WO1999059656A1 - Enema syringe, enema syringe auxiliary and injector and enema method using them - Google Patents

Enema syringe, enema syringe auxiliary and injector and enema method using them Download PDF

Info

Publication number
WO1999059656A1
WO1999059656A1 PCT/JP1999/002549 JP9902549W WO9959656A1 WO 1999059656 A1 WO1999059656 A1 WO 1999059656A1 JP 9902549 W JP9902549 W JP 9902549W WO 9959656 A1 WO9959656 A1 WO 9959656A1
Authority
WO
WIPO (PCT)
Prior art keywords
enema
anus
aid
tube
injection
Prior art date
Application number
PCT/JP1999/002549
Other languages
French (fr)
Japanese (ja)
Inventor
Takao Kawamura
Original Assignee
Great Chyren Co., Ltd.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from JP10344810A external-priority patent/JP2000135285A/en
Priority claimed from JP11078249A external-priority patent/JP2000033119A/en
Application filed by Great Chyren Co., Ltd. filed Critical Great Chyren Co., Ltd.
Priority to AU44815/99A priority Critical patent/AU4481599A/en
Publication of WO1999059656A1 publication Critical patent/WO1999059656A1/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • A61M1/77Suction-irrigation systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • A61M3/0233Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs
    • A61M3/0241Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs the liquid being supplied by gravity
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • A61M3/0233Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs
    • A61M3/0254Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs the liquid being pumped
    • A61M3/0262Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs the liquid being pumped manually, e.g. by squeezing a bulb
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • A61M3/0279Cannula; Nozzles; Tips; their connection means
    • A61M3/0283Cannula; Nozzles; Tips; their connection means with at least two inner passageways, a first one for irrigating and a second for evacuating

Definitions

  • a large container is used, and water or hot water at about body temperature is often used as an enema, and may also be used as an intestinal washer for eliminating fecal impaction.
  • They are of the syringe type, and of the larger type, the hanging type, which uses the pressure of the liquid head to inject the enema.
  • the part to be inserted into the anus may be inserted as it is with a syringe type.
  • a rubber tube is attached to the end of the flow tube that extends from the liquid container, and this is inserted into the anus.
  • the tip tube may be washed and used repeatedly, and when worn out, only the tip can be replaced.
  • the first class of simple enema uses pharmaceuticals, if it is used regularly, the medicinal effect will gradually decrease, and a larger amount of enema will be required.
  • a part of the infusate mixed with dirt may cause the anal insertion part of the enema container and the anal
  • the user when using a fig type enema, the user inserts the tip of the enema into the anus into the anus and injects it by pressing the enema container by hand.
  • the tip of the enema When removing from the anus, a part of the injection liquid mixed with dirt leaks from the gap and soils your hands, etc. If it is necessary to use two enemas, handle it hygienically Some items were difficult to use.
  • the second category of enema devices which are stored in large containers and use hot water at about the body temperature, are more suitable for regular use than simple enema devices, but have drawbacks. Not available for syringe type or hanging type Difficulty of using it alone by one skilled person, and unsanitary practice of reusing all components to access the anus, cleaning contaminated parts and reusing them Even if the contaminated part was disposable, it was necessary to perform sanitary management and throw it in a trash can.
  • the present invention eliminates the above-mentioned drawbacks of the conventional enema device, and allows the user to adjust the amount of liquid to be injected at the time of injection, without soiling the hands and the like due to leakage of enema fluid.
  • the aim is to provide a simple enema device that can be easily used at home or on the go.
  • Another object of the present invention is to provide an enema device with enhanced selectivity for the type of liquid to be injected.
  • the present invention also provides several types of infusion devices that are less susceptible to leakage of the enema during infusion of the enema, and that are hygienic and easy for unskilled personnel.
  • the purpose is to provide an enema device for assisting the elderly to defecate independently or assisting the care recipient in the home care. Disclosure of the invention
  • the present application uses an enema assisting device that is attached to the anus until defecation, instead of the current enema method in which the anus is only introduced and removed during the injection of the enema.
  • This enema assisting device is composed of a biodegradable material that can be discarded in the toilet at the same time as defecation after use, and is provided in the flow path from the enema liquid supply port at one end to the intestinal liquid supply port at the other end.
  • An infusion device for injecting enema is connected to this enema aid with a check valve.
  • the injecting device is separated and cut off from an injection tube for supplying the enema to the enema aid, and the injection tube and the enema aid after the infusion of the enema into the intestine is completed.
  • an enema fluid container a manual pump or an electric pump for delivering the enema fluid to the infusion tube, and an enema fluid container.
  • the enema assisting device is inserted into the anus once, and once worn, maintains its state until the patient defecates with defecation.
  • the body of the enema aid is made of, for example, paper or pulp.
  • the inside of the enema aid may be formed from biodegradable plastic from the tip of the round projection into the anus to the supply port of the enema, and may be a tube having a check valve inside. This check valve prevents the backflow of contaminated liquid from the intestine.
  • the c- infusion tube which is preferably provided with a paper sanitary separator so that the hand does not come into direct contact with the buttocks near the anus when inserting the enema aid into the anus, is preferably Its outer diameter is slightly larger than the inner diameter of the supply port of the enema aid.
  • the material is preferably a hard plastic with flexibility.
  • the user inserts the tip of the infusion tube about 10 mm into the supply port of the enema aid immediately before use, and uses the infusion tube due to the elasticity of the biodegradable plastic used in the supply port. Adhere the tip of the to the enema aid.
  • a remote separation mechanism hygienically separates the enema aid from the infusion tube.
  • the remote separation mechanism is preferably constructed by placing a remote separation tube having an inner diameter slightly larger than the outer diameter of the injection tube on the outer side of the injection tube. Further, a ring for increasing the pressing area may be formed at the distal end of the remote separation tube on the side of the enema aid to make it thicker.
  • a lever remote separation lever
  • the lever separately connected to the injection tube and the remote separation tube is provided on the near side, for example, about 30 cm away from the enema aid. By operating the lever to slide the injection tube and the remote separation tube, the separation between the enema aid and the injection tube is performed.
  • the injection tubing was further connected with a piston pump. It is connected to a manual pump or a small electric pump using dry batteries.
  • the above-mentioned pump can be integrated with the enema container, but the enema container can also be made into a portable plastic bag.
  • the user prepares water corresponding to the volume of the enema or the hot water up to the body temperature according to the empirical advice of the individual or the advice of the doctor in advance, and various enema solutions, and fills the enema container.
  • enter the toilet manually connect the enema aid and the injection tube, and insert the enema aid into the anus by itself.
  • After inserting the enema aid sit on the toilet and operate the pump to gradually insert the enema into the intestine.
  • the remote separation lever After injecting an amount that feels enough to defecate and prompting you, quickly operate the remote separation lever to separate and cut the infusion tube and the enema aid, and drop the end of the tube into the toilet bowl. Collect quickly so that it is not available.
  • the enema aid is expelled from the anus, and defecation proceeds.
  • the work is completed by flushing the toilet with washing water.
  • the above-mentioned invention is further developed, and the structure of the enema assisting device inserted into the anus is changed to be formed integrally with the tube for injecting the enema, and the portion to be inserted into the anus is injected into the anus.
  • the swelling slightly increased and the thickness of the swelling slightly increased, thereby increasing the adhesion to the anus when the enema was injected.
  • connection terminal of the disintegrable enema fluid injection tube was changed to allow a wider range of enema fluids and infusion means to be selected, so that a commercially available enema could be used, and the anus after the enema fluid was injected A separation method using a safety cutter was used to cut the inserted enema aid and the injection tube.
  • the enema aid inserted into the anus and the enema liquid injection tube are formed as a single body, the overall structure is simplified.
  • the distal end of a single enema injection tube made of a degradable resin is The structure is covered with a molded pulp that has been treated to withstand waterproofing between the surfaces, and the enema liquid injection tube that touched the buttocks near the anus from the sanitary separator paper described above is also discarded upon defecation. It became possible, and both sanitary and image quality were improved.
  • the tip of the degradable resin tube at the anus insertion part is shrunken or a short valve tube is put on the tip, which is necessary. Accordingly, it was found that this could be achieved by providing a pressure-operated valve-like throttle in the middle of the tube. Since the part inserted into the anus slightly expands when the enema is injected, the adhesion between the anus and the enema aid during operation is increased, and the possibility of fluid leakage from the gap is greatly reduced.
  • a method of separating the enema aid inserted into the anus from the infusion tube a method of cutting it off from the middle with a safe cutter is used as a means for injecting the enema.
  • Various means such as a manual pump, a small electric pump, and a commercially available enema container were made possible.
  • a manual pump, a small electric pump, and a commercially available enema container were made possible.
  • by cutting the injection tube at the part that touches the anal buttocks and discarding it simultaneously with defecation have been improved.
  • the part that is inserted into the anus and contaminated is made of a different material
  • the structure is such that it can be separated from the enema liquid container and the injection device.
  • water or hot water instead of existing liquid medicines, it is possible to use water or hot water at about body temperature, and even a small amount of edible oil, as an enema liquid.
  • the part inserted into the anus is called an enema assisting device, and its mechanical properties, that is, those that are flexible and can be bent by hand, are tube-shaped and inflexible by hand.
  • enema aids Those that collapse when bent are called pipe-shaped enema aids.
  • the shape and the material that can be discarded as they are in the toilet after use have come into contact with moisture, causing the shape to collapse.
  • An enema assisting device was constructed by applying material properties such as polyvinyl alcohol, so that it could be discarded in the toilet after use.
  • the material and meat of the enema assisting device are utilized by utilizing the hydrated swelling properties of gelatin and the like.
  • the thickness and shape are devised, the enema aid is inserted into the anus, and the mechanical strength of the enema aid decreases after the enema is infused, and it changes to a more flexible tube, and the anal sphincter Part of the enema aid is crushed and thinned by the pressure, and at the same time, the internal flow path is also collapsed to provide the function of preventing backflow of the enema fluid filled in the intestine and the function of preventing leakage when removing the enema aid. did.
  • the enema aid has a cross section of a shape similar to the shape characteristics of the anus, so that it is more closely attached to the anus.
  • the shape of the part to be inserted into the anus is basically circular, but in the present application, the above-mentioned leakage of the enema is more effective.
  • An enema aid has an insertion part with an elliptical vertical cross section. In the same manner, in the existing simple enema device, the liquid leakage can be reduced by adopting the cross-sectional shape of the present application.
  • a part of the gas that fills the rectum or sigmoid colon and obstructs defecation is removed.
  • a hole for exhaust is made in a part of the pipe that constitutes the flow path in order to discharge to the outside, and the outer surface of the pipe and its inner surface are covered with a pipe that is insulated so that it can slide.
  • connection between the infusion device and the enema assist device is made by placing the enema assist device on the connection pipe of the infusion device.
  • a slide release mechanism is provided on the outer circumference of the connection pipe so that it is not necessary to touch and remove the enema aid directly with the finger after use, and operate this slide mechanism.
  • a pump is used in a manual injection device in which a container and a pump are integrated and an enema is injected into the intestine by pressing with a finger.
  • a ring-type push-out mechanism for the enema assisting device inside the pump and arranging the ring-type push-out mechanism to simultaneously push out and operate at the final stage of the injection of the pump, particularly the enema assisting device and the injecting device.
  • the stroke in the final step of injecting the enema into the injection device could also be used as the operation to separate the enema aid without having to be aware of the slide operation for withdrawal.
  • the slide mechanism that allows the infusion device and the enema aid to be detached from the enema aid and a force distant place.
  • the first is a slash Two tubes whose outside diameter is smaller than the other inside diameter are overlapped concentrically, and the tip of the inner tube protrudes from the tip of the outer tube so that the flow of the enema assisting device After injecting the enema solution, slide the outer tube until it is flush with the inner tube, and pull out the inner tube attached to the connection port of the enema aid.
  • the second is to use the pressure of the liquid as a means to disconnect and connect the enema aid and the injection device, and to drive the toner in the ultra-compact cylinder
  • a driving means connected to the cylinder by a pressure flow path
  • the piston is operated so as to be pushed out, and the injection device and the enema assisting device are detached. Is the way.
  • pulp that has disintegration over time by containing water after infusion of the enema is completed.
  • a material that is degradable over time and soluble over time to crush a part of the flow path of the enema aid and stop the flow of liquid.
  • an enema assisting device to be inserted into the anus is made of at least two tubes made of a flexible and swellable material such as gelatin or polyvinyl alcohol, and the ends of which are bundled together. Washing of the sigmoid colon, mainly for bedridden patients, by injecting hot water at about the body temperature from one side and discharging gas, stool, and water from the other into the intestine from the other side. An enema aid for the intestine was devised.
  • a safe upper limit temperature is set for the human body, and if a liquid exceeding this temperature is to be used as an enema or enema wash, injection will be performed above a certain temperature by a valve mechanism using a shape memory alloy. Or a safety system such as an infusion pump that does not work due to electrical control using a thermostat, closing a valve in the middle, or bypassing high-temperature liquid to the toilet. Came up with a solution.
  • the second point is the injection pressure of the enema.
  • Manual injection of enema is small in volume and relatively safe, but power-driven liquids with large liquid volumes have no track record of use. You have to think from the perspective of using Therefore, in the present application, the hanging type, that is, the container for the enema is placed at a position higher than the anus, and the enema is injected by the difference in water pressure. Mechanization was performed with reference to the injection method. By setting the maximum pressure for safe infusion of enema to about millimeters or centimeters in a water column, referring to the existing hanging-type enema, it is possible to reduce The required strength is required.
  • an injecting device that injects enema by injecting enema by injecting enema by using the restoring force of the panel as a power means that does not require a pressing action with the fingers when injecting the enema.
  • a valve with a flow rate adjustment function was installed in the flow path of the injection device.
  • a more secure constant-pressure pump that can adjust the discharge pressure by controlling the rotation speed without using a constant displacement pump was proposed.
  • the user moves during the enema to determine how to detect the position of the anus in the human body, how to determine the angle of entry into the anus, and how to determine the depth of insertion into the anus.
  • this may be a costly risk, such as what to do with this measure, if you have an anus disease, or how to deal with individual and physical differences in data.
  • a magnet-type suction connection method which is easy to connect and disconnect with respect to the inside of the injection device and the connection with the hot water washer, was adopted.
  • powder medicines for enemas, edible oils, and other liquids for enema are placed in the middle of the channel of the injection device.
  • a part to which a body medicine or the like can be added was provided so that the medicine or the like could be injected into the intestine with hot water at the time of enema.
  • the status of constipation varies widely, but in particular, constipation in which stool has dehydrated and solidified from the sigmoid colon to the vicinity of the rectum and has adhered or adhered is mostly determined to occur during defecation.
  • a simple electromagnetic vibration device is provided on a part of the handle of the injection device, and for a patient as described above, a holding device for the injection device that oscillates a low-frequency vibration within a safe range.
  • a vibrating enema aid into the anus, dehydrate and solidify the tip in the intestine, and contact the stool that adheres or adheres to the intestinal wall, giving a relatively safe range of vibration to the stool While injecting the enema solution little by little while inventing.
  • a suppository-shaped enema in the enema, but it has a length that can be inserted into the anus as an insertion aid for using such a suppository-shaped enema, and can slide each other.
  • the outer diameter of one is smaller than the other, and the suppository enema is attached to the recess at the tip of the double-layered pipe structure, and the outer pipe is held by hand and the suppository enema is placed in the anus.
  • the internal pipe is pushed out to push the suppository enema at the tip into the intestine without touching the finger directly to the anus.
  • An infusion device composed of a material that is disintegratable over time due to contact with disposable water, or that is biodegradable or water-soluble has been proposed.
  • FIG. 1 is a perspective view of one embodiment of the present invention
  • FIG. 2 is a perspective view of the tip of the infusion tube of FIG. 1
  • FIG. 3 is a perspective view of the configuration of the remote separation mechanism of FIG. 1
  • Fig. 4 shows the state of the enema with a person standing
  • Fig. 5 shows the state of the enema with a person sitting on the toilet
  • Fig. 6 is a diagram showing the enema aid and the injection tube separated from around the anus.
  • FIG. 7 is a configuration diagram of an embodiment of an infusion tube-integrated enema assist device
  • FIG. 8 is a configuration diagram of a tip of the infusion tube of FIG. 7,
  • FIG. 9 is a configuration diagram of the cutting process of the injection tube of FIG. 7,
  • FIG. 10 is a perspective view of a ring cutter
  • Fig. 11 shows the state diagram when the enema aid is used
  • Fig. 12 is a schematic diagram of a basic enema aid
  • Fig. 13 shows the state of the enema aid of Fig. 12 collapsed by the pressure of the anal sphincter
  • FIG. 14 is an explanatory diagram of a change in the shape of the human buttocks and the anus
  • FIG. 15 is a perspective view of a simple enema device with an elliptical insertion portion
  • Fig. 16 is an illustration of a slide-type gas discharge mechanism (parallel slide type)
  • Fig. 17 is an illustration of a slide-type gas discharge mechanism (rotary slide type)
  • Fig. 18 is a slide separation. Sectional view of an injection device with a mechanism
  • Fig. 19 is a perspective view of the injection device with a slide separation mechanism (the operation part is a disk type),
  • Figure 20 is a block diagram of the integrated enema device
  • Fig. 21 is a modified example of an integrated enema device (with a ring type extrusion mechanism).
  • Fig. 21 is a perspective view of a double tube slide type separation mechanism.
  • FIG. 24 is a perspective view of a hydraulically driven slide mechanism
  • Fig. 25 shows the configuration of an enema appliance using a hydraulically driven slide mechanism
  • Fig. 26 shows the connection between an independent enema aid for assisting in defecation or nursing care and a double tube slide separation mechanism.
  • Fig. 27 is a block diagram of a self-sustaining defecation support or nursing care enema aid.
  • Fig. 28 is a modified example of a self-sustaining defecation support or nursing care enema aid (with hygienic separator).
  • Fig. 29 is an illustration of the separation and separation of the care enema aid and the enema fluid injection tube.
  • Fig. 30 is an explanatory diagram of cutting and separating using a stationary liquid clip and a cutter.
  • Fig. 31 is a configuration diagram of a cutter-type separating device with a clip.
  • Fig. 32 is a perspective view of a special care enema aid
  • FIG. 33 is a cross-sectional view of the panel pressure-driven injection device
  • FIG. 34 is a perspective view of a panel pressure-driven integrated enema device
  • Fig. 35 is a perspective view of a small electric integrated enema device.
  • Fig. 36 shows the configuration of the handle type injection device
  • Fig. 37 is a diagram showing the use of a hand-held infusion device with a vibrator
  • Fig. 38 is a block diagram of a hand-held infusion device using a hot water washer
  • Fig. 39 is an infusion for suppository enema. Perspective view of the instrument
  • FIG. 40 is a sectional view of an injection tube connected using a permanent magnet.
  • 1 is an enema assisting device
  • 2 is an intestinal infusion port
  • Dotted line 3 is the tube made of biodegradable plastic inside, and the supply port 5 It plays the role of feeding the enema to the intestinal fluid inlet 2.
  • 4 is a check valve in the tube made of biodegradable plastic, which is structurally similar to the air bleed prevention tube used in bicycles.
  • Reference numeral 6 denotes a handle, which is a part held by hand when inserting the enema aid 1 into the anus.
  • Numeral 7 is a sanitary separation paper made of paper.
  • the sanitary separator 7 is provided so that when the user inserts the enema aid 1 into the anus, the hand does not directly contact the skin of the buttocks around the anus.
  • Reference numeral 8 denotes the tip of the injection tube attached to the supply port of the enema aid 1.
  • Reference numeral 9 denotes a remote separation tube for separating the enema assisting device 1 from the infusion tube 8 after use, 10 denotes a remote separation mechanism, and 11 denotes a remote separation lever.
  • 1 2 is a small electric pump operated by a dry battery. In the case of 13, the pump is operated only when the user presses the switch.
  • Reference numeral 14 denotes an enema container for holding water, hot water, and other enema liquids, and the standard capacity is usually about 1 liter.
  • the anal insertion side of the enema aid 1 is coated with a biodegradable plastic on the surface, so that even if the surface on the anal insertion side is wet, moisture is not immediately permeated.
  • the part of the enema aid 1 other than the biodegradable plastic is made of pulp and has appropriate hardness and elasticity.
  • the size of the enema assisting device 1 is designed to be large enough to be flushed with a flushing toilet.
  • Fig. 2 shows a perspective view of the tip of the 8 injection tube. Reference numeral 15 in FIG.
  • FIG. 3 is a perspective view of the remote separation mechanism 10. The left part of FIG. 3A is crimped to the pump-side end of the remote separation tube 9. Also, the parts in FIG. 3B are adhered over the injection tube 8. Then, insert the parts shown in Fig. 3B into the parts shown in Fig. 3A. Fig. 3 B The assembly shown in Fig.
  • 3C is constructed by assembling the levers 11 through the crank-shaped slit of the parts shown in Fig. 3A.
  • a panel (not shown) is interposed between the parts shown in Fig. 3A and the parts shown in Fig. 3B.
  • Lever 1 1 1 returns to its original position.
  • the tip of the injection tube 8 should be exposed to the side of the enema aid 1.
  • disconnecting the enema aid 1 from the injection tube 8 remove the locks on both parts and return the lever 1 1 to its original position by spring force.
  • the tip of the injection tube 8 Make sure that the part matches the end of the remote separation tube 9.
  • the supply port 5 of the enema assisting tool 1 hits against the pressing area expanding ring 16 and comes out of the tip of the injection tube 8, so that the enema assisting tool 1 and the injection tube 8 are separated.
  • Fig. 4 shows an enema image in which the user performs enema with the manual pump while standing.
  • Fig. 5 shows an enema image of a user performing enema using a manual pump while the user is sitting on a Western style toilet.
  • Figure 6 shows the image of the user separating the enema catcher and the injection tube after the end of the enema.
  • FIG. 7 is a configuration diagram showing one embodiment of the present invention.
  • 1001 is an anus insertion part of an enema aid made mainly of pulp.
  • 1002 is an enema infusion tube made of a degradable resin.
  • the injection tube 1002 is made of a single tube up to the portion indicated by the dotted line of the anal insertion part.
  • Reference numeral 1003 is a hygienic separator paper so that fingers do not directly touch the periphery of the anus when the enema trap is inserted into the anus.
  • Reference numeral 104 denotes a manual pump for enema, a small electric pump, or an adapter for connection with a commercially available enema.
  • the tip of the decomposable resin injection tube 1002 is covered with a short non-return tube 1101 having a check valve function to provide a backflow prevention function.
  • a tube with a non-return action with a closed end is used (reference numeral 1102).
  • the inside of the tube 100 near the tip of the insertion part 1001 as shown in Fig. 9 was used. A cut is made to the passage of, and when the enema is injected, a part of the liquid leaks to the pulp side and pressure is applied in the circular direction. If necessary, add a water injection foaming agent to the pulp portion to assist in expansion.
  • a material having a movable blade 1106 of a cutter in a ring 1107 as shown in FIG. 10 is used.
  • inject the enema into the cutter ring 1 1 0 7 through the injection tube 1 0 2 and after the injection, move the power ring as close to the anus as possible. Cut the tube at a force point of about cm and finish the work. The procedure is completed when the user puts abdominal pressure on his / her stomach and discards the enema aid inserted into the anus simultaneously with defecation.
  • Figure 11 shows this cutting.
  • the anal insertion part 1001 of the enema aid is made of degradable resin on the surface.
  • resin coating is not necessarily required by adjusting the density of the pulp material or performing another surface treatment because it is integrally molded with the degradable tube.
  • the anus insertion part is manufactured with specifications that maintain its shape about 20 minutes after the injection of the enema.
  • FIG. 12 is a perspective view of the most basic shape of an enema assisting device.
  • Reference numeral 2001 denotes an intestinal infusion port for injecting an enema into the intestine
  • reference numeral 2002 denotes a body of an enema assisting device
  • reference numeral 2003 denotes a liquid flow path inside the dotted line.
  • Reference numeral 4 denotes a connection port to be attached to the connection pipe of the injection device.
  • the material of the enema aid 2002 the material whose strength is reduced over time due to contact with moisture and whose shape collapses is basically selected.
  • the required size and shape of the enema assist device 200 depends on the above properties, but when used for a normal flushing toilet, it should be set within the maximum size of the fecal valve normally excreted by humans. Is done.
  • gelatin or pulp was used as the material.
  • gelatin the details of its properties and processing methods have been published by each company, and various gelatins and prepared products have been manufactured.
  • Gelatin is made from collagen, and most of its components are proteins, which are biodegradable. Normally, the strength of gelatin is adjusted by adding glycerin, etc. It is adjusted by the amount added. In addition, pulp is usually manufactured using various additives called binders, but in the present application, in order to improve disintegration or decomposability when wet, such materials are omitted and the molding method is omitted. The shape of the pipe is created by. Now, when the enema assisting device 200 shown in Fig. 12 is manufactured using the good processability of gelatin, that is, the property that it can be melted and hardened many times by heating and cooling.
  • the injection pressure of the enema is about 100 Omm at the water column.
  • the enema assisting device 200 and the injection device are designed on the assumption. These values are based on the safety of the existing dropping type enema instruments, and by adopting values that have been proven in safety, ensuring sufficient enema injection pressure and confirming the existing safety We paid attention to the fact that the data of the above can be used as it is.
  • the tube-shaped wall of the part to be inserted into the anus should be thinned to the extent that it can withstand the appropriate strength, and before insertion into the anus, The area near the tip was immersed in water or hot water, and the surface was easily lubricated by the swelling action, inserted into the anus, and then the enema was injected. Further, by adjusting the strength of the enema assist device, a part of the part inserted into the anus as shown in Fig.
  • connection between the enema assisting device and the injection device is made such that the connecting pipe of the injection device is inserted into the connection port of the enema assisting device, and the injection is performed so that the two are held in close contact with each other.
  • the outer diameter of the connection pipe on the instrument side is slightly larger than the connection port of the enema aid to maintain the necessary frictional force until the enema aid is pulled out and removed after injecting the enema.
  • the overall strength of the enema aid is weaker than resin products such as polyethylene, polyvinyl chloride, and silicone used in ordinary medical devices. Conversely, as described above, the reduction in strength was applied to improve safety and usability.
  • polybutyl alcohol is used.However, processing methods, materials and properties of composite materials have been widely announced by related companies, and they are also used for medical devices, etc. In applications such as the present application, the material is generally recommended to be incinerated, so it is assumed that it will be used for small amounts or for use other than water washing. Most of the biodegradable plastics that are currently produced are hard and used for pipe-shaped enema aids. And what will be produced in the future Some of them can be processed into a soft tube shape, but the details are omitted because they are currently within the scope of confidentiality of each company. However, it is said that the decomposition time of the current biodegradable plastic is at least about one week for a film-like substance in soil decomposition.
  • FIG. 14 is an explanatory diagram of a change in the shape of the anus when the buttocks of the human body are viewed from below.
  • a healthy person When the anus is closed, a healthy person will have a shape similar to the line segment shown in figure 205. If it starts to open slightly due to defecation or the like, it will be an ellipse if it is expressed in the form of 2006.
  • defecation of a thicker stool is performed, the shape becomes closer to a circle like 2007. This is a characteristic of the anal muscle. Even if a circle such as 207 shrinks, it never shrinks like a dot. However, the stool may stay in the intestine, so it may be close to a circle, but may have various shapes depending on the situation.
  • the portion to be inserted into the anus is usually not so deep, and the insertion portion is also made thinner in order to insert from the closed state of the anus.
  • the enema assisting device having an oval cross section of 209 instead of a circular shape such as 208 in the cross-sectional shape of a part of the enema assisting device is misdirected. If used without it, a gap would be difficult to create because the shape of the anus at 206 would approximate the slightly open shape.
  • an enema assisting device having this elliptical cross-section insert it into the anus so that the direction of the crack in the hip matches the longitudinal direction of the ellipse.
  • Fig. 15 shows a simple type of enema, which is a simple enema and has a partially cut elliptical cut surface at the anus insertion part. Is inserted into the anus according to the anterior-posterior direction of the human body, and then withdrawn and removed after injecting the enema.
  • a gas discharge mechanism shown in Fig. 16 for discharging gas filled around the rectum and sigmoid colon when performing an enema. This is to create an exhaust port 210 for discharging gas in a part of the flow path pipe 210 of the injection device, and the outer diameter of 210 is almost equal to its inner diameter so that they can slide with each other. Equipped with a pipe for open / close valve that maintains airtightness of the slide surface. Then, before inserting the enema solution, attach the enema assisting device to the infusion device and insert it into the anus. Before injecting the enema, open the exhaust port 201 to allow the gas to fill the intestine and affect defecation. Discharge 2 0 1 7.
  • Fig. 17 shows the same mechanism as the rotary type.
  • Exhaust holes can also be made in the outer open / close valve pipe, and exhaust can be performed with the inner and outer holes overlapping. The exhaust is closed with both holes not overlapping each other.
  • pipes made of aluminum alloy or stainless steel are used for the exhaust part, but resin pipes can also be used.
  • a suitable lubricant is sealed on the slide surface of each pipe to improve airtightness and reduce friction.
  • the slide operation is manually opened and closed in a manual injection device, but in the case of an electric motor, the exhaust port is automatically closed when the enema is injected by the power slide mechanism. It is operated as follows.
  • the power mechanism a mechanism that slides using hydraulic pressure, a mechanism that uses a small motor or a simple electromagnet, and the like are employed.
  • a stone valve is provided in the middle of the flow path of the injection device, and unless this valve is operated with hydraulic pressure, the enema will not be sent to the subsequent flow path,
  • the injection operation that is, the switching operation of the exhaust port, is linked.
  • the vent can be used not only for the discharge of gas filled in the intestine, but also for the external discharge of the air enrolled in the channel at the beginning of the enema injection.
  • Fig. 18 is a cross-sectional view for explaining an injection device with a slide mechanism that can be pushed out and removed without directly touching the enema aid with fingers after using the enema aid. Since the connecting pipe 200 is inserted and connected to the connecting port 204 of the enema aid 200, the slide mechanism 202 is pushed out with a finger after use to operate it. This is the basic structure for pushing out and removing the enema aid.
  • Numeral 2021 is a tube for an injection device for the purpose of sending enema from an electric injector to a connection pipe. A lubricant is applied to the slide surface of the slide mechanism and the connection pipe.
  • Fig. 19 is a perspective view of an injection device with a slide mechanism in which the slide operation portion of the slide has a disk shape.
  • FIG. 20 is a block diagram of a manual integrated enema device.
  • add a small amount of edible oil such as olive oil or sesame oil, turn the screw 203 again to close the lid, and place it at the tip of the enema aid separating mechanism 204.
  • the enema assisting device 200 should be adjusted so that the direction of the handle and the longitudinal direction of the oval of the enema assisting device coincide with the longitudinal direction of the user. Attach 2 to the injection device. Next, the user wets the tip of the enema aid 200 with hot water, and after a while inserts the tip of the enema aid 200 into the anus. Next, the enema is injected into the intestine by pressing the bellows type enema pump 202 with a finger.
  • the injection device is provided with an anti-reflux valve inside to prevent back flow from the anal side during injection or withdrawal. If necessary, it is also possible to leave the enema assisting device 200 in the anus after injecting the enema and dispose it in the toilet at the same time as defecation.
  • the parts 222, 220, and 204 can be used repeatedly, but if any part is damaged, such as a hole, it must be replaced. In the case of a manual integrated infusion device, the enema liquid container volume is assumed to be around 200 cc.
  • Figure 21 is a perspective view of an integrated enema device with a ring-type push-out mechanism for an enema aid.
  • the configuration consists of a bellows-type enema pump with a screw-type opening at the top, a screw lid with a slide separation mechanism that is connected to the pump with screws, and a screw lid. It consists of a ring-type extrusion mechanism 200 mounted on 26.
  • the two upper and lower rings are connected to each other by three or more slide connection rods of the same length, which are connected to one side through holes of the same size opened in the screw cap 220.
  • the ring is located inside the bellows type enema pump 2022 and the other side is located at the base of the external connecting pipe 201.
  • the enema aid immerse the tip of the enema aid in hot water, or soak it in hot water before attaching it to the connecting pipe 201, and then put it in the anus.
  • the enema is injected into the intestine by inserting the tip of 02 into the intestine by pressing the pump 2202 with your finger.
  • Push pump 2 0 2 2 The ring-type push-out mechanism 20 25 is also pushed by the pressure at the same time, and the enema aid is pushed out and removed at the same time. Therefore, when removing the enema aid 200 from the anus after injecting the enema, remove the enema aid from the anus together with the infusion device by leaving a little of the enema from the pump 222.
  • the enema aid shown in this example has a bent shape, it is first made into a straight tube and then bent by heat. Gelatin is used for enema aids, including previous examples.
  • a straight, short tube-shaped enema aid can also be manufactured using the method of manufacturing soft capsules, and can be produced at a relatively low cost. In this case, it is manufactured in the form of a capsule first, and after finishing, both ends are cut and, at the same time, the oil for molding inside is discharged to form a tube.
  • FIG. 22 is a perspective view of a double tube slide type separation mechanism of the enema aid used when the aid is slightly separated from the infusion pump.
  • An outer tube 200 that can be slid in such a way that it can be placed over the inner tube 202 with a tube that is used repeatedly, and the tip of the 2027 is connected to the enema aid 2 Connect to 0 0 4.
  • slide the outer tube 202 so that it pushes out the inner tube or pulls the inner tube in relative motion, so that the two tubes have the same tip.
  • the 207 attached to the connection port of the enema assist device comes off, and the enema assist device separates and separates.
  • reference numeral 29 in Fig. 22B is an enlarged flange, which is used to push out the working surface with the enema aid. The extrudability is increased by making it larger than the area of the outer tube.
  • Figure 23 is an arrangement diagram using the double tube slide type separation mechanism.
  • a pulp handle 2303B that is held by hand when inserting the enema assist device 200 into the anus, so that fingers do not directly touch the anus when inserted into the anus
  • a paper sanitary separator paper 203 that can be readily dissolved in water is provided.
  • the enema is sucked from the enema tank 200 35 containing hot water at about body temperature through the suction tube 203 and injected into the intestine through the enema aid 200.
  • the user When the infusion of the enema is completed, the user operates the remote separation lever 203 to separate and separate from the enema aid as in the first embodiment, and waits for defecation. It can be used by ordinary people, but it is suitable for elderly people and others to support independent defecation.
  • FIG. 24 is a perspective view of a hydraulically driven slide mechanism using hydraulic pressure.
  • the slide mechanism is attached to the outside of a connecting pipe or a connecting tube 201 connecting the injection device and the enema assisting device, and has a ring-shaped cylinder 2 having a hollow inside in a cylindrical shape.
  • the same ring-shaped bistone is contained in the cylinder 0 38, and when the operation lever 204 is pushed in, the hydraulic port 210 4 1 passes through the tube 204 2 through the hydraulic port 210 4.
  • the liquid is injected under pressure into the cylinder.
  • the piston 209 moves in the direction of compressing the restoring spring 204, and the pushing ring 200, 36 slides in the pushing direction, so that the front enema assisting device can be moved.
  • Restoration panel 204 may be omitted for simplification of processing, and restoration may be performed manually after use.
  • the shape of the extruded ring may not be a perfect circular ring, but may be an elliptical ring.
  • the inside of the cylinder 208 is connected to the connecting pipe or connecting tube of the injector. It is fixed to. This mechanism is relatively This is particularly effective when injecting the enema from the distant infusion pump into the enema aid.
  • the enema aid is used even if the path from the enema infusion pump to the enema aid is slightly curved. Since it can be reliably pushed out, it can also be used for nursing care or support for independent evacuation of elderly people, etc., as described in Figure 25 below.
  • the injection device shown in Fig. 25 is suitable for the use of the enema aid shown in Fig. 26 or the independent enema aid shown in Fig. 27 for assisting in defecation or nursing care, which is a somewhat special enema.
  • Auxiliary equipment, slightly shaped like a goat, and made of hollow gelatin inside, and the one shown in Fig. 26 allows the user to use hot water at about body temperature or a small amount of cooking oil.
  • the posture when performing an enema is different from normal.
  • the enema aid When the enema aid is inserted into the anus, do not hold the enema aid with your fingers, etc., and lightly sit on the toilet seat such as a Western style toilet. Then, inject the enema solution by holding the enema aid in the toilet seat, move the hips after the injection, move the buttocks to the normal defecation position, and immediately before the defecation, the enema aid and enema solution It can be used to separate the injection tubes and. However, depending on the user, it may be difficult to judge the start of defecation, and depending on the usage, there is a possibility that a part of the injection device may be stained by defecation.
  • the flow path of the disposable enema assisting device is slightly extended so that the injection device can be connected from an appropriate distance from the anus. This is designed to reduce the possibility of contamination of the injection device during defecation.
  • Fig. 29 is an illustration of the connection, disconnection and detachment of the care enema aid inserted into the anus and the enema fluid injection tube.
  • the enema can be used to reduce the contamination of the fingers when inserting the enema aid into the anus.
  • a handle such as 203 B to facilitate holding and insertion into the assisting device, and use a water-soluble sanitary separator such as 220 29 to prevent direct contact between the anus and fingers.
  • enema can be performed more hygienically.
  • the amount of liquid required for the slide is small. Assuming that the required liquid pressure of the enema fluid is about 100 Omm water column, about 1 g per square millimeter is applied to the enema aid and connecting pipe or connecting tube. The holding friction required for the enema aid and the infusion pipe or infusion tube is determined by multiplying the infusion pressure by the enema fluid flow area and the safety factor.
  • the driving pressure required for the actual hydraulic slide mechanism takes into account the transmission efficiency of the ton. Either a separation mechanism driven by the force of a finger or a switch operation using a small electric motor or the like as a power source is used. Water or oil such as hydraulic oil is used as the liquid for hydraulic pressure.
  • the separation and detachment of the enema aid and the injection device is made of pulp that has disintegration over time when exposed to moisture, using the soft property of the enema aid as shown in Fig. 30.
  • the clip 205 sandwich the gelatin tube of the enema aid 2002 to block the internal liquid flow path, and then use the panel cutter 2504.
  • a method was also adopted in which the injection device and the enema aid were cut off and separated.
  • Fig. 31 shows the configuration of a clip-type separation device with clip for an enema assisting device made by obtaining tips from a stapler in office supplies.
  • the mounting base for the push-out lever 205 and the spring-loaded force collector 2054 has a mechanism that returns with a restoring panel, and is cut and restored by restoring the lever.
  • the enema aid whose flow path was stopped by the tap is released.
  • FIG. 32 is a perspective view of a special care enema trap.
  • This enema aid cannot be defecated in a sitting position, and is intended to be used as an intestinal lavage or enema for bedridden caregivers.
  • the part is processed and bundled as one to form the tip part 206, one tube 206 is used for hot water injection at about body temperature, and the other tube 206 Is used for the discharge of gas filling the intestine and for the discharge of bowel wash or stool.
  • the length of the tube is as long as the part inserted from the anus and beyond the sigmoid colon, and the operation is performed by a healthcare professional or a specialist trained by the healthcare professional.
  • the pump used to inject the intestinal wash is a pump with pressure and flow control.
  • enema aid If there is stool around the rectum, excrete it in advance using the above-mentioned enema aid. First, immerse the necessary part of the enema aid in hot water or the like until the appropriate flexibility is reached, and the specialist inserts the enema aid into the anus using medical rubber gloves. At this time, the insertion is smooth and smooth due to the swelling property of the gelatin, and the insertion is continued deeper while appropriately injecting hot water from the injection tube side of hot water at about body temperature. At this time, the front side of the discharge tube should be placed at a place where waste such as toilet bowls can be disposed of so that continuous injection and discharge can be performed.
  • FIG. 33 is a sectional view of a panel-driven infusion pump.
  • pull the button 200 by operating the handle 207 and pull the button 207 through the thread pulling string 207.
  • 0 7 1 works to fix the piston without returning.
  • add hot water or a small amount of edible oil to the container, and seal the container with the screw cap 200.
  • At the end of the liquid supply tube 204 there is a handle of an injection device having an on-off valve, and preparation for injecting the enema is performed.
  • the piston fixed lever 20071 When ready, first operate the piston fixed lever 20071 so that the biston can move with the spring force of 270. After the air in the channel is discharged from the end of the enema assist device by slightly operating the enema injecting lever of the handle of the injecting device, insert the enema assist device into the anus. Next, the injection lever is gradually operated to inject the enema in the enema container 206 into the intestine. At this time, if the flow rate of the enema fluid becomes too fast, the ball valve 2064 for preventing backflow is pushed upward, and the pressure loss increases due to the narrowing of the fluid passage and the flow rate. Is adjusted to decrease. In addition, even if the enema fluid is about to flow back, the ball valve closes and the backflow is prevented.
  • FIG. 34 is a perspective view of a panel pressure driven integral enema device.
  • After attaching the enema aid to the connecting pipe 210 remove the lock of the 2007 5 and insert the enema aid into the anus. Operate the enema infusion lever 20079 to inject the enema, and operate the enema aid disconnection lever 20080 after the operation to discard the enema aid in the toilet bowl.
  • the injection device is made of resin, stainless steel, aluminum alloy, etc., except that rubber is used for part of the piston and part of the flow path.
  • FIG. 35 is a perspective view of a small electric integrated enema device.
  • a built-in commercially available dry battery or rechargeable battery in the injector body 208 is used to drive the built-in small electric pump.
  • the enema aid 200 2 is attached to the connecting pipe 201, and the tip of the enema aid is appropriately immersed in hot water to ensure lubricity on the surface. Is adjusted to an appropriate angle. Subsequently, the injection device itself is held with one hand, and the enema assisting device 200 is inserted into the anus. When the infusion of the enema is completed, remove the enema aid 200 from the anus and operate the enema aid push-out and release switch 208 to discard the enema aid 200 in the toilet bowl. You.
  • a temperature switch using a shape memory alloy such as a Ni-Ti system. If an attempt is made to supply hot water exceeding a predetermined temperature by mistake, an alarm will sound.
  • a mechanism is used so that the flow path of the enema is not blocked or the switch of the electric pump does not enter.
  • shape memory alloys for example, Daido special steel, etc., whose operating temperature is within 40 ° C and within 2 ° C has been put to practical use.
  • a fixed displacement type electric pump is used for the small electric integrated type electric pump.
  • a small electric motor is used for the slide extrusion mechanism of the enema trap. The flexible wire is extruded and released. Therefore, there are two small motors inside the injector.
  • FIG. 36 is a block diagram of a hand-held infusion device for receiving an enema from a hot water washer of the toilet and injecting it into the intestine.
  • the hot water washer There are two types of connection to the hot water washer: receiving hot water from the liquid supply tube of 209 4 and sending a signal to open and close the pump on the hot water washer by the signal transmission cable 209 3.
  • the signal on the handle side is usually provided by a contact signal without voltage, and controls the signal circuit or power circuit on the hot water washer side.
  • a joining point In the middle of the handle, there is a joining point that can be opened and closed with a permanent magnet or a screw.
  • the internal flow path on the pump side is slightly thicker.
  • Enema liquid injection lever — 2091 not only sends a signal to the hot water washer side, but also mechanically opens and closes a rubber tubular channel inside to adjust the flow rate.
  • the slide extrusion lever of the enema assist device is simply mechanically connected to the upper extruding mechanism, and has a structure in which the enema assist device is manually extruded.
  • Fig. 37 also shows a hot water washer as a source of hot water and electricity, and a switch 20095 for dissociating stool that has adhered or dehydrated around the rectum or sigmoid colon from the intestinal wall. It is an explanatory view equipped with a vibrator 20096 that operates. If the stool adheres or dehydrates around the intestinal outlet, a passage obstruction will occur, and in most cases, the symptoms will be apparent after the stool is stiffened during defecation. Flights still out I won't.
  • the enema assisting device used is not a normal enema assisting device, but a thicker, longer, and more durable one with a cylindrical center and a flow path around it.
  • the vibrator uses a relatively low frequency, the mechanical action is adjustable, and the force is gradually increased by observing the weak action, but the user touches the tip of the enema aid to the stool in the intestine and turns the vibrator on. While inching the switch, inject the enema solution little by little while feeling the adhesion between the stool and the intestine and the feeling of sticking.
  • the type of enema hot water at about the body temperature with edible oil may be used. If you feel that a small amount of enema is injected into the intestine, inject an appropriate amount, then remove the enema aid from the anus and discard it in the toilet.
  • Fig. 38 is an illustration of an injection device using a hot water washer.
  • the toilet 2 When hot water is supplied from the hot water source 200 9 of the hot water washer and the pressure of the hot water becomes higher than the set value, the toilet 2 is passed through the excess hot water drain tube 2 10 0 by the safety valve 2 9 8. It is designed to be drained into 101.
  • This is a safety measure when using a system that is not completely matched, not only to reduce the impact on the human body, but also to prevent instantaneous high pressure from being applied to the liquid supply line. It is also a safe measure for an enema device that is assembled from parts with weak target strength.
  • FIG. 40 shows a connection method of an injection tube which can be adopted in each of the above-described embodiments.
  • a magnet 216 of a polarity that generates an attractive force is fixed to a connection end of two tubes 211, The two tubes are connected by the attractive force of this magnet to make one tube.
  • Reference numeral 210 denotes a guide member that forms a fitting recess at the connection end of one tube, and reference numeral 210 denotes a guide member that forms a fitting protrusion at the connection end of the other tube. It is. By fitting these two guide members, the two tubes can be connected without being shifted in the diameter direction.
  • FIG. 39 is a perspective view of an injection device for a suppository enema.
  • the inner pipe 2 103 is inserted into a pulp outer pipe 210 having a predetermined length. Insert the suppository enema 2 1 0 5 into the recess at the end of the pipe, and hold the outer pipe 2 1 0 2 with your fingers. Insert the end of the inner pipe with your fingers, push out the end of the inner pipe, push out the suppository enema from the infusion device into the intestine, and dispose of the used injection device as it is in the toilet bowl. Pulp injection equipment has the property of rapidly disintegrating when it comes into contact with water in the toilet bowl. Industrial applicability
  • the enema device, enema assisting device, and infusion device of the present invention have completely changed the conventional enema method.
  • a normal enema that injects the enema from the lower side to the upper side there is a risk of fluid leakage when the enema is pulled out from the anus.
  • the unsanitary nature of the leak from the anus was prominent.
  • the enema assisting device of the present application first, even when the user inserts the enema assisting device into the anus, the hand does not come into direct contact with the buttocks around the anus.
  • the enema aid of the present invention, the injection tube with a remote separator, the manual or small electric pump, and the bag-type enema container can all be stored in a small bag for compactness. Possible Therefore, the product of the present invention can be easily used not only at home but also on the go.
  • the enema method and enema aid of the present invention have completely changed the conventional enema method.
  • a normal enema that injects the enema from the bottom to the top there is a risk of fluid leakage when the enema is pulled out of the anus. In such cases, the unsanitary effects of fluid leakage from the anus were prominent.
  • the enema assisting device for insertion into the anus of the present application first, when inserting and mounting the enema assisting device in the anus, the user can directly contact the buttocks around the anus with fingers.
  • enema alone in a relaxed position and use it as a supplementary device for enema products on the market, or without using water or hot water at about body temperature, without using special chemicals.
  • Defecation can be induced with oil, emulsion, etc., and since the volume of the enema can be set to a relatively large value, inject the enema while feeling the physical condition of the individual while injecting the enema. The amount can be adjusted.
  • the safety cutter is used as the cutting and separating mechanism, most of the parts contaminated with feces etc. can be discarded in the toilet bowl simultaneously with defecation, and other parts can be incinerated, so the burden on the user Is greatly reduced.
  • the enema assisting device and the injection device of the present invention greatly improve the unsafe image and the inconvenience of the conventional enema device.
  • the part that is directly inserted into the anus directly which is the most unsafe part of the enema, is separated from the other parts.
  • the part that is directly inserted into the anus and contaminated is called an enema aid, disposable, or used Rather than being disposed of later in a trash can, it is made of a material and in a shape that can be directly discarded in places where contamination occurs, that is, in toilets such as flush toilets, so post-treatment is much more sanitary. It is convenient.
  • the injection device has been made reusable, which leads to effective use of resources.
  • enema has a natural effect on the body and is less likely to cause side effects due to habituation.
  • gelatin or polyvinyl alcohol having hydration swelling properties and heat processability is used as a material for the enema assisting device.
  • the surface is slimy and has a lubricating action, but the whole is a little hard and easy to insert, and after injection of warm water, it deforms over time due to the pressure of the anal sphincter, and leakage of the infusate from the anus This makes it possible to provide a function that does not easily cause problems.
  • the enema assist device can be discarded in the toilet after use makes it possible to adapt a different enema defecation method. That is, in the past, the part inserted into the anus after the injection of the enema was designed so that the part was removed from the anus and then defecation was performed for a while. It is also possible to select a method of using the toilet so that it is discharged into the toilet simultaneously with defecation, with the enema aid inserted in the anus even after the injection.
  • an enema is usually designed to expect defecation immediately after injecting an enema solution.However, if the enema can also be used as in the present application, hot water at about body temperature after defecation is used. Enema is performed by adding a small amount of food oil suitable for the user, or by performing ileum washing around the sigmoid colon from the rectum, thereby discharging the feces around the stomach and discharging from the rectum. By forming a thin oil film around the sigmoid colon to prevent excessive dehydration from the stool at the next defecation and improve stool passage, it is possible to obtain a light bowel movement When Become.
  • the present invention provides a panel-powered injection device, a small electric injection device, and the like so that the user can perform the operation at the time of enema or intestinal washing without burden on the user as much as possible. Improved.
  • an interface that can be supplied with hot water from the existing hot water washer and hot water washing toilet seat, it is extremely used for regular use in toilets.
  • the system can be used by anyone with peace of mind.
  • Other items include hygiene control in suppository enemas, and the combination of relatively safe bowel wash tubes for the bedridden elderly and other care recipients with the above-mentioned injection device. It is one that is expected to greatly develop.
  • the present invention relates to an enema device for facilitating defecation, an enema assisting device, an infusion device, and an enema method using the same.
  • enemas have been difficult for users to use.
  • the hands sometimes got dirty with a leak of dirt. Therefore, the part to be contaminated by insertion into the anus is separated from the other part, the part to be inserted into the anus is the enema aid (1), and the other part is the syringe.
  • the enema aid (1) is made of a material that can be discarded as it is after use, for example, gelatin, etc., and the separation mechanism (10) is used without soiling the fingers after use.
  • the device can be separated and separated from the injection device, and can be discarded as it is in the toilet.
  • enema device characterized by comprising a remote separation mechanism for separating the device from a force place remote from the device, and a manual pump or an electric pump and a liquid container for delivering liquid to the injection tube.
  • the remote separation mechanism is configured to circumscribe a concentric tube on the outside of the infusion tube and to give a relative sliding motion to the tip of the pair of tubes, thereby providing the enema.
  • An enema assisting device characterized in that the material of the enema assisting device is composed of a degradable material that self-decomposes after defecation after liquid injection.
  • a liquid injection tube is used as a means for injecting a liquid into the enema aid, the injection tube is joined to the enema aid, the enema aid is inserted into the anus, and the liquid is passed through the injection tube. 4. The method according to claim 3, wherein after the injection is completed, the enema aid and the injection tube are separated from the enema aid by a remote operation from a power point away from the enema aid. Enema method. 6. An enema aid that is inserted into the anus and has an infusion port for enema and a function to prevent backflow.
  • An enema assisting device made of a material, characterized in that an enema liquid injection tube made of a degradable material with a length of at least 10 cm from the part inserted into the anus was formed integrally. And an enema aid.
  • the thickness of the part inserted into the anus is slightly expanded and deformed and swells due to the injection pressure of the enema, which enhances the tightness of the anus and the area where the anus and the enema aid are inserted.
  • An enema aid that reduces leakage of enema from gaps.
  • the infusion tube integrally formed with the enema aid can be cut off from a force near the anus by using a safety device after the infusion of the enema, so that the enema aid can be discarded in the toilet simultaneously with defecation. And enema method.
  • a tube or pipe-shaped enema aid that is used for intestinal infusion by inserting the tip into the anus and using water or hot water at about body temperature or edible oil as an enema, and an infusion device as a means for injecting the enema Can be connected to and separated from the anus, can be inserted into the anus and used, can be discarded with the stool as it is after use, and have a predetermined shape and material that will not block the flow path in the drainage passage after the toilet
  • an enema assisting device characterized in that it is made of a material having any property of disintegration with time or biodegradability, water solubility, or hydration swelling by contact with water. .
  • tubular enema aid having hydration swelling according to claim 9, wherein:
  • the strength on the inner surface side of the tube is relatively strong, and the strength on the outer wall side is relatively soft. It can be inserted into the anus by finishing it with fragile properties, or by injecting an enema into it, which reduces its mechanical strength and changes more flexibly than when it is inserted into the anus. A part of the tube-shaped part is deformed and collapsed by the pressure of the anal sphincter, the cross-sectional area perpendicular to the insertion direction is reduced, and the gap between the tube-shaped enema aid inserted into the anus is reduced. To prevent liquid leakage from
  • the enema assisting device when the enema assisting device is separated from the injection device and left as it is in the anus until defecation, it has a function of reducing or preventing the backflow of the enema from the rectum to the outside of the anus. Enema aid.
  • Part of the cross section perpendicular to the insertion direction of the enema aid inserted into the anus is not circular but elliptical, and the cross-sectional shape of the anus and enema aid at the time of insertion is approximated. Enema aid to do.
  • An enema assisting device characterized in that a part of the cross section perpendicular to the insertion direction of the part to be inserted into the anus is made elliptical instead of circular so as to approximate the shape of the anus at the time of insertion.
  • an enema aid into the anus and, before injecting the enema fluid, make an exhaust hole in a part of the pipe that constitutes the flow path so that a part of the gas filled around the rectum or sigmoid colon can be discharged out of the anus.
  • Open the pipe slide it in contact with the outer surface of the pipe in a slidable manner, slide the outer pipe to open and close the exhaust passage, discharge gas in the flow path to the outside, and enema
  • An injection device characterized in that it has a structure capable of separately using an injection and an injection.
  • An injection device characterized in that:
  • a ring-type push-out mechanism for sliding the enema assisting device out of the pump is provided inside the pump, and the ring-type push-out mechanism is operably pushed out in the final step of pump injection, and the enema liquid is injected.
  • the slide mechanism is
  • An enema device comprising: an enema aid for forming a flow path of an enema from the outside into the intestine; and an injection device for injecting the enema into the enema aid, wherein the injection device and the enema aid
  • the toilet bowl is closer to the anus than the connecting point with A liquid-stopping or water-stopping clip made of a material that can be discarded as it is and can be decomposed, disintegrated, or dissolved over time by absorbing water is provided.
  • a mechanism to prevent the backflow of the liquid inside, and a cutter is installed slightly upstream, that is, on the injection device side, or the enema aid is separated from the injection device by using a safety device.
  • An enema aid that is made of a swellable and flexible material to be inserted into the anus to inject enema or intestinal wash, and that can be discarded in the toilet after use.
  • the tip of the intestinal insertion side is molded into a single bundle of tubes, and one side of the tube is used to inject liquid into the intestine
  • the other is used for discharging gas remaining in the intestine and assisting the discharge of stool, and the enema assisting device is characterized in that it can be inserted into the anus at least to reach the sigmoid colon. .
  • An injection device characterized by having a function of mechanically or electrically controlling the amount.
  • An injection device comprising a valve provided with a flow rate adjusting function on a flow path of the injection device.
  • An injection device characterized by having an injection.
  • An injection device characterized in that when the supply pressure of hot water exceeds a predetermined safety setting range, excess hot water is supplied to the toilet as a surplus hot water to maintain the pressure in the liquid supply path within the set pressure.
  • An enema device characterized in that an attaching / detaching portion is provided between one end and the other end of the flow path, which is attachable / detachable using a magnet's attraction force.
  • An injecting device having a structure in which the liquid or powder drug can be injected into the intestine immediately before the enema by placing it in a flow path of water or hot water at a temperature of about the body temperature.
  • An enema device comprising an enema trap inserted into the anus to form an enema fluid channel between the outside and the intestine, and an injection device connected to the enema aid to inject the enema fluid ,
  • An oscillation source capable of transmitting vibration to the enema assisting device inserted into the anus is provided, and the enema assisting device is brought into contact with feces adhered or fixed to the rectum or sigmoid colon, and safe from the oscillation source.
  • the enema device has a length that can be inserted into the anus, A pipe structure that can slide with each other and has two outer layers with one outer diameter smaller than the other inner diameter is constructed.
  • a suppository enema to the dent at the tip of the pipe structure, hold the outer pipe by hand, push the inner pipe by hand, insert the suppository enema into the anus, and then remove the inner pipe from the anus.
  • the suppository enema at the tip has a mechanism that can be pushed out of the intestine without touching the finger directly to the anus and can be removed, and it comes into contact with water that can be disposed of in the toilet after use
  • An enema aid characterized by being made of a material that is disintegratable with time, biodegradable or water-soluble.

Abstract

An enema syringe for ease of defecation, an enema syringe auxiliary and an injector and an enema method using them; the enema syringe comprising one member, that is, an enema syringe auxiliary (1) to be inserted into the anus and soiled, and the other member, that is, an injector, wherein the enema syringe auxiliary (1) is made from a material, such as gelatin, directly disposable into a toilet stool after use and is so constructed as to be separable from the injector by means of a separating mechanism (10) for direct disposal into a toilet stool without soiling fingers, thereby eliminating such conventional disadvantages that an enema syringe is difficult to handle, especially, a fig type enema syringe is liable to soil hands due to excrement-mixed liquid leakage while an enema is being injected or when a container is pulled out of the anus.

Description

量の大きな容器を用い、 体温程度の水又はお湯等を浣腸液と して用いる 場合も多く 、 宿便排除等の洗腸器と しても使われる こ とがある。 それら は注射器タイ プの物と 、 さ らに大型で液体の落差の水圧を浣腸液の注入 に利用する釣り 下げタイプの物とがある。 肛門に挿入する部分は注射器 タイ プのものでは先端をそのまま挿入する事もあ り 、 釣 り 下げタイプで は液体容器から伸びた流路チューブの先端にゴム のチューブを取付け、 これを肛門に挿入して用い、 この先端チューブは洗浄して繰返し用いる 場合もあり 、 消耗した場合は先端のみを取り 替える こ と も可能である。 また全体が使い捨てタイプの物もあり 、 その場合、 衛生管理を して廃棄 される。 In many cases, a large container is used, and water or hot water at about body temperature is often used as an enema, and may also be used as an intestinal washer for eliminating fecal impaction. They are of the syringe type, and of the larger type, the hanging type, which uses the pressure of the liquid head to inject the enema. The part to be inserted into the anus may be inserted as it is with a syringe type.In the case of the hanging type, a rubber tube is attached to the end of the flow tube that extends from the liquid container, and this is inserted into the anus. The tip tube may be washed and used repeatedly, and when worn out, only the tip can be replaced. There are also disposable items in their entirety, in which case they are disposed of under sanitary control.
しかしながら、 第一の分類の簡易型浣腸器は医薬品を用いているため 常用する と、 薬用効果が徐々 に低下して、 よ り 多く の浣腸液量が必要に な り 、 容器の液量が比較的少なく 同時に二回目 、 三回目 の浣腸注入が必 要になる場合などでは、 注入中又は容器先端を肛門から抜く 時に、 汚物 の混ざった注入液の一部が浣腸容器の肛門挿入部分と肛門の隙間から漏 れて手指等を汚した り 、 また使用後の先端が糞便にて汚染された容器の 処理等、 衛生的にも取り扱い的にも使い難いものがあった。  However, since the first class of simple enema uses pharmaceuticals, if it is used regularly, the medicinal effect will gradually decrease, and a larger amount of enema will be required. In cases such as when the second and third enema injections are required at the same time, during injection or when the tip of the container is removed from the anus, a part of the infusate mixed with dirt may cause the anal insertion part of the enema container and the anal There were some items that were difficult to use in terms of hygiene and handling, such as leaking from gaps and soiling fingers, etc., and disposal of containers whose tips after use were contaminated with feces.
例えば、 イチジク型の浣腸器の使用においては、 利用者が肛門内に浣 腸器の先端注入部を挿入し、 手で浣腸器の容器を押圧する こ と によって 注入するため、 注入中又は容器を肛門から抜く 時に、 汚物の混ざった注 入液の一部が隙間から漏れて手等を汚した り 、 また浣腸器を 2個使用 し なければならないよ う な場合には、 衛生的にも取り扱い的にも、 使い難 いものがあった。  For example, when using a fig type enema, the user inserts the tip of the enema into the anus into the anus and injects it by pressing the enema container by hand. When removing from the anus, a part of the injection liquid mixed with dirt leaks from the gap and soils your hands, etc.If it is necessary to use two enemas, handle it hygienically Some items were difficult to use.
第二の分類の浣腸器具に於ては、 容量の大きい容器に貯えられた、 体 温程度のお湯等を用いる ものがあるために簡易浣腸器に比較して常用に 向いているが、 難点は注射器タイ プ又は、 釣り 下げタイプのために、 未 熟練者が一人で手軽に使用する と言う こ とが難しいこ と と、 構成要素を 全て繰返し利用する場合には肛門に揷入し、 汚染された部分を洗浄して 再利用する と言う不衛生さ と、仮に汚染部分を使い捨てと した場合でも、 衛生管理を してごみ箱等に捨てる等の必要が生じた。 The second category of enema devices, which are stored in large containers and use hot water at about the body temperature, are more suitable for regular use than simple enema devices, but have drawbacks. Not available for syringe type or hanging type Difficulty of using it alone by one skilled person, and unsanitary practice of reusing all components to access the anus, cleaning contaminated parts and reusing them Even if the contaminated part was disposable, it was necessary to perform sanitary management and throw it in a trash can.
本発明は、 従来の浣腸器具がもつ、 上記のよ う な欠点を取り 除き、 浣 腸液の漏れで手等を汚さず、 注入する液体量を利用者自身が注入時に調 節する こ と が可能な浣腸器具、 自宅でも外出先でも手軽に常用が可能な 浣腸器具の提供を目的とする。 また、 本発明は、 注入する液体の種類の 選択性を高めた浣腸器具の提供を 目的とする。 また、 本発明は、 浣腸液 の注入中に浣腸液の漏れが発生しにく く 、 未熟練者に於ても衛生的で簡 単に作業が可能な注入器具のいく つかのタイ プを提供し、 更には、 高齢 者等の自立排便支援用又は要介護者の在宅介護支援用の浣腸器具の提供 を目的とする。 発明の開示  The present invention eliminates the above-mentioned drawbacks of the conventional enema device, and allows the user to adjust the amount of liquid to be injected at the time of injection, without soiling the hands and the like due to leakage of enema fluid. The aim is to provide a simple enema device that can be easily used at home or on the go. Another object of the present invention is to provide an enema device with enhanced selectivity for the type of liquid to be injected. The present invention also provides several types of infusion devices that are less susceptible to leakage of the enema during infusion of the enema, and that are hygienic and easy for unskilled personnel. Furthermore, the purpose is to provide an enema device for assisting the elderly to defecate independently or assisting the care recipient in the home care. Disclosure of the invention
上記目的を達成するために、 本願は、 浣腸液の注入時のみ肛門に揷入、 取出 しを行な う様な現状の浣腸方式ではなく 、 排便時まで肛門に装着す る浣腸補助具を用いた浣腸方式を発案した。 この浣腸補助具は、 使用後 排便と 同時に便器内に廃棄可能な生分解性材料等にて構成され、 一端部 の浣腸液供給口から他端部の腸内送液口までの流路中に逆止弁を有する, この浣腸補助具には、 浣腸液を注入する注入器具を接続する。 注入器 具は、 好ま しく は、 浣腸補助具に浣腸液を供給する注入チューブと、 浣 腸液の腸内への注入が終了 した後注入チューブと浣腸補助具と を離れた 力所から分離 · 切断するための リ モー ト分離機構と 、 注入チューブに浣 腸液を送出するための手動ポンプ或いは電動ポンプと、 浣腸液容器と よ り構成される。 本発明では、 浣腸補助具は一度肛門に挿入、 装着されたら便意を催し て排便するまで、 そのままの状態を維持する。 浣腸補助具の本体は、 例 えば紙、 パルプにて作られる。 この場合、 肛門挿入側の表面は薄く 生分 解性プラスチック にてコ ーティ ングし短時間防水性を保持でき る こ とが 望ま しい。 浣腸補助具の内部は、 肛門に揷入する丸突起状の先端から浣 腸液の供給口まで、 生分解性プラスチック を用いて形成し、 内部に逆止 弁を有するチューブと してもよい。 この逆止弁が、 腸内からの汚染液の 逆流を防ぐ。 また、 浣腸補助具を肛門に揷入する際に、 手と肛門付近の 尻とが直接接触しない様に紙の衛生隔離紙を備えている こ とが好ま しい c 注入チューブは、 好ま しく は、 その外径が浣腸補助具の供給口の内径 よ り僅かに大き く 形成されている。 その材質は、 好ま しく は、 フ レキシ ブル性のある硬質プラスチックである。 利用者は、 好ま しく は、 使用直 前に注入チューブの先端を浣腸補助具の供給口に 1 0 m m程度差込み、 供給口に使われている生分解性プラスチッ クの弾力性によって注入チュ ーブの先端部と浣腸補助具と を密着させる。 In order to achieve the above object, the present application uses an enema assisting device that is attached to the anus until defecation, instead of the current enema method in which the anus is only introduced and removed during the injection of the enema. Invented the enema method. This enema assisting device is composed of a biodegradable material that can be discarded in the toilet at the same time as defecation after use, and is provided in the flow path from the enema liquid supply port at one end to the intestinal liquid supply port at the other end. An infusion device for injecting enema is connected to this enema aid with a check valve. Preferably, the injecting device is separated and cut off from an injection tube for supplying the enema to the enema aid, and the injection tube and the enema aid after the infusion of the enema into the intestine is completed. And an enema fluid container, a manual pump or an electric pump for delivering the enema fluid to the infusion tube, and an enema fluid container. In the present invention, the enema assisting device is inserted into the anus once, and once worn, maintains its state until the patient defecates with defecation. The body of the enema aid is made of, for example, paper or pulp. In this case, it is desirable that the surface on the anus insertion side be coated with a thin biodegradable plastic to maintain the waterproofness for a short time. The inside of the enema aid may be formed from biodegradable plastic from the tip of the round projection into the anus to the supply port of the enema, and may be a tube having a check valve inside. This check valve prevents the backflow of contaminated liquid from the intestine. The c- infusion tube, which is preferably provided with a paper sanitary separator so that the hand does not come into direct contact with the buttocks near the anus when inserting the enema aid into the anus, is preferably Its outer diameter is slightly larger than the inner diameter of the supply port of the enema aid. The material is preferably a hard plastic with flexibility. Preferably, the user inserts the tip of the infusion tube about 10 mm into the supply port of the enema aid immediately before use, and uses the infusion tube due to the elasticity of the biodegradable plastic used in the supply port. Adhere the tip of the to the enema aid.
使用後は、 リ モー ト分離機構によ り 、 浣腸補助具と注入チューブと を 衛生的に分離する。 リ モー ト分離機構は、 好ま しく は、 注入チューブの 外径よ り僅かに大きい内径を有する リ モー ト分離チューブを先の注入チ ュ―ブの外側に被せて構成する。 また、 リ モー ト分離チューブの浣腸補 助具側の先端部に押圧面積拡大用の リ ングを形成して太く してもよい。 そ して、 浣腸補助具から例えば 3 0 c m程度離れた手前側に、 注入チュ —ブと リ モー ト分離チューブと に個別に接続されたレバ一 ( リ モー ト分 離レバー) を設け、 この レバーを操作して注入チューブと リ モー ト分離 チューブと をスライ ドさせる こ と によ り 、 浣腸補助具と注入チューブと の分離 《 切断を行な う。  After use, a remote separation mechanism hygienically separates the enema aid from the infusion tube. The remote separation mechanism is preferably constructed by placing a remote separation tube having an inner diameter slightly larger than the outer diameter of the injection tube on the outer side of the injection tube. Further, a ring for increasing the pressing area may be formed at the distal end of the remote separation tube on the side of the enema aid to make it thicker. In addition, a lever (remote separation lever) separately connected to the injection tube and the remote separation tube is provided on the near side, for example, about 30 cm away from the enema aid. By operating the lever to slide the injection tube and the remote separation tube, the separation between the enema aid and the injection tube is performed.
注入チューブは、 さ らに接続具によつて、 ピス ト ンポンプを利用 した 手動のポンプ或いは乾電池等を利用 した小型電動ポンプに繋がれる。 前 述のポンプは、 浣腸液容器と一体とするこ とができ るが、 浣腸液容器を 持ち運び容易なプラスチック製の袋とする こ と も可能である。 The injection tubing was further connected with a piston pump. It is connected to a manual pump or a small electric pump using dry batteries. The above-mentioned pump can be integrated with the enema container, but the enema container can also be made into a portable plastic bag.
先ず利用者は個人の経験的、 或いは事前の医師の助言による浣腸液量 に相当する水、 或いは体温程度までの湯、 さ らには各種浣腸薬液を用意 して浣腸液容器に充填する。 次に トイ レに入り 、 浣腸補助具と注入チ ユ ーブと を手で接続し、 さ らに浣腸補助具を自 ら肛門に挿入する。 浣腸 補助具挿入後は、 便器に腰掛、 ポンプを操作して徐々に浣腸液を腸内に 挿入する。 排便に十分と感じられる量を注入し、 便意を催してきたら、 手早く リ モ — ト分離レバーを操作して注入チューブと浣腸補助具と を分 離切断し、 チューブの先端を便器内に落と さないよ う に、 手早く 回収す る。 あと は利用者が排便のため腹圧を掛ける と 、 浣腸補助具は肛門から 排出され、 続いて排便が進行される。 最後に ト イ レの洗浄水を流すこ と で作業は終了する。  First, the user prepares water corresponding to the volume of the enema or the hot water up to the body temperature according to the empirical advice of the individual or the advice of the doctor in advance, and various enema solutions, and fills the enema container. Next, enter the toilet, manually connect the enema aid and the injection tube, and insert the enema aid into the anus by itself. After inserting the enema aid, sit on the toilet and operate the pump to gradually insert the enema into the intestine. After injecting an amount that feels enough to defecate and prompting you, quickly operate the remote separation lever to separate and cut the infusion tube and the enema aid, and drop the end of the tube into the toilet bowl. Collect quickly so that it is not available. Then, when the user applies abdominal pressure for defecation, the enema aid is expelled from the anus, and defecation proceeds. Finally, the work is completed by flushing the toilet with washing water.
続いて、 密接に連関する他の発明を開示する。 本発明では、 上記発明 を更に発展させ、 肛門に挿入された浣腸補助具の構造を変え、 浣腸液の 注入チューブと一体成型物と し、 さ らに肛門に挿入される部分が浣腸液 の注入によ り僅かに膨張し、 その太さが僅かに拡張される事によ り 、 浣 腸液の注入時の肛門との密着性を増加させた。 また分解性の浣腸液注入 チューブの接続端末を変更 し、 よ り広範囲な浣腸液及び注入手段を選択 可能と し、 市販の浣腸をも利用でき るよ う にする と共に浣腸液注入後の 肛門に挿入された浣腸補助具と注入チューブとの切断に安全カ ッターを 使用する分離方法を採用 した。  Subsequently, other closely related inventions are disclosed. In the present invention, the above-mentioned invention is further developed, and the structure of the enema assisting device inserted into the anus is changed to be formed integrally with the tube for injecting the enema, and the portion to be inserted into the anus is injected into the anus. As a result, the swelling slightly increased and the thickness of the swelling slightly increased, thereby increasing the adhesion to the anus when the enema was injected. In addition, the connection terminal of the disintegrable enema fluid injection tube was changed to allow a wider range of enema fluids and infusion means to be selected, so that a commercially available enema could be used, and the anus after the enema fluid was injected A separation method using a safety cutter was used to cut the inserted enema aid and the injection tube.
本発明では、 肛門に挿入する浣腸補助具と浣腸液注入チューブと を一 体形成したために全体の構造がシンプルになった。 好ま しく は、 分解性 樹脂にて作られた一本の浣腸液注入チューブの肛門側先端部分を、 短時 間の表面防水に耐え う るよ う に処理されたパルプの成型物で覆う構造と し、 前述の衛生隔離紙から先の肛門付近の臀部に触れた浣腸液注入チュ —ブも排便と同時に廃棄可能と な り 、 衛生的にもイ メ ージ的にも向上し た。 また浣腸補助具の浣腸時の逆流防止入機能と して、 肛門挿入部分の 分解性樹脂チューブの先端を萎める こ と、 或いは先端に短いバルブチュ ーブを被せる こ と によ り 又必要に応じて、 チューブの中間にも圧力動作 弁的な絞り を設ける こ と によ り 、 達成される こ と が判明 した。 肛門に挿 入された部分が浣腸液の注入時に僅かに膨張するために、 肛門と浣腸補 助具の操作時の密着性が増 し、 隙間からの液漏れの可能性が大き く 減少 した。 In the present invention, since the enema aid inserted into the anus and the enema liquid injection tube are formed as a single body, the overall structure is simplified. Preferably, the distal end of a single enema injection tube made of a degradable resin is The structure is covered with a molded pulp that has been treated to withstand waterproofing between the surfaces, and the enema liquid injection tube that touched the buttocks near the anus from the sanitary separator paper described above is also discarded upon defecation. It became possible, and both sanitary and image quality were improved. In addition, as the function of preventing the backflow of the enema assisting device during enema, the tip of the degradable resin tube at the anus insertion part is shrunken or a short valve tube is put on the tip, which is necessary. Accordingly, it was found that this could be achieved by providing a pressure-operated valve-like throttle in the middle of the tube. Since the part inserted into the anus slightly expands when the enema is injected, the adhesion between the anus and the enema aid during operation is increased, and the possibility of fluid leakage from the gap is greatly reduced.
さ らに、 肛門に挿入された浣腸補助具と注入チューブと の分離方法と して、 安全なカ ッターにて途中から切断する方法を用いる こ と によ り 、 浣腸液の注入手段と して、 手動ポンプ、 小型電動ポンプ、 市販の浣腸液 容器等、 多様な手段を用いる こ とが可能と なった。 又肛門臀部に触れる 部分の注入チューブも切断して排便と 同時に廃棄するこ と によ り 、 衛生 管理と メ ンテナンス面も向上した。  Furthermore, as a method of separating the enema aid inserted into the anus from the infusion tube, a method of cutting it off from the middle with a safe cutter is used as a means for injecting the enema. Various means such as a manual pump, a small electric pump, and a commercially available enema container were made possible. In addition, by cutting the injection tube at the part that touches the anal buttocks and discarding it simultaneously with defecation, hygiene management and maintenance have been improved.
続いて、 更に他の発明を開示する。 本願では第一に浣腸器具の使用中 と事後の衛生的処理の為に、 既存の浣腸器具の構成要素の う ち、 肛門に 揷入され汚染される部分を今までと異なる素材と し、 同時に浣腸液容器 及び注入器具と分離可能な構造と した。 さ らに浣腸液と して既存の薬液 ではなく 、 水又は体温程度のお湯、 更には少量の食用油等を用いる事を 可能と した。 本願では、 肛門に挿入される部分を浣腸補助具と称し、 そ の機械的な性格、 即ち柔軟性を有し手で曲げる こ と も可能なものをチュ ーブ状、 柔軟性が無く 手で曲げ様とする と崩壊する ものをパイプ状の浣 腸補助具と称した。 そ して使用後に便器にそのまま棄てる こ とが可能な 形状と材質と して、 水分と接触する こ と によ り 、 その形状が崩壊して行 く 材質、 経時崩壊性を有するパルプの様な材質、 生分解性と して各種生 分解性プラスチ ッ ク及び各種食品素材、 水溶解性又は水和膨潤性を有す る ものと してゼラチン、 ポリ ビュルアルコ ールの様な材質特性を応用 し て浣腸補助具を構成させ、 使用後はそのまま便器に棄てられるよ う に し た。 Subsequently, still another invention is disclosed. In the present application, first of all, for sanitary treatment during and after use of the enema device, of the components of the existing enema device, the part that is inserted into the anus and contaminated is made of a different material, The structure is such that it can be separated from the enema liquid container and the injection device. In addition, instead of existing liquid medicines, it is possible to use water or hot water at about body temperature, and even a small amount of edible oil, as an enema liquid. In the present application, the part inserted into the anus is called an enema assisting device, and its mechanical properties, that is, those that are flexible and can be bent by hand, are tube-shaped and inflexible by hand. Those that collapse when bent are called pipe-shaped enema aids. The shape and the material that can be discarded as they are in the toilet after use have come into contact with moisture, causing the shape to collapse. Material, pulp-like material with disintegration with time, various biodegradable plastics and various food materials as biodegradable, gelatin as water-soluble or hydrated swellable An enema assisting device was constructed by applying material properties such as polyvinyl alcohol, so that it could be discarded in the toilet after use.
使いやすさの向上では、 浣腸中或いは使用後に浣腸補助具を肛門から 離脱させる場合、或いは浣腸液注入後に注入器具と浣腸補助具を切離し、 浣腸補助具を排便時まで肛門に残置させる様な場合に、 腸内に充填され た液体が肛門外に逆流して漏れない様に、或いは漏れにく く するために、 ゼラチン等の水和膨潤の特性を利用 して、 浣腸補助具の材質と肉厚、 形 状を工夫し、 浣腸補助具が肛門に揷入され、 浣腸液が注入された後に浣 腸補助具の機械的強度が低下し、 よ り 柔軟なチューブに変化して、 肛門 括約筋の圧力によって浣腸補助具の一部が潰れて細く な り 、 同時に内部 の流路も潰れて腸内に充填された浣腸液の逆流防止機能と浣腸補助具を 離脱させる と きの漏れ防止機能を付与した。 また浣腸補助具の中心側の 液体流路と腸内粘膜に接触する外側の強度に差を設け、 中心側を固く し て、 肛門の挿入時の強度を確保し、 外側を柔らかく して、 肛門粘膜との 密着性を増大させた物を発案した。 さ らに人体の構造特性を研究した結 果、 人体に於て使用時のみ開閉する器管、 例えば尿道、 肛門と言ったも のの出口は、 閉まっている状態では点ではなく 、 線の断面形状を有し、 開きはじめの状態に於ては、 その管方向に垂直な断面形状は円形ではな く 、 どち らかと言えば楕円形と なる。 従って浣腸補助具は肛門の形状特 性に近似した形状の断面を有する こ とが、 肛門に、 よ り密着するこ と と 言える。 現在、 市販されているほとんどの浣腸器具に於て、 肛門に挿入 される部分の形状は基本的に円形を採用 しているが、本願に於ては上記、 浣腸液の漏れをよ り効果的に防止するために、 肛門の挿入方向に対して 垂直断面が楕円形の挿入部分を有する浣腸補助具を発案した。 これは既 存の簡易浣腸器具に於ても同様に、 本願の断面形状を採用するこ とによ つて液漏れを減少させる こ とが可能と なる。 For ease of use, when removing the enema aid from the anus during or after use of the enema, or when disconnecting the injection device and the enema aid after injecting the enema and leaving the enema aid in the anus until defecation In addition, in order to prevent the liquid filled in the intestine from leaking back to the outside of the anus or to prevent leakage, the material and meat of the enema assisting device are utilized by utilizing the hydrated swelling properties of gelatin and the like. The thickness and shape are devised, the enema aid is inserted into the anus, and the mechanical strength of the enema aid decreases after the enema is infused, and it changes to a more flexible tube, and the anal sphincter Part of the enema aid is crushed and thinned by the pressure, and at the same time, the internal flow path is also collapsed to provide the function of preventing backflow of the enema fluid filled in the intestine and the function of preventing leakage when removing the enema aid. did. There is also a difference between the strength of the fluid channel on the center side of the enema aid and the outer side that contacts the intestinal mucous membrane, the center side is hardened, the strength at the time of insertion of the anus is secured, and the outer side is softened. We invented a product with increased adhesion to the mucous membrane. In addition, as a result of studying the structural characteristics of the human body, organs that open and close only when used in the human body, such as the urethra and the anus, are not points but closed lines when closed. It has a shape, and when it starts to open, its cross section perpendicular to the tube direction is not circular but rather elliptical. Therefore, it can be said that the enema aid has a cross section of a shape similar to the shape characteristics of the anus, so that it is more closely attached to the anus. At present, in most of the enema devices on the market, the shape of the part to be inserted into the anus is basically circular, but in the present application, the above-mentioned leakage of the enema is more effective. To prevent the anal insertion direction An enema aid has an insertion part with an elliptical vertical cross section. In the same manner, in the existing simple enema device, the liquid leakage can be reduced by adopting the cross-sectional shape of the present application.
浣腸補助具に用いる注入器具に於ても、 浣腸補助具を肛門に挿入して 浣腸液を注入する前に、 直腸又は S状結腸周辺に充満して排便の障害に なるガスの一部を肛門外に排出するために流路を構成するパイ プの一部 に排気用の穴を空け、 さ らに該パイプの外面とその内面がスライ ド可能 な形で内接するパイプを被せ、 外側のパイ プをスライ ドさせる こ と によ つて排気通路を開閉させ、 流路上の気体の外部への排出と浣腸液の注入 を使い分ける構造を有する こ と を特徴とする注入器具を発案した。 浣腸 補助具の使用後そのまま便器に棄てられる と いう特性を活かすために、 さ らに本願に於ては、 注入器具と浣腸補助具の接続を注入器具の接続パ イブの上に浣腸補助具を被せて圧接固定する形式と し、 使用後に直接浣 腸補助具を手指等にて触れて取り 外す必要の無いよ う に、 接続パイプの 外周にスライ ド離脱機構を設け、 このスライ ド機構を操作する こ と によ つて、 肛門に揷入されて汚染された浣腸補助具に直接手で触れるこ と な く 押出 して離脱が行なえる構成と した。 また、 このスライ ド機構を簡便 に操作する方法と して、 容器とポンプが一体式で、 手指にて押し圧する こ と によって浣腸液を腸内に注入する手動式注入器具に於ては、 ポンプ の内部に浣腸補助具の リ ング型押出し機構を設け、 ポンプの注入最終ェ 程で該リ ング型押出 し機構を同時に押出 し作動させる配置とする こ と に よって、 特に浣腸補助具と注入器具と の離脱用のスライ ド操作を意識し なく ても、 注入器具の浣腸液注入最終工程のス ト ロ ーク を浣腸補助具切 り離しの離脱操作と兼用できる よ う に発案した。 また、 よ り 自 由度を高 める為に浣腸補助具と離れた力所から注入器具と浣腸補助具を離脱させ るスライ ド機構のための二つの動作方法を発案した。 第一は互いにス ラ ィ ド可能と した一方の外径が他方の内径よ り小さな二本のチューブを同 心円に重ね合わせ、 内側のチューブの先端を外側のチューブ先端よ り 突 き出させて浣腸補助具の流路に接続し、 浣腸液の注入後に外側のチュー ブを内側のチューブと 同一先端面になる迄、 スライ ドさせて浣腸補助具 の接続口 に装着された内側チュ ーブを引き抜く こ と によ り 離脱させる方 法を用い、 第二と しては、 浣腸補助具と注入器具との接続切 り 離し手段 と して液体の圧力を利用 し、 超小型のシリ ンダー内のビス ト ンを駆動さ せる為に、 該シリ ンダ一 と圧力流路にて接続された駆動手段を操作する こ と によ り 、 該ピス ト ンを押出す様に動作させ、 注入器具と浣腸補助具 を離脱させる方法である。 Before inserting the enema aid into the anus and injecting the enema fluid into the infusion device used for the enema aid, a part of the gas that fills the rectum or sigmoid colon and obstructs defecation is removed. A hole for exhaust is made in a part of the pipe that constitutes the flow path in order to discharge to the outside, and the outer surface of the pipe and its inner surface are covered with a pipe that is insulated so that it can slide. By injecting the enema into the exhaust passage by opening and closing the exhaust passage by sliding the pump, and injecting the enema solution, we invented an injection device. In order to take advantage of the property of being discarded in the toilet as it is after the use of the enema aid, in the present application, the connection between the infusion device and the enema assist device is made by placing the enema assist device on the connection pipe of the infusion device. A slide release mechanism is provided on the outer circumference of the connection pipe so that it is not necessary to touch and remove the enema aid directly with the finger after use, and operate this slide mechanism. As a result, the contaminated enemas that have been introduced into the anus and contaminated can be pushed out and removed without directly touching them. As a simple method of operating the slide mechanism, a pump is used in a manual injection device in which a container and a pump are integrated and an enema is injected into the intestine by pressing with a finger. By providing a ring-type push-out mechanism for the enema assisting device inside the pump and arranging the ring-type push-out mechanism to simultaneously push out and operate at the final stage of the injection of the pump, particularly the enema assisting device and the injecting device The idea was that the stroke in the final step of injecting the enema into the injection device could also be used as the operation to separate the enema aid without having to be aware of the slide operation for withdrawal. In addition, in order to increase the degree of freedom, two operating methods were devised for the slide mechanism that allows the infusion device and the enema aid to be detached from the enema aid and a force distant place. The first is a slash Two tubes whose outside diameter is smaller than the other inside diameter are overlapped concentrically, and the tip of the inner tube protrudes from the tip of the outer tube so that the flow of the enema assisting device After injecting the enema solution, slide the outer tube until it is flush with the inner tube, and pull out the inner tube attached to the connection port of the enema aid. The second is to use the pressure of the liquid as a means to disconnect and connect the enema aid and the injection device, and to drive the toner in the ultra-compact cylinder By operating a driving means connected to the cylinder by a pressure flow path, the piston is operated so as to be pushed out, and the injection device and the enema assisting device are detached. Is the way.
また、 自立排便支援又は介護者向けを目的に柔軟性のあるやや長さの 長い浣腸補助具を用いる場合の為に、 浣腸液の注入終了後に含水する事 によ り 、 経時崩壊性を有するパルプ又は経時分解性、 経時溶解性を有す る材質を用いて、 浣腸補助具の流路の一部を潰して液体の流れを止める ク リ ップとその上流側、 即ち注入器具側から浣腸補助具を切断するため のカ ッタ ーを注入器具の接続力所に設けたこ と を特徴とする注入器具を 発案した。 さ らに、 在宅介護向けと して、 肛門に挿入する浣腸補助具を 柔軟性と膨潤性を有するゼラチン又はポリ ビュルアルコ ール等を素材に、 先端を一体に束ねた少なく と も二本のチューブを用い、 一方から体温程 度のお湯を注入しながら他方から腸内に充満したガス、 又は便、 水分の 排出に用いて、 主に寝たき り の病人等の S状結腸よ り先の洗腸に用いる 浣腸補助具を発案した。  In addition, in order to use a flexible and somewhat long enema aid for the purpose of supporting self-sustaining defecation or for caregivers, pulp that has disintegration over time by containing water after infusion of the enema is completed. Or, use a material that is degradable over time and soluble over time to crush a part of the flow path of the enema aid and stop the flow of liquid. An injecting device was devised in which a cutter for cutting the device was provided at the connecting point of the injecting device. In addition, for home care use, an enema assisting device to be inserted into the anus is made of at least two tubes made of a flexible and swellable material such as gelatin or polyvinyl alcohol, and the ends of which are bundled together. Washing of the sigmoid colon, mainly for bedridden patients, by injecting hot water at about the body temperature from one side and discharging gas, stool, and water from the other into the intestine from the other side. An enema aid for the intestine was devised.
浣腸器具に於て安全性は最も大切な要素であるが、 本願に於ても、 二 つの点に関して留意されている。 第一点と して、 本願ではお湯を浣腸液、 洗腸液と して推奨しているが、 使用者が全て間違いなく 体温程度の温度 を守ってく れれば問題は少ないが、状況によっては使用者のミ ス によ り 、 人体に安全な範囲を超える温度のお湯を用いて しま う場合や、 或いは他 のシス テ ムの注入器具を用いて誤動作が発生して危険な温度のお湯を知 らずに用いよ う とする場合がある。その様な温度の液体が用いられる と、 肛門及び腸内に熱傷害、 低温火傷等を負わせて しまい、 重大な被害に発 展する場合も有り う る。 そこで人体に安全な上限温度を設定し、 この温 度を超える液体を浣腸又は洗腸液と して利用 しょ う とする と、 形状記憶 合金を用いたバルブ機構等によ り所定の温度以上では注入ができないよ う にする構造と し、 或いはサ一モスタ ツ ト等を利用 した電気制御によ り 注入ポンプが働かない、 途中のバルブを閉める、 高温液体を便器にバイ パスする等の安全シス テ ムを発案した。 Safety is the most important factor in enema devices, but two points are noted in this application. As a first point, the present application recommends hot water as an enema and intestinal wash, but there are few problems if all users are sure to keep the temperature around body temperature, but depending on the situation, By mistake of this, If you use hot water whose temperature is beyond the safe range for the human body, or try to use hot water at a dangerous temperature due to malfunctions caused by using an injection device of another system There are cases. The use of liquids at such temperatures can cause thermal injury, low-temperature burns, etc. in the anus and intestine, which can cause serious damage. Therefore, a safe upper limit temperature is set for the human body, and if a liquid exceeding this temperature is to be used as an enema or enema wash, injection will be performed above a certain temperature by a valve mechanism using a shape memory alloy. Or a safety system such as an infusion pump that does not work due to electrical control using a thermostat, closing a valve in the middle, or bypassing high-temperature liquid to the toilet. Came up with a solution.
第二点と しては、 浣腸液の注入圧力にある。 手動にて浣腸液を注入す る ものは、 その容量も少なく 比較的安全であるが、 動力を用いた液体容 量の多いものに於ては、 その使用実績が無く 、 どのよ う な注入方法を用 いるカヽ から考えなければならない。 そこで本願に於ては、 釣り 下げタ イブ、 即ち浣腸液の容器を肛門の位置よ り 高い位置に設置して、 水圧落 差によ り 浣腸液を注入する既存の安全性では定評のある定圧注入方式を 参考に機械化を行なった。 そして安全な浣腸液注入最高圧力を既存の釣 り 下げタイプの浣腸器具を参考に、 水柱にて約何ミ リ 、 或いは何センチ と設定する こ と によ り 、 関連の注入器具の各部分の必要強度が求められ る。 また浣腸補助具に於ても同様に浣腸液注入開始後どれく らいの時間 まで継続して液体注入が可能かが大まかに求められる。 そこで、 浣腸液 の注入時に手指にて押し圧動作の不要な、 動力手段と してパネの復元力 を利用 し、 シ リ ンダ一内のビス ト ンを駆動させて浣腸液を注入する注入 器具を発案し、 さ らにパネ力の変動による浣腸液注入速度の変動を軽減 させるために、 注入器具の流路に流速調整機能を付与したバルブを設置 した。また小型電動ポンプを用いる浣腸液容量の多い注入器具に於ては、 定容量式ポンプを用いずに回転数制御によ り 吐出圧力調整の可能な、 よ り 安全性の高い定圧力型ポンプの適用を発案した。 The second point is the injection pressure of the enema. Manual injection of enema is small in volume and relatively safe, but power-driven liquids with large liquid volumes have no track record of use. You have to think from the perspective of using Therefore, in the present application, the hanging type, that is, the container for the enema is placed at a position higher than the anus, and the enema is injected by the difference in water pressure. Mechanization was performed with reference to the injection method. By setting the maximum pressure for safe infusion of enema to about millimeters or centimeters in a water column, referring to the existing hanging-type enema, it is possible to reduce The required strength is required. Similarly, in the case of an enema assisting device, it is also necessary to roughly determine how long the liquid can be continuously injected after the start of the enema injection. Therefore, an injecting device that injects enema by injecting enema by injecting enema by using the restoring force of the panel as a power means that does not require a pressing action with the fingers when injecting the enema. In order to further reduce fluctuations in the enema fluid infusion rate due to fluctuations in the panel force, a valve with a flow rate adjustment function was installed in the flow path of the injection device. In addition, in the case of an injection device with a large enema volume using a small electric pump, A more secure constant-pressure pump that can adjust the discharge pressure by controlling the rotation speed without using a constant displacement pump was proposed.
本願に於ては、 利用者の使いやすさ と安全性の両立にも配慮し、 使い やすさの一つに、 近年著しく 普及しだした、 トイ レの温水洗浄器又は温 水洗浄便座を浣腸液、 洗腸液と してのお湯の供給源と して用いる為のィ ンタ 一 フェ ースを発案した。 こ こで トイ レの温水洗浄器を改造した既存 の他の発案について述べれば、 トイ レの温水洗浄器のノ ズル機構を応用 した、 温水浣腸式便座なる提案は以前に種々 なされているが、 そのどれ もが実用化していないのが現状である。 それらは肛門に浣腸液を挿入す る部分を機械機構を用いたもので、 基本的に状況判断が欠如していた。 即ち人体の肛門の位置をどのよ う に検知する力、、 肛門への揷入角度を ど うする力 、 肛門への挿入深さを どのよ う に決定するか、 使用者が浣腸中 に動く 場合もあり う るが、 この対策はどうするか、 肛門に疾患のある場 合や、 データの個人差と体調の違いによ る差を どのよ う に対処するか 等々、 費用的にも リ ス ク的にも問題が多かった。 そこで本願では温水洗 浄器からは温水の利用 と温水の開閉の信号授受のみを行ない、 浣腸補助 具を肛門に挿入する手段は手にて行な う方法を選択した。 そこで本願で は安全対策と して浣腸液の注入圧が一時的に設定値よ り 上昇した場合に. 瞬間的に流路の圧力が上昇する こ とを防ぐために温水洗浄器よ り供給さ れた温水の余剰圧分に相当する水量を便器内に緊急に排出する こ と によ つて、 瞬間的な高圧を防ぐ方法を発案した。 これは既存の温水洗浄器の 温水ポンプの吐出圧が浣腸用の注入器具に求められる圧力及び制御シス テムと違う為の措置である。  In the present application, taking into account both user's ease of use and safety, one of the eases of use is the enema of a hot water washing device or toilet seat for toilets, which has become extremely popular in recent years. An interface was devised for use as a source of hot water as a liquid and intestinal wash. Here, regarding other existing proposals for remodeling Toilet's hot water washer, there have been various proposals for a hot water enema-type toilet seat applying the nozzle mechanism of Toilet's hot water washer. At present, none of them has been put into practical use. They used a mechanical mechanism to insert the enema into the anus, and basically lacked situational judgment. That is, the user moves during the enema to determine how to detect the position of the anus in the human body, how to determine the angle of entry into the anus, and how to determine the depth of insertion into the anus. In some cases, this may be a costly risk, such as what to do with this measure, if you have an anus disease, or how to deal with individual and physical differences in data. There were also many problems in terms of work. Therefore, in this application, we selected only the method of using the hot water and sending and receiving the signal of opening and closing of the hot water from the hot water washer and manually inserting the enema aid into the anus. Therefore, in this application, as a safety measure, when the injection pressure of the enema fluid temporarily rises above the set value. It is supplied from the hot water washer to prevent the pressure in the flow path from rising momentarily. A method was developed to prevent instantaneous high pressure by urgently discharging the amount of water equivalent to the excess pressure of hot water into the toilet bowl. This is because the discharge pressure of the hot water pump of the existing hot water washer differs from the pressure and control system required for the injection device for enema.
さ らに注入器具内部及び温水洗浄器との接続に関して接続及び分離が 簡単な磁石式吸引接続法を採用 した。 また使い勝手の向上と して、 注入 器具の流路の中間から浣腸用の粉末の薬剤や食用油、 その他の浣腸用液 体薬剤等を加える こ とか可能な部分を設け、 浣腸時にお湯によって該薬 剤等が腸内に注入でき るよ う に配慮した。 また便秘の状況は千差万別で あるが、 特に S状結腸から直腸周辺に便が脱水固形化し、 癒着又は固着 した便秘に関しては、 そのほとんどが排便時にかかる現象が判断され、 そのままでは肛門から奥に浣腸液が注入できない場合がある。 このよ う な場合通常は摘便と称してゴム手袋を して指で肛門から直腸にかけて、 癒着或いは固着した便を摘出する場合も生じたが、 排出時に腸からの出 血を伴う こ と も多かった。 そこで本願では、 注入器具の持ち手の一部に 簡単な電磁振動装置を設け、 上記のよ う な患者に関 しては、 安全な範囲 にて低周波の振動を発振させる注入器具用の持ち手を用い、 振動用の浣 腸補助具を肛門に挿入、 先端を腸内で脱水固形化して腸壁と癒着又は固 着した便に接触させて、 比較的安全な範囲の振動を便に与えながら浣腸 液を少しずつ注入して行く機能を発案した。 In addition, a magnet-type suction connection method, which is easy to connect and disconnect with respect to the inside of the injection device and the connection with the hot water washer, was adopted. In addition, to improve usability, powder medicines for enemas, edible oils, and other liquids for enema are placed in the middle of the channel of the injection device. A part to which a body medicine or the like can be added was provided so that the medicine or the like could be injected into the intestine with hot water at the time of enema. The status of constipation varies widely, but in particular, constipation in which stool has dehydrated and solidified from the sigmoid colon to the vicinity of the rectum and has adhered or adhered is mostly determined to occur during defecation. The enema may not be injected into the back. In such cases, the stool that has adhered or adhered to the rectum may be removed with a finger from the anus to the rectum, usually with the aid of rubber gloves called stool removal, but blood discharge from the intestine often accompanies the discharge. Was. Therefore, in the present application, a simple electromagnetic vibration device is provided on a part of the handle of the injection device, and for a patient as described above, a holding device for the injection device that oscillates a low-frequency vibration within a safe range. Using a hand, insert a vibrating enema aid into the anus, dehydrate and solidify the tip in the intestine, and contact the stool that adheres or adheres to the intestinal wall, giving a relatively safe range of vibration to the stool While injecting the enema solution little by little while inventing.
また浣腸の中に座薬状の浣腸があるが、 そのよ う な座薬状浣腸を用い るための揷入補助具と して肛門内に挿入可能な長さ を有し、 互いにス ラ ィ ド可能な一方の外径が他方の内径よ り 小さな、 二重に重ねられたパイ プ構造の先端の凹みに座薬状浣腸を装着させ、 外側のパイ プを手で保持 して座薬状浣腸を肛門に挿入した後、 内部のパイプを押出すこ と によ り 先端の座薬状浣腸を手指を直接肛門に接触させる こ となく 腸内に押出 し 離脱が可能な機構を有し、 使用後はそのまま便器に廃棄可能な水に接触 する こ と による経時崩壊性、 又は生分解性、 又は水溶解性の材質にて構 成された注入器具を発案した。 図面の簡単な説明  There is also a suppository-shaped enema in the enema, but it has a length that can be inserted into the anus as an insertion aid for using such a suppository-shaped enema, and can slide each other. The outer diameter of one is smaller than the other, and the suppository enema is attached to the recess at the tip of the double-layered pipe structure, and the outer pipe is held by hand and the suppository enema is placed in the anus. After insertion, the internal pipe is pushed out to push the suppository enema at the tip into the intestine without touching the finger directly to the anus. An infusion device composed of a material that is disintegratable over time due to contact with disposable water, or that is biodegradable or water-soluble has been proposed. BRIEF DESCRIPTION OF THE FIGURES
第 1 図は、 本発明の一実施例の斜視図、  FIG. 1 is a perspective view of one embodiment of the present invention,
第 2 図は、 第 1 図の注入チューブの先端の斜視図、 第 3 図は、 第 1 図の リ モー ト分離機構の構成の斜視図、 FIG. 2 is a perspective view of the tip of the infusion tube of FIG. 1, FIG. 3 is a perspective view of the configuration of the remote separation mechanism of FIG. 1,
第 4図は、 人が立った状態での浣腸の状態図、  Fig. 4 shows the state of the enema with a person standing,
第 5図は、 人が便器に腰掛けた状態での浣腸の状態図、  Fig. 5 shows the state of the enema with a person sitting on the toilet,
第 6 図は、 浣腸補助具と注入チューブと の肛門周辺からの切離し状態 図、  Fig. 6 is a diagram showing the enema aid and the injection tube separated from around the anus.
第 7図は、 注入チューブ一体型浣腸補助具の一実施例の構成図、 第 8 図は、 第 7図の注入チューブの先端の構成図、  FIG. 7 is a configuration diagram of an embodiment of an infusion tube-integrated enema assist device, FIG. 8 is a configuration diagram of a tip of the infusion tube of FIG. 7,
第 9 図は、 第 7 図の注入チューブの切込み加工の構成図、  FIG. 9 is a configuration diagram of the cutting process of the injection tube of FIG. 7,
第 1 0図は、 リ ングカ ッターの斜視図、  FIG. 10 is a perspective view of a ring cutter,
第 1 1 図は、 浣腸補助具使用時の状態図、  Fig. 11 shows the state diagram when the enema aid is used,
第 1 2 図は、 基本的な浣腸補助具の構成図、  Fig. 12 is a schematic diagram of a basic enema aid,
第 1 3 図は、 第 1 2 図の浣腸補助具が肛門括約筋の圧力にて潰された 状態図、  Fig. 13 shows the state of the enema aid of Fig. 12 collapsed by the pressure of the anal sphincter,
第 1 4 図は、 人体臀部及び肛門形状変化の説明図、  FIG. 14 is an explanatory diagram of a change in the shape of the human buttocks and the anus
第 1 5 図は、 楕円形の挿入部分を有するひょ う たん形簡易浣腸器具の 斜視図、  FIG. 15 is a perspective view of a simple enema device with an elliptical insertion portion,
第 1 6 図は スライ ド式ガス排出機構の説明図 (平行スライ ド式)、 第 1 7図は スライ ド式ガス排出機構の説明図 (回転スライ ド式)、 第 1 8 図は スライ ド分離機構付の注入器具の断面図、  Fig. 16 is an illustration of a slide-type gas discharge mechanism (parallel slide type), Fig. 17 is an illustration of a slide-type gas discharge mechanism (rotary slide type), and Fig. 18 is a slide separation. Sectional view of an injection device with a mechanism,
第 1 9図は スライ ド分離機構付の注入器具の斜視図 (操作部分が円 盤形のもの)、  Fig. 19 is a perspective view of the injection device with a slide separation mechanism (the operation part is a disk type),
第 2 0図は 一体式浣腸器具の構成図、  Figure 20 is a block diagram of the integrated enema device,
第 2 1 図は、 一体式浣腸器具の変形例 (リ ング型押出 し機構付)、 第 2 2図は、 二重チューブスライ ド式分離機構の斜視図、  Fig. 21 is a modified example of an integrated enema device (with a ring type extrusion mechanism). Fig. 21 is a perspective view of a double tube slide type separation mechanism.
第 2 3 図は、 二重チューブスライ ド式分離機構を用いた浣腸器具の構 成図、 第 2 4図は、 液圧駆動式スライ ド機構の斜視図、 Figure 23 shows the configuration of an enema device using a double-tube slide separation mechanism. FIG. 24 is a perspective view of a hydraulically driven slide mechanism,
第 2 5 図は、 液圧駆動式スライ ド機構を用いた浣腸器具の構成図、 第 2 6 図は、 自立排便支援用又は介護用の浣腸補助具と二重チューブ スライ ド分離機構との接続図。  Fig. 25 shows the configuration of an enema appliance using a hydraulically driven slide mechanism, and Fig. 26 shows the connection between an independent enema aid for assisting in defecation or nursing care and a double tube slide separation mechanism. FIG.
第 2 7 図は、 自立排便支援用又は介護用の浣腸補助具の構成図、 第 2 8 図は、 自立排便支援用又は介護用の浣腸補助具の変形例 (衛生 隔離紙付)、  Fig. 27 is a block diagram of a self-sustaining defecation support or nursing care enema aid. Fig. 28 is a modified example of a self-sustaining defecation support or nursing care enema aid (with hygienic separator).
第 2 9図は、 介護用の浣腸補助具と浣腸液注入チューブとの切 り離し 離脱の説明図、  Fig. 29 is an illustration of the separation and separation of the care enema aid and the enema fluid injection tube.
第 3 0 図は、 止液ク リ ップと カ ッターを用いた切断分離の説明図、 第 3 1 図は、 ク リ ップ付カ ッ ター式分離器具の構成図、  Fig. 30 is an explanatory diagram of cutting and separating using a stationary liquid clip and a cutter. Fig. 31 is a configuration diagram of a cutter-type separating device with a clip.
第 3 2図は、 特殊介護用の浣腸補助具の斜視図、  Fig. 32 is a perspective view of a special care enema aid,
第 3 3図は、 パネ圧駆動式注入器具の断面図、  FIG. 33 is a cross-sectional view of the panel pressure-driven injection device,
第 3 4図は、 パネ圧駆動式一体型浣腸器具の斜視図、  FIG. 34 is a perspective view of a panel pressure-driven integrated enema device,
第 3 5 図は、 小型電動一体型浣腸器具の斜視図、  Fig. 35 is a perspective view of a small electric integrated enema device.
第 3 6 図は、 持ち手式注入器具の構成図、  Fig. 36 shows the configuration of the handle type injection device,
第 3 7 図は、 バイブレータ付持ち手式注入器具の使用状態図、 第 3 8図は、 温水洗浄器を利用 した持ち手式注入器具の構成図、 第 3 9 図は、 座薬状浣腸用注入器具の斜視図、  Fig. 37 is a diagram showing the use of a hand-held infusion device with a vibrator, Fig. 38 is a block diagram of a hand-held infusion device using a hot water washer, and Fig. 39 is an infusion for suppository enema. Perspective view of the instrument,
第 4 0図は、永久磁石を用いて接続する注入チューブの断面図である。 発明を実施するための最良の形態  FIG. 40 is a sectional view of an injection tube connected using a permanent magnet. BEST MODE FOR CARRYING OUT THE INVENTION
〔第 1 の形態〕  [First form]
以下、第 1 の実施の形態を第 1 図ないし第 6 図を参照しつつ説明する。 第 1 図において、 1 は浣腸補助具、 2 は腸內送液口である。 点線 3 は 内部にある生分解性プラスチッ クで出来たチューブであ り 、 供給口 5 か ら腸内送液口 2 まで浣腸液を送液する役割を果たす。 4 はこの生分解性 プラスチックで出来たチューブの中にある逆止弁で、 構造的には自転車 に使われている空気抜け防止チューブと同様である。 6 は取手であり 、 浣腸補助具 1 を肛門に挿入する と きに手で持つ部分である。 7 は紙で出 来た衛生隔離紙である。 この衛生隔離紙 7 は、 利用者が浣腸補助具 1 を 肛門に挿入する時に手が肛門の周囲の尻の皮膚に直接接触しないよ う に 設けている。 8 は浣腸補助具 1 の供給口に装着する注入チューブの先端 部である。 9 は使用後浣腸補助具 1 と注入チューブ 8 と を切離すリ モー ト分離チューブであり 、 1 0は リ モー ト分離機構、 1 1 は リ モー ト分離 レバ一である。 1 2 は乾電池にて動作する小型電動ポンプである。 1 3 は同スィ ッチで利用者が押している と きだけポンプは運転される。 1 4 は水、 湯、 その他浣腸薬液を入れる浣腸液容器であり 、 通常容量は 1 リ ッ トル程度を 目安とする。 Hereinafter, the first embodiment will be described with reference to FIGS. 1 to 6. In FIG. 1, 1 is an enema assisting device, and 2 is an intestinal infusion port. Dotted line 3 is the tube made of biodegradable plastic inside, and the supply port 5 It plays the role of feeding the enema to the intestinal fluid inlet 2. 4 is a check valve in the tube made of biodegradable plastic, which is structurally similar to the air bleed prevention tube used in bicycles. Reference numeral 6 denotes a handle, which is a part held by hand when inserting the enema aid 1 into the anus. Numeral 7 is a sanitary separation paper made of paper. The sanitary separator 7 is provided so that when the user inserts the enema aid 1 into the anus, the hand does not directly contact the skin of the buttocks around the anus. Reference numeral 8 denotes the tip of the injection tube attached to the supply port of the enema aid 1. Reference numeral 9 denotes a remote separation tube for separating the enema assisting device 1 from the infusion tube 8 after use, 10 denotes a remote separation mechanism, and 11 denotes a remote separation lever. 1 2 is a small electric pump operated by a dry battery. In the case of 13, the pump is operated only when the user presses the switch. Reference numeral 14 denotes an enema container for holding water, hot water, and other enema liquids, and the standard capacity is usually about 1 liter.
更に詳述する と、 浣腸補助具 1 の肛門挿入側は表面を生分解性プラス チッ クでコーチングされ、 その肛門挿入側表面が濡れても水分が直ぐ浸 透しない構造になっている。 浣腸補助具 1 の生分解性プラスチック以外 の部分は、 パルプで形成され、 適度な硬さ と弾力性を有している。 また、 浣腸補助具 1 の大き さは水洗 トイ レにて流せる大き さに構成されている。 また 8 の注入チューブ先端の斜視図を第 2 図に示す。 第 2図 Aの 1 5 は高密度スポンジであ り 、 注入チューブの先端 8 に挿入して、 使用後チ ユ ーブを浣腸補助具 1 から分離したと きに内部に貯まった液体が漏れる のを防ぐものである。 第 2図 Bの 1 6 は押圧面積拡大用 リ ングである。 さ らに 1 0 の リ モー ト分離機構の斜視図を第 3図に示す。 第 3図 Aの左 側部分は リ モー ト分離チューブ 9 のポンプ側の端部に圧着される。また、 第 3 図 B のパーツは、 注入チューブ 8 の上に被せて接着される。 そ して、 第 3 図 B のパーツを第 3 図 Aのパーツの中に挿入する。 第 3図 B のパ一 ッの レバ一 1 1 が、 第 3 図 Aのパーツのク ランク状ス リ ッ トを通る様に 組み立てたものが第 3 図 Cのアセンブリ である。 第 3図 Aのパーツ と第 3図 Bのパーツ との間には図示しないパネが介挿されてお り 、 矢印の様 にレバ一 1 1 を近づける操作して手を離すと、 パネ力にて レバ一 1 1 が 原位置に復帰する様になつている。 注入チューブ 8 と浣腸補助具 1 を接 合させる と きは、 第 3 図 Aのパーツのク ランク状ス リ ッ トに第 3 図 Bの パーツのレバー 1 1 を引っ掛けてロ ック し、 この状態で注入チューブ 8 の先端部が浣腸補助具 1 の側に剥き出すよ う にする。 浣腸補助具 1 を注 入チューブ 8 から切り離すと きは、 両パーツの口 ック を外してバネ力に よ り レバ一 1 1 を原位置に復帰させ、 この動作に伴って注入チューブ 8 の先端部が リ モー ト分離チューブ 9 の先端に一致する よ う にする。 この と き、 浣腸補助具 1 の供給口 5 は、 押圧面積拡大リ ング 1 6 にぶつかつ て、 注入チューブ 8 の先端から抜けるので、 浣腸補助具 1 と注入チュー ブ 8 とが分離される。 More specifically, the anal insertion side of the enema aid 1 is coated with a biodegradable plastic on the surface, so that even if the surface on the anal insertion side is wet, moisture is not immediately permeated. The part of the enema aid 1 other than the biodegradable plastic is made of pulp and has appropriate hardness and elasticity. The size of the enema assisting device 1 is designed to be large enough to be flushed with a flushing toilet. Fig. 2 shows a perspective view of the tip of the 8 injection tube. Reference numeral 15 in FIG. 2A denotes a high-density sponge, which is inserted into the tip 8 of the injection tube, and the liquid stored inside leaks when the tube is separated from the enema aid 1 after use. It is to prevent. Reference numeral 16 in FIG. 2B denotes a ring for expanding the pressed area. FIG. 3 is a perspective view of the remote separation mechanism 10. The left part of FIG. 3A is crimped to the pump-side end of the remote separation tube 9. Also, the parts in FIG. 3B are adhered over the injection tube 8. Then, insert the parts shown in Fig. 3B into the parts shown in Fig. 3A. Fig. 3 B The assembly shown in Fig. 3C is constructed by assembling the levers 11 through the crank-shaped slit of the parts shown in Fig. 3A. A panel (not shown) is interposed between the parts shown in Fig. 3A and the parts shown in Fig. 3B. Lever 1 1 1 returns to its original position. When joining the infusion tube 8 and the enema assisting device 1, hook the lever 11 of the part of Fig. 3B on the crank-shaped slit of the part of Fig. 3A and lock it. In this state, the tip of the injection tube 8 should be exposed to the side of the enema aid 1. When disconnecting the enema aid 1 from the injection tube 8, remove the locks on both parts and return the lever 1 1 to its original position by spring force. With this operation, the tip of the injection tube 8 Make sure that the part matches the end of the remote separation tube 9. At this time, the supply port 5 of the enema assisting tool 1 hits against the pressing area expanding ring 16 and comes out of the tip of the injection tube 8, so that the enema assisting tool 1 and the injection tube 8 are separated.
利用者が立った状態にて手動ポンプにて浣腸を行なっている浣腸ィ メ —ジ図を第 4図に示す。 さ らに利用者が洋式 トイ レに腰掛けた状態にて 手動ポンプにて浣腸を行なっている浣腸イ メ ージ図を第 5 図に示す。 さ らに利用者が浣腸終了後、 浣腸捕助具と注入チューブと を切離すィ メ ー ジ図を第 6図に示す。  Fig. 4 shows an enema image in which the user performs enema with the manual pump while standing. Fig. 5 shows an enema image of a user performing enema using a manual pump while the user is sitting on a Western style toilet. Figure 6 shows the image of the user separating the enema catcher and the injection tube after the end of the enema.
こ こで、 生分解性プラスチック に関しては、 現在多く の商品が市販さ れてお り 、 ポリ ヒ ドロキシブレー ト、 ポリ 一 /3 — ヒ ドロキシ酪酸、 ポリ 力プロ ラク ト ン、 ポリ エチレンサク シネー ト、 ポリ 乳酸ポ リ ビュルアル コール、 酢酸セルロ ース、 変性でんぷん等が本実施例に使用される。 〔第 2 の形態〕  Many biodegradable plastics are now on the market, including polyhydroxylate, poly (1 / 3-hydroxybutyrate), poly (lactic acid), poly (ethylene succinate), and poly (ethylene succinate). Polylactic acid polyvinyl alcohol, cellulose acetate, modified starch and the like are used in this example. [Second embodiment]
次に、 本発明の第 2 の実施の形態を第 7 図ないし第 1 1 図を参照しつ つ説明する。 第 7 図は、 本発明の一実施例を示す構成図である。 1 0 0 1 はパルプを主体に作られた浣腸補助具の肛門揷入部分である。 1 0 0 2 は分解性の樹脂によって作られた浣腸液注入チューブである。 注入チ ユ ーブ 1 0 0 2 は肛門挿入部の点線に示された部分まで一本のチューブ で作られている。 1 0 0 3 は浣腸捕助具を肛門に挿入する時に手指が直 接肛門周辺に接触しない様な衛生隔離紙である。 1 0 0 4 は浣腸液の手 動ポンプ、 小型電動ポンプ、 或いは市販の浣腸と の接続のためのァダプ ターである。 分解性樹脂の注入チューブ 1 0 0 2 の先端は第 8 図 Aの様 に、 逆流防止機能を付与するために、 逆止弁機能を有する短い逆止チュ —ブ 1 1 0 1 にて覆う 力 、 第 8 図 B の様な先端を閉塞させた逆止作用を 端末処理したチューブを用いている (符号 1 1 0 2 )。 Next, a second embodiment of the present invention will be described with reference to FIGS. 7 to 11. I will explain. FIG. 7 is a configuration diagram showing one embodiment of the present invention. 1001 is an anus insertion part of an enema aid made mainly of pulp. 1002 is an enema infusion tube made of a degradable resin. The injection tube 1002 is made of a single tube up to the portion indicated by the dotted line of the anal insertion part. Reference numeral 1003 is a hygienic separator paper so that fingers do not directly touch the periphery of the anus when the enema trap is inserted into the anus. Reference numeral 104 denotes a manual pump for enema, a small electric pump, or an adapter for connection with a commercially available enema. As shown in Fig. 8A, the tip of the decomposable resin injection tube 1002 is covered with a short non-return tube 1101 having a check valve function to provide a backflow prevention function. As shown in Fig. 8B, a tube with a non-return action with a closed end is used (reference numeral 1102).
さ らに肛門の挿入部分を浣腸液注入時に僅かに膨張させて大き く する ため、 肛門挿入部分 1 0 0 1 の先端近傍において、 第 9図のよ う にチュ —ブ 1 0 0 2 に内部の通路まで切込み 1 1 0 3 を入れて、 浣腸液の注入 時に液の一部がパルプ側に漏れて円方向に圧力が加わるよ う になってい る。 又必要に応じて、 パルプ部分に注水発泡剤を加えて膨張の補助に利 用する。  In addition, in order to enlarge and expand the insertion part of the anus slightly at the time of injecting the enema, the inside of the tube 100 near the tip of the insertion part 1001 as shown in Fig. 9 was used. A cut is made to the passage of, and when the enema is injected, a part of the liquid leaks to the pulp side and pressure is applied in the circular direction. If necessary, add a water injection foaming agent to the pulp portion to assist in expansion.
また、 注入チューブ 1 0 0 2 の切離し切断には、 第 1 0図の様な リ ン グ 1 1 0 7 の中にカ ッターの可動刃 1 1 0 6 を有する物を用いる。 先に カ ッター リ ング 1 1 0 7 の中に注入チューブ 1 0 0 2 を通して力 >ら、 浣 腸液の注入を行い注入終了後に力 ッター リ ングを出来るだけ肛門近傍に 移動させ、 肛門から 1 0 c m前後の力所にてチューブを切断し作業を終 了する。 後は利用者が自 らお腹に腹圧を掛けて排便と同時に肛門に挿入 されていた浣腸補助具を便器に廃棄すれば終了である。 この切断の様子 を第 1 1 図に示している。  In addition, for separating and cutting the injection tube 1002, a material having a movable blade 1106 of a cutter in a ring 1107 as shown in FIG. 10 is used. First, inject the enema into the cutter ring 1 1 0 7 through the injection tube 1 0 2, and after the injection, move the power ring as close to the anus as possible. Cut the tube at a force point of about cm and finish the work. The procedure is completed when the user puts abdominal pressure on his / her stomach and discards the enema aid inserted into the anus simultaneously with defecation. Figure 11 shows this cutting.
こ こで、 浣腸補助具の肛門挿入部分 1 0 0 1 は、 表面に分解性樹脂に よるコ一ティ ングを施していたが、 分解性チューブと一体成型となった ため、 パルプ材の密度調整や別の表面処理によ り樹脂コーティ ングは必 ずしも必要ではない。 肛門揷入部分は浣腸液注入から 2 0分程度、 その 形状が維持される仕様にて製作されている。 Here, the anal insertion part 1001 of the enema aid is made of degradable resin on the surface. However, resin coating is not necessarily required by adjusting the density of the pulp material or performing another surface treatment because it is integrally molded with the degradable tube. The anus insertion part is manufactured with specifications that maintain its shape about 20 minutes after the injection of the enema.
〔第 3 の形態〕 [Third form]
続いて、 本発明の第 3 の実施の形態を第 1 2 図ないし第 4 0 図を参照 して説明する。 第 1 2図は、 最も基本的な形状の浣腸補助具の斜視図で ある。 2 0 0 1 は浣腸液を腸内に注入する為の腸内送液口、 2 0 0 2 は 浣腸補助具の本体、 2 0 0 3 の点線の部分は内部の液体流路、 2 0 0 4 は注入器具の接続パイプに装着する接続口である。 浣腸補助具 2 0 0 2 の材質に関しては基本的に水分と接触する こ と によって経時的にその強 度が低下し、 形状が崩壊して行く 材質を選定している。 それらは ト イ レ の排水路において完全に溶解又は崩壊する ものと、 細菌やバクテ リ アの 働きによ り 生分解する ものがある。 また水と特殊な結合をする水和膨潤 作用を有する ものがある。 本願では上記の二つの性質を併せ持つものを 推奨している。 浣腸補助具 2 0 0 2 の求められる大き さ及び形状は上記 の性状によって左右されるが、 通常の水洗 ト イ レに用いる場合には、 通 常人が排泄する糞弁の最大多き さ以内に設定される。 パイ プ状又はチュ —ブ状の浣腸補助具 2 0 0 2 と して、 第一に素材と してゼラチン又はパ ルプを素材と して採用 した。 ゼラチンに関 してはその特性及び加工方法 の詳細が各企業によ り 公表されており 、 各種のゼラチン及び調整品が製 品化されているが、 熱処理等によ り 、 その固さや柔軟性を自 由に設定で きるばかり でなく 、水和膨潤性を利用 した使いやすい浣腸補助具と した。 ゼラチンはコラーゲンから作られており 、 その成分のほとんどは蛋白質 であ り 、 生分解性である。 通常ゼラチンの強度調整はグリ セ リ ン等の添 加量等で調整される。 またパルプは通常はバイ ンダー と称する各種添加 材を用いて紙等を製造しているが、 本願では含水時の崩壊性又は分解性 向上のために、 こ う した物を省いて、 モール ド工法にてパイプ形状を作 り 上げている。 さて、 ゼラチンの持つ加工性の良さ、 即ち加熱冷却によ り何度でも融かしたり 固めた り でき る性質を利用 して、 第 1 2図の浣腸 補助具 2 0 0 2 を製造した場合に次に問題と なるのが、 経時性の設定と 使いやすさの点であるが、 本願に於ては、 特に断らない限り 、 浣腸液の 注入圧を水柱にて約 1 0 0 O m mと想定して浣腸補助具 2 0 0 2及び注 入器具を設計している。 これらは既存の釣り 下げタイプの浣腸器具に於 ける落差を参考に安全性にて実績のある値を採用する こ と によ り 、 十分 な浣腸の注入圧を確保した上で、 既存の安全確認のデータをそのまま利 用でき る と言う 点に着目 した。 Subsequently, a third embodiment of the present invention will be described with reference to FIG. 12 to FIG. FIG. 12 is a perspective view of the most basic shape of an enema assisting device. Reference numeral 2001 denotes an intestinal infusion port for injecting an enema into the intestine, reference numeral 2002 denotes a body of an enema assisting device, and reference numeral 2003 denotes a liquid flow path inside the dotted line. Reference numeral 4 denotes a connection port to be attached to the connection pipe of the injection device. Regarding the material of the enema aid 2002, the material whose strength is reduced over time due to contact with moisture and whose shape collapses is basically selected. They can be completely dissolved or disintegrated in toilet drains, or they can be biodegraded by the action of bacteria or bacteria. Some have a hydration swelling action that forms a special bond with water. In the present application, those having both of the above two properties are recommended. The required size and shape of the enema assist device 200 depends on the above properties, but when used for a normal flushing toilet, it should be set within the maximum size of the fecal valve normally excreted by humans. Is done. As a pipe-shaped or tube-shaped enema assisting device, first, gelatin or pulp was used as the material. Regarding gelatin, the details of its properties and processing methods have been published by each company, and various gelatins and prepared products have been manufactured. Not only can it be set freely, but also as an easy-to-use enema aid utilizing hydration swelling. Gelatin is made from collagen, and most of its components are proteins, which are biodegradable. Normally, the strength of gelatin is adjusted by adding glycerin, etc. It is adjusted by the amount added. In addition, pulp is usually manufactured using various additives called binders, but in the present application, in order to improve disintegration or decomposability when wet, such materials are omitted and the molding method is omitted. The shape of the pipe is created by. Now, when the enema assisting device 200 shown in Fig. 12 is manufactured using the good processability of gelatin, that is, the property that it can be melted and hardened many times by heating and cooling. The next problem is the setting of the aging property and the ease of use.In the present application, unless otherwise specified, the injection pressure of the enema is about 100 Omm at the water column. The enema assisting device 200 and the injection device are designed on the assumption. These values are based on the safety of the existing dropping type enema instruments, and by adopting values that have been proven in safety, ensuring sufficient enema injection pressure and confirming the existing safety We paid attention to the fact that the data of the above can be used as it is.
次に通常の使用者の浣腸液注入に関わる時間を調査したと ころ、 ほと んどが注入開始から数分以内にて浣腸液の注入を終わらせている。 従つ て第 1 2図の浣腸補助具に於ては、 肛門に挿入される部分のチューブ状 の肉厚を適宜な強度に耐え う る範囲にて薄く し、 肛門に挿入する前に、 その先端付近を水又はお湯にて浸 し、 膨潤作用によって表面が潤滑しや すく して、 肛門に挿入し、 次に浣腸液を注入する様にした。 さ らに、 浣 腸補助具の強度を調整する こ と によ り 、 第 1 3 図に示される様に肛門に 挿入された部分の一部が温度上昇とゼラチンの膨潤作用による強度低下 と肛門の括約筋の収縮作用によって、 潰れる こ と によ り 、 浣腸補助具 2 0 0 2 を肛門から抜く 場合、 或いはそのまま肛門に残置させたまま注入 器具と切り離し離脱させた場合の肛門外への浣腸液の液漏れを防ぐ特性 にさせた。 ただし利用者が肛門に痔等の疾患を持っていた り 、 又個人差、 体調の差があるので、 その場合には、 個人差に応じてサイ ズ又は肉厚、 材質特性の異なるタイ プの浣腸補助具を使用する。 また使用前に水又は お湯に浸す時間を調整するこ とによつても、 上記性状を調整する こ とが 可能である。 また浣腸補助具と注入器具と の接続は注入器具がわの接続 パイプを浣腸補助具の接続口に差し込むよ う に接続を しており 、 両者の 密着性にて保持されるよ う に、 注入器具側の接続パイプの外径は浣腸補 助具の接続口 よ りやや太く なつて、 浣腸液注入後に浣腸補助具を引き抜 き離脱させる時まで必要な摩擦力を維持させている。 また浣腸補助具の 全体的な強度は通常の医療用具に使用されているポ リ エチ レン、 ポリ塩 ィ匕ビニール、 シ リ コ ン等の樹脂製品に比較して弱く できているが、 本願 は上述の様に逆に強度の低下を安全性と使いやすさの向上に適用 した。 また、 長さの長い浣腸補助具を使用 して、 体温程度のお湯を浣腸液と し て用いる場合には、 肛門に挿入する と きは適度な固さにて、 挿入しやす く 、 浣腸液を注入後に浣腸補助具を肛門から抜く と きには、 温度上昇と 膨潤性によ り 、 柔らかく 、 肛門内の直腸の中心線と浣腸補助具の揷入部 分の中心線が一致しやすく 、 浣腸補助具と肛門、 直腸と の隙間が生じに く い特性のものと なる。 パルプにてパイプ状の浣腸補助具を製造する場 合は、 パルプの素材をそのまま或いは適宜な添加剤を少量使用 して、 モ 一ル ド工法にてパイプ状又は半割 り パイ プ状の浣腸補助具を作り接合成 型した後、 融かしたゼラチンに適宜に浸し、 内部の液体通路と表面にゼ ラチンの皮膜を作り浣腸補助具とする。 Next, when investigating the time involved in injecting enema in normal users, most of them finished infusion within a few minutes from the start of infusion. Therefore, in the enema aid shown in Fig. 12, the tube-shaped wall of the part to be inserted into the anus should be thinned to the extent that it can withstand the appropriate strength, and before insertion into the anus, The area near the tip was immersed in water or hot water, and the surface was easily lubricated by the swelling action, inserted into the anus, and then the enema was injected. Further, by adjusting the strength of the enema assist device, a part of the part inserted into the anus as shown in Fig. 13 was heated and the strength decreased due to the swelling effect of gelatin, and Enema from the anus when the enema aid 200 is pulled out of the anus due to the collapse of the sphincter muscle due to the contraction of the sphincter, or when the enema aid is removed from the anus and detached from the infusion device while leaving it in the anus. To prevent liquid leakage. However, if the user has a disease such as hemorrhoids in the anus, or if there are individual differences and physical conditions, in that case, the type or size or thickness and material characteristics differ according to individual differences. Use an enema aid. Before use The above properties can also be adjusted by adjusting the time of soaking in hot water. In addition, the connection between the enema assisting device and the injection device is made such that the connecting pipe of the injection device is inserted into the connection port of the enema assisting device, and the injection is performed so that the two are held in close contact with each other. The outer diameter of the connection pipe on the instrument side is slightly larger than the connection port of the enema aid to maintain the necessary frictional force until the enema aid is pulled out and removed after injecting the enema. In addition, the overall strength of the enema aid is weaker than resin products such as polyethylene, polyvinyl chloride, and silicone used in ordinary medical devices. Conversely, as described above, the reduction in strength was applied to improve safety and usability. In addition, when using a long enema assisting device and using hot water at about the body temperature as the enema, it is easy to insert with an appropriate hardness when inserted into the anus. When the enema aid is pulled out of the anus after injection, the temperature rise and swelling tend to make the center line of the rectum in the anus softer and the center line of the insertion part of the enema aid easier to match. It has characteristics that hardly create a gap between the assistive device and the anus and rectum. When manufacturing a pipe-shaped enema assisting device from pulp, use the pulp material as it is or use a small amount of appropriate additives and mold or pipe-type enema using a mold method. Auxiliary device is made and made by injection molding, then immersed appropriately in melted gelatin, and a gelatin film is formed on the inner liquid passage and surface to form an enema auxiliary device.
上記以外の材質の利用に関しては、 先ずポリ ビュルアルコールが上げ られるが、 加工法、 素材及び複合材の特性に関しては広く 関連企業よ り 公表されており 、 医療用具等にも用いられているが、 本願の様な用途に 於ては、 該素材は一般的に焼却処分を推奨されているので、 少量の使用 の目的か水洗以外の トイ レの使用に想定している。 また、 各種生分解性 プラスチック に関しては、 現在生産されている もののほとんどは硬質の 物で、 パイプ状の浣腸補助具に利用される。 また今後生産される ものと しては柔らかいチューブ状に加工できるものがあるが、詳細に関しては、 現状に於て、 各企業の秘密保持事項の範囲に含まれるため、 説明を省略 する。 ただし現状の生分解性のプラ スチッ ク の分解時間に関しては、 土 中分解に於て、 膜状の物で最短一週間程度と言われている。 Regarding the use of materials other than the above, firstly, polybutyl alcohol is used.However, processing methods, materials and properties of composite materials have been widely announced by related companies, and they are also used for medical devices, etc. In applications such as the present application, the material is generally recommended to be incinerated, so it is assumed that it will be used for small amounts or for use other than water washing. Most of the biodegradable plastics that are currently produced are hard and used for pipe-shaped enema aids. And what will be produced in the future Some of them can be processed into a soft tube shape, but the details are omitted because they are currently within the scope of confidentiality of each company. However, it is said that the decomposition time of the current biodegradable plastic is at least about one week for a film-like substance in soil decomposition.
第 1 4図は人体の臀部を下から見た、肛門形状の変化の説明図である。 肛門が閉 じられている状態に於ては、 健康人の場合は 2 0 0 5 に図示さ れている よ う な線分の様な形になる。 排便等にて僅かに開き始める と 2 0 0 6 の様に形で言えば楕円形と なる。 さ らに太さの太い便を排便する と きは 2 0 0 7 の様に円形に近く なる。これは肛門の筋肉の特性である。 2 0 0 7 の様な円形が収縮しても決して点状には収縮しないのである。 ただし、 腸内に関しては便が滞留していた りするので、 円形に近く なる が、 状況に応じて様々な形状を有する。 こ こで浣腸器具においては通常、 肛門に挿入する部分はそれほど挿入深さがなく 、 また肛門の閉 じた状態 から揷入するために、 挿入部分の太さ も細く できている。 このよ う な場 合に於て、浣腸補助具の一部の断面形状に 2 0 0 8 の様な円形ではなく 、 2 0 0 9 の楕円形の断面を有する浣腸補助具を方向性を間違わずに使用 すれば、 2 0 0 6 の肛門が僅かに開いた形状と形状近似する為に、 隙間 ができにく く なる。 この楕円断面形状を有する浣腸補助具を使用する と きは、 お し り の割れ目方向と楕円の長手方向を合わせるよ う に肛門に挿 入する。 また注入器具にも、 どの方向に浣腸補助具を取付けて、 どのよ う に挿入するかが分かり 易いよ う に、 目印を付け、 取付け方向、 持ち手 方向を指定する。 但し、 円形の断面の浣腸補助具に於ても、 その太さ を 僅かに太く して、 浣腸液流路の中心側を固く 、 肛門、 直腸に接触する外 側を柔らかく 、 人体ゼラチン以下の強度に仕上げれば、 様々な肛門断面 形状にも適応しやすく なる。 第 1 5図は簡易型浣腸のひよ う たん型浣腸 器で肛門挿入部分の一部の切断面が楕円形を してお り 、 楕円の長手方向 を人体の前後方向にあわせて肛門に挿入し、 浣腸液注入後に抜き取り 離 脱を行な う。 FIG. 14 is an explanatory diagram of a change in the shape of the anus when the buttocks of the human body are viewed from below. When the anus is closed, a healthy person will have a shape similar to the line segment shown in figure 205. If it starts to open slightly due to defecation or the like, it will be an ellipse if it is expressed in the form of 2006. When defecation of a thicker stool is performed, the shape becomes closer to a circle like 2007. This is a characteristic of the anal muscle. Even if a circle such as 207 shrinks, it never shrinks like a dot. However, the stool may stay in the intestine, so it may be close to a circle, but may have various shapes depending on the situation. Here, in an enema device, the portion to be inserted into the anus is usually not so deep, and the insertion portion is also made thinner in order to insert from the closed state of the anus. In such a case, the enema assisting device having an oval cross section of 209 instead of a circular shape such as 208 in the cross-sectional shape of a part of the enema assisting device is misdirected. If used without it, a gap would be difficult to create because the shape of the anus at 206 would approximate the slightly open shape. When using an enema assisting device having this elliptical cross-section, insert it into the anus so that the direction of the crack in the hip matches the longitudinal direction of the ellipse. Also, place a mark on the injection device so that it is easy to understand in which direction the enema aid is attached and how to insert it, and specify the mounting direction and handle direction. However, even in the enema assisting device having a circular cross section, the thickness of the enema assisting device is slightly increased so that the center side of the enema fluid flow path is hardened, the outer side in contact with the anus and rectum is soft, and the strength is less than that of human gelatin. If finished, it will be easier to adapt to various anal cross-sectional shapes. Fig. 15 shows a simple type of enema, which is a simple enema and has a partially cut elliptical cut surface at the anus insertion part. Is inserted into the anus according to the anterior-posterior direction of the human body, and then withdrawn and removed after injecting the enema.
浣腸を行な う と きの直腸及び S状結腸周辺に充満したガスの排出用に 第 1 6 図に示す気体排出機構がある。 これは注入器具の流路パイプ 2 0 1 4 の一部に気体を排出する為の排気口 2 0 1 5 を作り 、 2 0 1 4 の外 径がその内径にほぼ均しく 互いにスライ ド可能でスライ ド面の気密性を 保てる開閉バルブ用パイ プ 2 0 1 6 を装備する。 そ して、 浣腸補助具を 注入器具に装着して肛門に挿入し、 浣腸液を注入する前に、 該排気口 2 0 1 5 を開いておき、 腸内に充満して排便に影響するガス 2 0 1 7 を排 出する。 次に、 開閉バルブ用パイプ 2 0 1 6 を排気口を閉 じる方向に操 作して排気口 を閉 じ、 流路の気密性を保った上で 2 0 1 8 の浣腸液を腸 内に注入する ものである。 第 1 7図は同 じ機構で回転式と し、 外側の開 閉バルブ用パイプにも排気の為の穴を空け内側の穴と外側の穴が重なつ た状態にて排気が可能と な り 、 双方の穴が互いに重ならない状態にて排 気が閉 じられる。 通常排気部分にはアルミ合金性やステン レス等のパイ プが使われるが、 樹脂性のパイプを用いる こ と もでき る。 相互のパイプ のス ライ ド面には気密性向上と摩擦軽減の為に適当な潤滑材を封入して いる。またス ライ ド動作は手動式注入器具に於ては手動にて開閉するが、 電動式等ではパワースライ ド機構によ り浣腸液の注入操作をする と 自動 的に排気口が閉 じるよ う に操作される。 パワー機構と しては、 液圧を用 いてスライ ドさせる ものと小型モータ又は単純な電磁石の吸引力を用い たもの等が採用 される。 液圧を利用 したものは注入器具の流路の途中に ビス ト ンバルブを設け、 このバルブを液圧にて操作しないとその後の流 路に浣腸液が送り 込まれないよ う な構造と し、 このビス ト ンバルブの動 き と気体の排出開閉用パイプの動きを機械的に リ ンク させる こ と によつ て注入操作、 即ち、 排気口の切替え操作に リ ンク させている。 また該排 気口 は腸内に充満したガスの排出だけでなく 、 浣腸液注入初期の流路に 在籍した空気の外部排出にも使用する こ とができ る。 There is a gas discharge mechanism shown in Fig. 16 for discharging gas filled around the rectum and sigmoid colon when performing an enema. This is to create an exhaust port 210 for discharging gas in a part of the flow path pipe 210 of the injection device, and the outer diameter of 210 is almost equal to its inner diameter so that they can slide with each other. Equipped with a pipe for open / close valve that maintains airtightness of the slide surface. Then, before inserting the enema solution, attach the enema assisting device to the infusion device and insert it into the anus. Before injecting the enema, open the exhaust port 201 to allow the gas to fill the intestine and affect defecation. Discharge 2 0 1 7. Next, operate the opening / closing valve pipe 201 in the direction to close the exhaust port, close the exhaust port, and maintain the air-tightness of the flow path, and then put the enema in the intestine into the intestine. Is to be injected. Fig. 17 shows the same mechanism as the rotary type.Exhaust holes can also be made in the outer open / close valve pipe, and exhaust can be performed with the inner and outer holes overlapping. The exhaust is closed with both holes not overlapping each other. Usually, pipes made of aluminum alloy or stainless steel are used for the exhaust part, but resin pipes can also be used. A suitable lubricant is sealed on the slide surface of each pipe to improve airtightness and reduce friction. In addition, the slide operation is manually opened and closed in a manual injection device, but in the case of an electric motor, the exhaust port is automatically closed when the enema is injected by the power slide mechanism. It is operated as follows. As the power mechanism, a mechanism that slides using hydraulic pressure, a mechanism that uses a small motor or a simple electromagnet, and the like are employed. For those that use hydraulic pressure, a stone valve is provided in the middle of the flow path of the injection device, and unless this valve is operated with hydraulic pressure, the enema will not be sent to the subsequent flow path, By mechanically linking the movement of the piston valve and the movement of the gas discharge opening / closing pipe, the injection operation, that is, the switching operation of the exhaust port, is linked. In addition, The vent can be used not only for the discharge of gas filled in the intestine, but also for the external discharge of the air enrolled in the channel at the beginning of the enema injection.
第 1 8 図は浣腸補助具の使用後に手指等にて浣腸補助具を直接さわら ないで、 押出 し離脱が行なえるスライ ド機構付注入器具の説明用の断面 図である。 接続パイプ 2 0 1 9 が浣腸補助具 2 0 0 2 の接続口 2 0 0 4 に挿入接続されているので、 使用後にスライ ド機構 2 0 2 0 を指にて押 出 し操作する こ と によって浣腸補助具を押出 し離脱させる為の基本構造 である。 2 0 2 1 は注入器具用のチューブで電動注入器等からの浣腸液 を接続パイプまで送液する 目的のものである。 またスライ ド機構と接続 パイ プとのスライ ド面には潤滑材を塗布している。 第 1 9 図は同スライ ドの押出 し操作部分が円盤状を したスライ ド機構付注入器具の斜視図で ある。  Fig. 18 is a cross-sectional view for explaining an injection device with a slide mechanism that can be pushed out and removed without directly touching the enema aid with fingers after using the enema aid. Since the connecting pipe 200 is inserted and connected to the connecting port 204 of the enema aid 200, the slide mechanism 202 is pushed out with a finger after use to operate it. This is the basic structure for pushing out and removing the enema aid. Numeral 2021 is a tube for an injection device for the purpose of sending enema from an electric injector to a connection pipe. A lubricant is applied to the slide surface of the slide mechanism and the connection pipe. Fig. 19 is a perspective view of an injection device with a slide mechanism in which the slide operation portion of the slide has a disk shape.
第 2 0図は手動型の一体式浣腸器具の構成図である。 ポ リ エチ レン又 はポ リ塩化ビニール等の蛇腹式浣腸ポンプ 2 0 2 2 のネジ式お湯充填口 2 0 2 3 を回 して上部を開け、 開口部から体温程度のお湯を充填する。 さ らに必要に応じてオリ —ブ油、 胡麻油等の食用油を少量加え、 再び 2 0 2 3 のネジを回 して蓋を して、 浣腸補助具分離機構 2 0 2 4 の先端に ある、 図示を省略されている接続パイプに浣腸補助具 2 0 0 2 を装着す る。 この時、 楕円断面形状の浣腸補助具 2 0 0 2 を使用する場合は、 予 め持ち手方向 と浣腸補助具の楕円の長手方向が自分の前後方向になる よ う に浣腸補助具 2 0 0 2 を注入器具に装着する。 次に利用者は浣腸補助 具 2 0 0 2 の先端部分をお湯にて濡ら し、 暫く して自 ら肛門に浣腸補助 具 2 0 0 2 の先端を挿入する。 次に蛇腹式浣腸ポンプ 2 0 2 2 を指にて 押し圧する こ と によって、 浣腸液を腸内に注入する。 浣腸液の注入が終 われば、 肛門から浣腸補助具 2 0 0 2 を抜き、 指で浣腸補助具分離機構 2 0 2 4 を押出すよ う に して、便器内に浣腸補助具 2 0 0 2 を廃棄して、 排便を待つ。 また該注入器具には内部に逆流防止弁が設置されており 、 注入時又は抜き取り時の肛門側からの逆流を防止している。 また必要に 応じて浣腸液注入後に浣腸補助具 2 0 0 2 を肛門に残置させ、 排便と同 時に便器に廃棄するこ と も可能である。 2 0 2 2 、 2 0 2 3 、 及び 2 0 2 4 の部分は繰返し使用が可能であるが、 穴が開く 等一部分でも破損し た場合は交換が必要になる。 また手動式の一体注入器具の場合は浣腸液 容器容量と しては大凡 2 0 0 c c 前後を想定している。 FIG. 20 is a block diagram of a manual integrated enema device. Turn the screw-type hot water filling port 2202 of the bellows type enema pump 2202 made of polyethylene or polyvinyl chloride etc. to open the upper part and fill the opening with hot water of about body temperature. If necessary, add a small amount of edible oil such as olive oil or sesame oil, turn the screw 203 again to close the lid, and place it at the tip of the enema aid separating mechanism 204. Attach the enema assisting device 200 to the connecting pipe not shown. At this time, when using the enema assisting device 200 with an oval cross section, the enema assisting device 200 should be adjusted so that the direction of the handle and the longitudinal direction of the oval of the enema assisting device coincide with the longitudinal direction of the user. Attach 2 to the injection device. Next, the user wets the tip of the enema aid 200 with hot water, and after a while inserts the tip of the enema aid 200 into the anus. Next, the enema is injected into the intestine by pressing the bellows type enema pump 202 with a finger. When the infusion of the enema is completed, remove the enema aid 200 from the anus and push out the enema aid separation mechanism 200 with your finger, and place the enema aid in the toilet bowl. Discard 2 Wait for defecation. In addition, the injection device is provided with an anti-reflux valve inside to prevent back flow from the anal side during injection or withdrawal. If necessary, it is also possible to leave the enema assisting device 200 in the anus after injecting the enema and dispose it in the toilet at the same time as defecation. The parts 222, 220, and 204 can be used repeatedly, but if any part is damaged, such as a hole, it must be replaced. In the case of a manual integrated infusion device, the enema liquid container volume is assumed to be around 200 cc.
第 2 1 図は浣腸補助具の リ ング型押出 し機構が付いた一体式浣腸器具 の斜視図である。 構成は上部にネジ式開口部を有する蛇腹式浣腸ポンプ 2 0 2 2 、 ネジにてポンプ 2 0 2 2 と接合させるスライ ド分離機構付ネ ジ蓋 2 0 2 6 、 そ してネジ蓋 2 0 2 6 に装着されている リ ング型押出 し 機構 2 0 2 5 よ り構成されている。 2 0 2 5 は上下に二つの リ ングを 3 本以上の同じ長さのスライ ド接続棒によって接続され、 こ の棒はネジ蓋 2 0 2 6 に開けられた同サイズの穴を通じて、 片側の リ ングは蛇腹式浣 腸ポンプ 2 0 2 2 の内部に反対側は外部の接続パイ プ 2 0 1 9 の根元に 配置されている。 浣腸液の注入中にネジ蓋 2 0 2 6 の穴と スライ ド接続 棒の隙間から浣腸液が漏れないよ う に気密性が保たれている構造である ( 使い方は先例と類似しているが、 お湯又は少量の食用油を加えてポンプ 2 0 2 2 に浣腸液を充填する。 次に リ ング型押出 し機構 2 0 2 5 の下側 リ ングを一番下側にした状態にて、 接続パイプ 2 0 1 9側の リ ングを引 つ込めたスライ ド動作前の状態に し、 ネジ蓋 2 0 2 6 をポンプ 2 0 2 2 に装着する。 続いて浣腸補助具 2 0 0 2 を接続パイプ 2 0 1 9 に装着す る。 つぎに浣腸補助具の先端をお湯等にて浸し、 又は接続パイプ 2 0 1 9 に装着する前にお湯等に浸し、 続いて肛門に浣腸補助具 2 0 0 2 の先 端を挿入してポンプ 2 0 2 2 を指で押し圧する こ と によ り浣腸液を腸内 に注入する。 この時浣腸液の注入の最終工程ではポンプ 2 0 2 2 の押し 圧によって リ ング型押出 し機構 2 0 2 5 も同時に押される こ と にな り 、 浣腸補助具が同時に押出 し離脱される。 従って浣腸補助具 2 0 0 2 を浣 腸液注入後に肛門から抜く 場合は、 ポンプ 2 0 2 2 の浣腸液を少し残す よ う に して、 浣腸補助具を注入器具と共に肛門から抜いてから、 再度 2 0 2 2 を押出 し残余の浣腸液の排出と浣腸補助具の押出 し離脱を同時に 便器内に行ない、また浣腸補助具を排便時まで肛門に残置させる場合は、 少し浣腸補助具を抜きかげんに しながら、 そのまま浣腸液の全量を注入 する よ う にすれば、 連続的に浣腸補助具の離脱が行なえる。 本例で図示 されている浣腸補助具は曲がった形状になっているが、 最初にまっすぐ なチューブ状に製作した後、 熱にて曲げ加工したものである。 前例も含 め浣腸補助具にはゼラチンを使用 している。 直線状の短いチューブ状の 浣腸補助具はソ フ トカプセルを製造する方法にても製造が可能で、 比較 的に安価に生産ができる。 この場合、 最初にカプセル状にて製造し、 で きあがった後に両端を切断加工する と同時に内部の成型用の油を排出さ せてチューブ状とする。 Figure 21 is a perspective view of an integrated enema device with a ring-type push-out mechanism for an enema aid. The configuration consists of a bellows-type enema pump with a screw-type opening at the top, a screw lid with a slide separation mechanism that is connected to the pump with screws, and a screw lid. It consists of a ring-type extrusion mechanism 200 mounted on 26. The two upper and lower rings are connected to each other by three or more slide connection rods of the same length, which are connected to one side through holes of the same size opened in the screw cap 220. The ring is located inside the bellows type enema pump 2022 and the other side is located at the base of the external connecting pipe 201. A structure in which airtightness cormorants by enema liquid leaking during the injection from the gap between the hole and the slide connecting rod of the screw cap 2 0 2 6 enemas is maintained (usage is similar to precedent Then, add hot water or a small amount of edible oil, and fill the pump 2202 with the enema.Next, with the lower ring of the ring-type extrusion mechanism 205 at the bottom, Before the slide operation with the ring on the connection pipe 201 side retracted, attach the screw lid 220 26 to the pump 220. Then, attach the enema assisting device 200 Attach it to the connecting pipe 201. Then, immerse the tip of the enema aid in hot water, or soak it in hot water before attaching it to the connecting pipe 201, and then put it in the anus. The enema is injected into the intestine by inserting the tip of 02 into the intestine by pressing the pump 2202 with your finger. Push pump 2 0 2 2 The ring-type push-out mechanism 20 25 is also pushed by the pressure at the same time, and the enema aid is pushed out and removed at the same time. Therefore, when removing the enema aid 200 from the anus after injecting the enema, remove the enema aid from the anus together with the infusion device by leaving a little of the enema from the pump 222. To extrude 2 0 2 2 and simultaneously discharge the remaining enema fluid and push out and remove the enema aid from the toilet, and if the enema aid remains in the anus until defecation, remove the enema aid slightly. However, if the entire amount of the enema is injected as it is, the enema aid can be continuously removed. Although the enema aid shown in this example has a bent shape, it is first made into a straight tube and then bent by heat. Gelatin is used for enema aids, including previous examples. A straight, short tube-shaped enema aid can also be manufactured using the method of manufacturing soft capsules, and can be produced at a relatively low cost. In this case, it is manufactured in the form of a capsule first, and after finishing, both ends are cut and, at the same time, the oil for molding inside is discharged to form a tube.
第 2 2図は浣腸補助具と注入ポンプが少し離れた場合に用いる、 浣腸 補助具の二重チューブスライ ド式分離機構の斜視図である。 繰返し用い られるチュ一ブで、 内側チューブ 2 0 2 7 に被せる よ う な形でスライ ド 可能な外側チューブ 2 0 2 8 を配し、 2 0 2 7 の先端を浣腸補助具の接 続口 2 0 0 4 に接続する。 浣腸液の注入後に内側のチューブから見て、 外側のチューブ 2 0 2 8 を押出すよ う に、 或いは相対運動と して内側の チューブを引き込むよ う にスライ ドさせて両者の先端が同一になるよ う にする と浣腸補助具の接続口の中に装着された 2 0 2 7 が外れて浣腸補 助具が分離離脱する。 第 2 2図 Aの 2 0 2 7 Bはチューブ内に配置した 分離離脱後のチューブ内に残存する液漏れ防止用のスポンジである。 ま た、 第 2 2図 Bの 2 9 は拡大フランジで浣腸補助具との押出し作用面を 外側チューブの面積よ り 大き く して押出 し性を高めている。 FIG. 22 is a perspective view of a double tube slide type separation mechanism of the enema aid used when the aid is slightly separated from the infusion pump. An outer tube 200 that can be slid in such a way that it can be placed over the inner tube 202 with a tube that is used repeatedly, and the tip of the 2027 is connected to the enema aid 2 Connect to 0 0 4. After injecting the enema, slide the outer tube 202 so that it pushes out the inner tube or pulls the inner tube in relative motion, so that the two tubes have the same tip. When this is done, the 207 attached to the connection port of the enema assist device comes off, and the enema assist device separates and separates. 2027B in FIG. 22A is a sponge for preventing liquid leakage remaining in the tube after separation and separation, which is disposed in the tube. Also, reference numeral 29 in Fig. 22B is an enlarged flange, which is used to push out the working surface with the enema aid. The extrudability is increased by making it larger than the area of the outer tube.
第 2 3 図は同二重チューブスライ ド式分離機構を用いた取合い図であ る。 浣腸補助具 2 0 0 2 を肛門に挿入する と きに手で保持するパルプ製 の持ち手 2 0 3 0 Bがあ り 、 肛門に挿入する と きに手指が直接肛門と接 触しないよ う に、 すぐ水に融ける紙製の衛生隔離紙 2 0 3 0が配置され ている。 注入チューブ 2 0 2 7 を浣腸捕助具 2 0 0 2 の接続口 2 0 0 4 に接続し、 バッテ リ ー駆動式電動ポンプ 2 0 3 3 の開閉スィ ッチ 2 0 3 4 を操作して体温程度のお湯を入れた浣腸液タ ンク 2 0 3 5から吸引チ ユ ーブ 2 0 3 2 を通じて浣腸液を吸引 し、 浣腸補助具 2 0 0 2 を通じて 腸内に注入する。 浣腸液の注入が終われば、 第 1 の形態と 同様に リ モー ト分離レバー 2 0 3 1 を操作して浣腸補助具と分離離脱させて、 排便を 待つ。 通常人が用いるこ と もできるが、 高齢者等の自立排便支援用に適 したレイァゥ ト の物である。  Figure 23 is an arrangement diagram using the double tube slide type separation mechanism. There is a pulp handle 2303B that is held by hand when inserting the enema assist device 200 into the anus, so that fingers do not directly touch the anus when inserted into the anus In addition, a paper sanitary separator paper 203 that can be readily dissolved in water is provided. Connect the infusion tube 2027 to the connection port 204 of the enema catcher 200, and operate the open / close switch 20034 of the battery-driven electric pump 203. The enema is sucked from the enema tank 200 35 containing hot water at about body temperature through the suction tube 203 and injected into the intestine through the enema aid 200. When the infusion of the enema is completed, the user operates the remote separation lever 203 to separate and separate from the enema aid as in the first embodiment, and waits for defecation. It can be used by ordinary people, but it is suitable for elderly people and others to support independent defecation.
第 2 4 図は液圧を利用 した液圧駆動式スライ ド機構の斜視図である。 該スライ ド機構は注入器具と浣腸補助具と を接続する接続パイプ又は接 続チューブ 2 0 1 9 の外側に取付けられる もので、 内部が円柱状に中空 になった リ ング状のシ リ ンダー 2 0 3 8 の中に、 同 じく リ ング状のビス トンが納まってお り 、 操作レバ ー 2 0 4 5 を押し込むと 、 チューブ 2 0 4 2 を通じて液圧ポ— ト 2 0 4 1 からシリ ンダ一に液体が加圧注入され る。 する と ピス ト ン 2 0 3 9が復元バネ 2 0 4 0 を圧縮してゆく 方向に 動き、押出 し リ ング 2 0 3 6 が押出し方向にスライ ドする こ と によって、 前方の浣腸補助具を注入器具から押出 し離脱させる こ とができ る。 加工 の単純化のために復元パネ 2 0 4 0 を省略して、 使用後は手にて復元さ せても良い。 また押出 し リ ングの形状は完全な円形の リ ングでなく 、 楕 円形の リ ングと してもよ く 、 また、 シリ ンダー 2 0 3 8 の内側は注入器 具の接続パイ プ又は接続チューブに固定されている。 この機構は比較的 離れた位置の注入ポンプから浣腸補助具に浣腸液を注入する場合に特に 有効で、 浣腸液の注入ポンプから浣腸補助具までの途中の経路が多少曲 が り く ねっても、 浣腸補助具を確実に押出 し離脱が行なえるので、 次に 説明する第 2 5 図の介護用又は高齢者等の自立排便支援の用途にも使用 が可能である。 FIG. 24 is a perspective view of a hydraulically driven slide mechanism using hydraulic pressure. The slide mechanism is attached to the outside of a connecting pipe or a connecting tube 201 connecting the injection device and the enema assisting device, and has a ring-shaped cylinder 2 having a hollow inside in a cylindrical shape. The same ring-shaped bistone is contained in the cylinder 0 38, and when the operation lever 204 is pushed in, the hydraulic port 210 4 1 passes through the tube 204 2 through the hydraulic port 210 4. The liquid is injected under pressure into the cylinder. Then, the piston 209 moves in the direction of compressing the restoring spring 204, and the pushing ring 200, 36 slides in the pushing direction, so that the front enema assisting device can be moved. Can be pushed out of the injection device and removed. Restoration panel 204 may be omitted for simplification of processing, and restoration may be performed manually after use. The shape of the extruded ring may not be a perfect circular ring, but may be an elliptical ring. The inside of the cylinder 208 is connected to the connecting pipe or connecting tube of the injector. It is fixed to. This mechanism is relatively This is particularly effective when injecting the enema from the distant infusion pump into the enema aid.The enema aid is used even if the path from the enema infusion pump to the enema aid is slightly curved. Since it can be reliably pushed out, it can also be used for nursing care or support for independent evacuation of elderly people, etc., as described in Figure 25 below.
第 2 5図の注入器具は第 2 6図に示される浣腸補助具、 又は第 2 7 図 に示される 自立排便支援又は介護用の浣腸補助具の使用に適しており 、 これはやや特殊な浣腸補助具で、 やや、 ひょ う たんに近い形状を してお り 、 内部は中空になったゼラチン製で、 第 2 6 図の物は利用者が体温程 度のお湯又は少量の食用油を加えた浣腸液を用意して使用する。 注入器 具と浣腸補助具を接続した後、 浣腸補助具の先端をお湯に適宜に浸し、 注入ポンプを操作して途中の流路の空気を浣腸補助具の先端から排除し た後、 肛門に揷入する。 浣腸を行な う と きの姿勢が通常と異な り 、 浣腸 補助具を肛門に挿入したら手指等にて浣腸補助具を保持せずに、 洋式 ト ィ レ等の便座の際に軽く腰掛けるよ う に して、 便座にて浣腸補助具を保 持させて浣腸液の注入を行ない、 注入終了後に腰を動かして、 通常の排 便位置に臀部を移動させ、 排便直前に浣腸補助具と浣腸液注入チューブ と を分離離脱させる使用法が可能である。 しかし利用者によっては、 排 便開始が判断しにく い場合もあ り 、 使い方によっては、 注入器具の一部 を排便等にて汚してしま う可能性が生じる。 そこで、 そのよ う な利用者 のために第 2 7図のよ う に使い捨て部分の浣腸補助具の流路を少し延長 して、 肛門から適宜な距離から注入器具を接続でき る よ う にする こ と に よって、 排便時の注入器具の万一の汚損を低減させる構成と している。 第 2 9 図は肛門に挿入された介護用浣腸補助具と浣腸液注入チューブ との接続と切り離し離脱の説明図である。 さ らに浣腸補助具の肛門挿入 時の手指の汚染を軽減させるものと して、 第 2 8図に示すよ う に、 浣腸 補助具に保持挿入しやすいよ う に 2 0 3 0 Bの様な持ち手を設け、 肛門 と手指が直接接触しにく いよ う に、 2 0 2 9 の様な水溶性の衛生隔離紙 を設ける こ とで、 よ り衛生的に浣腸が行なえる。 こ こで第 2 4図の液圧 スライ ド機構に戻れば、 スライ ドに必要な液量は僅かである。 要求され る液圧の浣腸液の送液圧を約 1 0 0 O m m水柱と した場合、 浣腸補助具 と接続パイプ又は接続チューブには一平方ミ リ 当た り約 1 g の圧力が掛 かり 、 浣腸補助具と注入パイプ又は注入チューブに要求される保持摩擦 力は、 注入圧に浣腸液の流路面積を掛け合わせた値に安全率を掛けたも のと な り 、 これに押出 しビス ト ンの伝達効率を加味したものが実際の液 圧スライ ド機構のための必要駆動圧となる。 手指の力にて駆動操作する 切 り 離し機構か、 動力源と して小型電動モータ等を用いたスィ ツチ操作 による切り 離しを採用 している。 また液圧用の液体と しては水又は作動 油等の油を用いる。 The injection device shown in Fig. 25 is suitable for the use of the enema aid shown in Fig. 26 or the independent enema aid shown in Fig. 27 for assisting in defecation or nursing care, which is a somewhat special enema. Auxiliary equipment, slightly shaped like a goat, and made of hollow gelatin inside, and the one shown in Fig. 26 allows the user to use hot water at about body temperature or a small amount of cooking oil. Prepare and use the added enema. After connecting the injecting device and the enema aid, the tip of the enema aid is appropriately immersed in hot water, and the infusion pump is operated to remove air in the middle flow path from the tip of the enema aid and then into the anus. Buy. The posture when performing an enema is different from normal.When the enema aid is inserted into the anus, do not hold the enema aid with your fingers, etc., and lightly sit on the toilet seat such as a Western style toilet. Then, inject the enema solution by holding the enema aid in the toilet seat, move the hips after the injection, move the buttocks to the normal defecation position, and immediately before the defecation, the enema aid and enema solution It can be used to separate the injection tubes and. However, depending on the user, it may be difficult to judge the start of defecation, and depending on the usage, there is a possibility that a part of the injection device may be stained by defecation. Therefore, for such users, as shown in Fig. 27, the flow path of the disposable enema assisting device is slightly extended so that the injection device can be connected from an appropriate distance from the anus. This is designed to reduce the possibility of contamination of the injection device during defecation. Fig. 29 is an illustration of the connection, disconnection and detachment of the care enema aid inserted into the anus and the enema fluid injection tube. In addition, as shown in Fig. 28, the enema can be used to reduce the contamination of the fingers when inserting the enema aid into the anus. Provide a handle such as 203 B to facilitate holding and insertion into the assisting device, and use a water-soluble sanitary separator such as 220 29 to prevent direct contact between the anus and fingers. By providing this, enema can be performed more hygienically. Returning to the hydraulic slide mechanism shown in Fig. 24, the amount of liquid required for the slide is small. Assuming that the required liquid pressure of the enema fluid is about 100 Omm water column, about 1 g per square millimeter is applied to the enema aid and connecting pipe or connecting tube. The holding friction required for the enema aid and the infusion pipe or infusion tube is determined by multiplying the infusion pressure by the enema fluid flow area and the safety factor. The driving pressure required for the actual hydraulic slide mechanism takes into account the transmission efficiency of the ton. Either a separation mechanism driven by the force of a finger or a switch operation using a small electric motor or the like as a power source is used. Water or oil such as hydraulic oil is used as the liquid for hydraulic pressure.
こ こで浣腸補助具と注入器具との分離離脱に関して、 浣腸補助具の有 する柔らかいと言う特性を用いて第 3 0図に示すよ う に水分に触れる と 経時崩壊性を有するパルプで作られたク リ ップ 2 0 5 3 を用いて浣腸補 助具 2 0 0 2 のゼラチンチューブを挟み込んで内部の液体流路を閉塞さ せ、 さ らにパネ付カ ッター 2 0 5 4 を用いて注入器具と浣腸補助具と を 切断し切 り離しを行な う 方法も採用 した。  Here, regarding the separation and detachment of the enema aid and the injection device, as shown in Fig. 30, it is made of pulp that has disintegration over time when exposed to moisture, using the soft property of the enema aid as shown in Fig. 30. Using the clip 205, sandwich the gelatin tube of the enema aid 2002 to block the internal liquid flow path, and then use the panel cutter 2504. A method was also adopted in which the injection device and the enema aid were cut off and separated.
第 3 1 図は事務用品にあるホ ッチキスにヒ ン トを得て作られた浣腸補 助具のク リ ップ付カ ッ タ ー式分離器具の構成図である。 注入パイプ 2 0 1 9 に装着された浣腸補助具 2 0 0 2 に浣腸液の注入が終わる と ク リ ッ プ押出 しレバ一 2 0 5 5 を手で操作してク リ ップガイ ド 2 0 5 3 Bに納 まっているク リ ップ 2 0 5 3 をク リ ップ止め 2 0 5 6 まで押出し、 浣腸 補助具 2 0 0 2 を挟み込んで潰すよ う に液体流路を閉塞させ、 同時にバ ネ付カ ッター 2 0 5 4 がカ ッター刃受け 2 0 5 7 まで進み浣腸補助具を 切断、 ク リ ップ押出しレバ一 2 0 5 5 とバネ付力 ッター 2 0 5 4 の取付 け台座が復元パネにて戻る機構になっており 、 レバ 一を復元させるこ と によって切断されク リ ップにて流路が止められた浣腸補助具が切 り 放さ れる。 Fig. 31 shows the configuration of a clip-type separation device with clip for an enema assisting device made by obtaining tips from a stapler in office supplies. When the infusion of the enema into the enema aid 200 attached to the injection pipe 200 is completed, the clip guide 205 is manually operated by operating the clip push lever 205. 3 Push out the clip 205 stored in B to the clip stop 205, and close the liquid flow path so as to pinch and collapse the enema aid 2002, and at the same time The cutter with pan 2 0 5 4 advances to the cutter holder 2 0 5 7 to use the enema aid. Cutting and clipping The mounting base for the push-out lever 205 and the spring-loaded force collector 2054 has a mechanism that returns with a restoring panel, and is cut and restored by restoring the lever. The enema aid whose flow path was stopped by the tap is released.
第 3 2 図は特殊介護用の浣腸捕助具の斜視図である。 こ の浣腸補助具 は座る姿勢にて排便ができない、 寝たき り の介護者用の腸内洗腸又は浣 腸を 目的に、 ゼラチンを柔軟性を有するよ う に二本以上のチューブの先 端部分を加工して一本のよ う に束ね先端部分 2 0 6 2 を形成、 一本のチ ュ―ブ 2 0 6 0 を体温程度のお湯の注入用に用い、 他方のチューブ 2 0 6 1 を腸内に充満するガスの排出と洗腸液又は便の排出用に用いる。 チ ユ ーブの長さは肛門から揷入した部分が s状結腸以降にと どく 長さを有 し、 操作は医療従事者又は医療従事者よ り 専門の訓練を受けた専従者に よ り行なわれ、 洗腸液の注入に用いるポンプは圧力 と流量の調整機能が あるポンプを用いる。 直腸周辺に便がある場合は、 事前に前述の浣腸補 助具を用いて排泄させておく。 使用方法は最初に適宜な柔軟性になるま で、 浣腸補助具の必要部分をお湯等に浸して、 専従者は該浣腸補助具を 医療用ゴム手袋を用いて肛門に挿入する。 この と きゼラチンの膨潤性に て挿入が滑らかに しゃすく なってお り 、 体温程度のお湯の注入チューブ 側からお湯を適宜に注入しながら、 よ り深部に挿入を続ける。 このと き 排出用のチューブの手前側は便器等の汚物を廃棄可能な力所に繫げ、 連 続的に注入と排出が行なえるよ う にする。 S状結腸の曲が り 部分等腸内 の曲が り 部分の通過揷入はそれぞれのチューブの引っ張り 又は押し出 し によって、 先端部分の角度を多少変えて調整が可能であるが、 通過困難 の場合は無理をせず、 その挿入場所から腸内の洗腸を行な う。 また該浣 腸補助具は洗腸液の注入を開始してから所定の時間を経過する とチュー ブの強度が低下して行く ので、 限られた時間内に作業を終了 しなければ ならない。 ただし材質的に万一浣腸補助具の一部が腸内に残留しても特 に健康上の問題は発生せず、 また材質的に見て本作業において腸内を傷 つける心配も少ない。 使用後は洗腸液の排出と共に排出させるか、 手に て肛門よ り徐々に引き出 し、 適当な長さにハサミ等にて切断の上、 便器 等に廃棄される。 また本浣腸補助具は一部の人口肛門患者の洗腸用にも 転用が可能である。 第 3 3 図はパネ駆動式注入ポンプの断面図である。 先ずビス トン引つ 張り持ち手 2 0 7 3 を操作してビス ト ン引っ張り紐 2 0 7 2 を経由 して ビス ト ン 2 0 6 8 を引っ張り最終引っ張り 点にて ビス ト ン固定レバ一 2 0 7 1 が働き、 ビス ト ンを戻らなく 固定する。 次に容器に体温程度のお 湯又は少量の食用油を加えて取付けネジ蓋 2 0 6 5 によ り容器を密閉さ せる。 送液チューブ 2 0 7 4の先には開閉弁を有する注入器具の持ち手 があり 、 浣腸液を注入する準備をする。 準備ができたら先ずピス ト ン固 定レバ一 2 0 7 1 を操作してビス トンが 2 0 7 0 のバネ力にて動けるよ う にする。 注入器具の持ち手の浣腸液注入レバーを少し操作して流路内 の空気を浣腸補助具の先端から排出させた後、 浣腸補助具を肛門に挿入 する。 次に同注入レバ—を徐々に操作して浣腸液容器 2 0 6 7 内の浣腸 液を腸内に注入する。 この時浣腸液の流速が早く な りすぎる と、 逆流防 止のボールバルブ 2 0 6 4が上方に押しやられ、 液体の通路が狭く なる こ と によって圧力ロ スが増加する こ と によ り流速が低下調整される。 ま た浣腸液の逆流が発生しそ う になっても同ボールバルブが閉ま り 逆流を 阻止する。 FIG. 32 is a perspective view of a special care enema trap. This enema aid cannot be defecated in a sitting position, and is intended to be used as an intestinal lavage or enema for bedridden caregivers. The part is processed and bundled as one to form the tip part 206, one tube 206 is used for hot water injection at about body temperature, and the other tube 206 Is used for the discharge of gas filling the intestine and for the discharge of bowel wash or stool. The length of the tube is as long as the part inserted from the anus and beyond the sigmoid colon, and the operation is performed by a healthcare professional or a specialist trained by the healthcare professional. The pump used to inject the intestinal wash is a pump with pressure and flow control. If there is stool around the rectum, excrete it in advance using the above-mentioned enema aid. First, immerse the necessary part of the enema aid in hot water or the like until the appropriate flexibility is reached, and the specialist inserts the enema aid into the anus using medical rubber gloves. At this time, the insertion is smooth and smooth due to the swelling property of the gelatin, and the insertion is continued deeper while appropriately injecting hot water from the injection tube side of hot water at about body temperature. At this time, the front side of the discharge tube should be placed at a place where waste such as toilet bowls can be disposed of so that continuous injection and discharge can be performed. It is possible to adjust the angle of the distal end of the sigmoid colon, such as the curved part of the sigmoid colon, by changing the angle of the distal end of the tube by pulling or pushing out the tube. In such a case, do not overdo it and perform intestinal lavage from the insertion site. In addition, since the strength of the tube decreases after a predetermined time has elapsed from the start of the infusion of the enema wash, the enema aid must be completed within a limited time. No. However, even if a part of the enema assisting device remains in the intestine due to the material, there is no particular health problem, and there is little risk of damaging the intestine in this work due to the material. After use, drain the bowel juice together with the drainage, or pull it out of the anus with your hand, cut it to a suitable length with scissors, etc., and discard it in a toilet bowl. This enema aid can also be used for intestinal cleansing of some anal patients. FIG. 33 is a sectional view of a panel-driven infusion pump. First, pull the button 200 by operating the handle 207 and pull the button 207 through the thread pulling string 207. 0 7 1 works to fix the piston without returning. Next, add hot water or a small amount of edible oil to the container, and seal the container with the screw cap 200. At the end of the liquid supply tube 204, there is a handle of an injection device having an on-off valve, and preparation for injecting the enema is performed. When ready, first operate the piston fixed lever 20071 so that the biston can move with the spring force of 270. After the air in the channel is discharged from the end of the enema assist device by slightly operating the enema injecting lever of the handle of the injecting device, insert the enema assist device into the anus. Next, the injection lever is gradually operated to inject the enema in the enema container 206 into the intestine. At this time, if the flow rate of the enema fluid becomes too fast, the ball valve 2064 for preventing backflow is pushed upward, and the pressure loss increases due to the narrowing of the fluid passage and the flow rate. Is adjusted to decrease. In addition, even if the enema fluid is about to flow back, the ball valve closes and the backflow is prevented.
第 3 4図はパネ圧駆動式一体型浣腸器具の斜視図である。 これは先ず ネジ蓋 2 0 7 8 を外しビス ト ン引っ張り持ち手 2 0 7 5 を引いて内部の パネを圧縮、 引っ張り 最終端にてピス ト ンの動きをロ ックでき るよ う に なっており 、 浣腸液容器 2 0 7 7 の上部よ り浣腸液を充填して、 再びネ ジ蓋 2 0 7 8 を回して気密性を保ち、 浣腸補助具を接続パイプ 2 0 1 9 に装着後 2 0 7 5 のロ ック を外し、 浣腸補助具を肛門に挿入する。 浣腸 液の注入は浣腸液注入レバ— 2 0 7 9 を操作して行ない、 終了後に浣腸 補助具切り離しレバー 2 0 8 0 を操作して浣腸補助具を便器の中に廃棄 する。 注入器具の材質はピス ト ンの一部と流路の一部にゴムを使う以外 は樹脂、 ステン レス、 アルミ合金等にて作られる。 FIG. 34 is a perspective view of a panel pressure driven integral enema device. In this method, first remove the screw cover 208, pull the tension on the piston, pull the handle 205, compress the panel inside, and pull the pin to lock the movement of the piston at the end. Fill the enema from the top of the enema container 2 0 7 7 Turn the lid 2 0 7 8 to maintain airtightness. After attaching the enema aid to the connecting pipe 210, remove the lock of the 2007 5 and insert the enema aid into the anus. Operate the enema infusion lever 20079 to inject the enema, and operate the enema aid disconnection lever 20080 after the operation to discard the enema aid in the toilet bowl. The injection device is made of resin, stainless steel, aluminum alloy, etc., except that rubber is used for part of the piston and part of the flow path.
第 3 5 図は小型電動一体型浣腸器具の斜視図である。 注入器本体 2 0 8 8 の内蔵の市販の乾電池又は充電式のバッテ リ ーによ り 、 同じく 内蔵 の小型電動ポンプを駆動して用いる。 また内部に所定の容量の浣腸液の タンクがある。 利用者は片手で本体を保持し、 先ず体温程度のお湯、 又 は任意の浣腸液を別の容器にいれ、 浣腸液吸引 口 2 0 8 6 に接続された 浣腸液吸引用チューブ 2 0 8 7 の先端を浣腸液の中に入れ、 浣腸液吸引 用スィ ツチ 2 0 8 5 を操作して注入器具本体のタ ンク に浣腸液を充填す る。 次に接続パイプ 2 0 1 9 に浣腸捕助具 2 0 0 2 を装着し、 浣腸捕助 具の先端を適宜にお湯等に浸して表面の潤滑性を確保し、 フ レキシブル 継手 2 0 8 2 を適宜な角度に曲げ調整する。 続いて、 片手で注入器具本 体を保持して、 肛門に浣腸補助具 2 0 0 2 を挿入する。 浣腸液の注入が 終われば、 肛門から浣腸補助具 2 0 0 2 を抜き、 浣腸補助具押出 し離脱 用スィ ツチ 2 0 8 3 を操作して便器の中に浣腸補助具 2 0 0 2 を廃棄す る。 該注入器具の内部には N i 一 T i 系等の形状記憶合金を用いた温度 スィ ツチがあ り 、 誤って所定の温度を超える温水が供給されよ う とする と、 警報音がなって浣腸液の流路が塞がれ、 又は電動ポンプのスィ ッチ が入らないよ う な機構を用いている。 こ こで形状記憶合金の精度に関し ては、 例えば大同特殊鋼等において、 動作温度 4 0 °C 2 °C以内と言う 物が実用化されている。 また小型電動一体式の電動ポンプは定容量式を 採用 している。 浣腸捕助具のスライ ド押出 し機構には小型電動機によつ て、 フ レキ シブルワイヤーを押出す形にて押出 し離脱を行なっている。 従って注入器内部の小型電動機は 2台である。 また注入器本体内部の浣 腸液タ ン ク の容量以上に浣腸液を一度に注入したい場合は、 2 0 8 7 の チューブの先に別途浣腸液タ ンク を高低差があま り ない状態にて、 又途 中で空気が流路に入らない様に設置して、 浣腸液の注入中に別途タンク からの浣腸液の補充を受けながら注入量を増加させる こ とが可能である。 第 3 6 図は トイ レの温水洗浄器から浣腸液を受取り 、 腸内に注入する ための持ち手式注入器具の構成図である。 温水洗浄器と の接続は、 2 0 9 4 の送液チューブから温水の供給を受ける こ と と、 2 0 9 3 の信号伝 達ケーブルによる、 温水洗浄器側のポンプ開閉の信号を送る二種類の接 続を行なっている。 持ち手側の信号は通常、 無電圧の接点信号によ り行 ない、 温水洗浄器側の信号回路又は電力回路を制御する。 持ち手の中間 には永久磁石又はネジにて開閉可能な接合力所 2 0 9 0 があ り 、 切り離 すと ポンプ側の内部流路がやや太く なってお り 、 上部から粉末の薬剤又 は液体の薬剤、 食用油等を充填でき るよ う になつている。 薬剤等を充填 して再び接合面を閉じる と気密性が確保される。 浣腸液注入レバ — 2 0 9 1 は温水洗浄器側に信号を送るだけでなく 、 内部にゴム管状の流路を 機械的に開閉 して流量流速を調整している。 浣腸補助具のスライ ド押出 しレバ一 2 0 9 2 は単純に上部の押出し機構と機械的に繋がっており 、 手動にて浣腸補助具を押出す構造になっている。 FIG. 35 is a perspective view of a small electric integrated enema device. A built-in commercially available dry battery or rechargeable battery in the injector body 208 is used to drive the built-in small electric pump. There is also a tank of a predetermined volume of enema inside. The user holds the main unit with one hand, and first puts hot water of about body temperature or any enema into another container, and the enema fluid suction tube connected to the enema fluid inlet 208 Put the tip of the infusion into the enema solution, and operate the enema fluid suction switch 2085 to fill the tank of the injection device body with the enema solution. Next, the enema aid 200 2 is attached to the connecting pipe 201, and the tip of the enema aid is appropriately immersed in hot water to ensure lubricity on the surface. Is adjusted to an appropriate angle. Subsequently, the injection device itself is held with one hand, and the enema assisting device 200 is inserted into the anus. When the infusion of the enema is completed, remove the enema aid 200 from the anus and operate the enema aid push-out and release switch 208 to discard the enema aid 200 in the toilet bowl. You. Inside the injection device, there is a temperature switch using a shape memory alloy such as a Ni-Ti system.If an attempt is made to supply hot water exceeding a predetermined temperature by mistake, an alarm will sound. A mechanism is used so that the flow path of the enema is not blocked or the switch of the electric pump does not enter. Regarding the accuracy of shape memory alloys, for example, Daido special steel, etc., whose operating temperature is within 40 ° C and within 2 ° C has been put to practical use. In addition, a fixed displacement type electric pump is used for the small electric integrated type electric pump. A small electric motor is used for the slide extrusion mechanism of the enema trap. The flexible wire is extruded and released. Therefore, there are two small motors inside the injector. If you want to inject the enema at one time over the volume of the enema tank inside the injector body, place a separate enema tank at the end of the tube 287 and keep the height difference even. In addition, it is possible to increase the amount of injection while receiving the enema from the tank separately during the injection of the enema, by installing it so that air does not enter the flow path. FIG. 36 is a block diagram of a hand-held infusion device for receiving an enema from a hot water washer of the toilet and injecting it into the intestine. There are two types of connection to the hot water washer: receiving hot water from the liquid supply tube of 209 4 and sending a signal to open and close the pump on the hot water washer by the signal transmission cable 209 3. Is connected. The signal on the handle side is usually provided by a contact signal without voltage, and controls the signal circuit or power circuit on the hot water washer side. In the middle of the handle, there is a joining point that can be opened and closed with a permanent magnet or a screw. When separated, the internal flow path on the pump side is slightly thicker. Can be filled with liquid drugs, edible oils, etc. When the joint surface is closed again after filling with a chemical, etc., airtightness is ensured. Enema liquid injection lever — 2091 not only sends a signal to the hot water washer side, but also mechanically opens and closes a rubber tubular channel inside to adjust the flow rate. The slide extrusion lever of the enema assist device is simply mechanically connected to the upper extruding mechanism, and has a structure in which the enema assist device is manually extruded.
第 3 7 図は同じく 温水洗浄器をお湯及び電力の供給源と し、 特に直腸 周辺又は S状結腸周辺に癒着又は脱水固着した便を腸壁から解離させる ためのスィ ツチ 2 0 9 5 にて作動するバイ ブ レータ 2 0 9 6 を装備した 説明図である。 便が腸の出口の周辺で癒着、 脱水固着する と通過障害が 起こ り 、 通常は排便時に力んでからその症状がわかる場合がほとんどで あるが、 この状態では肛門がやや開き加減になるが、 便は依然と して出 てこない。 使用する浣腸補助具は通常の浣腸補助具ではなく 、 よ り 太く 長く 強度的に丈夫なもので、 中心が円柱と して周囲に流路を設けたもの 等も用いる。 バイブレータは比較的低周波を用い、 力学的作用が可調整 にて、 弱い作用から様子を見て徐々に力を上げるが、 使用者は浣腸補助 具の先端を腸内の便に接触させバイブレータのスィ ツチを寸動させなが ら、 便と腸と の癒着、 固着の感覚を感じ取り ながら、 少しづつ浣腸液を 注入する。 浣腸液の種類と しては食用油を加えた体温程度のお湯を用い ても良い。 腸内に浣腸液が少し注入されたよ う に感じたら、 適量を注入 した後、 浣腸補助具を肛門から抜き、 便器に廃棄する。 Fig. 37 also shows a hot water washer as a source of hot water and electricity, and a switch 20095 for dissociating stool that has adhered or dehydrated around the rectum or sigmoid colon from the intestinal wall. It is an explanatory view equipped with a vibrator 20096 that operates. If the stool adheres or dehydrates around the intestinal outlet, a passage obstruction will occur, and in most cases, the symptoms will be apparent after the stool is stiffened during defecation. Flights still out I won't. The enema assisting device used is not a normal enema assisting device, but a thicker, longer, and more durable one with a cylindrical center and a flow path around it. The vibrator uses a relatively low frequency, the mechanical action is adjustable, and the force is gradually increased by observing the weak action, but the user touches the tip of the enema aid to the stool in the intestine and turns the vibrator on. While inching the switch, inject the enema solution little by little while feeling the adhesion between the stool and the intestine and the feeling of sticking. As the type of enema, hot water at about the body temperature with edible oil may be used. If you feel that a small amount of enema is injected into the intestine, inject an appropriate amount, then remove the enema aid from the anus and discard it in the toilet.
第 3 8 図は温水洗浄器を利用 した注入器具の説明図である。 温水洗浄 器の温水源 2 0 9 9 からのお湯の供給を受け、 温水の圧力が設定値よ り 高く なった場合に安全弁 2 0 9 8 によ り 余剰温水排水チューブ 2 1 0 0 を通じて便器 2 1 0 1 の中に排水されるよ う になっている。 これはシス テムが完全に一致するかどうか不明なものを用いる場合の安全処置であ り 、 人体への影響軽減だけでなく 、 特に瞬間的な高圧が液体供給ライ ン に掛かるのを防ぎ、 比較的強度の弱い部品にて組み立てられている浣腸 器具への安全処置でもある。  Fig. 38 is an illustration of an injection device using a hot water washer. When hot water is supplied from the hot water source 200 9 of the hot water washer and the pressure of the hot water becomes higher than the set value, the toilet 2 is passed through the excess hot water drain tube 2 10 0 by the safety valve 2 9 8. It is designed to be drained into 101. This is a safety measure when using a system that is not completely matched, not only to reduce the impact on the human body, but also to prevent instantaneous high pressure from being applied to the liquid supply line. It is also a safe measure for an enema device that is assembled from parts with weak target strength.
第 4 0図は、 上記各形態で採用可能な注入チューブの接続方式を示し ており 、 2本のチューブ 2 1 0 7の接続端に互いに引力を生じる極性の 磁石 2 1 0 6 を固定し、 この磁石の引力によって 2本のチューブを接続 し、 1 本にする。 符号 2 1 0 8は、 一方のチューブの接続端に嵌合凹部 を形成するガイ ド部材であり 、 符号 2 1 0 9 は、 他方のチューブの接続 端に嵌合凸部を形成するガイ ド部材である。 これら両ガイ ド部材の嵌合 によ り 、 2本のチューブを直径方向にずれる こ となく 接続するこ とがで き る。  FIG. 40 shows a connection method of an injection tube which can be adopted in each of the above-described embodiments.A magnet 216 of a polarity that generates an attractive force is fixed to a connection end of two tubes 211, The two tubes are connected by the attractive force of this magnet to make one tube. Reference numeral 210 denotes a guide member that forms a fitting recess at the connection end of one tube, and reference numeral 210 denotes a guide member that forms a fitting protrusion at the connection end of the other tube. It is. By fitting these two guide members, the two tubes can be connected without being shifted in the diameter direction.
第 3 9 図は座薬状浣腸用注入器具の斜視図である。 現在座薬状の浣腸 が市販されており 、 これらを手指等を直接肛門に接触させて汚染させな いよ う に、 所定の長さ を有するパルプ製の外側パイプ 2 1 0 2 の中に内 側パイプ 2 1 0 3 を入れてパイプ端 2 1 0 4 を接合させた構造にて、 先 端の凹みに座薬状浣腸 2 1 0 5 を装着し、 手指にて外側パイプ 2 1 0 2 を保持して肛門に座薬状浣腸を挿入し、 指で内側パイプの端 2 1 0 4 を 押出 し、 注入器具から腸内に座薬状浣腸を押出 し離脱させ、 使用 した注 入器具はそのまま便器に廃棄して作業をおえる。 パルプ製の注入器具は 便器内の水分に接触する と速'やかに崩壊して行く 特性を備えている。 産業上の利用可能性 FIG. 39 is a perspective view of an injection device for a suppository enema. Currently suppository enema In order to prevent contamination by direct contact of the fingers and the like with the anus, the inner pipe 2 103 is inserted into a pulp outer pipe 210 having a predetermined length. Insert the suppository enema 2 1 0 5 into the recess at the end of the pipe, and hold the outer pipe 2 1 0 2 with your fingers. Insert the end of the inner pipe with your fingers, push out the end of the inner pipe, push out the suppository enema from the infusion device into the intestine, and dispose of the used injection device as it is in the toilet bowl. Pulp injection equipment has the property of rapidly disintegrating when it comes into contact with water in the toilet bowl. Industrial applicability
以上、 本発明の浣腸器具、 浣腸補助具及び注入器具は、 従来の浣腸方 式を一変した。 下側から上側に向かって浣腸液を注入する通常の浣腸器 では、 浣腸器を肛門から引き抜く と きの液漏れの心配があ り 、 さ らに液 量が不足して複数の浣腸器を使用する場合には、 肛門からの液漏れによ る不衛生さは際立ったものであった。 本願の浣腸補助具を使用するこ と によ り 、 先ず使用者はこ の浣腸補助具を肛門に挿入装着する と きにおい ても、 肛門周辺の尻部に手が直接接触する こ とがなく 、 リ ラ ックス した 姿勢にて浣腸液の注入を行なえ、 さ らに浣腸液容量を多めに設定してい るので、 浣腸液を注入しながら 自分自身の体調を感じながら、 浣腸液の 注入量を調整する こ とが可能とな り 、 また リ モー ト分離機構を用いて肛 門から離れた力所から浣腸補助具と注入チューブの切離可能な構造と主 要材料がパルプと生分解性プラスチックにて構成され、 排便と同時に便 器内廃棄可能な浣腸補助具との組み合わせによ り 、 気軽に衛生的な浣腸 を行な う こ とが可能となる。 また本発明の浣腸補助具、 リ モー ト分離機 構付注入チューブ、 手動又は小型電動ポンプ、 袋式の浣腸液容器はいず れも、 コ ンパク トナサイ ズのため小さなバッ ク に収納する こ とが可能に て、 本発明品は自宅での利用のみならず、 外出先においても手軽に使用 する こ とが可能と なる。 As described above, the enema device, enema assisting device, and infusion device of the present invention have completely changed the conventional enema method. With a normal enema that injects the enema from the lower side to the upper side, there is a risk of fluid leakage when the enema is pulled out from the anus. When this was the case, the unsanitary nature of the leak from the anus was prominent. By using the enema assisting device of the present application, first, even when the user inserts the enema assisting device into the anus, the hand does not come into direct contact with the buttocks around the anus. You can inject the enema in a relaxed position, and because the volume of the enema is set to be relatively large, feel the condition of yourself while injecting the enema and adjust the amount of the enema It can be adjusted, and the remote separation mechanism can be used to separate the enema aid and infusion tube from a power point away from the anus and the main material is pulp and biodegradable plastic Combined with an enema aid that can be discarded in the toilet at the same time as defecation, it is possible to easily perform a hygienic enema. The enema aid of the present invention, the injection tube with a remote separator, the manual or small electric pump, and the bag-type enema container can all be stored in a small bag for compactness. Possible Therefore, the product of the present invention can be easily used not only at home but also on the go.
本発明の浣腸方法と浣腸補助具は、 従来の浣腸方式を一変した。 下側 から上側に向かって浣腸液を注入する通常の浣腸器では、 浣腸器を肛門 から引き抜く と きの液漏れの心配があ り 、 さ らに液量が不足して複数の 浣腸器を使用する場合には、 肛門からの液漏れによる不衛生さは際立つ たものであった。 本願の肛門に揷入する浣腸補助具を使用する こ と によ り 、先ず使用者はこの浣腸補助具を肛門に挿入装着する と きにおいても、 肛門周辺の尻部に手指が直接接触する こ と がなく 、 リ ラ ックス した姿勢 にて一人で浣腸液の注入を行なえ、 市販の浣腸品の補助用具と して、 或 いは特殊な薬液を使わずと も、 水、 体温程度のお湯、 オイル、 ェマルジ ョ ン等にて排便の誘発を得られ、 さ らに浣腸液容量を多めに設定可能な 為、 浣腸液を注入しながら、 き分自身の体調を感じながら、 浣腸液の注 入量を調整する こ とが可能となる。 また切断分離機構と して安全カ ツタ —を用いた為、 糞便等にて汚染された部分の殆どを排便と同時に便器に 廃棄ができ、 その他の部分は焼却処理が可能なため利用者の負担が極め て軽減される。  The enema method and enema aid of the present invention have completely changed the conventional enema method. With a normal enema that injects the enema from the bottom to the top, there is a risk of fluid leakage when the enema is pulled out of the anus. In such cases, the unsanitary effects of fluid leakage from the anus were prominent. By using the enema assisting device for insertion into the anus of the present application, first, when inserting and mounting the enema assisting device in the anus, the user can directly contact the buttocks around the anus with fingers. It is possible to inject enema alone in a relaxed position and use it as a supplementary device for enema products on the market, or without using water or hot water at about body temperature, without using special chemicals. Defecation can be induced with oil, emulsion, etc., and since the volume of the enema can be set to a relatively large value, inject the enema while feeling the physical condition of the individual while injecting the enema. The amount can be adjusted. In addition, since the safety cutter is used as the cutting and separating mechanism, most of the parts contaminated with feces etc. can be discarded in the toilet bowl simultaneously with defecation, and other parts can be incinerated, so the burden on the user Is greatly reduced.
更に、 本発明の浣腸補助具と注入器具は、 従来の浣腸器具が持つ不衛 生なイ メ ージと使いにく さを大き く 改善した。 先ず浣腸に於て最も不衛 生な部分である直接肛門に挿入する部分とその他の部分を分けて、 直接 肛門に挿入して汚染される部分を浣腸補助具と称して、 使い捨て、 しか も使用後にごみ箱等に廃棄するのではなく 、汚染が発生する場所に於て、 即ち水洗 トイ レ等の便器の中に直接棄てられる よ う な材質と形状にした ため、 後処理が格段に衛生的で便利になっている。 また注入器具を繰返 し使用できる よ う な形にしたため、 資源の有効活用にも繋がっている。 さ らに浣腸液と して体温程度のお湯と、 状況に応じて少量の食用油等を 用いる こ とは、 浣腸を常用する場合に於ても、 体に対する作用が自然で、 習慣化による副作用が発生しにく く なつている。 また浣腸補助具の素材 と して水和膨潤性と熱加工性を有するゼラチン或いはポリ ビニ ールアル コール等を用い、 その膨潤性と温度上昇による強度低下作用によ り 、 肛 門に揷入する時は表面がぬるぬる して、 潤滑作用を有するが全体は少し 固く 、 挿入しやすく 、 温水の注入後は、 肛門の括約筋の圧力によ り経時 的に変形して、 肛門からの注入液の液漏れが生じにく い機能を付与する こ とが可能と なる。 既存の浣腸器具を使用後、 肛門から手で引き抜く 時 に、 引き抜き方向が直腸の延長線からずれて、 結果と して肛門に挿入さ れた注入部分と腸内壁との間に隙間を作って しまい、 注入した浣腸液の 液漏れに繋がる こ と も多いが、 本願の様に腸壁によ く 密着し、 温水注入 後に経時的に柔軟性が増大する特性の物に於ては、 浣腸補助具の肛門か らの引き抜き方向が、 直腸の延長線上から多少ずれても、 その柔軟性に よ り腸内壁と の間に隙間ができにく い。 また浣腸補助具が使用後便器に そのまま棄て られる と言う こ とは、 今までと異なる浣腸排便方法を適応 する こ とが可能になる。 即ち、 従来は浣腸液の注入後に肛門に挿入した 部分は肛門から抜いた後に暫く して排便を行な う よ う な形であつたが、 本願の浣腸補助具を用いる こ と によって、 浣腸液の注入後にも浣腸補助 具を肛門内に挿入したまま、 排便と同時に便器に排出するよ う な使用方 法も選択が可能となる。 さ らに、 浣腸とは通常、 浣腸液を注入した直後 の排便を期待して行な う ものであるが、 本願の様な洗腸も兼用できる物 であれば、 排便後に体温程度のお湯と使用本人に適した適宜な食料油を 少量加えて浣腸を行な う 、 或いは直腸から S状結腸周辺の洗腸を行な う こ と によ り 、 その周辺の宿便を排出させる と共に、 直腸から S状結腸周 辺に薄い油膜を形成させ、 次回の排便時に於て、 便からの過度の脱水を 防ぎ、 便の通過をよ く する こ と によ り 、 軽快な便通を得る こ と も可能と なる。 このこ とは特に肛門に痔等の疾患を持ち合わせる人々にと つても 重宝な用法である。 さて、 排便時と言う のは人間にと って弱い状況であ る。 従って浣腸時や洗腸時に使用者になるべく 負担を掛けずに行なえる よ う に本願に於てはパネ動力付の注入器具や小型電動注入器等を提供す る こ と によ り 、 使いやすさを向上させた。 さ らに既存の温水洗浄器、 温 水洗浄便座からのお湯の供給を受けられる よ う なイ ンタ 一フェイ スを採 用する こ とによ り 、 常用的に トイ レで用いる場合に極めて使いやすく 、 また安全面に於ても、 お湯の温度管理と圧力又は流量管理を行な う こ と で、 誰でも安心して使えるシステムとなっている。 その他の項目 と して、 座薬状浣腸における衛生管理、 さ らに寝たき り 老人、 その他要介護者の ための比較的安全な洗腸用のチューブと前述の注入器具と の組み合わせ は、 今後の発展が大き く 期待されている物である。 Further, the enema assisting device and the injection device of the present invention greatly improve the unsafe image and the inconvenience of the conventional enema device. First, the part that is inserted into the anus directly, which is the most unsafe part of the enema, is separated from the other parts. The part that is directly inserted into the anus and contaminated is called an enema aid, disposable, or used Rather than being disposed of later in a trash can, it is made of a material and in a shape that can be directly discarded in places where contamination occurs, that is, in toilets such as flush toilets, so post-treatment is much more sanitary. It is convenient. In addition, the injection device has been made reusable, which leads to effective use of resources. In addition, hot water of about body temperature as an enema and a small amount of edible oil etc. depending on the situation When used regularly, enema has a natural effect on the body and is less likely to cause side effects due to habituation. Also, gelatin or polyvinyl alcohol having hydration swelling properties and heat processability is used as a material for the enema assisting device. The surface is slimy and has a lubricating action, but the whole is a little hard and easy to insert, and after injection of warm water, it deforms over time due to the pressure of the anal sphincter, and leakage of the infusate from the anus This makes it possible to provide a function that does not easily cause problems. When using an existing enema device, when pulling out from the anus by hand, the direction of withdrawal deviates from the extension of the rectum, resulting in a gap between the injection part inserted into the anus and the intestinal lining. In many cases, this may lead to leakage of the injected enema fluid. However, as described in this application, in the case of a material that adheres well to the intestinal wall and increases in flexibility over time after injection of warm water, enema support Even if the direction of withdrawal of the device from the anus slightly deviates from the extension of the rectum, it is difficult to form a gap with the intestinal lining due to its flexibility. In addition, the fact that the enema assist device can be discarded in the toilet after use makes it possible to adapt a different enema defecation method. That is, in the past, the part inserted into the anus after the injection of the enema was designed so that the part was removed from the anus and then defecation was performed for a while. It is also possible to select a method of using the toilet so that it is discharged into the toilet simultaneously with defecation, with the enema aid inserted in the anus even after the injection. In addition, an enema is usually designed to expect defecation immediately after injecting an enema solution.However, if the enema can also be used as in the present application, hot water at about body temperature after defecation is used. Enema is performed by adding a small amount of food oil suitable for the user, or by performing ileum washing around the sigmoid colon from the rectum, thereby discharging the feces around the stomach and discharging from the rectum. By forming a thin oil film around the sigmoid colon to prevent excessive dehydration from the stool at the next defecation and improve stool passage, it is possible to obtain a light bowel movement When Become. This is especially useful for people who have hemorrhoids and other diseases in the anus. Now, defecation is a weak situation for humans. Therefore, the present invention provides a panel-powered injection device, a small electric injection device, and the like so that the user can perform the operation at the time of enema or intestinal washing without burden on the user as much as possible. Improved. In addition, by adopting an interface that can be supplied with hot water from the existing hot water washer and hot water washing toilet seat, it is extremely used for regular use in toilets. In terms of ease and safety, by controlling the temperature and pressure or flow rate of hot water, the system can be used by anyone with peace of mind. Other items include hygiene control in suppository enemas, and the combination of relatively safe bowel wash tubes for the bedridden elderly and other care recipients with the above-mentioned injection device. It is one that is expected to greatly develop.
本発明は、 排便を容易にする浣腸器具、 浣腸補助具及び注入器具並.び にこれらを用いた浣腸方法に関する。 従来、 浣腸器は利用者にと って使 いずらいものであった。 イチジク型の浣腸器に於ては、 浣腸液を注入中 或いは容器を肛門から抜く と きに、 汚物の混ざった液漏れで手を汚すこ とがあった。 そこで、 肛門に挿入して汚染される部分とその他の部分を 分けて、 肛門に挿入する部分を浣腸補助具 ( 1 )、 その他の部分を注入器 The present invention relates to an enema device for facilitating defecation, an enema assisting device, an infusion device, and an enema method using the same. Traditionally, enemas have been difficult for users to use. In the case of a fig-type enema, when injecting the enema or removing the container from the anus, the hands sometimes got dirty with a leak of dirt. Therefore, the part to be contaminated by insertion into the anus is separated from the other part, the part to be inserted into the anus is the enema aid (1), and the other part is the syringe.
具と し、 浣腸補助具 ( 1 ) を使用後にそのまま便器に廃棄可能な材質、 例えばゼラチン等にて作り 、 使用後は手指等を汚さずに分離機構 ( 1 0  The enema aid (1) is made of a material that can be discarded as it is after use, for example, gelatin, etc., and the separation mechanism (10) is used without soiling the fingers after use.
によ り 注入器具と分離離脱が行なえる構造と し、 そのまま便器に棄て ら れる様に した。  In this way, the device can be separated and separated from the injection device, and can be discarded as it is in the toilet.
PCTに基づいて公開される国際出顔のパンフレツト第—頁に掲載された PCT加盟国を同定するために使用されるコード (参考情報)Code used to identify PCT member states on page — International Pamphlets published under the PCT (Informative)
AE アラブ貧長国連邦 DM ドミニカ KZ カザフスタン RU ロシア AE Arab Poor DM DM Dominica KZ Kazakhstan RU Russia
Aし アルバニア EE エストニア し c セントルシア SD スーダン  A then Albania EE Estonia then c Saint Lucia SD Sudan
AM アルメニア ES スペイン し ί リヒテンシユタイン SE スゥ デン  AM Armenia ES Spain Spain Liechtenstein SE Sweden
AT オーストリア F I フィンランド LK スリ · ラン力 SG シンガポール  AT Austria F I Finland LK Sri Lan Power SG Singapore
AU オーストラリア F R フランス し R リベリア S I ス πヴヱニァ  AU Australia F R France S R Liberia S I Pi nvenia
AZ ァゼ /くィシャン GA ガポン し S レソ卜 S スロヴァキア  AZ Case / Kishan GA Gapon S S Lesotho S Slovakia
ΒΛ ボズニァ ·ヘルツェゴビナ GB 英国 し丁 リ トァニァ Sし シエラ · レオネ  ΒΛ Boznia Herzegovina GB UK
B B /く 卜*ス GD グレナダ しし' ルクセンブルグ SN セネガル  B B / Ku s * GD Grenada Shi 'Luxembourg Luxembourg SN Senegal
B E ベルギー GE グルジア し V ラ トヴィァ S 2 スヮジランド  B E Belgium GE Georgia V La Tovia S 2 Sriland
B F ブルギナ, ファン GH ガーナ Α モ ツ 丁 D チャード B F Bulghina, Fan GH Ghana Α Motu D D Chard
G ブルガリァ G ガンビア MC モナコ 丁 G 卜一ゴ一  G Bulgaria G Gambia MC Monaco Ding G
B J ベナン GN ギ=ァ D ドグァ 丁 J タジキスタン  B J Benin GN Gi-a D Dogua D J Tajikistan
B R ブラジル GW ギ ア · ビサォ MG マダガスカル TZ タンザニア  B R Brazil GW Gia Visao MG Madagascar TZ Tanzania
B Y べフ /レ一シ G ギリシャ ΜΚ マケドニァ旧ユーゴスラヴィァ TM トルクメニスタン  B Y Bef / Rest G Greece ΜΚ Macedonia Former Yugoslavia TM Turkmenistan
C A カナダ HR クロアチア 共和国 TR トルコ  C A Canada HR Croatia TR Turkey
C F 中失アフリカ Hし' ハンガリー ML マリ TT トリュダッド · トバゴ C F lost in Africa H 'Hungary ML Mali TT Tridad Tobago
CG コンゴ一 I D インドネシア MN モンゴル し 'A ウクライナ CG Congo I D Indonesia MN Mongolia Then 'A Ukraine
CH スィス I E アイルランド MR モ一リタニア UG ウガンダ  CH Swiss I E Ireland MR Moritania UG Uganda
C I コートジボアール Iし イスラエ/ MW マラウイ US 米国  C I C ジ te d'Ivoire I and Islae / MW Malawi US United States
CM カメルーン I N インド MX メキシコ uz ゥズべキスタン  CM Cameroon I N India MX Mexico uz ゥ zbekistan
CN 中国 I s アイスランド NE ニシ: VN グイエトナム  CN China Is Iceland NE Nishi: VN Guyetnam
C コスタ · リ力 I丁 イタリア Nし オランダ Yし' ユーゴースラビア  C Costa Ri Force I Ding Italy N Then Netherlands Y 'Yugoslavia
CU キュ バ J P 日本 NO ゥ; Z A 南アフリカ共和国  CU Cuba J P Japan NO Z; Z A South Africa
C Y キブロス KE ケニア NZ ニュー · ン一ランド ZW ジンバブエ  C Y Kibros KE Kenya NZ New Zealand ZW Zimbabwe
cz チェッコ KG キルギスタン Pし ボ一ランド  cz Cecco KG Kyrgyzstan P. Boland
DE ドイツ K P 北朝鮮 PT ボ トガル  DE Germany K P North Korea PT Botogal
DK デンマーク KR 国 O ル一マニア 請 求 の 範 囲 DK Denmark KR Country O Rumania The scope of the claims
1 . 使用後排便と同時に便器に排出廃棄可能な生分解性材料にて構成さ れ、 その内部の流路上に逆止弁を有し、 腸内に液体を送出する腸内送液 口 と外部から液体を供給する供給口を有する浣腸補助具と、 該浣腸補助 具に接続して浣腸補助具にに液体を供給する為の注入チューブと、 液体 を腸内に注入終了後該チューブと浣腸補助具と を離れた力所から分離さ せるための リ モー ト分離機構と 、 注入チューブに液体を送出するための 手動ポンプ或いは電動ポンプ及び液体容器よ り構成される事を特徴とす る浣腸器具。 1. It is composed of a biodegradable material that can be discharged and discharged into the toilet simultaneously with defecation after use, has a check valve on its internal flow path, and an intestinal fluid supply port for delivering liquid into the intestine and an external Assisting device having a supply port for supplying a liquid from the intestine, an infusion tube connected to the enema assisting device for supplying a liquid to the enema assisting device, and the tube and the enema assisting device after injecting the liquid into the intestine An enema device characterized by comprising a remote separation mechanism for separating the device from a force place remote from the device, and a manual pump or an electric pump and a liquid container for delivering liquid to the injection tube. .
2 . 前記リ モー ト分離機構は、 前記注入チューブの外側に同心円のチュ —ブを外接させ、 この一組のチューブの先端部に相対的ス ライ ド運動を 与える こ と によ り 、 前記浣腸補助具と注入チューブと の分離を行な う も のである こ と を特徴とする請求の範囲第 1 項に記載の浣腸器具。  2. The remote separation mechanism is configured to circumscribe a concentric tube on the outside of the infusion tube and to give a relative sliding motion to the tip of the pair of tubes, thereby providing the enema. 2. The enema device according to claim 1, wherein the enema device separates the auxiliary device from the infusion tube.
3 . 内部に浣腸液の注入口 と逆流防止の為の逆止弁を有し浣腸液の注入 後に排便と同時に便器に排出可能な浣腸補助具を肛門に挿入し、 この浣 腸補助具を経由 して外部から腸内に浣腸液を注入する事を特徴とする浣 腸方法。  3. Insert an enema aid into the anus that has an enema liquid inlet and a check valve to prevent backflow, and that can be discharged into the toilet simultaneously with defecation after injecting the enema liquid, and through this enema aid And injecting an enema from the outside into the intestine.
4 . 請求の範囲第 3項に記載の浣腸方法に使用 される浣腸補助具におい て、  4. In the enema assisting device used in the enema method according to claim 3,
当該浣腸補助具の材質を液体注入後の排便後に自 己分解する分解性の 材質にて構成された事を特徴とする浣腸補助具。  An enema assisting device characterized in that the material of the enema assisting device is composed of a degradable material that self-decomposes after defecation after liquid injection.
5 . 前記浣腸補助具に液体を注入する手段と して液体注入チューブを用 い、 この注入チューブを浣腸補助具に接合させ、 該浣腸補助具を肛門に 挿入し、 前記注入チューブを介して液体の注入を行ない、 注入終了後に 浣腸補助具から離れた力所から リ モ— ト操作によって浣腸補助具と注入 チューブとの切離しを行な う こ と を特徴とする請求の範囲第 3項に記載 の浣腸方法。 6 . 肛門に挿入して用いる浣腸補助具で、 内部に浣腸液の注入口 と逆流 防止の為の機能を有し、 浣腸液の腸内注入後に排便と同時に大便と共に 便器に廃棄可能な分解性材料にて構成された浣腸補助具において、 肛門に挿入された部分から少なく と も 1 0 c mの長さの分解性材料に て構成された浣腸液注入チューブが一体にて形成された事を特徴とする 浣腸補助具。 5. A liquid injection tube is used as a means for injecting a liquid into the enema aid, the injection tube is joined to the enema aid, the enema aid is inserted into the anus, and the liquid is passed through the injection tube. 4. The method according to claim 3, wherein after the injection is completed, the enema aid and the injection tube are separated from the enema aid by a remote operation from a power point away from the enema aid. Enema method. 6. An enema aid that is inserted into the anus and has an infusion port for enema and a function to prevent backflow. An enema assisting device made of a material, characterized in that an enema liquid injection tube made of a degradable material with a length of at least 10 cm from the part inserted into the anus was formed integrally. And an enema aid.
7 . 請求の範囲第 6項に記載の浣腸補助具において、  7. In the enema aid according to claim 6,
浣腸液の注入時に浣腸液の注入圧力にて、 肛門に揷入された部分の太 さが僅かに膨張変形して膨らみ、 肛門との密着性を高め、 肛門と浣腸補 助具の挿入部分の隙間からの浣腸液の漏れを減少させる事を特徴とする 浣腸補助具。  When the enema is injected, the thickness of the part inserted into the anus is slightly expanded and deformed and swells due to the injection pressure of the enema, which enhances the tightness of the anus and the area where the anus and the enema aid are inserted. An enema aid that reduces leakage of enema from gaps.
8 . 請求の範囲第 6項に記載の浣腸補助具において、  8. In the enema aid according to claim 6,
前記浣腸補助具と一体形成された注入チューブを、 浣腸液の注入終了 後に安全力 ッタ —を用いて肛門近く の力所から切断する こ と によって浣 腸補助具を排便と同時に便器に廃棄可能とする浣腸方法。  The infusion tube integrally formed with the enema aid can be cut off from a force near the anus by using a safety device after the infusion of the enema, so that the enema aid can be discarded in the toilet simultaneously with defecation. And enema method.
9 . 先端を肛門に挿入して水又は体温程度の湯又は食用油等を浣腸液と して腸內注入に用いるチューブ状又はパイ プ状の浣腸補助具で、 浣腸液 の注入手段たる注入器具と接続及び分離が可能で、 肛門に挿入して使用 し、 使用後にそのまま大便と共に便器に廃棄可能で トイ レ以降の排水路 に於ても流路の閉塞を起こ さない所定の形状及び材質、 即ち、 水分と接 触するこ と によ り 経時崩壊性或いは生分解性或いは水溶解性或いは水和 膨潤性の何れかの性質を持ち備えた材質によって構成された事を特徴と する浣腸補助具。  9. A tube or pipe-shaped enema aid that is used for intestinal infusion by inserting the tip into the anus and using water or hot water at about body temperature or edible oil as an enema, and an infusion device as a means for injecting the enema Can be connected to and separated from the anus, can be inserted into the anus and used, can be discarded with the stool as it is after use, and have a predetermined shape and material that will not block the flow path in the drainage passage after the toilet That is, an enema assisting device characterized in that it is made of a material having any property of disintegration with time or biodegradability, water solubility, or hydration swelling by contact with water. .
1 0 . 請求の範囲第 9項に記載の水和膨潤性を有するチューブ状の浣腸 補助具において、  10. The tubular enema aid having hydration swelling according to claim 9, wherein:
当該チューブの内面側の強度を比較的強く 、 外壁側の強度を比較的柔 らかい特性に仕上げる こ と によ り 、 又は、 浣腸液の注入によ り肛門挿入 時に比較してその機械的強度が低下しよ り 柔軟に変化する こ と によ り 、 肛門に揷入されたチューブ状の部分の一部が肛門括約筋の圧力によつ て変形して潰れ、 その揷入方向に垂直な切断断面積が減少し、 肛門に挿 入されたチューブ状の浣腸補助具の隙間からの液漏れを防ぎ、 The strength on the inner surface side of the tube is relatively strong, and the strength on the outer wall side is relatively soft. It can be inserted into the anus by finishing it with fragile properties, or by injecting an enema into it, which reduces its mechanical strength and changes more flexibly than when it is inserted into the anus. A part of the tube-shaped part is deformed and collapsed by the pressure of the anal sphincter, the cross-sectional area perpendicular to the insertion direction is reduced, and the gap between the tube-shaped enema aid inserted into the anus is reduced. To prevent liquid leakage from
さ らに該浣腸補助具を注入器具から切離し排便時までそのまま肛門内 に残置する場合に、 直腸内の浣腸液の肛門外への逆流を低減し又は防止 する機能を有する こ と を特徴とする浣腸補助具。  Furthermore, when the enema assisting device is separated from the injection device and left as it is in the anus until defecation, it has a function of reducing or preventing the backflow of the enema from the rectum to the outside of the anus. Enema aid.
1 1 . 請求の範囲第 9項に記載の浣腸補助具において、  1 1. In the enema aid according to claim 9,
肛門に挿入される浣腸補助具の揷入方向に垂直な断面の一部を円形で はなく 楕円形と し、 揷入時の肛門 と浣腸補助具の断面形状と を近似させ たこ と を特徴とする浣腸補助具。  Part of the cross section perpendicular to the insertion direction of the enema aid inserted into the anus is not circular but elliptical, and the cross-sectional shape of the anus and enema aid at the time of insertion is approximated. Enema aid to do.
1 2 . 先端を肛門に挿入して浣腸液を腸内に注入する為の浣腸補助具に おいて、  1 2. In the enema aid to insert the tip into the anus and inject the enema into the intestine,
肛門に挿入される部分の挿入方向に垂直な断面の一部を円形ではなく 楕円形と し、 挿入時の肛門の形状に近似させたこ と を特徴とする浣腸補 助具。  An enema assisting device characterized in that a part of the cross section perpendicular to the insertion direction of the part to be inserted into the anus is made elliptical instead of circular so as to approximate the shape of the anus at the time of insertion.
1 3 . 浣腸補助具に浣腸液を注入する注入器具において、  1 3. In an infusion device that injects enema into the enema aid,
浣腸補助具を肛門に挿入し、 浣腸液注入前に直腸又は S状結腸周辺に 充満したガスの一部を肛門外に排出させる為に流路を構成するパイプの 一部に排気用の穴を空け、 さ らに該パイプの外面と スライ ド可能な形で 接するパイ プを被せ、 外側のパイプをスライ ドさせるこ と によって排気 通路を開閉させ、 流路上の気体の外部への排出と浣腸液の注入と を使い 分ける構造を有するこ と を特徴とする注入器具。  Insert an enema aid into the anus and, before injecting the enema fluid, make an exhaust hole in a part of the pipe that constitutes the flow path so that a part of the gas filled around the rectum or sigmoid colon can be discharged out of the anus. Open the pipe, slide it in contact with the outer surface of the pipe in a slidable manner, slide the outer pipe to open and close the exhaust passage, discharge gas in the flow path to the outside, and enema An injection device characterized in that it has a structure capable of separately using an injection and an injection.
1 4 . 浣腸補助具に浣腸液を注入する注入器具において、  1 4. In an injection device that injects enema into the enema aid,
前記浣腸補助具と注入器具との接続の切離し手段と して、 両者の接続 部分の一部に設けられたスライ ド機構によって、 使用後の浣腸補助具を 押出 し離脱させる こ とで、 肛門に挿入され汚染された浣腸補助具に直接 手で触れる こ となく 離脱が行える こ と を特徴とする注入器具。 As means for disconnecting the connection between the enema aid and the injection device, the connection between the two By using a slide mechanism provided in a part of the part to push out and remove the enema aid after use, it can be removed without directly touching the contaminated enema aid inserted into the anus. An injection device, characterized in that:
1 5 . 浣腸液の容器とポンプが一体式で手指にて押圧する こ と によ り浣 腸液を腸内に注入する手動式の注入器具において、 15 5. In a manual injection device that injects enema fluid into the intestine by pressing the enema fluid container and pump integrally with the fingers,
前記ポンプの内部に浣腸補助具のスライ ド離脱動作用の リ ング型押出 し機構を設け、 ポンプの注入最終工程にて該リ ング型押出 し機構を押出 し動作可能に配置し、 浣腸液注入操作から浣腸補助具の切 り離し迄をポ ンプの押圧操作のみによって行なえる こ と を特徴とする注入器具。  A ring-type push-out mechanism for sliding the enema assisting device out of the pump is provided inside the pump, and the ring-type push-out mechanism is operably pushed out in the final step of pump injection, and the enema liquid is injected. An injection device characterized in that the operation from the operation to the separation of the enema assisting device can be performed only by pressing the pump.
1 6 . 前記ス ラ イ ド機構は、  16 6. The slide mechanism
互いにスライ ド可能と した, 一方の外径が他方の内径よ り小さい二本 のチューブを同心円に重ね合わせ、 内側チューブの先端を外側チューブ の先端よ り 突き出させ浣腸補助具の流路に接続し、 浣腸液注入後に外側 のチューブ先端を内側のチューブ先端と同一面になる迄ス ラ イ ドさせて , 浣腸補助具の接続口に装着された内側チューブを引き抜く こ と によ り離 脱させる ものであるこ と を特徴とする請求の範囲第 1 4項に記載の注入 器具。  Two tubes whose outer diameter is smaller than the other inner diameter are overlapped concentrically, and the tip of the inner tube protrudes from the tip of the outer tube and is connected to the channel of the enema aid. After injecting the enema, slide the outer tube tip until it is flush with the inner tube tip, and pull out the inner tube attached to the connection port of the enema aid to remove it. The injection device according to claim 14, wherein the injection device is:
1 7 . 前記スライ ド機構は、  17. The slide mechanism is
浣腸補助具と注入器具との接続の切離し手段と して液体の圧力を利用 し、 超小型のシ リ ンダ一内のピス トンを駆動させる為に該シリ ンダー と 圧力流路にて接続された駆動手段を操作するこ と によ り 、 該ピス トンを 押出す様に動作させ、 注入器具と浣腸捕助具と を離脱させる ものである こ と を特徴とする請求の範囲第 1 4項に記載の注入器具。  Utilizing the pressure of the liquid as a means for disconnecting the connection between the enema aid and the infusion device, it was connected to the cylinder via a pressure channel in order to drive the piston in the ultra-small cylinder 15. The method according to claim 14, wherein by operating the driving means, the piston is operated so as to be pushed out, and the injection device and the enema trapping device are detached. An infusion device as described.
1 8 . 外部から腸内への浣腸液の流路を形成する浣腸補助具と、 この浣 腸補助具に浣腸液を注入する注入器具と を備えた浣腸器具において、 前記注入器具と浣腸補助具と の接続力所よ り も肛門に近い側に、 便器 にそのまま廃棄可能で水分を吸収する こ と によって経時分解, 崩壊又は 溶解する材質にて構成された止液用又は止水用ク リ ップを設け、 このク リ ップを浣腸補助具のチューブ内の液の逆流を防止する機構と し、 その僅か上流側、 即ち注入器具側にカ ッターを設置するか又は安全力 ッタ一を用い、 浣腸補助具を注入器具から切離すこ と を特徴とする浣腸1 8. An enema device comprising: an enema aid for forming a flow path of an enema from the outside into the intestine; and an injection device for injecting the enema into the enema aid, wherein the injection device and the enema aid The toilet bowl is closer to the anus than the connecting point with A liquid-stopping or water-stopping clip made of a material that can be discarded as it is and can be decomposed, disintegrated, or dissolved over time by absorbing water is provided. A mechanism to prevent the backflow of the liquid inside, and a cutter is installed slightly upstream, that is, on the injection device side, or the enema aid is separated from the injection device by using a safety device. Enema
§5具 § 5 tools
1 9 . 肛門に挿入して浣腸液又は洗腸液を注入する為の, 膨潤性と柔軟 性を有する材質にて構成され, 使用後便器に廃棄可能な浣腸補助具にお いて、  1 9. An enema aid that is made of a swellable and flexible material to be inserted into the anus to inject enema or intestinal wash, and that can be discarded in the toilet after use.
少なく と も二本のチューブによる二つの独立した流路を有し、 腸内挿 入側の先端部が一束ねの一本のチューブに成型され、 チューブの片側を 液体の腸内への注入用 と し、 他方を腸内に残留するガスの排出と便の排 出補助に使用 し、 肛門内部への挿入可能な長さが少なく と も S状結腸に 達する こ と を特徴と した浣腸補助具。  It has at least two independent channels with two tubes, and the tip of the intestinal insertion side is molded into a single bundle of tubes, and one side of the tube is used to inject liquid into the intestine The other is used for discharging gas remaining in the intestine and assisting the discharge of stool, and the enema assisting device is characterized in that it can be inserted into the anus at least to reach the sigmoid colon. .
2 0 . 浣腸液又は洗腸液を腸内へ注入する注入器具において、  20. In an infusion device for injecting an enema fluid or an intestinal fluid into the intestine,
注入しょ う とする液体の温度が所定の設定温度を超え, 人体への安全 許容温度に近づいた場合に、 腸内壁への熱傷害を防止する為に腸内への 浣腸液又は洗腸液の注入を機械的又は電気制御的に抑制する機能を有す るこ と を特徴とする注入器具。  When the temperature of the liquid to be injected exceeds the specified temperature and approaches the allowable temperature for the human body, inject the enema or intestinal juice into the intestine to prevent heat injury to the intestinal lining. An injection device characterized by having a function of mechanically or electrically controlling the amount.
2 1 . 浣腸及び洗腸に用いる注入器具において、  2 1. In the injection device used for enema and ileum,
パネの復元力を用い、 シリ ンダー内に充填された液体をパネ圧にて駆 動される ビス ト ン力によって腸内に注入し、 さ らに注入圧の変動による 流速変動を軽減させる為に注入器具の流路上に流速調整の機能を付与し たバルブを設置したこ と を特徴とする注入器具。  Using the restoring force of the panel, the liquid filled in the cylinder is injected into the intestine by the force of the piston driven by the panel pressure. An injection device comprising a valve provided with a flow rate adjusting function on a flow path of the injection device.
2 2 . 浣腸及び洗腸に用いる小型電動式の注入器具において、  2 2. In a small electric injection device used for enema and intestinal washing,
モータ一の回転数制御による吐出圧力調整の可能な定圧型ポンプを用 いたこ と を特徴とする注入器具。 Uses a constant pressure pump that can adjust the discharge pressure by controlling the number of rotations of the motor. An injection device, characterized by having an injection.
2 3 . トイ レに備え付けの温水洗浄器からの温水供給を用いる注入器具 において、  2 3. In the injection device using hot water supply from the hot water washer attached to the toilet,
温水の供給圧が所定の安全設定範囲を超えた場合に余剰温水と して便 器に流すこ と によって送液経路の圧力を設定圧以内に保持させるこ と を 特徴とする注入器具。  An injection device characterized in that when the supply pressure of hot water exceeds a predetermined safety setting range, excess hot water is supplied to the toilet as a surplus hot water to maintain the pressure in the liquid supply path within the set pressure.
2 4 . 注入ポンプと、 浣腸補助具を保持する持ち手と、 それを接続する 流路と を備えた浣腸器具において、  2 4. In an enema device provided with an infusion pump, a handle for holding an enema aid, and a flow path for connecting the same,
前記流路の一端から他端までの間に磁石の吸引力を用いて着脱可能な 着脱部を設けたこ と を特徴とする浣腸器具。  An enema device characterized in that an attaching / detaching portion is provided between one end and the other end of the flow path, which is attachable / detachable using a magnet's attraction force.
2 5 . 水又は体温程度の温度の湯を浣腸液と して用いる注入器具におい て、  25. In an injection device that uses water or hot water at a temperature of about the body temperature as an enema,
電動ポンプ等の送液手段から肛門に挿入する浣腸補助具までの経路の 途中に、 浣腸の効果を向上するための異種類の液体又は紛体の混入を可 能とする部分を有し、 異種類の液体又は紛体薬剤を浣腸直前に水又は体 温程度の温度の湯の流路に乗せて腸内に注入が可能な構造を有する こ と を特徴とする注入器具。  In the middle of the path from the liquid feeding means such as an electric pump to the enema aid inserted into the anus, there is a part that can mix different types of liquids or powders to improve the effect of the enema. An injecting device having a structure in which the liquid or powder drug can be injected into the intestine immediately before the enema by placing it in a flow path of water or hot water at a temperature of about the body temperature.
2 6 . 肛門に挿入し外部と腸内との間に浣腸液の流路を形成する浣腸捕 助具と、 この浣腸補助具に接続され浣腸液を注入する注入器具と を備え た浣腸器具において、  26. An enema device comprising an enema trap inserted into the anus to form an enema fluid channel between the outside and the intestine, and an injection device connected to the enema aid to inject the enema fluid ,
肛門に挿入された前記浣腸補助具に振動を伝達するこ とが可能な発振 源を備え、 直腸又は S状結腸に癒着又は固着した糞便に該浣腸補助具を 接触させ、 発振源からの安全な力学的作用によ り 、 癒着又は固着した糞 便と腸壁と を解離させる振動作用を付与したこ と を特徴とする浣腸器具, 2 7 . 肛門内に揷入可能な長さを有し, 互いにス ライ ド可能で, 一方の 外径を他方の内径よ り 小さ く して二重に重ねたパイプ構造を構成し、 こ のパイプ構造の先端の凹みに座薬状浣腸を装着し、 外側のパイプを手で 保持する と共に内側のパイプを手で押し込んで座薬状浣腸を肛門に挿入 した後、 内部のパイプを肛門から抜き取る こ と によ り 、 先端の座薬状浣 腸を手指を直接肛門に接触させる こ と なく 腸内に押出 し離脱が可能な機 構を有し、 使用後はそのまま便器に廃棄可能な水に接触するこ と による 経時崩壊性, 生分解性又は水溶解性の材質にて構成されたこ と を特徴と する浣腸補助具。 An oscillation source capable of transmitting vibration to the enema assisting device inserted into the anus is provided, and the enema assisting device is brought into contact with feces adhered or fixed to the rectum or sigmoid colon, and safe from the oscillation source. An enema device characterized by imparting a vibrating effect to dissociate the adhered or fixed feces from the intestinal wall by a mechanical action, 27. The enema device has a length that can be inserted into the anus, A pipe structure that can slide with each other and has two outer layers with one outer diameter smaller than the other inner diameter is constructed. Attach a suppository enema to the dent at the tip of the pipe structure, hold the outer pipe by hand, push the inner pipe by hand, insert the suppository enema into the anus, and then remove the inner pipe from the anus. As a result, the suppository enema at the tip has a mechanism that can be pushed out of the intestine without touching the finger directly to the anus and can be removed, and it comes into contact with water that can be disposed of in the toilet after use An enema aid characterized by being made of a material that is disintegratable with time, biodegradable or water-soluble.

Claims

明 細 書 浣腸器具, 浣腸補助具及び注入器具並びにこれらを用いた浣腸方法 技術分野  Description Enema device, enema aid and infusion device and enema method using them
本発明は、 手を汚さずに使用できる衛生的な浣腸補助具、 一人で利用 でき る浣腸補助具及び浣腸液の注入器具、 便器にそのまま廃棄する こ と が可能な浣腸補助具、 '高齢者又は軽度の身体障害者等の自立排便支援か ら要介護者にまで寄与し, 使い勝手がよ く 安全な浣腸補助具及び注入器 具、 これらを要素と した浣腸器具及び浣腸方法の提供に関する。 背景技術  The present invention relates to a sanitary enema aid that can be used without soiling hands, an enema aid that can be used alone, an infusion device for enema fluid, an enema aid that can be discarded in a toilet bowl, Also, the present invention relates to the provision of safe and easy-to-use enema aids and infusion devices, which contribute to independence of the defecation of persons with mild disabilities, etc., to the care recipients, and enema devices and enema methods using these as elements. Background art
従来、 浣腸器具と しては、 さま ざまなものが提案されてきた。 それら は大き く 分けて二つの分類に分けられる。  Conventionally, various types of enema devices have been proposed. They can be broadly divided into two categories.
第一の分類は利用者が携帯も可能な大き さの簡易型浣腸器で、 容器内 には予め所定量の薬液が充填されており 、 使用者は肛門に挿入する側の 先端に小さな穴を開ける力 、 又は先端キャ ップを外し、 注入口先端を肛 門内に挿入して容器を押圧する、 或いはビス ト ンを押圧する こ と によ り 該容器内の薬液を直腸内に押し出すよ う に したものである。 当然、 簡易 型浣腸器は使い捨てであ り 、 使用後は衛生管理を して捨てられる。 簡易型浣腸器と しては、 イチジク型の使い捨て浣腸器等が知られてい る。 これは、 容器内に予め所定量の薬液を充填しており 、 使用者は肛門 に挿入する側の先端に小さな穴を開け、 これを肛門内に挿入して使用者 が容器を押圧する こ と によ り該容器内の薬液を腸内に押し出すよ う に し たものである。  The first category is a simple enema that is large enough to be carried by the user. The container is pre-filled with a predetermined amount of drug solution, and the user has a small hole at the tip to be inserted into the anus. Opening force or removing the tip cap and inserting the tip of the injection port into the anatomy to press the container, or to push out the medicine, push the drug solution in the container into the rectum. It is the one that was adopted. Naturally, the simple enema is disposable, and after use it is discarded after hygiene management. As a simple type enema, a fig-type disposable enema is known. In this method, a container is filled with a predetermined amount of a medicinal solution in advance, and the user makes a small hole at the tip of the side to be inserted into the anus, inserts the hole into the anus, and the user presses the container. Thus, the drug solution in the container is pushed out into the intestine.
第二の分類は、 その構成の殆どが繰返し用いられるよ う に設定されて いる場合が多く 、 形状と しては利用者の携帯には向かず、 一般的には自 宅か医療施設又は介護施設等で用いられ、 浣腸液容器と しては比較的容  In the second category, most of the components are often set to be used repeatedly, and are not suitable for carrying by users, and are generally at home or in medical facilities or nursing care. Used in facilities, etc.
PCT/JP1999/002549 1998-05-15 1999-05-17 Enema syringe, enema syringe auxiliary and injector and enema method using them WO1999059656A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU44815/99A AU4481599A (en) 1998-05-15 1999-05-17 Enema syringe, enema syringe auxiliary and injector and enema method using them

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
JP17045098 1998-05-15
JP10/170450 1998-05-15
JP10344810A JP2000135285A (en) 1998-10-29 1998-10-29 Enema aid and method of removing method
JP10/344810 1998-10-29
JP11/78249 1999-02-17
JP11078249A JP2000033119A (en) 1998-05-15 1999-02-17 Enema assisting tool and injector

Publications (1)

Publication Number Publication Date
WO1999059656A1 true WO1999059656A1 (en) 1999-11-25

Family

ID=27302654

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/JP1999/002549 WO1999059656A1 (en) 1998-05-15 1999-05-17 Enema syringe, enema syringe auxiliary and injector and enema method using them

Country Status (2)

Country Link
AU (1) AU4481599A (en)
WO (1) WO1999059656A1 (en)

Cited By (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003030968A1 (en) * 2001-10-12 2003-04-17 Coloplast A/S Bowel irrigation system and probe therefore
CN103181792A (en) * 2011-12-30 2013-07-03 德州学院 Constipation dredger
US8663180B2 (en) 2007-01-19 2014-03-04 Coloplast A/S Irrigation system with a pump
CN103919581A (en) * 2014-04-25 2014-07-16 张洪林 Excrement collecting device
CN105982715A (en) * 2015-01-27 2016-10-05 李沂泽 Rotary-cutting faeces-cleaning device for anus
USD817483S1 (en) 2016-04-07 2018-05-08 Coloplast A/S Anal irrigation catheter adapted for use in an anal irrigation system
USD828550S1 (en) 2016-04-07 2018-09-11 Coloplast A/S Connector of an anal irrigation system
USD837977S1 (en) 2016-04-07 2019-01-08 Coloplast A/S Replacement tubing with connectors adapted for use in anal irrigation system
US10183112B2 (en) 2013-08-30 2019-01-22 Hollister Incorporated Device for trans anal irrigation
CN109498883A (en) * 2019-01-11 2019-03-22 杜娟 A kind of anal intestine care device
US10737013B2 (en) 2014-07-08 2020-08-11 Hollister Incorporated Portable trans anal irrigation device
US10765796B2 (en) 2014-07-08 2020-09-08 Hollister Incorporated Trans anal irrigation platform with bed module
CN112933322A (en) * 2021-01-25 2021-06-11 四川大学华西第二医院 Novel multi-functional enema bag
EP3925641A1 (en) * 2020-06-15 2021-12-22 Dentsply IH AB Irrigation system
US11383021B2 (en) 2016-07-08 2022-07-12 Hollister Incorporated Wireless electronic pump design for a body cavity irrigation device
US11497844B2 (en) 2016-12-14 2022-11-15 Hollister Incorporated Transanal irrigation device and system
US11577018B2 (en) 2016-07-08 2023-02-14 Hollister Incorporated Body cavity irrigation integrated manual controller and pump device, system and method
US11596422B2 (en) 2016-11-03 2023-03-07 Hollister Incorporated Adjustable bowel treatment arm
WO2023193859A1 (en) * 2022-04-08 2023-10-12 Coloplast A/S A connector for an irrigation system

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS532600U (en) * 1976-06-25 1978-01-11
JPH0413147U (en) * 1990-05-25 1992-02-03
JPH0524047U (en) * 1991-09-17 1993-03-30 積水化学工業株式会社 Chemical injection container
JPH0522186Y2 (en) * 1989-04-19 1993-06-07
JP3016661U (en) * 1995-04-05 1995-10-09 信田 信義 Simple intestine
JPH09108344A (en) * 1995-10-19 1997-04-28 Sekisui Chem Co Ltd Chemicals injection vessel

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS532600U (en) * 1976-06-25 1978-01-11
JPH0522186Y2 (en) * 1989-04-19 1993-06-07
JPH0413147U (en) * 1990-05-25 1992-02-03
JPH0524047U (en) * 1991-09-17 1993-03-30 積水化学工業株式会社 Chemical injection container
JP3016661U (en) * 1995-04-05 1995-10-09 信田 信義 Simple intestine
JPH09108344A (en) * 1995-10-19 1997-04-28 Sekisui Chem Co Ltd Chemicals injection vessel

Cited By (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003030968A1 (en) * 2001-10-12 2003-04-17 Coloplast A/S Bowel irrigation system and probe therefore
US8663180B2 (en) 2007-01-19 2014-03-04 Coloplast A/S Irrigation system with a pump
CN103181792A (en) * 2011-12-30 2013-07-03 德州学院 Constipation dredger
US11116891B2 (en) 2013-08-30 2021-09-14 Hollister Incorporated Device for trans anal irrigation
US10183112B2 (en) 2013-08-30 2019-01-22 Hollister Incorporated Device for trans anal irrigation
CN103919581A (en) * 2014-04-25 2014-07-16 张洪林 Excrement collecting device
US10737013B2 (en) 2014-07-08 2020-08-11 Hollister Incorporated Portable trans anal irrigation device
US11497845B2 (en) 2014-07-08 2022-11-15 Hollister Incorporated Trans anal irrigation platform with bed module
US10765796B2 (en) 2014-07-08 2020-09-08 Hollister Incorporated Trans anal irrigation platform with bed module
CN105982715A (en) * 2015-01-27 2016-10-05 李沂泽 Rotary-cutting faeces-cleaning device for anus
USD817483S1 (en) 2016-04-07 2018-05-08 Coloplast A/S Anal irrigation catheter adapted for use in an anal irrigation system
USD837977S1 (en) 2016-04-07 2019-01-08 Coloplast A/S Replacement tubing with connectors adapted for use in anal irrigation system
USD828550S1 (en) 2016-04-07 2018-09-11 Coloplast A/S Connector of an anal irrigation system
US11383021B2 (en) 2016-07-08 2022-07-12 Hollister Incorporated Wireless electronic pump design for a body cavity irrigation device
US11577018B2 (en) 2016-07-08 2023-02-14 Hollister Incorporated Body cavity irrigation integrated manual controller and pump device, system and method
US11596422B2 (en) 2016-11-03 2023-03-07 Hollister Incorporated Adjustable bowel treatment arm
US11497844B2 (en) 2016-12-14 2022-11-15 Hollister Incorporated Transanal irrigation device and system
CN109498883A (en) * 2019-01-11 2019-03-22 杜娟 A kind of anal intestine care device
CN109498883B (en) * 2019-01-11 2021-08-24 鲁施菲尔 Anus intestines nursing device
EP3925641A1 (en) * 2020-06-15 2021-12-22 Dentsply IH AB Irrigation system
CN112933322A (en) * 2021-01-25 2021-06-11 四川大学华西第二医院 Novel multi-functional enema bag
WO2023193859A1 (en) * 2022-04-08 2023-10-12 Coloplast A/S A connector for an irrigation system

Also Published As

Publication number Publication date
AU4481599A (en) 1999-12-06

Similar Documents

Publication Publication Date Title
WO1999059656A1 (en) Enema syringe, enema syringe auxiliary and injector and enema method using them
JP4344109B2 (en) Colostomy pump device
US6468245B2 (en) Irrigation device
EP3166662B1 (en) Trans anal irrigation platform with bed module
CN101583385A (en) Individually positionable pump system
CN101842125B (en) An intestinal irrigation device
JP2003520066A5 (en)
US20060009732A1 (en) Method and apparatus for delivering a colonic lavage
EP2303358A1 (en) Bowel irrigation method and apparatus
CN210644714U (en) Defecation instrument for digestive system department
CN109789030A (en) Excreta collection system
JP2000033119A (en) Enema assisting tool and injector
JPH08131538A (en) Faeces processing device
KR200430716Y1 (en) evacuator
CN218010492U (en) Enema catharsis ware
EP4122509A1 (en) Disposable device for intimate hygiene
JP5274062B2 (en) Simple stool suction device
CN218833379U (en) Enema device
JP2000042101A (en) Enemiasis and enema auxiliary instrument
CN209437769U (en) Enteron aisle and anus cleaner
CN101647737A (en) Excrement cleaner
JP2000135285A (en) Enema aid and method of removing method
JP3118987U6 (en) Electric submersible pump enema device
CN114404715A (en) Enema catharsis device
JP3118987U (en) [Electric submersible pump enema device] Many people who are suffering from chronic constipation in their daily lives purchase laxatives, constipation drugs and enema from pharmacies as prescriptions, but it seems that it is actually the case that it is solved If you have constipation, you will not be able to take any constipation medicine or enema and you will not be able to defecate yourself. In order to eliminate such stubborn constipation, we have devised an “electric submersible pump enema device” that can be easily defecationed by itself.

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A1

Designated state(s): AU CA CN KR SG US

AL Designated countries for regional patents

Kind code of ref document: A1

Designated state(s): AM AZ BY KG KZ MD RU TJ TM AT BE CH CY DE DK ES FI FR GB GR IE IT LU MC NL PT SE

DFPE Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101)
121 Ep: the epo has been informed by wipo that ep was designated in this application
NENP Non-entry into the national phase

Ref country code: KR