JPH09313615A - Catheter fixing holder - Google Patents

Abstract

PROBLEM TO BE SOLVED: To prevent bacteria intrusion from the exit part of a catheter and to make a patient himself/herself able to easily perform mounting and dismounting by providing a pair of holding and attaching films provided with an adhesive material layer on one surface and a connection tape to be adhered around the exit part of the catheter held by the holding and attaching films and to the skin. SOLUTION: This catheter fixing holder is provided with a pair of the holding and attaching films 3 provided with the adhesive material layer on one surface for holding and attaching the catheter 1 and the two sheets of films 5a and 5b for connection to be adhered around the exit part of the catheter 1 held and attached by the holding and attaching films 3 and to the skin 4. Then, for a procedure for attaching the catheter 1 by using it, the holding and attaching films 3 are held and the catheter 1 is held and attached at a position separated for a prescribed distance from the skin 4 of the exit part of the catheter 1 projected from the skin 4 first. Then, the adhesion part 5a of the film 5 for the connection is stuck to the lower side face of the holding and attaching film 3, the adhesion part 5b is stuck to the skin 4, the part around the exit part of the catheter 1 is fixed to the skin 4 and mounting is completed.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a catheter fixing holder, and more particularly to a catheter for preventing bacterial invasion from an outlet portion of a catheter and facilitating attachment and detachment by a patient himself / herself. It relates to a fixed holder.

[0002]

2. Description of the Related Art In general, in the case of a treatment method that requires a long-term indwelling communication between the inside and outside of the body with a catheter, for example, continuous ambulatory peritoneal dialysis therapy (hereinafter referred to as CAPD therapy), the main problem is the catheter. The prevention of infection at the part that comes out of the body, the so-called exit part, has become an important issue. In particular, in CAPD therapy, the diameter of the catheter is large and the catheter indwelling period is particularly long, so that good fixation of the catheter has a great influence on infection protection at the outlet portion.

Therefore, conventionally, as a fixing means for preventing an inadvertent movement of the catheter, a band-shaped adhesive member is provided with a cut into two halves along the longitudinal direction up to the central portion, and the catheter or the like is wound around the adhesive member. What is attached to the human body (see Japanese Utility Model Publication No. 53-52313), a notch portion is provided in the step portion of an adhesive sheet having a convex unit shape to form a winding portion and an adhesive portion, and the winding portion is attached to the winding portion. A catheter or the like is wrapped around and the affixed part is affixed to the human body (Jitsuko Sho 57-883).
No. 3), a catheter holder is formed by an adhesive pad having a through hole and a pair of adhesive tapes fixed to the surface of the pad, and the two adhesive tapes are used to wrap the catheter and place the catheter at a desired position. A catheter that holds the catheter or the like (see Japanese Patent Laid-Open No. 3-97470), or an adhesive sheet having a hole through which the catheter or the like is inserted and a tubular portion through which the catheter is inserted are integrally formed. What was done (Actual Kaihei 4-13624
No. 1) etc. have been proposed.

[0004]

However, in the conventional fixing means of this kind, the structure is complicated because the adhesive sheet is provided with a notch or the winding portion or the tubular portion is fixed. At the same time, there is a problem that it takes time to attach and detach. In addition, the above-mentioned or Japanese Utility Model Publication No. 53-52313 and Japanese Utility Model Publication No. 57-8833.
The techniques disclosed in Japanese Patent Laid-Open No. 3-97470 and Japanese Patent Laid-Open No. 3-97470 are merely intended to fix the catheter, and water invades into the exit portion of the catheter which may occur in daily life such as bathing of the patient to be used. However, there was a problem that the invasion of bacteria could not be prevented. On the other hand, in the technique disclosed in Japanese Utility Model Application Laid-Open No. 4-136241, it is possible to prevent the invasion of water and bacteria into the outlet portion of the catheter, but the sheet portion and the tubular portion are integrally formed. Therefore, there is a problem that it takes time for the patient to attach and detach the device. Further, since it is integrally formed, there is a problem that the whole must be replaced even if a part of the material is damaged, and there is a problem that the material is wasted and the cost is increased. Further, there is a problem that the material and size of the adhesive member cannot be easily changed when the patient's skin has a rash or the like.

The present invention has been made in view of the above circumstances, and an object of the present invention is to provide a catheter fixing holder which prevents bacteria from entering from the outlet portion of the catheter and which can be easily attached and detached by the patient himself / herself. It is a thing.

[0006]

In order to achieve the above object, the invention according to claim 1 provides a pair of clinging films having an adhesive layer on one surface for clinging a catheter, and the clinging film as described above. It is characterized in that it is provided with a periphery of an outlet portion of a catheter to be attached and a connecting tape that adheres to the skin.

According to a second aspect of the present invention, a pair of clinging films having an adhesive layer on one side for clinging the catheter,
The present invention is characterized in that it is provided with a periphery of an outlet portion of a catheter that is attached by the attachment film and two connecting films that adhere to the skin.

According to a third aspect of the present invention, a pair of clinging films having an adhesive layer on one surface for clinging a catheter,
Around the exit part of the catheter that is attached by the attachment film, two connecting films that adhere to the skin, and the catheter that adheres the attachment film and the connecting film to one connecting film side. It is characterized by comprising a clinging film and a connecting tape adhered to the connecting film so as to be fixed in this state.

In the present invention, the adhesion film is
A substantially rectangular film body having an adhesive layer on one side, and a reinforcing film laminated on both sides and one end side in the long axis direction on the surface opposite to the adhesive layer of the film body, and the surface of the reinforcing film It is preferable to perform a treatment for making it possible to peel off the adhesion with the connecting tape or the connecting film (Claim 4).

According to the catheter fixing holder of the present invention constructed as described above, after a pair of clinging films are clasped around the exit portion of the catheter protruding from the skin, the clinging film is connected to the circumference of the exit portion and the skin. By adhering a tape or a film for connection, the catheter can be fixedly held at a desired position, and the invasion of water along the gap between the catheter and the film can be prevented and the invasion of bacteria can be prevented. be able to. (Claims 1 and 2). Further, in the case where the connecting tape or the like is damaged at the bonding portion between the connecting tape or the connecting film and the skin, only the connecting tape or the like can be peeled off and replaced.

Further, a pair of clinging films are clasped around the exit portion of the catheter protruding from the skin, and after the coupling film is adhered to the circumference of the exit portion and the skin, the catheter is laid down on the coupling film. By adhering the connecting tape to the clinging film and the connecting film, the catheter can be fixedly held in a lying state, and the fixed holding can be made more reliable (Claim 3).

Further, a cladding film is laminated on a substantially rectangular film body having an adhesive layer on one side, and a reinforcing film laminated on both sides and one end side in the longitudinal direction of the film body opposite to the adhesive layer. The surface of the reinforcing film is subjected to a treatment for making it possible to peel off the adhesiveness between the connecting tape or the connecting film, so that the connecting tape or the connecting film can be easily peeled off from the clinging film after mounting. It is possible to further facilitate the attachment and detachment of the catheter (Claim 4).

[0013]

Embodiments of the present invention will be described below in detail with reference to the accompanying drawings. First Embodiment FIG. 1 is a perspective view showing a usage state of the first embodiment of the catheter fixing holder of the present invention.

The catheter fixing holder has a pair of clinging films 3 each having an adhesive layer 2 on one side to which the catheter 1 is clasped, and a catheter 1 clasped by the clinging films 3.
It is provided with the periphery of the outlet and the two connecting films 5 adhered (attached) to the skin 4.

In this case, the adhesion film 3 has a length of 3 cm or more and a width of 2 cm, as shown in FIGS. 2 and 3.
A film body 6 formed in a rectangular shape having the above size,
The reinforcing film 7 is laminated on both sides and one end side (the lower end side is shown in the drawing) in the long axis direction on the surface opposite to the adhesive layer 2 of the film main body 6 with the adhesive layer 8 interposed therebetween, On the surface of the reinforcing film 7, the connecting film 5
A back surface treatment is applied to make the adhesive bond with and peelable.

In this case, the reinforcing film 7 is the same as that shown in FIG.
As shown in (a), a width of, for example, 0.5 cm or more (0.5 to 1 cm in the drawing) on both sides of the film body 6 in the long axis direction.
And 0.5c on one end side (lower end side)
It is formed in a substantially U shape provided with a width of m or more (in the drawing, the case of 1.5 to 2 cm is shown). It is also possible to form the reinforcing film 7 in a rectangular frame shape having dimensions as shown in FIG.

The back treatment is carried out by coating the surface of the reinforcing film 7 with a release treatment agent such as a long chain alkyl group-containing polymer, a silicone polymer or a perfluoro polymer. A release paper 9 is releasably adhered to the adhesive layer 2.

As described above, the reinforcing film 7 is laminated on the rectangular film body 6 to have a width of, for example, 1 cm on both sides in the major axis direction of the film body 6 and a width of, for example, 2 cm on one end side (lower end side). By slightly reinforcing the strength to the extent that the patient does not feel uncomfortable and performing a back treatment, the adhesion between the clinging film 3 and the connecting film 5 can be peeled off.

The cling film 3 is a durable film that can be continuously worn for a long period of time, for example, for at least 2 weeks, and is elastic and elastic so that the catheter 1 can be completely enclosed by the wearing, and has a stretchable property and a waterproof property. A high film is desirable. In this case, the film body 6 is formed of, for example, a polyurethane film, and the reinforcing film 7 is formed of a film of polyester, polypropylene, polyethylene, acetate or the like.

On the other hand, as shown in FIGS. 5 and 6, the connecting film 5 has a rectangular film main body 11 having an adhesive layer 10 on one side, and a side surface opposite to the adhesive layer 10 of the film main body 11. And a back film 12 laminated on the back surface of the adhesive layer 10, and a release paper 13 is releasably adhered to the surface of the adhesive layer 10. The material, size, and shape of the connecting film 5 thus formed may be arbitrary, and in consideration of the balance with the size of the sandwiching film 3 described above, for example, the connecting film 5 is formed in a rectangular shape with a length of 12 cm and a width of 10 cm. It is better to do. In this case, the release paper 13 that is releasably adhered to the adhesive layer 10 may be adhered to the entire area of the adhesive layer 10, but as shown in FIG. 5 and FIG. It is better to partition the adhesive portion 5a and the skin-side adhesive portion 5b so that they can be separately peeled off. In this case, it is desirable that the size (width) of the adhesive film 3 side adhesive portion 5a be 3 cm or more from the side portion. The reason is to keep the catheter 1 safe when it is used continuously for a long period of time.

Next, the procedure for attaching the catheter 1 using the catheter fixing holder of the present invention will be described with reference to FIG.
This will be described with reference to FIGS.

First, the catheter 1 is sandwiched by sandwiching the sandwiching film 3 at a predetermined distance, for example, 1 cm or more from the skin 4 at the exit portion of the catheter 1 protruding from the skin 4 (FIG. 7 (a), (See (b)).

Next, the adhesive portion 5a of the connecting film 5 is attached (adhered) to the lower surface of the adhesive film 3, and the adhesive portion 5b is attached (adhered) to the skin 4 (see FIG. 8). The periphery of the outlet of the catheter 1 is fixed to the skin 4 with the two connecting films 5 to complete the attachment (see FIG. 1).

As described above, the exit portion of the catheter 1 protruding from the skin 4 is attached by the two attachment films 3,
By attaching the connecting film 5 to both sides of the lower part of the clinging film 3 and the skin 4, the catheter 1 can be easily attached, and the patient 1 can also easily attach the catheter 1. In this mounted state, the periphery of the outlet portion of the catheter 1 is doubly held by the pair of clinging films 3 and the two connecting films 5, so that the periphery of the outlet portion of the catheter 1 should be completely sealed. It is possible to prevent the invasion of water along the gap between the catheter 1 and the films 3 and 5 even when taking a bath, and also prevent the invasion of bacteria.

On the other hand, both sides and one end side (lower end side) of the adhesive film 3 in the major axis direction are reinforced by the reinforcing film 7, and a release treatment agent having releasability can be applied on the surface side by coating, that is, peelable. Because it has been treated,
The patient can easily attach and detach. Therefore,
The patient can remove the connecting film 5 and replace the connecting film 5.

When the connecting film 5 is attached,
As shown in FIG. 9, after the antibacterial sponge 14 is wound around the outlet portion of the catheter 1, the connecting film 5 can be attached (adhered) so as to cover the antibacterial sponge 14. In this case, the antibacterial sponge 14 is formed of a material having an excellent antibacterial function, which is excellent in water absorption and has no non-return property, that is, no retrograde property.

In this way, by winding the antibacterial sponge 14 around the outlet of the catheter 1, the catheter 1
It is possible to more reliably prevent the invasion of bacteria from the outlet part of the and to prevent the growth of bacteria.

Second Embodiment FIG. 10 is a plan view showing a usage state of the second embodiment of the catheter fixing holder of the present invention. The catheter fixed holder shown in FIG. 10 has an adhesive layer (not shown) on one surface instead of the connecting film 5 of the first embodiment.
This is a case where the periphery of the outlet of the catheter 1 is held by using a piece of connecting tape 15. That is, as in the first embodiment described above, after the periphery of the outlet portion of the catheter 1 projecting from the skin 4 is clamped by the pair of clinging films 3, the catheter 1 clasping the clinging film 3 is attached to the skin 4 side. This is a case where the catheter 1 is attached by laying the connection tape 15 on the clinging film 3 and the skin 4 so as to straddle the clinging film 3 on the upper surface side. Even in this case, the connecting tape 15 can be peeled off and replaced easily.

Third Embodiment FIG. 11 is a plan view showing a usage state of the third embodiment of the catheter fixing holder of the present invention. The catheter fixing holder shown in FIG. 11 is a combination of the first embodiment and the second embodiment. That is, as shown in the first embodiment, the catheter 1 protruding from the skin 4
After sticking a pair of clinging films 3 around the exit part of the, sticking (gluing) the connecting film 5 to the clinging film 3 and the skin 4, then sticking the clinging film and the connecting film 5. Fell the catheter 1 to the side of the connecting film 5 on one side,
In this state, the clinging film 3 is used as in the second embodiment.
This is a case in which the connecting tape 15 is attached (adhered) to the clinging film 3 and the connecting film 5 so as to straddle the film.

As described above, the periphery of the outlet of the catheter 1 is held by the pair of clinging films 3, the two connecting films 5 and the connecting tape 15 so that the catheter 1
It is possible to more securely hold the periphery of the outlet of the catheter and hold the catheter 1 in a laid state. Note that the connection tape 15 can be easily detached by peeling the connection film 5 after peeling the connection tape 15 from the adhesion film 3 and the connection film 5.

[0031]

As described above, since the catheter fixing holder of the present invention is constructed as described above, the following effects can be obtained.

1) According to the invention described in claims 1 and 2,
After attaching a pair of clinging films around the exit portion of the catheter protruding from the skin, a joining tape or a joining film is glued around the exit portion and the skin, so that the catheter can be fixedly held at a desired position. Therefore, it is possible to prevent the invasion of water along the gap between the catheter and the film and also the invasion of bacteria. Also,
When the connecting tape or the like is damaged at the bonding portion between the connecting tape or the connecting film and the skin, only the connecting tape or the like can be peeled off and replaced.

2) According to the invention of claim 3, a pair of clinging films are clasped around the outlet of the catheter projecting from the skin, and a connecting film is adhered around the outlet and the skin. Since the catheter is laid down on the connecting film and the connecting tape is adhered to the clinging film and the connecting film, the catheter can be fixedly held in the lying state in addition to the above 1), and the fixed holding is more reliable. Can be

3) According to the fourth aspect of the invention, the cling film comprises a substantially rectangular film body having an adhesive layer on one side, and a long-axis direction on the opposite side of the film body from the adhesive layer. Formed with reinforcing films laminated on both sides and one end side, and the surface of the reinforcing film is treated to make the adhesion with the connecting tape or the connecting film peelable, so it is connected from the cling film after mounting. The tape or the connecting film can be easily peeled off, and the catheter can be further easily attached and detached.

[Brief description of drawings]

FIG. 1 is a perspective view showing a usage state of a first embodiment of a catheter fixing holder of the present invention.

FIG. 2 is a perspective view showing a part of the cling film in the present invention in a cross section.

FIG. 3 is an enlarged sectional view taken along line AA of FIG. 2;

FIG. 4 is a plan view showing another example of the reinforcing film according to the present invention.

FIG. 5 is a plan view showing a connecting film according to the present invention.

6 is an enlarged sectional view (a) and C taken along line BB of FIG.
It is an expanded sectional view (b) along the -C line.

FIG. 7 is a perspective view (a) showing a state where the adhesive film is being attached to the catheter and a perspective view (b) showing a state where the adhesive film is attached to the catheter.

FIG. 8 is a perspective view showing a state in which a connecting film is attached to the catheter and the adhesive film.

FIG. 9 is a perspective view showing a state in which an antibacterial sponge is wound around a catheter for use.

FIG. 10 is a plan view showing a mounted state of the catheter according to the second embodiment of the present invention.

FIG. 11 is a plan view showing a mounted state of the catheter according to the third embodiment of the present invention.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 Catheter 2 Adhesive layer 3 Adhesion film 4 Skin 5 Connection film 6 Film body 7 Reinforcement film 8 Adhesive layer 15 Connection tape

Claims (4)

[Claims] 1. A pair of clinging films having an adhesive layer on one side for clinging a catheter, a circumference of an outlet portion of the catheter clinging by the clinging film, and a connecting tape that adheres to the skin. A catheter fixing holder, comprising: 2. A pair of adhesive films having an adhesive layer on one side for adhering a catheter, an area around the exit of the catheter adhered by the adhesive film, and two sheets for adhering to the skin. A catheter fixing holder, comprising: a film. 3. A pair of adhesive films having an adhesive layer on one side for adhering a catheter, an area around the exit of the catheter adhered by the adhesive film, and two sheets for adhering to the skin. A film, and a connecting tape for adhering to the attaching film and the connecting film so as to fix the catheter to which the attaching film and the connecting film are adhered in a state in which the catheter is laid down on one connecting film side. Catheter fixing holder. 4. A reinforcing film obtained by laminating the sandwiching film on a substantially rectangular film body having an adhesive layer on one surface, and on both sides and one end side in the major axis direction on the surface of the film body opposite to the adhesive layer. The film is formed of a film, and the surface of the reinforcing film is subjected to a treatment for making it possible to peel off the adhesion with the connecting tape or the connecting film. Catheter holder.