JPS60203258A - Traction and press treatment instrument - Google Patents

Abstract

(57) [Summary] This bulletin contains application data before electronic filing, so abstract data is not recorded.

Description

DETAILED DESCRIPTION OF THE INVENTION Technical Field of the Invention The present invention relates to a traction and compression treatment device, and in particular, a traction and compression treatment device for preventing the occurrence of scars, keloids, and contractures mainly due to burns, trauma, surgery, etc. on the face. It is something that opens up to 4 people.

Description of the Prior Art Generally, it is known that lateral L keloids and contractures occur when severe burns (mainly first-degree burns), trauma, or surgical operations are left untreated. ing. For this reason, it is widely practiced to continuously apply traction and pressure to the affected area at an appropriate time to prevent these occurrences. Devices that perform this traction and compression (hereinafter referred to as traction and compression treatment devices) have conventionally been made of leather, artificial leather, aluminum, plastic or other hard elastic materials, or cloth materials such as non-woven fabric.

However, with hard materials, it is necessary to make deep molds individually depending on age, gender, and other side differences, which requires a lot of effort and increases costs. In addition, since it is difficult to fix, the position may shift and cause a major hindrance to daily life.Especially when pressure is applied to the area around the lips, as this is soft tissue, it may shift or get dirty while eating, which may interfere with eating. There were many things. Furthermore, due to the incompatibility with the movement of the upper jaw, pressure necrosis of the skin may occur between the skin and the bone directly below it.

When a cloth material is used, the above-mentioned difficulties can be alleviated to some extent, but the point that separate deep molds are still required remains the same. Furthermore, the supporting force is weak, and the effects of fixation and traction compression are insufficient, making it impossible to apply intensive traction compression only to the affected area. There is also no improvement in the fact that it does not match the movement of the lower jaw and misalignment occurs due to movement of the lips. Furthermore, when a mask is used to cover the entire face, mental pain is caused in daily life due to its external shape.

These difficulties are, firstly, that the compression member and the member for traction and fixation are integrated, requiring instruments of different shapes for each patient, and secondly, this integration results in This is due to the fact that the material is not suitable for the movement of the lower jaw, and thirdly, the selection of the material is inappropriate.

Purpose of the Invention The present invention was made in order to overcome the drawbacks of the conventional traction and compression treatment devices as described above, and its main purpose is to provide a traction and compression treatment device that is highly versatile and has a large therapeutic effect. purpose.

A further object of the present invention is to provide a traction and compression treatment instrument in which the compression member body can be easily removed and positioned when reattached.

Structure of the Invention To summarize the present invention, a compression member main body is connected to a size-variable cap portion by a connecting means, the connecting means is removable from the cap portion, and the compression member main body itself is also connected to the cap portion. This is a traction and compression treatment device that can be detached by 1M from the connecting means.

DESCRIPTION OF THE EMBODIMENTS A traction and compression treatment device according to an embodiment of the present invention includes a cap portion 1 shown in FIG. 1 and a compression fixing member 2 shown in FIG. The hat part 1 consists of a forehead band 3 made of strong cloth tapered in a step-like manner at both ends, and a plurality of short head bands 4 made of the same material attached in a comb shape. A removable means is provided on one side of the forehead band 30 and on the same side of the head band 4 following this.
For example, removable tapes 5a and 5b are attached. These 11fl12 flexible tapes 5a, 5b are the forehead band 3.
Although it is not necessary to attach it to the entire surface of one side of the head band 4, it should be provided at least to a large part of one side of the forehead band 3 and a part of one side of the head band 4 that is close to the forehead band 3. is valid. On the back of the forehead band 3, at one end of the surface where the removable tape 15a is not attached, another vJ removable tape 6, which is removable from the removable tee 75a, is provided. A hole or ring through which a string 7 can be passed perpendicularly to the length direction of the head band 4 is provided at the end of the head band 4 that is far from the forehead band 3,
Strings 7 are sequentially attached to each hole or ring of each head band 4.
Thread it through to form a ring, and tie both ends of string 7 together. This cap part 1 is formed by a II provided on one side of the forehead band 3.
It is annular so that the removable tape 5a is on the outside, and when using it, the II provided at the end of the forehead band 3 is
The IR flexible tape 6 is removably pressed into contact with the removable tape 5a provided on one side of the forehead band 3 at an appropriate location.

Rectangular earmuffs 8 made of cloth are attached to two places of the forehead band 3, and when the forehead band 3 is made into a ring, the earmuffs 8 are attached to the center of the ring. They are installed in positions that face each other with a lυ. The tying position of the string 7 and the pressure contact position of the removable tape 6 provided at the end of the forehead band 3 are selected so that the cap portion 1 has a size that matches the patient's head.

The compression fixing member 2 shown in FIG. 2 includes a compression member main body 9a,
9b 1 Connecting members 10a, 10b, metal cap 11
a, 11b and rubber strings 128.12b. Among these, the compression member main body 9a.

9b is a long plate made of vinyl chloride, and is slightly curved in the longitudinal direction. FIG. 3 is a diagram showing the back side of this compression member main body 9a (the other compression member main body 9b is not shown but has a similar shape).
. As can be seen from FIG. 3, a large number of protrusions 13 are provided on the back surface of the compression member main body 9a, and two protrusions 13 are provided on both ends of the compression member body 9a at an appropriate interval (for example, 1 cm). Each small hole 14a-d is provided. Three or more small holes may be provided.

The connecting portions $410a and 10b are the compression member main body 9a.

9b and the rubber strings 12a, 12b, and the external appearance of the connecting member 10a (also 10b) is shown in FIG. Of these, FIG. 4(a) shows the front surface of the connecting member 10a, FIG. 4(b) shows the back surface thereof, and FIG. 4(C) is an exploded view thereof. This connecting member 10a has a long hole 17a and a small hole 17b.
The small hole 17b is passed through the small hole 17b and the rivet-like stopper 16 is passed through the leather disk 15, and the head of the stopper 16 is held between the ends of the leather disk 15. Disk 1
It is formed by adhering to 5. As these disks 15 and small disks 18, artificial leather, nonwoven fabric, metal plates, etc. may be used.

The caps 11a and 11b of the metal fittings shown in FIG. 2 have recessed portions at their tips, and the fastening fittings 16 of the connecting members 10a and 1Qb are connected to the compression member main body 9a.

9b through each of the small holes 14a-d, and the cap 11a of this metal fitting.

111), the compression member bodies 9a, 9b can be attached to the connection members 10a, 10b. Cap 11 of this metal fitting
8.11b and the stopper 16 are removable from each other. Therefore, the compression member bodies 9a, 9b and the connection members 10a, 10b are also detachable.

The rubber strings 12a and 12b are strings having elasticity in the longitudinal direction, and removable tapes 20 are provided near both ends of the rubber strings by metal fittings 19. This rubber string 12
a, 12b are elongated holes 17 of the connecting members 10a, 10b.
By passing through a, it is connected to the connecting members ioa and 1ob.

FIG. 5 does not show how this embodiment is used.

The cap part 1 is adjusted to fit the size of the patient's head, and is worn on the patient's head so that the earmuff part 8 covers the patient's ear shell. The compression member bodies 9a, 9b are connected by the connecting members 10a, 10b.
After connecting the rubber strings 12a and 12b to the rubber strings 12a and 12b, the surfaces of the compression member bodies 9a and 9b on which the protrusions 13 are provided are applied to the area to be compressed. Next, the rubber string 12a is lifted up and the removable tape 20 is connected to an appropriate location of the removable tapes 5a and 5b located on the surface of the cap part 1.

Although not shown in FIG. 5, the compression member main body 9a,
Similarly, the elastic cord 121) connected to the other end of 9b is attached to the removable tape 5. on the opposite side of the head. It is connected to an appropriate location between a and 5b. This connection position is selected so that the compression member bodies 9a, 9b apply therapeutically optimum traction and compression force to the area to be compressed. Any number of compression member bodies, one or more, may be provided as required. Although FIG. 5 shows a case where the first compression member main body 9a is attached to the lower jaw and the second compression member main body 9b is attached to the lower lip, as shown by the imaginary line in FIG. It is also possible to further attach the third compression member main body 9C to the upper lip and hold this area in a wide traction and compression position.

In addition to making the size of the hat part 1 variable, this hat part 1
A tape 5B that can be attached and detached over a wide range of surfaces,
51) Since the device is attached, a single traction and compression therapy device can be used regardless of the size of the patient's head or face, the area to be traction-compressed, or the required traction-compression force.

By the way, in order to connect the compression member bodies 9a, 9b to the cap part 1, relatively large holes are made at both ends of the compression member bodies 9a, 9b themselves, and the rubber strings 128, 12 are directly connected to the holes.
'b, and connect these rubber strings 12a and 12b to the hat part 1.
Another possible method is to connect to. Such a connection method has already been proposed by the inventor of the present invention and disclosed in Japanese Patent Application No. 58-60461.

However, if such a connection method is adopted, if the patient tries to temporarily remove the compression member bodies 9a and 9b while using this traction and compression treatment device, the rubber cord 1
It must be separated from the cap part 1 together with 2a and 12b. The attachment positions of the rubber strings i2a and i2b should be selected by the doctor so that the optimal therapeutic traction and compression force can be applied to the affected area.
If you remove 2b, it will take a lot of effort to reinstall it.

Further, a similar problem occurs when only the compression member bodies 9a, 9b are replaced with other types while the rubber strings 12a, 12b remain in the same position.

In this invention, the connecting members 10a, 10b are attached to the rubber strings 12a, 12b themselves, and the compression member main body 9a,
91+ is removably attached to the connecting portions 010a and 10b, and -C is provided. Therefore, the above-mentioned problems do not occur, and only the compression member bodies 9a and 9b can be removed, and positioning H can be determined easily.

In order to pull and compress a plurality of regions at the same time, a plurality of independent compression member bodies 9a are used as in this embodiment.

In addition to the method of providing 9b, it is also possible to use a compression member main body 21 (FIG. 6) in which these are integrated into a donut shape. However, when this doughnut-shaped compression member main body 21 is used, not only is it not possible to apply an appropriate traction and compression force to each area to be pulled and compressed, but also one side of the compression member body 21 is applied to the upper lip and the other is applied to the lower part of the body. If it is applied to the lips or lower jaw, it will be pushed up toward the nostrils every time you move your mouth, such as during a meal, which is undesirable because it may damage the nasal cartilage.

The material of the compression member body differs depending on the area to be compressed, but for the compression member body that compresses the area from the upper lip to the lower jaw, medical raw rubber, silicone, and soft plastic may be used. Raw rubber is the most suitable. However, raw rubber is difficult to process, and cannot be manufactured using limited methods such as punching. In addition, since this traction and compression treatment device is used for areas above the neck, such as the face, coloring and other designs are required to alleviate the patient's mental pain as much as possible.
It is also necessary to come up with additional ideas. When raw rubber is used, it is difficult to color it, and this problem remains unsolved.

In this embodiment, vinyl chloride is used for the compression member bodies 9a and 9b, and since vinyl chloride has good workability and colorability, these problems are solved.

Other materials such as silicone, artificial leather, and cloth can also be used.

Next, the compression member main body 9a shown in FIGS. 2 and 3
, 9b will be explained in more detail.

In order to increase the versatility of this traction and compression treatment device, it is possible to use compression member bodies 9a and 9b that have a single size, regardless of age, gender, bone structure, or distance to the area to be tracted and compressed. desired. Two small holes 14a- are provided at each end of the compression member bodies 9a and 9b.
d makes this possible, by selecting an appropriate one of the two small holes 148 to a according to the patient, and attaching the stopper 16 of the connecting members 10a and 10b to the appropriate one.
Through it, the cap 11a of the metal fitting.

11b. For example, among the small holes 14a-d,
The fittings 16 are inserted through the small holes (distal holes) 14a, 14d that are farther from the center of the compression member bodies 9a, 9b (=J
This allows compression and traction to be applied to areas further away from the patient's head. Conversely, the small foramen (proximal foramen) 1 that is closer to the center
If 4b, 140 is selected as 1, it is possible to perform traction compression on a region closer to the head. When two small holes are provided at each end, three combinations are possible: distal holes together, proximal holes together, and one distal hole and one proximal hole. When two compression member bodies are used, 3×3-9 selections are possible.

In addition, as mentioned above, since the compression member bodies 9a and 9b are formed to be slightly curved, considering a combination in which the concave side is directed toward the patient's head or toward the patient's feet, Combined with the above 9 ways, total 9X3-27
It is possible to transform the street, dramatically increasing its versatility.

Next, consider a case where the surfaces of the compression member bodies 9a, 9b do not have a large number of protrusions 13 as shown in FIG. In this case, the entire surface of the compression member body is in close contact with the skin for a long time, and the skin becomes sealed and infiltrated, leading to the development of rashes, boils, and athlete's foot.Especially in the summer, the skin becomes soaked with sweat. It is uncomfortable and unsanitary.

For this reason, in the compression member body shown in FIGS. 2 and 13, a large number of protrusions 13 are provided on one surface of .Also,
As a result, the compressive effect W of the θroid is strengthened, and the effect of maintaining the local skin in a stretched position is strengthened. Furthermore, the compression member main body 9a
, 9b themselves can be prevented from moving and the position of the wearer can be prevented from shifting.

In addition, by providing the earmuff part 8 in the prevention part 1, it is possible to prevent the ear shell from being damaged by the rubber strings 12a and 12b.

By the way, the compression member main body 9 shown in FIG. 2 and VNA
The compression by a and 9b is not limited to the mode shown in FIG. 5, but as shown in FIG. 7, one compression member body 9b is applied to the upper lip. One part has another compression member main body 9
The compression member main body 9a can also be pulled and compressed by applying the pressure member 9a to each other.

Instead of applying 9b directly to the inside of the bulge, it is also possible to apply adhesive sponge to the affected area and then apply pressure from that area with the compression member main body. Furthermore, fr! The cap portion 1 shown in FIG. 1 is not intended to fix only a specific compression member body, but can also be used when compressing other compression member bodies or in combination with this.

For example, the hooks of the hook-shaped mouth corner retractor 22 shown in FIG. 9 can be inserted into the left and right corners of the mouth, and the other ends can be connected to the cap part 1 in the same manner as in the previous embodiment (FIG. 8). . When it is necessary to compress the central part of the face, fixation and traction compression are performed in the same manner using a compression member main body 23 having a shape suitable for the central part of the face, as shown in Fig. 10. be able to. In cases such as Figures 8 and 10,
The compression member body does not necessarily need to be made of vinyl chloride or the like.

In addition, in the cap section 1 shown in Fig. 1, the skeleton of the cap section 1 is formed by a combination of bands, but it is possible to attach removable tapes 5a and 5b, and to adjust the structure to fit the size of the patient's head. If the size of the hat can be reduced to 1, other configurations are also acceptable.

Although the rubber strings 128 and 12b are used as the hanging strings for hoisting the compression member bodies 9a and 9b, the present invention is not limited to this, and other elastically stretchable materials such as strings or ordinary strings may also be used. Also, rubber string 12
a, 'I 2b's connecting member 10a, IQb
There is also a method of making it longer and attaching it directly to the cap part 1 so that it can be attached and detached, but in this case, there is a high possibility that it will put pressure on the ear shell, and you will feel pain in the ear shell. (Rucom string 12a, 12b can be pinched between the ears and put pressure on it directly. Especially for women, it is possible to hold the ear shell between the two and press it directly. Especially in women, it is possible to put the com string in the hair.) It also has the advantage of being less crowded and less visually appealing.

Furthermore, the connecting members 10a, 10b and the compression member main body 9a
, 9b is connected to the stopper A16 and the cap 1 of the metal fitting.
The combination is not limited to 1a and ilb, and for example, protrusions such as metal fittings with bent tips may be used as the connecting members i0a and 10b, and the tips may be connected to the small holes 1 of the compression member body.
Rather than being locked to 4a-d, it is only necessary that they be detachable.

As described in detail, according to the present invention, in a traction and compression treatment device that continuously pulls and compresses an affected part of the face that has suffered burns, trauma, surgery, etc., the compression member body and this are fixed. The hat part is separated and connected by a connecting means, the size of the hat part is variable, and the connecting means is detachable from both the hat part and the compression member body, making it highly versatile for treatment. It is possible to obtain a traction and compression treatment device that is not only highly effective but also comfortable to use. In addition, since only the compression member main body can be attached and detached, the traction and compression treatment device can be easily detached and positioned when reattached.

This invention is applicable to traction and compression fixation of the upper and lower lips, head, cheeks, lower jaw, lower jaw, nose, and lower eyelids due to burns, etc.
M skin grafting, traction pressure fixation after free branch flap/pedicled skin grafting, and benign/malignant skin It II 1! -Can be used for traction and compression fixation after birthmarks, blood clots, and other face surgery.

BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a diagram showing the appearance of a cap used in an embodiment of the present invention. FIG. 2 is a diagram showing a compression fixing member used in an embodiment of the present invention. FIG. 3 is a diagram showing a compression member main body used in an embodiment of the present invention. FIG. 4 is a diagram showing a connecting member used in an embodiment of the present invention. FIG. 5 is a diagram showing how the traction and compression treatment device according to the embodiment of the present invention is used. FIG. 6 is a diagram showing the shape of the donut-shaped compression member body. FIGS. 7, 8 and 10 are diagrams showing nine ways of using another embodiment of the invention, respectively. FIG. 9 is a diagram showing a mouth corner retractor used in the 8121st embodiment. In the figure, 1 is a hat part, 2 is a compression fixing member, 3 is a forehead band, 4 is a head band, 5a, 511°6 O, J:
U 2 OleCM removable j---, 7, 9a, 9
h, 9C, 21, 22 and 2. '1 is the compression member main body,
10a and 10b are connecting members, and 12a and 12b are rubber strings, respectively. Patent applicant Nippon Meso, Cco Co., Ltd. Ryosuke Fujimori Attorney Patent attorney Kube Fukami (and 2 others) Figure 7 Figure 2 Burning diagram

Claims (6)

[Claims] (1) A size-variable hat part that has a first removable means in a wide area around its outer circumference, and a second cap part that has a shape according to the area to be compressed, and a second part at the end.
a compression member main body having a removable means; and a connection means for connecting and pulling the compression member main body to the cap portion, one end of which is detachable from the first removable means. 1. A traction and compression treatment instrument comprising a third removable means, and a connecting means having the second removable means and a fourth removable means at the other end. (2) The first and third removable means are removable tapes, and the second removable means is a plurality of holes provided at intervals at each end of the compression member main body. and the fourth W removable means is a protrusion that is attached to a flat plate made of a material selected from leather, artificial leather, nonwoven fabric, and a metal plate and that can be inserted into the hole. The traction and compression treatment device according to item 1. (3) The connecting means includes at least one of an elastic cord and a non-elastic cord, and a plurality of the compression member bodies can be connected to the cap part through the connecting means. The traction and compression treatment device according to item 1 or 2. (4) The traction and compression treatment S according to any one of claims 1 to 3, wherein the compression member main body is formed of any one of vinyl chloride, silicone, artificial leather, and cloth! Xing. (5) The traction and compression therapy device according to any one of claims 1 to 4, wherein a large number of protrusions are provided on the surface of the compression member body that contacts the area to be compressed. (6) The traction and compression treatment instrument according to any one of claims 1 to 5, wherein the hat portion is provided with cloth earmuffs.