the viewpoint of operability during insertion.
Also, depending on the health condition of the person, the insertable support member may be inserted only in a portion of the horizontal direction between the person and the bed surface, covering only a portion of the person's body directly below. As the person becomes larger, such as an adult, the insertion may be made easier by using a divided insertable support member.

臥床者直下の水平方向に、分割して挿入する複数枚の略矩形の挿入支持部材は、挿入先端部の挿入先端角部位又は挿入先端稜線部位の少なくとも一方を面取り加工することが好ましい。図4(a)に示される挿入先端稜線部位12b、12cを面取り加工することで、挿入先端稜線部位12b、12cは、図4(c)に示されるテーパー形状部位12e、12fとなる。また、図4(a)に示される挿入先端角部位12aを面取り加工することにより、挿入先端角部位12aは、図4(b)(c)に示される面取り部位12dとなる。
挿入支持部材11、12の挿入先端部は、テーパー形状部位12f、12e、及び面取り部位12dを有することにより、挿入時の抵抗をより小さくしている。又、挿入支持部材を敷き込む時には、臥床者の直下、即ち臥床者と臥床面の間に挿入支持部材を挿入した後、水平方向で且つ挿入方向に略直交方向に、臥床者と臥床面の間を、挿入支持部材を滑らせながら移動することもできるが、テーパー形状部位12fを設けることで、滑り移動が容易になり、結果として、臥床者の全域に板を敷き込む作業が容易になる。
It is preferable that at least one of the insertion tip corner portion or the insertion tip edge portion of the insertion tip of the multiple roughly rectangular insertion support members that are divided and inserted in the horizontal direction directly below the lying person is chamfered. By chamfering the insertion tip edge portions 12b and 12c shown in Fig. 4(a), the insertion tip edge portions 12b and 12c become the tapered portions 12e and 12f shown in Fig. 4(c). Also, by chamfering the insertion tip corner portion 12a shown in Fig. 4(a), the insertion tip corner portion 12a becomes the chamfered portion 12d shown in Figs. 4(b) and (c).
The insertion tip portions of the insertion support members 11 and 12 have tapered portions 12f, 12e and a chamfered portion 12d, which reduces the resistance during insertion. When laying the insertion support member, it can be inserted directly below the lying person, i.e., between the lying person and the lying surface, and then moved while sliding the insertion support member horizontally and in a direction approximately perpendicular to the insertion direction between the lying person and the lying surface, but the provision of the tapered portion 12f makes the sliding movement easier, which results in easier work of laying the board over the entire area of the lying person.

本発明の身体リフトシステムにて鉛直方向における臥床者の直下とベッド上の布団やシーツなどの臥床面の間に空間を形成するためには、臥床者の体重を支える機能を有する水平方向の全域、又は、一部に敷き詰められた挿入支持部材は、荷重支持部材と接続される。荷重支持部材としては、臥床者の外側に平行に配置された金属柵、木製柵、コンクリート柵などの転倒しないものが好適に利用でき、具体的には、適当な高さの机、使用していないベッドやストレッチャーなど、臥床面と同程度の高さを有する剛体で近似される台等が使用できる。又、臥床者が使用しているベッドの柵を改良して荷重支持部材とすることもできる。 In order to form a space in the vertical direction between directly below the lying person and the lying surface such as the futon or sheets on the bed in the body lift system of the present invention, an insert support member that has the function of supporting the weight of the lying person and is laid over the entire horizontal area or part of the area is connected to a load support member. As the load support member, a metal fence, wooden fence, concrete fence, or other object that is placed parallel to the outside of the lying person and does not fall over can be suitably used. Specifically, a table of appropriate height, an unused bed, a stretcher, or other platform that approximates a rigid body with a height similar to that of the lying surface can be used. Also, the fence of the bed used by the lying person can be modified to serve as a load support member.

荷重支持部材は、体重を支える機能を有する挿入支持部材などを下から固定的に支える方法が、臥床者の上下方向や水平方向への揺動や振動が少なく安定であるが、既に、ベッドサイドクレーンを有するベッドなどでは、体重を支える機能を有する挿入支持部材等の挿入部材の両端部などを、これら両端部などとのクレーンの結束部を荷重支持部材とし、クレーンと連結して荷重を支持しても良い。
又、室内外の転倒臥床者や、災害時の傷害臥床者などの場合には、救助者の手や腕の挿入部材との連結部を荷重支持部材として用いることにより、荷重を支持しても良い。
A method in which a load support member is fixedly supported from below by an insert support member or the like having the function of supporting the body weight is stable with less vertical or horizontal swaying or vibration of the person lying down, but in beds that already have a bedside crane, the ends of an insert member such as an insert support member having the function of supporting the body weight can be used as load support members by connecting the crane to the crane at the connecting parts of the crane that connect these ends to the insert support member, and the load can be supported.
In addition, in the case of a person who has fallen down indoors or outdoors, or a person who has been injured in a disaster, the load may be supported by using the connection part with the insertion member for the rescuer's hand or arm as a load support member.

尚、挿入支持部材を挿入した後には、昇降機構により挿入支持部材と臥床面との間を離間させ、臥床者の直下に空間を形成し、該空間を活用し医療又は看護又は介護を含む処置が終了すると、昇降機構を昇降する以前の位置まで逆方向に移動させ、挿入支持部材を昇降機構上の布団やシーツなどの臥床面に接触させ、荷重を臥床面に移動させた後、挿入支持部材を抜き、臥床者を臥床面上に復帰する。 After the insertion support member is inserted, the lifting mechanism separates the insertion support member from the bed surface, creating a space directly below the person. When the medical, nursing or care treatment is completed using this space, the lifting mechanism is moved in the reverse direction to the position it was in before it was lifted and lowered, the insertion support member is brought into contact with the bed surface, such as a futon or sheets, on the lifting mechanism, the load is transferred to the bed surface, the insertion support member is removed and the person is returned to the bed surface.

身体リフトシステムの更なる特徴構成は、前記挿入支持部材は、前記臥床者と前記臥床面との間に挿入される挿入補助板と、前記挿入補助板の前記挿入状態において、前記臥床者と前記臥床面との間で前記挿入補助板の下方に前記挿入補助板にてガイドされて挿入される支持板とを有し、前記挿入補助板の挿入面内で、挿入する方向に直交する方向での幅は、前記支持板の前記挿入面内で、挿入する方向に直交する方向での幅よりも幅狭に形成されている点にある。 A further characteristic feature of the body lift system is that the insertion support member has an insertion auxiliary plate that is inserted between the lying person and the lying surface, and a support plate that is guided by the insertion auxiliary plate and inserted below the insertion auxiliary plate between the lying person and the lying surface when the insertion auxiliary plate is in the inserted state, and the width of the insertion auxiliary plate in the direction perpendicular to the insertion direction within the insertion surface is narrower than the width of the support plate in the direction perpendicular to the insertion direction within the insertion surface.

支持板を臥床者直下と臥床面の間に挿入する時、布団のシーツのシワや、臥床者の寝衣のシワなどにひっかかり、滑りこませる操作に抵抗を感じる場合がある。このような場合には、支持板の挿入面内で、挿入方向に直交する方向での幅よりも、該方向での幅が幅狭に形成されている挿入補助板であって、幅狭を一因として挿入抵抗が低い挿入補助板を、臥床者と臥床面との間に先に挿入し、当該挿入補助板にガイドされる形態で、支持板を、挿入補助板の下方に挿入することが好ましい。
これにより、支持板を、布団のシーツのシワや臥床者の寝衣のシワにひっかけることなく、良好に挿入することができる。
When inserting the support plate between the person directly below the bed and the bed surface, it may get caught in wrinkles in the sheets of the futon or in the person's nightwear, and resistance may be felt when sliding it in. In such a case, it is preferable to first insert an insertion auxiliary plate that is narrower in width in a direction perpendicular to the insertion direction than in the direction perpendicular to the insertion direction within the insertion surface of the support plate, and that has low insertion resistance due in part to its narrow width, between the person and the bed surface, and then insert the support plate below the insertion auxiliary plate while being guided by the insertion auxiliary plate.
This allows the support plate to be inserted smoothly without getting caught in wrinkles in the sheets of the futon or in the sleeper's nightwear.

身体リフトシステムの更なる特徴構成は、前記挿入補助板は、前記支持板に対して挿入抵抗が低く構成されていると共に、前記支持板の剛性が前記挿入補助板の剛性以上に構成されている、又は前記支持板の厚みが前記挿入補助板の厚み以上に構成されている点にある。 A further characteristic feature of the body lift system is that the insertion support plate is configured to have a low insertion resistance relative to the support plate, and the rigidity of the support plate is configured to be greater than or equal to the rigidity of the insertion support plate, or the thickness of the support plate is configured to be greater than or equal to the thickness of the insertion support plate.

上記特徴構成によれば、挿入補助板を支持板に比べ、剛性を低く、又は板厚を薄くでき、結果的に、挿入抵抗を低くできるから、挿入補助板を、臥床者と臥床面との間に、良好に滑り込ませることができる。そして、当該挿入補助板をガイドとし、支持板を、臥床者と臥床面との間へ、抵抗を低減した状態で挿入することができる。
更に、臥床者の支持については、挿入補助板よりも、剛性が高い、又は厚みが厚い支持板により担保することができるから、臥床者の安全性を良好に担保できる。
このように、挿入支持部材として、挿入補助板と支持板とを各別に設けることで、臥床者と臥床面との間への支持板の挿入を円滑に行うことができると共に、剛性の高い支持板にて、臥床者の支持を安全性を確保した状態で、適切に行うことができる。
According to the above characteristic configuration, the insertion aid plate can be made less rigid or thinner than the support plate, and as a result, the insertion resistance can be reduced, so that the insertion aid plate can be smoothly slid between the recumbent and the lying surface. Then, using the insertion aid plate as a guide, the support plate can be inserted between the recumbent and the lying surface with reduced resistance.
Furthermore, support for the lying person can be ensured by a support plate that is more rigid or thicker than the insertion aid plate, so that the safety of the lying person can be ensured satisfactorily.
In this way, by providing the insertion aid plate and the support plate separately as insertion support members, the support plate can be smoothly inserted between the lying person and the lying surface, and the highly rigid support plate can properly support the lying person while ensuring safety.

身体リフトシステムの更なる特徴構成は、前記挿入部材は、前記臥床者と前記臥床面との間への前記挿入支持部材の前記挿入状態において、前記臥床者と前記臥床面との間で前記挿入支持部材の下方に配設される支持補助板を含むものであり、前記支持補助板の剛性は前記支持板の剛性以上に構成されている、又は前記支持補助板の厚みは前記支持板の厚み以上に構成されており、前記荷重支持部材は、前記支持補助板を介して前記挿入支持部材を支持する点にある。 A further characteristic feature of the body lift system is that the insertion member includes a support auxiliary plate disposed below the insertion support member between the lying person and the lying surface when the insertion support member is inserted between the lying person and the lying surface, the rigidity of the support auxiliary plate is configured to be equal to or greater than the rigidity of the support plate, or the thickness of the support auxiliary plate is configured to be equal to or greater than the thickness of the support plate, and the load support member supports the insertion support member via the support auxiliary plate.

これまで説明してきたように、挿入部材として挿入補助板と支持板とを備える構成のみでは、臥床者の体重を支えることが困難な場合などは、臥床面方向に直交する方向で、支持板の直下に、臥床者の支持を補助する支持補助板を挿入し、臥床者の体重などの荷重支持用に使用してもよい。支持補助板に要求される物性は、必要とする医療、看護、又は介護を含む処置の内容により異なるが、体重を支える機能を付与する時は、弾性率や剛性率の大きい、破壊強度の大きい、材料としては、硬質プラスチック材料や木材、金属、又は、これら材料からなる厚みの大きい板が好ましい。
体重を支える機能を有する支持板及び支持補助板は、例えば、臥床者の外側近傍に設置する荷重支持部材にその両端が支えられることで、敷き込んだ板の自重及び板上の臥床者の体重を支えることができる。荷重支持部材を臥床者の外側両側に設置する時は、体重を支える板は両側に設置された荷重支持部材に届くに足る長さが必要である。
As explained above, in cases where it is difficult to support the weight of a lying person with only a configuration including an insertion auxiliary plate and a support plate as insertion members, a support auxiliary plate that assists in supporting the lying person may be inserted directly below the support plate in a direction perpendicular to the bed surface direction, and used to support the load of the lying person's weight, etc. The physical properties required for the support auxiliary plate vary depending on the content of the treatment, including the required medical care, nursing, or care, but when providing the function of supporting weight, materials with high elasticity and rigidity and high breaking strength are preferably hard plastic materials, wood, metal, or thick plates made of these materials.
The support plate and auxiliary support plate, which have the function of supporting body weight, can support the weight of the plate itself and the weight of the person lying on the plate by, for example, having both ends supported by load support members installed near the outside of the person. When the load support members are installed on both sides of the outside of the person, the plate that supports the body weight needs to be long enough to reach the load support members installed on both sides.

以上、挿入補助板、支持板、及び支持補助板と、荷重支持部材及び昇降機構で、本発明の身体直下に空間を形成する身体リフトシステムの必要構成部分は成立する。しかしながら、医療又は看護又は介護を含む処置の中には、例えば、治療や清拭、排泄、入浴などの折りに、臥床者の下着を部分的、又は、完全に着脱する必要が生じる。例えば、臀部の直下に部分的に空間を作るためには、支持補助板と臥床面の間に、もう1枚適当な厚みの支持補助板を挿入し、相対的に臀部を部分的に浮かせるなどの使用法も可能である。 As described above, the insertion support plate, support plate, and support support plate, along with the load support member and lifting mechanism, constitute the necessary components of the body lift system of the present invention that forms a space directly below the body. However, during medical, nursing or caregiving procedures, for example, treatment, wiping, excretion, bathing, etc., it becomes necessary to partially or completely remove the underwear of the person lying down. For example, in order to partially create a space directly below the buttocks, it is possible to insert another support support plate of an appropriate thickness between the support support plate and the lying surface, thereby partially lifting the buttocks relatively.

尚、これまで説明してきたように、挿入部材は、挿入補助板(挿入支持部材の一例)、支持板(挿入支持部材の一例)、及び支持補助板から構成することができるが、本願に係る身体リフトシステムにあっては、挿入補助板、支持板、及び支持補助板の夫々は、臥床面方向で複数設けても構わない。また、挿入補助板、支持板、及び支持補助板の夫々は、臥床面方向に直交する直交方向において、複数が重層する形態で設ける構成を採用しても構わない。 As explained above, the insertion member can be composed of an insertion support plate (one example of an insertion support member), a support plate (one example of an insertion support member), and a support support plate. In the body lift system according to the present application, each of the insertion support plates, support plates, and support support plates may be provided in multiple numbers in the direction of the lying surface. Also, each of the insertion support plates, support plates, and support support plates may be provided in multiple layers in the direction perpendicular to the direction of the lying surface.

身体リフトシステムは、前記支持補助板は、平板で矩形形状であり、挿入先端部の挿入先端角部位及び挿入先端稜線部位の一方又は両方が面取り加工されていることが好ましい。 In the body lift system, the support plate is preferably flat and rectangular, and one or both of the insertion tip corner portion and the insertion tip ridge portion of the insertion tip are chamfered.

即ち、上述した挿入支持部材と同様に、支持補助板の挿入先端部の挿入先端角部位及び挿入先端稜線部位の一方又は両方を面取り加工することで、支持補助板を、臥床者と臥床面との間に、良好に挿入することができる。 That is, just like the insertion support member described above, by chamfering one or both of the insertion tip corner portion and the insertion tip ridge portion of the insertion tip of the support support plate, the support support plate can be inserted smoothly between the lying person and the lying surface.

身体リフトシステムの更なる特徴構成は、前記挿入支持部材は、前記臥床面に沿う方向で、前記臥床者と前記臥床面との間に複数枚併設して設けられ、複数の前記挿入支持部材は、前記臥床面に沿う方向で、前記挿入支持部材が互いに近接した近接状態から、互いに離間した離間状態との間で調整自在に構成されている点にある。 A further characteristic feature of the body lift system is that the insertion support members are arranged in a plurality of pieces between the person and the bed surface in a direction along the bed surface, and the plurality of insertion support members are configured to be freely adjustable between a close state in which the insertion support members are close to each other and a spaced state in which the insertion support members are spaced apart in a direction along the bed surface.

以上の如く、複数の挿入支持部材を、臥床面に沿う方向で、挿入支持部材が互いに近接した近接状態から、互いに離間した離間状態との間で調整可能に構成することで、例えば、臥床者の体重との兼ね合いで、挿入支持部材の数を適切なものに調整して、作業の効率を向上することができる。
尚、前記挿入支持部材は、前記臥床面に沿う方向に略直交する直交方向で、臥床者と臥床面との間に複数併設して設けても構わない。
また、看護又は介護を含む処置が終了すると、例えば、挿入部材が、臥床面方向に直交する直交方向に、複数枚挿入されている時は、臥床面側の最下層の挿入部材から臥床面方向にまず抜き、その後、最下層の挿入部材の一層上の層を、再度臥床面方向に抜き、最終的に、挿入部材の複数本を臥床面方向に全て抜く。
尚、挿入補助板がある時は、支持板を臥床面方向で抜いた後に、挿入補助板を臥床面方向で抜く形が、臥床者への侵襲が少ない。ただし、臥床者の健康状態と医療又は看護又は介護を含む処置の簡便性も配慮し、臥床者に侵襲が少ない形であれば、どのような抜き方をしても良い。全ての挿入部材を抜去することにより、臥床者は元の臥床面上の横臥状態に復帰する。
As described above, by configuring the multiple insertion support members to be adjustable in a direction along the bed surface between a close state in which the insertion support members are close to each other and a spaced state in which they are far apart, the number of insertion support members can be adjusted to an appropriate number taking into account, for example, the weight of the lying person, thereby improving work efficiency.
Incidentally, a plurality of the insertion support members may be provided side by side between the lien person and the bed surface in a direction substantially perpendicular to the direction along the bed surface.
Furthermore, when a treatment including nursing or care is completed, for example, when multiple insertion members have been inserted in a direction perpendicular to the bed surface direction, the lowest insertion member on the side of the bed surface is first removed in the direction of the bed surface, then the layer above the lowest insertion member is removed again in the direction of the bed surface, and finally all of the multiple insertion members are removed in the direction of the bed surface.
When an insertion aid plate is provided, the method of removing the insertion aid plate in the direction of the bed surface after removing the support plate in the direction of the bed surface is the least invasive to the patient. However, any method of removal may be used as long as it is the least invasive to the patient, taking into consideration the health condition of the patient and the ease of treatment, including medical care or nursing, etc. By removing all the insertion members, the patient returns to the original lying position on the bed surface.

上記目的を達成するための身体リフトシステムは、
医療、看護、又は介護を含む処置に使用され、臥床者と臥床面との間へ挿入される挿入部材を有する身体リフトシステムであって、その特徴構成は、
前記臥床者と前記臥床面との間に介在可能な柔軟部材を備え、
前記柔軟部材は、前記臥床者と前記臥床面との間に介在している状態において、前記臥床面との間に所定の厚みを有する長尺状の空間形成部材の複数を前記臥床面に沿う方向で間隔を隔てて挿入されたときに、複数の当該空間形成部材の間で且つ前記臥床者との間に挿入空間を形成する柔軟性を有し、
前記空間形成部材を前記臥床面とは別体に備え、
少なくとも一部に可撓性を有すると共に、平板で矩形形状である挿入支持部材を前記挿入部材として備え、
前記挿入支持部材は、前記臥床者と前記臥床面との間への挿入方向での挿入先端部の挿入先端角部位及び挿入先端稜線部位の一方又は両方が面取り加工され、
前記挿入空間への挿入状態にある前記挿入支持部材を支持する荷重支持部材を備え、
前記荷重支持部材に支持され前記挿入状態にある前記挿入支持部材と前記臥床面との間を離間させる昇降機構を備え、前記昇降機構を働かせて、前記臥床者と前記臥床面との間に医療、看護、又は介護を含む処置を行う空間を形成する点にある。
To achieve the above object, a body lift system includes:
A body lift system for use in a treatment including medical care, nursing care, or caregiving, the body lift system having an insertion member inserted between a bedside person and a bed surface, the body lift system comprising:
A flexible member is provided that can be interposed between the person and the bed surface,
the flexible member has flexibility to form an insertion space between the plurality of space-forming members and between the lying person and the flexible member when a plurality of elongated space-forming members having a predetermined thickness are inserted between the flexible member and the lying surface at intervals in a direction along the lying surface, while being interposed between the lying person and the lying surface;
The space forming member is provided separately from the bed surface,
The insertion member is a flat rectangular insertion support member having at least a portion of flexibility,
The insertion support member has one or both of an insertion tip corner portion and an insertion tip ridge portion of an insertion tip portion in an insertion direction between the lying person and the lying surface chamfered,
a load support member for supporting the insertion support member in an inserted state into the insertion space,
The device is provided with a lifting mechanism that separates the insertion support member, which is supported by the load support member and in the inserted state, from the bed surface, and by operating the lifting mechanism, a space is formed between the lying person and the bed surface for performing treatments including medical care, nursing, or care.

更に、本願の発明者らは、鋭意検討した結果、家庭のベッドや病院のベッド上の布団やシーツなどの臥床面上に横臥している人や動物などの臥床者の身体をそのまま、身体の各部を可能な限り、不必要に相対的に動かすことなく、又、凹凸による侵襲が格段に小さく、又、臥床者の体重支持や持ち上げ時の、臥床者身体への応力集中を避けるために、必要に応じ臥床者の身体直下の全域を覆い応力分散をすることもでき、又、必要に応じ身体直下の一部のみを覆うこともでき、加えて、持ち上げ箇所に障害を有する臥床者には、その直下部分を支持や持ち上げ箇所から外して使用することができる装置で、身体を持ち上げ、又は、身体を支えた状態でベッドの臥床面を低下させるなどにより、臥床者と臥床面を相対的に上下分離し、臥床者と臥床面の間に空間を形成することができる装置及び方法、即ち、身体リフトシステムを完成した。
特に、上記特徴構成によれば、臥床者と臥床面との間に柔軟部材を介在させている状態において、臥床面との間に所定の厚み(例えば、0.5mm以上50mm以下の厚み)を有する長尺状の空間形成部材の複数を臥床面に沿う方向で間隔を隔てて挿入することで、複数の空間形成部材の間で且つ柔軟部材と臥床者との間に挿入空間を形成することができる。このように形成された挿入空間には、比較的剛性の高い硬質ポリ塩化ビニル板や杉の板及び比較的柔軟性の高いスーツケースベルトやシートベルト等から成る挿入支持部材を容易に挿入できると共に、当該挿入に伴う臥床者への侵襲を十分に小さくできる。
因みに、臥床者と臥床面との間に柔軟部材を介在させ、柔軟部材と臥床者との間に挿入空間を形成する時の臥床面とは、介在させた柔軟部材の臥床者とは反対側で柔軟部材と接触する面、例えばベッドの上面を意味し、ベッドの上面に載せられた柔軟部材(布団が介在させた柔軟部材となる場合もある)としての布団等の上面を意味するものではない。
そして、挿入状態にある挿入支持部材を荷重支持部材にて支持した状態で、例えば荷重支持部材を昇降機構により上昇させる、又はベッドの上面等の臥床面を昇降機構により降下させることにより、臥床者と臥床面(及び布団等の上面)との間に、医療、看護、又は介護を含む処置を行う空間を良好に形成することができる。
Furthermore, as a result of extensive research, the inventors of the present application have perfected an apparatus and method, namely a body lift system, which allows the body of a person or animal lying on a bed surface such as the comforter or sheets on a bed at home or a hospital bed to be moved as is, without unnecessary relative movement of each part of the body as much as possible, with significantly less invasiveness due to unevenness, and which can cover the entire area directly below the body of the person as necessary to avoid concentration of stress on the body of the person when supporting or lifting the person's weight, thereby dispersing stress, or can cover only a part directly below the body as necessary, and in addition, for a person with an impairment in the area to be lifted, the part directly below can be removed from the support or lifting area, and which can lift the body or lower the bed surface while supporting the body, thereby relatively separating the person from the bed surface and forming a space between the person and the bed surface.
In particular, according to the above-mentioned characteristic configuration, in a state where a flexible member is interposed between the lying person and the bed surface, a plurality of elongated space forming members having a predetermined thickness (for example, a thickness of 0.5 mm to 50 mm) can be inserted at intervals between the bed surface and the flexible member in a direction along the bed surface to form an insertion space between the plurality of space forming members and between the lying person and the flexible member. An insertion support member made of a relatively rigid hard polyvinyl chloride board or cedar board, or a relatively flexible suitcase belt or seat belt, etc. can be easily inserted into the insertion space thus formed, and the invasiveness to the lying person associated with the insertion can be sufficiently reduced.
Incidentally, when a flexible member is interposed between the person lying down and the bed surface to form an insertion space between the flexible member and the person lying down, the "bed surface" refers to the surface of the interposed flexible member that comes into contact with the flexible member on the opposite side to the person lying down, for example, the top surface of a bed, and does not mean the top surface of a futon or the like as a flexible member placed on the top surface of the bed (in some cases the futon can be the interposed flexible member).
Then, while the insertion support member in the inserted state is supported by the load support member, for example, by raising the load support member using a lifting mechanism, or by lowering a lying surface such as the top surface of a bed using a lifting mechanism, a space can be created between the lying person and the lying surface (and the top surface of a futon, etc.) for treatment including medical care, nursing, or caregiving.

挿入部材としての挿入支持部材は、これまで説明してきたものと同様の性質、形状、材質のものを好適に用いることができる。また、本発明の如く柔軟部材を用いて挿入空間を形成する身体リフトシステムにおいては、挿入支持部材は、柔軟部材により形成された挿入空間に挿入されるものであるから、臥床者の違和感を低減できる意味で、より可撓性の小さい材料も使用でき、また積極的に空間を形成して挿入容易性を向上できる意味から、より可撓性の大きい材料も使用可能となる。
空間形成部材としては、挿入部材としての各種材料及び形状を好適に流用することができ、挿入補助板、支持板、支持補助板の組み合わせ、及び支持板や支持補助板の単体を好適に用いることができる。
柔軟部材としては、医療現場で用いられる布団やシーツ、毛布、その他臥床者と接している柔軟材を好適に用いることができる。
The insert support member as the insert member can suitably be one having the same properties, shape, and material as those described above. In addition, in a body lift system in which an insertion space is formed using a flexible member as in the present invention, since the insert support member is inserted into the insertion space formed by the flexible member, a material with less flexibility can be used in the sense of reducing discomfort of the bedridden person, and a material with more flexibility can be used in the sense of actively forming a space and improving ease of insertion.
As the space forming member, various materials and shapes as the inserting member can be suitably used, and a combination of an insertion auxiliary plate, a support plate, and a support auxiliary plate, or a support plate or a support auxiliary plate alone can be suitably used.
As the soft member, bedding, sheets, blankets, and other soft materials used in medical settings that come into contact with a person lying down can be suitably used.

本発明の身体リフトシステムにて鉛直方向における臥床者の直下とベッド上の臥床面の間に空間を形成するためには、臥床者の体重を支える機能を有する水平方向の全域、又は、一部に敷き詰められた挿入支持部材は、荷重支持部材と接続される。荷重支持部材としては、これまで説明してきたものと同様の形態で使用できる。尚、荷重支持部材の材料等については、後述する。 In order to form a space between the vertical area directly below the lying person and the lying surface of the bed in the body lift system of the present invention, an insert support member that has the function of supporting the weight of the lying person and is spread over the entire horizontal area or part of the horizontal area is connected to a load support member. The load support member can be used in the same form as those described so far. The material of the load support member will be described later.

荷重支持部材は、体重を支える機能を有する挿入支持部材などを下から固定的に支える方法が、臥床者の上下方向や水平方向への揺動や振動が少なく安定であるが、既に、ベッドサイドクレーンを有するベッドなどでは、体重を支える機能を有する挿入支持部材等の挿入部材の両端部などを、これら両端部などとのクレーンの結束部を荷重支持部材とし、クレーンと連結して荷重を支持しても良い。
又、室内外の転倒臥床者や、災害時の傷害臥床者などの場合には、救助者の手や腕の挿入部材との連結部を荷重支持部材として用いることにより、荷重を支持しても良い。
A method in which a load support member is fixedly supported from below by an insert support member or the like having the function of supporting the body weight is stable with less vertical or horizontal swaying or vibration of the person lying down, but in beds that already have a bedside crane, the ends of an insert member such as an insert support member having the function of supporting the body weight can be used as load support members by connecting the crane to the crane at the connecting parts of the crane that connect these ends to the insert support member, and the load can be supported.
In addition, in the case of a person who has fallen down indoors or outdoors, or a person who has been injured in a disaster, the load may be supported by using the connection part with the insertion member for the rescuer's hand or arm as a load support member.

尚、挿入支持部材を挿入した後には、昇降機構により挿入支持部材と臥床面との間を離間させ、臥床者の直下に空間を形成し、該空間を活用し医療又は看護又は介護を含む処置が終了すると、昇降機構を昇降する以前の位置まで逆方向に移動させ、挿入支持部材を臥床面(又は柔軟部材)上に接触させ、荷重を臥床面(又は柔軟部材)上に移動させた後、挿入支持部材を抜き、臥床者を臥床面(又は柔軟部材)上に復帰する。 After the insertion support member is inserted, the lifting mechanism separates the insertion support member from the bed surface, creating a space directly below the lying person. When the medical, nursing or care treatment is completed using this space, the lifting mechanism is moved in the reverse direction to the position before lifting and lowering, the insertion support member is brought into contact with the bed surface (or the flexible member), the load is transferred onto the bed surface (or the flexible member), the insertion support member is removed and the lying person is returned to the bed surface (or the flexible member).

身体リフトシステムは、前記荷重支持部材は、前記挿入状態にある前記挿入部材の前記挿入方向での両端部を支持する一対の荷重支持部位を有することが好ましい。 In the body lift system, it is preferable that the load support member has a pair of load support portions that support both ends of the insertion member in the inserted state in the insertion direction.

身体リフトシステムの更なる特徴構成は、前記挿入部材は、プラスチック、木材、又は金属の少なくとも一つから成ることが好ましい。
特に、臥床者と直接接触する挿入補助板や支持板は、可撓性があり、軽く、仮に皮膚と接触しても切傷や棘を刺す恐れの少ないプラスチック材料が好ましい。又、体重を支える支持補助板は、弾性率や剛性率の大きい硬質のプラスチック材料やプラスチックより弾性や剛性が大きい木材や金属の板が好ましい。
A further feature of the body lift system is that the insert is preferably made from at least one of plastic, wood, or metal.
In particular, the insertion support plate and support plate that come into direct contact with the patient are preferably made of a plastic material that is flexible, light, and unlikely to cause cuts or prickings even if it comes into contact with the skin. The support support plate that supports the body weight is preferably made of a hard plastic material with a high elasticity and rigidity, or a wood or metal plate that has greater elasticity and rigidity than plastic.

身体リフトシステムでは、前記挿入部材は、平板で矩形形状であり、厚みが、0.5mm以上50mm以下、幅が5mm以上1200mm以下、長さが200mm以上3000mm以下であるものを好適に使用することができる。
尚、挿入部材の厚み、幅、長さに関しては、臥床者の体重、身長や、臥床面の面積等により、適宜変更可能である。
In the body lift system, the insert member is preferably a flat rectangular plate having a thickness of 0.5 mm to 50 mm, a width of 5 mm to 1200 mm, and a length of 200 mm to 3000 mm.
The thickness, width and length of the insertion member can be appropriately changed depending on the weight and height of the person lying down, the area of the lying surface, etc.

身体リフトシステムの更なる特徴構成は、前記臥床面は、ベッドの上面、室内床の上面、前記ベッド又は前記室内床に敷かれた寝具の上面、及び屋外の路面の少なくとも1つを含む点にある。 A further characteristic feature of the body lift system is that the lying surface includes at least one of the upper surface of a bed, the upper surface of an indoor floor, the upper surface of bedding laid on the bed or the indoor floor, and an outdoor road surface.

臥床者が臥床している臥床面としては、ベッド上の布団やシーツのみならず、和室に敷かれた布団、麻酔薬や筋弛緩剤の投与により短時間の寝たきり臥床者状態にある患者が乗っている手術台、家庭生活の場で、例えば、人が転倒した場合のカーペット、畳、ゴザ、災害時の傷害者が臥床している道路、路面、地面など、又、人以外では、医学実験用の豚や羊で麻酔薬や筋弛緩剤が投与され、短時間の寝たきり臥床動物が載っているX線撮影台やMRI撮影台など、人や動物が動けなくなり、又は、ほとんど動けなくなり横たわり、臥床している生活空間中のあらゆる臥床面が含まれる。 Surfaces on which bedridden people lie include not only futons and sheets on a bed, but also futons laid out in Japanese-style rooms, operating tables on which patients who have been administered anesthetics or muscle relaxants have been rendered bedridden for a short period of time, carpets, tatami mats, straw mats in households when a person falls, roads, road surfaces, and the ground on which injured people lie in the event of a disaster, and also X-ray and MRI tables on which pigs and sheep used in medical experiments have been administered anesthetics or muscle relaxants and have been rendered bedridden for a short period of time, and any surface in a living space on which people or animals lie down and are unable to move or are barely able to move, such as these.

身体リフトシステムにおいて、前記荷重支持部材は、プラスチック、木材、金属、コンクリート、屋内壁を構成する左官材料、及びこれらの複合材料から構成されることが好ましい。 In the body lift system, the load-bearing member is preferably made of plastic, wood, metal, concrete, plastering materials used to make interior walls, or composite materials of these.

身体リフトシステムの更なる特徴構成は、前記昇降機構は、紐状部材を介して、前記挿入支持部材と前記荷重支持部材との結束部を吊り下げ支持すると共に、前記紐状部材を巻き上げ又は巻き下げする形態で前記荷重支持部材を昇降するホイストから構成されている点にある。 A further characteristic feature of the body lift system is that the lifting mechanism is composed of a hoist that suspends and supports the connection between the insertion support member and the load support member via a string-like member, and raises and lowers the load support member by winding up or down the string-like member.

当該昇降機構としてのホイストにより、挿入支持部材と荷重支持部材との結束部を天地方向に上昇させることで、臥床者の身体直下に空間を形成することができる。具体的には、クレーンと連結された紐や鎖、ワイヤー、ベルト、ロープでなどと、挿入支持部材と荷重支持部材との結束部を連結し、クレーンで紐や鎖、ワイヤー、ベルト、ロープなどを吊り上げることにより、昇降機能を発揮させることができる。
また、ジャッキを荷重支持部材の支持部及び昇降機構として用いる構成を採用しても構わない。
The hoist as the lifting mechanism can raise the connecting part between the insertion support member and the load support member in the vertical direction to form a space directly under the body of the lying person. Specifically, the lifting function can be achieved by connecting the connecting part between the insertion support member and the load support member with a string, chain, wire, belt, rope, etc. connected to a crane, and hoisting the string, chain, wire, belt, rope, etc. with the crane.
Furthermore, a configuration may be adopted in which a jack is used as the support portion of the load supporting member and as the lifting mechanism.

身体リフトシステムの更なる特徴構成は、前記昇降機構は、前記臥床面を、直接昇降させる臥床面昇降機構から構成されている点にある。 A further characteristic feature of the body lift system is that the lifting mechanism is composed of a bed surface lifting mechanism that directly raises and lowers the bed surface.

金属柵や木製柵、コンクリート柵、変形しない台など、臥床面と同程度の高さを有する剛体で近似される荷重支持部材に、挿入部材を載せている時は、臥床者が挿入部材の挿入以前に臥床していた臥床面を、直接降下させることで、臥床面方向に直交する直交方向において、臥床者の身体の下方に、空間を形成することができる。
臥床面昇降機構としては、臥床面の昇降機能付きのベッドやストレッチャー、手術台など公知の装置を使用することができる。
When the insertion member is placed on a load-bearing member which is approximated by a rigid body having a height similar to that of the lying surface, such as a metal fence, wooden fence, concrete fence, or a non-deformable platform, the lying surface on which the person was lying before the insertion of the insertion member can be directly lowered to create a space below the person's body in a direction perpendicular to the direction of the lying surface.
As the bed surface elevating/lowering mechanism, a known device such as a bed, stretcher, or operating table with a bed surface elevating/lowering function can be used.

身体リフトシステムの更なる特徴構成は、前記臥床面昇降機構は、前記臥床面の一部を部分的に昇降する部分昇降部を有する点にある。 A further characteristic feature of the body lift system is that the bed surface lifting mechanism has a partial lifting section that partially raises and lowers a portion of the bed surface.

上記特徴構成によれば、臥床面昇降機構として、臥床面の一部を部分的に昇降する部分昇降部を有するものを採用することで、例えば、臥床面に臥床者が臥床している状態において、部分昇降部を臥床面よりも降下させて、形成された空間に挿入部材を挿入することで、挿入部材の挿入に伴って臥床者が感じる違和感を、なるべく小さいものとすることができる。又、部分昇降部を使用するときの挿入支持部材の挿入では、部分昇降部を使用しないときの挿入支持部材の挿入に比較し、臥床者の違和感を低減できることから、より可撓性の小さい材料も挿入支持部材として使用でき、また積極的に空間を形成することにより挿入容易性を向上できることから、より可撓性の大きい材料も挿入支持部材として使用可能となる。
上記目的を達成するための身体リフトシステムは、
医療、看護、又は介護を含む処置に使用され、臥床者と臥床面との間へ挿入される挿入部材を有する身体リフトシステムであって、その特徴構成は、
前記臥床者と前記臥床面との間に介在可能な柔軟部材を備え、
前記柔軟部材は、前記臥床者と前記臥床面との間に介在している状態において、前記臥床面との間に所定の厚みを有する長尺状の空間形成部材の複数を前記臥床面に沿う方向で間隔を隔てて挿入されたときに、複数の当該空間形成部材の間で且つ前記臥床者との間に挿入空間を形成する柔軟性を有し、
少なくとも一部に可撓性を有すると共に、平板で矩形形状である挿入支持部材を前記挿入部材として備え、
前記挿入支持部材は、前記臥床者と前記臥床面との間への挿入方向での挿入先端部の挿入先端角部位及び挿入先端稜線部位の一方又は両方が面取り加工され、
前記挿入空間への挿入状態にある前記挿入支持部材を支持する荷重支持部材を備え、
前記荷重支持部材に支持され前記挿入状態にある前記挿入支持部材と前記臥床面との間を離間させる昇降機構を備え、前記昇降機構を働かせて、前記臥床者と前記臥床面との間に医療、看護、又は介護を含む処置を行う空間を形成し、
前記荷重支持部材は、前記挿入状態にある前記挿入部材の前記挿入方向での両端部を支持する一対の荷重支持部位を有する点にある。
更に、上記目的を達成するための身体リフトシステムは、
医療、看護、又は介護を含む処置に使用され、臥床者と臥床面との間へ挿入される挿入部材を有する身体リフトシステムであって、その特徴構成は、
前記臥床者と前記臥床面との間に介在可能な柔軟部材を備え、
前記柔軟部材は、前記臥床者と前記臥床面との間に介在している状態において、前記臥床面との間に所定の厚みを有する長尺状の空間形成部材の複数を前記臥床面に沿う方向で間隔を隔てて挿入されたときに、複数の当該空間形成部材の間で且つ前記臥床者との間に挿入空間を形成する柔軟性を有し、
少なくとも一部に可撓性を有すると共に、平板で矩形形状である挿入支持部材を前記挿入部材として備え、
前記挿入支持部材は、前記臥床者と前記臥床面との間への挿入方向での挿入先端部の挿入先端角部位及び挿入先端稜線部位の一方又は両方が面取り加工され、
前記挿入空間への挿入状態にある前記挿入支持部材を支持する荷重支持部材を備え、
前記荷重支持部材に支持され前記挿入状態にある前記挿入支持部材と前記臥床面との間を離間させる昇降機構を備え、前記昇降機構を働かせて、前記臥床者と前記臥床面との間に医療、看護、又は介護を含む処置を行う空間を形成し、
前記挿入支持部材は、前記挿入空間に挿入される挿入補助板と、前記挿入補助板の前記挿入状態において、前記挿入空間で前記挿入補助板の下方に前記挿入補助板にてガイドされて挿入される支持板とを有する点にある。
According to the above characteristic configuration, by adopting a bed surface lifting mechanism having a partial lifting section that partially lifts and lowers a part of the bed surface, for example, when a person is lying on the bed surface, the partial lifting section is lowered below the bed surface and an insertion member is inserted into the space formed, thereby minimizing the discomfort felt by the person when the insertion member is inserted. Furthermore, since the insertion of the insertion support member when the partial lifting section is used reduces the discomfort felt by the person compared to the insertion of the insertion support member when the partial lifting section is not used, a less flexible material can be used as the insertion support member, and since the ease of insertion can be improved by actively forming a space, a more flexible material can also be used as the insertion support member.
To achieve the above object, a body lift system includes:
A body lift system for use in a treatment including medical care, nursing care, or caregiving, the body lift system having an insertion member inserted between a bedside person and a bed surface, the body lift system comprising:
A flexible member is provided that can be interposed between the person and the bed surface,
the flexible member has flexibility to form an insertion space between the plurality of space-forming members and between the lying person and the flexible member when a plurality of elongated space-forming members having a predetermined thickness are inserted between the flexible member and the lying surface at intervals in a direction along the lying surface, while being interposed between the lying person and the lying surface;
The insertion member is a flat rectangular insertion support member having at least a portion of flexibility,
The insertion support member has one or both of an insertion tip corner portion and an insertion tip ridge portion of an insertion tip portion in an insertion direction between the lying person and the lying surface chamfered,
a load support member for supporting the insertion support member in an inserted state into the insertion space,
a lifting mechanism for separating the insertion support member supported by the load support member and in the inserted state from the bed surface, and by operating the lifting mechanism, a space is formed between the bed surface and the person lying down, for performing treatment including medical care, nursing care, or care;
The load support member has a pair of load support portions that support both ends in the insertion direction of the insertion member in the inserted state.
Further, a body lift system for achieving the above object includes:
A body lift system for use in a treatment including medical care, nursing care, or caregiving, the body lift system having an insertion member inserted between a bedside person and a bed surface, the body lift system comprising:
A flexible member is provided that can be interposed between the person and the bed surface,
the flexible member has flexibility to form an insertion space between the plurality of space-forming members and between the lying person and the flexible member when a plurality of elongated space-forming members having a predetermined thickness are inserted between the flexible member and the lying surface at intervals in a direction along the lying surface, while being interposed between the lying person and the lying surface;
The insertion member is a flat rectangular insertion support member having at least a portion of flexibility,
The insertion support member has one or both of an insertion tip corner portion and an insertion tip ridge portion of an insertion tip portion in an insertion direction between the lying person and the lying surface chamfered,
a load support member for supporting the insertion support member in an inserted state into the insertion space,
a lifting mechanism for separating the insertion support member supported by the load support member and in the inserted state from the bed surface, and by operating the lifting mechanism, a space is formed between the bed surface and the person lying down, for performing treatment including medical care, nursing care, or care;
The insertion support member has an insertion auxiliary plate that is inserted into the insertion space, and a support plate that is inserted below the insertion auxiliary plate in the insertion space and guided by the insertion auxiliary plate when the insertion auxiliary plate is in the inserted state.

上記目的を達成するための身体リフト方法は、医療、看護、又は介護を含む処置に使用され、臥床面に接触している臥床者と前記臥床面との間へ挿入される挿入部材を用いて臥床者をリフトする身体リフト方法であって、その特徴構成は、前記挿入部材が、少なくとも一部に可撓性を有すると共に、平板で矩形形状である挿入支持部材を含むものであり、前記臥床者と前記臥床面との間への挿入方向での挿入先端部の挿入先端角部位及び挿入先端稜線部位の一方又は両方が面取り加工された前記挿入支持部材を、前記臥床者と前記臥床面との間へ挿入する挿入工程と、前記臥床者と前記臥床面との間への挿入状態にある前記挿入支持部材を荷重支持部材により支持する支持工程と、前記荷重支持部材に支持され前記挿入状態にある前記挿入支持部材と前記臥床面との間を離間させる昇降機構により、前記臥床者と前記臥床面との間に医療、看護、又は介護を含む処置を行う空間を形成する空間形成工程とを含むことが好ましい。 The body lifting method for achieving the above object is used in treatments including medical, nursing, and caregiving, and lifts a lying person using an insertion member that is inserted between the lying person in contact with a bed surface and the lying surface, and the method is characterized in that the insertion member includes an insertion support member that is at least partially flexible and has a flat rectangular shape, and one or both of the insertion tip corner portion and the insertion tip ridge portion of the insertion tip in the insertion direction between the lying person and the lying surface are inserted. It is preferable that the method includes an insertion step of inserting the insertion support member, both of which have been chamfered, between the lying person and the lying surface, a support step of supporting the insertion support member in the inserted state between the lying person and the lying surface with a load support member, and a space forming step of forming a space for performing treatments, including medical care, nursing, or care, between the lying person and the lying surface by using a lifting mechanism that separates the insertion support member in the inserted state supported by the load support member from the lying surface.

身体リフト方法の更なる特徴構成は、以下の身体ホルダー(特願2016-137799記載)を併用する場合の身体リフト方法であり、
前記臥床者の操作対象としての人では、5℃以上48℃以下の範囲に、硬軟化変化閾値温度としての軟化温度又は融点、又は、難結晶性の高分子材料にあってはガラス転移温度を持ち、硬さが変化する主材料を有し、前記人の全体又は一部分である操作対象部位に対し、支持、固定、把持、被覆、或いは移動を伴う医療又は看護又は介護を含む処置を行う際に使用できるものであり、
前記操作対象部位を把持又は被覆し前記操作対象部位の形状に応じて賦形し、前記主材料を加熱して軟化させる場合に、前記主材料を低温加熱するとき、前記人を対象とする場合は46℃以下を前記操作対象部位に接触する部分の温度とし、且つ軟化させるときの前記主材料の温度は前記硬軟化変化閾値温度以上の温度であり
前記主材料は、その外側に緩衝材、断熱材、及び軟質の袋様容器のうち、少なくとも前記緩衝材を介在させる形態で、前記操作対象部位に接触するものであり、
記主材料を冷却して硬化させる場合に、冷却される前記主材料の冷却温度が、前記硬軟化変化閾値温度未満の温度であり、
前記主材料を有する身体ホルダーを併用する場合の身体リフト方法であり、
前記空間形成工程の後に、前記身体ホルダーを前記臥床者の身体直下に挿入し、前記昇降機構にて前記臥床面を前記空間形成工程の前の位置まで昇降させ、前記挿入支持部材を前記臥床面上に挿入された前記身体ホルダーに接触させ、荷重を前記身体ホルダーと前記身体ホルダーを支える前記臥床面に移動させた後、前記挿入支持部材を抜き、前記身体ホルダーにて前記操作対象部位を把持又は被覆し、且つ前記身体ホルダーを前記操作対象部位の形状に応じて賦形させる点にある。
A further characteristic configuration of the body lifting method is a body lifting method in which the following body holder (described in Japanese Patent Application No. 2016-137799) is used in combination:
The device has a softening temperature or melting point as a hardness /softening change threshold temperature, or a glass transition temperature in the case of a polymeric material that is difficult to crystallize, in the range of 5°C to 48°C inclusive , as a main material whose hardness changes, and can be used when performing treatment, including medical treatment, nursing care, or caregiving, involving support, fixation, grasping, covering, or movement, on the operation target site, which is the whole or a part of the person,
When the main material is heated to a low temperature, the temperature of the part of the main material that comes into contact with the operation target portion is set to 46° C. or lower in the case of a human being , and the temperature of the main material when softening the main material is set to a temperature equal to or higher than the hardness/softening change threshold temperature ,
The main material is in contact with the operation target portion with at least one of a cushioning material, a heat insulating material, and a soft bag-like container interposed therebetween,
When the main material is cooled and hardened, the cooling temperature of the main material is lower than the hardness/softening change threshold temperature,
A body lifting method in which a body holder having the main material is used in combination,
After the space forming process, the body holder is inserted directly under the body of the lying person, the lifting mechanism is used to raise and lower the lying surface to the position before the space forming process, the insertion support member is brought into contact with the body holder inserted on the lying surface, the load is transferred to the body holder and the lying surface supporting the body holder, the insertion support member is then removed, the body holder grasps or covers the part to be operated, and the body holder is shaped according to the shape of the part to be operated.

これまで説明してきた身体リフト方法は、上記特徴構成に示す身体ホルダーを併用することで、より一層の相乗効果を期待できる。 The body lifting method described above can be expected to produce even greater synergistic effects when used in conjunction with the body holder shown in the characteristic configuration above.

身体リフト方法としては、前記空間形成工程において、前記荷重支持部材、又は前記昇降機構のどちらか一方に医療機器を固定又は一体的に設置し、前記臥床者と前記医療機器との昇降方向での位置関係を維持して昇降し、又は、前記空間形成工程の後に、前記臥床者の衣服や下着の脱衣又は着衣、前記臥床者の健康状態のモニターに用いられる体重計の挿入、前記臥床者のオムツの交換、床上排泄用便器の前記空間への挿入、陰部洗浄器具の前記空間への挿入、前記臥床者の車椅子への移乗の少なくとも1つを行うことが好ましい。
ここで、医療機器とは、医薬品や血液等の輸液を、予め設定した流量で持続的に送液するための輸液ポンプ、及び輸液を含む輸液袋や輸液スタンドも含めた輸液設備を好適に挙げることができる。
その他の例としては、治療目的では肺と胸壁の間の空間(胸腔)に胸腔ドレーンと呼ばれるチューブを挿入する胸腔ドレナージにおいて、肺から肺の外へ漏れ出した体内の空気、滲出液・膿汁等の分泌物或いは洗浄液を低圧(例えば、25cmH2O以下の任意の圧力)で、長時間にわたり吸引する低圧持続吸引器、及び吸引物を貯留する排液パックから成るドレーン設備がある。
臥床者への医療処置の必要性により、医療機器と身体が連結された臥床者が存在する。臥床者の臥床面と接触する部分、背面などの看護、介護ケアーは、例えば清拭などは、臥床者の身体と連結された医療機器を、昇降方向で位置関係を維持して昇降することが好ましい。現状、臥床者を並進移動すべく、輸液スタンドとストレッチャー面を一体化したストレッチャー(例えば、AD-6051:<URL: https://www.aandd.co.jp/adhome/pdf/catalog/me/ad6051.pdf>: 〔2018年7月25日検索〕)は存在するが、臥床者と臥床面との間に空間を形成するには、看護師、介護者が持ち上げたり、臥床者を回転したりすることが必要で、輸液ルート(導管)を脱着して実施し、操作後、再度装着することが好ましい。身体リフトシステムは、荷重支持部材と昇降機構とを備えるが、臥床者と臥床面の空間形成には、少なくとも荷重支持部材、又は昇降機構のどちらか一つを昇降させれば目的を達する。そこで、荷重支持部材又は昇降機構のうち昇降する側に、医療機器を固定又は一体的に設置することで、臥床者を昇降する際に、臥床者と医療機器との昇降方向での位置関係を維持することができ、医療に必要な処置の機能を阻害することなく、臥床者の臥床面と接触している部分をケアーできる。
As a body lifting method, in the space forming step, it is preferable to fix or install a medical device to either the load supporting member or the lifting mechanism, and raise or lower the medical device while maintaining the positional relationship between the bedridden person and the medical device in the lifting direction, or, after the space forming step, to perform at least one of the following: removing or putting on the bedridden person's clothes and underwear, inserting a weighing scale used to monitor the bedridden person's health condition, changing the bedridden person's diaper, inserting a bedside toilet bowl into the space, inserting a genital washing instrument into the space, and transferring the bedridden person to a wheelchair.
In this case, examples of medical equipment that can be mentioned preferably include infusion pumps for continuously delivering infusions of medicines, blood, etc. at a preset flow rate, and infusion equipment including infusion bags containing infusions and infusion stands.
Another example is thoracic drainage, in which a tube called a thoracic drain is inserted into the space between the lungs and the chest wall (thoracic cavity) for therapeutic purposes. The drainage equipment consists of a low-pressure continuous suction machine that aspirates air that has leaked from the lungs, secretions such as exudate and pus, or lavage fluid at low pressure (for example, any pressure below 25 cmH2O) for a long period of time, and a drainage pack that stores the aspirated material.
Due to the need for medical treatment, there are bedridden people whose bodies are connected to medical equipment. When providing nursing care to the parts of the bedridden person that come into contact with the bed surface, such as the back, for example for cleaning, it is preferable to raise and lower the medical equipment connected to the body of the bedridden person while maintaining the positional relationship in the raising and lowering direction. Currently, there are stretchers (e.g., AD-6051: <URL: https://www.aandd.co.jp/adhome/pdf/catalog/me/ad6051.pdf>: [searched July 25, 2018]) that integrate an infusion stand with a stretcher surface to move a lying person in a translatory manner, but to form a space between the lying person and the bed surface, a nurse or caregiver must lift or turn the lying person, and it is preferable to detach the infusion route (conduit) and then reattach it after the operation. The body lift system includes a load support member and a lifting mechanism, but the purpose of forming a space between the lying person and the bed surface can be achieved by lifting or lowering at least one of the load support member or the lifting mechanism. Therefore, by fixing or integrally installing the medical equipment on the lifting side of the load support member or lifting mechanism, the positional relationship between the bedridden person and the medical equipment in the lifting direction can be maintained when the bedridden person is lifted or lowered, and the parts of the bedridden person that are in contact with the bed surface can be cared for without impeding the function of medical treatment required.

因みに、臥床者の身体と、ベッドの上の布団やシーツなどの臥床面との間の全域に渡り、又は、一部に形成された空間は、医療又は看護又は介護を含む処置において臥床者の背面に施す必要のあるもの、即ち、臥床者の身体が臥床面と接触している面に施す必要のある全ての処置に関し利用できる。全域に渡る空間が必要なものには、シーツの交換やシーツのシワの除去、上記特徴構成に示した身体ホルダーの挿入、寝たきり者の健康状態モニターに必要なベッド上体重計(例えば、くりあイデア、<URL:http://oguris.name/collabo/?p=165>、[2018年7月25日検索])、ベッド上での臥床者の位置の変換、安楽枕などの挿入、安楽枕の挿入と組み合わせた臥床者の体位の変換、車椅子への移乗、市販されているトイレ用車椅子や入浴用車椅子への移乗など、又、一部に形成される空間が必要なものには、下着、衣服の部分脱着、全脱着、臥床者の身体の背中や臀部を含む清拭、オムツの挿入・交換、便器の挿入・取り出しなどの排泄介助、陰部洗浄の用具の挿入・取り出し、陰部洗浄操作などがあるが、これらの例によって臥床者の身体直下に形成された空間の利用方法が限定されるものではない。
臥床者直下とベッドなど臥床面の間に、臥床者と臥床面の接触部分の全域にわたって、医療又は看護又は介護を含む処置に必要十分な時間の間、空間を形成することができ、寝たきり者を含む臥床者の医療又は看護又は介護を含む処置において、看護師や介護者が一人では毎日実施することが難しかった、例えば、シーツの交換、シーツのシワの除去、上記特徴構成に示した身体ホルダーの挿入、寝たきり者の健康状態モニターに必要なベッド上体重計、衣服・下着の交換、全身、又は必要な部分の清拭、スペースを利用した便器挿入・取り出し、陰部洗浄、おむつ交換、車椅子への移乗、トイレ用車椅子への移乗、入浴用車椅子への移乗、結果としての水洗トイレへの移動、入浴への移動も可能となり、寝たきり者を含む臥床者のQOLが向上するとともに、臥床者の体重が挿入した挿入部材で支えられるため、看護・介護者が60kg程度の重労働から解放され、看護・介護者の腰痛防止とともに、両手を自由に使用することにより、寝たきり臥床者に対し質の高い看護、介護が可能となる。
Incidentally, the space formed over the entire area or partly between the body of the bedridden person and the bed surface such as the futon or sheets on the bed can be used for all treatments that need to be performed on the back of the bedridden person in medical, nursing, or caregiving treatments, that is, all treatments that need to be performed on the surface where the body of the bedridden person is in contact with the bed surface. The things that require a space over the entire area include changing sheets and removing wrinkles from sheets, inserting the body holder shown in the above characteristic configuration, a bed scale required to monitor the health status of a bedridden person (for example, Clear Idea, <URL: http://oguris.name/collabo/?p=165>, [searched July 25, 2018]), changing the position of the bedridden person on the bed, inserting a comfort pillow, and changing the position of the bedridden person in combination with inserting a comfort pillow. Examples of actions that require a space to be formed include changing clothes, transferring to a wheelchair, and transferring to a commercially available toilet wheelchair or bathing wheelchair. Actions that require a space to be formed in one part include partially or completely removing underwear and clothing, wiping the bedridden person's body including the back and buttocks, inserting and changing diapers, assisting with excretion such as inserting and removing a toilet bowl, inserting and removing genital washing implements, and genital washing operations, but these examples do not limit the ways in which the space formed directly under the bedridden person's body can be used.
A space can be formed between the bedside person and the bed surface, such as a bed, over the entire area of contact between the bedside person and the bed surface, for a period of time necessary and sufficient for treatment, including medical care, nursing care or caregiving, and the space can be used to perform treatment, including medical care, nursing care or caregiving, for bedside people, including bedridden people, that is difficult for a nurse or caregiver to perform alone every day, such as changing sheets, removing wrinkles from sheets, inserting the body holder shown in the above characteristic configuration, a bed scale required for monitoring the health status of a bedridden person, changing clothes and underwear, and cleaning the entire body or a necessary part. It enables wiping, inserting and removing the toilet bowl using the space, washing the genitals, changing diapers, transferring to a wheelchair, transferring to a toilet wheelchair, transferring to a bathing wheelchair, and as a result, transferring to a flush toilet and transferring to a bath, improving the QOL of bedridden people, including those who are bedridden, and since the weight of the bedridden person is supported by the inserted insert, nurses and caregivers are relieved from the heavy labor of about 60 kg, preventing back pain for nurses and caregivers and allowing them to use both hands freely, enabling high-quality nursing and care for bedridden people.

第1実施形態に係る身体リフトシステム100の使用状態での平面図FIG. 1 is a plan view of the body lift system 100 according to the first embodiment in a use state. 第1実施形態に係る身体リフトシステム100の使用状態での側面図FIG. 1 is a side view of the body lift system 100 according to the first embodiment in use; 第1実施形態に係る身体リフトシステム100の使用の流れを示す図FIG. 1 is a diagram showing a flow of using the body lift system 100 according to the first embodiment. 支持板及び支持補助板の挿入先端部の形状の一例を示す図FIG. 13 is a diagram showing an example of the shape of the insertion tip of the support plate and the auxiliary support plate; 実施例11に用いた排便用車椅子及びストレッチャーの概略構成図Schematic diagram of the defecation wheelchair and stretcher used in Example 11 実施例13の説明図FIG. 13 is an explanatory diagram of the thirteenth embodiment. 身体リフトシステム100と併用される身体ホルダ-にて操作対象を被覆している状態を示す概略構成図FIG. 1 is a schematic diagram showing a state in which an object to be operated is covered by a body holder used in conjunction with the body lift system 100. 身体ホルダーの一部拡大図Enlarged view of part of the body holder 図7の一部断面図Partial sectional view of FIG. 実施例16の説明図FIG. 16 is an explanatory diagram of the sixteenth embodiment. 第2実施形態に係る身体リフトシステム100の使用の流れを示す図FIG. 13 is a diagram showing a flow of using the body lift system 100 according to the second embodiment. 身体リフト方法を説明するための図Diagram for explaining the body lift method

以下、実施形態に係る身体リフトシステム100を、図面を参照しながら説明する。
<第1実施形態>
第1実施形態に係る身体リフトシステム100は、図1、2に示すように、医療、看護、又は介護を含む処置に使用され、臥床面15aに接触している臥床者Kと臥床面15aとの間へ挿入される挿入部材11、12、13を有する身体リフトシステム100であって、挿入部材11、12、13は、少なくとも一部に可撓性を有すると共に、平板で矩形形状である挿入支持部材11、12を含むものであり、挿入支持部材11、12は、臥床者Kと臥床面15aとの間への挿入方向での挿入先端部の挿入先端角部位12d及び挿入先端稜線部位12e、12fの一方又は両方が面取り加工され、臥床者Kと臥床面15aとの間への挿入状態にある挿入支持部材11、12を支持する荷重支持部材14を備え、荷重支持部材14に支持され挿入状態にある挿入支持部材11、12と臥床面15aとの間を離間させる昇降機構15を備え、昇降機構15を働かせて、臥床者Kと臥床面15aとの間に医療、看護、又は介護を含む処置を行う空間S(図2に図示)を形成するものである。
Hereinafter, a body lift system 100 according to an embodiment will be described with reference to the drawings.
First Embodiment
As shown in FIGS. 1 and 2, the body lift system 100 according to the first embodiment is used in treatments including medical treatment, nursing care, or caregiving, and has insertion members 11, 12, and 13 that are inserted between a lying person K in contact with a lying surface 15a and the lying surface 15a. The insertion members 11, 12, and 13 include insertion support members 11 and 12 that are at least partially flexible and have a flat rectangular shape, and the insertion support members 11 and 12 are inserted in an insertion direction between the lying person K and the lying surface 15a. One or both of the insertion tip corner portion 12d and the insertion tip ridge portions 12e, 12f of the tip are chamfered, and the device is provided with a load support member 14 that supports the insertion support members 11, 12 in an inserted state between the lying person K and the lying surface 15a, and a lifting mechanism 15 that separates the insertion support members 11, 12 supported by the load support member 14 and in an inserted state from the lying surface 15a, and by operating the lifting mechanism 15, a space S (shown in FIG. 2) is formed between the lying person K and the lying surface 15a for performing treatment including medical care, nursing, or care.

このように、挿入部材11、12、13は、支持機能性及び挿入操作性を高めるため、プラスチック、木材、又は金属の少なくとも一つを含んで構成されている。
挿入部材11、12、13は、詳細な形状については後述するが、全体として、平板で矩形形状であり、厚みが、0.5mm以上50mm以下、幅が5mm以上1200mm以下、長さが200mm以上3000mm以下である。
挿入支持部材11、12は、臥床者Kと臥床面15aとの間に挿入され可撓性を有する挿入補助板11と、挿入補助板11の挿入状態において、臥床者Kと臥床面15aとの間で挿入補助板11の下方に挿入補助板11にてガイドされて挿入される支持板12とを有する。図1、2に示すように、挿入補助板11の挿入面内で、挿入する方向(図中、矢印Xに沿う方向)に直交する方向(図中、矢印Yに沿う方向)での幅は、支持板12の挿入面内で、挿入する方向に直交する方向での幅よりも幅狭に形成されており、臥床者Kと臥床面15aとの間への挿入抵抗が小さくなるように設計されている。
更に、挿入補助板11は、支持板12に対して挿入抵抗が低く構成されていると共に、支持板12の剛性が挿入補助板11の剛性以上に構成されている、又は支持板12の厚みが挿入補助板11の厚み以上に構成されている。
Thus, the insertion members 11, 12, and 13 are made of at least one of plastic, wood, and metal to enhance the support functionality and insertion operability.
The detailed shapes of the insertion members 11, 12, and 13 will be described later, but overall they are flat and rectangular with a thickness of 0.5 mm to 50 mm, a width of 5 mm to 1200 mm, and a length of 200 mm to 3000 mm.
The insertion support members 11, 12 include a flexible insertion auxiliary plate 11 that is inserted between the lying person K and the lying surface 15a, and a support plate 12 that is guided by the insertion auxiliary plate 11 and inserted below the insertion auxiliary plate 11 between the lying person K and the lying surface 15a when the insertion auxiliary plate 11 is inserted. As shown in Figures 1 and 2, the width of the insertion auxiliary plate 11 in the direction perpendicular to the insertion direction (direction along the arrow X in the figure) within the insertion surface is narrower than the width of the support plate 12 in the direction perpendicular to the insertion direction, and is designed to reduce the insertion resistance between the lying person K and the lying surface 15a.
Furthermore, the insertion auxiliary plate 11 is configured to have a low insertion resistance relative to the support plate 12, and the rigidity of the support plate 12 is configured to be greater than or equal to the rigidity of the insertion auxiliary plate 11, or the thickness of the support plate 12 is configured to be greater than or equal to the thickness of the insertion auxiliary plate 11.

具体的には、挿入補助板11は、臥床者Kと、又は、臥床者Kの衣服を通して臥床者Kと接触するので、その材料としては、可撓性があり、軽く、仮に皮膚と接触しても切傷や棘を刺す恐れの少ないプラスチック材料が好ましい。プラスチック材料としては、高密度ポリエチレン、低密度ポリエチレン、ポリプロピレン、ポリ塩化ビニル、ポリスチレンの5大汎用樹脂、ポリアミド、ポリカーボネート、ポリエステル(PET、PBT)、ポリアセタール、変性PPEの5大汎用エンジニアリングプラスチック、その他、ポリメチル(メタ)アクリレート(所謂アクリル樹脂)、耐薬品性に優れ低摩擦性のポリテトラフルオロエチレン等が使用可能で、又、これらの複合材、ポリマーブレンド材、無機材料とのブレンドプラスチック材、天然繊維や合成繊維、これら繊維で編まれたネット、金属繊維や金網、グレーティング入りのプラスチックの板などの異材料との積層やFRP、複合材など各種の材料が使用可能である。 Specifically, since the insertion support plate 11 comes into contact with the bedridden person K or through the bedridden person K's clothing, the material is preferably a plastic material that is flexible, light, and unlikely to cause cuts or thorns even if it comes into contact with the skin. Examples of plastic materials that can be used include the five major general-purpose resins of high-density polyethylene, low-density polyethylene, polypropylene, polyvinyl chloride, and polystyrene, the five major general-purpose engineering plastics of polyamide, polycarbonate, polyester (PET, PBT), polyacetal, and modified PPE, as well as polymethyl (meth)acrylate (a so-called acrylic resin) and polytetrafluoroethylene, which has excellent chemical resistance and low friction. In addition, various materials can be used, such as composite materials of these, polymer blend materials, blended plastic materials with inorganic materials, natural fibers, synthetic fibers, nets woven with these fibers, metal fibers, wire mesh, and laminates with different materials such as plastic plates with gratings, FRP, and composite materials.

臥床者Kの直下とベッド(ストレッチャー等の昇降機構15の一例)の上の布団やシーツなどの臥床面15aの間に、必要に応じ挿入する挿入補助板11は、厚みが看護師や介護者が臥床者Kの直下と臥床面15aの間に挿入する手掌より薄く、縦横の寸法も手や腕より小さく、臥床者Kと臥床面15aの間への挿入時や、挿入する挿入補助板11の凹凸による侵襲が小さい特徴を有し、臥床者Kの直下と臥床面15aの間の微小な隙間や接触圧力の低い部分を利用しつつ挿入することをその機能とするものであり、臥床者Kの身体を臥床面15aに沿う方向、例えば、挿入方向(図1、2で矢印Xに沿う方向:臥床者Kの右側(右手側)から左側(左手側))に貫通できる長さがあればよい。臥床者Kのベッド上の圧力分布のデータは良くしられており(例えば、非特許文献1:基礎看護技術、P118、医学書院、2011)、後頚部、肩甲骨上部、背部、腰部などは臥床者Kによるベッドへの圧力は小さく、又、関節部など可動に問題がない臥床者Kは、臥床者Kの健康状態にもよるが、頭部、大腿部、下腿部などを少し上げることは可能な場合も多く、これらの部位の直下とベッド上の布団やシーツなどの臥床面15aの間へ、看護師や介護者の手や腕より薄い、又、サイズの小さい板は、看護師や介護者の手や腕に比べて、より小さい侵襲で挿入できる。勿論、医療又は看護又は介護を含む処置の対象者が乳幼児か成人かにより、挿入補助板11の大きさの適正は異なるが、看護者や介護者の手や腕より小さく、凹凸の少ないものであれば、挿入補助板11として使用可能である。 The insertion aid plate 11, which is inserted as necessary between directly below the lying person K and the lying surface 15a such as a futon or sheet on a bed (an example of a lifting mechanism 15 for a stretcher or the like), is thinner than the palm of a hand that a nurse or caregiver inserts between directly below the lying person K and the lying surface 15a, and its length and width are smaller than those of a hand or arm, and has the characteristic of being minimally invasive when inserted between the lying person K and the lying surface 15a or due to the unevenness of the insertion aid plate 11 when inserted, and its function is to insert while taking advantage of the tiny gaps and areas with low contact pressure between directly below the lying person K and the lying surface 15a, and it is sufficient that the insertion aid plate 11 is long enough to penetrate the body of the lying person K in a direction along the lying surface 15a, for example, in the insertion direction (the direction along arrow X in Figures 1 and 2: from the right side (right hand side) to the left side (left hand side) of the lying person K). Data on the pressure distribution on the bed of a bedridden person K is well known (for example, Non-Patent Document 1: Basic Nursing Techniques, p. 118, Igaku-Shoin, 2011), and the pressure exerted by the bedridden person K on the back of the neck, upper part of the shoulder blades, back, and lower back is small, and for bedridden person K who has no problems with the movement of joints, etc., it is often possible to slightly raise the head, thighs, and lower legs, depending on the health condition of the bedridden person K, and a plate that is thinner and smaller than the hand or arm of a nurse or caregiver can be inserted between directly under these parts and the bed surface 15a of the futon or sheets on the bed with less invasiveness than the hand or arm of a nurse or caregiver. Of course, the appropriate size of the insertion support plate 11 differs depending on whether the subject of medical or nursing care treatment, including infants or adults, but any plate that is smaller than the hand or arm of a nurse or caregiver and has few irregularities can be used as the insertion support plate 11.

成人の看護師や介護者の手や腕は、概略、厚み30mm、幅120mm、長さ500mmの直方体で近似される。従って、挿入補助板11は、厚み、幅、長さともにこれらの寸法以下であれば、問題なく挿入でき、挿入補助板11は、市販の文房具のプラスチック定規でも良く、取り扱い性の観点から、厚み0.5mm~15mm、幅5mm~65mm、臥床者身体を挿入方向(図1、2で矢印Xに沿う方向:臥床者Kの右側(右手側)から左側(左手側))へ貫通することが必要なため、長さは200~500mmが好ましい。 The hands and arms of an adult nurse or caregiver are roughly approximated as a rectangular parallelepiped with a thickness of 30 mm, a width of 120 mm, and a length of 500 mm. Therefore, the insertion aid plate 11 can be inserted without any problems as long as it is equal to or less than these dimensions in thickness, width, and length. The insertion aid plate 11 may be a plastic ruler available in commercial stationery, and from the standpoint of ease of handling, it is preferable that the thickness is 0.5 mm to 15 mm, the width is 5 mm to 65 mm, and the length is 200 to 500 mm because it needs to penetrate the body of the lying person in the insertion direction (the direction of arrow X in Figures 1 and 2: from the right side (right hand side) to the left side (left hand side) of the lying person K).

挿入補助板11の挿入において、挿入補助板11は、臥床者Kの衣服の布を滑りながら、ベッド上の布団やシーツの布を滑りながら進行して行くと考えられるが、挿入時の抵抗を小さくするために先端にテーパーを付けるのが好ましく、又、侵襲は極力回避するとの観点から、挿入補助板11の挿入先端の角部位は、面取りをするのが好ましい。テーパーは任意のもので良いが、挿入先端が側面から見て直角2等辺三角形の形にやすりや鋸で加工しても良い。又、挿入先端の角部位も、やすりや鋸でC2等にしても良い。
又、挿入補助板11の挿入抵抗を低減するため、挿入補助板11にスリップシート(パラマウントベッド株式会社販売マルチグローブなど)を被せて挿入してもよい。
During insertion of the insertion aid plate 11, it is considered that the insertion aid plate 11 advances while sliding over the fabric of the clothes of the bedridden person K and the fabric of the comforter and sheets on the bed, but it is preferable to tape the tip to reduce resistance during insertion, and from the viewpoint of avoiding invasion as much as possible, it is preferable to chamfer the corners of the insertion tip of the insertion aid plate 11. The taper may be any shape, but the insertion tip may be processed with a file or saw into the shape of a right-angled isosceles triangle when viewed from the side. The corners of the insertion tip may also be filed or sawed into C2 or the like.
In order to reduce the insertion resistance of the insertion aid plate 11, the insertion aid plate 11 may be covered with a slip sheet (such as the Multi-Glove sold by Paramount Bed Co., Ltd.) before insertion.

尚、当該挿入先端部の形状特性は、挿入補助板11、支持板12、及び後述する支持補助板13で共通するので、以下、支持板12を例にとって、図1、2、4に基づいて具体的に説明する。
臥床者Kと臥床面15aとの間に挿入する支持板12は、挿入先端部の挿入先端角部位又は挿入先端稜線部位の少なくとも一方を面取り加工することが好ましい。図4(a)に示される挿入先端稜線部位12b、12cを面取り加工することで、挿入先端稜線部位12b、12cは、図4(c)に示されるテーパー形状部位12e、12fとなる。また、図4(a)に示される挿入先端角部位12aを面取り加工することにより、挿入先端角部位12aは、図4(b)(c)に示される面取り部位12dとなる。
支持板12の挿入先端部は、テーパー形状部位12f、12e、及び面取り部位12dを有することにより、挿入時の抵抗をより小さくしている。又、支持板12を敷き込む時には、臥床者Kの直下、即ち臥床者Kと臥床面15aの間に支持板12を挿入した後、水平方向で且つ挿入方向に略直交方向に、臥床者Kと臥床面15aの間を、支持板12を滑らせながら移動することもできるが、テーパー形状部位12fを設けることで、滑り移動が容易になり、結果として、臥床者の全域に板を敷き込む作業が容易になる。
The shape characteristics of the insertion tip are common to the auxiliary insertion plate 11, the support plate 12, and the auxiliary support plate 13 described below, so that the support plate 12 will be specifically described below with reference to Figs.
It is preferable that at least one of the insertion tip corner portion or the insertion tip ridge portion of the insertion tip of the support plate 12 inserted between the lying person K and the lying surface 15a is chamfered. By chamfering the insertion tip ridge portions 12b and 12c shown in Fig. 4(a), the insertion tip ridge portions 12b and 12c become the tapered portions 12e and 12f shown in Fig. 4(c). Also, by chamfering the insertion tip corner portion 12a shown in Fig. 4(a), the insertion tip corner portion 12a becomes the chamfered portion 12d shown in Figs. 4(b) and (c).
The insertion tip of the support plate 12 has tapered portions 12f, 12e and a chamfered portion 12d, which reduces the resistance during insertion. When laying the support plate 12, it can be inserted directly below the lying person K, i.e., between the lying person K and the bed surface 15a, and then moved while sliding the support plate 12 horizontally and in a direction approximately perpendicular to the insertion direction between the lying person K and the bed surface 15a, but the provision of the tapered portion 12f makes the sliding movement easier, and as a result, the task of laying the plate over the entire area of the lying person becomes easier.

支持板12は、挿入補助板11の直下とベッド上の布団やシーツなどの臥床面15aの間に、挿入補助板11にてガイドされることで、臥床者Kへの侵襲が軽減でき、容易に挿入が可能となる。具体的には、挿入補助板11は、挿入状態にある挿入補助板11を挿入方向に直交する直交方向(図1、2で矢印Zに沿う方向)に若干押し上げられる形態で、挿入補助板11と臥床面15aとの間に間隙を形成し、支持板12と臥床面15aとの接触抵抗を低減して、支持板12の挿入をガイドすることになる。 The support plate 12 is guided by the insertion aid plate 11 between directly below the insertion aid plate 11 and the lying surface 15a, such as the comforter or sheets on the bed, thereby reducing the invasiveness to the lying person K and making insertion easier. Specifically, the insertion aid plate 11 is slightly pushed up in a direction perpendicular to the insertion direction (direction along arrow Z in Figures 1 and 2) when inserted, forming a gap between the insertion aid plate 11 and the lying surface 15a, reducing the contact resistance between the support plate 12 and the lying surface 15a and guiding the insertion of the support plate 12.

支持板12の寸法は、挿入補助板11より厚み、横、縦のいずれかが大きいものを使用する。又、支持板12も挿入補助板11と同様に挿入先端はテーパーを付け、先端の角は面取りをすることが好ましく、看護や介護者が手や腕を臥床者とベッドの間に挿入する時に使用するスリップシートで、挿入補助板11と同様、被覆しても良い。これらの加工やスリップシートでカバーすることにより挿入が容易になり、臥床者Kへの侵襲も低減される。又、支持板12の挿入後は、滑りのないほうが臥床者の位置が安定するので、スリップシートは支持板12の挿入後に取り外しても良い。支持板12の機能は、臥床者Kの身体全域、又は、医療又は看護又は介護を含む処置に必要な身体の部位をベッドなどの臥床面15a側から覆い、支持板12のみで臥床者Kの体重を支えることが困難な時は、体重を支えるために挿入する支持補助板13の挿入を容易にするガイドとしての機能、即ち、挿入補助板11と支持板12の関係と同様の関係を有し、又は、支持板12が、乳幼児など体重を支えることができる臥床者Kを対象とする場合は、支持板12の両端が臥床者Kや臥床面15aの外側などに設置する荷重支持部材14に届く必要がある。
支持板12の材料は、挿入補助板11と同じく、プラスチック材料、金属、木材などいずれも可能であるが、支持板12も臥床者Kと、又は、臥床者Kの衣服を通して臥床者Kと接触するので、その材料としては、可撓性があり、軽く、仮に皮膚と接触しても切傷や棘を刺す恐れの少ないプラスチック材料が好ましい。
その寸法は、挿入補助板11の大きさや、成人の看護師や介護者の手や腕の大きさなど、又、ベッドサイドでの使用の簡便性を勘案した場合、厚み0.5mm~50mm、幅5mm~1200mm、長さ200mm~両端が荷重支持部材14に十分届く長さ、大きなベッドを跨ぐ場合は約3000mmを有する板が好ましい。
The dimensions of the support plate 12 used are greater in thickness, width, or length than the insertion aid plate 11. Similarly to the insertion aid plate 11, the support plate 12 also has a tapered insertion tip and preferably has chamfered corners, and may be covered, similar to the insertion aid plate 11, with a slip sheet used when a nurse or caregiver inserts their hand or arm between the bedridden person and the bed. By using such processing or covering with a slip sheet, insertion becomes easier and the invasiveness to the bedridden person K is reduced. Furthermore, since the position of the bedridden person is more stable if the support plate 12 is not slippery after insertion, the slip sheet may be removed after the support plate 12 is inserted. The function of the support plate 12 is to cover the entire body of the lying person K, or the parts of the body necessary for treatment including medical or nursing care, from the lying surface 15a side of the bed, etc., and when it is difficult to support the weight of the lying person K with the support plate 12 alone, to function as a guide to facilitate the insertion of the support auxiliary plate 13 which is inserted to support the weight, i.e., to have a relationship similar to that between the insertion auxiliary plate 11 and the support plate 12, or when the support plate 12 is intended for a lying person K who can support their weight, such as an infant, both ends of the support plate 12 need to reach the load support member 14 installed on the lying person K or the outside of the lying surface 15a, etc.
The material of the support plate 12, like that of the insertion aid plate 11, can be any of plastic materials, metal, wood, etc., but since the support plate 12 also comes into contact with the lying person K, or with the lying person K through his/her clothing, a plastic material that is flexible, light, and unlikely to cause cuts or pricking even if it comes into contact with the skin is preferable.
Taking into consideration the size of the insertion aid plate 11, the size of the hands and arms of adult nurses and caregivers, and ease of use at the bedside, it is preferable for the dimensions of the plate to be 0.5 mm to 50 mm thick, 5 mm to 1200 mm wide, and 200 mm long enough that both ends can reach the load support member 14, or approximately 3000 mm if spanning a large bed.

尚、支持板12の挿入が完了すれば、支持板12上の挿入補助板11は抜いても良い。又、支持板12の挿入後、挿入補助板11を抜き、再度、臥床者Kとベッドの上の布団やシーツなどの臥床面15aにおいて、支持板12が挿入されていない箇所で、挿入補助板11が容易に挿入できる箇所へ挿入補助板11を挿入し、その後、2枚目の支持板12を挿入することで、臥床者Kの頭部から足部にかけて例えば右側面から左側面に支持板12を挿入しつつ、支持板12を敷き詰めていくことができる。
又、ベッド上の布団などの臥床面15aと臥床者Kの特性により、即ち、ベッドなどの硬軟特性や、臥床者の体表の硬軟特性、臥床者の健康度などにより、挿入補助板11の挿入を省き、支持板12の挿入から操作を開始しても良い。
When the insertion of the support plate 12 is completed, the insertion auxiliary plate 11 on the support plate 12 may be removed. After the insertion of the support plate 12, the insertion auxiliary plate 11 is removed, and the insertion auxiliary plate 11 is inserted again into a portion of the lying surface 15a of the lying person K and the futon and sheets on the bed where the insertion auxiliary plate 11 can be easily inserted, where the support plate 12 has not been inserted, and then a second support plate 12 is inserted, thereby laying the support plates 12 from the head to the feet of the lying person K, for example, by inserting the support plates 12 from the right side to the left side.
Furthermore, depending on the characteristics of the lying surface 15a such as the futon on the bed and the lying person K, i.e., the hardness/softness characteristics of the bed, the hardness/softness characteristics of the body surface of the lying person, and the health of the lying person, it is possible to omit the insertion of the insertion aid plate 11 and start the operation from the insertion of the support plate 12.

更に、挿入部材11、12、13は、臥床者Kと臥床面15aとの間への支持板12の挿入状態(場合によっては、挿入補助板11の挿入状態も含む)において、臥床者Kと臥床面15aとの間で支持板12の下方に配設される支持補助板13を含むものである。支持補助板13の剛性は、支持板12の剛性以上に構成されている、又は支持補助板13の厚みは、支持板12の厚み以上に構成されている。 Furthermore, the insertion members 11, 12, 13 include a support auxiliary plate 13 that is disposed below the support plate 12 between the lying person K and the lying surface 15a when the support plate 12 is inserted between the lying person K and the lying surface 15a (including, in some cases, the insertion auxiliary plate 11). The rigidity of the support auxiliary plate 13 is configured to be equal to or greater than the rigidity of the support plate 12, or the thickness of the support auxiliary plate 13 is configured to be equal to or greater than the thickness of the support plate 12.

具体的には、支持補助板13は、支持板12の直下とベッド上の布団やシーツなどの臥床面15aの間に、支持板12をガイドとすることで、容易に挿入することができる。支持補助板13の機能としては、支持板12で全面が覆われた、又は、医療又は看護又は介護を含む処置の必要に応じ、身体の必要な一部分が支持板12で覆われた、これら支持板12の直下へ挿入され、臥床者Kの体重を支える機能を有す。 Specifically, the support auxiliary plate 13 can be easily inserted between directly below the support plate 12 and the lying surface 15a such as the comforter or sheets on the bed, by using the support plate 12 as a guide. The function of the support auxiliary plate 13 is to support the weight of the lying person K by being inserted directly below the support plate 12 which is entirely covered by the support plate 12, or which has a necessary part of the body covered by the support plate 12 as required for treatment, including medical care, nursing, or caregiving.

支持補助板13が臥床者Kの体重を支える機能を有する時は、その弾性率や剛性率が大きく、破壊強度も大きい、又、ベッドサイドでの使用を勘案し、軽量な材料が好ましい。力学的性質の観点から、プラスチック材料も使用可能であるが、木材、又は、アルミ、チタンなどの弾性率や剛性率、破壊強度の大きい軽量金属などが好ましい。 When the support plate 13 has the function of supporting the weight of the bedridden person K, it is preferable that the material has a large elastic modulus, rigidity modulus, and breaking strength, and is lightweight, taking into consideration its use at the bedside. From the viewpoint of mechanical properties, plastic materials can also be used, but wood or lightweight metals such as aluminum and titanium, which have a large elastic modulus, rigidity modulus, and breaking strength, are preferable.

又、支持補助板13の寸法に関しては、厚みは、目的の空間Sが臥床者Kの直下に形成された時、荷重がかかり、支持板12のみでは、又は、支持板12と支持補助板13を重ねて使用した時に、歪が大きい場合、これら板が弓なりに下部の臥床面15a側に変形し、臥床者Kが板の上で少し沈んだようになるので、これら板の臥床面15a側への余分な変形を防止するために、支持補助板13の板厚を歪防止に必要な程度厚くすることが好ましい。一般に、荷重による梁の変形は厚みの3乗に反比例することが知られており、厚みは臥床面15a方向への許容歪から計算でき、又、幅と長さの寸法は、支持板12がすでに挿入されているので、幅を少し狭くすると挿入は容易であるが、広くすると挿入する枚数も低減でき、幅は、取り扱いの簡便性から、本支持補助板13の挿入時に既に使用している支持板12の幅より少し小さいサイズから、1200mm程度まで、長さは、支持補助板13による体重支持が必要な場合は、荷重支持部材14に届き、荷重支持部材14で支持補助板13の両端を支えることが可能な十分な長さが必要で、大きなベッドを跨ぐ場合は約3000mmを有する板が好ましい。 In addition, with regard to the dimensions of the support auxiliary plate 13, when the desired space S is formed directly beneath the lying person K, a load is applied, and if distortion is large when the support plate 12 alone, or when the support plate 12 and the support auxiliary plate 13 are used together, these plates will deform in a bow shape toward the lower lying surface 15a, and the lying person K will appear to sink slightly onto the plate; therefore, in order to prevent excessive deformation of these plates toward the lying surface 15a, it is preferable to make the plate thickness of the support auxiliary plate 13 as thick as necessary to prevent distortion. It is generally known that the deformation of a beam due to a load is inversely proportional to the cube of the thickness, and the thickness can be calculated from the allowable strain in the direction of the bed surface 15a. As for the dimensions of width and length, since the support plate 12 is already inserted, making the width a little narrower makes insertion easier, but making it wider reduces the number of plates to be inserted. For ease of handling, the width should be a little smaller than the width of the support plate 12 already in use when inserting this support auxiliary plate 13, up to about 1200 mm. As for the length, if weight support is required by the support auxiliary plate 13, it must be long enough to reach the load support member 14 and to allow the load support member 14 to support both ends of the support auxiliary plate 13. When spanning a large bed, a plate with a length of about 3000 mm is preferable.

尚、支持補助板13も支持板12の直下とベッド上の布団やシーツなどの臥床面15aの間に挿入され前進する訳であるが、挿入補助板11や支持板12と同様挿入先端部にテーパーを付け、挿入先端部の角部位は面取りをするとより挿入が容易になる。又、挿入先端を、或いは支持補助板13そのものをスリップシートで被覆しても良い。 The support auxiliary plate 13 is also inserted between the area directly below the support plate 12 and the lying surface 15a, such as the comforter or sheets on the bed, and moves forward. Like the insertion auxiliary plate 11 and support plate 12, the insertion tip can be tapered and the corners of the insertion tip can be chamfered to make insertion easier. The insertion tip or the support auxiliary plate 13 itself can also be covered with a slip sheet.

臥床者Kと臥床面15aの間に空間Sを形成するためには、基本的に、挿入補助板11、支持板12、支持補助板13でその目的を達成するが、医療又は看護又は介護を含む処置の要請により、支持補助板13と寸法が同じ、又は、寸法が異なっても良い板(第4の板という)を支持補助板13の直下、即ち、支持補助板13と臥床面15aの間に挿入し使用することができる。例えば排泄介助や清拭を行う場合、これらのケアーに先立って、下半身の下着の脱衣が必要となる。支持補助板13の挿入後、腰部と大腿部に挿入した支持補助板13の下に、例えば、支持補助板13と同仕様の第4の板を挿入すると臀部直下に略板厚に相当する空間Sが形成でき、本空間Sを活用して下半身の下着の脱衣が可能となる。本例に限らず、医療又は看護又は介護を含む処置の内容に応じ、支持補助板13の下に第4の板、同様に第4の板の下に第5の板、・・・第nの板を使用しても良い。 In order to form a space S between the bedridden person K and the bed surface 15a, the insertion support plate 11, the support plate 12, and the support support plate 13 are basically used to achieve this purpose, but depending on the requirements of medical, nursing, or caregiving treatment, a plate (called a fourth plate) that may have the same dimensions as the support support plate 13 or different dimensions can be inserted and used directly below the support support plate 13, that is, between the support support plate 13 and the bed surface 15a. For example, when performing excretion assistance or wiping, it is necessary to remove underwear from the lower body before these cares. After inserting the support support plate 13, if a fourth plate with the same specifications as the support support plate 13 is inserted under the support support plate 13 inserted in the waist and thighs, a space S equivalent to approximately the thickness of the plate can be formed directly below the buttocks, and this space S can be used to remove underwear from the lower body. Not limited to this example, a fourth plate may be used under the support support plate 13, a fifth plate under the fourth plate, ... an nth plate may be used depending on the type of treatment, including medical care, nursing, or caregiving.

また、支持板12は、臥床面15aに沿う方向で、且つ挿入方向に直交する方向(図1、2で矢印Yに沿う方向)で、臥床者Kと臥床面15aとの間に複数併設して設けることができる。そして、複数の支持板12は、臥床面15aに沿う方向で、且つ支持板12が互いに近接した近接状態から、互いに離間した離間状態との間で調整自在に構成されている。
尚、当該複数の支持板12同士の関係は、複数の支持補助板13同士においても、同様である。
Furthermore, a plurality of support plates 12 can be provided between the lying person K and the bed surface 15a in a direction along the lying surface 15a and in a direction perpendicular to the insertion direction (the direction along the arrow Y in Figs. 1 and 2). The plurality of support plates 12 are configured to be freely adjustable in the direction along the lying surface 15a between a close state in which the support plates 12 are close to each other and a spaced state in which the support plates 12 are spaced apart from each other.
The relationship between the plurality of support plates 12 is the same as that between the plurality of auxiliary support plates 13 .

荷重支持部材14は、挿入状態にある支持板12又は支持補助板13(場合によっては、挿入補助板11を含む)の挿入方向(図1、2で矢印Xに沿う方向)での両端部を支持する一対の荷重支持部位14aを有する。当該荷重支持部材14は、プラスチック、木材、金属、コンクリート、屋内壁を構成する左官材料、及びこれらの複合材料から構成されるものである。
更に、具体的には、ストレッチャーや昇降機構付きベッドの両端に設けられる柵を採用することもでき、当該柵を荷重支持部材14として採用する場合、荷重支持部材14としての柵を昇降する形態で、又は、ストレッチャーや昇降機構付きベッドの柵(荷重支持部材14)は固定し、ストレッチャーやベッドの床面が、柵とは独立に昇降機構として機能する場合もある。
The load support member 14 has a pair of load support portions 14a that support both ends of the inserted support plate 12 or auxiliary support plate 13 (including the auxiliary insertion plate 11 in some cases) in the insertion direction (the direction along the arrow X in Figs. 1 and 2). The load support member 14 is made of plastic, wood, metal, concrete, plastering material that constitutes an indoor wall, or a composite material of these materials.
Furthermore, specifically, fences provided on both ends of a stretcher or a bed with a lifting mechanism can also be used. When such fences are used as the load support member 14, the fences as the load support member 14 may be raised and lowered, or the fences (load support member 14) of the stretcher or bed with a lifting mechanism may be fixed, and the floor surface of the stretcher or bed may function as a lifting mechanism independent of the fences.

当該第1実施形態においては、昇降機構15は、臥床面15aを、直接昇降させるストレッチャーや昇降機能付きベッド(臥床面昇降装置の一例)から構成されている。
これにより、図2(a)(b)に示すように、臥床者Kと臥床面15aとの間に、医療、看護、又は介護を含む処置を行う空間Sを、適切に形成することができる。
尚、具体例については、実施例16に示すが、昇降機構15は、臥床面15aの一部を部分的に昇降させる部分昇降部を有していても構わない。一部を部分的に昇降させる部分昇降部を有している臥床面15aは、より可撓性の小さい材料(例えば、杉の板)も挿入支持部材(より具体的には、支持板12)としての使用を容易にする。当該部分昇降部による臥床面15aの一部の部分的な昇降には、臥床面15aの一部を傾斜させる機能も含むものとする。
In the first embodiment, the lifting mechanism 15 is composed of a stretcher or a bed with a lifting function (an example of a bed surface lifting device) that directly lifts and lowers the lying surface 15a.
This makes it possible to appropriately form a space S between the bedridden person K and the bed surface 15a, as shown in Figs. 2(a) and (b), in which treatments including medical care, nursing, or care can be performed.
As a specific example, the lifting mechanism 15 may have a partial lifting section that partially lifts and lowers a portion of the bed surface 15a, as shown in Example 16. The bed surface 15a having a partial lifting section that partially lifts and lowers a portion of the bed surface 15a facilitates the use of less flexible materials (e.g., cedar boards) as the insertion support member (more specifically, the support plate 12). The partial lifting and lowering of a portion of the bed surface 15a by the partial lifting section also includes the function of tilting a portion of the bed surface 15a.

これまで説明してきた身体リフトシステム100を用いた身体リフト方法は、例えば、図3に示すように、臥床者Kと臥床面15aとの間への挿入方向(図3で矢印Xに沿う方向)での挿入先端部の挿入先端角部位及び挿入先端稜線部位の一方又は両方が面取り加工された挿入補助板11及び支持板12を、臥床者Kと臥床面15aとの間へ挿入する第1挿入工程(図3で(a)~(e))と、臥床者Kと臥床面15aとの間への挿入方向(図3で矢印Xに沿う方向)での挿入先端部の挿入先端角部位及び挿入先端稜線部位の一方又は両方が面取り加工された支持補助板13を、臥床者Kと臥床面15aとの間への挿入状態にある支持板12の下へ挿入する第2挿入工程(図3で(f)~(g))と、臥床者Kと臥床面15aとの間への挿入状態にある支持補助板13(第2挿入工程を実行しない場合は、支持板12)を荷重支持部材14により支持する支持工程(図3で(h))と、荷重支持部材14に支持され挿入状態にある支持補助板13(第2挿入工程を実行しない場合は、支持板12)と臥床面15aとの間を離間させる昇降機構15により、臥床者Kと臥床面15aとの間に医療、看護、又は介護を含む処置を行う空間Sを形成する空間形成工程とを含む。
尚、場合によっては、第2挿入工程を省略しても構わない。
The body lift method using the body lift system 100 described so far includes, for example, a first insertion step ((a) to (e) in FIG. 3 ) of inserting the insertion auxiliary plates 11 and the support plate 12, in which one or both of the insertion tip corner portion and the insertion tip edge portion of the insertion tip portion are chamfered in the insertion direction (direction along the arrow X in FIG. 3 ) between the lying person K and the lying surface 15 a, between the lying person K and the lying surface 15 a; and a second insertion step ((a) to (e) in FIG. 3 ) of inserting the support auxiliary plate 13, in which one or both of the insertion tip corner portion and the insertion tip edge portion of the insertion tip portion are chamfered in the insertion direction (direction along the arrow X in FIG. 3 ) between the lying person K and the lying surface 15 a, between the lying person K and the lying surface 15 a. The method includes a second insertion step (f-g in FIG. 3) of inserting the support plate 13 (the support plate 12 if the second insertion step is not performed) under the support plate 12 which is inserted between the lying person K and the lying surface 15a; a support step (h in FIG. 3) of supporting the support auxiliary plate 13 (the support plate 12 if the second insertion step is not performed) which is inserted between the lying person K and the lying surface 15a with a load support member 14; and a space forming step of forming a space S for performing treatment including medical care, nursing, or care between the lying person K and the lying surface 15a by a lifting mechanism 15 which separates the support auxiliary plate 13 (the support plate 12 if the second insertion step is not performed) which is supported by the load support member 14 and in an inserted state from the lying surface 15a.
In some cases, the second insertion step may be omitted.

上記空間形成工程においては、荷重支持部材14、又は昇降機構15のどちらか一方に医療機器Pa、Pm、Stを固定又は一体的に設置し、臥床者Kと医療機器Pa、Pm、Stとの昇降方向での位置関係を維持して昇降することが好ましい。
具体的には、例えば、図12に示すように、臥床面15aを有するベッド70の両側脇に、昇降機構としてのストレッチャー15を配設し、当該ストレッチャー15に設けられる臥床面15bを荷重支持部材14として使用する構成において、医療機器Pa、Pm、Stをストレッチャー15の昇降部位(図12の例では、臥床面15bが固定されると共にストレッチャーのマットを支持する天板72)に固定治具Tgにて固定することで、当該ストレッチャー15を昇降させることにより、臥床者Kと医療機器Pa、Pm、Stとの昇降方向(図12で矢印Z方向)での位置関係を維持して昇降する構成を採用することができる。
医療機器としては、図12に示すように、医薬品や血液等の輸液を、予め設定した流量で持続的に送液するための輸液ポンプPm、及び輸液を含む輸液袋Paや輸液スタンドStも含めた輸液設備を好適に挙げることができる。
その他の医療機器の例としては、治療目的では肺と胸壁の間の空間(胸腔)に胸腔ドレーンと呼ばれるチューブを挿入する胸腔ドレナージにおいて、肺から肺の外へ漏れ出した体内の空気、滲出液・膿汁等の分泌物或いは洗浄液を低圧(例えば、25cmH2O以下の任意の圧力)で、長時間にわたり吸引する低圧持続吸引器、及び吸引物を貯留する排液パックから成るドレーン設備がある。
このような医療機器を備える場合、医療機器(図12の構成にあっては、輸液ポンプPm)と臥床者Kとがチューブにより連結されることになるが、上記構成を採用すれば、このような構成にあっても、臥床者Kへの医療機器(図12の構成にあっては、輸液ポンプPm)からの液供給を持続させた状態を維持することができるから、医療に必要な処置の機能を阻害することなく、臥床者Kの背面の医療ケアー等を実行できる。
In the above-mentioned space forming process, it is preferable to fix or integrally install the medical equipment Pa, Pm, St to either the load support member 14 or the lifting mechanism 15, and to raise and lower the medical equipment Pa, Pm, St while maintaining the positional relationship between the lying down person K and the medical equipment Pa, Pm, St in the lifting direction.
Specifically, for example, as shown in FIG. 12, a configuration can be adopted in which stretchers 15 serving as lifting mechanisms are provided on both sides of a bed 70 having a lying surface 15a, and lying surfaces 15b provided on the stretchers 15 are used as load-supporting members 14. In this configuration, the medical equipment Pa, Pm, St is fixed to the lifting/lowering portion of the stretcher 15 (in the example of FIG. 12, the top plate 72 to which the lying surface 15b is fixed and which supports the stretcher mat) with a fixing jig Tg, and the stretcher 15 is raised and lowered, thereby maintaining the positional relationship between the lying person K and the medical equipment Pa, Pm, St in the lifting/lowering direction (the direction of arrow Z in FIG. 12).
Suitable examples of medical equipment include an infusion pump Pm for continuously delivering infusions of medicines, blood, etc. at a preset flow rate, as well as infusion equipment including an infusion bag Pa containing the infusion and an infusion stand St, as shown in FIG. 12.
Other examples of medical equipment include a drainage system consisting of a low-pressure continuous suction device that aspirates air leaked from the lungs, secretions such as exudate and pus, or lavage fluid at low pressure (for example, any pressure below 25 cmH2O) for a long period of time in thoracic drainage, in which a tube called a thoracic drain is inserted into the space between the lungs and the chest wall (thoracic cavity) for therapeutic purposes, and a drainage pack that stores the aspirated material.
When such medical equipment is provided, the medical equipment (infusion pump Pm in the configuration of Figure 12) and the bedridden person K are connected by a tube. However, by adopting the above-mentioned configuration, even in such a configuration, it is possible to maintain a continuous supply of fluid from the medical equipment (infusion pump Pm in the configuration of Figure 12) to the bedridden person K, so that medical care, etc. can be performed on the back of the bedridden person K without impeding the functions of treatments necessary for medical care.

そして、当該身体リフト方法にあっては、空間形成工程の後に、臥床者Kの衣服や下着の脱衣又は着衣、臥床者Kの健康状態のモニターに用いられる体重計の挿入、臥床者Kのオムツの交換、床上排泄用便器の空間Sへの挿入、陰部洗浄器具の空間Sへの挿入、臥床者Kの車椅子への移乗の少なくとも1つを行う。
更に、当該身体リフト方法にあっては、空間形成工程の後に、後述する身体ホルダー200を臥床者Kの身体直下に挿入し、昇降機構15にて臥床面15aを空間形成工程の前の位置まで昇降させ、挿入支持部材11、12を臥床面15a上に挿入された身体ホルダー200に接触させ、荷重を身体ホルダー200と身体ホルダー200を支える臥床面15aに移動させた後、挿入支持部材11、12を抜き、操作対象部位を把持又は被覆し、且つ身体ホルダー200を操作対象部位の形状に応じて賦形させるものも含む。
尚、上記身体リフト方法にあっては、挿入支持部材11、12と共に支持補助板13を用いても構わない。
In this body lifting method, after the space forming process, at least one of the following is performed: removing or putting on the clothes and underwear of the bedridden person K, inserting a weighing scale used to monitor the health condition of the bedridden person K, changing the diaper of the bedridden person K, inserting a bedside toilet bowl into the space S, inserting a genital washing instrument into the space S, and transferring the bedridden person K to a wheelchair.
Furthermore, in this body lifting method, after the space forming process, the body holder 200 described later is inserted directly under the body of the lying person K, the lifting mechanism 15 is used to raise and lower the lying surface 15a to the position it was in before the space forming process, the insertion support members 11, 12 are brought into contact with the body holder 200 inserted on the lying surface 15a, the load is transferred to the body holder 200 and the lying surface 15a supporting the body holder 200, and then the insertion support members 11, 12 are removed, the part to be operated is grasped or covered, and the body holder 200 is shaped according to the shape of the part to be operated.
In the above-described body lifting method, the auxiliary support plate 13 may be used together with the insertion support members 11 and 12.

以下、身体ホルダー200を、図面を参照しながら説明する。
当該第1実施形態に係る身体ホルダー200は、図7、8、9に示すように、操作対象Kとしての人では、5℃以上48℃以下(好ましくは、46℃以下:以下同様)の範囲に、硬軟化変化閾値温度としての軟化温度又は融点、又は、難結晶性の高分子材料にあってはガラス転移温度を持ち、硬さが変化する主材料54を有し、人の全体又は一部分である操作対象部位に対し、支持、固定、把持、被覆、或いは移動を伴う医療又は看護又は介護を含む処置を行う際に使用できるシート形状の身体ホルダー200である。
当該身体ホルダー200において、操作対象部位を把持又は被覆し操作対象部位の形状に応じて賦形するときで、主材料54を加熱して軟化させる場合に、主材料54を低温加熱するとき、人を対象とする場合は46℃以下を操作対象部位に接触する部分の温度とし、且つ軟化させるときの主材料の温度は硬軟化変化閾値温度以上の温度である。
主材料は、その外側に緩衝材、断熱材、及び軟質の袋様容器のうち、少なくとも緩衝材を介在させる形態で、操作対象部位に接触するものである。
更に、主材料を冷却して硬化させる場合に、冷却される前記主材料の冷却温度が、硬軟化変化閾値温度未満の温度である
みに、低温加熱する際の主材料54の操作対象部位に接触する部分の上限温度は、人を対象とする場合は46℃とすることが好ましい。
The body holder 200 will now be described with reference to the drawings.
As shown in Figures 7, 8 and 9, the body holder 200 of the first embodiment has a softening temperature or melting point as a hardness/softening change threshold temperature in the range of 5°C or higher and 48°C or lower (preferably, 46°C or lower: the same applies below) for a human being as the operation target K, or a glass transition temperature in the case of a difficult-to-crystallize polymeric material, and has a main material 54 whose hardness changes, and is a sheet-shaped body holder 200 that can be used when performing treatments including medical, nursing or caregiving that involve supporting, fixing, grasping, covering or moving the operation target part, which is the whole or a part of a human being .
In the body holder 200, when the part to be operated is grasped or covered and shaped according to the shape of the part to be operated, and the main material 54 is heated and softened, when the main material 54 is heated at a low temperature, in the case of a human being, the temperature of the part that comes into contact with the part to be operated is set to 46°C or less , and the temperature of the main material when softening is set to a temperature equal to or higher than the hardness/softening change threshold temperature.
The main material is in contact with the target area to be operated with at least a cushioning material interposed therebetween, selected from a cushioning material, a heat insulating material, and a soft bag-like container.
Furthermore , when the main material is cooled to harden it, the cooling temperature of the main material is lower than the hardness/softening change threshold temperature .
Incidentally , the upper limit temperature of the portion of the main material 54 that comes into contact with the target portion to be operated during low-temperature heating is preferably set to 46° C. when the target portion is a human.

更に、上記身体ホルダー200の使用方法では、操作対象としての人では、5℃以上48℃以下の範囲に、硬軟化変化閾値温度としての軟化温度又は融点、又は、難結晶性の高分子材料にあってはガラス転移温度を持ち、硬さが変化する主材料を有し、人の全体又は一部分である操作対象部位に対し、支持、固定、把持、被覆、或いは移動を伴う医療又は看護又は介護を含む処置を行う際に使用できるものであり、硬軟化変化閾値温度以上で、主材料を低温加熱するとき、人を対象とする場合は46℃以下を操作対象部位に接触する部分の温度とし、低温加熱を行って主材料を軟化させ、操作対象部位を把持又は被覆し操作対象部位の形状に応じて賦形し、操作対象部位を把持又は被覆し操作対象部位の形状に応じて賦形した状態で、主材料を硬軟化変化閾値温度未満の温度で冷却して硬化させ、医療又は看護又は介護を含む処置を行い、主材料を低温加熱して軟化させ、操作対象部位から取り外す一連の操作を繰り返し実行することが自在な使用方法である。
尚、主材料は、その外側に緩衝材、断熱材、及び軟質の袋様容器のうち、少なくとも緩衝材を介在させる形態で、操作対象部位に接触するものである。
Furthermore, in the method of using the body holder 200, the main material has a softening temperature or melting point as a hardness /softening change threshold temperature in the range of 5°C to 48°C, or a glass transition temperature in the case of a difficult-to-crystallize polymeric material, and the hardness changes, and can be used when performing treatment including medical care, nursing care, or care involving support, fixation, grasping, covering, or movement on the operation target part which is the whole or a part of the person. When the main material is heated at a low temperature above the hardness/softening change threshold temperature, in the case of a human being as the object, the temperature of the part that comes into contact with the operation target part is set to 46°C or less, the main material is softened by low-temperature heating, the operation target part is grasped or covered and shaped according to the shape of the operation target part, the main material is cooled at a temperature below the hardness/softening change threshold temperature to harden it, treatment including medical care, nursing care, or care is performed, the main material is heated at a low temperature to soften it, and the operation target part is grasped or covered and shaped according to the shape of the operation target part, and the main material is cooled at a temperature below the hardness/softening change threshold temperature to harden it , and a treatment including medical care , nursing care, or care is performed, and the main material is heated at a low temperature to soften it, and removed from the operation target part. This is a method of use that can be freely performed repeatedly.
The main material is in contact with the target area with at least a cushioning material interposed therebetween, selected from a cushioning material, a heat insulating material, and a soft bag-like container.

具体的には、身体ホルダー200は、図8、9に示すように、人や動物としての操作対象Kの操作対象部位を把持又は被覆し前記操作対象部位の形状に応じて賦形した状態において、操作対象部位に近い側から順に、緩衝材51と、断熱材52と、軟質の袋様容器53の内部に充填された主材料54と、加熱冷却装置55とから構成されている。 Specifically, as shown in Figures 8 and 9 , the body holder 200 grasps or covers the operation target portion of the operation target K, which is a human or animal, and is shaped according to the shape of the operation target portion.The body holder 200 is composed of, in order from the side closest to the operation target portion, a cushioning material 51, an insulating material 52, a main material 54 filled inside a soft bag-like container 53, and a heating and cooling device 55.

主材料54の具体例としては、融点が48℃以下のワックス、例えば日本精蝋(株)製パラフィンワックス115F(Paraffin Wax-115)(融点48℃:“パラフィンワックス”、[online]、日本精鑞、[2016年7月22日検索]、インターネット<http://www.seiro.co.jp/seihin/guide/guide2a.htm>)、融点が48℃以下の低融点合金、例えば大阪アサヒメタル工場製の低融点合金U-アロイ16(融点16℃)、融点が48℃以下又はガラス転移温度が48℃以下のプラスチック材料、ガラス転移温度が48℃以下のチューインガムベース材料、例えば酢酸ビニル樹脂(ガラス転移温度28℃、高分子学会編高分子辞典、初版第6刷、朝倉書店、昭和55年による)、例えば、電気化学工業製のサクノールSN09Tなどを使用することができる。 A specific example of the main material 54 is a wax having a melting point of 48°C or less, such as Paraffin Wax 115F (produced by Nippon Seiro Co., Ltd.). Wax-115) (melting point 48°C: "Paraffin wax", [online], Nippon Seiro, [searched July 22, 2016], Internet <http://www.seiro.co.jp/seihin/guide/guide2a.htm>), low melting point alloys with a melting point of 48°C or less, for example, low melting point alloy U-Alloy 16 (melting point 16°C) manufactured by Osaka Asahi Metal Works, plastic materials with a melting point of 48°C or less or a glass transition temperature of 48°C or less, chewing gum base materials with a glass transition temperature of 48°C or less, for example, vinyl acetate resin (glass transition temperature 28°C, according to Polymer Dictionary, 1st edition, 6th printing, compiled by the Society of Polymer Science, Asakura Shoten, 1980), for example, Sakunol SN09T manufactured by Denki Kagaku Kogyo Co., Ltd. can be used.

尚、酢酸ビニル樹脂は、ビニル基の付加重合で合成され、ポリラクトンなどの縮合重合で合成される樹脂とは異なり、加水分解反応による重合度の低下は生起せず、シートに成形した後に、高分子の加水分解反応による重合度の低下がない。重合度と力学強度が正の相関を持つことは良く知られており、人又は動物の全体又は一部分である操作対象部位に対し、支持、固定、把持、被覆、及び移動を含む処置などに使用される外部から力のかかるホルダーにおいては、使用する材料の経時による力学強度の低下は、使用時に操作対象を落下させるなどの事故にもつながりかねず、重合度低下の可能性は材料選定の段階で排除しておいた方が良い。 Vinyl acetate resin is synthesized by addition polymerization of vinyl groups, and unlike resins synthesized by condensation polymerization such as polylactone, there is no decrease in the degree of polymerization due to hydrolysis reactions, and after molding into a sheet, there is no decrease in the degree of polymerization due to hydrolysis of the polymer. It is well known that there is a positive correlation between the degree of polymerization and mechanical strength, and in holders that are used for procedures including supporting, fixing, grasping, covering, and moving the whole or part of the operation target part of a human or animal, where external force is applied, the decrease in mechanical strength of the material used over time could lead to accidents such as dropping the operation target during use, so it is better to eliminate the possibility of a decrease in the degree of polymerization at the material selection stage.

加熱や冷却により人の体温の近傍温度で軟らかさや硬さなどが変化する材料54は、少なくとも人に使用するときは5℃以上48℃以下の温度範囲において、軟質な袋様容器53に封入してシート形状に賦形して使用することもできる。 The material 54, whose softness, hardness, etc. change at temperatures close to human body temperature when heated or cooled, can be sealed in a soft bag-like container 53 and shaped into a sheet for use, at least when used on humans, in the temperature range of 5°C or higher and 48°C or lower.

軟質の袋様容器53の材料としては、数μ~数cm程度の厚みで、常温で折り畳みなどの変形が可能な、公知の有機、無機、金属材料、又は、これら材料の複合材料、例えばプラスチックフィルム(ポリエチレンフィルム、ポリプロピレンフィルムなどのポリオレフィンフィルム、ポリ塩化ビニルフィルム、ポリエステルフィルム、ポリアミドフィルムなど)や有機、無機材料とのラミネートフィルム(ポリエチレンやポリプロピレンのプラスチック織布、又は不織布とポリエチレンやポリ塩化ビニルなどのプラスチックフィルムとのラミネートフィルムや、炭素繊維織布やアルミフォイルなどの無機材料や金属材料とポリエチレンやポリ塩化ビニルなどのプラスチックフィルムとのラミネートフィルムなど)など各種の袋様に加工ができる材料や複合材料が使用できる。但し、これらの例によって、軟質の袋様容器53の厚みや袋の材料の種類が限定されるものではない。 The material for the soft bag-like container 53 can be any of a variety of materials or composite materials that can be processed into a bag shape, such as known organic, inorganic, or metallic materials with a thickness of several μm to several cm, which can be folded or otherwise deformed at room temperature, such as plastic films (polyolefin films such as polyethylene film and polypropylene film, polyvinyl chloride film, polyester film, polyamide film, etc.) and laminate films with organic or inorganic materials (polyethylene or polypropylene plastic woven fabric, or laminate films of nonwoven fabric and plastic films such as polyethylene or polyvinyl chloride, or laminate films of inorganic materials such as carbon fiber woven fabric or aluminum foil, or metal materials and plastic films such as polyethylene or polyvinyl chloride). However, these examples do not limit the thickness of the soft bag-like container 53 or the type of material for the bag.

軟質の袋様容器53への、人や動物などの体温の近傍温度で軟らかさや硬さなどが変化する材料54の投入は、袋様容器53に開口部(図示せず)を設け、プラスチックの栓を付けた形のもの、例えば、大倉工業OKテナーS-10Lを使用し、パラフィンワックス115F(Paraffin Wax-115)は常温で固体であるので、ナイフで削るなどでフレーク状にして投入し、低融点合金U-アロイ16は常温で液体であるので、開口部から注ぎ込み、チューインガムベース材料(電気化学工業製の酢酸ビニル樹脂SN09T)は粒状で流動するので、これも開口部から注ぎ込む形態で実行する。 To pour material 54, whose softness or hardness changes at temperatures close to the body temperature of a person or animal, into soft bag-like container 53, an opening (not shown) is provided in bag-like container 53 with a plastic stopper, for example, an OK Tenor S-10L from Okura Industries. Paraffin Wax-115F is solid at room temperature, so it is scraped into flakes with a knife before pouring. Low-melting-point alloy U-Alloy 16 is liquid at room temperature, so it is poured from the opening. Chewing gum base material (vinyl acetate resin SN09T made by Denki Kagaku Kogyo) is granular and fluid, so it is also poured from the opening.

軟質の袋様容器53に充填したパラフィンワックス115F(Paraffin Wax-115)や、酢酸ビニル樹脂SN09Tは、前もって約80℃の熱湯浴に浸漬し、融解させ、その後、平らな床の上で放冷することで平板上に賦形することができ、平板状に賦形することで実験室的検討に使用することができる。又、平板状に賦形後、軟質の袋様容器53をナイフで切り開き、平板状に賦形された材料54を取り出すことで、平板状の材料を実験室的検討に使用できる。 Paraffin Wax-115 or vinyl acetate resin SN09T filled in soft bag-like container 53 can be shaped into a flat plate by immersing it in a hot water bath at about 80°C in advance, melting it, and then cooling it on a flat floor, and the flat plate shape can be used for laboratory studies. After shaping into a flat plate, soft bag-like container 53 can be cut open with a knife to remove flat plate-shaped material 54, and the flat plate-shaped material can be used for laboratory studies.

操作対象部位への侵襲や浮動不安定性を低減する緩衝材51は、操作対象部位を把持又は被覆し操作対象部位の形状に応じて賦形した状態において、操作対象部位に接する部位に備えられる。
緩衝材51の材料としては、公知のタオル地の布(木綿、羊毛、レーヨン、これらと化繊を混紡したものなど)、プラスチックの発泡体(ポリウレタン発泡体、エチレン酢酸ビニル共重合体発泡体、ポリエチレン発泡体など)、気泡入りプラスチックフィルム緩衝材などが使用できる。人の全体や人の体の一部などを被覆する時は、吸湿性材料、例えば木綿や羊毛、レーヨンなどや、これらと化繊を混紡した布やタオル地などが使用できる。但し、これらの例によって、緩衝材が限定されるものではない。
The cushioning material 51, which reduces invasiveness and floating instability to the area to be operated, is provided at a location that comes into contact with the area to be operated, in a state in which it grasps or covers the area to be operated and is shaped according to the shape of the area to be operated.
The material for the cushioning material 51 may be a known terry cloth (such as cotton, wool, rayon, or a blend of these with synthetic fibers), a plastic foam (such as polyurethane foam, ethylene vinyl acetate copolymer foam, or polyethylene foam), or a bubbled plastic film cushioning material. When covering the entire human body or a part of the human body, a hygroscopic material such as cotton, wool, rayon, or a blend of these with synthetic fibers or terry cloth may be used. However, the cushioning material is not limited to these examples.

緩衝材51は、公知の接着などの方法でこれら身体ホルダー200と一体化して使用することができる。又は、操作対象の特性に応じ、人や動物などの全体或いは人や動物などの体の一部分である操作対象の支持や固定、把捉や被覆、或いは移動を伴う医療又は看護又は介護を含む処置の操作に使用される身体ホルダー200と操作対象の間にタオル地などの緩衝材をはさんで使用するなど、物理的圧着で緩衝材を介在させることや、物理的圧着を粘着テープで補強して使用することも可能である。また、必要に応じて、マジックテープ(登録商標)を用いても構わない。 The cushioning material 51 can be integrated with the body holder 200 by known adhesive methods. Alternatively, depending on the characteristics of the operation target, cushioning material such as terry cloth can be sandwiched between the body holder 200, which is used for supporting, fixing, grasping, covering, or moving the operation target, which is the whole or part of the body of a person or animal, and the operation target, and can be used by interposing cushioning material by physical pressure, or by reinforcing the physical pressure with adhesive tape. Velcro (registered trademark) can also be used if necessary.

断熱材52は、操作対象部位を把持又は被覆し操作対象部位の形状に応じて賦形した状態において、低温加熱に伴う温熱及び冷却に伴う冷熱が、操作対象部位へ伝導することを抑制する形態で設けられる。具体的には、断熱材52は、上述した主材料54と操作対象部位との間に、熱の伝達を抑制する状態で設けられる。 The insulating material 52 is provided in a form that suppresses the conduction of warm heat associated with low-temperature heating and cold heat associated with cooling to the operation target area when the insulating material 52 grasps or covers the operation target area and is shaped according to the shape of the operation target area. Specifically, the insulating material 52 is provided between the main material 54 and the operation target area in a state that suppresses the conduction of heat.

断熱材52は、公知のプラスチックの発泡体(発泡ポリエチレンシート、発泡ポリスチレンビーズなど)、木綿の布やタオル地(木綿、羊毛、レーヨン、これらと化繊を混紡したものなど)、セルロースファイバーやグラスウールなどが使用できる。但し、これらの例によって断熱材52の材料が限定されるものではない。 The insulating material 52 can be made of known plastic foams (such as expanded polyethylene sheets and expanded polystyrene beads), cotton cloth or toweling (such as cotton, wool, rayon, or blends of these with synthetic fibers), cellulose fiber, glass wool, etc. However, the materials of the insulating material 52 are not limited to these examples.

尚、上記の断熱材52の形状が粒状やペレット、フレーク状、粉体などの場合には、上述した主材料54と同様に、軟質の袋様容器53に封入して使用することもできる。形状が粒状やペレット、フレーク状、粉体などの断熱材52を袋様容器53へ封入する方法も、上述した主材料54を袋様容器へ封入する方法と同様に行える。 When the insulating material 52 is in the form of granules, pellets, flakes, powder, etc., it can be enclosed in a soft bag-like container 53 in the same manner as the main material 54 described above. The method of enclosing insulating material 52 in the form of granules, pellets, flakes, powder, etc. in a bag-like container 53 can be performed in the same manner as the method of enclosing the main material 54 described above in a bag-like container.

断熱材52と、身体ホルダー200を構成する主材料54や軟質の袋様容器53との貼り合わせは、公知の接着や熱溶着などの方法で実施でき、又は、操作対象との間に断熱材52を物理的圧着で介在させることや、物理的圧着を粘着テープで補強して実施できる。断熱材52と緩衝材51との貼合せも、接着や熱溶着、縫製などの公知の方法で実施することができる。又、断熱材52を緩衝材51と主材料54との間に物理的圧着で介在させること、又は、断熱材52を、主材料54を封入した軟質の袋様容器53と緩衝材51との間に物理的圧着で介在させることができ、物理的圧着を粘着テープで補強して使用することも可能である。更に、必要に応じてマジックテープを用いることもできる。 The heat insulating material 52 can be bonded to the main material 54 or the soft bag-like container 53 that constitutes the body holder 200 by known methods such as adhesion or heat welding, or the heat insulating material 52 can be interposed between the object of operation by physical pressure bonding, or the physical pressure bonding can be reinforced with adhesive tape. The heat insulating material 52 and the cushioning material 51 can also be bonded to each other by known methods such as adhesion, heat welding, or sewing. In addition, the heat insulating material 52 can be interposed between the cushioning material 51 and the main material 54 by physical pressure bonding, or the heat insulating material 52 can be interposed between the cushioning material 51 and the soft bag-like container 53 that contains the main material 54 by physical pressure bonding, and the physical pressure bonding can be reinforced with adhesive tape. Furthermore, Velcro can be used as necessary.

具体的には、医療又は看護又は介護を含む処置の操作に使用される身体ホルダー200と操作対象Kの間に緩衝材51をはさんで物理的圧着で介在させる場合を除き、緩衝材51と緩衝材51に隣接する身体ホルダー200の間に、必要に応じて、マジックテープを介在させ、緩衝材51と緩衝材51に隣接する身体ホルダー200を着脱可能とすることができる。マジックテープと主材料54との貼合せ、又は、マジックテープと軟質の袋様容器53との貼合せは、公知の接着、熱溶着などの方法で実施できる。又、マジックテープと緩衝材51との貼合せは、公知の接着、熱溶着、縫製などの方法で実施できる。 Specifically, except for cases where cushioning material 51 is sandwiched between the body holder 200 used for treatment operations including medical treatment, nursing care, or caregiving and the subject of operation K, and is interposed therebetween by physical pressure, Velcro can be interposed between the cushioning material 51 and the body holder 200 adjacent to the cushioning material 51 as necessary, making the cushioning material 51 and the body holder 200 adjacent to the cushioning material 51 detachable. The Velcro can be bonded to the main material 54, or the Velcro can be bonded to the soft bag-like container 53 by known methods such as adhesion or heat welding. The Velcro can be bonded to the cushioning material 51 by known methods such as adhesion, heat welding, and sewing.

更に、緩衝材51と断熱材52と軟質の袋様容器53の組み合わせにおいて、緩衝材51と断熱材52がバスタオル、軟質の袋様容器53が低密度ポリエチレン製の袋などである時は、ポリエチレンに熱溶着可能なマジックテープ、例えば、クラレファスニング株式会社製(巾24mm、S-Eタイプ)は、フック側、ループ側の背面が熱可塑性樹脂でライニングされており、ポリエチエレン製袋と熱溶着が可能で、該マジックテープの片側を軟質の袋様容器53に貼合せ、もう片側をバスタオルに縫製し、マジックテープを介して着脱可能な構成にし、人や動物などの全体或いは人や動物などの体の一部分の操作対象に接する緩衝材51及び断熱材52であるバスタオルを必要に応じ着脱し、洗濯し、清潔な状態で使用することができる。 Furthermore, in the combination of the cushioning material 51, the heat insulating material 52, and the soft bag-like container 53, when the cushioning material 51 and the heat insulating material 52 are a bath towel and the soft bag-like container 53 is a bag made of low-density polyethylene, etc., a Velcro tape that can be heat-sealed to polyethylene, for example, a Velcro tape made by Kuraray Fastening Co., Ltd. (width 24 mm, S-E type) has a thermoplastic resin lining on the back of the hook side and the loop side, and can be heat-sealed to the polyethylene bag, and one side of the Velcro tape is attached to the soft bag-like container 53 and the other side is sewn to the bath towel, making it detachable via the Velcro tape, and the cushioning material 51 and the heat insulating material 52, which are in contact with the whole body of a person or animal or a part of the body of a person or animal, can be detached as necessary, washed, and used in a clean state.

主材料54を低温加熱又は冷却するための加熱冷却装置55は、操作対象部位を把持又は被覆し操作対象部位の形状に応じて賦形した状態において、操作対象部位が存在する側とは反対側に備える。
更に、具体的には、加熱冷却装置55は、ペルチェ効果を利用したペルチェ素子発熱吸熱体から成る第1加熱冷却部と、軟質の袋様容器53に封入され外部から吸熱又は外部へ放熱する熱媒体から成る第2加熱冷却部と、電気抵抗への通電による発熱を利用したジュール熱発熱体から成る第1加熱部と、加熱助剤と当該加熱助剤と混合することで温熱を発生する発熱剤と加熱助剤と発熱剤とを破れ易い仕切部で仕切った状態で封入する第1袋とから成る第2加熱部と、冷却助剤と当該冷却助剤と混合することで冷熱を発生する寒剤と冷却助剤と寒剤とを破れ易い仕切部で仕切った状態で封入する第2袋とから成る第1冷却部と、の少なくとも1つ以上から構成されている。
A heating/cooling device 55 for low-temperature heating or cooling the main material 54 is provided on the side opposite to the side on which the operation target area is located, in a state in which the operation target area is grasped or covered and shaped according to the shape of the operation target area.
More specifically, the heating and cooling device 55 is composed of at least one of a first heating and cooling section consisting of a Peltier element heat generating heat absorber that utilizes the Peltier effect; a second heating and cooling section consisting of a heat medium that is sealed in a soft bag-like container 53 and absorbs heat from the outside or dissipates heat to the outside; a first heating section consisting of a Joule heat heating body that utilizes heat generated by passing electricity through an electrical resistance; a second heating section consisting of a heating aid, a heat generating agent that generates heat when mixed with the heating aid, and a first bag in which the heating aid and the heat generating agent are enclosed, separated by a breakable partition; and a first cooling section consisting of a cooling aid, a refrigerant that generates cold heat when mixed with the cooling aid, and a second bag in which the cooling aid and the refrigerant are enclosed, separated by a breakable partition.

尚、加熱冷却装置55は、主材料の加熱と、主材料の冷却との少なくとも何れか一方を実行するものであるとする。例えば、加熱冷却装置55として、上述した第1加熱部及び第2加熱部のみを備える場合には、外気に晒すことにより冷却する構成を採用でき、加熱冷却装置55として、上述した第1冷却部のみを備える場合には、外気に晒すことにより低温加熱する構成を採用できる。
加熱冷却装置55としては、公知の加熱冷却装置を用いることができる。例えば、ペルチェ素子発熱吸熱体(平板状で縦45mm×横45mm、表面をセラミックスの平板で覆ったもの:加熱及び冷却用)や、巻くこともできる面状発熱体(加熱用、例えば、サンライズ工業(株)製フィルムヒーター)、電気毛布やマットヒーター(加熱用、例えば、松下電工ミニミニマットなど)、赤外線を利用した輻射型発熱体、室温や恒温室温度、外気、又は、水や冷水、氷水、温水(熱媒体の一例)を用いることができる。
また、水(加熱助剤の一例)と発熱剤、或いは、冷水、氷水、水や水性ゲルや有機系溶剤(冷却助剤の一例)と寒剤とを、軟質の袋様容器に封入し使用することができる。又、医療又は看護又は介護を含む処置の操作を行う前や行った後の身体ホルダー200の硬軟調整などに、恒温室の室内空気や外気を加熱冷却装置として使用し、操作に必要な軟らかさや硬さが発現している平衡状態から操作を開始してもよいし、再使用のための身体ホルダー200の硬軟状態調整用にこれら恒温室の室内空気や外気を使用してもよい。
The heating and cooling device 55 performs at least one of heating and cooling of the main material. For example, when the heating and cooling device 55 includes only the first heating unit and the second heating unit, a configuration for cooling by exposing to outside air can be adopted, and when the heating and cooling device 55 includes only the first cooling unit, a configuration for low-temperature heating by exposing to outside air can be adopted.
A known heating/cooling device can be used as the heating/cooling device 55. For example, a Peltier element heat-generating heat absorber (flat plate 45 mm long x 45 mm wide, with the surface covered with a ceramic flat plate: for heating and cooling), a sheet-shaped heating element that can be rolled up (for heating, for example, a film heater manufactured by Sunrise Kogyo Co., Ltd.), an electric blanket or mat heater (for heating, for example, a mini-mini mat manufactured by Matsushita Electric Works, etc.), a radiation-type heating element that uses infrared rays, room temperature, constant temperature room temperature, outside air, or water, cold water, iced water, or hot water (examples of heat media) can be used.
In addition, water (an example of a heating aid) and a heat generating agent, or cold water, ice water, water, an aqueous gel, or an organic solvent (an example of a cooling aid) and a refrigerant can be sealed in a soft bag-like container and used. In addition, to adjust the hardness of the body holder 200 before or after a treatment operation including medical treatment, nursing care, or caregiving, the indoor air or outside air of a constant temperature room can be used as a heating and cooling device, and the operation can be started from an equilibrium state where the softness or hardness required for the operation is expressed, or the indoor air or outside air of the constant temperature room can be used to adjust the hardness of the body holder 200 for reuse.

尚、上記の加熱冷却装置55において、加熱や冷却用に使用する材料が、液体のものや、形状が粒状やペレット、フレーク状、粉体などのものを、軟質の袋様容器へ封入する方法も、主材料54を軟質の袋様容器53へ封入する方法と同様に行える。 In addition, in the above-mentioned heating and cooling device 55, the material used for heating or cooling, whether liquid or in the form of particles, pellets, flakes, powder, etc., can be sealed in a soft bag-like container in the same manner as the method of sealing the main material 54 in the soft bag-like container 53.

又、発熱剤や寒剤を、破れ易い仕切部を介して、水や水性ゲルや有機系溶剤(加熱助剤又は冷却助剤の一例)と一緒に、袋状の軟質材に封入しておき、加熱や冷却が必要な時に仕切部を破り加熱冷却装置55として使用する公知の方法も適用できる。水と組み合わせる発熱剤としては、酸化カルシウムや酸化カルシウムと酸化アルミニウムを組み合わせたものなどがある。水や氷と組み合わせる寒剤としては、食塩や塩化アンモニウム、塩化カルシウム、硝酸アンモニウム、尿素などが、又メタノール、エタノールやアセトンとドライアイスを組み合わせても低温を得ることができる。 Also, a known method can be applied in which a heat generating agent or a cooling agent is enclosed in a bag-shaped soft material together with water, an aqueous gel, or an organic solvent (an example of a heating aid or a cooling aid) through a breakable partition, and when heating or cooling is required, the partition is broken and the device is used as a heating/cooling device 55. Heat generating agents to be combined with water include calcium oxide, or a combination of calcium oxide and aluminum oxide. Cooling agents to be combined with water or ice include table salt, ammonium chloride, calcium chloride, ammonium nitrate, and urea, and low temperatures can also be obtained by combining methanol, ethanol, or acetone with dry ice.

尚、身体ホルダー200の操作対象と接する面の温度を人の場合には5℃以上46℃以下、動物の場合は、5℃以上(動物の体温+10℃)以下にコントロールする方法としては、例えば、ペルチェ素子や面状発熱体、電気毛布、マットヒーターなど電気を用いて加熱冷却を行う場合は、身体ホルダー200の操作対象と接する面の温度を計測し、公知のサーモスタットやサイリスタによる自動温度制御系を用いることができる。又は、水などの液体や、これら液体と発熱剤や寒剤を使用する系では、物理化学的発熱量や吸熱量と各材料の比熱から、公知の方法で、身体ホルダー200の操作対象と接する面の温度上昇や温度降下を計算し、適切な量の材料を使用することで、過熱や過冷を回避し、加熱、冷却を行うことができる。 In addition, as a method of controlling the temperature of the surface of the body holder 200 that comes into contact with the object of operation to 5°C or higher and 46°C or lower for humans, and 5°C or higher (animal body temperature + 10°C) or lower for animals, for example, when heating and cooling are performed using electricity such as a Peltier element, a planar heating element, an electric blanket, or a mat heater, the temperature of the surface of the body holder 200 that comes into contact with the object of operation can be measured and a known automatic temperature control system using a thermostat or thyristor can be used. Alternatively, in systems that use liquids such as water, or these liquids together with heat generating agents or cooling agents, the temperature rise and fall of the surface of the body holder 200 that comes into contact with the object of operation can be calculated using a known method from the physicochemical heat generation and endothermic amounts and the specific heat of each material, and an appropriate amount of material can be used to avoid overheating and overcooling and perform heating and cooling.

<第2実施形態>
第2実施形態に係る身体リフトシステム100は、図11に示すように、医療、看護、又は介護を含む処置に使用され、臥床者Kと臥床面15aとの間へ挿入される挿入部材を有する身体リフトシステム100であって、臥床者Kと臥床面15aとの間に介在可能な柔軟部材60を備え、柔軟部材60は、臥床者Kと臥床面15aとの間に介在している状態において、臥床面15aとの間に所定の厚みを有する長尺状の空間形成部材61の複数を臥床面15aに沿う方向で間隔を隔てて挿入されたときに、複数の当該空間形成部材61の間で且つ臥床者Kとの間に挿入空間Spを形成する柔軟性を有し、少なくとも一部に可撓性を有すると共に、平板で矩形形状である挿入支持部材12を挿入部材として備え、挿入空間Spへの挿入状態にある挿入支持部材12を支持する荷重支持部材14を備え、荷重支持部材14に支持され挿入状態にある挿入支持部材12と臥床面15aとの間を離間させる昇降機構(図示せず)を備え、昇降機構を働かせて、臥床者Kと臥床面15aとの間に医療、看護、又は介護を含む処置を行う空間Sを形成する。尚、図11に示す例では、支持補助板13を挿入支持部材12の下方に介在し、臥床者Kの支持を補助している。
尚、当該第2実施形態に係る身体リフトシステム100では、これまで説明してきた第1実施形態に係る挿入補助板11、支持板12、支持補助板13、荷重支持部材14、ストレッチャーやベッド等の昇降機構は、同一の構成(形状、材料を含む)を採用することができ、以下では、同一の構成については同一の符号を付すと共に、その詳細な構成については説明を割愛する場合がある。
尚、空間形成部材61は、上述した挿入補助板11と支持板12と支持補助板13とを組み合わせたもの(又は、支持板12又は支持補助板13の単体)を好適に採用することができ、空間形成部材61の挿入方向は、例えば、臥床者Kの身長方向(長手方向)と略直交する方向に沿って、挿入されることが好ましい。因みに、当該第2実施形態にあっては、説明の都合上、空間形成部材61として働く挿入補助板11は、空間形成挿入補助板61aと呼び、空間形成部材61として働く支持板12は、空間形成支持板61bと呼び、空間形成部材61として働く支持補助板13は、空間形成支持補助板61cと呼ぶ場合がある。
更に、柔軟部材60としては敷き布団等の寝具を好適に用いることができる。
Second Embodiment
As shown in FIG. 11 , the body lift system 100 according to the second embodiment is used in treatments including medical care, nursing care, or long-term care, and has an insertion member to be inserted between a lying person K and a bed surface 15a. The body lift system 100 includes a flexible member 60 that can be interposed between the lying person K and the bed surface 15a. When the flexible member 60 is interposed between the lying person K and the bed surface 15a, a plurality of elongated space forming members 61 having a predetermined thickness are inserted at intervals in a direction along the bed surface 15a, and the flexible member 60 forms a plurality of spaces. The device has flexibility to form an insertion space Sp between the forming members 61 and between the lying person K, and includes an insertion support member 12 that is a flat rectangular plate having at least a portion of flexibility as an insertion member, a load support member 14 that supports the insertion support member 12 in an inserted state into the insertion space Sp, and a lifting mechanism (not shown) that separates the insertion support member 12 in an inserted state supported by the load support member 14 from the lying surface 15a, and forms a space S between the lying person K and the lying surface 15a for treatment including medical care, nursing, or care by operating the lifting mechanism. In the example shown in FIG. 11, a support auxiliary plate 13 is interposed below the insertion support member 12 to assist in supporting the lying person K.
In addition, in the body lift system 100 of the second embodiment, the insertion support plate 11, support plate 12, support support plate 13, load support member 14, and lifting mechanism of the stretcher, bed, etc. of the first embodiment described so far can adopt the same configuration (including shape and material), and in the following, the same configuration will be given the same symbol, and the detailed configuration may not be described.
The space forming member 61 can be preferably a combination of the above-mentioned insertion auxiliary plate 11, support plate 12 and support auxiliary plate 13 (or the support plate 12 or the support auxiliary plate 13 alone), and the insertion direction of the space forming member 61 is preferably inserted along a direction substantially perpendicular to the height direction (longitudinal direction) of the recumbent K. Incidentally, in the second embodiment, for convenience of explanation, the insertion auxiliary plate 11 acting as the space forming member 61 may be called the space forming insertion auxiliary plate 61a, the support plate 12 acting as the space forming member 61 may be called the space forming support plate 61b, and the support auxiliary plate 13 acting as the space forming member 61 may be called the space forming support auxiliary plate 61c.
Furthermore, bedding such as a mattress can be suitably used as the flexible member 60 .

当該第2実施形態の身体リフトシステム100では、図11に示すように、ベッドやストレッチャー等の臥床面15aに柔軟部材60が敷設され、当該柔軟部材60の上に臥床者Kが臥床している状態(図11(a)に示す状態)で、臥床面15aと柔軟部材60との間に、臥床面15aに沿う状態で空間形成部材61を間隔を隔てて挿入する(図11(b))。
これにより、図11(c)に示すように、柔軟部材60は、空間形成部材61にて支持される部分と支持されない部分が形成され、空間形成部材61の間で且つ臥床者Kと柔軟部材60との間の空間形成部材61の支持されない部分に、挿入空間Spが形成される。空間形成部材61の挿入のみにより挿入空間Spを形成するには、所定の厚み(例えば、0.5mm以上50mm以下の厚み)を有する長尺状の空間形成部材61を採用することが好ましい。
一方、図示は省略するが、挿入した空間形成部材61を荷重支持部材14により支持して持ち上げる場合、当該空間形成部材61の厚みは薄くても、良好に挿入空間Spを形成することができる。因みに、複数の空間形成部材61を十分に薄くする場合、臥床者Kが敷き布団等の柔軟部材60に臥床していても臥床者Kに違和感を与えることがないため、1回目の昇降の後に空間形成部材61を柔軟部材60の下方へ残したままにすることで、2回目以降に空間形成部材61の挿入を省略することができる。当該複数の空間形成部材61は、固定された形の、スノコ状や梯子状、ネット状の構成等を好適に採用することができる。
In the second embodiment of the body lift system 100, as shown in FIG. 11, a flexible member 60 is laid on a lying surface 15a of a bed, stretcher, etc., and a person K lies on the flexible member 60 (as shown in FIG. 11(a)). A space-forming member 61 is inserted at a distance between the lying surface 15a and the flexible member 60, along the lying surface 15a (FIG. 11(b)).
11(c), the flexible member 60 is formed with a portion supported by the space forming member 61 and a portion not supported by the space forming member 61, and an insertion space Sp is formed in the unsupported portion of the space forming member 61 between the bedridden person K and the flexible member 60. To form the insertion space Sp by only inserting the space forming member 61, it is preferable to employ a long space forming member 61 having a predetermined thickness (for example, a thickness of 0.5 mm or more and 50 mm or less).
On the other hand, although not shown, when the inserted space forming member 61 is supported and lifted by the load supporting member 14, the insertion space Sp can be formed satisfactorily even if the space forming member 61 is thin. Incidentally, when the space forming members 61 are made sufficiently thin, the bedridden person K does not feel uncomfortable even when lying on the flexible member 60 such as a mattress. Therefore, by leaving the space forming member 61 below the flexible member 60 after the first lifting and lowering, it is possible to omit the insertion of the space forming member 61 from the second time onwards. The space forming members 61 can be suitably adopted as a fixed shape such as a slatted, ladder-like, or net-like configuration.

次に、図11(d)に示すように、形成された挿入空間Spに対して、挿入支持部材としての支持板12(挿入補助板(図示せず)を入れても構わない)、及び支持補助板13を挿入する。挿入後には、どのタイミングでも空間形成部材61を取り除くことができる(図11(e))。
その後、図11(f)に示すように、支持板12及び支持補助板13を荷重支持部材14にて支持した状態で、当該荷重支持部材14を図示しない昇降機構により持ち上げることにより、臥床者Kと臥床面15aとの間に、医療、看護、又は介護を含む処置を行う空間Sを形成する。
尚、このとき、支持板12及び支持補助板13を荷重支持部材14にて支持した状態を維持したまま、ストレッチャーの上面としての臥床面15aを下降させることで空間Sを形成してもかまわない。
また、図示は省略するが、図11(e)と(f)との間において、柔軟部材60を敷いたまま、その後の工程を実行しても構わない。
Next, as shown in Fig. 11(d), a support plate 12 (an auxiliary insertion plate (not shown) may be inserted) and an auxiliary support plate 13 as insertion support members are inserted into the formed insertion space Sp. After the insertion, the space forming member 61 can be removed at any time (Fig. 11(e)).
Then, as shown in Figure 11 (f), with the support plate 12 and the auxiliary support plate 13 supported by the load support member 14, the load support member 14 is lifted by a lifting mechanism not shown, thereby forming a space S between the lying person K and the bed surface 15a for performing treatment including medical care, nursing, or care.
At this time, the space S may be formed by lowering the lying surface 15a as the upper surface of the stretcher while maintaining the state in which the support plate 12 and the auxiliary support plate 13 are supported by the load support member 14.
Although not shown, the subsequent steps may be carried out between FIGS. 11(e) and 11(f) with the flexible member 60 still in place.

次に、実施例にて、身体リフトシステム100の柔軟部材60の下方への空間形成部材61の挿入による挿入空間Spの形成、挿入部材11、12、13の挿入、荷重支持部材14による荷重の支持、昇降機構による臥床者Kと臥床面15a間の空間Sの形成、医療又は看護又は介護を含む処置の各種例を説明する。
尚、以下の実施例では、新生児人形(臥床者Kの一例)としては、「京都科学社、沐浴人形、新太郎、型番11278-000、身長53cm、重さ2.7kg」を用い、成人人形(臥床者Kの一例)としては、「株式会社坂本モデル製、清子さん、身長160cm、体重約13kg」を用いるものとした。
更に、実施例1~16は、第1実施形態に対応するものであり、実施例17~20は、第2実施形態に対応するものである。
〔実施例1〕
Next, in the embodiments, various examples of treatments including the formation of the insertion space Sp by inserting the space forming member 61 below the flexible member 60 of the body lift system 100, the insertion of the insertion members 11, 12, and 13, support of the load by the load support member 14, formation of the space S between the lying person K and the lying surface 15a by the lifting mechanism, and medical, nursing, or caregiving will be described.
In the following examples, a newborn doll (an example of a bedridden person K) was used as a "Kyoto Kagakusha, bathing doll, Shintaro, model number 11278-000, height 53 cm, weight 2.7 kg," and an adult doll (an example of a bedridden person K) was used as a "Kiyoko, manufactured by Sakamoto Model Co., Ltd., height 160 cm, weight approximately 13 kg."
Furthermore, Examples 1 to 16 correspond to the first embodiment, and Examples 17 to 20 correspond to the second embodiment.
Example 1

市販のストレッチャー(村中医療器株式会社、ナーシングストレッチャー、NST-1)に、表面のシーツが糸で部分的に縫いつけられている市販の布団(100cm×200cm、厚みは約5cm、圧縮すると約3cm)を載せ、本布団上のシーツのフラットな部分に(縫合加工など無い部分に)、市販の新生児人形を載せ、実験を行った。該新生児人形には、木綿を素材としたガウン状の寝衣(所謂長肌着)を着せ、毛髪部を模擬的に覆うため(人形のため坊主頭であり実際には毛は無いが)介護サポーターを頭部にかぶせ、挿入補助板11を挿入する実験を行った。
尚、挿入補助板11には、市販の文房具のプラスチックの定規2種、ステンレスの定規1種を使用した。これら定規の寸法特性を〔表1〕に示す。
A commercially available futon (100 cm x 200 cm, approximately 5 cm thick, approximately 3 cm when compressed) with a surface sheet partially sewn with thread was placed on a commercially available stretcher (Muranaka Medical Equipment Co., Ltd., Nursing Stretcher, NST-1), and a commercially available newborn doll was placed on the flat part of the sheet on the futon (the part without stitching, etc.) and an experiment was performed. The newborn doll was dressed in a gown-like nightgown (so-called long underwear) made of cotton, and a care supporter was placed over the head to simulate covering the hair (although since it was a doll, it had a shaved head and no actual hair), and the insertion support plate 11 was inserted.
Two types of commercially available plastic rulers and one type of stainless steel ruler were used for the insertion aid plate 11. The dimensional characteristics of these rulers are shown in Table 1.

Figure 0007612770000001
Figure 0007612770000001

(1)新生児人形には寝衣をたるみなく着衣し、人形の背中にはしわが認められない状態に着せ、手は指を絡ませ人が手を組んでいる形にし、布団上のシーツのフラットな面上に、仰臥位の体位にして臥床させた。
(2)新生児人形の正中面の頭頂から約29cmの新生児人形の腰部の下に、左側(人形の左手の側)から右側にプラスチック定規TCC0-102を臥床面15aと水平に挿入したところ(本定規の断面は台形であるが、台形の長い辺が新生児人形の側に面し、短い辺が布団に面する形で、又、上下反対の両方のやり方で)、新生児人形の背面を抵抗なく貫通した。
(3)上記(2)のプラスチック定規TCC0-102を引き抜き、(2)と同様に、プラスチック定規JIS NO 569047YKの刻印付きの物を、頭頂から約29cmの新生児人形の腰部の下に、左側(人形の左手側)から右側に臥床面15aと水平に挿入したところ、新生児人形の背面を抵抗なく貫通した。
(4)上記(2)、(3)と同様に、ステンレスの定規を円弧の形状を有する部分を先端に、頭頂から約29cmの新生児人形の腰部の下に、左側から右側に臥床面15aと水平に挿入したところ、新生児人形の背面を抵抗なく貫通した。本実験により、厚みが1~2mmの略30cmの文房具の定規が抵抗なく、木綿の寝衣を着た新生児人形と、ベッドの布団上のシーツのフラットな臥床面15aの間に挿入できることを確認した。
〔実施例2〕
(1) The newborn doll was dressed in nightgowns with no slack, with no visible wrinkles on its back, and its hands were intertwined like clasped hands. The doll was then placed in a supine position on the flat surface of a sheet on a futon.
(2) When a plastic ruler TCC0-102 was inserted from left side (the side of the doll's left hand) to right side under the waist of the newborn doll, approximately 29 cm from the top of the head on the median surface of the newborn doll, parallel to the lying surface 15a (the cross section of this ruler is trapezoidal, but the long side of the trapezoid faces the newborn doll and the short side faces the futon, and also upside down), it penetrated the back of the newborn doll without resistance.
(3) The plastic ruler TCC0-102 from (2) above was pulled out, and a plastic ruler marked with JIS NO 569047YK was inserted, in the same manner as in (2), under the waist of the newborn doll about 29 cm from the top of the head from the left side (the left hand side of the doll) to the right side horizontally with respect to the lying surface 15a. The ruler penetrated the back of the newborn doll without resistance.
(4) As in (2) and (3) above, a stainless steel ruler was inserted from left to right, with the arc-shaped tip at the bottom of the newborn doll's waist about 29 cm from the top of the head, horizontally to the lying surface 15a, and penetrated the back of the newborn doll without resistance. This experiment confirmed that a stationery ruler about 30 cm long and 1 to 2 mm thick could be inserted without resistance between the newborn doll wearing cotton nightgown and the flat lying surface 15a of the sheet on the bed.
Example 2

実施例1と同様に、市販のストレッチャー(村中医療器株式会社、ナーシングストレッチャー、NST-1)に、表面のシーツが糸で部分的に縫いつけられている市販の布団(100cm×200cm、厚みは約5cm、圧縮すると約3cm)を載せ、本布団上のシーツのフラットな部分(縫合加工などない部分)に、市販の新生児人形を載せ実験を行った。該新生児人形には、木綿を素材としたガウン状の寝衣を着せ、毛髪部を模擬的に覆うため(人形のため坊主頭であり実際には毛は無いが)介護サポーターを頭部にかぶせ、挿入補助板11を挿入し、挿入補助板11の下の直下に支持板12を挿入する実験を行った。
支持板12は市販の金網入り硬質ポリ塩化ビニルの板(タキロン株式会社製SAKK608)を用いた。市販の該硬質ポリ塩化ビニルの板は平板で、該板を鋸、小刀、やすりを用いて加工し、概略、〔表2〕の寸法に仕上げた。

Figure 0007612770000002
As in Example 1, a commercially available futon (100 cm x 200 cm, approximately 5 cm thick, approximately 3 cm when compressed) with a surface sheet partially sewn with thread was placed on a commercially available stretcher (Muranaka Medical Equipment Co., Ltd., Nursing Stretcher, NST-1), and a commercially available newborn doll was placed on the flat part of the sheet on the futon (part without stitching) to conduct an experiment. The newborn doll was dressed in a gown-like nightgown made of cotton, and a care supporter was placed over the head to simulate covering the hair (although since it was a doll, the head was shaved and there was no hair in reality), and the insertion aid plate 11 was inserted, and the support plate 12 was inserted directly below the insertion aid plate 11.
A commercially available wire mesh hard polyvinyl chloride plate (SAKK608 manufactured by Takiron Co., Ltd.) was used as the support plate 12. The commercially available hard polyvinyl chloride plate was flat, and was processed using a saw, knife, and file to have the approximate dimensions shown in Table 2.
Figure 0007612770000002

本材料は、金網入りの硬質塩化ビニルの板であるため、鋸などでカットした折、針金が端面に出現する時があるが、針金はペンチなどで切断し、針金の突出面はやすりでなめらかに仕上げ、素手でこすってもなめらかに滑ることを確認し、以降の支持板12の挿入実験に用いた。
(1)新生児人形には木綿製の寝衣をたるみなく着衣させ、人形の背中にしわが認められない状態に着せ、手は指を絡ませ人が手を組んでいる形にし、布団上のシーツのフラットな面に仰臥位の体位にして臥床させた。
(2)新生児人形の正中面の頭頂から約32cmの新生児人形の腰部に、左側から右側にプラスチック定規TCC0-102を臥床面15aと水平に挿入したところ、実施例1と同様、新生児人形の背面を抵抗なく貫通した。
(3)引き続き、支持板12(挿入先端と両側面はテーパー加工あり、挿入先端の左右角部位は面取り加工ありのもの)を挿入補助板11の直下、挿入補助板11とベッド上のシーツのフラットな臥床面15aの間に、略水平に挿入したところ、挿入補助板11の下を抵抗なく貫通し、支持板12の上に挿入補助板11が、挿入補助板11の上に新生児人形が載る形に板が挿入できた。本実験により、新生児人形の腰部の下に、厚み1.5mm、幅33mm、長さが約30cmの挿入補助板11がまず挿入でき、本挿入補助板11の下に、厚み3mm、幅10cm、長さ90cmの支持板12が挿入できることを確認した。
〔実施例3〕
Because this material is a rigid polyvinyl chloride plate containing wire mesh, when it is cut with a saw or the like, wire may appear at the end surface; however, the wire can be cut off with pliers or the like, and the protruding surface of the wire can be smoothed with a file. It was confirmed that the material slid smoothly even when rubbed with bare hands, and was then used in the subsequent experiment to insert the support plate 12.
(1) The newborn doll was dressed in cotton nightgowns that fit snugly so that no wrinkles were visible on the back of the doll, and its hands were intertwined like clasped hands.The doll was then placed in a supine position on the flat surface of a sheet on top of a futon.
(2) When the plastic ruler TCC0-102 was inserted from left to right into the waist area of the newborn doll, approximately 32 cm from the top of the head on the median surface of the newborn doll, parallel to the lying surface 15a, it penetrated the back of the newborn doll without resistance, as in Example 1.
(3) Next, the support plate 12 (with tapered insertion tip and both sides, and chamfered left and right corners of the insertion tip) was inserted approximately horizontally directly below the insertion auxiliary plate 11, between the insertion auxiliary plate 11 and the flat lying surface 15a of the sheet on the bed, and it penetrated under the insertion auxiliary plate 11 without resistance, and the insertion auxiliary plate 11 was inserted so that it was on top of the support plate 12 and the newborn doll was placed on the insertion auxiliary plate 11. This experiment confirmed that the insertion auxiliary plate 11, which was 1.5 mm thick, 33 mm wide, and about 30 cm long, could be inserted first under the waist of the newborn doll, and then the support plate 12, which was 3 mm thick, 10 cm wide, and 90 cm long, could be inserted under the insertion auxiliary plate 11.
Example 3

実施例2の結果を引き継ぎ、新生児人形の正中面の頭頂から約32cmの腰部の下に、厚み1.5mm、幅33mm、長さが約30cmの挿入補助板11が挿入され、挿入補助板11の下に、厚み3mm、幅10cm、長さ90cmの支持板12が挿入された状態から実験を開始した。尚、支持板12は、10cmの幅があるので、人形の腰部から大腿部にかけて挿入されている状態であった。
(1)まず、人形の腰部直下にある挿入補助板11を腰部から引き抜いた。
挿入補助板11は抵抗なく引き抜けた。
(2)次に挿入補助板11、プラスチック定規TCC0-102を、実施例1、2と同様に、人形の正中面の頭頂から約15cmの新生児人形の肩部の下に、人形の左側(左手の側)から右側に向けて臥床面15aと水平に挿入した。挿入補助板11は実施例1、2と同様に新生児人形の背面を抵抗なく貫通した。
(3)その後、肩部の下に挿入された挿入補助板11の直下に、2枚目の支持板12(実施例2で使用したのと同一仕様)を人形の左側(左手の側)から右側に水平に挿入した。2枚目の支持板12は少し人形の足方向にも滑りながら挿入され、貫通した状態では、挿入補助板11の長手方向の中心線は略最初に挿入した位置にあったが、2枚目の支持板12の長手方向の中心線は挿入補助板11の長手方向の中心線から人形の足側へ約2.5cmずれたが、本支持板12は挿入補助板11の全域を載せる形で挿入された。その後、挿入補助板11を抜去した。挿入補助板11は抵抗なく抜去された。
(4)ベッド上のシーツのフラットな面と臥床人形の腰部の間に挿入した1枚目の支持板12の端と、シーツのフラットな面と臥床人形の肩部の間に挿入した2枚目の支持板12の端の間に、約4.5cmの距離ができたが、2枚目に挿入した支持板12を人形の背面下を、即ち、臥床人形と布団上のシーツのフラットな面の間を、先に挿入した腰部下の支持板12の方向へ滑らせるように移動し、大腿部から肩部にかけて、2枚の支持板12を敷き詰めた。
支持板12の臥床人形とベッド上のシーツのフラットな面の間の滑り移動は、抵抗なく実施でき、結果として、幅20cm、長さ90cmの支持板12を新生児人形の背面、即ち、臥床人形と布団上のシーツのフラットな面の間に敷き詰めることができた。
(5)その後、人形の正中面の頭頂から約10cmの頚部の直下に、再度、挿入補助板11、プラスチック定規TCC0-102を、人形の左側(左手の側)から右側へ挿入した。頚部は、実質、頭部と肩部に支えられ、ベッド上のシーツ面から浮き上がっているので、頚部の下のすき間を挿入補助板11は問題なく貫通した。3枚目の支持板12(実施例2で使用したのと同一仕様)の挿入に際しては、挿入補助板11は、臥床人形に押さえられている訳ではないので、人形の左側に出ている挿入補助板11の端を実験者の片手で押さえながら、もう一方の手で3枚目の支持板12を持ち、挿入補助板11の下に左側(人形の左手の側)から右側に支持板12を挿入した。臥床人形とベッド上のシーツの間にすき間の多い頚部の下においては、挿入補助板11の下に、支持板12は抵抗なく挿入できた。
(6)新生児人形の頚部の下へ3枚目の支持板12の挿入完了後、挿入補助板11を抜去した。挿入補助板11は抵抗なく抜去された。上記(4)と同様に、先に挿入した大腿部から肩部下を敷き詰めている2枚の支持板12の端部と、今次頚部の下に挿入された3枚目の支持板12の端部にはすき間があったので、本すき間を埋めるために、2枚目の支持板12と同様に、頚部の下に挿入された3枚目の支持板12を臥床人形とベッド上のシーツの間を水平に、人形の足方向に滑らせてすき間を埋めた。結果として、幅30cm、長さ90cmの支持板12を、概略上部頸椎から大腿部に渡る新生児人形の背面の部分と、布団上のシーツのフラットな面の間に敷き詰めることができた。
(7)頭部直下への支持板12の敷き込みに関しては、頚部は屈曲するので、挿入補助板11の挿入を省略し、頭部を少し持ち上げ、4枚目の支持板12(実施例2で使用したのと同一仕様)を左側(左手の側)から右側へ挿入し、水平方向への滑り移動も合わせ、大腿部から上部頸椎部まで敷き詰めた支持板12に頭部の支持板12を接続した。結果として、幅40cm、長さ90cmの支持板12を、概略頭部から大腿部に渡る新生児人形の背面の部分と、布団上のシーツのフラットな面の間に敷き詰めることができた。
(8)大腿部直下への支持板12の敷き込みに関しては、大腿部の直下は頚部同様、ベッド上のシーツ面との間のすき間が多く、挿入補助板11なしで、5枚目の支持板12の先端をベッドに押し付けながら挿入すると問題なく貫通できた。その後、支持板12の水平方向への滑り移動を合わせ、頭部から大腿部まで敷き詰められた支持板12に、大腿部直下へ敷いた支持板12を接続した。結果として、幅50cm、長さ90cmの支持板12を、概略頭部から膝部に渡る新生児人形の背面の部分と、布団上のシーツのフラットな面の間に敷き詰めることができた。
(9)踵部への支持板12の敷き込みに関しては、新生児人形では股関節が屈曲するので、挿入補助板11の挿入を省き、足根の部分を少し持ち上げ、6枚目の支持板12を左側(左手の側)から右側へ挿入し、水平方向への滑り移動も合わせ、頭部から膝部まで敷き詰めた支持板12に、踵部の支持板12を接続した。結果として、幅61cm、長さ90cmの支持板12を、頭部から踵部に渡る新生児人形の背面の部分と、布団上のシーツのフラットな面の間に敷き詰めることができた。
本実施例3により、挿入補助板11を必要に応じて使用し、又、頚部や大腿部、膝部など屈曲する部位を少し持ち上げることも含め、厚さ3mmのプラスチックの板を身長53cmの人形の直下に敷き詰めることが可能であることを確認した。
又、臥床者K(本実施例3では臥床人形)の屈曲部の有無や、臥床者Kとベッド上のシーツなどの臥床面15aの特性に応じ、挿入補助板11なしで、支持板12から挿入が開始できる場合があることを確認した。
〔実施例4〕
Following the results of Example 2, the experiment was started with the insertion aid plate 11, 1.5 mm thick, 33 mm wide, and 30 cm long, inserted under the waist of the newborn doll, about 32 cm from the top of the head on the median face, and the support plate 12, 3 mm thick, 10 cm wide, and 90 cm long, inserted under the insertion aid plate 11. The support plate 12 was 10 cm wide, so it was inserted from the waist to the thighs of the doll.
(1) First, the insertion support plate 11 located directly below the waist of the doll was pulled out from the waist.
The insertion aid plate 11 was pulled out without resistance.
(2) Next, the insertion aid plate 11 and the plastic ruler TCC0-102 were inserted horizontally to the lying surface 15a under the shoulders of the newborn doll, about 15 cm from the top of the head on the median surface of the doll, from the left side (left hand side) to the right side of the doll, in the same manner as in Examples 1 and 2. The insertion aid plate 11 penetrated the back of the newborn doll without resistance, in the same manner as in Examples 1 and 2.
(3) After that, the second support plate 12 (same specifications as those used in Example 2) was inserted horizontally from the left side (left hand side) to the right side of the doll directly below the insertion auxiliary plate 11 inserted under the shoulder. The second support plate 12 was inserted while sliding slightly toward the doll's feet, and when it was inserted, the center line of the longitudinal direction of the insertion auxiliary plate 11 was approximately at the position where it was first inserted, but the center line of the longitudinal direction of the second support plate 12 was shifted from the center line of the longitudinal direction of the insertion auxiliary plate 11 toward the doll's feet by about 2.5 cm, but this support plate 12 was inserted in such a way that it placed the entire area of the insertion auxiliary plate 11 on it. After that, the insertion auxiliary plate 11 was removed. The insertion auxiliary plate 11 was removed without resistance.
(4) A distance of approximately 4.5 cm was created between the edge of the first support plate 12 inserted between the flat surface of the sheet on the bed and the waist of the lying doll, and the edge of the second support plate 12 inserted between the flat surface of the sheet and the shoulders of the lying doll. The second support plate 12 was then slid under the back of the doll, i.e., between the lying doll and the flat surface of the sheet on the futon, toward the support plate 12 previously inserted under the waist, and the two support plates 12 were laid out from the thighs to the shoulders.
The sliding movement of the support plate 12 between the lying doll and the flat surface of the sheet on the bed could be performed without resistance, and as a result, the support plate 12, which is 20 cm wide and 90 cm long, could be laid out on the back of the newborn doll, i.e., between the lying doll and the flat surface of the sheet on the futon.
(5) After that, the insertion aid plate 11 and the plastic ruler TCC0-102 were inserted again from the left side (left hand side) to the right side of the doll directly under the neck about 10 cm from the top of the head on the median surface of the doll. Since the neck is supported by the head and shoulders and is raised above the surface of the bed sheet, the insertion aid plate 11 penetrated the gap under the neck without any problem. When inserting the third support plate 12 (same specifications as used in Example 2), since the insertion aid plate 11 was not held down by the lying doll, the experimenter held down the end of the insertion aid plate 11 sticking out on the left side of the doll with one hand while holding the third support plate 12 with the other hand, and inserted the support plate 12 under the insertion aid plate 11 from the left side (left hand side of the doll) to the right side. Under the neck, where there was a large gap between the lying doll and the bed sheet, the support plate 12 could be inserted under the insertion aid plate 11 without resistance.
(6) After the third support plate 12 was inserted under the neck of the newborn doll, the insertion aid plate 11 was removed. The insertion aid plate 11 was removed without resistance. As in (4) above, there was a gap between the ends of the two support plates 12 that were inserted earlier and were laying from the thighs to the shoulders, and the end of the third support plate 12 that was now inserted under the neck. In order to fill this gap, the third support plate 12 inserted under the neck was slid horizontally between the lying doll and the sheet on the bed in the direction of the doll's feet, in the same way as the second support plate 12. As a result, the support plate 12, which was 30 cm wide and 90 cm long, was able to be laid out between the back of the newborn doll, roughly from the upper cervical vertebrae to the thighs, and the flat surface of the sheet on the futon.
(7) With regard to the placement of the support plate 12 directly under the head, since the neck is bent, the insertion of the auxiliary insertion plate 11 was omitted, the head was lifted slightly, and the fourth support plate 12 (same specifications as used in Example 2) was inserted from the left side (left hand side) to the right side, and the horizontal sliding movement was also performed to connect the head support plate 12 to the support plate 12 that had been placed from the thighs to the upper cervical vertebrae. As a result, the support plate 12, 40 cm wide and 90 cm long, was able to be placed between the back of the newborn doll roughly from the head to the thighs and the flat surface of the sheet on the futon.
(8) Regarding the placement of the support plate 12 directly under the thighs, just like the neck area, there was a large gap between the thighs and the sheet surface on the bed, so without the insertion aid plate 11, the fifth support plate 12 was inserted without any problem by pressing the tip of the plate against the bed. After that, the support plate 12 was connected to the support plate 12 placed directly under the thighs by adjusting the horizontal sliding movement of the support plate 12. As a result, the support plate 12, 50 cm wide and 90 cm long, was placed between the back of the newborn doll roughly from the head to the knees and the flat surface of the sheet on the futon.
(9) As for the placement of the support plates 12 in the heel area, since the hip joints of the newborn doll are bent, the insertion of the insertion aid plate 11 was omitted, the tarsus area was lifted slightly, and the sixth support plate 12 was inserted from the left side (left hand side) to the right side, and the horizontal sliding movement was also performed, and the support plate 12 in the heel area was connected to the support plate 12 that had been placed from the head to the knee area. As a result, the support plate 12, 61 cm wide and 90 cm long, was able to be placed between the back of the newborn doll from the head to the heel area and the flat surface of the sheet on the futon.
With this Example 3, it was confirmed that it is possible to use the insertion aid plate 11 as necessary, and to slightly lift bending parts such as the neck, thighs, and knees, and to lay a 3 mm thick plastic plate directly under a 53 cm tall doll.
It was also confirmed that, depending on the presence or absence of a bent portion of the lying person K (a lying doll in this embodiment 3) and the characteristics of the lying surface 15a such as the lying person K and the sheets on the bed, it may be possible to start insertion from the support plate 12 without the insertion support plate 11.
Example 4

実施例1~3と同様に、市販のストレッチャー(村中医療器株式会社、ナーシングストレッチャー、NST-1)に、市販の表面のシーツが糸で部分的に縫いつけられている市販の布団(100cm×200cm、厚みは約5cm、圧縮すると約3cm)を載せ、本布団上のシーツのフラットな部分に(縫合加工などない部分に)、市販の新生児人形を仰臥位の体位にして載せ、実験を行った。該新生児人形には、木綿を素材とした寝衣を着せ、人形の背中にしわが認められない状態に着せ、手は指を絡ませ人が手を組んでいる形にし、毛髪部を模擬的に覆うため(人形のため坊主頭であり実際には毛は無いが)介護サポーターを頭部にかぶせ、〔表3〕に示す、厚みの薄い直方体で近似される色々な種類の材料を新生児人形の胸部から腰部にかけて挿入する実験を行った。
使用した板は、ステンレス板(株式会社久宝金属製)、アルミニウム板(株式会社久宝金属製)、ポリカーボネート板(タキロン株式会社製、PC1600)、ポリ塩化ビニル板(タキロ硬質PVC(タキロン株式会社製、TS608及びSAKK608)、変性ポリエチレンテレフタレート板(アクリルサンデー株式会社製、PG-1透明)、メタクリル樹脂板(三菱レーヨン株式会社製、アクリライト(登録商標))を使用した。各板の寸法、テーパーや面取りの加工の有無、挿入実験の結果を〔表3〕に示す。
木綿の寝衣を着せ仰臥位に横たわらせた新生児人形と布団のシーツからなる臥床面15aの間に、板を水平に、又は、板の先端で布団の上のシーツを押しながら貫通させた。貫通したものは、〔表3〕では〇で、挿入途中で新生児の寝衣などにひっかかり挿入を停止したものは〔表3〕では×で示した。本実施例4では、金属の板に関しては、加工(挿入先端のテーパーや先端の角の面取り)無しで実施し、プラスチックの板に関しては、加工したものも挿入した。そのまま挿入が不可のものに関しては、挿入補助板11(実施例1の市販の定規(TCC 0-102))を使用し、挿入補助板11と布団のシーツの臥床面15aの間に〔表3〕の実験用の板を挿入した。挿入補助板11を使用しても挿入補助板11からはみ出した部分の角部位などが新生児の寝衣や布団のシーツとひっかかり貫通しない板に関しては、該角部位を先頭とし挿入補助板11の下をくぐらせた。挿入先端の加工有無、挿入補助板11の有無、平板の幅方向又は角部を先頭にした挿入など3種の挿入モードを使用して、各板の貫通を試みた。又、貫通した金属の板と一部のプラスチックの板に関し、臥床面15aに沿う方向で、且つ挿入方向とは直角な方向で、新生児人形の頭部から足方向への板の滑り可否も実験し、これらデータを〔表3〕にまとめた。
As in Examples 1 to 3, a commercially available futon (100 cm x 200 cm, approximately 5 cm thick, approximately 3 cm when compressed) with a commercially available sheet partially sewn with thread was placed on a commercially available stretcher (Muranaka Medical Equipment Co., Ltd., Nursing Stretcher, NST-1), and a commercially available newborn doll was placed in a supine position on the flat part of the sheet on the futon (the part without stitching, etc.) to conduct an experiment. The newborn doll was dressed in a cotton nightgown so that no wrinkles were visible on the doll's back, the hands were intertwined with the fingers of a human being, and a care supporter was placed over the head to simulate covering the hair (although since it was a doll, it had a shaved head and no actual hair), and various types of materials approximated by a thin rectangular parallelepiped as shown in [Table 3] were inserted from the chest to the waist of the newborn doll.
The plates used were stainless steel plate (Kyuho Metal Co., Ltd.), aluminum plate (Kyuho Metal Co., Ltd.), polycarbonate plate (Takiron Co., Ltd., PC1600), polyvinyl chloride plate ( Takiron Rigid PVC (Takiron Co., Ltd., TS608 and SAKK608), modified polyethylene terephthalate plate (Acrylic Sunday Co., Ltd., PG-1 transparent), and methacrylic resin plate (Mitsubishi Rayon Co., Ltd., Acrylite (registered trademark)). The dimensions of each plate, whether or not it was tapered or chamfered, and the results of the insertion experiment are shown in Table 3.
A plate was inserted horizontally or while pushing the top sheet of the futon between a newborn doll dressed in cotton nightwear and a bed surface 15a consisting of the futon sheet. Those that penetrated were marked with ◯ in [Table 3], and those that were caught on the newborn doll's nightwear or stopped during insertion were marked with × in [Table 3]. In this Example 4, metal plates were inserted without processing (tapering the insertion tip or chamfering the tip corners), and plastic plates were inserted after processing. For those that could not be inserted as they were, an insertion aid plate 11 (the commercially available ruler (TCC 0-102) of Example 1) was used, and an experimental plate shown in [Table 3] was inserted between the insertion aid plate 11 and the bed surface 15a of the futon sheet. For plates that could not be penetrated even with the insertion aid plate 11 because the corners of the protruding parts were caught on the newborn's nightwear or bedding sheets, the corners were made to pass under the insertion aid plate 11. We tried to penetrate each plate using three insertion modes, including with and without processing the insertion tip, with and without the insertion aid plate 11, and inserting in the width direction of the plate or with the corners made to the front. In addition, for the penetrated metal plates and some plastic plates, we also experimented with whether the plates could slide from the head to the feet of the newborn doll in the direction along the lying surface 15a and perpendicular to the insertion direction, and the data are summarized in Table 3.

Figure 0007612770000003
Figure 0007612770000003

尚、上記材料7は、長手方向の両側、挿入先端にテーパー、挿入先端の両角部位を面取りしており、上記材料8は、市販の定規(TCC 0-102)では長手方向両側に両側面約45度でテーパーを設けてあり、上記実施例1の材料(市販の定規(JIS NO 569047YK))では、長手方向両側に、両側面逆方向に約45度でテーパーを設けてあり、上記実施例1の材料(市販のステンレス定規)では、挿入先端片方に半径約30mmの円弧を設けている。
また、上記※1)では、長手方法の両側と幅方向の先端にテーパー。〔表2〕の挿入先端稜線部位の図と同様、厚みを底辺とした二等辺三角形状のテーパーを付けた。
上記※2)では、※1)と同様、長手方向の両側と幅方向の先端に厚みを底辺とした二等辺三角形状のテーパーを付け、且つ、〔表2〕の挿入先端角部位の図と同様幅方向の先端の角部位は隅角から2mmカットした。
上記※3)では、〔表2〕の挿入先端稜線部位の図と同様、幅方向先端部に厚みを底辺とした二等辺三角形状のテーパーを付け、且つ、〔表2〕の挿入先端角部位の図と同様幅方向の先端の角部位は隅角から2mmカットした。
In addition, the material 7 has tapers on both sides of the insertion tip in the longitudinal direction, and both corners of the insertion tip are chamfered. In the case of the material 8, a commercially available ruler (TCC 0-102) has tapers on both sides of the longitudinal direction at about 45 degrees, while the material of the embodiment 1 (a commercially available ruler (JIS NO 569047YK)) has tapers on both sides of the longitudinal direction at about 45 degrees in opposite directions, and the material of the embodiment 1 (a commercially available stainless steel ruler) has an arc with a radius of about 30 mm on one side of the insertion tip.
In addition, in the above *1), both sides in the longitudinal direction and the tip in the width direction are tapered. As in the diagram of the insertion tip ridge in [Table 2], an isosceles triangular taper with the thickness as the base is added.
In the above *2), as in *1), an isosceles triangular taper with the thickness as the base was added to both longitudinal sides and the widthwise tip, and the corner part of the widthwise tip was cut 2 mm from the corner, as in the diagram of the insertion tip corner part in [Table 2].
In the above *3), similar to the diagram of the insertion tip ridge line portion in [Table 2], the width direction tip is tapered in the shape of an isosceles triangle with the thickness as the base, and similar to the diagram of the insertion tip corner portion in [Table 2], the corner portion of the width direction tip is cut 2 mm from the corner angle.

本実施例4の結果より、金属及びプラスチックの板は、臥床面15aの状態にも依存するが、無条件に挿入できるものではなく、材料を適切に選び、テーパーと角の面取など加工のないときは0.3mm~2mm厚で、テーパーと角の面取など加工はないが挿入補助板11を使用し、且つ/又は、先端の角から挿入補助板11の下に挿入する時は0.5~3mm厚でより厚い板も挿入でき、テーパーと角の面取りのある時は1.5mm以上の更に厚い板が挿入でき、挿入補助板11や支持板12として使用できることが確認された。
〔実施例5〕
From the results of this Example 4, it was confirmed that metal and plastic plates, although depending on the condition of the bed surface 15a, cannot be inserted unconditionally, but by appropriately selecting the material, when there is no processing such as taper and chamfering of the corners, a plate with a thickness of 0.3 mm to 2 mm can be inserted, and when there is no processing such as taper and chamfering of the corners but an insertion aid plate 11 is used and/or when the plate is inserted under the insertion aid plate 11 from the tip corner, a thicker plate with a thickness of 0.5 to 3 mm can be inserted, and when there is a taper and chamfering of the corners, an even thicker plate of 1.5 mm or more can be inserted, and they can be used as the insertion aid plate 11 or the support plate 12.
Example 5

実施例1~4で使用したのと同じ新生児人形、硬質ポリ塩化ビニルの支持板12(タキロン株式会社製SAKK608、厚み3mm、幅100mm、長さ900mm、挿入先端と両側面はテーパー加工、挿入先端の左右角部位は面取り加工)、市販のベッド(パナソニック電工株式会社、在宅用電動介護用ベッドRS、大きさ1975mm×998mm)上に市販のマットレス(約194cm×約96cm)が載ったものを用いて、新生児人形のリフトアップ実験を実施した。
(1)ベッドのマットレス上に、表面のシーツが糸で部分的に縫いつけられている市販の布団(100cm×200cm、厚みは約5cm、圧縮すると約3cm)を載せ、本布団上のシーツのフラットな部分に(縫合加工などない部分に)、新生児人形を載せた。新生児人形は、木綿製の寝衣をたるみなく着衣させ、人形の背中にはしわが認められない状態に着せ、毛髪部を模擬的に覆うため(人形のため坊主頭であり実際には毛は無いが)介護サポーターを頭部にかぶせ、手は指を絡ませ人が手を組んでいる形にし、布団上のシーツのフラットな面に仰臥位の体位にして臥床させた。
(2)本実施例5では、挿入補助板11の挿入は省略し、新生児人形の正中面の頭頂から約30cmの人形の腰部に支持板12の長手方向の中心線が重なるように、支持板12の先端部をベッド上の布団に押し付けながら挿入した。挿入は大きな抵抗もなく実施できた。
(3)同様に、新生児人形の正中面の頭頂から約44cmの膝下の位置に、支持板12の長手方向の中心線が重なるように2枚目の支持板12を挿入した。本挿入も大きな抵抗なく実施できた。
(4)次に、人形の身体とベッド上のシーツの臥床面15aにすき間のある頚部下に、3枚目の支持板12の挿入先端の角部位を先頭に、ベッド上の布団を挿入先端で少し押しながら挿入し、その後、支持板12の長さ方向とは略直角の、人形の頭部の方向へ、支持板12を滑り移動させた。人形の毛髪部は介護サポーターで覆ってあるため人形の後頭部と少し段差があり、この部分と考えられるが、板の滑り移動時ひっかかり、一度、支持板12の移動を中断させた。人形の頭部を少し持ち上げ、支持板12を問題なく人形の後頭部へ移動した。3枚目の板の位置は、人形の正中面の頭頂から約9cmであった。人形の正中面と支持板12の長手方向の中心線が交わる位置の人形の頭頂からの概略の距離、即ち、支持板12の挿入位置を〔表4〕に示す。
A lift-up experiment was carried out on the same newborn doll as used in Examples 1 to 4, a hard polyvinyl chloride support plate 12 (SAKK608 manufactured by Takiron Co., Ltd., thickness 3 mm, width 100 mm, length 900 mm, tapered at the insertion tip and both sides, chamfered at the left and right corners of the insertion tip), and a commercially available bed (Panasonic Electric Works Co., Ltd., home electric nursing bed RS, size 1975 mm x 998 mm) placed on a commercially available mattress (approximately 194 cm x approximately 96 cm).
(1) A commercially available futon (100 cm x 200 cm, approximately 5 cm thick, approximately 3 cm when compressed) with a surface sheet partially sewn with thread was placed on top of a bed mattress, and a newborn doll was placed on the flat part of the sheet on the futon (the part without stitching, etc.). The newborn doll was dressed in cotton nightwear with no slack, with no wrinkles on the back of the doll, a care supporter was placed over the head to simulate hair coverage (although the doll had a shaved head and no hair in reality), and the fingers of the hands were intertwined in the shape of a human's hands clasped together, and the doll was placed in a supine position on the flat surface of the sheet on the futon.
(2) In this Example 5, the insertion of the insertion aid plate 11 was omitted, and the tip of the support plate 12 was pressed against the futon on the bed so that the center line of the length of the support plate 12 was aligned with the waist of the newborn doll about 30 cm from the top of the head on the median surface of the doll. The insertion could be performed without any significant resistance.
(3) Similarly, the second support plate 12 was inserted into the newborn doll at a position about 44 cm below the knee from the top of the head on the median face of the newborn doll so that the center line of the longitudinal direction of the support plate 12 was aligned. This insertion could also be performed without any significant resistance.
(4) Next, the third support plate 12 was inserted under the neck where there was a gap between the doll's body and the lying surface 15a of the bed sheet, starting from the corner of the insertion tip while slightly pushing the futon on the bed with the insertion tip, and then the support plate 12 was slid toward the doll's head at a right angle to the length direction of the support plate 12. The doll's hair was covered with a care supporter, so there was a slight step with the back of the doll's head, and it was thought that this part was caught when the plate slid and moved, so the movement of the support plate 12 was stopped once. The doll's head was lifted a little, and the support plate 12 was moved to the back of the doll's head without any problems. The position of the third plate was about 9 cm from the top of the head of the doll on the median plane. The approximate distance from the top of the head to the position where the median plane of the doll and the center line of the longitudinal direction of the support plate 12 intersect is shown in [Table 4].

Figure 0007612770000004
Figure 0007612770000004

(5)(2)~(4)の支持板12の挿入で、新生児人形は、微調整も含め、3枚の支持板12の略中央に載っており、これら3枚の支持板12の左右端部の直下に、臥床人形の頭から足の軸と略平行な方向に、荷重支持部材14の一部として、支持板12と同じ仕様の板を左に1枚、右に1枚、これらの板の長手方向が人形の頭から足の軸方向に略平行な方向に挿入した。実験参加者が1人ずつ、ベッドの左右に立ち、支持板12の端部の直下に挿入されたプラスチックの支持補助板13を手・腕で支え、もう1人の実験参加者(実験参加者は合計3名)がベッドの昇降機構として使用する当初新生児人形が載っていたベッドの床面を降下させると、新生児人形とベッドの布団上のシーツの臥床面15aの間に空間Sが形成された。新生児人形と臥床面15aの距離は約2cmであった。
(6)本空間Sを利用して、体位変換などに使用するシート(本実験では、特願2016-137799記載の身体ホルダー;当該品は大きさが約50cm×50cm×2cm。臥床者K側からバスタオルの緩衝断熱材/ポリエチレンの袋に包まれた加熱により硬軟変化するシート(パラフィンワックス115F(Paraffin Wax-115)使用)、シートを加熱するフィルムヒーターからなる)を臥床人形の下へ敷き込んだ。
(7)その後、電動ベッドの昇降機構を調整しながら上昇させ、支持板12が、体位変換などに使用するシート(本実験では身体ホルダー)の表面のバスタオルの緩衝断熱材などと接触した時点で上昇を停止し、新生児人形が載っている3枚の支持板12が、身体ホルダーの上で、又、該ホルダーはベッドの床面の上で支えられていることを確認し3枚の支持板12を足側から順に抜去した。
(8)支持板12の挿入開始から3枚の支持板12の挿入完了までが、約40秒、荷重支持部材14の組み立て準備完了までが、約17秒、昇降機構で臥床面15aを下降させ、医療、看護、又は介護を含む処置に使用する器具(本実施例5では、体位変換などに使用する身体ホルダー)の挿入に約8秒、昇降機構の上昇に約17秒、支持板12の抜去に約17秒、合計約1分40秒で全ての作業を完了した。これら作業時間を〔表5〕にまとめて示す。
(5) After inserting the support plates 12 in (2) to (4), the newborn doll was placed in the approximate center of the three support plates 12, including fine adjustments, and two plates with the same specifications as the support plates 12 were inserted as part of the load support member 14, one on the left and one on the right, in a direction approximately parallel to the axis of the lying doll's head to feet, directly below the left and right ends of these three support plates 12, with the longitudinal direction of these plates approximately parallel to the axial direction of the doll's head to feet. One participant stood on each side of the bed, supporting the plastic auxiliary support plates 13 inserted directly below the ends of the support plates 12 with their hands and arms, while another participant (a total of three participants) lowered the floor of the bed on which the newborn doll was originally placed, which was used as a bed lifting mechanism, and a space S was formed between the newborn doll and the lying surface 15a of the sheet on the bed futon. The distance between the newborn doll and the lying surface 15a was about 2 cm.
(6) Using this space S, a sheet used for changing positions, etc. (in this experiment, a body holder described in Patent Application No. 2016-137799; this product is approximately 50 cm x 50 cm x 2 cm in size; it is made of a sheet (made of paraffin wax 115F (Paraffin Wax-115)) that changes hardness and softness when heated, wrapped in a cushioning and insulating bath towel/polyethylene bag, and a film heater for heating the sheet) was placed under the lying doll from the lying doll's side.
(7) After that, the electric bed was raised while adjusting its lifting mechanism. When the support plates 12 came into contact with the cushioning and insulating material of the bath towel on the surface of the sheet (the body holder in this experiment) used for changing positions, etc., the rise was stopped. After confirming that the three support plates 12 on which the newborn doll was resting were supported on the body holder, and that the holder was supported on the bed floor, the three support plates 12 were removed in order from the foot side.
(8) It took about 40 seconds from the start of inserting the support plates 12 to the completion of insertion of the three support plates 12, about 17 seconds to complete preparation for assembling the load support members 14, about 8 seconds to lower the bed surface 15a with the lifting mechanism and insert the instruments used in medical, nursing, or caregiving procedures (in this Example 5, a body holder used for changing positions, etc.), about 17 seconds to raise the lifting mechanism, and about 17 seconds to remove the support plates 12, for a total of about 1 minute and 40 seconds to complete all the work. These work times are summarized in [Table 5].

Figure 0007612770000005
Figure 0007612770000005

本実施例5により、医療又は看護又は介護を含む処置の必要性に応じ、プラスチック製の支持板12を敷き詰めることなく新生児人形とベッド上のシーツの間に挿入し、プラスチックの支持板12と人の手腕からなる荷重支持部材14、電動ベッドの昇降機構15からなる身体リフトシステム100にて、新生児人形とベッド上のシーツの間に空間Sが形成され、本空間Sに、容易に、医療、看護、又は介護を含む処置に使用する器具が挿入できることを確認した。
〔実施例6〕
In this Example 5, depending on the need for treatment including medical, nursing or caregiving, a plastic support plate 12 is inserted between the newborn doll and the sheets on the bed without laying the whole surface, and a space S is formed between the newborn doll and the sheets on the bed by the body lift system 100 consisting of the plastic support plate 12, a load support member 14 consisting of a human arm, and an electric bed lifting mechanism 15, and it has been confirmed that instruments used for treatment including medical, nursing or caregiving can be easily inserted into this space S.
Example 6

実施例2と同様、挿入補助板11として市販のプラスチック定規TCC0-102を用い、支持板12として、硬質ポリ塩化ビニルの板(タキロン株式会社製SAKK608、厚み3mm、幅100mm、長さ900mm、挿入先端と両側面はテーパー加工、挿入先端の左右角部位は面取り加工)を3枚用いて実験を行った。
(1)ストレッチャーとして使用される木村寝台工業株式会社製kp PARAMOUNT BEDは金属の床面を有しており、本床面の上に新生児人形を載せた。該新生児人形には、木綿を素材とした寝衣を着衣させ、人形の背中にはしわが認められない状態に着せ、毛髪部を模擬的に覆うため(人形のため坊主頭であり実際には毛は無いが)介護サポーターを頭部にかぶせ、手は指を絡ませ人が手を組んでいる形にし、仰臥位の体位にして臥床させた。
(2)市販のプラスチック定規TCC0-102を挿入補助板11として使用し、腰部に本定規の断面の台形の短い辺が新生児人形の側に面し、長い辺が金属面に面する形で挿入を試みたが、床面が硬いためか挿入に抵抗があり、挿入補助板11は、一旦抜去した。挿入補助板11の挿入位置を変え、首部直下の自然に形成される空間から再度、本定規の断面の台形の短い辺が新生児人形の側に面し、長い辺が金属面に面する形で挿入し、貫通させ、その後、挿入方向とは直角な頭部から足部の軸に平行に、脚部方向へ挿入補助板11を平行移動すると新生児形の寝衣と金属の床面の間を滑り移動し、腰部に貫通させた形が形成できた。
(3)腰部の挿入補助板11の直下に、挿入補助板11の端を持ち上げながら支持板12を挿入した。支持板12は大きな抵抗もなく挿入補助板11の下に挿入できた。その後挿入補助板11は抜去した。抜去は問題なく実施できた。
(4)(3)と同様に、首部の下にまず挿入補助板11を、続いて2枚目の支持板12を挿入し、同様に、大腿部から膝部にかけて挿入補助板11、3枚目の支持板12を挿入し、その後、支持板12を水平方向、直角方向に滑り移動させ、微調整し、実施例5で新生児の荷重を支持したのと略同様の板の配置を形成した。
(5)(1)から(4)と同様に、災害時を想定し、実験室の床を臥床面15aとして実験を実施した。実験室の床は、ポリ塩化ビニルのタイルであった。
(6)市販のプラスチック定規TCC0-102を挿入補助板11として使用し、腰部に、本定規の断面の台形の短い辺が新生児人形の側に面し、長い辺がポリ塩化ビニルのタイルに面する形で挿入を試みたが、床面が硬く腰部直下では挿入抵抗が大きく困難であったため、(2)と同じく首部の下の自然に形成される空間から再度、本定規の断面の台形の短い辺が新生児人形の側に面し、長い辺がポリ塩化ビニルのタイルに面する形で挿入、貫通させ、その後挿入方向とは直角な脚部方向へ平行移動すると新生児形の寝衣と実験室の床面の間を滑り移動し、腰部に貫通させた形が形成できた。腰部の挿入補助板11の直下に、挿入補助板11の端を持ち上げながら支持板12を挿入した。支持板12は大きな抵抗もなく挿入補助板11の下に挿入できた。その後挿入補助板11は抜去した。抜去は問題なく実施できた。
(7)(4)と同様に、挿入補助板11を繰り返し使用して、2枚目、3枚目の支持板12を挿入し、実施例4で新生児の荷重を支持したのと同様の板の配置を形成した。
(8)又、戸外の災害時を想定し、モデル臥床面15aとして実験室の外側の林の地面、土と石が露出している比較的フラットな露出面を使用した。定規からなる挿入補助板11の腰部からの挿入が戸外の地面でも困難であったので、首部の下の空間からまず本定規の断面の台形の短い辺が新生児人形の側に面し、長い辺が地面に面する形で挿入し、その後、足側へ平行移動し腰部に挿入した。
(9)腰部の挿入補助板11の下に、挿入補助板11の端を持ち上げながら支持板12を挿入した。支持板12は地面との抵抗はあったが、問題なく挿入補助板11の下に挿入できた。
(10)腰部から挿入補助板11を抜去し、抜去した挿入補助板11を使用し、(9)と同様に、首部の下に挿入し、その下に、2枚目の支持板12を挿入し、又、首部から挿入補助板11を抜去し、抜去した挿入補助板11を大腿部から膝部に挿入し、3枚目の支持板12を挿入した。その後、3枚の支持板12を水平方向、直角方向に移動微調整し、実施例4で新生児の荷重を支持したのと略同様の配置とした。
本実施例6により、金属面、ポリ塩化ビニルのタイル、戸外の地面などの臥床面15aも、身体リフトシステム100の構成要素である挿入補助板11、支持板12が挿入可能であることが確認された。例えば人の手・腕からなる荷重支持部材14、昇降機構15と組み合わせることにより、臥床者Kの下に、例えば担架などの災害時の看護、介護器具が挿入可能となる。
〔実施例7〕
As in Example 2, the experiment was conducted using a commercially available plastic ruler TCC0-102 as the insertion aid plate 11 and three hard polyvinyl chloride plates (SAKK608 manufactured by Takiron Co., Ltd., thickness 3 mm, width 100 mm, length 900 mm, the insertion tip and both sides are tapered, and the left and right corners of the insertion tip are chamfered) as the support plates 12.
(1) The kp PARAMOUNT BED manufactured by Kimura Sleeping Platform Co., Ltd. used as a stretcher has a metal floor, and a newborn doll was placed on this floor. The newborn doll was dressed in cotton nightwear, with no wrinkles visible on the back of the doll, and a care supporter was placed over the head to simulate hair coverage (although the doll had a shaved head and no actual hair), and the hands were intertwined with the fingers of a person clasped together, and the doll was placed in a supine position.
(2) Using a commercially available plastic ruler TCC0-102 as the insertion aid 11, an attempt was made to insert the ruler into the waist with the short side of the trapezoidal cross section facing the newborn doll and the long side facing the metal surface, but there was resistance to insertion, possibly due to the hard floor surface, so the insertion aid 11 was temporarily removed. The insertion position of the insertion aid 11 was changed, and the ruler was again inserted from the space that was naturally formed just below the neck with the short side of the trapezoidal cross section facing the newborn doll and the long side facing the metal surface, penetrating through, and then the insertion aid 11 was translated in parallel from the head to the foot axis, perpendicular to the insertion direction, toward the legs, where it slid between the newborn doll's nightgown and the metal floor surface, forming a penetrating shape in the waist.
(3) The support plate 12 was inserted directly below the insertion aid plate 11 for the lower back while lifting the end of the insertion aid plate 11. The support plate 12 could be inserted under the insertion aid plate 11 without significant resistance. The insertion aid plate 11 was then removed. The removal was carried out without any problems.
(4) As in (3), first insert the insertion aid plate 11 under the neck, followed by the second support plate 12. Similarly, insert the insertion aid plate 11 and the third support plate 12 from the thigh to the knee. Then, slide the support plate 12 horizontally and perpendicularly for fine adjustment, forming a plate arrangement approximately similar to that used to support the weight of the newborn in Example 5.
(5) As in (1) to (4), the experiment was carried out assuming a disaster, with the floor of the laboratory being the lying surface 15a. The floor of the laboratory was made of polyvinyl chloride tiles.
(6) A commercially available plastic ruler TCC0-102 was used as the insertion aid 11, and an attempt was made to insert the ruler into the lower back with the short side of the trapezoid cross section facing the newborn doll and the long side facing the polyvinyl chloride tile. However, the floor surface was hard and the insertion resistance was large directly below the lower back, so the ruler was inserted again from the space that was naturally formed below the neck in the same manner as in (2), with the short side of the trapezoid cross section of the ruler facing the newborn doll and the long side facing the polyvinyl chloride tile, and penetrated. Then, by moving parallel to the leg direction perpendicular to the insertion direction, the ruler slid between the newborn doll's nightgown and the floor surface of the laboratory, and a shape was formed in which the ruler penetrated the lower back. The support plate 12 was inserted directly below the insertion aid 11 of the lower back while lifting the end of the insertion aid 11. The support plate 12 could be inserted under the insertion aid 11 without much resistance. The insertion aid 11 was then removed. Removal was carried out without any problems.
(7) As in (4), the insertion aid plate 11 was repeatedly used to insert a second and third support plate 12 to form a plate arrangement similar to that used in Example 4 to support the weight of a newborn baby.
(8) In addition, assuming an outdoor disaster, the ground of the forest outside the laboratory, a relatively flat exposed surface with exposed soil and stones, was used as the model lying surface 15a. Since it was difficult to insert the insertion support plate 11 made of a ruler from the waist even on the ground outdoors, the ruler was first inserted from the space under the neck with the short side of the trapezoidal cross section facing the newborn doll and the long side facing the ground, and then it was moved parallel to the feet and inserted into the waist.
(9) The support plate 12 was inserted under the lower back insertion aid plate 11 while lifting the end of the insertion aid plate 11. Although there was some resistance between the support plate 12 and the ground, it could be inserted under the insertion aid plate 11 without any problems.
(10) The insertion auxiliary plate 11 was removed from the waist, and the removed insertion auxiliary plate 11 was used and inserted under the neck in the same manner as in (9), and the second support plate 12 was inserted under it, and the insertion auxiliary plate 11 was also removed from the neck, and the removed insertion auxiliary plate 11 was inserted from the thigh to the knee, and the third support plate 12 was inserted. After that, the three support plates 12 were moved and fine-tuned in the horizontal and perpendicular directions to be arranged in approximately the same manner as in Example 4, in which the weight of the newborn was supported.
With this embodiment 6, it was confirmed that the insertion aid plate 11 and the support plate 12, which are components of the body lift system 100, can be inserted into the bed surface 15a such as a metal surface, a polyvinyl chloride tile , or the ground outdoors. By combining with the load support member 14, which is a human hand or arm, and the lifting mechanism 15, it becomes possible to insert a nursing care tool for use in a disaster, such as a stretcher, under the bedridden person K.
Example 7

(1)実施例1~4と同様、市販のストレッチャー(村中医療器株式会社製、ナーシングストレッチャー、NST-1)に、市販の表面のシーツは糸で縫いつけられている布団(100cm×200cm、厚みは約5cm、圧縮すると約3cm)を載せ、今回は、荷重支持部材14を設置して行う実験であるため、ストレッチャー(縦194cm、横54cm)の上に、実施例1~3で使用した表面のシーツは糸で縫いつけられている市販の布団を二つ折にし、略200cm×50cm、厚みは約10cm、圧縮すると約5cmの布団を一つの布団のように使用し、実験を行った。その上に市販のパジャマを着用させ、毛髪を覆うため介護サポーターを頭部に被せた身長162cm、体重69kgの臥床者役の成人男子実験者を、手掌を組んだ形で仰臥位に臥床させた。成人は新生児人形より大きいので、挿入補助板11の挿入は省略し、実施例2で使用したのと同仕様の支持板12(挿入先端と両側面はテーパー加工あり、挿入先端の左右角部位は面取り加工ありのもの)を頭から足側へ、順番に、成人の左側(左手の側)から7本挿入した。挿入先端をストレッチャー上の布団に糸で縫い付けられているシーツを押しながらゆっくり挿入した。下腿部と足首部の挿入時、右脚のパジャマのズボンの筒のたるみを支持板12が巻き込み(支持板12の先端を布が覆う形)、挿入抵抗が大きい事態も発生したが、介護者(本実施例7では支持板12の挿入者)が、素手で、挿入先端から布を外すことで、挿入は続行でき、7枚の支持板12の挿入は完成した。臥床者Kの正中面と支持板12の長手方向の中心線の交点の臥床者Kの頭頂からの距離、即ち、支持板12の挿入の概略の位置を〔表6〕に示す。 (1) As in Examples 1 to 4, a commercially available futon (100 cm x 200 cm, approximately 5 cm thick, approximately 3 cm compressed) with a commercially available sheet sewn onto the surface was placed on a commercially available stretcher (Nursing Stretcher, NST-1, manufactured by Muranaka Medical Equipment Co., Ltd.), and since this experiment was conducted with a load support member 14 installed, the commercially available futon with a sewn onto the surface used in Examples 1 to 3 was folded in half on top of the stretcher (194 cm long, 54 cm wide), and the resulting futon was approximately 200 cm x 50 cm, approximately 10 cm thick, and approximately 5 cm compressed, and used as a single futon for the experiment. A 162 cm tall, 69 kg weight adult male experimenter was made to lie on his back with his hands folded, wearing commercially available pajamas on top of the futon and a care supporter over his head to cover his hair. Since an adult is larger than a newborn doll, the insertion of the insertion aid plate 11 was omitted, and seven support plates 12 (with tapered insertion tip and both sides, and chamfered left and right corners of the insertion tip) of the same specifications as those used in Example 2 were inserted in order from the head to the foot side, starting from the left side (left hand side) of the adult. The insertion tip was inserted slowly while pushing the sheet sewn with thread to the futon on the stretcher. When inserting the lower leg and ankle, the support plate 12 rolled up the loose tube of the right pajama pants (the tip of the support plate 12 was covered by the cloth), and a large insertion resistance occurred, but the caregiver (the person inserting the support plate 12 in this Example 7) was able to continue the insertion by removing the cloth from the insertion tip with bare hands, and the insertion of the seven support plates 12 was completed. The distance from the top of the head of the recumbent K to the intersection of the median plane of the recumbent K and the longitudinal center line of the support plate 12, i.e., the approximate position of the insertion of the support plate 12, is shown in Table 6.

Figure 0007612770000006
Figure 0007612770000006

これら支持板12は、臥床者Kの背面を全域ではなく部分的に覆っている。これら支持板12を使用し、以下の(2)のリフトアップ実験を取り進めた。
(2)杉の木の板で(厚み、厚み14mm、幅90mm、長さ975mm)、挿入先端にテーパーを付けたものを支持補助板13として準備した。挿入先端のテーパーは、鋸を用いて切削加工した。支持補助板13の仕様を〔表7〕に示す。
These support plates 12 cover only part of, but not the entire, back of the lying person K. Using these support plates 12, the following lift-up experiment (2) was carried out.
(2) A cedar board (thickness: 14 mm, width: 90 mm, length: 975 mm) with a tapered tip was prepared as the auxiliary support plate 13. The tapered tip was cut using a saw. The specifications of the auxiliary support plate 13 are shown in Table 7.

Figure 0007612770000007
Figure 0007612770000007

支持板12の配置に合わせその直下に、支持板12をガイドとして、支持補助板13を、即ち、支持板12と、ストレッチャー(臥床面15aを有する昇降機構15の一例)の上のシーツは糸で縫いつけられている市販の布団を二つ折にしたものの臥床者側表面との間に、臥床者Kの左側(左手の側)から右側へ、頭側から足側へ順番に挿入した。支持補助板13は大きな抵抗なく挿入できた。
(3)支持板12の長さが900mm、支持補助板13の長さが975mm、成人臥床者Kが臥床しているストレッチャーの幅が540mmであり、支持板12と支持補助板13は臥床者Kの乗っているストレッチャーからはみ出しているが、それぞれの板の左右へのはみ出し幅を均等に調整した後、成人臥床者Kが乗っているストレッチャーの臥床者Kの右側(右手の側)に、荷重支持部材14として別のストレッチャー、PARAMOUNTBED KK-700-095Dをまず1台配置し、臥床者K右側にはみ出している支持補助板13の底面がほぼ、右側のストレッチャーに接する高さにストレッチャーの高さを調整し、その後、臥床者Kの左側に(左手の側に)更に荷重支持部材14として、別の1台のストレッチャー、PARAMOUNTBED KA-881を配置し、右側と同じく、臥床者Kの左側にはみ出している支持補助板13の底面がほぼ、左側のストレッチャーに接する高さになるようにストレッチャーの高さを調整した。
(4)臥床者Kが乗っているストレッチャーの左右にある荷重支持部材14としてのストレッチャーの高さを微調整し、支持補助板13が左右のストレッチャーに支えられていることを確認し、即ち、支持補助板13が水平に支えられていることを確認し、結果として、支持補助板13の上に載っている支持板12、支持板12の上に乗っている臥床者Kが水平に支えられていることを確認し、昇降機構15でもある、臥床者Kの乗っているストレッチャーを床面の昇降ハンドルをゆっくり回し、下降させ、臥床者Kの背面全域に空間Sを形成した。本実施例7では、臥床者K直下の空間Sの大きさは、深さが約16cm、幅が約63cm、長さが約200cmであった。
(5)本実施例7では、臥床者Kが臥床面15aから相対的にリフトアップした状態で(実際は、臥床者Kが乗っているストレッチャーをリフトダウン)約1分経過後、臥床者Kの乗った昇降機構であるストレッチャーをゆっくり上昇させ、荷重支持部材14である別の2機のストレッチャーにより支えられている7本の支持補助板13を、ストレッチャー上の、表面のシーツが糸で縫いつけられている市販の布団の表面に接触させ、ストレッチャー下降直前の状態に戻し、臥床者Kが当初乗っていたストレッチャーにより、支持補助板13の自重、支持板12の自重、臥床者Kの体重が支えられていることを確認後、臥床者Kの左側(左手側)の荷重支持部材14として使用中のストレッチャーの高さを下降させ、臥床者Kが乗っているストレッチャーから板を抜去する次の操作に支障のない距離だけ離した。左側の荷重支持部材14が外れたことにより、臥床者Kの体が傾くことがないか確認し、右側の荷重支持部材14の高さを微調整し、その後、臥床者Kの左側の足側から支持補助板13を順番に頭側へと抜去し、支持補助板13が全て抜去されてから、支持板12を足側から順次頭側へ抜去し、臥床者Kを元の臥床状態に復帰した。
本実施例7で、昇降機構の降下開始から復帰まで、臥床者Kの直下全域に渡る空間Sが、少なくとも約2分間形成できたことが確認された。支持板12の挿入から、16cmの空間Sを形成するまでの時間が5分半、その後、復帰に約2分要した。実験参加の臥床者Kは合計7分半は板の上に乗っていたことになるが、痛み、疲れは特になしとのことであった。
本実施例7により、本発明の身体リフトシステム100は、医療、看護、又は介護を含む処置に使用するに十分な空間Sを、臥床者K直下に形成できることが確認された。
〔実施例8〕
In accordance with the position of the support plate 12, the auxiliary support plate 13 was inserted directly below it, using the support plate 12 as a guide, that is, between the support plate 12 and the surface of a commercially available futon folded in half with a sheet sewn with thread on the stretcher (an example of a lifting mechanism 15 having a lying surface 15a) facing the lying person, in order from the left side (the side of the left hand) to the right side and from the head side to the foot side of the lying person K. The auxiliary support plate 13 could be inserted without much resistance.
(3) The length of the support plate 12 is 900 mm, the length of the auxiliary support plate 13 is 975 mm, and the width of the stretcher on which the adult patient K is lying is 540 mm. The support plate 12 and the auxiliary support plate 13 protrude from the stretcher on which the adult patient K is lying. After adjusting the protruding widths of each plate to the left and right evenly, a separate stretcher, PARAMOUNT BED KK-700-095D, is first placed as a load supporting member 14 on the right side (right hand side) of the stretcher on which the adult patient K is lying. The height of the stretcher is adjusted so that the bottom surface of the support auxiliary plate 13 protruding to the right side of the patient K is almost in contact with the right stretcher. After that, another stretcher, PARAMOUNT BED KK-700-095D, is placed as a load supporting member 14 on the left side (left hand side) of the patient K. KA-881 was placed, and the height of the stretcher was adjusted so that, just like on the right side, the bottom surface of the auxiliary support plate 13 protruding to the left side of the recumbent patient K was at a height that was approximately in contact with the stretcher on the left side.
(4) The height of the stretchers as the load support members 14 on the left and right of the stretcher on which the lying person K is lying is finely adjusted, and it is confirmed that the auxiliary support plates 13 are supported by the left and right stretchers, that is, it is confirmed that the auxiliary support plates 13 are supported horizontally, and as a result, it is confirmed that the support plate 12 on the auxiliary support plates 13 and the lying person K on the support plates 12 are supported horizontally, and the stretcher on which the lying person K is lying, which also serves as the lifting mechanism 15, is lowered by slowly turning the lifting handle on the floor surface, and a space S is formed around the entire back of the lying person K. In this Example 7, the size of the space S directly below the lying person K was about 16 cm deep, about 63 cm wide, and about 200 cm long.
(5) In the seventh embodiment, after about one minute has elapsed while the lying person K is lifted up relatively from the lying surface 15a (actually, the stretcher on which the lying person K is riding is lifted down), the stretcher, which is the lifting mechanism on which the lying person K is riding, is slowly raised, and the seven support auxiliary plates 13 supported by two other stretchers, which are the load supporting members 14, are brought into contact with the surface of a commercially available futon on the stretcher, the surface of which has a sheet sewn with thread, and the stretcher is returned to the state it was in just before it was lowered. After it has been confirmed that the weight of the support auxiliary plates 13, the weight of the support plates 12, and the weight of the lying person K are being supported by the stretcher on which the lying person K was originally riding, the height of the stretcher being used as the load supporting member 14 on the left side (left hand side) of the lying person K is lowered and moved away by a distance that will not interfere with the next operation of removing the plates from the stretcher on which the lying person K is riding. It was checked whether the body of the lying person K would tilt due to the removal of the left load support member 14, and the height of the right load support member 14 was fine-tuned. After that, the support auxiliary plates 13 were removed in order from the foot side of the left side of the lying person K toward the head side, and after all the support auxiliary plates 13 had been removed, the support plates 12 were removed in order from the foot side toward the head side, returning the lying person K to his original lying position.
In this Example 7, it was confirmed that the space S covering the entire area directly below the recumbent K could be formed for at least about 2 minutes from the start of descent of the lifting mechanism to its return. It took 5 and a half minutes from the insertion of the support plate 12 to the formation of the 16 cm space S, and about 2 minutes for the return thereafter. The recumbent K who participated in the experiment was on the plate for a total of 7 and a half minutes, but reported no particular pain or fatigue.
This Example 7 confirmed that the body lift system 100 of the present invention can form a space S directly below the lying person K that is sufficient for use in treatments including medical care, nursing, or caregiving.
Example 8

実施例7と同様、市販のストレッチャー(村中医療器株式会社製、ナーシングストレッチャー、NST-1)に、表面のシーツは糸で縫いつけられている市販の布団を二つ折にした、略200cm×50cm、厚みは約10cm、圧縮すると約5cmの布団を載せて使用した。本二つ折にした布団の上に、更にシーツを一枚被せ、ベッドメイキングの要領で、シーツの四方は布団の下に折り込んだ。臥床者Kとして市販の成人人形を使用した。成人人形には和風の寝間着を着せ、しわなく展開され、且つ、ベッドの下に折り込まれたシーツの上に手を組んだ状態で臥床させた。当成人人形には毛髪はないが、枕の代わりとして折り曲げたバスタオル(25cm×35cm、厚み2~3cm)を後頭部に敷いた。その後、成人人形の直下、即ち、成人人形とシーツの間に、実施例7で用いたのと同じ支持板12(挿入先端と両側面はテーパー加工あり、挿入先端の左右角部位は面取り加工ありのもの)を腰部、胸部、臀部、肩部、足首部、頭部のバスタオルとシーツの間、大腿部の順に7枚挿入した。支持板12の長手方向の中心線と、成人人形身体の正中面との交点の頭頂からの概略の距離を〔表8〕にまとめる。 As in Example 7, a commercially available futon with a sheet sewn on the surface was folded in half, approximately 200 cm x 50 cm, about 10 cm thick, and about 5 cm when compressed, placed on a commercially available stretcher (Nursing Stretcher, NST-1, manufactured by Muranaka Medical Equipment Co., Ltd.). An additional sheet was placed on top of the folded futon, and all four sides of the sheet were folded under the futon in the same manner as making a bed. A commercially available adult doll was used as the bedridden person K. The adult doll was dressed in Japanese-style nightwear and was made to lie down with its hands folded on the sheet that had been unfolded without wrinkles and folded under the bed. The adult doll had no hair, but a folded bath towel (25 cm x 35 cm, 2-3 cm thick) was placed on the back of its head as a pillow. After that, seven of the same support plates 12 as used in Example 7 (with tapered insert tip and both sides, and chamfered left and right corners of insert tip) were inserted directly below the adult doll, i.e., between the adult doll and the sheet, in the following order: waist, chest, buttocks, shoulders, ankles, between the bath towel and sheet at the head, and thighs. The approximate distance from the top of the head to the intersection of the longitudinal center line of the support plate 12 and the median plane of the adult doll's body is summarized in [Table 8].

Figure 0007612770000008
Figure 0007612770000008

その後、支持板12の下に、腰部、胸部、臀部、頭部、肩部、大腿部、足首部の順に、実施例7で用いたのと同じ支持補助板13を7枚挿入した。
臥床者Kの乗っているストレッチャーの右側(人形の右手方向)と左側に荷重支持部材14として、それぞれ木村寝台工業株式会社製kp PARAMOUNT BEDとPARAMOUNT BED KK-700-095Dを配置し、成人人形の載っている昇降機構15としてのストレッチャーを使用し、臥床面15aを低下させ、成人人形の直下、臥床面15aとの距離が約10cmの空間Sを形成した。
本空間Sを利用して、医療、看護、又は介護を含む処置の一であるシーツ交換を実施した。ストレッチャー上の二つ折にした布団の上に被せたシーツを外し、別のシーツを被せ、ベッドメイキングの要領で、シーツのしわは除去し、シーツの四方は布団の下に折り込んだ。
その後、実施例7と同様に、昇降機構として使用中のストレッチャーの床面を上昇させ支持補助板13の底面と接触させ、ストレッチャー床面を下降直前の状態に戻した。成人人形が乗っているストレッチャーにて支持補助板13の自重、支持板12の自重、臥床者Kである人形の体重が支えられていることを確認後、臥床者Kの左側(左手側)の荷重支持部材14として使用しているストレッチャーを下降させ、左側の荷重支持部材14が外れたことにより、臥床者Kの体が傾くことがないかを確認しつつ、右側の荷重支持部材14の高さを微調整し、臥床人形と、その下の支持板12、支持板12の下の支持補助板13がほぼ水平状態で安定していることを確認し、足側から支持補助板13を順番に頭側へと抜去し、支持補助板13が全て抜去されてから、支持板12を足側から順次頭側へ抜去し、臥床者Kを元の臥床状態に復帰した。
本実施例8により、本発明の身体リフトシステム100で臥床者Kと臥床面15aの間に10cmの空間Sを作ることで、臥床者Kを臥床状態そのままの体位で、シーツ交換が可能なこと、又、シーツ交換時にも実施したが、シーツのしわ除去の作業ができることを確認した。
〔実施例9〕
Thereafter, seven auxiliary support plates 13, the same as those used in Example 7, were inserted under the support plate 12 in the following order: waist, chest, buttocks, head, shoulders, thighs, and ankles.
A kp PARAMOUNT BED and a PARAMOUNT BED KK-700-095D manufactured by Kimura Sleeping Platform Co., Ltd. were placed on the right side (towards the right hand of the doll) and left side of the stretcher on which the lying person K is lying, respectively, as load-bearing members 14. The stretcher was used as a lifting mechanism 15 on which the adult doll is lying, and the lying surface 15a was lowered to form a space S directly below the adult doll, with a distance of about 10 cm between the lying surface 15a and the stretcher.
This space S was used to change the sheets, which is one of the procedures including medical, nursing, or caregiving. The sheet that was placed over the doubled futon on the stretcher was removed, and another sheet was placed over it. In the same manner as making a bed, the wrinkles in the sheet were removed, and the four sides of the sheet were tucked under the futon.
Thereafter, similarly to Example 7, the floor surface of the stretcher being used as the lifting mechanism was raised and brought into contact with the bottom surface of the auxiliary support plate 13, and the floor surface of the stretcher was returned to the state it was in immediately before it was lowered. After confirming that the stretcher on which the adult doll is riding is supporting the weight of the support auxiliary plate 13, the weight of the support plate 12, and the weight of the doll, which is the recumbent person K, the stretcher used as the load support member 14 on the left side (left hand side) of the recumbent person K is lowered, and while checking that the body of the recumbent person K does not tilt due to the left load support member 14 being detached, the height of the right load support member 14 is fine-tuned, and it is confirmed that the recumbent doll, the support plate 12 below it, and the support auxiliary plate 13 below the support plate 12 are stable in an approximately horizontal position, and the support auxiliary plates 13 are removed in order from the foot side toward the head side, and after all the support auxiliary plates 13 have been removed, the support plates 12 are removed in order from the foot side toward the head side, returning the recumbent person K to its original lying position.
In this embodiment 8, by creating a space S of 10 cm between the lying person K and the bed surface 15a using the body lift system 100 of the present invention, it is possible to change the sheets of the lying person K while he or she is in the same position as when lying down. It was also confirmed that wrinkles in the sheets can be removed when changing the sheets.
Example 9

実施例7で用いたのと同じ市販のストレッチャー(村中医療器株式会社製、ナーシングストレッチャー、NST-1)に、表面のシーツは糸で縫いつけられている市販の布団を二つ折にした、略200cm×50cm、厚みは約10cm、圧縮すると約5cmの布団を載せ、臥床者Kとして市販の成人人形を使用した。成人人形には和風の寝衣を着せ、手を組んだ状態で、ストレッチャー上の布団に臥床させた。成人人形の頭部には毛髪に当たる鬘を被せ、板の挿入時の毛髪の影響を避けるために、バスタオルを折り(25cm×35cm、厚み2~3cm)、枕代わりに、人形の頭部の下に敷いた。
(1)その後、成人人形の直下、即ち、成人人形と布団に糸で縫い付けられているシーツの間に、頭の方から実施例7で用いたのと同じ支持板12(挿入先端と両側面はテーパー加工あり、挿入先端の左右角部位は面取り加工ありのもの)を、頭部、肩部、腰部、臀部、大腿上部、大腿下部、踵部の順に7枚挿入した。その後、支持板12の下に、支持板12の挿入順と同じ順序で、実施例7で用いたのと同じ支持補助板13を挿入した。〔表9〕に、支持板12の挿入位置と、支持板12、支持補助板13の挿入順序を示す。尚、挿入位置は、支持板12の長手方向の中心線と正中面の交点の頭頂からの概略の距離で示してある。
A commercially available futon with a surface sheet sewn on with thread, folded in half, measuring approximately 200 cm x 50 cm, with a thickness of approximately 10 cm and a compressed thickness of approximately 5 cm, was placed on the same commercially available stretcher (Nursing Stretcher, NST-1, manufactured by Muranaka Medical Equipment Co., Ltd.) as used in Example 7, and a commercially available adult doll was used as the recumbent K. The adult doll was dressed in Japanese-style nightwear and was made to lie on the futon on the stretcher with its hands folded. A wig was placed over the head of the adult doll to prevent the hair from being affected when the board was inserted, and a folded bath towel (25 cm x 35 cm, 2-3 cm thick) was placed under the doll's head as a pillow.
(1) After that, seven support plates 12 (with tapered insert tip and both sides, and chamfered left and right corners of insert tip) used in Example 7 were inserted from the head side, in the order of head, shoulders, waist, buttocks, upper thighs, lower thighs, and heels, directly below the adult doll, i.e., between the adult doll and the sheet sewn with thread to the futon. After that, the same auxiliary support plates 13 as used in Example 7 were inserted under the support plates 12 in the same order as the inserting order of the support plates 12. Table 9 shows the inserting position of the support plates 12 and the inserting order of the support plates 12 and the auxiliary support plates 13. The inserting position is shown as an approximate distance from the top of the head to the intersection of the center line of the longitudinal direction of the support plates 12 and the median plane.

Figure 0007612770000009
Figure 0007612770000009

(2)板の挿入後、臥床者Kの乗っているストレッチャーの右側(人形の右手方向)と左側に荷重支持部材14として、それぞれ木村寝台工業株式会社製kp PARAMOUNT BEDとPARAMOUNT BED KK-700-095Dを配置し、身体リフトシステム100の昇降機構として使用しているストレッチャーの昇降機構を使用し、臥床面15aを下降させ成人人形の直下に空間Sを形成した。布団上のシーツ面と支持補助板13の下側面の距離は、頭側で7.5cm、足側で8.5cmであった。
(3)本空間Sを利用して、2枚重ねに折った布団の上側の1枚を成人人形の左半身が載る予定の箇所にずらし、布団の長手方向に渡り、人形の右側には1枚、左側には2枚布団が重なる形に段差をつけ、又、2枚重ねになった布団の下には長手方向に2枚ずつ支持補助板13に使用している杉の板を重ねて置き(縦方向に2枚、天地方向に2枚、合計4枚)布団に左右段差を付けた。本段差のついた布団を介護マットとして使用し、以下を実施した。
(4)段差のついた布団を載せた昇降機構をゆっくり上昇させ、板とその上の成人人形は少し傾くが、段差のついた布団を支持補助板13の下面に接触させた。その後、荷重支持部材14として使用している左右のストレッチャーを下げると、板とその上に載っている成人人形の傾きは大きくなるが、滑り落ちることはなかった。
(5)成人人形の体が持ち上がっている左サイド(人形の左手側)から、足側から頭側の方向に、支持補助板13と支持板12を合わせて抜去し、成人人形の左側が少し上がる側臥位が形成できた。傾斜角度を計測すると、足側16°、頭側15°であった。約15°側臥位が形成できた。
本実施例9により、身体リフトシステム100と布団や介護用マットを組み合わせることにより臥床者Kの体位変換に使用できることを確認した。
〔実施例10〕
(2) After the plate was inserted, a kp PARAMOUNT BED and a PARAMOUNT BED KK-700-095D manufactured by Kimura Sleeping Platform Co., Ltd. were placed on the right side (toward the doll's right hand) and left side of the stretcher on which the recumbent K was riding, respectively, as load-supporting members 14, and the lifting mechanism of the stretcher used as the lifting mechanism of the body lift system 100 was used to lower the recumbent surface 15a to form a space S directly under the adult doll. The distance between the sheet surface on the futon and the lower surface of the auxiliary support plate 13 was 7.5 cm on the head side and 8.5 cm on the foot side.
(3) Using this space S, the top of the double-folded futon was shifted to the location where the left half of the adult doll was to rest, and a step was created along the length of the futon, with one futon on the right side of the doll and two on the left side, and two cedar planks used as the auxiliary support plate 13 were placed underneath the double-folded futon in the lengthwise direction (two vertically and two vertically, for a total of four), creating a step on the left and right sides of the futon. This step-shaped futon was used as a care mat, and the following was carried out.
(4) The lifting mechanism with the stepped futon on it was slowly raised, and although the board and the adult doll on it were slightly tilted, the stepped futon was brought into contact with the underside of the auxiliary support plate 13. After that, when the left and right stretchers used as the load support members 14 were lowered, the board and the adult doll on it were tilted more, but they did not slide off.
(5) From the left side (the left hand side of the doll) where the adult doll's body is raised, the auxiliary support plate 13 and the support plate 12 are removed together from the foot side to the head side, and a lateral position in which the left side of the adult doll is slightly raised is formed. The inclination angle is measured to be 16° on the foot side and 15° on the head side. A lateral position of about 15° has been formed.
In this Example 9, it was confirmed that the body lift system 100 can be used to change the position of a bedridden person K by combining it with a futon or a nursing mat.
Example 10

本実施例10から実施例12までは、一人の看護師や介護者が一人の自ら動けない寝たきり者を看護、介護するとの前提で実施し、看護師や介護者役として1人の実験者が介助を行った。
市販のストレッチャー(PARAMOUNTBED KK-700-095D、縦;190cm、横;54cm上)に、実施例7と同様、表面のシーツは糸で縫いつけられている市販の布団を二つ折にして略200cm×50cm、厚みは約10cm、圧縮すると約5cmの大きさを有する布団を載せて使用した。その上に市販のパジャマを着用させ、頭部にはバスタオルを折り畳んだものを(25cm×35cm、厚み2~3cm)枕の代わり使用し、臥床者役の成人男子実験者(身長176cm、体重65kg)が手掌を組んだ形で仰臥位に横たわった。尚、本実施例10の実験目的は、下半身の下着(ズボンやパンツ)の着脱であり、成人には、柄の異なるパジャマのズボンを2枚穿かせてあり、1枚のズボンの着脱可否を実験した。
(1)頭部、肩部、胸部、大腿上部と腰部の直下の順に、実施例7で使用した支持板12(タキロン株式会社製SAKK608のプラスチックの板、挿入先端と両側面はテーパー加工あり、挿入先端の左右角部位は面取り加工ありのもの)を、成人臥床者Kの右側(右手の側)から挿入した。
(2)その後、下半身の下着脱衣のため、臀部の直下に空間を作るべく、腰部と大腿部の直下に挿入したプラスチックの支持板12の下に、実施例7で使用した支持補助板13と同仕様の杉の木の板(厚み14mm)を支持補助板13として、まず1枚ずつ挿入し、その後、臀部直下の空間を拡大するために、支持補助板13と同仕様の杉の木の板を第4の板としてもう1枚、先に挿入した支持補助板13の下に挿入した。
(3)その後、腰部、大腿部が支持板12及び支持補助板13と第4の板で支えられ、その間に挟まれた臀部の下は、支持板12、支持補助板13、第4の板の板厚分、理論値では、(3+14×2)mm空間が形成されている。布団が盛り上がるので空間の深さは小さくなるが、空間の拡大は可能であった。
(4)2枚穿いているパジャマのズボンの上側のズボンを、支持板12のプラスチック部分は滑らせて脱がせ、臀部は、あまり抵抗なく移動でき、大腿部は、支持板12のプラスチック表面を滑らせながら、少し脚も持ち上げながら、臥床者Kと大腿部の直下に敷いた板の間を通過し、パジャマのズボンを脱衣させた。尚、支持板12の挿入開始から、パジャマのズボンの脱衣までの所要時間は、2分半弱であった。
本実施例10にて、支持板12、支持補助板13、第4の板を使用する身体リフトシステム100にて、看護師や介護者が一人で、自ら動けない寝たきり者に対し、着替え、清拭、排泄や各種の処置に必要なパジャマのズボンなどの衣服や下着の脱衣ができることが確認された。
〔実施例11〕
Examples 10 to 12 were carried out on the premise that one nurse or caregiver was caring for and caring for one bedridden person who was unable to move on his/her own, and one experimenter acted as the nurse or caregiver to provide the care.
A commercially available stretcher ( PARAMONT BED KK-700-095D, length: 190 cm, width: 54 cm) was used with a commercially available futon, the surface of which was sewn with thread, folded in half to have a size of approximately 200 cm x 50 cm, a thickness of approximately 10 cm, and a size of approximately 5 cm when compressed, as in Example 7. The subject was made to wear commercially available pajamas on top of the futon, and a folded bath towel (25 cm x 35 cm, thickness 2 to 3 cm) was used as a pillow for the head, and an adult male experimenter (height 176 cm, weight 65 kg) playing the role of the bedridden person lay in a supine position with hands folded. The purpose of the experiment in this Example 10 was to put on and take off underwear (pants or underwear) for the lower body, and the adult was made to wear two pajama pants with different patterns, and the experiment was conducted to see whether or not one pair of pants could be put on and taken off.
(1) The support plate 12 used in Example 7 (a plastic plate of SAKK608 manufactured by Takiron Co., Ltd., with tapered insertion tip and both sides and chamfered left and right corners of the insertion tip) was inserted from the right side (right hand side) of the adult bedridden person K, in the following order: head, shoulders, chest, upper thighs, and just below the waist.
(2) After that, in order to create space directly below the buttocks for removing underwear from the lower body, first one cedar wood board (thickness 14 mm) of the same specifications as the support auxiliary plate 13 used in Example 7 was inserted as support auxiliary plate 13 under the plastic support plate 12 inserted directly below the waist and thighs, and then, in order to expand the space directly below the buttocks, another cedar wood board of the same specifications as the support auxiliary plate 13 was inserted as a fourth board under the previously inserted support auxiliary plate 13.
(3) After that, the lower back and thighs are supported by the support plate 12, auxiliary support plate 13, and the fourth plate, and a space is formed under the buttocks sandwiched between them, the thickness of the support plate 12, auxiliary support plate 13, and the fourth plate, theoretically a space of (3 + 14 x 2) mm. The futon rises, so the depth of the space becomes smaller, but it was possible to expand the space.
(4) The upper pants of the two pajama pants were removed by sliding the plastic part of the support plate 12. The buttocks could be moved without much resistance, and the thighs passed between the recumbent K and the plate placed directly under his thighs while lifting his legs slightly as they slid along the plastic surface of the support plate 12, and the pajama pants were removed. The time required from the start of inserting the support plate 12 to removing the pajama pants was just under two and a half minutes.
In this Example 10, it was confirmed that the body lift system 100 using the support plate 12, the auxiliary support plate 13, and the fourth plate allows a nurse or caregiver to help a bedridden person who cannot move by himself or herself to change clothes, wipe, remove clothing such as pajama pants and underwear necessary for excretion and various other treatments.
Example 11

実施例10に続き、成人臥床者Kは、2枚穿いていた上側のパジャマのズボンが脱衣され、頭部、肩部、胸部には支持板12が挿入され、腰部と大腿部には、支持板12及び支持補助板13、第4の板が挿入されている状態から、継続して、以下の実験を行った。尚、(1)-(4)までは、実施例7とほぼ同様である。
(1)まず、腰部と大腿部に挿入されている第4の板、即ち2枚ある支持補助板13の下側、臥床面側の1枚を臥床成人の右側(右手の側)から、大腿部、腰部の順に抜去した。
(2)その後、下腿部直下に支持板12を挿入し、頭部、肩部、胸部の順に、すでに挿入されている支持板12の直下に支持補助板13を挿入し、パジャマのズボンを脱衣するために板を挿入していなかった臀部にも、支持板12、当該支持板12の直下に支持補助板13を挿入し、最後に下腿部の支持板12の直下に支持補助板13を挿入し、合計7本の支持板12、その直下への7本の支持補助板13の挿入を完了し、頭部から下腿部直下に挿入した板の左右バランスを確認した。
(3)成人臥床者Kが乗っているストレッチャーの左側に、ストレッチャー(村中医療器株式会社製、ナーシングストレッチャー、NST-1)、右側にストレッチャー(木村寝台工業株式会社製kp PARAMOUNT BED)を、荷重支持部材14として配置し、それぞれ7枚の板の端が、即ち、支持補助板13の下面の端が水平に左右の荷重支持部材14に載るように調整した。
(4)その後、成人臥床者Kが乗っているストレッチャーの昇降機構を、身体リフトシステム100の昇降機構として利用し、臥床面15aを降下させた。降下後、支持補助板13の下面と、ストレッチャー上の布団のシーツの臥床面15aとの距離は、約18cmであった。
(5)その後、当初成人臥床者Kが乗っていたストレッチャーのキャスターのロックを外し、ストレッチャーは臥床者Kの頭方向へ移動し、ストレッチャーの足側の端にすき間なく、図5に示すような背もたれを倒し、倒れた背もたれと座面の上に載せた便座の高さが概略同じになるように調整して準備した車椅子を連結し、車椅子の座面の上に載せた便座がリフトアップされた臥床者Kの臀部直下に来る位置まで移動した。
(6)尚、(5)の座面に便座を載せた車椅子は、トイレ移動用の車椅子として使用するものであり、トイレ移動用の車椅子は既に市販されているが(例えばTOTO、トイレ、“水まわり用車椅子”、[online]、[2017年2月28日検索]<url:http://www.toto.co.jp/products/ud/toilet/index.htm>)、本実施例11では、本発明の身体リフトシステム100と高さを調整し、座面を水平に倒す必要もあるため、図5に示すものを自製した。車椅子21(MEYRA製、Modell 3.800)の背もたれ18(長さ17cm)を倒し、倒すと看護師や介護者が使用するグリップ19が下方を向くが、グリップ19を脚立20で支え、座面には4本足の便座17(株式会社吉野商会製、ベンラック、本器は和式の便器の上に置いたり、床上差し込み便器の上に置き臥床者Kの臀部を載せるタイプの便座で、高さ約16.5cm、幅約40cm、奥行き約28cmで前が空いているもの)を載せ、便座17の高さはアームの高さ(床面から63cm)と同レベルにすべく、椅子21の座面7に座布団(図示せず)とその上に金属の板(図示せず)を載せることにより調整した。本車椅子21をストレッチャー30の端部に連結した。
(7)左右に配置した別のストレッチャーの昇降機構を荷重支持部材14の昇降機構として利用し、臥床者Kを支持補助板13の下面が、当初、臥床者Kが乗っていたストレッチャー30、該ストレッチャー30の端に連結した車椅子21上の便座に接触するまで降下させ、降下後、それぞれ7本の支持補助板13、支持板12が左右バランスよく当初臥床者Kが乗っていたストレッチャーに支えられていることを確認しつつ微調整した。
(8)その後、腰部、胸部、臀部の支持補助板13をこの順序でゆっくり抜去し、臥床者Kの臀部を車椅子21上の便座17に降ろした。次に、大腿部、肩部、頭部の支持補助板13を抜去し、更に、頭部、肩部、腰部、胸部、臀部、大腿部の順に支持板12を抜去し、この時点で、臥床者Kの臀部は車椅子21上の便座17に乗り移った。下腿部はその直下は、車椅子21のフットレスト16の上にあり、落差があるので、最後に看護師や介護者役の実験者が臥床者Kの下腿を支えながら、支持補助板13と支持板12を同時に抜去し、車椅子21の座面から、中途にあるレッグレスト、レッグレストの下にあるフットレスト16の斜面に沿う形で、便座に座っている臥床者Kの脚をフットレスト16に降ろした。
(9)この時点で臥床者Kは腰から上は仰臥位の姿勢で、臀部は車椅子21上の便座17に乗っており、大腿、下腿、踵は、車椅子21の脚部からレッグレスト、フットレスト16に沿う形で上半身が曲がった姿勢であるが、臥床者Kの左側(左手側)にある荷重支持部材14の一として使用したストレッチャーを臥床者Kのサイドから離し、看護師や介護者役の実験者が臥床者Kの左側に立ち、車椅子21の背もたれに乗っている臥床者Kの上半身を背もたれ共々持ち上げ、背もたれ18のロックをかけ、臥床者Kを完全に車椅子21に移乗させた。
(10)その後、車椅子21のホイールのロックを外し、トイレを想定した実験室のコーナーに車椅子21上の臥床者Kを移動した。本試作トイレ用車椅子21は、便座17の下が座面になっており穴が空いていないが、市販のトイレ用車椅子21では、穴が空いており、例えば、洋式便器の上に移動することができ、実施例10で下半身の下着を脱衣している臥床者Kは、用を足すことができる。
(11)排泄の処理後、当初臥床者Kの乗っていたストレッチャーの右側(右手側)に配置されていた荷重支持部材14として使用中のストレッチャーは片側へ寄せ、当初臥床者Kが横たわっていた右側に看護師や介護者役の実験者の作業スペースを形成した。当初臥床者Kが乗っていたストレッチャー30と車椅子21のグリップ19を支持していた脚立20が移動せずにそのままの状態で配置されてあり、該ストレッチャー30の端部にあり、車椅子21の背もたれ18のグリップ19を支える脚立20の位置調整を再度行い、その後、車椅子21をストレッチャー30並びに脚立20の端部に連結し、車椅子21のホィールをロックし、背もたれ18のロックを外し、臥床者Kの背中を支えながら背もたれを倒し、背もたれ18のグリップ19は脚立20で支持し、臥床者Kの下半身は車椅子21に座り、上半身は、車椅子21の背もたれ18とストレッチャー30上で仰臥位の姿勢を取り、ストレッチャー30には枕の代用として折り畳んだバスタオルを置き、臥床者Kの頭を載せた形の体位を形成した。
(12)臥床者Kの右側(右手側)から、下記の実施例12との関連で、臀部の少し上側(上方臀部と呼ぶことにする)に支持板12を挿入した。次に大腿部への挿入を実施したが大腿部から上方臀部の直下には、便座17があり、便座17の部分には穴があり、本自製のトイレ用車椅子21では便座17は上に凸の曲面であり頂点の手前で挿入先端が面に当たった為、看護師や介護者役の実験者が臥床者Kの大腿部を少し持ち上げながら支持板12を挿入した。
(13)その後、臥床者Kの頭部が乗っているストレッチャー30上のタオルを折った枕の直下に支持板12を、車椅子21とストレッチャー30の境目にある肩部の下に支持板12を挿入した。
(14)次に、支持補助板13を頭部、肩部、上方臀部に挿入し、腰部に支持板12、続いて支持補助板13を挿入し、胸部にも支持板12、続いて支持補助板13を挿入した。
この時点で、臥床者Kの下半身は車椅子21に座っていた。
(15)次に、下半身の大腿部の支持板12の下に支持補助板13を、大腿部を少し持ち上げながら挿入し、臥床者Kが乗っているのとは別のストレッチャーからなる2台の荷重支持部材14を臥床者Kの上半身が乗っているストレッチャーの左右に配置し、即ち、左側に村中医療器株式会社製、ナーシングストレッチャー、NST-1を、右側に、木村寝台工業株式会社製kp PARAMOUNT BEDを配置し、臥床者Kの足首を持ち上げながら、支持補助板13の上に支持板12を重ねたものを、下腿部直下に同時に挿入し、該支持補助板13の両端部を荷重支持部材14で支え、全ての板の挿入は完了した。
(16)7枚の支持補助板13、支持板12の左右均等を確認し、荷重支持部材14の昇降機構を上昇させ、臥床者Kの体重を支持補助板13で支え、これら板の直下に空間を形成し、板の下のストレッチャー30を臥床者Kの頭側から足側へ押し、車椅子21と脚立20を押し出し、臥床者Kが当初乗っていたストレッチャー30の上に全身が来たことを確認し、該ストレッチャー30の昇降機構を上昇させ、ストレッチャー30上の布団が支持補助板13、その上の支持板12、これら板の上の臥床者Kの体重を支えていることを確認し、臥床者Kの右側(右手側)のストレッチャーを傍らへ寄せ、臥床者Kの乗っているストレッチャー30の右側(右手側)に作業スペースを作り、下腿部の支持板12、その下の支持補助板13を一度に抜去した。この時点で、大腿部から頭部へ合計それぞれ6枚の支持板12、支持補助板13が抜去されずに残っており、実施例7と同様、これら板を抜去して臥床者Kを臥床面15aに横たわった状態に戻すこともできるが、臥床者Kは下半身の下着を脱衣した状態であるので、臥床者Kの臥床状態への復帰作業は、この時点で中断し、下半身の下着の着衣の実施例12に移行した。
尚、実施例10と本実施例11は連続しており、実施例10の最初の支持板12の挿入から下半身の下着を除去し、車椅子21への移乗までの経過時間は、約10分半、トイレへ移動し用を足し、車椅子21に再度ドッキングするまでの経過時間が約13分、臥床者Kをベッドに臥床させ、下半身の下着を着衣する操作の直前までの経過時間が約22分であった。
本実施例11により、身体リフトシステム100を利用して、看護師や介護者が一人で、自ら動けない寝たきり者が臥床しているベッドやストレッチャーの入れ替え、他のベッドやストレッチャーへの移動、使用中のベッドの床面上での上下(頭方向、足方向)、左右(左手方向、右手方向)の移動など臥床者Kとベッドの相対位置の変更、調整、自ら動けない寝たきり者を車椅子21へ移乗させることが可能となった。本発明による車椅子21への移乗を、既に市販されているトイレ用車椅子21、入浴用車椅子21など各種車椅子21と連携させることにより、自ら動けない寝たきり者におかれても、トイレで用を足し、入浴も可能になることを確認した。
〔実施例12〕
Following Example 10, the following experiment was carried out on the bedridden adult K, with the upper pajama pants removed, the support plate 12 inserted around the head, shoulders and chest, and the support plate 12, auxiliary support plate 13 and the fourth plate inserted around the waist and thighs. Note that steps (1) to (4) are almost the same as in Example 7.
(1) First, the fourth plate inserted in the waist and thigh areas, i.e., the lower one of the two support auxiliary plates 13, located on the side facing the lying surface, was removed from the right side (right hand side) of the lying adult, in that order from the thigh and waist areas.
(2) After that, a support plate 12 was inserted just below the lower leg, and then a support auxiliary plate 13 was inserted just below the support plate 12 that had already been inserted, in the order of the head, shoulders, and chest. A support plate 12 and a support auxiliary plate 13 were also inserted into the buttocks, where a plate had not been inserted in order to remove the pajama pants, and finally a support auxiliary plate 13 was inserted just below the support plate 12 in the lower leg, completing the insertion of a total of seven support plates 12 and seven support auxiliary plates 13 just below them, and the left-right balance of the plates inserted from the head to just below the lower leg was confirmed.
(3) A stretcher (Nursing Stretcher, NST-1, manufactured by Muranaka Medical Equipment Co., Ltd.) was placed on the left side of the stretcher on which adult bedridden patient K was lying, and a stretcher (kp PARAMOUNT BED, manufactured by Kimura Sleeping Platform Co., Ltd.) was placed on the right side as load-supporting members 14, and the ends of the seven plates, i.e., the ends of the lower surfaces of the support auxiliary plates 13, were adjusted so that they rested horizontally on the left and right load-supporting members 14.
(4) After that, the lifting mechanism of the stretcher carrying the adult bedridden person K was used as the lifting mechanism of the body lift system 100 to lower the bed surface 15a. After the lowering, the distance between the lower surface of the auxiliary support plate 13 and the bed surface 15a of the futon sheet on the stretcher was about 18 cm.
(5) After that, the casters of the stretcher on which adult patient K was originally riding were unlocked, and the stretcher was moved toward the head of patient K. The backrest was tilted down so that there was no gap at the foot end of the stretcher as shown in Figure 5, and the prepared wheelchair was connected after adjusting the height of the tilted backrest and the toilet seat placed on the seat so that they were roughly the same height. The toilet seat placed on the seat of the wheelchair was then moved to a position directly under the buttocks of patient K, who had been lifted up.
(6) The wheelchair with a toilet seat on the seat (5) is used as a wheelchair for moving to the toilet, and wheelchairs for moving to the toilet are already on the market (for example, TOTO, toilet, "Bathroom wheelchair", [online], [searched on February 28, 2017] <url:http://www.toto.co.jp/products/ud/toilet/index.htm>). In this Example 11, since it is necessary to adjust the height with the body lift system 100 of the present invention and to tilt the seat horizontally, a wheelchair as shown in FIG. 5 was homemade. The backrest 18 (length 17 cm) of the wheelchair 21 (manufactured by MEYRA, Model 3.800) was tilted down, and the grip 19 used by the nurse or caregiver was facing downward, but the grip 19 was supported by a step ladder 20, and a four-legged toilet seat 17 (manufactured by Yoshino Shokai Co., Ltd., Benrack, this toilet seat is a type that can be placed on a Japanese-style toilet or a floor-mounted toilet on which the buttocks of the bedridden person K rest, it is about 16.5 cm high, about 40 cm wide, about 28 cm deep, and has an open front) was placed on the seat, and the height of the toilet seat 17 was adjusted to the same level as the height of the arm (63 cm from the floor) by placing a cushion (not shown) on the seat 7 of the chair 21 and a metal plate (not shown) on top of it. The wheelchair 21 was connected to the end of the stretcher 30.
(7) The lifting mechanisms of the other stretchers arranged on the left and right sides were used as the lifting mechanisms of the load support members 14, and the lying person K was lowered until the underside of the support auxiliary plates 13 came into contact with the stretcher 30 on which the lying person K was originally riding and the toilet seat of the wheelchair 21 connected to the end of the stretcher 30. After the person was lowered, fine adjustments were made while checking that the seven support auxiliary plates 13 and the seven support plates 12 were being supported by the stretcher on which the lying person K was originally riding in a balanced manner on the left and right.
(8) After that, the support auxiliary plates 13 for the waist, chest, and buttocks were slowly removed in that order, and the buttocks of the recumbent K were lowered onto the toilet seat 17 on the wheelchair 21. Next, the support auxiliary plates 13 for the thighs, shoulders, and head were removed, and further the support plates 12 were removed in the order of the head, shoulders, waist, chest, buttocks, and thighs, at which point the buttocks of the recumbent K were transferred onto the toilet seat 17 on the wheelchair 21. Directly below the lower legs are on the footrest 16 of the wheelchair 21, and since there is a drop, the experimenter acting as a nurse or caregiver supports the lower legs of the bedridden person K while simultaneously removing the support auxiliary plate 13 and the support plate 12, and lowers the legs of the bedridden person K, who is sitting on the toilet seat, from the seat of the wheelchair 21 onto the footrest 16, following the slope of the leg rest located halfway down and the footrest 16 located below the leg rest.
(9) At this point, the patient K is lying on his back from the waist up, his buttocks are resting on the toilet seat 17 on the wheelchair 21, and his upper body is bent with his thighs, lower legs and heels running from the legs of the wheelchair 21 to the leg rest and foot rest 16. The stretcher used as one of the load support members 14 on the left side (left hand side) of the patient K is removed from the side of the patient K, and the experimenter acting as a nurse or caregiver stands on the left side of the patient K and lifts up the upper body of the patient K, which is resting on the backrest of the wheelchair 21, together with the backrest, locks the backrest 18, and transfers the patient K completely into the wheelchair 21.
(10) After that, the wheels of the wheelchair 21 were unlocked, and the bedridden person K on the wheelchair 21 was moved to a corner of the laboratory that was intended to be a toilet. The prototype toilet wheelchair 21 has a seat surface under the toilet seat 17, and no holes, but commercially available toilet wheelchairs 21 have holes, and can be moved onto, for example, a Western-style toilet, so that the bedridden person K, who has removed his or her underwear in Example 10, can relieve himself or herself.
(11) After the excretion was dealt with, the stretcher in use as the load-bearing member 14, which was originally located on the right side (right hand side) of the stretcher on which the bedridden person K was lying, was moved to one side, and a working space for the experimenters acting as nurses or caregivers was formed on the right side where the bedridden person K was originally lying. Initially, the stretcher 30 on which the lying person K was riding and the stepladder 20 supporting the grip 19 of the wheelchair 21 were left in their original positions without being moved, and the position of the stepladder 20, which was at the end of the stretcher 30 and supported the grip 19 of the backrest 18 of the wheelchair 21, was adjusted again, and then the wheelchair 21 was connected to the end of the stretcher 30 and the stepladder 20, the wheels of the wheelchair 21 were locked, the backrest 18 was unlocked, the backrest was tilted back while supporting the back of the lying person K, and the grip 19 of the backrest 18 was supported by the stepladder 20, the lower half of the lying person K sat on the wheelchair 21, and the upper half of the lying person K took a supine position on the backrest 18 of the wheelchair 21 and the stretcher 30, and a folded bath towel was placed on the stretcher 30 as a substitute for a pillow, and the lying person K's head was placed on it to form a posture.
(12) From the right side (right hand side) of the bedridden person K, the support plate 12 was inserted slightly above the buttocks (hereinafter referred to as the upper buttocks) in relation to the following Example 12. Next, insertion into the thighs was performed, but the toilet seat 17 was located directly below the thighs and the upper buttocks, and there was a hole in the toilet seat 17 part, and since the toilet seat 17 of this homemade toilet wheelchair 21 has an upwardly convex curved surface, the insertion tip hit the surface just before the apex, so the experimenter acting as a nurse or caregiver inserted the support plate 12 while slightly lifting the thighs of the bedridden person K.
(13) After that, the support plate 12 was inserted directly under the pillow made of folded towel on the stretcher 30 on which the head of the bedridden person K was resting, and the support plate 12 was inserted under the shoulders at the boundary between the wheelchair 21 and the stretcher 30.
(14) Next, the support plate 13 was inserted into the head, shoulders and upper buttocks, the support plate 12 was inserted into the lower back, followed by the support plate 13, and the support plate 12 was inserted into the chest, followed by the support plate 13.
At this point, the lower half of the bedridden person K was sitting in the wheelchair 21.
(15) Next, the auxiliary support plate 13 is inserted under the support plate 12 for the thighs of the lower body while lifting the thighs slightly, and two load support members 14 consisting of a stretcher different from the one on which the recumbent person K is lying are placed on the left and right of the stretcher on which the upper body of the recumbent person K is lying; that is, a nursing stretcher NST-1 manufactured by Muranaka Medical Equipment Co., Ltd. is placed on the left side, and a kp PARAMOUNT BED manufactured by Kimura Sleeping Platform Co., Ltd. is placed on the right side. While lifting the ankles of the recumbent person K, the support plate 12 is placed on top of the auxiliary support plate 13, and is simultaneously inserted just under the lower legs, and both ends of the auxiliary support plate 13 are supported by the load support members 14, completing the insertion of all plates.
(16) Confirm that the seven support auxiliary plates 13 and the support plates 12 are even on the left and right, raise the lifting mechanism of the load support member 14, support the weight of the lying person K with the support auxiliary plates 13, form a space directly below these plates, push the stretcher 30 below the plates from the head side to the feet side of the lying person K, push out the wheelchair 21 and the stepladder 20, confirm that the whole body of the lying person K is on the stretcher 30 on which he was originally standing, raise the lifting mechanism of the stretcher 30, confirm that the futon on the stretcher 30 is supporting the support auxiliary plates 13, the support plates 12 above them, and the weight of the lying person K on these plates, move the stretcher to the right (right hand side) of the lying person K to the side, create a working space on the right (right hand side) of the stretcher 30 on which the lying person K is standing, and remove the support plate 12 for the lower leg and the support auxiliary plate 13 below that all at once. At this point, a total of six support plates 12 and support auxiliary plates 13 from the thighs to the head remain and have not been removed. As in Example 7, these plates can be removed to return the lying person K to a lying position on the lying surface 15a. However, since the lying person K has removed his underwear from the lower half of his body, the process of returning the lying person K to a lying position is interrupted at this point, and the process proceeds to Example 12, in which the lying person K puts on his underwear from the lower half of his body.
Incidentally, Example 10 and Example 11 are consecutive, and the time elapsed from the initial insertion of the support plate 12 in Example 10 to the removal of the lower body underwear and transfer to the wheelchair 21 was about 10 and a half minutes, the time elapsed from moving to the toilet, relieving the user, and docking again with the wheelchair 21 was about 13 minutes, and the time elapsed from having the bedridden person K lie down on the bed until just before the operation of putting on the lower body underwear was about 22 minutes.
In this embodiment 11, by using the body lift system 100, a nurse or caregiver can change or adjust the relative position of the bedridden person K and the bed by switching the bed or stretcher on which the bedridden person K lies, moving the bedridden person K to another bed or stretcher, or moving the bed K up and down (head direction, foot direction) or left and right (left hand direction, right hand direction) on the floor surface, and transfer the bedridden person K to a wheelchair 21. It has been confirmed that by linking the transfer to the wheelchair 21 according to the present invention with various wheelchairs 21 such as a toilet wheelchair 21 and a bathing wheelchair 21 already available on the market, even a bedridden person who cannot move on his/her own can relieve himself/herself in the toilet and take a bath.
Example 12

実施例11から引き続き、市販のストレッチャー(PARAMOUNTBED KK-700-095D)上に、表面のシーツは糸で縫いつけられている市販の布団を二つ折にして略200cm×50cm、厚みは約10cm、圧縮すると約5cmの大きさを有する布団を載せ、その上に大腿部、上方臀部、腰部、胸部、肩部、頭部の直下に支持板12、その下に支持補助板13が挿入された臥床者Kが横たわっている状態から、本実施例12は開始した。
(1)実施例10で脱衣させたパジャマのズボンを、まず、臥床者Kの両脚の膝の少し上まで穿かせ、枕の下の頭部の支持板12、支持補助板13を合わせて抜去した。
(2)その後、大腿部の支持補助板13の下に、続いて上方臀部の支持補助板13の下に、仕様は支持補助板13と全く同じ仕様の第4の板をそれぞれ挿入した。
(3)膝上まで穿かせたパジャマのズボンを、大腿部の支持板12の上を滑らせながら、臥床者Kの身体と板の間に挟まって移動抵抗を感じる時は、介護者が臀部を少し持ち上げながらズボンを穿かせた。
(4)その後、大腿部の第4の板、大腿部のもう1枚の支持補助板13の順に、続いて上方臀部の第4の板、上方臀部のもう1枚の支持補助板13を抜去し、引き続き、腰部、胸部、肩部の支持補助板13を抜去した。
(5)肩部、胸部、腰部、上方臀部、大腿部の支持板12を抜去し、臥床者Kを安静臥床状態に戻した。
尚、実施例10の最初の支持板12の挿入開始時から、本実施例12の臥床者Kが支持板12、支持補助板13が敷かれた状態でのベッドへ復帰後、臥床者Kの下着の着用までの経過時間は約23分半、板を全て抜去し、臥床者Kを安静臥床状態に戻すまでの経過時間は約24分半であった。
本実施例12により、身体リフトシステム100を使用することで、寝たきり者など自ら動けない臥床者Kに看護師や介護者が一人でパジャマのズボンなど、衣服、下着の着衣が可能なることを確認した。
以上、実施例10から実施例12の各操作と概略の経過時間、所要時間を〔表10〕にまとめて示す。
Continuing from Example 11, Example 12 started with a commercially available futon with a surface sheet sewn with thread folded in half and measuring approximately 200 cm x 50 cm, with a thickness of approximately 10 cm, and a size of approximately 5 cm when compressed, placed on a commercially available stretcher (PARAMONT BED KK-700-095D), and a bedridden person K lying on top of the futon with support plates 12 inserted directly under the thighs, upper buttocks, waist, chest, shoulders, and head, and support auxiliary plates 13 inserted underneath.
(1) The pajama pants removed in Example 10 were first pulled down onto both legs of the bedridden patient K up to just above the knees, and the head support plate 12 and auxiliary support plate 13 under the pillow were then removed.
(2) Then, a fourth plate having exactly the same specifications as the auxiliary support plate 13 was inserted under the thigh support plate 13, and then under the upper buttock support plate 13.
(3) When sliding the pajama pants, which had been pulled down above the knees, over the thigh support plate 12, and feeling resistance to movement due to the bedridden person K's body being pinched between the plate and the pajama pants, the caregiver lifted the buttocks slightly while helping the person put the pants on.
(4) After that, the fourth plate for the thigh and the other support support plate 13 for the thigh were removed, followed by the fourth plate for the upper buttocks and the other support support plate 13 for the upper buttocks, and then the support support plates 13 for the waist, chest and shoulders were removed.
(5) The support plates 12 for the shoulders, chest, waist, upper buttocks, and thighs were removed, and the bedridden person K was returned to a resting lying position.
In addition, from the start of insertion of the initial support plate 12 in Example 10 until the bedridden person K in this Example 12 returns to the bed with the support plate 12 and the auxiliary support plate 13 laid out, the elapsed time until the bedridden person K puts on underwear is approximately 23 and a half minutes, and the elapsed time until all the plates are removed and the bedridden person K is returned to a resting lying state is approximately 24 and a half minutes.
In this Example 12, it was confirmed that by using the body lift system 100, a nurse or caregiver can dress a bedridden person K who is unable to move on his/her own, such as pajama pants, or other clothing and underwear.
The above steps in Examples 10 to 12 and the approximate elapsed time and required time are summarized in Table 10.

Figure 0007612770000010

〔実施例13〕
Figure 0007612770000010

Example 13

実施例5で使用したのと同様、新生児人形、支持板12として硬質ポリ塩化ビニルの板(タキロン株式会社製SAKK608、厚み3mm、幅100mm、長さ900mm、挿入先端と両側面はテーパー加工、挿入先端の左右角部位は面取り加工)、市販のベッド(パナソニック電工株式会社、在宅用電動介護用ベッドRS、1975mm×998mm)上に市販のマットレス(約194cm×約96cm)を載せたものを用い、その上に表面のシーツが糸で部分的に縫いつけられている市販の布団(100cm×200cm、厚みは約5cm、圧縮すると約3cm)を載せ、図6に示すように、新生児人形のオムツ交換を実施した。
ベッド上のシーツの縫い目のない平な部分に、新生児人形に木綿を素材とした寝衣をたるみなく着衣させ、人形の背中にはしわが認められない状態に着せ、毛髪部を模擬的に覆うため(人形のため坊主頭であり実際には毛は無いが)介護サポーターを頭部にかぶせ、人形の手は左右に広げ仰臥している体位にし、実験を行った。
(1)新生児人形の直下、すなわち布団のシーツとの間に、支持板12を挿入し(板の長手方向の中線が頭頂から約21cmの人形の正中面と交わる位置に)、その後、脚部の寝衣をたくし上げ、針金入り発泡プラスチックシート(SAM MEDICAL製、SAM SPLINT)を巻いて円筒形にし、継ぎ目部を粘着テープで固定したシリンダー40(外径約35mm)を新生児人形の膝下に挿入し、膝から大腿部が持ち上がる形にした。
(2)支持板12の端部を持ち上げ、約40mm厚の長方形状部材22(本実験では書籍を使用)を荷重支持部材14として使用し、その下に滑り込ませ、又、同様にシリンダー40の端を持ち上げ、厚さの異なる長方形状部材22を荷重支持部材14として用い、布団のシーツ面から人形の背面までの高さ、膝関節下面までの高さが概略同じ高さの約45mmに調整し、人形を支えた。尚、人形は胸部の直下と膝部で支えられているのみで、胸部から膝が挙上し、頭部と下腿部から踵部は垂れ下がっているが、臀部の部分のオムツの交換実験であるため、その他の板を挿入することなく実験を実施した。
(3)その後、大腿部と臀部の下、シリンダー40とシーツの間に形成された空間を使用して、人形が当初穿いていたテープとめ型のオムツのテープを外し、人形の下部の空間の下方へオムツを引いて脱衣し、ウェットテイッシューで臀部を清拭し、脱衣させたオムツと同じタイプのテープとめ型のオムツを人形の臀部の下に敷き、臀部、陰部と膝の間の空間を通してオムツの前に当てる部分を人形の上部に引きだし、人形の背面にあるオムツの人形の臀部に当てる部分の腰側についているテープを人形身体の側面に形成された空間を通して下から引き上げ、オムツの前後左右が適正に重なるように、又、強過ぎず、弱過ぎず、オムツが人形の臀部を包む形に調整しテープを止めた。人形の体重が支えられているので、両手でオムツの位置調整ができ、オムツの締め付け、緩みに影響するテープ止めの調節も容易に実施できた。
その後、たくしあげてあった寝衣をシリンダー40の下をくぐらせ、ベッドのシーツ面に沿って引き延ばし、シリンダー40を抜去し、人形の身体の上部の荷重支持部材14を左側、右側の順に除去し、円筒形の発泡シートを当初支えていた人形の下半身側の荷重支持部材14(書籍)を左側、右側の順に除去し、寝衣を整え、胸部下の支持板12を抜去し、操作を完了した。
本実施例13では支持板12の挿入からオムツ交換などの処置、その後の復帰までの所要時間は約3分であった。本実施例13により、身体リフトシステム100により、看護師や介護者は両手を自由に使用してオムツの交換、陰部の清拭ができること、オムツの代わりに差し込み便器や陰部洗浄器を臀部直下に挿入すれば、臥床者Kの臀部を身体リフトシステム100で支えながら、必要な時間両手を使って排泄補助が可能となることを確認した。又、医療、看護、又は介護を含む処置の必要に応じ、身体の一部を意識的に持ち上げる装置として身体リフトシステム100が使用できることも合わせ確認した。
〔実施例14〕
As in Example 5, a newborn doll was used, a hard polyvinyl chloride plate (TAKIRON Co., Ltd. SAKK608, thickness 3 mm, width 100 mm, length 900 mm, tapered at the insertion tip and both sides, chamfered at the left and right corners of the insertion tip) was used as the support plate 12, and a commercially available bed (Panasonic Electric Works Co., Ltd., home electric nursing bed RS, 1975 mm x 998 mm) was used with a commercially available mattress (approximately 194 cm x approximately 96 cm) placed on top of it, and a commercially available futon (100 cm x 200 cm, thickness approximately 5 cm, approximately 3 cm when compressed) with a surface sheet partially sewn with thread was placed on top of that, and a diaper change was performed on the newborn doll as shown in Figure 6.
The experiment was conducted with a newborn doll wearing cotton nightgowns on a seamless, flat part of the bed sheet, with no sagging, and with no visible wrinkles on the doll's back. A care supporter was placed over the head to simulate hair coverage (although since the doll had a shaved head, it actually had no hair), and the doll was placed in a supine position with its arms spread out to the sides, and then the experiment was conducted.
(1) A support plate 12 is inserted directly below the newborn doll, i.e., between the futon sheet (at the position where the longitudinal center line of the plate intersects with the median plane of the doll about 21 cm from the top of the head). After that, the nightgown for the legs is tucked up, and a wire-reinforced foam plastic sheet (SAM MEDICAL, SAM SPLINT) is wrapped around it to form a cylindrical shape. The cylinder 40 (outer diameter about 35 mm) with the seams fixed with adhesive tape is inserted under the knees of the newborn doll, so that the knees and thighs are raised.
(2) The end of the support plate 12 was raised, and a rectangular member 22 (a book was used in this experiment) about 40 mm thick was used as the load support member 14 and slid underneath it, and similarly the end of the cylinder 40 was raised, and a rectangular member 22 of a different thickness was used as the load support member 14, and the height from the surface of the futon sheet to the back of the doll and the height from the bottom of the knee joints were adjusted to about the same height of 45 mm, to support the doll. Note that the doll was only supported by the knees and directly below the chest, with the knees raised from the chest and the heels hanging down from the head and lower legs, but since this was an experiment on changing a diaper on the buttocks, no other plates were inserted.
(3) After that, using the space formed between the cylinder 40 and the sheet under the thighs and buttocks, the tape of the tape-fastened diaper that the doll was originally wearing was removed, the diaper was pulled downwards in the space below the doll, the buttocks were wiped with wet tissues, a tape-fastened diaper of the same type as the one that was removed was placed under the doll's buttocks, the front part of the diaper that was to be placed on the top of the doll was pulled out through the space between the buttocks, genitals and knees, the tape on the waist side of the part of the diaper on the back of the doll that was to be placed on the doll's buttocks was pulled up from below through the space formed on the side of the doll's body, and the tape was fastened so that the front, back and left and right sides of the diaper overlap appropriately, and so that the diaper was wrapped around the doll's buttocks without being too tight or too loose. Since the weight of the doll was being supported, the position of the diaper could be adjusted with both hands, and the tape fastening that affects the tightness and looseness of the diaper could also be easily adjusted.
Thereafter, the tucked-up nightwear is passed under the cylinder 40 and stretched along the surface of the bed sheets, the cylinder 40 is removed, the load-supporting members 14 on the upper part of the doll's body are removed in order from the left and then the right, the load-supporting members 14 (books) on the lower half of the doll's body that were originally supporting the cylindrical foam sheet are removed in order from the left and then the right, the nightwear is adjusted, and the support plate 12 under the chest is removed, completing the operation.
In this Example 13, the time required from inserting the support plate 12 to treatment such as changing a diaper and then returning to normal was about 3 minutes. This Example 13 confirmed that the body lift system 100 allows nurses and caregivers to use both hands freely to change diapers and wipe the genitals, and that by inserting a toilet bowl or a genital washer directly under the buttocks instead of a diaper, it becomes possible to use both hands to assist excretion for the required time while supporting the buttocks of the bedridden person K with the body lift system 100. It was also confirmed that the body lift system 100 can be used as a device to intentionally lift a part of the body according to the need for treatment including medical care, nursing, or caregiving.
Example 14

実施例6で使用した市販のストレッチャー(木村寝台工業株式会社製kp PARAMOUNT BED)に、表面のシーツが糸で部分的に縫いつけられている市販の布団(100cm×200cm、厚みは約5cm、圧縮すると約3cm)を載せ、本布団上のシーツのフラットな部分に(縫合加工などない部分に)、市販の新生児人形を載せ、実験を行った。該新生児人形には、木綿を素材とした寝衣をたるみなく着衣させ、人形の背中にはしわが認められない状態に着せ、毛髪部を模擬的に覆うため(人形のため坊主頭であり実際には毛は無いが)介護サポーターを頭部にかぶせ、人形の手は指を絡ませる形にし、人が手を組んで仰臥している体位で実施し、枕の代わりとして折り曲げたバスタオル(25cm×35cm、厚み2~3cm)を後頭部に敷いた。
本実験では、挿入補助板11は使用せず、支持板12は市販の金網入り硬質ポリ塩化ビニルの板(タキロン株式会社製SAKK608)で、厚さ3mm、幅約58cm、長さ約100cmのものを用いて行った。尚、幅約58cmの挿入先端、挿入先端に略直角な両サイドには、実施例2の〔表2〕に記載したものと同じテーパーを付け、挿入先端の左右の左右角部位は、実施例2と同様な面取りを行った。
支持板12は、新生児人形の足首を少し持ち上げ、足側から板の先端で布団のシーツを軽く押さえつける形で滑り込ませた。枕の部分まではスムーズに滑り移動し、挿入先端が枕を押したので、枕の反対側(支持板12の挿入側の反対側)を、支持板12を持たないもう一方の手で押さえながら支持板12を挿入し、新生児の頭部から踵部までの全体を一枚の支持板12に載せることができた。
又、同じ板の先端を看護、介護で使用するスリップシート(パラマウントベッド製、マルチグローブKZ-159033)で覆い、即ち、50cm×20cmのグローブを2つに折り、50cm×10cmのシートを先端に被せ、粘着テープで端部を止め、上記と同様に新生児人形の足首を少し持ち上げ足側から挿入した。挿入は抵抗も少なく推移し、挿入先端が枕を押した段階で、枕の反対側(支持板12の挿入側の反対側)を、支持板12を持たないもう一方の手で押さえながら支持板12を挿入し、新生児の頭部から踵部までの全体を一枚の支持板12に載せることができた。支持板12の挿入は、スリップシートを被せた方が軽く楽に挿入できた。
本実施例14により、大きな支持板12(3mm、約58cm、約100cm)、1枚物の板も挿入可能であること、又、スリップシートが挿入を助けることが確認できた。又、厚さ3mm、幅約58cm、長さ約100cmの板では、人形の背面は通過するが、枕など形状により物体を押し出すことも確認できた。
〔実施例15〕
A commercially available futon (100cm x 200cm, about 5cm thick, about 3cm when compressed) with a surface sheet partially sewn with thread was placed on the commercially available stretcher (Kimura Sleeping Platform Co., Ltd. kp PARAMOUNT BED) used in Example 6, and a commercially available newborn doll was placed on the flat part of the sheet on the futon (the part without stitching) and the experiment was performed. The newborn doll was dressed in cotton nightwear with no slack, and the doll's back was dressed in a state where no wrinkles were observed, a care supporter was placed over the head to simulate hair coverage (although the doll had a shaved head and no hair in reality), the hands of the doll were shaped to intertwine, and the experiment was performed in a position where a person was lying on their back with their hands clasped, and a folded bath towel (25cm x 35cm, 2-3cm thick) was placed behind the head as a pillow.
In this experiment, the insertion aid plate 11 was not used, and the support plate 12 was a commercially available wire mesh hard polyvinyl chloride plate (SAKK608 manufactured by Takiron Co., Ltd.) with a thickness of 3 mm, a width of about 58 cm, and a length of about 100 cm. The insertion tip, which is about 58 cm wide, and both sides that are approximately perpendicular to the insertion tip were tapered in the same manner as described in [Table 2] of Example 2, and the left and right corners of the insertion tip were chamfered in the same manner as in Example 2.
The support plate 12 was inserted by slightly lifting the ankles of the newborn doll and lightly pressing the futon sheet with the tip of the plate from the foot side. It slid smoothly up to the pillow area, and the tip of the plate pressed against the pillow, so the support plate 12 was inserted while pressing the other side of the pillow (the side opposite the insertion side of the support plate 12) with the other hand not holding the support plate 12, and the whole of the newborn doll from head to heels was placed on one support plate 12.
The tip of the same plate was covered with a slip sheet (Multi-Glove KZ-159033, manufactured by Paramount Bed) used in nursing care, i.e., a 50 cm x 20 cm glove was folded in half, a 50 cm x 10 cm sheet was placed over the tip, and the end was secured with adhesive tape. As described above, the ankle of the newborn doll was lifted slightly and the plate was inserted from the foot side. The insertion proceeded with little resistance, and when the tip of the plate pressed against the pillow, the other side of the pillow (the side opposite the insertion side of the support plate 12) was held down with the other hand not holding the support plate 12 while the support plate 12 was inserted, and the whole of the newborn baby from the head to the heels could be placed on one support plate 12. The support plate 12 was inserted more easily and lightly when covered with a slip sheet.
This Example 14 confirmed that a large support plate 12 (3 mm, approximately 58 cm, approximately 100 cm) and a single plate can be inserted, and that the slip sheet helps the insertion. In addition, it was confirmed that a plate with a thickness of 3 mm, a width of approximately 58 cm, and a length of approximately 100 cm can pass through the back of a doll, but can also push out objects such as pillows depending on their shape.
Example 15

実施例7と同じく、市販のストレッチャー(村中医療器株式会社製、ナーシングストレッチャー、NST-1、縦194cm、横54cm)に、市販の表面のシーツは糸で縫いつけられている布団(100cm×200cm、厚みは約5cm、圧縮すると約3cm)を載せ、該布団のシーツの上に、身長176cm、体重58kgの成人男子を乗せた。本実施例15では、挿入補助板11として実施例1で使用した市販のプラスチック定規TCC0-102を、支持板12として実施例2で使用した硬質ポリ塩化ビニルの板(タキロン株式会社製SAKK608、厚み3mm、幅100mm、長さ900mm、挿入先端と両側面はテーパー加工、挿入先端の左右角部位は面取り加工)を用いた。
(1)ストレッチャーの布団の上に仰臥位に横たわった臥床者Kは、自ら挿入補助板11を頭部直下に挿入した。毛髪があるので、臥床者Kは、頭頂方向から顎部の方向へ市販のプラスチック定規TCC0-102のテーパーを利用する形で、即ち、本定規の断面の台形の短い辺が臥床者の身体の側に面し、長い辺がストレッチャー上の布団に面する形で、自ら頭部も少し浮かす形で挿入した。
(2)その後、臥床者Kが自ら挿入した挿入補助板11の直下に、介護者が支持板12を挿入した。支持板12は挿入補助板11と布団のシーツの間を滑り移動し、特に問題なく貫通した。
(3)介護者は、頭部の挿入補助板11と支持板12を抜去し、その後、臥床者Kは、(1)と同様に首部直下に挿入補助板11を挿入した。首部は布団のシーツ面との間に空間があるので、介護者は、挿入補助板11を押さえながら、挿入補助板11の直下、挿入補助板11と布団のシーツ面の間に支持板12を滑り込ませた。本支持板12は特に問題なく貫通した。
(4)(3)と同様に、介護者が首部の挿入補助板11と支持板12を抜去し、その後、被介護者は自ら肩部の直下に挿入補助板11を挿入し、介護者は挿入補助板11の直下、挿入補助板11と布団のシーツの間に支持板12を挿入した。本支持板12は特に問題なく貫通した。
(5)上記と同様に、臥床者Kは、身体直下の各部所に自ら挿入補助板11を挿入し、介護者は、臥床者Kが挿入した挿入補助板11の直下に支持板12を挿入し、挿入が確認されれば、一度全板を抜去し、順次、腰部、臀部、大腿部直下への挿入を繰り返した。身体各部所直下への挿入補助板11、支持板12の挿入、貫通は、特に問題なく実施できた。
本実施例15により、臥床者Kの健康度によるが、状況が許せば、長さ約30cmの挿入補助板11を、臥床者Kが自ら侵襲を調整しながら挿入することが可能なることを確認した。挿入補助板11が挿入されていると、支持板12の挿入は困難なく、又、支持板12の直下に支持補助板13を挿入することもできるので、被介護者と介護者の連携による床上生活のADL、QOLの向上が可能となることが確認された。
〔実施例16〕
As in Example 7, a commercially available futon (100 cm x 200 cm, approximately 5 cm thick, approximately 3 cm when compressed) with a commercially available sheet sewn on the surface was placed on a commercially available stretcher (Muranaka Medical Equipment Co., Ltd., Nursing Stretcher, NST-1, length 194 cm, width 54 cm), and an adult male 176 cm tall and weighing 58 kg was placed on the futon sheet. In this Example 15, the commercially available plastic ruler TCC0-102 used in Example 1 was used as the insertion support plate 11, and the hard polyvinyl chloride plate used in Example 2 (TAKIRON Co., Ltd., SAKK608, thickness 3 mm, width 100 mm, length 900 mm, insertion tip and both sides tapered, left and right corners of the insertion tip chamfered) was used as the support plate 12.
(1) Patient K, lying supine on the mattress of the stretcher, inserted the insertion aid plate 11 directly under his head. Because he had hair, patient K inserted the aid plate 11 from the top of his head toward his chin using the taper of a commercially available plastic ruler TCC0-102, that is, with the short side of the trapezoidal cross section of this ruler facing the body of the patient and the long side facing the mattress on the stretcher, and with his head slightly raised.
(2) After that, the caregiver inserted the support plate 12 directly below the insertion aid plate 11 that the bedridden person K had inserted himself. The support plate 12 slid between the insertion aid plate 11 and the futon sheet and penetrated without any problems.
(3) The caregiver removed the head insertion aid plate 11 and the support plate 12, and then inserted the insertion aid plate 11 directly below the neck of the bedridden patient K in the same manner as in (1). Because there is a space between the neck and the surface of the futon sheet, the caregiver pressed down on the insertion aid plate 11 and slid the support plate 12 between the insertion aid plate 11 and the surface of the futon sheet, directly below the insertion aid plate 11. The support plate 12 penetrated without any problems.
(4) As in (3), the caregiver removed the insertion aid plate 11 and the support plate 12 from the neck area, then the person being cared for inserted the insertion aid plate 11 directly under the shoulder area, and the caregiver inserted the support plate 12 directly under the insertion aid plate 11, between the insertion aid plate 11 and the futon sheet. The support plate 12 penetrated without any problems.
(5) As in the above, the bedridden person K inserted the insertion support plates 11 into each part of his body directly beneath him, and the caregiver inserted the support plates 12 beneath the insertion support plates 11 inserted by the bedridden person K, and once the insertion was confirmed, the caregiver removed all the plates once, and then repeated the insertion beneath the lower back, buttocks, and thighs. The insertion and penetration of the insertion support plates 11 and support plates 12 beneath each part of the body was carried out without any particular problems.
This Example 15 confirmed that, depending on the health of the bedridden person K, if the situation permits, the bedridden person K can insert the insertion support plate 11 having a length of about 30 cm while adjusting the invasiveness by himself/herself. When the insertion support plate 11 is inserted, it is not difficult to insert the support plate 12, and the support support plate 13 can be inserted directly below the support plate 12. It was confirmed that it is possible to improve the ADL and QOL of bed life through cooperation between the care recipient and the caregiver.
Example 16

図10に示すように、ストレッチャー15を2台縦長に並べ、即ち頭側に実施例7で使用したのと同じ村中医療器株式会社、ナーシングストレッチャー、NST-1(縦194cm×横54cm、高さ58~99cm)を、脚側に実施例7で使用したのと同じPARAMOUNTBED KK-700-095D(縦190cm×横54cm、高さ55~87cm)を配置し、該2台のストレッチャー15の間に幅12cm、長さ36cmの平板を持ち昇降機能を有する支持器24(部分昇降部の一例:オーバーベッドテーブルPARAMOUNTBED KF-270-0095Dからテーブル板を外したもの)を挟み、ストレッチャー15、2台の接続部分が昇降するベッドを自製した。オーバーベッドテーブルから作成した支持器24は、図10に示すように2台のストレッチャー15の間に置き、前後左右の空間も含め対称な形に配置した。ストレッチャー15の間の距離は22cmであり、その間に前後左右が対称になるように幅12cm、長さ36cmの支持台を配置し、頭側のストレッチャー15、支持器24、脚側のストレッチャー15の高さが同一になるように高さを調整した。
自製のベッドに、実施例1で使用したのと同じ市販の表面のシーツは糸で縫いつけられている布団(100cm×200cm、厚みは約5cm、圧縮すると約3cm)を載せ、頭側のストレッチャー15の支持器24とは反対側の端面から106cmの位置に布団の先端部が来るように敷き、自製ベッドに布団が左右対称になるように調整した。その上に身長176cm、体重65kgの患者役の成人男子の実験者が、臀部が支持器24の上になるように臥床し(具体的には、大転子が頭側のストレッチャー15の支持器24側端面に、大転子と膝の中間部分が脚側のストレッチャー15の支持器24側の端面に乗る形に配置し)、自製ベッドに対して患者役の臥床者Kの位置が左右対称になるように微調整し、実験準備は完了とした。尚、患者役の実験者は実施例10で用いたのと同じ市販のパジャマを着用し、頭部にはバスタオルを折り畳んだ枕を敷いた。
(1)本実施例16は、支持器24を下げた時の支持板12や支持補助板13の挿入難易性を確かめることを目的としているが、比較のため、2台のストレッチャー15と支持器24の高さが同一の時点での板の挿入難易を測る実験も行った。
(2)もう一人の看護師や介護者役の実験者は、臥床者Kの臀部の直下に実施例2で使用した支持板12(タキロン株式会社製SAKK608のプラスチックの板、挿入先端と両側面はテーパー加工あり、挿入先端の左右角部位は面取り加工ありのもの)を患者役の実験者と布団の上表面の間へ挿入した。挿入は問題なく行われ、次に支持板12を挿入のガイドとして、実施例7で使用した支持補助板13と同仕様の杉の木の板(厚み14mm)を支持補助板13として挿入した。挿入は問題なく行われた。その後、支持補助板13を抜去し、続いて支持板12を抜去した。
(3)次に支持器24の昇降機能を利用して、支持器24の高さをストレッチャー15の上面から8cm降下させた。患者役実験者は、支持器24が降下したため、大転子から大転子と膝の中間部分までは支えがない状態であるが、大転子と大腿部で支えられ、又、本身体部分直下の布団がハンモックの機能を有していると考えられ、患者役の臥床者Kの臥床状態は目視では変化なく、臥床者本人からは、やや違和感あるが不安定さなし、安寧は得られるとのコメントがあった。
看護師や介護者役の実験者は、患者役の実験者と布団の上表面の間に支持板12を挿入した。患者役の臥床者Kからは、支持板12の挿入に関し抵抗感はなかったとのことであった。続いて支持補助板13を挿入したが、支持補助板13も板の挿入に関し抵抗感はなかったとのことであった。
(4)その後、支持器24の昇降機構を利用して、支持器24を上げ、2台のストレッチャー15と同じ高さにし、支持器24の昇降が無い時と同じ挿入状態、(2)の状態を再現した。
(5)再度支持器24を下げ、支持板12、支持補助板13を合わせて抜去した。抜去時にも看護師や介護者役の実験者は、抵抗感なかった。
(6)以下では、支持板12として(2)から(5)で使用した、即ち、実施例2で使用した支持板12(タキロン株式会社製SAKK608のプラスチックの板、挿入先端と両側面はテーパー加工あり、挿入先端の左右角部位は面取り加工ありのもの)と、これも(2)から(5)で使用した、即ち、実施例7で使用した支持補助板13と同仕様の杉の木の板(厚み14mm)を支持板12として使用するので、区別のために、支持板12(プラスチックの板)、支持板12(杉の板)と材料を明示しつつ使用する。
(2)、(3)と同じ方法で、支持器24がストレッチャー15と同じ高さの時と、支持器24を8cm降下させた時の2つの状態で、今次は(2)から(5)で支持補助板13として使用した杉の木の板(厚み14mm)を支持板12として用い挿入難易の比較実験を行った。
(2)、(3)の支持板12(プラスチックの板)、支持補助板13の挿入実験と合わせ、結果を〔表11〕に示す。
(7)(3)の支持台を下げた状態で、患者役の実験者自ら、臥床状態で支持板12(プラスチックの板)を左手でつかみ、患者の臀部と布団の上表面の間にたぐり入れる形で挿入した。該支持板12は大きな抵抗もなく臀部下を貫通した。その後、左右両手を用いて板の左右のはみ出し部分が均等になるように調整し、その後抜去した。本結果も合わせ〔表11〕に示す。
(8)(7)と同様に、(3)の支持器24を下げた状態で、患者役の実験者自ら、臥床状態で支持板12(杉の板)を左手でつかみ、自ら挿入、抜去実験を実施した。本結果も合わせ〔表11〕に示す。
尚、本実施例16では支持板12はプラスチックの板と、杉の板の2種使用しており、本表では、支持板12(プラスチックの板)、支持板12(杉の板)と材料を指定して記載した。
As shown in FIG. 10, two stretchers 15 were arranged vertically, that is, a nursing stretcher NST-1 (length 194 cm × width 54 cm, height 58 to 99 cm) manufactured by Muranaka Medical Equipment Co., Ltd., the same as that used in Example 7, was arranged on the head side, and a PARAMOUNT BED KK-700-095D (length 190 cm × width 54 cm, height 55 to 87 cm) the same as that used in Example 7 was arranged on the leg side, and a support 24 (an example of a partial lifting section: an overbed table PARAMOUNT BED KF-270-0095D with the table board removed) having a flat plate with a width of 12 cm and a length of 36 cm and having a lifting function was sandwiched between the two stretchers 15, and a bed in which the connecting parts of the two stretchers 15 can be lifted and lowered was fabricated by ourselves. The support 24 made from the overbed table was placed between the two stretchers 15 as shown in Fig. 10, and was arranged symmetrically including the front-back and left-right spaces. The distance between the stretchers 15 was 22 cm, and a support platform 12 cm wide and 36 cm long was placed between them so that they were symmetrical in the front-back and left-right directions, and the heights of the head-side stretcher 15, support 24, and leg-side stretcher 15 were adjusted so that they were all the same.
A futon (100 cm x 200 cm, approximately 5 cm thick, approximately 3 cm when compressed) with the same commercially available surface sheet as used in Example 1 sewn with thread was placed on the homemade bed, and the tip of the futon was placed 106 cm from the end face of the head-side stretcher 15 opposite the support 24, and the futon was adjusted so that it was symmetrical on the homemade bed. An adult male experimenter playing the role of a patient, 176 cm tall and weighing 65 kg, lay on it with his buttocks on the support 24 (specifically, the greater trochanter was placed on the end face of the head-side stretcher 15 on the support 24 side, and the intermediate part between the greater trochanter and the knee was placed on the end face of the leg-side stretcher 15 on the support 24 side), and the position of the patient K was finely adjusted so that it was symmetrical on the homemade bed, completing the preparation for the experiment. The experimenter playing the role of the patient wore the same commercially available pajamas as those used in Example 10, and placed a folded bath towel as a pillow under his or her head.
(1) The purpose of this Example 16 is to confirm the difficulty of inserting the support plates 12 and the auxiliary support plates 13 when the supports 24 are lowered. For comparison, an experiment was also conducted to measure the difficulty of inserting the plates when the heights of the two stretchers 15 and the supports 24 were the same.
(2) Another experimenter playing the role of a nurse or caregiver inserted the support plate 12 used in Example 2 (a plastic plate of SAKK608 manufactured by Takiron Co., Ltd., with tapered insert tip and both sides, and chamfered left and right corners of the insert tip) between the experimenter playing the role of a patient and the top surface of the futon, directly under the buttocks of the bedridden person K. The insertion was carried out without any problems, and then, using the support plate 12 as a guide for insertion, a cedar wood plate (thickness 14 mm) of the same specifications as the auxiliary support plate 13 used in Example 7 was inserted as the auxiliary support plate 13. The insertion was carried out without any problems. The auxiliary support plate 13 was then removed, followed by the support plate 12.
(3) Next, using the lifting function of the support device 24, the height of the support device 24 was lowered 8 cm from the top surface of the stretcher 15. The experimenter playing the patient felt that because the support device 24 had been lowered, there was no support from the greater trochanter to the middle part between the greater trochanter and the knee, but he was supported by the greater trochanter and the thigh, and it was thought that the futon directly below this body part had the function of a hammock. There was no visible change in the lying state of the patient-playing person K, and the lying person commented that although he felt a little uncomfortable, he was not unstable and felt at ease.
The experimenter playing the role of a nurse or caregiver inserted the support plate 12 between the experimenter playing the role of the patient and the top surface of the futon. The bedridden patient K reported that he felt no resistance to the insertion of the support plate 12. Next, the support auxiliary plate 13 was inserted, but he also reported that he felt no resistance to the insertion of the support auxiliary plate 13.
(4) Thereafter, the lifting mechanism of the support device 24 was used to raise the support device 24 to the same height as the two stretchers 15, recreating the same insertion state as when the support device 24 was not raised or lowered, i.e., the state of (2).
(5) The support device 24 was lowered again, and the support plate 12 and the auxiliary support plate 13 were removed together. The experimenters playing the role of nurses and caregivers did not feel any resistance when the plates were removed.
(6) In the following, the support plate 12 used in (2) to (5), i.e., the support plate 12 used in Example 2 (a plastic plate of SAKK608 manufactured by Takiron Co., Ltd., with tapered insertion tip and both sides and chamfered left and right corners of the insertion tip) and the support auxiliary plate 13 used in (2) to (5), i.e., a cedar wood board (thickness 14 mm) of the same specifications as the support auxiliary plate 13 used in Example 7, will be used as the support plate 12. For the sake of distinction, the materials will be clearly indicated as support plate 12 (plastic plate) and support plate 12 (cedar board).
Using the same method as in (2) and (3), a comparative experiment was conducted in two states: when the support device 24 was at the same height as the stretcher 15, and when the support device 24 was lowered by 8 cm. This time, the same cedar board (thickness 14 mm) as used as the auxiliary support plate 13 in (2) to (5) was used as the support plate 12 to compare the difficulty of insertion.
The results are shown in Table 11, together with the insertion experiments of the support plate 12 (plastic plate) and the auxiliary support plate 13 in (2) and (3).
(7) With the support platform (3) lowered, the experimenter, playing the role of the patient, in a lying position, grasped the support plate 12 (plastic plate) with his left hand and inserted it between the patient's buttocks and the upper surface of the futon. The support plate 12 penetrated under the buttocks without much resistance. After that, he used both hands to adjust the left and right protruding parts of the plate so that they were even, and then removed it. The results are also shown in [Table 11].
As in (8) and (7), with the support device 24 in (3) lowered, the experimenter playing the role of the patient held the support plate 12 (a cedar board) with his/her left hand while lying down and performed the insertion and removal experiment himself/herself. The results are also shown in [Table 11].
In this embodiment 16, two types of support plate 12 are used: a plastic plate and a cedar plate, and in this table, the materials are specified as support plate 12 (plastic plate) and support plate 12 (cedar plate).

Figure 0007612770000011
Figure 0007612770000011

本実施例16により、医療又は看護又は介護を含む処置に必要な支持板12(プラスチックの板)や支持板12(杉の板)、支持補助板13の挿入に関し、これら板の挿入必要個所に該当するベッド床板が部分的に降下することにより、支持板12(プラスチックの板)や支持板12(杉の板)、支持補助板13の挿入に際して、ベッド機能としての臥床者Kの体重保持機能を保ちつつ、臥床者Kへの侵襲の低下が可能なること、又、看護師や介護者の挿入作業が軽量化、容易化されること、又、臥床者Kの健康状態にもよるが、臥床者K自らも自身と臥床ベッド上の布団との間へ支持板12(プラスチックの板)や支持板12(杉の板)、支持補助板13を挿入できることが確認された。以下の〔表12〕に上記実施例1~16の概要を示す。 In this Example 16, it was confirmed that, in relation to the insertion of the support plate 12 (plastic plate), support plate 12 (cedar plate), and support auxiliary plate 13 required for treatment including medical care, nursing, or caregiving, the bed floor plate corresponding to the portion where these plates need to be inserted is partially lowered, so that when inserting the support plate 12 (plastic plate), support plate 12 (cedar plate), and support auxiliary plate 13, it is possible to reduce the invasiveness to the bedridden person K while maintaining the bed function of supporting the weight of the bedridden person K, and that the insertion work of the nurse or caregiver is lighter and easier. In addition, it was confirmed that, depending on the health condition of the bedridden person K, the bedridden person K himself or herself can insert the support plate 12 (plastic plate), support plate 12 (cedar plate), and support auxiliary plate 13 between himself or herself and the futon on the bed. The following [Table 12] shows an overview of the above Examples 1 to 16.

Figure 0007612770000012

〔実施例17〕
Figure 0007612770000012

Example 17

(1)実施例7と同様、市販のストレッチャー(村中医療器株式会社製、ナーシングストレッチャー、NST-1、縦194cm、横54cm)に、市販の表面のシーツは糸で縫いつけられている布団(100cm×200cm、厚みは約5cm、圧縮すると約3cm)を二つ折にして載せ、略200cm×50cm、厚みは約10cm、圧縮すると約5cmの布団を一つの布団のように使用し、模擬マットレス面とした。その上に、袋式のベッドシーツに入れた夏布団(縦185cm、横120cm、厚み約2cm)を、これも長さ方向に二つ折にして重ね、その上面を臥床者が横たわる模擬敷布団面とした。本模擬布団面は布団の一般的性質であるが、柔軟部材60として柔軟性を有す。
(2)上記の模擬敷布団面の上に、市販のパジャマを着用させ、身長177cm、体重68kgの臥床者K役の成人男子実験者を、手掌を組んだ形で仰臥位に臥床させた。又、枕の代わりとして折り曲げたバスタオル(25cm×35cm、厚み2~3cm)を後頭部に敷いた。
(3)尚、模擬マットレス面、模擬敷布団面ともに、布団を二つ折にしたものを使用しており、折り畳んだ背の部分(看護、介護用語では“わ”と言うが)、模擬マットレス面の“わ”は、臥床者の左手方向、模擬敷布団面の“わ”は、臥床者Kの右手方向であった。
(4)看護師・介護者役の成人男性が、臥床者役の実験者の右側に立ち、実施例7で使用した支持板12と同仕様の空間形成支持板61bを、本実施例では、模擬マットレス面(臥床面15a)と模擬敷布団面の間に、頭側から足側へ略敷き詰める形で、合計16枚挿入した。
(5)次に、空間形成支持板61bの直下に、空間形成支持板61bをガイドとして、これも実施例7で使用したのと同様仕様の空間形成支持補助板61cを空間形成部材61として16枚挿入した。挿入はスムーズに抵抗なく実施された。
次に、空間形成支持板61b及び空間形成支持補助板61cを、挿入部材(挿入支持部材)としての支持板12及び支持補助板13として利用する工程について説明する。
(6)この時点で、模擬敷布団面は、空間形成支持板61bと空間形成支持補助板61cの厚み相当分、略17mm持ち上がった状態にあるが、この状態で、まず、頭側の空間形成支持板61bを模擬敷布団面と模擬マットレス面の間から抜去し、抜去した空間形成支持板61bを臥床者Kの枕と模擬敷布団面の間(挿入空間Sp)へ支持板12として挿入した。挿入は大きな抵抗もなく、スムーズに実施された。
(7)次に、頭側の空間形成支持補助板61cを模擬敷布団面と模擬マットレス面の間から抜去し、該空間形成支持補助板61cを、臥床者Kの枕と模擬敷布団面の間へ挿入した支持板12の直下に、支持板12をガイドとして挿入した。挿入は大きな抵抗もなく、スムーズに実際された。
(8)次に、肩部にて、空間形成支持板61bを模擬敷布団面と模擬マットレス面の間から抜去し、空間形成支持板61bを臥床者Kと模擬敷布団面の間へ支持板12として挿入し、次に、肩部にて空間形成支持補助板61cを模擬敷布団面と模擬マットレス面の間から抜去し、該空間形成支持補助板61cを支持補助板13として、模擬敷布団面の間へ挿入した支持板12の直下に支持板12をガイドとして挿入する操作を行い、順次、腰上部、臀上部、大腿上部、下腿上部、踵部にて同様の操作を繰り返し実施した。肩部から足首部の挿入に関しても大きな抵抗もなく、スムーズに実際された。
(9)(8)の操作終了後の、袋式のベッドシーツに入れた夏布団を二つ折にした柔軟部材60上下の空間形成支持板61b、空間形成支持補助板61c、支持板12、支持補助板13の配置を〔表13〕に示す。
(10)その後、袋式のベッドシーツに入れた夏布団を二つ折にした柔軟部材60、模擬敷布団面の下にある空間形成支持板61b、空間形成支持補助板61cを足側から頭側へ順次抜去し、実施例7の荷重支持装置と結合直前の支持板12、支持補助板13の配置が形成できた。この後、実施例7と同様に、荷重支持装置と結合すると臥床者Kと臥床面15aの間に、医療、看護、又は介護を含む処置に使用される空間が形成できる。本状態までの所要時間は、10分弱であった。
(11)本実施例17により、空間形成支持板61bや空間形成支持補助板61cを抜去した部分の柔軟部材の模擬敷布団面は、少し下方へ向かって弛む傾向があること、又、本弛みを挿入空間Spとして利用すると挿入部材(支持板12や支持補助板13)がより容易に臥床者Kと模擬布団面との間に挿入できることが確認された。又、臥床者K役の成人男子実験者からも、本法での支持板12、支持補助板13の挿入は実施例7の挿入方法に比べ、挿入空間Spにより挿入時の圧力が軽減されるためか、挿入時の異物感は減少していると思うとのコメントがあった。
(12)尚、布団(柔軟部材)の下面から布団の上への板の移動は、本実施例で示した7本に限らず、臥床者Kの背面の状態(褥瘡、傷害部など)を勘案し、本数や場所は適宜選択して実施しても良い。又、本実施例では、柔軟部材60の下に空間形成支持板61bと空間形成支持補助板61cを略敷き詰めたが、挿入空間Spの形成には必ずしも敷き詰める必要はなく、適宜間引いても良い。
(1) As in Example 7, a commercially available futon (100 cm x 200 cm, approximately 5 cm thick, approximately 3 cm when compressed) with a sheet sewn on the surface with thread was folded in half and placed on a commercially available stretcher (Muranaka Medical Equipment Co., Ltd., Nursing Stretcher, NST-1, length 194 cm, width 54 cm), and the futon, approximately 200 cm x 50 cm, approximately 10 cm thick, approximately 5 cm when compressed, was used as a single futon to create a simulated mattress surface. On top of this, a summer futon (185 cm long, 120 cm wide, approximately 2 cm thick) placed in a bag-type bed sheet was also folded in half lengthwise and layered, and the upper surface of this was used as a simulated futon surface on which a recumbent would lie. This simulated futon surface has the general properties of a futon, but has flexibility as a flexible member 60.
(2) An adult male experimenter, who was to play the role of patient K, was made to lie on the simulated futon surface in a supine position with his hands folded, wearing commercially available pajamas. A folded bath towel (25 cm x 35 cm, 2-3 cm thick) was placed behind the head as a pillow.
(3) Furthermore, both the simulated mattress surface and the simulated futon surface were made by folding a futon in half, with the back of the folded futon (called a “wa” in nursing and caregiving jargon) facing the left hand of the reclining person, and the “wa” on the simulated futon surface facing the right hand of reclining person K.
(4) An adult male playing the role of a nurse/caregiver stood to the right of the experimenter playing the role of the bedridden person and inserted a total of 16 space-forming support plates 61b having the same specifications as the support plate 12 used in Example 7 between the simulated mattress surface (bed surface 15a) and the simulated futon surface, in a manner that they were roughly laid out from the head side to the foot side.
(5) Next, directly below the space forming support plate 61b, using the space forming support plate 61b as a guide, 16 space forming support auxiliary plates 61c having the same specifications as those used in Example 7 were inserted as space forming members 61. The insertion was carried out smoothly and without resistance.
Next, a process of using the space forming support plate 61b and the space forming auxiliary support plate 61c as the support plate 12 and the auxiliary support plate 13 serving as insertion members (insertion support members) will be described.
(6) At this point, the simulated mattress surface is raised by approximately 17 mm, which is equivalent to the thickness of the space-forming support plate 61b and the space-forming auxiliary support plate 61c, but in this state, first, the head-side space-forming support plate 61b was removed from between the simulated mattress surface and the simulated mattress surface, and the removed space-forming support plate 61b was inserted between the pillow of the recumbent K and the simulated mattress surface (insertion space Sp) as the support plate 12. The insertion was carried out smoothly without any significant resistance.
(7) Next, the head-side space-forming support auxiliary plate 61c was removed from between the simulated futon surface and the simulated mattress surface, and the space-forming support auxiliary plate 61c was inserted directly below the support plate 12 inserted between the pillow and the simulated futon surface of the recumbent K, using the support plate 12 as a guide. The insertion was carried out smoothly without any significant resistance.
(8) Next, at the shoulder, the space-forming support plate 61b is removed from between the simulated futon surface and the simulated mattress surface, and the space-forming support plate 61b is inserted between the recumbent K and the simulated futon surface as the support plate 12, and then the space-forming auxiliary support plate 61c is removed from between the simulated futon surface and the simulated mattress surface at the shoulder, and the space-forming auxiliary support plate 61c is inserted as the support auxiliary plate 13 directly below the support plate 12 inserted between the simulated futon surfaces, using the support plate 12 as a guide, and the same operation is repeated in sequence at the upper waist, upper buttocks, upper thighs, upper legs, and heels. There was no significant resistance to the insertion from the shoulder to the ankle, and it was performed smoothly.
After operations (9) and (8) are completed, the arrangement of the space-forming support plate 61b, space-forming support auxiliary plate 61c, support plate 12, and support auxiliary plate 13 above and below the flexible member 60 with the summer futon folded in half and placed inside the bag-type bed sheet is shown in Table 13.
(10) After that, the flexible member 60, which is made by folding a summer futon in half and putting it in a bag-type bed sheet, the space forming support plate 61b and the space forming auxiliary support plate 61c under the simulated futon surface are removed in order from the foot side to the head side, and the arrangement of the support plate 12 and the auxiliary support plate 13 immediately before being connected to the load support device of Example 7 is formed. After this, by connecting to the load support device in the same way as in Example 7, a space to be used for treatment including medical care, nursing, or care can be formed between the lying person K and the lying surface 15a. The time required to reach this state was just under 10 minutes.
(11) It was confirmed that the simulated mattress surface of the flexible member in the portion where the space forming support plate 61b and the space forming auxiliary support plate 61c were removed tends to sag slightly downward, and that by using this sagging as an insertion space Sp, the insertion member (support plate 12 and auxiliary support plate 13) can be more easily inserted between the recumbent K and the simulated mattress surface. In addition, the adult male experimenter who played the role of the recumbent K commented that he thought the sensation of a foreign body during insertion was reduced when inserting the support plate 12 and auxiliary support plate 13 in this method compared to the insertion method in Example 7, possibly because the pressure during insertion was reduced by the insertion space Sp.
(12) The number of plates moving from the underside of the futon (flexible member) to the top of the futon is not limited to seven as shown in this embodiment, and the number and locations may be appropriately selected taking into consideration the condition of the back of the bedridden person K (bedsores, injuries, etc.). Also, in this embodiment, the space forming support plates 61b and the space forming support auxiliary plates 61c are roughly laid out under the flexible member 60, but they do not necessarily have to be laid out completely to form the insertion space Sp, and they may be thinned out as appropriate.

Figure 0007612770000013

〔実施例18〕
Figure 0007612770000013

Example 18

(1)実施例17と同様にストレッチャー、模擬マットレス面、模擬敷布団面を使用し、当該実施例18では、実施例7で使用した杉の板を、柔軟部材60との組み合わせであることを配慮し、空間形成支持板61b及び杉の板からなる支持板12として用いた。最初に、模擬マットレス面と模擬敷布団面の間に、臥床者Kの頭側から空間形成支持板61bを略敷き詰める形で踵部まで17本挿入した。挿入は大きな抵抗もなく、スムーズに実際された。
尚、実施例17では空間形成支持板61b(幅100mm)を挿入し、その直下に空間形成支持補助板61c(幅90mm)を挿入したが、本実験では空間形成支持板61b(幅90mm)のみ挿入した。これら板の幅に差があるため、本実験では空間形成支持板61bは17本の挿入となった。
(2)この時点で、疑似敷布団面は、空間形成支持板61bの厚み相当分、略14mm持ち上がった状態にあるが、まず、頭側の空間形成支持板61bを模擬敷布団面と模擬マットレス面の間から抜去し、臥床者Kの枕と模擬敷布団面の間へ挿入した。挿入は大きな抵抗もなく、スムーズに実際された。
(3)次に、肩上部にて空間形成支持板61bを模擬敷布団面と模擬マットレス面の間から抜去し、臥床者Kと模擬敷布団との間(挿入空間Sp)に、当該空間形成支持板61bを支持板12として挿入した。順次、腰上部、腰下部、臀上部、大腿上部、膝下部、足首部にて同様の操作を繰り返し実施した。肩上部から足首部の挿入に関しても大きな抵抗もなく、スムーズに実際された。
(4)本実施例18により、空間形成支持板61bを抜去した部分の柔軟部材60の模擬敷布団面は、少し下方へ向かって弛む傾向があること、又、本弛みを挿入空間Spとして利用すると空間形成支持板61bが支持板12として直接、容易に、臥床者Kと模擬布団面との間に挿入できることが確認された。
(5)(4)の操作終了後の、袋式のベッドシーツに入れた夏布団を二つ折にした柔軟部材60上下の空間形成支持板61b及び支持板12の配置を表14に示す。
(6)その後、空間形成支持板61bを足側から頭側へ順次抜去し、実施例7の荷重支持部材14と結合直前の支持補助板13の配置が形成できた。実施例7と同様に、荷重支持部材14と結合すると臥床者Kと臥床面15aとの間に、医療、看護、又は介護を含む処置に使用される空間Sが形成できる。本状態までの所要時間は、約5分半であった。
(7)本実施例18により、空間形成支持板61bを抜去した部分の柔軟部材60の模擬敷布団面は、少し下方へ向かって弛む傾向があること、又、本弛みを挿入空間Spとして利用すると支持板12もより容易に臥床者Kと模擬布団面との間に挿入できることが確認された。又、臥床者K役の成人男子実験者からも、本法での支持板12の挿入は、実施例17の支持板12+支持補助板13の挿入方法に比べ、挿入空間Spにより挿入時の圧力が軽減されるためか、支持板12のみの挿入でも、挿入時の異物感に違いは感じられなかったとのコメントがあった。
(8)尚、布団(柔軟部材60)の下面から布団の上面への板の移動は、本実施例18で示した8本に限らず、臥床者Kの背面の状態(褥瘡、傷害部など)を勘案し、本数や場所は適宜選択して実施しても良い。又、本実施例18では、柔軟部材60の下に空間形成支持板61bを略敷き詰めたが、挿入空間Spの形成には必ずしも敷き詰める必要はなく、適宜間引いても良い。
(1) As in Example 17, a stretcher, a simulated mattress surface, and a simulated futon surface were used, and in this Example 18, the cedar boards used in Example 7 were used as the space forming support boards 61b and the support boards 12 made of cedar boards, taking into consideration that they were combined with the flexible members 60. First, 17 space forming support boards 61b were inserted between the simulated mattress surface and the simulated futon surface from the head side of the recumbent K to the heels in a manner that almost completely covered the space. The insertion was carried out smoothly without any significant resistance.
In Example 17, the space forming support plate 61b (width 100 mm) was inserted, and the space forming support auxiliary plate 61c (width 90 mm) was inserted directly below it, but in this experiment, only the space forming support plate 61b (width 90 mm) was inserted. Because there was a difference in the width of these plates, 17 space forming support plates 61b were inserted in this experiment.
(2) At this point, the simulated mattress surface was raised by approximately 14 mm, which is equivalent to the thickness of the space-forming support plate 61b, but first, the head-side space-forming support plate 61b was removed from between the simulated mattress surface and the simulated mattress surface, and inserted between the pillow and the simulated mattress surface of the recumbent K. The insertion was carried out smoothly without any significant resistance.
(3) Next, the space forming support plate 61b was removed from between the simulated futon surface and the simulated mattress surface at the upper shoulder area, and the space forming support plate 61b was inserted between the recumbent K and the simulated futon (insertion space Sp) as the support plate 12. The same operation was repeated at the upper waist, lower waist, upper buttocks, upper thighs, lower knees, and ankles. There was no significant resistance when inserting from the upper shoulders to the ankles, and the insertion was carried out smoothly.
(4) This Example 18 confirmed that the simulated mattress surface of the flexible member 60 in the portion where the space-forming support plate 61b has been removed tends to sag slightly downward, and that by utilizing this sagging as an insertion space Sp, the space-forming support plate 61b can be easily inserted as the support plate 12 directly between the lying person K and the simulated mattress surface.
(5) After the steps (4) are completed, the arrangement of the space forming support plates 61b and support plate 12 above and below the flexible member 60 with the summer quilt folded in half inside the bag-type bed sheet is shown in Table 14.
(6) After that, the space forming support plate 61b was removed in order from the foot side to the head side, and the arrangement of the auxiliary support plate 13 immediately before being connected to the load supporting member 14 of Example 7 was formed. As in Example 7, when the load supporting member 14 is connected, a space S used for treatment including medical care, nursing, or caregiving can be formed between the lying person K and the lying surface 15a. The time required to reach this state was about five and a half minutes.
(7) This Example 18 confirmed that the simulated mattress surface of the flexible member 60 from which the space-forming support plate 61b was removed tends to sag slightly downward, and that by using this slack as the insertion space Sp, the support plate 12 can be more easily inserted between the recumbent K and the simulated mattress surface. In addition, the adult male experimenter playing the role of the recumbent K commented that, compared to the insertion method of the support plate 12 + auxiliary support plate 13 of Example 17, the insertion of the support plate 12 in this method did not feel any difference in the foreign body sensation during insertion, even when only the support plate 12 was inserted, probably because the pressure during insertion is reduced by the insertion space Sp.
(8) The number of plates moving from the underside of the futon (flexible member 60) to the upper side of the futon is not limited to eight as shown in this embodiment 18, and the number and location may be appropriately selected in consideration of the condition of the back of the bedridden person K (bedsores, injuries, etc.). In this embodiment 18, the space forming support plates 61b are laid almost completely under the flexible member 60, but they do not necessarily have to be laid completely to form the insertion space Sp, and they may be thinned out as appropriate.

〔実施例19〕 Example 19

(1)実施例18と同様のストレッチャー、模擬マットレス面、模擬敷布団面を使用し、実施例18と同様に、杉の板を空間形成支持板61bとして使用し、実験を行った。模擬マットレス面と模擬敷布団面の間に、臥床者Kの頭側から空間形成支持板61bを略敷き詰める形で踵部まで17本挿入した。
(2)次に、肩上部の下の模擬マットレス面と模擬敷布団面の間に挿入した空間形成支持板61bの一部を抜去し、空間形成支持板61bを抜去することにより模擬布団(柔軟部材60)が弛み、挿入空間Spが形成できるので、本空間Spを利用して、市販のスーツケースベルト13(挿入支持部材の一例、Smartip製、ワンタッチスーツケースベルト。幅5cm、長さ約2mを190cmに附属のコキで長さを調整し、口金の凹凸を篏合した形で使用。約95cmのリングを折り畳んだ平板矩形状。口金を篏合すると、バックルの先端部に面取り加工がしてあり、臥床者Kと模擬布団面との間へ挿入することができる)を挿入した。
(3)同様に腰中部の個所の模擬マットレス面と模擬敷布団面の間に挿入した空間形成支持板61bを抜去し、空間形成支持板61bを抜去することにより模擬布団(柔軟部材)が弛み、挿入空間Spが形成できるので、本空間Spを利用して、市販のスーツケースベルを挿入した。
(4)臥床者Kと模擬布団面との間にスーツケースベルト2本が挿入された状態での、袋式のベッドシーツに入れた夏布団を二つ折にした柔軟部材60の下の空間形成支持板61b、当該空間形成支持板61bの上の挿入支持部材としてのスーツケースベルトの配置を〔表15〕に示す。
(4)本実施例19にて、空間形成支持板61bと柔軟部材60を使用し、挿入空間Spを形成することで、スーツケースベルトのような可撓性の大きい挿入部材(挿入支持部材)も臥床者Kと模擬布団面との間に困難なく挿入できることが確認された。
(1) An experiment was conducted using the same stretcher, simulated mattress surface, and simulated futon surface as in Example 18, and using cedar boards as the space-forming support plates 61b as in Example 18. Seventeen space-forming support plates 61b were inserted between the simulated mattress surface and the simulated futon surface from the head side of the recumbent K to the heels in a manner that almost completely covered the space.
(2) Next, a part of the space-forming support plate 61b inserted between the simulated mattress surface under the upper part of the shoulders and the simulated futon surface was removed. By removing the space-forming support plate 61b, the simulated futon (flexible member 60) slackened and an insertion space Sp was formed. This space Sp was then used to insert a commercially available suitcase belt 13 (an example of an insertion support member, a one-touch suitcase belt made by Smartip. The width is 5 cm and the length is about 2 m, which was adjusted to 190 cm with the attached hook, and the unevenness of the metal fittings was fitted together. A flat rectangular shape formed by folding a ring of about 95 cm. When the metal fittings are fitted, the tip of the buckle is chamfered and can be inserted between the bedsleeper K and the simulated futon surface).
(3) Similarly, the space-forming support plate 61b inserted between the simulated mattress surface and the simulated futon surface in the mid-waist area was removed. By removing the space-forming support plate 61b, the simulated futon (flexible member) slackened and an insertion space Sp was formed, and a commercially available suitcase bell was inserted using this space Sp.
(4) When two suitcase belts are inserted between the bedside person K and the simulated futon surface, the arrangement of the space-forming support plate 61b under the flexible member 60 made of a summer futon folded in half and placed in a bag-type bed sheet, and the suitcase belts as insertion support members on top of the space-forming support plate 61b is shown in Table 15.
(4) In this Example 19, by using the space forming support plate 61b and the flexible member 60 to form the insertion space Sp, it was confirmed that even a highly flexible insertion member (insertion support member) such as a suitcase belt can be easily inserted between the lying person K and the simulated futon surface.

Figure 0007612770000015

〔実施例20〕
Figure 0007612770000015

Example 20

(1)実施例19で使用したのと同様の市販のスーツケースベルト16本と、市販のストレッチャー(村中医療器株式会社製、ナーシングストレッチャー、NST-1、縦194cm、横54cm)、ストレッチャー(PARAMOUNTBED KK-700-095D)、ストレッチャー(PARAMOUNT BED KA-881)、それに、市販の表面のシーツは糸で縫いつけられている布団(柔軟部材の一例、100cm×200cm、厚みは約5cm、圧縮すると約3cm)、袋式のベッドシーツに入れた夏布団(縦185cm、横120cm、厚み約2cm)を使用して実験を行った。
(2)市販のストレッチャー(村中医療器株式会社製、ナーシングストレッチャー、NST-1)に、市販の表面のシーツは糸で縫いつけられている布団(100cm×200cm、厚みは約5cm、圧縮すると約3cm)を載せ、ストレッチャーNST-1の幅と該ストレッチャーに載せる布団の幅が異なるが、今次は二つ折りにせず、ストレッチャー(幅54cm)からはみ出した分(布団100cm)は、臥床者K役の成人男子実験者が横たわった時に、臥床者Kの右側に垂らす形にし、模擬マットレス面とした。該布団の上に、袋式のベッドシーツに入れた夏布団(縦185cm、横120cm、厚み約2cm)を、これは長さ方向に二つ折にして重ね、“わ”が臥床者K役の成人男子実験者が横たわった時に、臥床者Kの左側に来る配置にし、模擬布団面として実験を行った。
(3)ストレッチャー(PARAMOUNTBED KA-881)とストレッチャー(PARAMOUNT BED KK-700-095D)は、それらの側面にストレッチャーの長さ方向に沿ってパイプ状の金具(荷重支持部材の一例)を有するが、これらパイプ状の金具を利用する形で、それぞれのストレッチャーを長手方向に平行に約60cm離して対置し、それぞれのパイプにリング状のスーツケースベルト(空間形成部材及び挿入支持部材の一例)が通る形に配置し(スーツケースベルトの口金を使用すると脱着可能)、本実施例20では、該リング状のスーツケースベルトを空間形成部材及び挿入部材(挿入支持部材)として使用する。尚、対置した2台のストレッチャーの間に臥床者Kが乗る市販のストレッチャー(村中医療器株式会社製、ナーシングストレッチャー、NST-1)を配置して実験を行った。
(4)市販のストレッチャー(村中医療器株式会社製、ナーシングストレッチャー、NST-1)の面の高さを86cmに調整し、その上に市販の表面のシーツは糸で縫いつけられている布団、その上に袋式のベッドシーツに入れた二つ折した夏布団が載っており、その上に実施例17と同じ臥床者K役の成人男子実験者が乗った形で、又、枕の代わりとして折り曲げたバスタオル(25cm×35cm、厚み2~3cm)を後頭部に敷いて実験はスタートした。
(5)臥床者Kの左手側に配置するストレチャーのパイプには、スーツケースベルトを通し、口金を閉め、リング状のスーツケースベルトを16本ぶら下げた形に、前もって準備した。
(6)実施例17と同様に、看護師・介護者役の成人男性が、臥床者K役の実験者の左側に立ち、スーツケースベルトをストレッチャー(PARAMOUNTBED KA-881)越しではあるが、模擬マットレス面と模擬敷布団面の間に、頭側から足側へ略均等に挿入し、その後、臥床者Kの右側に移動し、模擬マットレス面と模擬敷布団面の間にある口金で篏合されたリング状のスーツケースベルトを引き出し、合計16本、臥床者Kの右側に到達させた。
(7)この時点で、もう1台のストレッチャー(PARAMOUNTBED KK-700-095D)を臥床者Kの右側に接するように配置し、該ストレッチャーが長手方向に有するパイプに、引き出されたスーツケースベルトの口金を一度外し、パイプを囲む形で再度口金を篏合させ、下から上へ、市販の表面のシーツは糸で縫いつけられている布団/両端がパイプ状の金具で吊り下げられたリング状のスーツケースベルト/袋式のベッドシーツに入れた夏布団/臥床者K、の配置を形成した。
(8)スーツケースベルトでは、空間形成支持板60bのような段差が付かないので、臥床者Kが乗っているストレッチャーを12cm下げ、16本のスーツケースベルトからなるハンモックが模擬敷布団面と臥床者Kを支える形を形成した。
(9)実施例17や18で、空間形成支持板60bや空間形成支持補助板61cを模擬敷布団面と模擬マットレス面の間から抜去し、空間形成支持板60bや空間形成支持補助板61cを、支持板12や支持補助板13として臥床者Kと模擬敷布団面の間へ挿入したように、模擬敷布団面を支えている16本のスーツケースベルトを1本ずつ、模擬布団面の下から上へ、即ち、臥床者Kと模擬布団との間(挿入空間Sp)へ移動した。移動は、臥床者Kの右側にあるリング状のスーツケースベルトの口金を一度外し、結合しているパイプから解放し、その後、再度口金を篏合しリング状にし、臥床者Kの左側へ抜き出し、次に、模擬布団面の上部と臥床者Kの間を通し、再度、臥床者Kの右側に持ち来たし、右側にあるパイプの所で口金を外し、パイプを囲む形にしてから、再度篏合し、両端がパイプで支えられたリング状のスーツケースベルトが臥床者Kと模擬布団面の間に存在する形を形成した。スーツケースベルトの模擬布団面の下部から上部への移動は、肩部、胸上部、頭部の順に、又、その後は、胸中部から足首部へ順次実施した。当初、頭部の垂れを懸念した順番であるが、臥床者Kの乗っているストレッチャーの面を12cm下げても、ハンモック状に全体が下方に向かって垂れるので、頭部はいつも支えられていた。本実験では、スーツケースベルトを1本外しても、残りの15本で臥床者Kを乗せた模擬布団面は支えられており、臥床者の支持に関する不安定さは見られなかった。
(10)16本のスーツケースベルトの模擬布団面の下部から上部への移動を終了した状態でのスーツケースベルトの配置を〔表16〕に示す。又、この状態までの所要時間は約15分であった。
(11)その後、臥床者の背面の空間形成を確認するために、更に6cm臥床者の乗っているストレッチャーを降下させ(合計18cm)、模擬布団面を臥床者の頭側から抜き出した。模擬布団面の抜き出しは抵抗なく行え、模擬布団面を抜き出した後に、臥床者と模擬マットレス面との間に空間(挿入空間Sp)を確認した。
(12)その後、模擬マットレス面(市販の表面のシーツは糸で縫いつけられている布団)がむき出しになっているストレッチャーの床面を上昇させ、体重が該ストレッチャーに移動したことを確認後、臥床者Kの右側のパイプに結合されているスーツケースベルトの篏合を16個全て外し、臥床者Kの右側のパイプとの結合を外した後、口金は再度篏合し、スーツケースベルトのリング状を矩形状に押しつぶした形態にした後、看護師・介護者役の実験者が臥床者の左側へ移動し、リング状を矩形状に押しつぶした形のスーツケースベルトを左側からゆっくり引っ張る形で抜き出した。口金が面取りされており、抜き出しは大きな抵抗もなく実施出来た。本(12)の過程の所用時間は約3分であった。
(13)臥床者K役の実験者の感触は、抜き出し時には、特に侵襲もなく、背中の部分に何かが通っている感じで、「ベルトを抜きます」との声かけで十分ではないかとのことであった。
(14)本実施例20と実施例19にて、スーツケースベルトのような帯状構造体と模擬敷布団面のような柔軟部材60を使用することによっても、臥床者Kと模擬布団面との間に挿入空間Spを形成できることが確認され、又、本挿入空間Spを利用すると、より可撓性の大きいスーツケースベルトのような繊維製材料や網状材料なども空間形成部材及び挿入部材(挿入支持部材)として使用可能なることが確認された。
(1) The experiment was carried out using 16 commercially available suitcase belts similar to those used in Example 19, a commercially available stretcher (Muranaka Medical Equipment Co., Ltd., Nursing Stretcher, NST-1, length 194 cm, width 54 cm), a stretcher ( PARAMONT BED KK-700-095D), a stretcher ( PARAMONT BED KA-881), a commercially available futon with a surface sheet sewn with thread (an example of a flexible material, 100 cm x 200 cm, thickness about 5 cm, about 3 cm when compressed), and a summer futon placed in a bag-type bed sheet (length 185 cm, width 120 cm, thickness about 2 cm).
(2) A commercially available futon (100 cm x 200 cm, approximately 5 cm thick, approximately 3 cm when compressed) with a commercially available sheet sewn on the surface was placed on a commercially available stretcher (Muranaka Medical Equipment Co., Ltd., Nursing Stretcher, NST-1). The width of the stretcher NST-1 and the width of the futon placed on the stretcher are different, but this time it was not folded in half, and the part (100 cm of the futon) that protruded from the stretcher (width 54 cm) was made to hang down to the right side of the adult male experimenter playing the role of the recumbent K when he lay down, and used as a simulated mattress surface. A summer futon (185 cm long, 120 cm wide, approximately 2 cm thick) placed in a bag-type bed sheet was placed on top of the futon, folded in half lengthwise, and placed on top of it so that the "wa" was on the left side of the adult male experimenter playing the role of the recumbent K when he lay down, and used as a simulated futon surface for the experiment.
(3) The stretcher ( PARAMONT BED KA-881) and the stretcher ( PARAMONT BED KK-700-095D) have pipe-shaped metal fittings (an example of a load support member) on their sides along the length of the stretcher, and by utilizing these pipe-shaped metal fittings, the stretchers are placed parallel to each other in the longitudinal direction, approximately 60 cm apart, and a ring-shaped suitcase belt (an example of a space forming member and an insertion support member) is placed through each pipe (removable by using a metal fitting of the suitcase belt), and in this Example 20, the ring-shaped suitcase belt is used as the space forming member and the insertion member (insertion support member). Note that an experiment was conducted by placing a commercially available stretcher (Nursing Stretcher, NST-1, manufactured by Muranaka Medical Equipment Co., Ltd.) on which the bedridden person K sits between the two opposing stretchers.
(4) The height of the surface of a commercially available stretcher (Nursing Stretcher, NST-1, manufactured by Muranaka Medical Equipment Co., Ltd.) was adjusted to 86 cm, and a commercially available futon with a sheet sewn on the surface was placed on top of it, and a folded summer futon placed in a bag-type bed sheet was placed on top of that, and the adult male experimenter playing the role of patient K in Example 17 was placed on top of that, and the experiment was started with a folded bath towel (25 cm x 35 cm, 2-3 cm thick) placed behind the head as a pillow.
(5) The pipes of the stretcher to be placed on the left hand side of the recumbent patient K were passed through suitcase belts, the clasp was closed, and 16 ring-shaped suitcase belts were hung from them.
(6) As in Example 17, an adult male nurse/caregiver stood to the left of the experimenter playing the role of bedridden person K, and inserted the suitcase belts approximately evenly from the head to the foot between the simulated mattress surface and the simulated futon surface, although over the stretcher ( PARAMONT BED KA-881), and then moved to the right side of the bedridden person K and pulled out the ring-shaped suitcase belts that were fastened with the metal fittings between the simulated mattress surface and the simulated futon surface, until a total of 16 suitcase belts reached the right side of the bedridden person K.
(7) At this point, another stretcher ( PARAMONT BED KK-700-095D) was placed so as to be in contact with the right side of the bedridden person K, and the metal fittings of the pulled-out suitcase belt were once removed from the pipes that the stretcher had in the longitudinal direction, and then the metal fittings were refitted in a manner that surrounded the pipes, forming an arrangement from bottom to top of the following: a futon with a commercially available surface sheet sewn with thread, a ring-shaped suitcase belt hung by pipe-shaped metal fittings at both ends, a summer futon placed in a bag-type bed sheet, and the bedridden person K.
(8) Since the suitcase belts do not have a step like the space forming support plate 60b, the stretcher on which the lying person K is riding is lowered by 12 cm, and a hammock consisting of 16 suitcase belts forms a shape that supports the simulated futon surface and the lying person K.
(9) In Examples 17 and 18, the space forming support plate 60b and the space forming support auxiliary plate 61c were removed from between the simulated futon surface and the simulated mattress surface, and the space forming support plate 60b and the space forming support auxiliary plate 61c were inserted between the lying person K and the simulated futon surface as support plate 12 and support auxiliary plate 13, respectively. Similarly, the 16 suitcase belts supporting the simulated futon surface were moved one by one from the bottom to the top of the simulated futon surface, i.e., between the lying person K and the simulated futon (insertion space Sp). The movement was performed by first removing the clasp of the ring-shaped suitcase belt on the right side of the bedridden person K, releasing it from the pipe to which it was connected, then reconnecting the clasp to make a ring, and pulling it out to the left side of the bedridden person K, then passing it between the top of the simulated futon surface and the bedridden person K, bringing it to the right side of the bedridden person K again, removing the clasp at the pipe on the right side, encircling the pipe, and then reconnecting it, forming a ring-shaped suitcase belt with both ends supported by pipes between the bedridden person K and the simulated futon surface. The suitcase belt was moved from the bottom to the top of the simulated futon surface in the order of shoulders, upper chest, and head, and then from the mid-chest to the ankles. Initially, this was the order chosen out of concern that the head would sag, but even if the surface of the stretcher on which the bedridden person K was lying was lowered by 12 cm, the whole stretcher sagged downward like a hammock , so the head was always supported. In this experiment, even if one suitcase belt was removed, the remaining 15 belts were able to support the simulated futon surface with the bedridden person K on it, and no instability was observed in supporting the bedridden person.
(10) The layout of the suitcase belts after the 16 suitcase belts have been moved from the bottom to the top of the simulated futon surface is shown in Table 16. The time required to reach this state was about 15 minutes.
(11) After that, in order to confirm the formation of a space behind the lying person, the stretcher with the lying person on it was lowered another 6 cm (total 18 cm) and the simulated futon surface was removed from the head side of the lying person. The simulated futon surface could be removed without resistance, and after the simulated futon surface was removed, a space (insertion space Sp) was confirmed between the lying person and the simulated mattress surface.
(12) After that, the floor of the stretcher, on which the simulated mattress surface (a commercially available futon with a sheet sewn on the surface with thread) was exposed, was raised, and after confirming that the body weight had been transferred to the stretcher, all 16 suitcase belts connected to the pipe on the right side of the bedridden person K were removed, and after removing the connection from the pipe on the right side of the bedridden person K, the metal fittings were reconnected, and the ring-shaped suitcase belt was crushed into a rectangular shape. Then, the experimenter playing the role of a nurse/caregiver moved to the left side of the bedridden person and pulled out the suitcase belt, which had been crushed from a ring-shaped to a rectangular shape, by slowly pulling it from the left side. The metal fittings were chamfered, so the removal could be carried out without much resistance. The time required for this process (12) was about 3 minutes.
(13) The experimenter playing the role of patient K felt that when the belt was being removed, it was not particularly invasive and felt as if something was passing through the patient's back, and that simply saying, "I'm going to remove the belt," would have been sufficient.
(14) In this Example 20 and Example 19, it was confirmed that an insertion space Sp can be formed between the lying person K and the simulated futon surface by using a belt-like structure such as a suitcase belt and a flexible member 60 such as a simulated futon surface, and it was also confirmed that by utilizing this insertion space Sp, more flexible fiber materials such as suitcase belts or mesh materials can also be used as the space forming member and insertion member (insertion support member).

Figure 0007612770000016
Figure 0007612770000016

〔別実施形態〕
(1)これまで説明してきたように、挿入部材は、挿入補助板11(挿入支持部材の一例)、支持板12(挿入支持部材の一例)、及び支持補助板13から構成することができるが、本願に係る身体リフトシステム100にあっては、挿入補助板11、支持板12、及び支持補助板13の夫々は、臥床面方向(図1、2で矢印Yに沿う方向)で複数設けても構わない。また、挿入補助板11、支持板12、及び支持補助板13の夫々は、臥床面方向に直交する直交方向(図1、2で矢印Zに沿う方向)において、複数が重層する形態で設ける構成を採用しても構わない。
[Another embodiment]
(1) As explained above, the insertion member can be composed of the insertion auxiliary plate 11 (one example of an insertion support member), the support plate 12 (one example of an insertion support member), and the support auxiliary plate 13, but in the body lift system 100 according to the present application, each of the insertion auxiliary plate 11, the support plate 12, and the support auxiliary plate 13 may be provided in a plurality of plates in the direction of the bed surface (the direction along the arrow Y in Figs. 1 and 2). Also, each of the insertion auxiliary plate 11, the support plate 12, and the support auxiliary plate 13 may be provided in a form in which a plurality of plates are layered in the orthogonal direction perpendicular to the direction of the bed surface (the direction along the arrow Z in Figs. 1 and 2).

(2)上記第1、2実施形態では、昇降機構15は、臥床面15aを、直接昇降させるストレッチャー等の臥床面昇降装置である構成例を主に示した。
しかしながら、昇降機構15は、臥床面15aと臥床者Kとの間への挿入状態にある挿入部材(支持板12.挿入補助板11及び支持補助板13を含む場合もある)の挿入方向での両端部を支持する荷重支持部材14の挿入部材との結束部を、鎖等の紐状部材を介して吊り下げ支持する共に、紐状部材を巻き上げ又は巻き下げする形態で荷重支持部材14を昇降するホイスト等から構成しても構わない。
(2) In the above first and second embodiments, the lifting mechanism 15 is mainly a bed surface lifting device such as a stretcher that directly lifts and lowers the bed surface 15a.
However, the lifting mechanism 15 may be configured as a hoist or the like that supports the binding portion between the load support member 14, which supports both ends in the insertion direction of the insertion member (which may include the support plate 12, insertion auxiliary plate 11, and support auxiliary plate 13) inserted between the lying surface 15a and the lying person K, by suspending it via a string-like member such as a chain, and raises and lowers the load support member 14 by winding up or lowering the string-like member.

(3)上記第1、2実施形態において、臥床面15aとしては、昇降機構15を有するストレッチャー等を含むベッドの上面を主に示した。
しかしながら、当該臥床面15aは、室内床の上面、ベッド又は室内床に敷かれた寝具の上面(第2実施形態は除く)、及び屋外の路面の少なくとも1つを含むものである。
(3) In the first and second embodiments, the lying surface 15a is primarily the upper surface of a bed including a stretcher having the lifting mechanism 15 or the like.
However, the lying surface 15a includes at least one of the upper surface of an indoor floor, the upper surface of a bed or bedding laid on an indoor floor (excluding the second embodiment), and an outdoor road surface.

具体的には、臥床者が臥床している臥床面としては、ベッド上の布団やシーツのみならず、和室に敷かれた布団、麻酔薬や筋弛緩剤の投与により短時間の寝たきり臥床状態にある患者が載っている手術台、家庭生活の場で、例えば、人が転倒した場合のカーペット、畳、ゴザ、災害時の傷害者が臥床している道路、路面、地面など、又、人以外では、医学実験用の豚や羊で麻酔薬や筋弛緩剤が投与され、短時間の寝たきり臥床動物が載っているX線撮影台やMRI撮影台など、人や動物が動けなくなり、又は、ほとんど動けなくなり横たわり、臥床している生活空間中のあらゆる臥床面が含まれる。 Specifically, the surface on which a bedridden person lies includes not only the futon and sheets on a bed, but also the futon laid out in a Japanese-style room, an operating table on which a patient who has been administered an anesthetic or muscle relaxant has been rendered bedridden for a short period of time lies, carpets, tatami mats, straw mats in households when a person falls, roads, road surfaces, and the ground on which injured people lie in the event of a disaster, and also X-ray and MRI tables on which pigs and sheep used in medical experiments have been administered an anesthetic or muscle relaxant and have been rendered bedridden for a short period of time, and any surface in a living space on which a person or animal is unable to move or can barely move and must lie down.

(4)尚、挿入補助板11、支持板12、支持補助板13の挿入先端部は、挿入先端角部位と挿入先端稜線部位の一部が、面取り加工されている構成も、本願の権利範囲に含むものである。
より詳しくは、2つある挿入先端角部位は、何れか一方のみが面取り加工されていても構わないし、両方が面取り加工されていても構わない。また、挿入先端稜線部位が面取り加工されている場合には、すべての挿入先端角部位は、面取り加工されていなくても構わない。
6つある挿入先端稜線部位は、少なくとも1つ以上、面取り加工されていれば、すべて本願の権利範囲に含むものとする。また、挿入先端角部位が面取り加工されている場合、すべての挿入先端稜線部位が、面取り加工されていなくても構わない。
(4) The scope of the present application also includes a configuration in which the insertion tip corners and a portion of the insertion tip ridge lines of the insertion auxiliary plates 11, support plates 12, and support auxiliary plates 13 are chamfered.
More specifically, only one of the two insertion tip corners may be chamfered, or both may be chamfered. Also, when the insertion tip edge is chamfered, all of the insertion tip corners do not have to be chamfered.
As long as at least one of the six insertion tip edge portions is chamfered, all of them are within the scope of the present application. Also, if the insertion tip corner portion is chamfered, it does not matter if all of the insertion tip edge portions are not chamfered.

(5)身体ホルダー200は、主材料54及び加熱冷却装置55のみを備える構成を採用しても構わない。 (5) The body holder 200 may be configured to include only the main material 54 and the heating and cooling device 55.

(6)身体ホルダー200は、当該主材料54及び加熱冷却装置55を備える構成に加え、緩衝材51と断熱材52と軟質の袋様容器53のうち、何れか1つを備える構成を採用しても構わない。 (6) In addition to the main material 54 and the heating/cooling device 55, the body holder 200 may also be configured to include any one of a cushioning material 51, a heat insulating material 52, and a soft bag-like container 53.

(7)身体ホルダー200は、当該主材料54及び加熱冷却装置55を備える構成に加え、緩衝材51と断熱材52と軟質の袋様容器53のうち、何れか2つを備える構成を採用しても構わない。 (7) In addition to the main material 54 and the heating/cooling device 55, the body holder 200 may be configured to include any two of the cushioning material 51, the insulating material 52, and the soft bag-like container 53.

(8)上記第1、2実施形態においては、緩衝材51と断熱材52とを別部材にて構成する例を示したが、これらは、一部材から構成しても構わない。
即ち、緩衝材51と断熱材52に替えて、操作対象部位を把持又は被覆し操作対象部位の形状に応じて賦形した状態において操作対象部位への侵襲や浮動不安定性を低減する緩衝機能と、操作対象部位を把持又は被覆し操作対象部位の形状に応じて賦形した状態において低温加熱に伴う温熱及び冷却に伴う冷熱が操作対象部位へ伝導することを抑制する断熱機能とを有する緩衝断熱材を有する構成を採用しても構わない。
(8) In the above first and second embodiments, the cushioning material 51 and the heat insulating material 52 are separate members. However, they may be formed from a single member.
In other words, instead of the cushioning material 51 and the insulating material 52, a configuration may be adopted that has a cushioning function to reduce invasiveness and floating instability to the area to be operated when it is grasped or covered and shaped according to the shape of the area to be operated, and an insulating function to suppress the conduction of hot heat associated with low-temperature heating and cold heat associated with cooling to the area to be operated when it is grasped or covered and shaped according to the shape of the area to be operated.

即ち、緩衝材51と断熱材52としては、ともに、布やタオル地、プラスチックの発泡体が使えるため、材料により緩衝材51と断熱材52の性質を兼ね備えた緩衝断熱材として一体化して使用することもできる。但し、これらの例によって、緩衝断熱材に使用できる材料が限定されるものではない。 In other words, both the cushioning material 51 and the insulating material 52 can be made of cloth, terry cloth, or plastic foam, so depending on the material, they can be integrated into a cushioning and insulating material that combines the properties of the cushioning material 51 and the insulating material 52. However, these examples do not limit the materials that can be used for the cushioning and insulating material.

(9)身体ホルダー200は、体位固定具、体位変換具、移動補助具、バックレスト、フットボート、体圧分散クッション、床板硬軟変化ベッドの何れか一つに用いられることが好ましい。 (9) It is preferable that the body holder 200 is used in one of the following: a body position fixing device, a body position changing device, a mobility aid, a backrest, a footboard, a body pressure dispersion cushion, and a bed with a hard/soft adjustable base.

(10)本願の身体ホルダー200は、支持、固定、把持、被覆、或いは移動を伴う医療又は看護又は介護処置以外にも使用でき、例えば、健常者用のバックレストや体圧分散クッション等にも使用できる。 (10) The body holder 200 of the present application can be used for purposes other than medical, nursing, or care procedures involving support, fixation, grasping, covering, or movement, and can also be used, for example, as a backrest or body pressure dispersion cushion for able-bodied individuals.

尚、上記実施形態(別実施形態を含む、以下同じ)で開示される構成は、矛盾が生じない限り、他の実施形態で開示される構成と組み合わせて適用することが可能であり、また、本明細書において開示された実施形態は例示であって、本発明の実施形態はこれに限定されず、本発明の目的を逸脱しない範囲内で適宜改変することが可能である。 The configurations disclosed in the above embodiment (including other embodiments, the same applies below) can be applied in combination with configurations disclosed in other embodiments, provided no contradictions arise. Furthermore, the embodiments disclosed in this specification are merely examples, and the present invention is not limited to these embodiments. Appropriate modifications can be made without departing from the scope of the present invention.

本発明は、寝たきり者用ベッドや災害時の負傷者の搬送装置などに作り込むことが可能で、その結果、寝たきりの臥床者Kや災害時の負傷者が、看護師や介護者の援助を得て、又は、看護師や介護者と協力して、衣服の着脱や車椅子、担架へ移動が可能となる。又、車椅子との連携で、トイレへの移動・用足し、入浴も可能となり、加えて、ベッド上のケアーが必要な場合、シーツの交換やシーツのしわ除去、体位変換、清拭、排泄補助なども身体リフトシステム100によって形成された自由な空間を利用することでより安全、安楽に実施することができる。加えて、介護者や救助者も臥床者Kや被災者の重量から解放され、腰痛防止にも貢献できる。 The present invention can be incorporated into beds for bedridden people and transport devices for injured people in disasters, so that bedridden person K or injured people in disasters can put on and take off clothes and move to a wheelchair or stretcher with the help of a nurse or caregiver, or in cooperation with a nurse or caregiver. In addition, by linking with a wheelchair, it becomes possible to move to the toilet, relieve oneself, and take a bath. In addition, if care is required in bed, changing sheets, removing wrinkles from sheets, changing body position, wiping, and assisting with excretion can be carried out more safely and comfortably by using the free space created by the body lift system 100. In addition, caregivers and rescuers are also freed from the weight of bedridden person K or the disaster victim, which also contributes to preventing back pain.

11 :挿入補助板
12 :支持板
12a、12d :挿入先端角部位
12b、12c、12d、12e、12f:挿入先端稜線部位
13 :支持補助板
14 :荷重支持部材
14a :荷重支持部位
15 :昇降機構15a :臥床面
24 :支持器(部分昇降部)
51 :緩衝材
52 :断熱材
53 :袋様容器
54 :主材料
100 :身体リフトシステム
200 :身体ホルダー
K :臥床者
11: Insertion auxiliary plate 12: Support plate 12a, 12d: Insertion tip corner portion 12b, 12c, 12d, 12e, 12f: Insertion tip ridge portion 13: Support auxiliary plate 14: Load support member 14a: Load support portion 15: Lifting mechanism 15a: Bed surface 24: Support (partial lifting portion)
51: Cushioning material 52: Heat insulating material 53: Bag-like container 54: Main material 100: Body lift system 200: Body holder K: Bedridden person

Claims (12)

医療、看護、又は介護を含む処置に使用され、臥床者と臥床面との間へ挿入される挿入部材を有する身体リフトシステムであって、
前記臥床者と前記臥床面との間に介在可能な柔軟部材を備え、
前記柔軟部材は、前記臥床者と前記臥床面との間に介在している状態において、前記臥床面との間に所定の厚みを有する長尺状の空間形成部材の複数を前記臥床面に沿う方向で間隔を隔てて挿入されたときに、複数の当該空間形成部材の間で且つ前記臥床者との間に挿入空間を形成する柔軟性を有し、
前記空間形成部材を前記臥床面とは別体に備え、
少なくとも一部に可撓性を有すると共に、平板で矩形形状である挿入支持部材を前記挿入部材として備え、
前記挿入支持部材は、前記臥床者と前記臥床面との間への挿入方向での挿入先端部の挿入先端角部位及び挿入先端稜線部位の一方又は両方が面取り加工され、
前記挿入空間への挿入状態にある前記挿入支持部材を支持する荷重支持部材を備え、
前記荷重支持部材に支持され前記挿入状態にある前記挿入支持部材と前記臥床面との間を離間させる昇降機構を備え、前記昇降機構を働かせて、前記臥床者と前記臥床面との間に医療、看護、又は介護を含む処置を行う空間を形成する身体リフトシステム。
A body lift system for use in a procedure including medical care, nursing care, or caregiving, the body lift system having an insertion member that is inserted between a bedside person and a bed surface, the insertion member comprising:
A flexible member is provided that can be interposed between the person and the bed surface,
the flexible member has flexibility to form an insertion space between the plurality of space-forming members and between the lying person and the flexible member when a plurality of elongated space-forming members having a predetermined thickness are inserted between the flexible member and the lying surface at intervals in a direction along the lying surface, while being interposed between the lying person and the lying surface;
The space forming member is provided separately from the bed surface,
The insertion member is a flat rectangular insertion support member having at least a portion of flexibility,
The insertion support member has one or both of an insertion tip corner portion and an insertion tip ridge portion of an insertion tip portion in an insertion direction between the lying person and the lying surface chamfered,
a load support member for supporting the insertion support member in an inserted state into the insertion space,
A body lift system comprising a lifting mechanism for separating the insertion support member supported by the load support member and in the inserted state from the bed surface, and by operating the lifting mechanism, a space is formed between the lying person and the bed surface for performing treatments including medical care, nursing, or care.
前記挿入部材は、プラスチック、木材、又は金属の少なくとも一つから成る請求項に記載の身体リフトシステム。 10. The body lift system of claim 1 , wherein the insert member is made of at least one of plastic, wood, or metal. 前記挿入部材は、平板で矩形形状であり、厚みが、0.5mm以上50mm以下、幅が5mm以上1200mm以下、長さが200mm以上3000mm以下である請求項1又は2に記載の身体リフトシステム。 3. The body lift system according to claim 1 or 2 , wherein the insert member is a flat rectangular plate having a thickness of 0.5 mm to 50 mm, a width of 5 mm to 1200 mm, and a length of 200 mm to 3000 mm. 前記臥床面は、ベッドの上面、室内床の上面、前記ベッド又は前記室内床に敷かれた寝具の上面、及び屋外の路面の少なくとも1つを含む請求項1~3の何れか一項に記載の身体リフトシステム。 The body lift system according to any one of claims 1 to 3, wherein the lying surface includes at least one of the top surface of a bed, the top surface of an indoor floor, the top surface of bedding laid on the bed or the indoor floor, and an outdoor road surface. 前記荷重支持部材は、プラスチック、木材、金属、コンクリート、屋内壁を構成する左官材料、及びこれらの複合材料から構成される請求項1~4の何れか一項に記載の身体リフトシステム。 5. The body lift system according to claim 1 , wherein the load-bearing member is made of plastic, wood, metal, concrete, plastering material for interior walls, or a composite material thereof. 前記昇降機構は、前記臥床面を、直接昇降させる臥床面昇降機構から構成されている請求項1~5の何れか一項に記載の身体リフトシステム。 6. The body lift system according to claim 1 , wherein the lifting mechanism is a bed surface lifting mechanism that directly lifts and lowers the bed surface. 前記臥床面昇降機構は、前記臥床面の一部を部分的に昇降する部分昇降部を有する請求項に記載の身体リフトシステム。 The body lift system according to claim 6 , wherein the bed surface lifting mechanism includes a partial lifting section that partially lifts and lowers a portion of the bed surface. 前記挿入支持部材は、前記挿入空間に挿入される挿入補助板と、前記挿入補助板の前記挿入状態において、前記挿入空間で前記挿入補助板の下方に前記挿入補助板にてガイドされて挿入される支持板とを有する請求項1~の何れか一項に記載の身体リフトシステム。 The body lift system according to any one of claims 1 to 7, wherein the insertion support member has an insertion auxiliary plate that is inserted into the insertion space, and a support plate that is guided by the insertion auxiliary plate and inserted below the insertion auxiliary plate in the insertion space when the insertion auxiliary plate is in the inserted state . 医療、看護、又は介護を含む処置に使用され、臥床者と臥床面との間へ挿入される挿入部材を有する身体リフトシステムであって、
前記臥床者と前記臥床面との間に介在可能な柔軟部材を備え、
前記柔軟部材は、前記臥床者と前記臥床面との間に介在している状態において、前記臥床面との間に所定の厚みを有する長尺状の空間形成部材の複数を前記臥床面に沿う方向で間隔を隔てて挿入されたときに、複数の当該空間形成部材の間で且つ前記臥床者との間に挿入空間を形成する柔軟性を有し、
少なくとも一部に可撓性を有すると共に、平板で矩形形状である挿入支持部材を前記挿入部材として備え、
前記挿入支持部材は、前記臥床者と前記臥床面との間への挿入方向での挿入先端部の挿入先端角部位及び挿入先端稜線部位の一方又は両方が面取り加工され、
前記挿入空間への挿入状態にある前記挿入支持部材を支持する荷重支持部材を備え、
前記荷重支持部材に支持され前記挿入状態にある前記挿入支持部材と前記臥床面との間を離間させる昇降機構を備え、前記昇降機構を働かせて、前記臥床者と前記臥床面との間に医療、看護、又は介護を含む処置を行う空間を形成し、
前記荷重支持部材は、前記挿入状態にある前記挿入部材の前記挿入方向での両端部を支持する一対の荷重支持部位を有する身体リフトシステム。
A body lift system for use in a treatment including medical care, nursing care, or caregiving, the body lift system having an insertion member that is inserted between a bedside person and a bed surface, the insertion member comprising:
A flexible member is provided that can be interposed between the person and the bed surface,
the flexible member has flexibility to form an insertion space between the plurality of space-forming members and between the lying person and the flexible member when a plurality of elongated space-forming members having a predetermined thickness are inserted between the flexible member and the lying surface at intervals in a direction along the lying surface, while being interposed between the lying person and the lying surface;
The insertion member is a flat rectangular insertion support member having at least a portion of flexibility,
The insertion support member has one or both of an insertion tip corner portion and an insertion tip ridge portion of an insertion tip portion in an insertion direction between the lying person and the lying surface chamfered,
a load support member for supporting the insertion support member in an inserted state into the insertion space,
a lifting mechanism for separating the insertion support member supported by the load support member and in the inserted state from the bed surface, and by operating the lifting mechanism, a space is formed between the bed surface and the person lying down, for performing treatment including medical care, nursing care, or care;
A body lift system , wherein the load support member has a pair of load support portions that support both ends of the insertion member in the insertion direction when the insertion member is in the inserted state .
医療、看護、又は介護を含む処置に使用され、臥床者と臥床面との間へ挿入される挿入部材を有する身体リフトシステムであって、
前記臥床者と前記臥床面との間に介在可能な柔軟部材を備え、
前記柔軟部材は、前記臥床者と前記臥床面との間に介在している状態において、前記臥床面との間に所定の厚みを有する長尺状の空間形成部材の複数を前記臥床面に沿う方向で間隔を隔てて挿入されたときに、複数の当該空間形成部材の間で且つ前記臥床者との間に挿入空間を形成する柔軟性を有し、
少なくとも一部に可撓性を有すると共に、平板で矩形形状である挿入支持部材を前記挿入部材として備え、
前記挿入支持部材は、前記臥床者と前記臥床面との間への挿入方向での挿入先端部の挿入先端角部位及び挿入先端稜線部位の一方又は両方が面取り加工され、
前記挿入空間への挿入状態にある前記挿入支持部材を支持する荷重支持部材を備え、
前記荷重支持部材に支持され前記挿入状態にある前記挿入支持部材と前記臥床面との間を離間させる昇降機構を備え、前記昇降機構を働かせて、前記臥床者と前記臥床面との間に医療、看護、又は介護を含む処置を行う空間を形成し、
前記挿入支持部材は、前記挿入空間に挿入される挿入補助板と、前記挿入補助板の前記挿入状態において、前記挿入空間で前記挿入補助板の下方に前記挿入補助板にてガイドされて挿入される支持板とを有する身体リフトシステム。
A body lift system for use in a treatment including medical care, nursing care, or caregiving, the body lift system having an insertion member that is inserted between a bedside person and a bed surface, the insertion member comprising:
A flexible member is provided that can be interposed between the person and the bed surface,
the flexible member has flexibility to form an insertion space between the plurality of space-forming members and between the lying person and the flexible member when a plurality of elongated space-forming members having a predetermined thickness are inserted between the flexible member and the lying surface at intervals in a direction along the lying surface, while being interposed between the lying person and the lying surface;
The insertion member is a flat rectangular insertion support member having at least a portion of flexibility,
The insertion support member has one or both of an insertion tip corner portion and an insertion tip ridge portion of an insertion tip portion in an insertion direction between the lying person and the lying surface chamfered,
a load support member for supporting the insertion support member in an inserted state into the insertion space,
a lifting mechanism for separating the insertion support member supported by the load support member and in the inserted state from the bed surface, and by operating the lifting mechanism, a space is formed between the bed surface and the person lying down, for performing treatment including medical care, nursing care, or care;
A body lift system in which the insertion support member has an insertion auxiliary plate that is inserted into the insertion space, and a support plate that is inserted below the insertion auxiliary plate in the insertion space and guided by the insertion auxiliary plate when the insertion auxiliary plate is in the inserted state .
請求項1に記載の身体リフトシステムを用いて、前記昇降機構を働かせて、前記臥床者と前記臥床面との間に医療、看護、又は介護を含む処置を行う空間を形成する空間形成工程を実行する身体リフト方法であって、
前記臥床者の操作対象としての人では、5℃以上48℃以下の範囲に、硬軟化変化閾値温度としての軟化温度又は融点、又は、難結晶性の高分子材料にあってはガラス転移温度を持ち、硬さが変化する主材料を有し、前記人の全体又は一部分である操作対象部位に対し、支持、固定、把持、被覆、或いは移動を伴う医療又は看護又は介護を含む処置を行う際に使用できるものであり、
前記操作対象部位を把持又は被覆し前記操作対象部位の形状に応じて賦形し、前記主材料を加熱して軟化させる場合に、前記主材料を低温加熱するとき、前記人を対象とする場合は46℃以下を前記操作対象部位に接触する部分の温度とし、且つ軟化させるときの前記主材料の温度は前記硬軟化変化閾値温度以上の温度であり、
前記主材料は、その外側に緩衝材、断熱材、及び軟質の袋様容器のうち、少なくとも前記緩衝材を介在させる形態で、前記操作対象部位に接触するものであり、
前記主材料を冷却して硬化させる場合に、冷却される前記主材料の冷却温度が、前記硬軟化変化閾値温度未満の温度であり、
前記主材料を有する身体ホルダーを、併用する場合の身体リフト方法であり、
前記空間形成工程の後に、前記身体ホルダーを前記臥床者の身体直下に挿入し、前記昇降機構にて前記臥床面を前記空間形成工程の前の位置まで昇降させ、前記挿入支持部材を前記臥床面上に挿入された前記身体ホルダーに接触させ、荷重を前記身体ホルダーと前記身体ホルダーを支える前記臥床面に移動させた後、前記挿入支持部材を抜き、前記身体ホルダーにて前記操作対象部位を把持又は被覆し、且つ前記身体ホルダーを前記操作対象部位の形状に応じて賦形させる身体リフト方法。
A body lift method using the body lift system according to claim 1, comprising: executing a space forming step of forming a space for performing treatment, including medical treatment, nursing care, or caregiving, between the bedside person and the bed surface by operating the lifting mechanism,
The device has a softening temperature or melting point as a hardness/softening change threshold temperature, or a glass transition temperature in the case of a polymeric material that is difficult to crystallize, in the range of 5°C to 48°C inclusive, as a main material whose hardness changes, and can be used when performing treatment, including medical treatment, nursing care, or caregiving, involving support, fixation, grasping, covering, or movement, on the operation target site, which is the whole or a part of the person,
When the main material is heated to a low temperature, the temperature of the part of the main material that comes into contact with the operation target portion is set to 46° C. or lower in the case of a human being, and the temperature of the main material when softening the main material is set to a temperature equal to or higher than the hardness/softening change threshold temperature,
The main material is in contact with the operation target portion with at least one of a cushioning material, a heat insulating material, and a soft bag-like container interposed therebetween,
When the main material is cooled and hardened, the cooling temperature of the main material is lower than the hardness/softening change threshold temperature,
A body lifting method in which a body holder having the main material is used in combination,
A body lifting method in which, after the space forming process, the body holder is inserted directly under the body of the lying person, the lifting mechanism is used to raise and lower the lying surface to the position it was in before the space forming process, the insertion support member is brought into contact with the body holder inserted on the lying surface, the load is transferred to the body holder and the lying surface supporting the body holder, the insertion support member is then removed, the body holder grasps or covers the part to be operated, and the body holder is shaped according to the shape of the part to be operated.
前記空間形成工程において、前記荷重支持部材、又は前記昇降機構のどちらか一方に医療機器を固定又は一体的に設置し、前記臥床者と前記医療機器との昇降方向での位置関係を維持して昇降し、又は、
前記空間形成工程の後に、前記臥床者の衣服や下着の脱衣又は着衣、前記臥床者の健康状態のモニターに用いられる体重計の挿入、前記臥床者のオムツの交換、床上排泄用便器の前記空間への挿入、陰部洗浄器具の前記空間への挿入、前記臥床者の車椅子への移乗の少なくとも1つを行う請求項11に記載の身体リフト方法。
In the space forming step, a medical device is fixed to or integrally installed on either the load support member or the lifting mechanism, and the medical device is raised and lowered while maintaining a positional relationship between the patient and the medical device in a lifting direction, or
The body lift method according to claim 11, further comprising the steps of: removing or putting on the clothes and underwear of the bedridden person; inserting a weighing scale used to monitor the health condition of the bedridden person; changing the diaper of the bedridden person; inserting a bedside toilet into the space; inserting a genital washing device into the space; and transferring the bedridden person to a wheelchair , after the space forming step.
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