JPH0658909U - Infection prevention device - Google Patents

Abstract

(57) [Abstract] [Purpose] The invention of the present application relates to a device for preventing infection by blood or other body fluids of a patient during surgery. A protector main body 2 made of a transparent resin, a transparent resin introducing part 3 having a passage through which an endoscope can be inserted so as to project from one side surface of the protector main body 2, and a flange at the tip of the introducing part. 8 is attached to the drainage tube 4 connected to the lower surface of the protector body 2, a pair of gloves 5 connected to the other side surface so as to extend into the internal space of the protector body 2, and the protector body 2 A protector 1 formed on the upper surface and having a device introduction hole 6 into which a device connected to an endoscope can be inserted, and a frame 1 for holding the protector 1.
1. An infection preventive device for surgery, which comprises:

Description

[Detailed description of the device]

[0001]

[Industrial applications]

 The present invention relates to a surgical infection preventive apparatus, and more particularly to a surgical infection preventive apparatus including a protector for confining an endoscopic surgical instrument in a surgical field and a frame body holding the protector.

[0002]

[Prior art]

 In general, doctors and nurses wear disinfected surgical gowns, gloves, masks and hats so that their bodies are not exposed to the outside during surgery. This is to prevent the infection of the wound area of the patient, and also to prevent the infection of the patient's blood and other body fluids by the doctors and nurses themselves.

[0003]

[Problems to be solved by the device]

 By the way, since the number of patients with AIDS, hepatitis, etc., which are transmitted through blood and other body fluids of patients, has been increasing rapidly in recent years, doctors and nurses who often operate such patients should wear surgical clothes and gloves. Even if it is worn on the body, there is a big problem that the patient's blood and other body fluids come into contact with a part of the exposed body such as a doctor and thus become infected. In particular, in surgery using an endoscope, the operation time often takes a long time, and blood and other body fluids of the patient may be scattered in an unexpected direction during the operation. Opportunities for such infections increased rapidly, and countermeasures against them were desired.

[0004]

[Means for Solving the Problems]

 The invention of this application includes a protector and a frame body that can prevent the blood and other body fluids of a patient from scattering to the body of a doctor or a nurse by confining an endoscope and surgical instruments in the surgical field. The present invention provides a surgical infection prevention device. The protector of the present invention is connected to the one side surface of the protector body made of transparent resin so as to project from the one side surface, and has a transparent resin introducing portion having a passage through which an endoscope can be inserted, and the introducing portion. A flange is attached to the tip, and a drainage tube is connected to the lower surface of the protector body so as to project downward from the lower surface of the protector body, and the inside of the protector body from the other side surface of the protector body facing the one side surface. A pair of gloves connected to the other side surface so as to extend into the space, and a device introduction hole formed on the upper surface of the protector body and capable of inserting a device connected to the endoscope. Has been done. The drainage tube is preferably provided at the center of the bottom of the protector body, and if the device introduction hole is a slit, it is not limited to the size of the device, and the hermeticity is improved, which is preferable. On the other hand, the frame body is composed of columns made of a material such as steel or synthetic resin capable of holding the protector, and is constituted by only a plurality of columns or by being assembled by combining columns. The protector and the frame are joined by joining means.

The protector body is preferably a rectangular parallelepiped, but more preferably a trapezoidal three-dimensional structure that is narrow on the patient side and wide on the operator side. In addition, it is preferable that a plurality of handles be attached to the upper surface and / or the frame of the protector body, and the surgical infection prevention apparatus be elastically suspended through these handles.

[0006]

[Action]

 When using the surgical infection prevention apparatus devised in this application, the frame body is assembled, if necessary, then the protector is joined to the frame body, and the flange at the tip of the protector introduction part is inserted into the patient's endoscope insertion site. Secure around the. To secure the flange to the patient, pass a string through the slit provided in the flange and tie it to the patient's thigh with a string, or apply adhesive to the flange and attach it to the patient's skin. It is done by attaching. By doing so, it is possible to prevent blood and other body fluids from leaking between the skin and the body of the protector. Next, it is used by elastically suspending it through a plurality of handles attached to the upper surface of the protector body or the frame. In addition, in the case of fixing with a string, it is not necessary to bend the hair, and it can be securely fixed. The protector and the frame can be integrated by a normal connecting means such as a hook, button, clip, adhesive tape, or can be integrated by passing the column through the handle on the top of the protector body, or the frame can be pre-bonded. Instead, suspend it on a ceiling crane or the like, and join the handle on the top of the protector body to the suspended frame during use. The handle may be wound around the support pillar of the frame and then fixed with a clip or the like. Also, at least one column is required for each of the patient side and the operator side. The frame body may be composed of only a plurality of columns, or can be assembled by providing a bifurcated or trifurcated assembly tool at one end and / or the other end of the column, and if necessary, hinges or the like can be attached to the columns. It can be folded by providing. The stanchions may have an assembly tool for assembling them into a frame, for example, a pipe such as a bifurcation at both ends or one end, but assembling a stanchion without an assembly tool through the assembly tool. May be.

The infection prevention device of the present invention is suspended by connecting a handle of a frame and / or a protector to a ceiling crane or the like. The handle is composed of ordinary means such as hooks, clips and strings. Further, the support column may be any one capable of holding a protector such as steel or synthetic resin, and may have any shape such as a pipe shape or a rod shape. It is also possible to use transparent columns such as polycarbonate and tempered glass.

[0008]

【Example】

 An embodiment of the surgical infection prevention apparatus according to the present invention will be described below in detail with reference to the drawings. FIGS. 1, 2 and 3 show an embodiment of a surgical infection preventive device suitable for endoscopic surgery for transurethral resection of the prostate, wherein a protector 1 includes a protector body 2 and an introducing portion 3. It is composed of a drainage tube 4 and a pair of gloves 5, and is integrally formed of a flexible transparent resin sheet that does not allow bacteria and viruses to pass therethrough, such as vinyl chloride resin or polyethylene resin. Specifically, the protector body 2, the introduction portion 3, the drainage tube 4, and the pair of gloves 5 are connected to each other by welding or the like at each connection portion.

In FIG. 3, the protector body 2 has a trapezoidal shape having an upper surface 2a of which one side has a length of about 60 cm, the other side has a length of about 30 cm, and a depth direction has a length of about 40 cm. Is a hollow body having a length of about 40 cm, and a slit-shaped device introduction hole 6 having a length of about 5 cm in the left-right direction is provided at the center of the upper surface 2a. The introduction part 3 is funnel-shaped, and its large diameter part is connected to one side surface 2b of the protector body 2, and the funnel-shaped introduction part 3 has an inner diameter of about 20 cm on the protector body side and about 8 cm on the tip side. . A flange 7 made of polyethylene resin or the like is attached to the tip of the introduction portion 3. The flange 7 has a shape as shown in FIG. 4, has an outer diameter of about 12 cm and an inner diameter of about 8 cm, and an adhesive 8 is applied to the end surface of the flange 7 before use. The protective film 10 is attached.

The drainage tube 4 has a funnel shape, and the large diameter portion 4 a thereof is connected to the lower surface 2 c of the protector body 2. The pair of gloves 5 extends inside the protector body 2 from the other side surface 2d of the protector body 2 facing the one side surface 2b, and the end portion of the glove 5 is connected to the other side surface 2d of the protector body 2. . The pair of gloves 5 are separated from each other by about 35 cm. The protector main body 2 is joined by a frame 11 and a joint tool 12, and a pair of handles 9, 9 are attached to the upper part of the frame 11, and each handle 9, 9 is used when the surgical infection prevention apparatus 1 is used. One end of a suspension cord such as a spring or rubber (not shown) is connected. As another embodiment, the frame body may be suspended in advance by a crane or the like, and the handle 9 on the upper surface of the protector body may be fixed to the suspended frame body by a clip or the like.

Application Example An application example of a case where transurethral resection of the prostate is performed using the surgical infection preventive apparatus of the embodiment will be described. Prior to surgery, the patient's pubic hair is thoroughly shaved. Thoroughly disinfect the patient's skin, including the penis. Since the protector 1 has been sterilized in advance and stored in a sterilization pack, the protector 1 is taken out from this pack and joined to the frame body 11. Then, the adhesive protective film 10 is peeled off from the flange 7 to which the adhesive 8 is applied, the penis is drawn into the introducing portion 3, and the flange 7 is adhered to the skin of the patient. The pair of handles 9, 9 are connected to a suspension string such as a spring or rubber, so that the surgical infection prevention device is suspended in the operating room. The endoscope is inserted into the protector main body 2 through the introduction hole 6, and the endoscope is inserted into the urethra of the penis pulled into the introduction portion 3. Then, a power cord, a light source cord, a water injection tube, a small video camera for an endoscope, etc. of the electric scalpel are inserted into the protector main body 2 through the device introduction hole 6, and these are set on the endoscope using the gloves 5. After the preparation for surgery is completed in this way, the doctor operates the endoscope using the gloves 5 to perform the operation while watching the monitor television installed outside the surgical infection prevention apparatus. Blood, body fluid and the like discharged through the endoscope are discharged into the protector body 2 and discharged through the drainage tube 4. Although the apparatus of this embodiment has shown an example suitable for endoscopic surgery for transurethral resection of the prostate, the invention of this application is not limited to this and is applicable to gastric and intestinal surgery. Endoscopes such as a gastric fiberscope, a large intestine fiberscope, a bronchoscope, a cystoscope, a nephroscope, a ureteroscope, an arthroscope, and a laparoscope are targeted as the endoscope.

[0012]

[Effect of device]

 As is apparent from the above description, in the invention of this application, the endoscope can be inserted from one side surface of the protector main body made of a transparent resin having an internal space and an introduction hole into which a device such as an endoscope can be inserted. A transparent resin introducing part having a passage is projected, a drainage tube is connected to the lower surface of the protector body, and a pair of parts is formed so as to extend from the other side surface of the protector body into the inner space of the protector body. Since the gloves are provided, the blood and other body fluids that flow out from the patient during the procedure are discharged to the outside through the drainage tube provided in the protector body without scattering to the outside of the surgical infection prevention device. To be done. Therefore, it is possible to completely prevent the risk that a doctor, a nurse, or the like receives the blood or other body fluid of the patient. Since the protector is attached to the frame body in this invention, after the surgery, the protector can be removed from the frame body and only the protector can be discarded. The protector can be joined and used. In addition, the frame can be assembled and can be carried to any place.Therefore, the infection preventive device devised in this application prevents surgery from adhering to the patient's blood, body fluid, etc. You can In addition, the protector is a flexible sheet resin product, and since it is made smaller by folding it, it is possible to save space and reduce weight when storing and transporting the protector. Further, since the protector of the present invention is a separate body from the surgical gown, it is easy to move, and the amount of incineration is small when it is used, so problems such as waste can be solved. The frame can be hung in advance and can be moved, for example, by using a rail or the like as needed, so that the frame can be set by one person and the work is easy.

[Brief description of drawings]

FIG. 1 is a side view of a protector body.

FIG. 2 is a front view of a protector body.

FIG. 3 is a plan view of a protector body.

FIG. 4 is a front view showing an adhesive application plate.

FIG. 5 is a side view of the frame body.

FIG. 6 is a plan view of the frame body.

FIG. 7: Side view of infection prevention device

[Explanation of symbols]

 1 protector 2 protector body 2a upper surface of protector body 2b one side surface of protector body 2c lower surface of protector body 2d other side surface of protector body 3 introduction part 4 drainage tube 5 pair of gloves 6 equipment introduction hole 7 flange 8 adhesive 9 handle 10 Adhesive Protective Film 11 Frame 12 Joining Tool 13 Support 14 Assembly Tool

Claims (1)

[Scope of utility model registration request] 1. A protector body 2 made of a transparent resin having an internal space, and a transparent resin body having a passage which is connected to the one side surface so as to project from one side surface of the protector body 2 and through which an endoscope can be inserted. Of the introduction part 3, a flange 8 is attached to the tip of the introduction part, and the drainage tube 4 connected to the lower surface of the protector body 2 so as to project downward from the lower surface of the protector body 2 faces the one side surface. The pair of gloves 5 connected to the other side surface so as to extend from the other side surface of the protector body 2 into the inner space of the protector body 2 and the endoscope formed on the upper surface of the protector body 2 Protector 1 having a device introduction hole 6 into which a device connected to the protector 1 can be inserted, and a frame 1 holding the protector 1
1. An infection preventive device for surgery, which comprises: