JPH0563553U - Labia major - Google Patents

Abstract

(57) [Summary] [Purpose] The purpose of the present invention is to obtain a labia majora that makes a female cervical spinal cord injury patient independent of urination. [Structure] A plurality of (two to three) forearm fixing belts 2 and 2 are provided on the attachment plate 1, and the attachment plate 1 has a front end substantially 90 times as large as the plate 1.
The arm plates 3 intersecting each other are provided, the opening / closing plate 4 is rotatably supported at the base of the arm plate 3, the opening / closing plate 4 and the distal end portions of the arm plates 3 are aligned to have the same length, and the opening / closing plate 4 is arranged on the arm plate 3. 3 is openable and closable in a direction parallel to 3, and the interlabial insertion pieces 6, 6 are projectingly provided at the tip end portions thereof, respectively, and an opening and closing operation lever 7 of the opening and closing plate 4 is provided at the base portion of the opening and closing plate 4. The stopper 8 is provided on the arm plate 3 side.

Description

[Detailed description of the device]

[0001]

[Industrial applications]

 This proposal relates to a labia majora used for self-catheterization of female cervical cord injury.

[0002]

[Prior Art]

 As a urination method for a person with a neuropathic bladder disorder, there is a self-catheterization method in which a catheter is inserted from the urethral opening to excrete urine. Even if the spinal cord is damaged, neuropathic bladder disorder is present, and this method is often used as one of the urination control methods. Among the spinal cord injured women, the female cervical spinal cord injuries could not perform the action of opening the labia to expose the urethral meatus, which is the pre-operation of inserting the catheter due to lack of skill of the fingers. For this reason, she was forced to receive assisted urination by a caregiver.

In the case of female patients with complete cervical spinal cord injury, there are no appropriate urine collection measures, so our center intentionally causes hyperextension of the bladder wall in the acute phase to recover from the urinary retention state. There is a way to prevent it. For those who manage the acute phase by this method, it is possible to manage the urinary tract without causing urinary incontinence by increasing the bladder capacity and performing self-catheterization. We believe that it is possible to make the urination act independent by developing it.

Conventionally, the catheter has been inserted while touching the labia without exposing the urethral opening completely (with the risk of bacteria entering the bladder), or with the cooperation of a caregiver as described above. In most cases, assistance urination was performed.

Conventionally, in the case of a male cervical spinal cord injury, it is possible to self-conduct by hand movement with a residual level of C6A, but in the case of a female, the self-urination action becomes independent unless the level falls below the thoracic cord level. This is currently difficult. The instructions for opening the labia by the nurse are to place the vulva with the index and middle fingers of one hand, pressing it against the vulva and opening the fingers to open the labia and urethral meatus. Then, insert the catheter with the other hand. C6BΙΙ-C8 Level One of the reasons why female cervical spinal cord injured individuals cannot self-conduct is independent of the fact that with this level of finger movement, the labia can be opened and the urethral meatus cannot be opened with one hand.

[0006]

[Problems to be solved by the device]

 Therefore, the proposed method uses a labial opener that can open the labia and self-conduct even if the person with cervical spinal cord injury, who lacks the skill of finger movements, uses the labial opener 5 times to 8 times a day. The purpose is to make the urination movement that was dependent on the caregiver independent.

[0007]

[Means for Solving the Problems]

 To achieve the above object, the present invention provides a plurality of forearm fixing belts on a supporting plate, an arm plate intersecting with the supporting plate at the front end of the supporting plate, and an opening / closing plate pivotally supported on the base of the supporting plate. The opening and closing plate and the tip of the arm plate are aligned to the same length, and the opening and closing plate is openable and closable parallel to the arm plate. A labial opener in which a lever for opening and closing the opening and closing plate is provided in the part, and a stopper for the lever is provided on the arm plate side.The stopper holds the lever, and the opening and closing plate can be held in the open state by itself. It is constituted by the labia majora described in the above invention.

[0008]

[Action]

 In the present invention, the splint plate 1 is fixed to the lower surface of one of the forearms 9 and the hand 10 by the fixing belts 2 and 2 as shown in FIG. 3, and the insertion pieces 6 and 6 are attached to the vulva by the shoulder muscles and biceps. When the lever 7 is pushed between the labia 11 and 11 (Fig. 4) and tilted from the solid line position to the virtual line position in Fig. 1 with the other hand, the lever 7 is held by the stopper 8 and 1, the opening / closing plate 4 is self-held in a state where it is opened from the solid line position to the phantom line position, and as shown in FIG. 5, the labia 11, 11 are opened and the urethral meatus 12 is exposed. Retained.

In that state, as shown in FIG. 5, the catheter 13 is inserted from the urethral opening 12 with the other hand to conduct urine, and then the urethral opening 12 is sterilized by the sterilizer held by the other hand. When the lever 7 is removed from the stopper 8 with the other hand and rotated to the original position (solid line position in FIG. 1), the insertion pieces 6 and 6 are closed to the solid line position in FIG. 6 and 6 are removed from the local area, and the self-catheterization operation ends.

[0010]

【Example】

 The middle part of the forearm fixing belts 2, 2 is fastened to the attachment plate 1 made of transparent synthetic resin by caulking 14, 14 and a belt insertion folding metal fitting 15 is provided at one end, and the other end inserted in the metal fitting 15 is folded back. The attachment plate 1 is fastened and fixed to the left arm 9 and the palm by the face fastener 16 (see FIG. 3).

The front end of the attachment plate 1 is bent downward approximately 90 degrees to form an arm plate 3 that intersects the attachment plate 1, and an opening / closing plate 4 is pivotally supported 5 on the base of the arm plate 3.

The opening / closing plate 4 and the arm plate 3 are arranged such that their tip portions are aligned to have the same length, and the opening / closing plate 4 is formed so as to be openable / closable about a shaft support portion 5 in a direction parallel to the arm plate 3, and the tip portions are respectively provided. Insert the interlabial insertion pieces 6, 6 so as to project toward you.

A lever 7 for opening / closing the opening / closing plate 4 is provided at the base end of the opening / closing plate 4, and a stopper 8 for the lever 7 is provided at the base of the arm plate 3.

The stopper 8 is formed of a synthetic resin C-shaped tube having elasticity, and the lever 7 is fitted into the opening groove 8 ′ of the stopper 8 and the fitted lever 7 is self-held. As a result, the opening / closing plate 4 is opened, and the insertion pieces 6, 6 are opened from the solid line position in FIG. 1 to the imaginary line position around the shaft support portion 5 so that the self-holding state is maintained.

The lever 7 can be operated by the other hand. Reference numeral 17 in the figure is a pulling metal fitting provided on the other end of the belt 2, and 13 'is a small hole formed in the catheter.

[0016]

[Effect of the device]

 Since the present plan is configured as described above, C6BΙΙ ~ C8 level female cervical spinal cord injury patients who have not been able to stand by themselves for self-catheterization can use the labia majora without help of a caregiver. In addition, the labia 11 and 11 can be held open with only one hand 10, the urethral opening 12 can be exposed, and the other hand can be in a state in which self-urination by catheter insertion can be performed.

[Brief description of drawings]

FIG. 1 is a perspective view showing a labia majora of the present invention.

FIG. 2 is a side view of FIG. 1 viewed from the right side.

FIG. 3 is a perspective view of a usage state.

FIG. 4 is an enlarged plan view taken along the line AA of FIG.

FIG. 5 is a plan view of the labia majora state.

FIG. 6 is an enlarged view of the distal end portion of the catheter.

[Explanation of symbols]

 1 Support plate 2 Forearm fixing belt 3 Arm plate 4 Open / close plate 5 Shaft support 6 Interlabial insertion piece 7 Opening / closing lever 8 Stopper

Claims (2)

[Scope of utility model registration request] 1. The attachment plate is provided with a plurality of forearm fixing belts,
An arm plate that intersects the plate is provided at the front end of the attachment plate, the opening / closing plate is pivotally supported at the base of the arm plate, the opening / closing plate and the tip end portions of the arm plate are aligned in the same length, and the opening / closing plate is an arm. It is not openable and closable in the direction parallel to the plate, and the interlabial insertion pieces are provided at the above-mentioned tip parts,
A labial opener in which a lever for opening / closing the opening / closing plate is provided at the base end of the opening / closing plate, and a stopper for the lever is provided on the arm plate side. 2. The stopper holds the lever,
The labia majora according to claim 1, wherein the opening / closing plate can be held by itself in an open state.