TWI717298B - Restraint set - Google Patents

Restraint set Download PDF

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Publication number
TWI717298B
TWI717298B TW109122061A TW109122061A TWI717298B TW I717298 B TWI717298 B TW I717298B TW 109122061 A TW109122061 A TW 109122061A TW 109122061 A TW109122061 A TW 109122061A TW I717298 B TWI717298 B TW I717298B
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Taiwan
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filling
outer edge
elbow joint
restraint
edge portion
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TW109122061A
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Chinese (zh)
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TW202202108A (en
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王志中
李玉媚
黃秋綿
張明娟
吳佩珊
江惠英
郭進榮
翁瑞侑
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奇美醫療財團法人奇美醫院
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Priority to TW109122061A priority Critical patent/TWI717298B/en
Application granted granted Critical
Publication of TWI717298B publication Critical patent/TWI717298B/en
Priority to JP2021028776A priority patent/JP7048783B2/en
Publication of TW202202108A publication Critical patent/TW202202108A/en

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  • Orthopedics, Nursing, And Contraception (AREA)
  • Professional, Industrial, Or Sporting Protective Garments (AREA)

Abstract

本發明提供一種約束套,係用於限制一肘關節活動,所述之約束套包含有一具中空結構之填充部,其特徵在於,該填充部具有一具有撓性而可操作地環繞該肘關節之填充前狀態,以及一因其中空結構受填充而失去撓性並限制該肘關節活動之填充後狀態。本發明捨棄習用約束患者手腕之方式,而能避免習用約束手套阻礙點滴、注射管設置之缺點。The present invention provides a restraining sleeve for restricting the movement of an elbow joint. The restraining sleeve includes a filling part with a hollow structure. The filling part is characterized in that the filling part has a flexibility and operatively surrounds the elbow joint The pre-filled state and the post-filled state where the hollow structure is filled to lose flexibility and restrict the movement of the elbow joint. The invention discards the conventional way of restraining the patient's wrist, and can avoid the disadvantages of conventional restraining gloves hindering dripping and setting of the injection tube.

Description

約束套Restraint set

本發明有關於一種約束套,尤指一種用以限制患者肘部活動之約束套。 The invention relates to a restraint sleeve, in particular to a restraint sleeve for restricting the movement of the patient's elbow.

在醫院中,許多患者因難以忍受侵入性治療或癒合期產生之搔癢,而有拉扯拔除導管、抓破傷口等行為;另一部分患者或受身心症所苦,甚至可能有自傷傾向。由於此類非習性行為多數需要患者使用雙手,因此,醫界過去通常採用約束手套,令患者手掌無法自由活動,達到制止之目的。 In the hospital, many patients have the behavior of pulling and removing catheters and scratching wounds because they cannot tolerate the invasive treatment or the itching during the healing period. Another part of the patients may suffer from physical and mental illness and may even have a tendency to self-injury. Since most of these non-habitual behaviors require patients to use their hands, the medical profession usually uses restraint gloves in the past to prevent the patients' palms from moving freely and achieve the purpose of stopping them.

然而,住院患者往往因病情需要,而接通各樣導管如常見之點滴、鼻胃管、呼吸管、引流管等。且多數管路係皆設置在患者手部,若使用前述約束手套,醫護人員不論是在檢查管路狀況、更換新管等作業時,都必須拆除約束手套再重新束上。又,約束手套之鬆緊程度雖可透過繫帶調整,但一其工件限制,較難為每位患者不同尺寸之肢體加以微調,勢必需要犧牲一定程度的舒適性,這也讓約束手套更難以被患者所接受。是以,如何改善先前技術之缺失,實為業界亟欲克服之問題。 However, inpatients are often connected to various catheters such as common intravenous drips, nasogastric tubes, breathing tubes, drainage tubes, etc. due to their medical conditions. In addition, most of the pipeline systems are set on the patient's hand. If the aforementioned restraint gloves are used, the medical staff must remove the restraint gloves and re-attach them when checking the pipeline conditions or replacing new tubes. In addition, although the tightness of the restraint gloves can be adjusted through the lacing, it is difficult to fine-tune the limbs of different sizes for each patient due to the limitation of the workpiece. A certain degree of comfort must be sacrificed, which also makes the restraint gloves more difficult to be affected by the patient. Accepted. Therefore, how to improve the lack of prior art is a problem that the industry urgently wants to overcome.

本發明之目的,在於解決先前技術中約束手套阻礙手部導管安置,且無法依據患者本身肢體狀況微調等問題。 The purpose of the present invention is to solve the problem that the restraint gloves in the prior art hinder the placement of the hand catheter and cannot be fine-tuned according to the patient's own limb condition.

為達上述目的,本發明提供一種約束套,係用於限制一肘關節活動,所述之約束套包含有一具中空結構之填充部,其特徵在於,該填充部具有一 具有撓性而可操作地環繞該肘關節之填充前狀態,以及一因其中空結構受填充而失去撓性並限制該肘關節活動之填充後狀態。 In order to achieve the above objective, the present invention provides a restraining sleeve for restricting the movement of an elbow joint. The restraining sleeve includes a filling part with a hollow structure, and the filling part is characterized in that the filling part has a A pre-filled state that has flexibility and operably surrounds the elbow joint, and a post-filled state where the hollow structure is filled to lose flexibility and restrict the movement of the elbow joint.

進一步地,所述之約束套,更進一步包含有一環設於該填充部外圍之外沿部。 Further, the constraining sleeve further includes a ring provided on the outer edge of the outer periphery of the filling portion.

進一步地,該填充部包含有複數分界,以及複數受每一該分界間隔設置之中空填充單元。 Further, the filling portion includes a plurality of boundaries, and a plurality of hollow filling units are arranged at intervals of each of the boundaries.

進一步地,該中空填充單元數量為四,並分別對應於該肘關節之頂面、底面及兩側面。 Further, the number of the hollow filling units is four, which respectively correspond to the top surface, the bottom surface and the two side surfaces of the elbow joint.

進一步地,該填充部包含有複數分別對應每一該中空填充單元之填充封口。 Further, the filling portion includes a plurality of filling seals corresponding to each of the hollow filling units.

進一步地,所述之約束套,更進一步包含有一延伸手套,該延伸手套包含有複數第一連接部,且該外沿部包含有複數分別對應每一該第一連接部之第二連接部,且該延伸手套之口徑朝遠離該外沿部方向漸闊。 Further, the constraining sleeve further includes an extended glove including a plurality of first connecting portions, and the outer edge portion includes a plurality of second connecting portions corresponding to each of the first connecting portions, respectively, And the diameter of the extended glove gradually widens in the direction away from the outer edge portion.

進一步地,該延伸手套包含有複數具中空結構之充氣條。 Further, the extended glove includes a plurality of inflatable strips with hollow structures.

進一步地,該外沿部開設有複數用以露出該肘關節之穿孔。 Further, the outer edge part is provided with plural perforations for exposing the elbow joint.

進一步地,該外沿部包含有複數設於該外沿部一端之卡扣槽,以及複數設於該外沿部另一端並分別對應每一該卡扣槽之卡鉤。 Further, the outer edge portion includes a plurality of buckle grooves provided at one end of the outer edge portion, and a plurality of hooks provided on the other end of the outer edge portion and respectively correspond to each of the buckle grooves.

進一步地,所述之約束套,更進一部包含有至少一設置於該填充部對應該肘關節一側之壓力感測器,以及一連接該壓力感測器並延伸至該外沿部之壓力偵測接點。 Further, the constraining sleeve further includes at least one pressure sensor arranged on the side of the filling portion corresponding to the elbow joint, and a pressure connected to the pressure sensor and extending to the outer edge portion Detect contacts.

是以,本發明之約束套捨棄習用約束患者手掌之方式,改採約束患者肘關節,同樣能達到避免患者拉扯導管之目的。此外,本發明採充填方式,實現對約束套之束緊程度加以微調之功能。若患者有自傷傾向,透過氣體充 入該填充部使其鼓脹後,亦能提供撞擊時的緩衝保護。更能配適每位患者的肢體尺寸,提高穿戴之舒適度,亦能減少患者對約束套之抗拒心理。 Therefore, the restraint sleeve of the present invention abandons the conventional way of restraining the patient's palm and adopts the restraint of the patient's elbow joint, which can also achieve the purpose of preventing the patient from pulling the catheter. In addition, the present invention adopts a filling method to realize the function of fine-tuning the tightness of the restraint sleeve. If the patient has a tendency to self-injure, After entering the filling part to swell it, it can also provide cushioning protection during impact. It can better fit each patient's body size, improve the comfort of wearing, and reduce the patient's resistance to restraint sets.

100:約束套 100: Constraint sets

10:填充部 10: Filling part

11:分界 11: Demarcation

12:中空填充單元 12: Hollow filling unit

13:填充封口 13: Filling and sealing

20:外沿部 20: Outer edge

21:第二連接部 21: The second connecting part

22:穿孔 22: Piercing

23:卡扣槽 23: buckle slot

24:卡鉤 24: hook

25:輔助夾 25: auxiliary clip

30:延伸手套 30: extended gloves

31:第一連接部 31: The first connection part

32:充氣條 32: Inflatable strip

40:壓力感測器 40: pressure sensor

50:壓力偵測接點 50: Pressure detection contact

900:肘關節 900: Elbow joint

第1圖:為本發明第一實施態樣之立體圖。 Figure 1: A perspective view of the first embodiment of the present invention.

第2圖:為本發明第一實施態樣之平面圖。 Figure 2: is a plan view of the first embodiment of the present invention.

第3圖及第4圖:為本發明第一實施態樣之使用狀態示意圖。 Figures 3 and 4: are schematic diagrams of the use state of the first embodiment of the present invention.

第5圖:為本發明第二實施態樣之平面分解圖。 Figure 5: is a plan exploded view of the second embodiment of the present invention.

第6圖:為本發明第二實施態樣之使用狀態示意圖。 Figure 6: is a schematic diagram of the use state of the second embodiment of the present invention.

茲就本申請案的技術特徵暨操作方式舉數個較佳實施態樣,並配合圖示說明謹述於后,俾提供審查參閱。再者,本發明中之圖式,為便於說明其比例未必按實際比例繪製,圖式中之比例並不用以限制本發明所欲請求保護之範圍。 Here are a few preferred implementation aspects of the technical features and operation methods of this application, which will be described in conjunction with the illustrations for review and reference. Furthermore, the figures in the present invention are not necessarily drawn according to the actual scale for the convenience of explanation, and the proportions in the figures are not used to limit the scope of the present invention.

請參照第1圖至第4圖所示,本發明提供一種約束套100,係用於限制患者之一肘關節900活動,藉以實現制止患者自傷等行為之目的。本發明中,該約束套100可為尼龍混紡纖維,或其他具充分強度之纖維布料組成,在此不予限制。 Please refer to Figures 1 to 4, the present invention provides a restraint sleeve 100, which is used to restrict the movement of one of the elbow joints 900 of the patient, so as to achieve the purpose of preventing the patient from self-injury and other behaviors. In the present invention, the constraining sleeve 100 can be composed of nylon blended fibers or other fiber fabrics with sufficient strength, which is not limited herein.

更詳言之,所述之約束套100包含有一具中空結構之填充部10,以及一環設於該填充部10外圍之外沿部20。該填充部10具有一具有撓性而可操作地環繞該肘關節900之填充前狀態(如第2圖所示),以及一因其中空結構受填充而失去撓性並限制該肘關節900活動之填充後狀態(如第3圖及第4圖所示)。進一步地,該外沿部20包含有複數設於該外沿部20一端之卡扣槽23, 以及複數設於該外沿部20另一端並分別對應每一該卡扣槽23之卡鉤24,醫護人員將該約束套100環繞在該肘關節900後,可透過該等卡扣槽23與該等卡鉤24之結合,將該約束套100定位於患者之肘部,護理人員亦可利用一輔助夾25將該外沿部夾制於患者之衣物上加以固定。較佳地,可於該填充部10內充入高壓空氣後將其氣密密封,高壓空氣將於該填充部10內部形成具有一定強度之剛體結合,不因患者肘關節900施力而產生曲蹺變形,達到約束效果,若患者有自傷傾向,充氣亦能提供撞擊時的緩衝保護。其填充物亦可注入水或細沙替代,惟考量填充物重量及便利性,本發明建議以充入空氣為較佳實施態樣。 In more detail, the constraining sleeve 100 includes a filling portion 10 having a hollow structure, and a peripheral portion 20 provided around the outer periphery of the filling portion 10. The filling part 10 has a pre-filling state (as shown in Figure 2) that is flexible and operatively surrounding the elbow joint 900, and a hollow structure that loses flexibility due to filling and restricts the movement of the elbow joint 900 The filled state (as shown in Figure 3 and Figure 4). Further, the outer edge portion 20 includes a plurality of buckle grooves 23 provided at one end of the outer edge portion 20, And a plurality of hooks 24 are provided at the other end of the outer edge portion 20 and correspond to each of the buckle grooves 23 respectively. After the constraining sleeve 100 is wrapped around the elbow joint 900, the buckle grooves 23 and The combination of the hooks 24 positions the restraint sleeve 100 on the patient's elbow, and the nursing staff can also use an auxiliary clip 25 to clamp the outer edge part on the patient's clothing for fixing. Preferably, the filling part 10 can be filled with high-pressure air and then airtightly sealed. The high-pressure air will form a rigid body with a certain strength inside the filling part 10, so that the patient's elbow joint 900 will not be bent. The rocker deforms to achieve the restraint effect. If the patient is prone to self-injury, inflation can also provide cushioning protection during impact. The filling can also be filled with water or fine sand instead. However, considering the weight and convenience of the filling, the present invention proposes to fill with air as a preferred embodiment.

此外,該填充部10可透過車縫線等方式形成複數分界11,以及複數受每一該分界11間隔設置之中空填充單元12。本實施態樣中,該中空填充單元12為氣囊,可供空氣充入並鼓脹,且該中空填充單元12受該等分界11區分為四,並分別對應於該肘關節900之頂面、底面及兩側面四側,藉以穩固地固定患者手肘。又,該填充部10包含有複數分別對應每一該中空填充單元12之填充封口13,該填充封口13可設有氣密密封結構,該當結構已為本發明所屬技術領域具通常知識者所孰習,在此不再贅述。另,為避免長時間的約束造成患者手肘血液不流通,該外沿部20開設有複數用以露出該肘關節900之穿孔22,使醫護人員得以自該約束套100外部觀察到患者肘部是否有因過度緊束產生紅腫、瘀血等情形。 In addition, the filling portion 10 can form a plurality of boundaries 11 through sewing threads or the like, and a plurality of hollow filling units 12 are arranged at intervals between each of the boundaries 11. In this embodiment, the hollow filling unit 12 is an airbag, which can be filled and inflated by air, and the hollow filling unit 12 is divided into four by the boundaries 11, and respectively corresponds to the top and bottom surfaces of the elbow joint 900 And two sides and four sides, so as to firmly fix the patient's elbow. In addition, the filling portion 10 includes a plurality of filling seals 13 corresponding to each of the hollow filling units 12, and the filling seal 13 may be provided with an airtight sealing structure, which is already known to those with ordinary knowledge in the technical field of the present invention. Xi, I will not repeat it here. In addition, in order to avoid long-term restraint causing the patient's elbow blood to be blocked, the outer edge portion 20 is provided with a plurality of perforations 22 for exposing the elbow joint 900, so that the medical staff can observe the patient's elbow from the outside of the restraint sleeve 100 Whether there is redness, swelling, blood stasis, etc. due to excessive tightness

為使護理人員替患者穿戴該約束套100時,能獲得精度較高之約束力參考值,所述之約束套100更進一部包含有至少一設置於該填充部10對應該肘關節900一側之壓力感測器40,以及一連接該壓力感測器40並延伸至該外沿部20之壓力偵測接點50。本實施態樣中,該壓力感測器40可為壓敏電 阻,並延伸至該外沿部20供護理人員以歐姆計測量,而得到較為準確之壓力值,作為是否需要該填充部10之充填密度,進而調整其鬆緊程度之依據。 In order to enable the nursing staff to obtain a high-precision binding force reference value when wearing the restraint sleeve 100 for the patient, the restraint sleeve 100 further includes at least one set on the filling part 10 corresponding to the side of the elbow joint 900 The pressure sensor 40 is connected to the pressure sensor 40 and a pressure detection contact 50 extending to the outer edge portion 20 is connected to the pressure sensor 40. In this embodiment, the pressure sensor 40 can be a pressure sensitive The resistance is extended to the outer edge portion 20 for nursing staff to measure with an ohmmeter to obtain a more accurate pressure value as a basis for whether the filling density of the filling portion 10 is required, and then the degree of tightness can be adjusted.

另參照第5圖至第6圖,為本發明之第二實施態樣。本實施態樣中,所述之約束套100更進一步包含有一延伸手套30,該延伸手套30包含有複數第一連接部31,且該外沿部20包含有複數分別對應每一該第一連接部31之第二連接部21,且該延伸手套30之口徑朝遠離該外沿部20方向漸闊,該延伸手套30包含有複數具中空結構之充氣條32。藉此,護理人員可依情況追加手掌部位之約束,且因該延伸手套30係以漸闊開口套設在患者掌部,故能避免阻礙手部導管設置之問題。 Also refer to FIG. 5 to FIG. 6, which are the second embodiment of the present invention. In this embodiment, the constraining sleeve 100 further includes an extended glove 30. The extended glove 30 includes a plurality of first connecting portions 31, and the outer edge portion 20 includes a plurality of corresponding first connecting portions 31, respectively. The second connecting portion 21 of the portion 31, and the diameter of the extended glove 30 gradually widens away from the outer edge portion 20. The extended glove 30 includes a plurality of inflatable strips 32 with hollow structures. Thereby, the nursing staff can add constraints on the palm position according to the situation, and because the extension glove 30 is sleeved on the patient's palm with a gradual opening, the problem of obstructing the setting of the hand catheter can be avoided.

綜上所述,本發明之約束套100捨棄習用約束患者手掌之方式,改採約束患者肘關節900,同樣能達到避免患者拉扯導管或自傷之功能。此外,本發明採充填方式,實現對約束套100之束緊程度加以微調之功能,患者不安躁動時能提供撞擊緩衝保護,更能配適每位患者的肢體尺寸,提高穿戴之舒適度,亦能減少患者對約束套100之抗拒心理。 To sum up, the restraint sleeve 100 of the present invention discards the conventional method of restraining the patient's palm, and adopts the restraint of the patient's elbow joint 900, which can also achieve the function of preventing the patient from pulling the catheter or self-injury. In addition, the present invention adopts a filling method to realize the function of fine-tuning the tightness of the restraint sleeve 100, which can provide impact cushioning protection when the patient is restless and restless, and can better fit the size of each patient's limbs, improve the comfort of wearing, and also Can reduce the patient's resistance to the restraint set 100.

以上已詳細說明本發明之內容,惟以上所述者,僅為本發明之較佳實施例而已,當不能以此限定本發明實施之範圍,即凡依本發明申請專利範圍所作之均等變化與修飾,皆應仍屬本發明之專利涵蓋範圍內。 The content of the present invention has been described in detail above, but the above are only the preferred embodiments of the present invention, and should not be used to limit the scope of implementation of the present invention, that is, all equivalent changes and Modifications should still fall within the scope of the patent of the present invention.

100:約束套 100: Constraint sets

10:填充部 10: Filling part

11:分界 11: Demarcation

12:中空填充單元 12: Hollow filling unit

13:填充封口 13: Filling and sealing

20:外沿部 20: Outer edge

22:穿孔 22: Piercing

23:卡扣槽 23: buckle slot

24:卡鉤 24: hook

25:輔助夾 25: auxiliary clip

Claims (8)

一種約束套,係用於限制一肘關節活動,所述之約束套包含有:一具中空結構之填充部,該填充部具有一具有撓性而可操作地環繞該肘關節之填充前狀態,以及一因其中空結構受填充而失去撓性並限制該肘關節活動之填充後狀態;一環設於該填充部外圍之外沿部;以及一延伸手套,該延伸手套包含有複數第一連接部,且該外沿部包含有複數分別對應每一該第一連接部之第二連接部,且該延伸手套之口徑朝遠離該外沿部方向漸闊。 A constraining sleeve is used to restrict the movement of an elbow joint. The constraining sleeve includes: a filling part with a hollow structure, the filling part having a flexible and operably surrounding state before filling the elbow joint, And a post-filling state where the hollow structure is filled and loses flexibility and restricts the movement of the elbow joint; a ring is arranged on the outer edge of the outer periphery of the filling part; and an extension glove comprising a plurality of first connecting parts And the outer edge portion includes a plurality of second connecting portions respectively corresponding to each of the first connecting portions, and the diameter of the extended glove gradually widens away from the outer edge portion. 如請求項1所述之約束套,其中該填充部包含有複數分界,以及複數受每一該分界間隔設置之中空填充單元。 The restraint set according to claim 1, wherein the filling portion includes a plurality of boundaries, and a plurality of space filling units are arranged at intervals of each of the boundaries. 如請求項2所述之約束套,其中該中空填充單元數量為四,並分別對應於該肘關節之頂面、底面及兩側面。 The restraint sleeve according to claim 2, wherein the number of the hollow filling units is four, and they respectively correspond to the top surface, the bottom surface and the two side surfaces of the elbow joint. 如請求項2所述之約束套,其中該填充部包含有複數分別對應每一該中空填充單元之填充封口。 The restraint sleeve according to claim 2, wherein the filling portion includes a plurality of filling seals corresponding to each of the hollow filling units. 如請求項1所述之約束套,其中該延伸手套包含有複數具中空結構之充氣條。 The restraint cover according to claim 1, wherein the extended glove includes a plurality of inflatable strips with hollow structures. 如請求項1所述之約束套,其中該外沿部開設有複數用以露出該肘關節之穿孔。 The restraining sleeve according to claim 1, wherein the outer edge portion is provided with a plurality of perforations for exposing the elbow joint. 如請求項1所述之約束套,其中該外沿部包含有複數設於該外沿部一端之卡扣槽,以及複數設於該外沿部另一端並分別對應每一該卡扣槽之卡鉤。 The restraint sleeve according to claim 1, wherein the outer edge portion includes a plurality of buckle grooves provided at one end of the outer edge portion, and a plurality of buckle grooves provided on the other end of the outer edge portion and respectively correspond to each of the buckle grooves Card hook. 如請求項1所述之約束套,更進一部包含有至少一設置於該填充部對應該肘關節一側之壓力感測器,以及一連接該壓力感測器並延伸至該外沿部之壓力偵測接點。The restraint sleeve according to claim 1, further comprising at least one pressure sensor arranged on the side of the filling part corresponding to the elbow joint, and a pressure sensor connected to the pressure sensor and extending to the outer edge part Pressure detection contact.
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JP2011125679A (en) * 2009-08-26 2011-06-30 Chiyoe Onishi Shaping protection pad pillow
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