WO2018074500A1 - Self-injection aid, information management device, and aid production system - Google Patents

Self-injection aid, information management device, and aid production system Download PDF

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Publication number
WO2018074500A1
WO2018074500A1 PCT/JP2017/037634 JP2017037634W WO2018074500A1 WO 2018074500 A1 WO2018074500 A1 WO 2018074500A1 JP 2017037634 W JP2017037634 W JP 2017037634W WO 2018074500 A1 WO2018074500 A1 WO 2018074500A1
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WO
WIPO (PCT)
Prior art keywords
finger
user
auxiliary tool
syringe
information
Prior art date
Application number
PCT/JP2017/037634
Other languages
French (fr)
Japanese (ja)
Inventor
学 天野
村上　雅裕
顕一 虎石
Original Assignee
学 天野
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Application filed by 学 天野 filed Critical 学 天野
Publication of WO2018074500A1 publication Critical patent/WO2018074500A1/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178—Syringes
    • A61M5/31—Details

Definitions

  • the grip strength may decrease due to age, or the fingers may be inconvenient due to a disease or the like, and the assisting device may not be stably gripped.
  • the configurations of Patent Documents 1 to 3 it may happen that the patient cannot smoothly hold the assisting tool with one hand, so that self-injection cannot be performed smoothly.
  • the syringe includes a dial for setting the amount of the medicine to be charged at the upper end of the outer surface of the main body, and the cylindrical portion has a window portion for exposing the dial to the outside. It can be configured to comprise.
  • the dial since the dial is exposed to the outside from the window portion, the syringe main body can be inserted deeper into the tube portion, and thereby the position of the pusher protruding from the tube portion can be brought closer to the upper end of the tube portion. For this reason, the pusher can be smoothly operated with the thumb of the hand in a state where the cylinder portion is held with one hand. Therefore, even if the user is in a state where it is difficult to smoothly grip the tube portion, the user can administer the medicine more smoothly.
  • the accepting unit accepts input of at least the diameter of the index finger and the length from the index finger to the little finger as the finger information
  • the arithmetic unit receives the input diameter and length.
  • the dimensions of the various parameters can be calculated by calculation based on the correlation between the various parameters. In this way, it is possible to create for each user an assisting tool suitable for at least the diameter of the user's index finger and the length from the index finger to the little finger. Therefore, the user can hold the auxiliary tool stably and reliably, and can administer the medicine more smoothly.
  • the accepting unit accepts input of a plurality of finger diameters among the four fingers from the index finger to the little finger.
  • the reception unit receives the input of the diameter of the ring finger together with the index finger and the middle finger.
  • grip of a cylinder part can be created, and the user can hold an auxiliary tool stably and reliably.
  • the accepting unit may accept the input of the diameter of the little finger together with the index finger, the middle finger, and the ring finger. If it carries out like this, the auxiliary tool suitable also for the little finger which can be used for holding
  • FIG.1 (a) is a perspective view which shows the structure of the auxiliary tool which concerns on embodiment.
  • FIG.1 (b) is a figure which shows the cross section of the auxiliary tool which concerns on embodiment.
  • FIG. 2A is a side view showing the configuration of the syringe according to the embodiment.
  • FIG.2 (b) is a side view which shows the state which installed the syringe in the auxiliary tool which concerns on embodiment.
  • FIG.2 (c) is a side view which shows the state which the user hold
  • the syringe 200 includes a main body 210, a container 220, a needle 230, a pusher 240, and a dial 250.
  • the main body 210 is a cylindrical member.
  • the diameter of the outer surface of the main body 210 is substantially the same as the diameter of the inner surface 112 a of the auxiliary tool 100.
  • a cylindrical container 220 that stores a medicine is connected to the lower end of the main body 210.
  • the diameter of the outer surface of the container 220 is one step smaller than the diameter of the outer surface of the main body 210.
  • the main body 210 is provided with a window 212.
  • the window part 212 exposes the dial 250 to the outside.
  • the dial 250 is provided at the upper end of the outer surface of the main body 210 to set the amount of medicine to be charged. More specifically, the dial 250 is provided on the inner side near the upper end of the main body 210 and is exposed to the outside through the window 212.
  • the dial 250 rotates around the Z axis in accordance with the pushing of the pusher 240 in the Z-axis direction and the rotation of the pusher 240 around the Z axis so that the scale positioned on the window 212 changes. , Connected to the pusher 240.
  • the user sets the dosage of the medicine by rotating the dial 250 about the Z axis.
  • the pusher 240 is pushed in after the dose of the medicine is set, the set amount of the medicine is discharged from the needle 230.
  • the user rotates the pusher 240 around the Z axis, and positions the scale of the dial 250 corresponding to the amount of the medicine to be injected at the center position of the window 212.
  • the user inserts the index finger, the middle finger, the ring finger, and the little finger between the tube portion 110 and the collar portion 130, and grips the tube portion 110 with these four fingers.
  • the user inserts the needle 230 into the injection site such as the abdomen.
  • the user pushes the pusher 240 with the thumb as shown in FIG. 2C with the needle 230 stuck in the injection site.
  • the upper end of the cylindrical portion 310 is positioned below the position of the dial 250. That is, when the syringe 200 is installed on the auxiliary tool 300, the dial 250 is exposed to the outside at a position above the upper end of the cylindrical portion 310. Further, the length of the cylindrical portion 310 in the Z-axis direction is set smaller than the length of the cylindrical portion 110 of the auxiliary tool 100 in the Z-axis direction.
  • the collar part 320 is provided so as to protrude from the upper part of the cylinder part 310 in the Y-axis direction.
  • the end portion on the Y axis positive side of the collar portion 320 is bent to the Z axis positive side so as to be along the upper portion of the index finger when the cylindrical portion 310 is gripped by the user.
  • FIG. 4A is a diagram showing the results of verification regarding usability by the subject in Comparative Examples 1 and 2 and the embodiment.
  • the evaluation of the embodiment is the highest in the three evaluation items of “ease of grip”, “ease of pushing”, and “overall evaluation”, compared with Comparative Examples 1 and 2. Significant differences were observed. Regarding “ease of holding”, a significant difference was recognized between the embodiment and Comparative Example 2, but a significant difference was recognized as compared with Comparative Example 1. From this result, by using the auxiliary tool 100 of the embodiment, the usability is improved as compared with the case where the syringe 200 is used alone (Comparative Example 1) and the case where the auxiliary tool 300 (Comparative Example 2) is used. It was shown that.
  • FIG. 4B is a diagram showing the results of verification regarding the injection amount in Comparative Examples 1 and 2 and the embodiment.
  • medical solution was about 0.2g in any of the comparative examples 1 and 2 and embodiment, and the difference was not recognized by three cases. From this result, it was shown that the auxiliary tool 100 of the embodiment was not inferior to Comparative Examples 1 and 2 with respect to the injection amount of the chemical solution. That is, it was shown that the auxiliary tool 100 of the embodiment can inject the liquid amount as in Comparative Examples 1 and 2.
  • the auxiliary device 100 of the embodiment can inject an appropriate amount of liquid and can inject a chemical liquid appropriately without causing liquid leakage, the auxiliary device 100 of the embodiment provides therapeutic safety. It was confirmed that it could be secured.
  • the collar portion 130 and the window portion 115 are omitted, and the window portion 114 is not a hole, but a notch with an open top. Yes. Also, the Y-axis positive side end of the connecting portion 120 is bent to the Z-axis positive side so as to be along the upper part of the index finger when the cylindrical portion 110 is gripped by the user.
  • the outer surface 111 of the auxiliary tool 401 is not provided with irregularities, and the diameter of the outer surface 111 is constant.
  • the outer surface 111 of the assisting devices 402 and 403 is provided with the same unevenness as the assisting device 100, that is, a plurality of concave portions 111a and a plurality of convex portions 111b. .
  • the amplitude of the unevenness of the auxiliary tool 403 is smaller than the amplitude of the unevenness of the auxiliary tool 402.
  • the finger fits into the irregularities on the outer surface 111 of the cylindrical portion 110, whereby the adhesion between the finger and the cylindrical portion 110 is enhanced, and the displacement of the cylindrical portion 110 is suppressed. For this reason, the user can hold the cylinder part 110 more reliably and stably. Therefore, even if the user is in a state where it is difficult to smoothly hold the cylindrical portion 110, the user can administer the medicine more smoothly.
  • the length of the collar portion 130 is a length that can cover at least the index finger, the middle finger, and the ring finger among the fingers of the user holding the tube portion 110.
  • the gripping of the user with respect to the cylindrical portion 110 can be reliably reinforced by pressing at least three fingers with the collar portion 130. Therefore, even if the user is in a state where it is difficult to smoothly hold the cylindrical portion 110, the user can administer the medicine more smoothly.
  • the length of the collar portion 130 is a length that can cover the index finger, the middle finger, the ring finger, and the little finger, so that the gripping of the user can be further reinforced.
  • the length of the cylinder part 110 is equal to or greater than the width of the palm of the user who holds the cylinder part 110.
  • the assisting tool for assisting the self-injection by the user is not limited to the assisting tool 100 shown in FIGS. 1A and 1B, but may be assisting tools 411 to 417 described below, for example.
  • the auxiliary tools 411 to 414 described below the same components as those of the auxiliary tool 100 are denoted by the same numbers as those of the auxiliary tool 100 for convenience.
  • the parts of the auxiliary tools 411 to 417 that are different from the auxiliary tool 100 will be described.
  • FIG. 7 (a) is a side view showing the configuration of the auxiliary tool 411
  • FIG. 7 (b) is a view showing a C3-C4 cross section of the auxiliary tool 411 shown in FIG. 7 (a).
  • the inner surface 131 of the collar portion 130 of the auxiliary tool 411 has a concave shape when viewed in the Z-axis direction.
  • the inner surface 131 of the collar part 130 of the said auxiliary tool 100 becomes convex shape seeing in the Z-axis direction.
  • the concave inner side surface 131 comes into close contact with the outer portions of the user's index finger, middle finger, ring finger, and little finger holding the cylinder part 110. It becomes easy. Thereby, the user can hold
  • the interval between the cylindrical portion 110 and the flange portion 130 on the X-axis positive side and the X-axis negative side is narrower than that in FIG. It is assumed that it is difficult to insert a finger during 130. Therefore, from the viewpoint of ease of finger insertion, the outer surface 111 is preferably convex as shown in FIG.
  • FIG. 8 (a) to 8 (c) are side views showing the configuration of the auxiliary tools 412 to 413.
  • FIG. 8 (a) to 8 (c) are side views showing the configuration of the auxiliary tools 412 to 413.
  • the outer surface 132 on the Y axis positive side of the collar portion 130 is provided with unevenness similar to that of the inner surface 131.
  • the unevenness of the inner side surface 131 of the collar portion 130 is omitted.
  • the unevenness of the outer surface 111 of the cylindrical portion 110 is omitted.
  • the stability of the gripping of the cylindrical portion 110 by the user is higher than when the unevenness is provided on both the outer surface 111 and the inner surface 131. May be inferior.
  • the stability of gripping of the cylindrical portion 110 by the user can be improved as compared with the case where the outer surface 111 and the inner surface 131 are not provided with unevenness.
  • FIGS. 9A to 9C are side views showing the configurations of the auxiliary tools 415 to 417, respectively.
  • connection part 120 is provided at the lower end of the cylinder part 110.
  • connection part 120 is provided at the upper end and the lower end of the cylinder part 110.
  • connection part 120 is provided near the center position of the cylinder part 110 in the Z-axis direction.
  • the auxiliary tool 415 shown in FIGS. 9 (a) to 9 (c) since a plurality of fingers gripping the cylinder part 110 are pressed from the outside by the collar part 130 as in the above embodiment, the user's grip on the cylinder part 110 is held. Is reinforced.
  • the finger fits into the unevenness of the outer surface 111 of the tube part 110 and the unevenness of the inner surface 131 of the collar part 130, so that the adhesion between the finger and the tube part 110 is enhanced and the displacement of the tube part 110 is suppressed. . For this reason, the user can hold the cylinder part 110 reliably and stably.
  • the collar unit 130 is configured to press the four fingers from the index finger to the little finger from the outside, but the number of fingers pressed by the collar unit 130 is not limited to this.
  • the configuration may be such that the collar portion 130 presses only the index finger from the outside, or the configuration that presses three fingers from the index finger to the middle finger from the outside.
  • the user may be able to select the assisting tool 100 in which the number of fingers pressed by the buttocks 130 is a desired number. As the number of fingers pressed by the buttocks 130 increases, the gripping of the cylindrical portion 110 is reinforced. However, depending on the user, if all four fingers are pressed by the buttocks 130, a tight feeling may be felt. On the other hand, if the user can select the number of fingers pressed by the buttocks 130, the user can use the assisting tool 130 that does not feel cramped and can be gripped with certainty.
  • the processing devices 2a, 3a, and 4a installed in the pharmacy 2, the specialist facility 3, and the manufacturer facility 4 are connected to the Internet or the like.
  • the network 5 is connected to each other.
  • the processing devices 2a, 3a, and 4a are each configured by a personal computer or a server computer.
  • the user visits the pharmacy 2.
  • the pharmacist inputs finger information related to the diameter of the user's finger and the like to the processing device 2a.
  • the processing device 2a sets the values of various parameters of the assisting tool 100 so as to match the input hand information, and sets the set parameter values together with the user's hand information and user information in the processing facility of the specialist facility 3. Send to 3a.
  • the expert refers to the parameter value and finger information received by the processing device 3a, and confirms whether the parameter value needs to be corrected.
  • the expert has specialized skills in setting and adjusting the parameter value in consideration of the state of the user's finger.
  • the expert performs an operation of correcting the parameter value and transmitting the corrected parameter value to the processing device 4a of the manufacturer facility 4.
  • the expert performs an operation of transmitting the parameter value as it is to the processing device 4a of the manufacturer facility 4.
  • the parameter value of the auxiliary tool 100 is transmitted to the processing device 4a of the manufacturer facility 4.
  • the ordering pharmacy information and user information are also transmitted to the processing device 4a.
  • the processing device 4a forms the auxiliary tool 100 with the forming machine 4b based on the received parameter value.
  • the forming machine 4b is composed of, for example, a three-dimensional printer.
  • the manufacturer attaches user information to the formed auxiliary tool 100 and transports it to the ordering pharmacy 2.
  • the user receives the transported assisting tool 100 at the pharmacy 2. In this way, the user acquires the assisting tool 100 that fits his / her fingers.
  • the processing device 2a of the pharmacy 2 includes a control unit 510, a storage unit 511, a display unit 512, an input unit 513, and a communication unit 514.
  • the control unit 510 includes a processing unit such as a CPU (Central Processing Unit), and executes control processing according to a program stored in the storage unit 511.
  • the storage unit 511 includes a hard disk drive, a ROM (Read Only Memory), a RAM (Random Access Memory), and the like, and holds a control program executed by the control unit 510 and various tables (databases) described later.
  • the processing apparatus 3a of the expert facility 3 has the same configuration as the processing apparatus 2a.
  • the processing device 3a includes a control unit 610, a storage unit 611, a display unit 612, an input unit 613, and a communication unit 614.
  • the control unit 610 executes control processing according to the control program held in the storage unit 611.
  • FIGS. 12 (a) to 12 (c) and FIGS. 13 (a) and 13 (b) are diagrams showing configurations of various tables held in the processing device 2a of the pharmacy 2.
  • FIG. These tables are held in the storage unit 511 of the processing device 2a.
  • the reception table has a configuration in which the order number is associated with a patient ID, a syringe ID, hand information, presence / absence of hand special input, and a comment.
  • the order number is added and new information is registered in the reception table.
  • Information input by the pharmacist via the input unit 513 of the processing device 2a is registered in the reception table.
  • the ID of the patient who ordered the assisting tool 100 is registered.
  • the syringe ID provided by the pharmacist is registered in the syringe ID column.
  • information related to the finger of the user typically a patient
  • the diameter of the patient's finger is registered.
  • a comment regarding the user's finger is registered in the comment column. A method for inputting each information registered in the reception table will be described later with reference to FIG.
  • the pharmacy input parameter table has a configuration in which the order number is associated with the date and time of the order, the value of each parameter of the assisting tool 100, and the comment.
  • the order number and comment fields the contents of the order number and comment fields in the reception table of FIG.
  • the date and time column the date and time when the parameter value is determined is registered.
  • the parameter column the value of each parameter of the assisting tool 100 calculated based on the finger information of the reception table of FIG. 12C is registered.
  • 15 parameters are set in the auxiliary tool 100. The contents of parameters (1) to (15) will be described later with reference to FIG.
  • the expert input parameter table has a configuration in which the order number is associated with the date and time of correction and the value of each parameter of the auxiliary tool 100.
  • the expert input parameter table when the value of each parameter of the auxiliary tool 100 corrected by the expert is received from the processing device 3a of the expert facility 3, the value of each received parameter is registered.
  • the order number column In the order number column, the order number of the auxiliary tool 100 whose expert has corrected the parameter value is registered.
  • the date and time of correction that is, the date and time when the correction value of each parameter is received from the processing device 3a of the expert facility 3 is registered in the date and time column.
  • the correction value of each received parameter is registered in the parameter column.
  • the syringe table shown in FIG. 12B is also held in the processing device 3a of the specialist facility 3. Further, when the processing device 3a receives the information of the pharmacy input parameter table shown in FIG. 13A from the processing device 2a of the pharmacy 2, it registers the received information in its corresponding database. Further, the processing device 3a registers the information of the expert input parameter table shown in FIG. 13B in its corresponding database when transmitting the information to the processing device 2a of the pharmacy 2.
  • FIG. 14 is a diagram showing a configuration of the input screen 10 for inputting information of a user (typically a patient) of the assisting tool 100.
  • the input screen 10 is displayed on the display unit 512 of the processing apparatus 2a installed in the pharmacy 2.
  • the input screen 10 includes areas 11 to 17 and a key 18.
  • the area 11 displays the patient ID and patient name registered on the separately prepared patient registration screen, and further displays the order number assigned on the separately prepared order reception screen.
  • area 12 the type of syringe provided to the patient by the pharmacist is entered.
  • a button for pulling down a selection candidate for the syringe is arranged. The pharmacist operates this button with the input unit 513 to select the syringe to be provided from the selection candidates. This completes the input of the syringe.
  • the diameters of the index finger, middle finger, ring finger, and little finger of the user of the auxiliary tool 100 are input.
  • the pharmacist measures the diameters of the user's index finger, middle finger, ring finger, and little finger, and inputs the measured values of each finger in the input fields 13a to 13d.
  • the diameter of each finger is measured at the second joint of each finger as shown by the arrow in FIG.
  • the length from the index finger to the little finger of the user of the auxiliary tool 100 is input.
  • the pharmacist measures the length from the user's index finger to the little finger and inputs the measured value in the area 14.
  • the length from the index finger to the little finger is measured at the base position of each finger as shown by the arrow in FIG.
  • a comment regarding each finger of the user of the assisting tool 100 is input. For example, when a predetermined finger is bent due to an aftereffect of injury, or when bending and stretching are restricted, the pharmacist inputs the content in the area 15.
  • Area 16 is a check box that is checked when the pharmacist determines that additional hand information should be input because the hand of the user of the assisting device 100 is in a special situation. The pharmacist checks the area 16 and then inputs information corresponding to all the input fields 17a to 17l in the area 17.
  • a plane interval between adjacent fingers among the five fingers of the user of the assisting tool 100 is input.
  • the plane interval is the interval between the fingertips when the user spreads his / her finger as shown by an arrow in FIG.
  • the pharmacist measures the plane interval between the adjacent fingers of the user and inputs each measured value in the input fields 17a to 17d.
  • the height from the plane of the five fingers of the user of the assisting tool 100 is input.
  • the height from the plane is the maximum value of the gap between each finger and the plane when the user spreads his finger and places his hand on the plane, as shown by the arrow in FIG. is there.
  • the pharmacist measures the height from the plane for each finger of the user, and inputs each measured value in the input fields 17e to 17i.
  • a grip interval between adjacent fingers among the four fingers from the index finger to the little finger of the user of the assisting tool 100 is input.
  • the grip interval is the maximum value of the interval between fingers when the user grasps the four fingers from the index finger to the little finger in a naturally closed state, as indicated by arrows in FIG. .
  • the pharmacist measures the grip interval between adjacent fingers of the user, and inputs each measured value in the input fields 17j to 17l.
  • an abnormal value is included in any of the input fields 17a to 17l.
  • the finger information input in the input fields 17a to 17l is referred to by the expert in the expert facility 3 together with the comment input in the area 15, and is used for adjusting the values of the parameters of the auxiliary tool 100. .
  • the input to the regions 13 to 17 is performed on the finger (usually, the hand of the dominant arm) that the user holds the assisting tool 100 when the drug is administered by the syringe.
  • the key 18 is a key for proceeding to the next step when the input to the areas 12 to 17 is completed.
  • the pharmacist operates the key 18 when the input to the areas 12 to 17 is completed. If all inputs have not been completed, the key 18 is set inoperable.
  • a parameter screen 20 shown in FIG. 16 is displayed on the display unit 512.
  • the parameter screen 20 includes areas 21 to 27 and keys 28 and 29.
  • an image showing the range of the parameters (1) to (15) of the auxiliary tool 100 overlaid on the appearance of the auxiliary tool 100 is displayed.
  • an image of the auxiliary tool 100 corresponding to the syringe selected by the pharmacist in the area 12 of FIG. 14 among the images stored in the syringe table of FIG. 12B is displayed.
  • the area 22 displays the information held in the areas 11 to 14 and the areas 16 and 17 when the key 18 in FIG. 14 is operated, and the area 23 is held in the area 15 in FIG. Information is displayed.
  • the values of the parameters (1) to (15) of the assisting tool 100 displayed in the area 21 are displayed.
  • the parameters (1) to (4) are selected by the pharmacist in the area 12 of FIG. 14 from the values of the parameters (1) to (4) stored in the syringe table of FIG.
  • the values of parameters (1) to (4) corresponding to the injected syringe are displayed.
  • values calculated by the control unit 510 by the correlation calculation between the diameters of the fingers and the lengths from the index finger to the little finger and the parameters in the regions 13 and 14 of FIG. 14 are displayed. Is done.
  • Control unit 510 obtains the value of each parameter by applying the diameter of each finger and the length from the index finger to the little finger input by the pharmacist on input screen 10 shown in FIG. 14 to the correlation calculation expression of each parameter.
  • Parameter (1) is the thickness of the uppermost part of the cylindrical part 110 of the auxiliary tool 100.
  • Parameter (2) is the diameter of the hole 112 of the auxiliary tool 100.
  • Parameters (3) and (4) are the horizontal and vertical widths of the window 114 of the auxiliary tool 100, respectively.
  • the value obtained by doubling the value of the parameter (1) and adding the value of the parameter (2) is the same regardless of which type of syringe is selected. It is set to be. That is, when the pharmacist selects a syringe with a small diameter of the main body 210, the value of the parameter (2) becomes small and the value of the parameter (1) becomes large.
  • Parameter (5) is the length of the cylinder part 110 of the auxiliary tool 100.
  • the parameter (5) is calculated as a value slightly larger than the length from the index finger to the little finger input in the area 14 of FIG.
  • Parameter (6) is the length of the connecting portion 120 of the auxiliary tool 100.
  • the parameter (6) includes the value of the parameter (9) for the index finger (the distance between the concave portion 111a on the tube portion 110 side and the concave portion 131a on the collar portion 130 side) and the preset thickness of the collar portion 130. Is calculated based on
  • Parameter (7) is the width of the buttocks 130 of the assisting tool 100.
  • the parameter (7) is calculated based on the length of the connecting portion 120 and the length of the collar portion 130 so that an elastic force can be obtained by pressing the four fingers from the index finger to the little finger from outside with a predetermined force.
  • the Parameter (8) is the length of the collar 130. The parameter (8) is calculated so that the lower end of the collar portion 130 is aligned with the lower end of the cylindrical portion 110.
  • Parameter (9) is a distance between the concave portion 111a on the cylindrical portion 110 side and the concave portion 131a on the flange portion 130 side.
  • the parameter (9) is calculated for each finger position from the index finger to the little finger.
  • the parameter (9) is calculated based on the diameter of the four fingers input to the area 13 in FIG.
  • the parameter (10) is the depth of the concave portion 111a formed on the outer surface 111 of the cylindrical portion 110 of the assisting tool 100
  • the parameter (11) is the value of the convex portion 111b formed on the outer surface 111 of the cylindrical portion 110. It is height.
  • the parameter (10) (depth of the concave portion 111a) and the parameter (11) (height of the convex portion 111b) are set to the outer diameter of the outer surface 111 of the cylindrical portion 110, that is, the parameter (1) ) Is doubled and added to set the reference.
  • Parameters (10) and (11) are respectively calculated for the positions of the fingers from the index finger to the little finger.
  • the parameters (10) and (11) are calculated based on the diameters of the four fingers input to the region 13 in FIG. 14 so that the little finger from the index finger fits into the recess 111a of each finger.
  • Parameter (12) is the pitch of the recesses 111a formed on the outer surface 111 of the cylindrical part 110 of the auxiliary tool 100.
  • the parameter (12) is also calculated for each finger position from the index finger to the little finger.
  • the parameter (12) includes four fingers input in the region 13 of FIG. 14 so that when the user holds the tube part 110 with fingers aligned, the four fingers from the index finger to the little finger respectively follow the recesses 111a of each finger. It is calculated based on the diameter of.
  • the parameter (13) is the depth of the concave portion 131a formed on the inner side surface 131 of the collar portion 130 of the assisting tool 100
  • the parameter (14) is the depth of the convex portion 131b formed on the inner side surface 131 of the collar portion 130. It is height.
  • the parameter (13) (depth of the concave portion 131a) and the parameter (14) (height of the convex portion 131b) are set based on the height of the convex portion 131b adjacent to the upper side.
  • Parameters (13) and (14) are calculated for the positions of the fingers from the index finger to the little finger, respectively.
  • the parameters (13) and (14) are calculated based on the diameters of the four fingers input to the region 13 in FIG. 14 so that the four fingers from the index finger to the little finger fit into the concave portions 131a of the fingers, respectively.
  • Parameter (15) is the pitch of the recesses 131a formed on the inner surface 131 of the collar part 130 of the assisting tool 100.
  • the parameter (15) is also calculated for each finger position from the index finger to the little finger.
  • the parameter (15) is the four fingers input in the region 13 of FIG. 14 so that the four fingers from the index finger to the little finger are along the recesses 131a of each finger when the user grips the cylindrical portion 110 with the fingers aligned. It is calculated based on the diameter of.
  • concave portion 131a of each finger on the collar portion 130 side and the concave portion 111a of each finger on the cylindrical portion 110 side are at the same position in the length direction of the cylindrical portion 110 (Z-axis direction in FIG. 1A).
  • the values of the parameters (1) to (4) and the calculation results of the parameters (5) to (8) are displayed in the area 24.
  • the calculation results of the parameters (9) to (15) are displayed in the area 26.
  • the area 25 is used to select for which finger the values of the parameters (9) to (15) displayed in the area 26 are displayed.
  • a button for pull-down display of finger selection candidates is arranged on the right end of the area 25, a button for pull-down display of finger selection candidates is arranged. The pharmacist operates this button with the input unit 513 to select a desired finger. As a result, the values of the parameters (9) to (15) corresponding to the selected finger are displayed in the area 26.
  • the comment input in the area 15 in FIG. 14 is displayed.
  • the pharmacist operates the keys 28 after confirming the values of the parameters displayed in the areas 24 and 26.
  • the information (excluding the patient name) displayed in the areas 22 and 27 and the value of each parameter are transmitted to the processing device 3a of the specialist facility 3.
  • the information displayed in the area 22 is registered in the reception table (see FIG. 12C) constructed in the processing device 2a of the pharmacy 2, and the values of the parameters are constructed in the processing device 2a of the pharmacy 2.
  • Registered in the pharmacy input parameter table (see FIG. 13A).
  • the pharmacist can appropriately correct the values of the parameters (5) to (15) displayed in the areas 24 and 26 on the parameter screen 20 shown in FIG. For example, when the pharmacist positions the cursor at the position of the parameter value to be corrected and clicks the mouse, the parameter value is set to a correctable state. When the predetermined parameter value is corrected from the calculated value, the pharmacist appropriately adds a comment regarding the correction to the area 27. Thereafter, when the key 28 is transmitted, the value of each parameter including the corrected parameter value is transmitted to the processing device 3a of the specialist facility 3 together with the information displayed in the areas 22 and 27.
  • the pharmacist can return the screen to the input screen 10 of FIG. 14 by operating the key 29 on the parameter screen 20 shown in FIG. Thereby, the pharmacist can redo the input of various information suitably.
  • the parameter screen 30 shown in FIG. 17 includes areas 31 to 37 and keys 38 and 39.
  • the areas 31 to 37 are the same as the areas 21 to 27 of the parameter screen 30 shown in FIG.
  • the expert determines whether or not the parameter values displayed in areas 34 and 36 need to be corrected. In this case, the expert particularly refers to the presence / absence of finger special input, the plane interval, the height from the plane, the grip interval, and the comments in the region 37 shown in the lower part of the region 32.
  • the parameter corresponding to the finger is determined according to the degree. Correct the value of. At this time, the expert confirms whether or not there is a comment on the deformation of the finger in the region 37. Alternatively, when there is a description in the region 37 that the predetermined parameter value has been corrected on the pharmacist side, the expert determines whether or not the correction is appropriate. When it is determined that the correction is not appropriate, the expert corrects the parameter value to an appropriate value.
  • the corrected parameter value is corrected in this way, when the expert operates the key 38, the corrected parameter value, the order number, the syringe type, the patient ID, and the pharmacy 2 that has received the order are displayed.
  • Information (address, pharmacy name, etc.) is transmitted to the processing device 4 a of the manufacturer facility 4.
  • these pieces of information are transmitted from the processing device 3a of the specialist facility 3 to the processing device 2a on the pharmacy 2 side where the order is placed.
  • the received information is registered in the expert input parameter table shown in FIG.
  • the parameter value received from the pharmacy 2 side remains as it is, the order number, the syringe type and the patient ID, and information on the pharmacy 2 that received the order (address) And the name of the pharmacy, etc.) are transmitted to the processing device 4a of the manufacturer facility 4. In this case, these pieces of information are not transmitted to the processing device 2a of the pharmacy 2 that has placed the order.
  • the expert determines that there is an abnormality in the user's finger to the extent that it is difficult to correct the parameter value, the expert operates the key 39 to cancel the manufacturing request.
  • the specialist separately contacts the ordering pharmacy 2 and takes measures such as prompting the pharmacist to individually design the assisting device 100 for the user.
  • the assisting device 100 is formed based on the received information in the processing device 4a. Specifically, the processing device 4a applies the received parameter value and syringe type to the forming program for the auxiliary tool 100, and forms the auxiliary tool 100 by the forming machine 4b.
  • the auxiliary device 100 formed in this way is transported by the manufacturer to the destination designated by the information of the pharmacy together with the label indicating the order number, the syringe type and the patient ID.
  • the user can receive the assisting tool 100 that fits his / her fingers.
  • FIG. 18A is a flowchart showing the processing of the processing device 2a on the pharmacy 2 side when ordering the auxiliary tool 100.
  • FIG. 18B is a flowchart illustrating processing in the processing device 3a when the processing device 3a of the specialist facility 3 receives an order for the auxiliary tool 100 from the pharmacy 2 side.
  • the screens of FIGS. 14 and 16 are displayed on the processing device 2a as described above, and the screen shown in FIG. 17 is displayed on the processing device 3a.
  • the control unit 510 of the processing device 2a displays the input screen 10 shown in FIG. 14 on the display unit 512 and relates to the user's finger.
  • An input of finger information is accepted (S11).
  • the control unit 510 calculates each parameter value of the auxiliary tool 100 based on the input hand information (S12), and the calculated parameter value together with the hand information is displayed on the parameter screen 20 (FIG. 16) (S13).
  • the pharmacist appropriately modifies the parameter value and adds a comment on the parameter screen 20.
  • control unit 510 transmits the parameter value to the processing device 3a of the specialist facility 3 together with the finger information and other information. (S15). At the same time, control unit 510 registers the parameter value and finger information in the corresponding table. Thereby, control unit 510 ends the processing at the time of ordering.
  • the control unit 610 of the processing device 3a based on the information received from the processing device 2a on the pharmacy 2 side (information transmitted in S15 of FIG. 18 (a)), FIG. Is displayed (S21). The expert appropriately corrects the parameter value on the parameter screen 30.
  • control unit 610 sends the parameter value to the processing device 4a of the manufacturer facility 4 together with the syringe type and other information. Transmit (S23). At the same time, control unit 610 registers the parameter value and hand information in its own database. When the expert corrects the parameter value, the control unit 610 transmits the corrected parameter value to the processing device 2a of the ordering pharmacy 2. In this case, the corrected parameter value is registered in the expert input parameter table in the processing device 2a on the pharmacy 2 side. Thereby, the control unit 610 ends the process.
  • control unit 610 ends the process without transmitting the parameter value to the processing device 4a of the manufacturer facility 4.
  • the assisting device 100 is formed based on the parameter value in the manufacturer facility 4 as described above.
  • the formed auxiliary tool 100 is transported to the ordering pharmacy 2 and received by the user.
  • the user confirms the gripping state of the assisting tool 100 received in this way, and if the gripping feels uncomfortable, he / she reports it to the pharmacist.
  • the pharmacist causes the display unit 512 of the processing device 2a to display the parameter screen 20 (see FIG. 16) corresponding to the order number of the assisting tool 100.
  • the parameter values registered in the expert input parameter table of FIG. 13B are displayed in the areas 24 and 26 of the parameter screen 20.
  • the parameter value registered in the pharmacy input parameter table of FIG. 13A is displayed in the areas 24 and 26 of the parameter screen 20.
  • the pharmacist appropriately modifies the parameter value on the parameter screen 20 so as to eliminate the user's uncomfortable feeling.
  • the pharmacist adds the contents of the user's uncomfortable feeling and the parameter contents correction contents (which parameter value was corrected how) to the area 27 and operates the key 28.
  • the parameter value after correction, the correction content of the parameter value, and the content of the user's uncomfortable feeling are transmitted to the processing device 3a of the expert facility 3.
  • the pharmacist determines that the parameter value cannot be corrected by himself, he adds the content of the user's uncomfortable feeling and a comment indicating that the parameter value has not been corrected to the area 27 and operates the key 28. . Thereby, the uncorrected parameter value, the content of the user's uncomfortable feeling and the comment are transmitted to the processing device 3a of the expert facility 3.
  • the parameter screen 30 of FIG. 17 is displayed based on the received information.
  • the expert refers to the area 37 in the displayed parameter screen 30 and appropriately corrects the parameter value according to the content of the user's uncomfortable feeling. Thereafter, the expert operates the key 38 to transmit the corrected parameter value together with other information to the processing device 4a of the manufacturer facility 4.
  • the auxiliary tool 100 based on the corrected parameter value is formed and transported to the ordering pharmacy 2.
  • the user receives the assisting tool 100 in which the uncomfortable feeling is eliminated.
  • ⁇ Effects of assistive device providing system> since the values (dimensions) of various parameters of the assisting tool 100 are set according to the state of the user's finger, the assist conforming to the state of the user's finger The tool 100 can be created for each user. For this reason, even if the user is in a state where it is difficult to smoothly grip the cylindrical portion 110, the user can grip the auxiliary tool 100 more stably and reliably. Therefore, the user can administer the medicine more smoothly.
  • auxiliary tool 100 that matches the diameter of the user's index finger, middle finger, ring finger, and little finger, and the length from the index finger to the little finger. Therefore, the user can hold the auxiliary tool 100 stably and reliably, and can administer the medicine more smoothly.
  • the input screen 10 accepts the input of the diameter of four fingers from the index finger to the little finger.
  • the area 13 of the input screen 10 is changed to accept input of the diameters of the two fingers of the index finger and the middle finger.
  • the assisting device 100 is configured so that the buttocks 130 cover only the index finger, the middle finger, and the ring finger
  • the area 13 of the input screen 10 is changed to accept the input of the diameters of the 3 fingers of the index finger, the middle finger, and the ring finger. Is done.
  • the assisting tool 100 is configured so that the buttocks 130 cover only the index finger, the area 13 of the input screen 10 is changed to accept the input of the diameter of the index finger.
  • the pharmacist may be able to select whether the assisting device 100 is formed so as to cover the finger 130 to which finger. In this case, the pharmacist selects the number of fingers that the buttock 130 should cover while confirming to the user which finger the buttock 130 should cover.
  • the calculation processing of the parameter value of the auxiliary tool 100 is performed in the processing device 2a on the pharmacy 2 side, but this calculation processing may be performed in the processing device 3a on the specialist facility 3 side, Or you may perform by both the processing apparatus 2a by the side of the pharmacy 2, and the processing apparatus 3a by the side of the specialist facility 3.
  • the processing device 2a on the pharmacy 2 side receives the finger information (four fingers) input on the input screen 10 shown in FIG. (Including the diameter of the finger, the length from the index finger to the little finger, comments, presence or absence of special input, plane interval, height from plane, and grip interval), together with the syringe type, patient information and order number, It transmits to the processing apparatus 3a.
  • the processing device 3a of the expert facility 3 performs a correlation calculation based on the received information, and calculates each parameter value of the auxiliary tool 100.
  • the parameter screen 30 shown in FIG. 17 is configured and displayed on the display unit 612 of the processing apparatus 3a. Subsequent processing is the same as in the above embodiment.
  • the processing device 2a (first processing device) on the pharmacy 2 side functions as a receiving unit for receiving user's hand information
  • the processing device 3a (second processing device) of the specialist facility 3 is , Functioning as a calculation unit for calculating the parameter value and a communication unit for transmitting the calculated parameter value to the processing device 4a of the manufacturer facility 4.
  • information for molding the auxiliary tool 100 is provided for each user by the processing device 2a (first processing device) on the pharmacy 2 side and the processing device 3a (second processing device) of the specialist facility 3.
  • An information management device that generates and manages is configured.
  • the functions of the information management apparatus do not necessarily have to be divided into the pharmacy 2 and the specialist facility 3, and the functions of the information management apparatus may be integrated only in the pharmacy 2.
  • the values of various parameters are directly transmitted from the processing device 2a (information management device) installed in the pharmacy 2 to the processing device 4a of the manufacturer facility 4.
  • the forming apparatus (processing apparatus and forming machine) and the information management apparatus do not necessarily have to be connected via an external network, and the forming apparatus (processing apparatus and forming machine) is installed in the same facility (for example, pharmacy 2). And an information management device may be installed, and these may be connected by an internal network.
  • a forming machine (such as a 3D printer) for forming the auxiliary tool 100 may be installed in the pharmacy 2 shown in FIG. 10, and this forming machine may be connected to the processing apparatus 2a.
  • the processing apparatus 2a includes a function of a forming unit that forms the auxiliary tool 100 by a forming machine based on the calculated parameter value, in addition to a function of a calculation unit that calculates each parameter value of the auxiliary tool 100.
  • the user can quickly obtain the auxiliary tool 100 without waiting for transportation.
  • the assisting device 100 can be quickly reformed and provided to the user while confirming the content of the uncomfortable feeling on the spot.
  • the diameter of the cylindrical portion 110 that is, the value obtained by doubling the parameter (1) and adding the parameter (1) to the parameter (2) is constant, but depending on the age, the finger, and the palm length.
  • the diameter of the cylinder part 110 may be changed.
  • the input screen 10 includes input items of information regarding the user's age, finger, and palm length, and the value of the parameter (1) is obtained by correlation calculation based on the input information in these input items.
  • the parameter value of the auxiliary tool 100 is transmitted from the processing apparatus 3a of the expert facility 3 to the processing apparatus 4a of the manufacturer facility 4, and based on this parameter value, the processing apparatus 4a sets the auxiliary tool 100.
  • the generation data is generated and the auxiliary tool 100 is formed, the generation data of the auxiliary tool 100 may be generated in the processing device 3a of the expert facility 3 and transmitted to the processing device 4a of the manufacturer facility 4.
  • the processing device 3a of the specialist facility 3 converts the parameter value and hand information received from the processing device 2a of the pharmacy 2 into generation data of the assisting device 100 using an algorithm.
  • the expert of the expert facility 3 corrected the parameter value of the auxiliary tool 100 received from the processing apparatus 2a of the pharmacy 2, this correction is performed using the algorithm of the processing apparatus 3a of the expert facility 3. You may make it perform by.
  • the algorithm determines whether or not the predetermined finger is deformed based on the plane interval, the height from the plane, and the grip interval of the user. When a deformation or the like occurs, the parameter value corresponding to the finger is corrected according to the degree of deformation. Alternatively, the algorithm determines whether or not the correction is appropriate when the comment described in the region 37 in FIG. 17 includes a description that a predetermined parameter value has been corrected on the pharmacist side. When it is determined that the correction is not appropriate, the algorithm corrects the parameter value to an appropriate value.
  • the algorithm cancels the manufacturing request when it is determined that the user's finger is abnormal to the extent that it is difficult to correct the parameter value.
  • the algorithm automatically sends a notification to that effect to the ordering pharmacy 2 to prompt the pharmacist to design the assisting device 100 individually for the user.

Abstract

An aid 100 comprises a barrel 110 into which a syringe containing a medication is inserted, a locking part 113 for locking the syringe inserted in the barrel 110 at a prescribed position such that a plunger protrudes by a prescribed amount from the barrel 110, and a guard 130 for retaining, from the outside, fingers grasping the barrel 110. The guard 130 extends in the lengthwise direction of the barrel 110, and is elastically deformable with respect to the barrel 110. Using the aid 100 allows for a medication to be more easily administered using a syringe mounted in the aid 100, even when it is difficult for the user to grasp objects.

Description

自己注射の補助具、情報管理装置および補助具生成システムSelf-injection assisting device, information management device, and assisting device generating system
　本発明は、自己注射を補助するための補助具、当該補助具を成形するための情報を使用者ごとに生成して管理する情報管理装置、および、当該補助具を生成するための補助具生成システムに関する。 The present invention relates to an auxiliary tool for assisting self-injection, an information management device for generating and managing information for forming the auxiliary tool for each user, and an auxiliary tool generating for generating the auxiliary tool About the system.
　糖尿病の治療薬であるインスリンや、成長ホルモン等の薬剤の投与は、患者自らが自宅など病院以外の場所で行うことが多い。このような自己注射を補助する補助具として、たとえば、以下の特許文献１～３に記載の補助具が知られている。これら特許文献１～３に記載された構成では、注射器が装着された補助具を一方の手に保持した状態で、患者自らが注射器の針を腹部等に突き刺す。その後、患者は、他方の手で注射器の押し子を押し込む。これにより、注射器内の薬剤が患者に投与される。 In many cases, the patient himself administers insulin, which is a therapeutic agent for diabetes, and a drug such as growth hormone, at a place other than a hospital such as home. As such auxiliary tools for assisting self-injection, for example, auxiliary tools described in Patent Documents 1 to 3 below are known. In the configurations described in these Patent Documents 1 to 3, the patient himself pierces the abdomen or the like with the needle of the syringe while holding the auxiliary tool to which the syringe is attached in one hand. The patient then pushes the syringe pusher with the other hand. Thereby, the medicine in the syringe is administered to the patient.
特開２０１１－０９８１３３号公報JP 2011-098133 A 特開２０１４－０３６８７９号公報JP 2014-036879 A 特開２０１６－１１６９０８号公報JP 2016-116908 A
　しかしながら、患者によっては、高齢のため握力が低下し、あるいは、疾患等により手指が不自由であるため、補助具を安定的に把持できない場合がある。この場合、上記特許文献１～３の構成では、患者が片手で補助具を円滑に把持できないために、自己注射を円滑に行い得ないことが起こり得る。 However, depending on the patient, the grip strength may decrease due to age, or the fingers may be inconvenient due to a disease or the like, and the assisting device may not be stably gripped. In this case, in the configurations of Patent Documents 1 to 3, it may happen that the patient cannot smoothly hold the assisting tool with one hand, so that self-injection cannot be performed smoothly.
　かかる課題に鑑み、本発明は、使用者が物を把持しにくい状態にあっても、補助具に装着された注射器により円滑に薬剤を投与することが可能な補助具、当該補助具を成形するための情報を使用者ごとに生成して管理する情報管理装置、および、当該補助具を生成するための補助具生成システムを提供することを目的とする。 In view of such a problem, the present invention molds an auxiliary tool that can smoothly administer a drug by a syringe attached to the auxiliary tool even when the user is difficult to grip an object, and the auxiliary tool. It is an object of the present invention to provide an information management device that generates and manages information for each user and an assisting device generation system for generating the assisting device.
　本発明の第１の態様は、自己注射を補助するための補助具に関する。本態様に係る補助具は、薬剤を収容した注射器が挿入される筒部と、前記筒部に挿入された前記注射器を、押し子が前記筒部から所定量だけ突出する所定の位置に係止する係止部と、前記筒部を握る手指を外側から押さえるための鍔部と、を備える。前記鍔部は、前記筒部の長手方向に沿って延びており、且つ、前記筒部に対して弾性変形可能に設けられている。 The first aspect of the present invention relates to an auxiliary tool for assisting self-injection. The auxiliary device according to this aspect is configured to lock a cylindrical portion into which a syringe containing a medicine is inserted, and the syringe inserted into the cylindrical portion at a predetermined position where a pusher protrudes from the cylindrical portion by a predetermined amount. And a hook for pressing a finger that grips the tube from the outside. The flange portion extends along the longitudinal direction of the cylindrical portion, and is provided so as to be elastically deformable with respect to the cylindrical portion.
　本態様に係る補助具によれば、使用者が筒部を把持した状態において、鍔部によって筒部を握る手指が外側から押さえられるため、筒部に対する使用者の把持が補強される。よって、使用者の握力が弱い場合や使用者の手指が不自由な場合など、使用者が円滑に筒部を把持しにくい状態にあっても、使用者は、補助具に装着された注射器により、薬剤を円滑に投与することができる。 According to the assisting tool according to the present aspect, since the finger gripping the tubular portion by the buttocks is pressed from the outside in a state where the user grasps the tubular portion, the gripping of the user with respect to the tubular portion is reinforced. Therefore, even when the user has difficulty in gripping the cylinder part smoothly, such as when the user's grip strength is weak or when the user's fingers are inconvenient, the user should use the syringe attached to the assisting device. The drug can be administered smoothly.
　なお、本態様に係る補助具の使用者は、典型的には注射器による薬剤の投与を受ける患者である。この他、使用者は、たとえば患者が身動きできないような場合に、患者を補助または援助する補助者であってもよい。 In addition, the user of the assisting tool according to this aspect is typically a patient who receives a medicine by a syringe. In addition, the user may be an assistant who assists or assists the patient when the patient cannot move, for example.
　本態様に係る補助具において、前記筒部の外側面に、前記筒部を握る手指に沿う形状の凹凸が設けられるよう構成され得る。こうすると、指が筒部外側面の凹凸に嵌まることにより、指と筒部との密着性が高まり、筒部のずれが抑制される。このため、使用者は、より確実かつ安定的に筒部を握ることができる。よって、使用者が円滑に筒部を把持しにくい状態にあっても、使用者は、薬剤をより円滑に投与することができる。 In the assisting tool according to the present aspect, the outer surface of the tube portion may be configured to be provided with irregularities having a shape along a finger that grips the tube portion. If it carries out like this, a finger | toe will fit in the unevenness | corrugation of a cylinder part outer surface, the adhesiveness of a finger and a cylinder part will increase, and the shift | offset | difference of a cylinder part will be suppressed. For this reason, the user can hold the tube portion more reliably and stably. Therefore, even if the user is in a state where it is difficult to smoothly grip the tube portion, the user can administer the medicine more smoothly.
　本態様に係る補助具において、前記鍔部の内側面に、前記筒部を握る手指に沿う形状の凹凸が設けられるよう構成され得る。こうすると、指が鍔部内側面の凹凸に嵌まることにより、指と鍔部との密着性が高まり、筒部のずれが抑制される。このため、使用者による筒部の把持状態がより安定化され得る。よって、使用者が円滑に筒部を把持しにくい状態にあっても、使用者は、薬剤をより円滑に投与することができる。 In the assisting tool according to this aspect, the inner surface of the collar portion may be configured to be provided with irregularities having a shape along a finger that grips the tubular portion. If it carries out like this, a finger | toe will fit in the unevenness | corrugation of the inner surface of a collar part, the adhesiveness of a finger and a collar part will improve, and the shift | offset | difference of a cylinder part will be suppressed. For this reason, the gripping state of the cylindrical portion by the user can be further stabilized. Therefore, even if the user is in a state where it is difficult to smoothly grip the tube portion, the user can administer the medicine more smoothly.
　本態様に係る補助具において、前記鍔部の長さは、前記筒部を握る使用者の複数の手指を覆い得る長さに設定され得る。このように、複数の手指を鍔部で押さえることにより、筒部に対する使用者の把持をより強固に補強できる。 In the assisting device according to this aspect, the length of the buttocks can be set to a length that can cover a plurality of fingers of the user who holds the tube. In this way, by holding a plurality of fingers with the buttocks, it is possible to reinforce the user's grip on the tube portion more firmly.
　本態様に係る補助具において、前記鍔部の長さが、前記筒部を握る使用者の手指のうち、少なくとも示指、中指および薬指を覆い得る長さとなるよう構成され得る。このように、少なくとも３つの指が鍔部で押さえられることにより、筒部に対する使用者の把持が確実に補強され得る。よって、使用者が円滑に筒部を把持しにくい状態にあっても、使用者は、薬剤をより円滑に投与することができる。 In the assisting device according to this aspect, the length of the buttocks may be configured to cover at least the index finger, the middle finger, and the ring finger among the fingers of the user who holds the tube portion. As described above, the gripping of the user with respect to the cylindrical portion can be reliably reinforced by pressing at least three fingers with the buttocks. Therefore, even if the user is in a state where it is difficult to smoothly grip the tube portion, the user can administer the medicine more smoothly.
　本態様に係る補助具において、前記注射器は、本体外側面の上端に、前記薬剤の投入量を設定するためのダイヤルを備え、前記筒部は、前記ダイヤルを外部に露出させるための窓部を備えるよう構成され得る。こうすると、窓部からダイヤルが外部に露出するため、注射器本体を筒部により深く挿入でき、これにより、筒部から突出する押し子の位置を、筒部の上端に近づけることができる。このため、筒部を片手で握った状態で、その手の親指で押し子を円滑に操作できる。よって、使用者が円滑に筒部を把持しにくい状態にあっても、使用者は、薬剤をより円滑に投与することができる。 In the auxiliary tool according to this aspect, the syringe includes a dial for setting the amount of the medicine to be charged at the upper end of the outer surface of the main body, and the cylindrical portion has a window portion for exposing the dial to the outside. It can be configured to comprise. In this case, since the dial is exposed to the outside from the window portion, the syringe main body can be inserted deeper into the tube portion, and thereby the position of the pusher protruding from the tube portion can be brought closer to the upper end of the tube portion. For this reason, the pusher can be smoothly operated with the thumb of the hand in a state where the cylinder portion is held with one hand. Therefore, even if the user is in a state where it is difficult to smoothly grip the tube portion, the user can administer the medicine more smoothly.
　本態様に係る補助具において、前記筒部の長さが、前記筒部を握る使用者の掌の幅以上となるよう構成され得る。こうすると、掌が幅方向に筒部からはみ出しにくいため、筒部を把持する際に、指および掌と筒部との密着性が高まる。このため、使用者は、より安定的に筒部を把持できる。よって、使用者が円滑に筒部を把持しにくい状態にあっても、使用者は、薬剤をより円滑に投与することができる。 In the assisting tool according to this aspect, the length of the tube portion may be configured to be equal to or greater than the width of the palm of the user who holds the tube portion. If it carries out like this, since a palm will be hard to protrude from a cylinder part in the width direction, when gripping a cylinder part, the adhesiveness of a finger | toe and a palm and a cylinder part will increase. For this reason, the user can hold | maintain a cylinder part more stably. Therefore, even if the user is in a state where it is difficult to smoothly grip the tube portion, the user can administer the medicine more smoothly.
　本発明の第２の態様は、第１の態様に係る補助具を成形するための情報を使用者ごとに生成して管理する情報管理装置に関する。本態様に係る情報管理装置は、使用者の手指に関する手指情報の入力を受け付ける受付部と、前記受付部を介して入力された前記手指情報に基づいて前記補助具を構成する各種パラメータの寸法を算出する演算部と、前記演算部により算出された寸法に基づく情報を、前記補助具を形成するための形成装置に送信する通信部と、を備える。 A second aspect of the present invention relates to an information management apparatus that generates and manages information for forming an auxiliary tool according to the first aspect for each user. The information management apparatus according to this aspect includes a receiving unit that receives input of finger information related to a user's finger, and the dimensions of various parameters that configure the auxiliary tool based on the finger information input through the receiving unit. A calculation unit that calculates, and a communication unit that transmits information based on the dimensions calculated by the calculation unit to a forming apparatus for forming the auxiliary tool.
　本態様に係る情報管理装置によれば、使用者の手指の状態に応じて補助具の各種パラメータの寸法が設定されるため、使用者の手指の状態に適合する補助具を使用者ごとに作成できる。このため、使用者が円滑に筒部を把持しにくい状態にあっても、使用者は、より安定的かつ確実に補助具を把持することができる。よって、使用者は、薬剤を円滑に投与することができる。 According to the information management apparatus according to this aspect, since the dimensions of various parameters of the assisting tool are set according to the state of the user's finger, an assisting tool suitable for the state of the user's finger is created for each user. it can. For this reason, even if the user is in a state where it is difficult to smoothly grip the cylindrical portion, the user can grip the auxiliary tool more stably and reliably. Therefore, the user can smoothly administer the medicine.
　本態様に係る情報管理装置において、前記受付部は、前記手指情報として、少なくとも示指の径と、示指から小指までの長さの入力を受け付け、前記演算部は、入力された前記径および前記長さと前記各種パラメータとの相関に基づく演算により、前記各種パラメータの前記寸法を算出するよう構成され得る。こうすると、少なくとも使用者の示指の径と、示指から小指までの長さに適合した補助具を使用者ごとに作成できる。よって、使用者は、安定的かつ確実に補助具を把持することができ、薬剤をより円滑に投与することができる。 In the information management apparatus according to this aspect, the accepting unit accepts input of at least the diameter of the index finger and the length from the index finger to the little finger as the finger information, and the arithmetic unit receives the input diameter and length. The dimensions of the various parameters can be calculated by calculation based on the correlation between the various parameters. In this way, it is possible to create for each user an assisting tool suitable for at least the diameter of the user's index finger and the length from the index finger to the little finger. Therefore, the user can hold the auxiliary tool stably and reliably, and can administer the medicine more smoothly.
　この場合、受付部は、示指から小指までの４指のうち複数の指の径の入力を受け付けることが好ましい。たとえば、受付部は、示指および中指とともに薬指の径の入力を受け付けることが好ましい。こうすると、筒部の把持に大きく作用する３つの指に適合した補助具を作成でき、使用者は、安定的かつ確実に補助具を把持できる。また、この場合、受付部は、示指、中指および薬指とともに小指の径の入力を受け付けてもよい。こうすると、筒部の把持に用いられ得る小指にも適合した補助具を作成でき、使用者は、より確実に補助具を把持できる。 In this case, it is preferable that the accepting unit accepts input of a plurality of finger diameters among the four fingers from the index finger to the little finger. For example, it is preferable that the reception unit receives the input of the diameter of the ring finger together with the index finger and the middle finger. If it carries out like this, the auxiliary tool suitable for three fingers which acts big on holding | grip of a cylinder part can be created, and the user can hold an auxiliary tool stably and reliably. In this case, the accepting unit may accept the input of the diameter of the little finger together with the index finger, the middle finger, and the ring finger. If it carries out like this, the auxiliary tool suitable also for the little finger which can be used for holding | grip of a cylinder part can be created, and the user can hold an auxiliary tool more reliably.
　本態様に係る情報管理装置は、薬局に設置された第１の処理装置と、前記薬局とは異なる施設に設置され、外部ネットワーク網を介して前記第１の処理装置に接続された第２の処理装置と、を備えるよう構成され得る。この場合、前記受付部は、前記第１の処理装置に配置され、前記通信部は、第２の処理装置に配置され得る。 The information management apparatus according to this aspect includes a first processing apparatus installed in a pharmacy and a second processing apparatus installed in a facility different from the pharmacy and connected to the first processing apparatus via an external network. And a processing device. In this case, the reception unit may be disposed in the first processing device, and the communication unit may be disposed in the second processing device.
　本発明の第３の態様は、第１の態様に係る補助具を生成するための補助具生成システムに関する。本態様に係る補助具生成システムは、第２の態様に係る情報管理装置と、外部ネットワーク網を介して前記情報管理装置に接続され、前記演算部により算出された前記各種パラメータの前記寸法に関する情報を前記通信部から受信し、受信した前記情報に基づいて前記補助具を形成する形成装置と、を備える。 A third aspect of the present invention relates to an auxiliary tool generation system for generating an auxiliary tool according to the first aspect. The assisting device generating system according to this aspect is connected to the information management apparatus according to the second aspect and the information management apparatus via an external network, and information related to the dimensions of the various parameters calculated by the calculation unit And a forming device that forms the auxiliary tool based on the received information.
　本態様に係る補助具生成システムによれば、使用者の手指の状態に適合する補助具を使用者ごとに作成して使用者に提供できる。このため、使用者が円滑に筒部を把持しにくい状態にあっても、使用者は、より安定的かつ確実に補助具を把持することができる。よって、使用者は、薬剤を円滑に投与することができる。 According to the assisting device generation system according to this aspect, it is possible to create an assisting device suitable for the state of the user's finger for each user and provide it to the user. For this reason, even if the user is in a state where it is difficult to smoothly grip the cylindrical portion, the user can grip the auxiliary tool more stably and reliably. Therefore, the user can smoothly administer the medicine.
　以上のとおり、本発明によれば、使用者が物を把持しにくい状態にあっても、補助具に装着された注射器により円滑に薬剤を投与することが可能な補助具、当該補助具を成形するための情報を使用者ごとに生成して管理する情報管理装置、および、当該補助具を生成するための補助具生成システムを提供することができる。 As described above, according to the present invention, even when the user is difficult to grip an object, an auxiliary device that can smoothly administer a drug by a syringe attached to the auxiliary device, and the auxiliary device are molded. It is possible to provide an information management device that generates and manages information for each user and an assisting device generation system for generating the assisting device.
図１（ａ）は、実施形態に係る補助具の構成を示す斜視図である。図１（ｂ）は、実施形態に係る補助具の断面を示す図である。Fig.1 (a) is a perspective view which shows the structure of the auxiliary tool which concerns on embodiment. FIG.1 (b) is a figure which shows the cross section of the auxiliary tool which concerns on embodiment. 図２（ａ）は、実施形態に係る注射器の構成を示す側面図である。図２（ｂ）は、実施形態に係る補助具に注射器を設置した状態を示す側面図である。図２（ｃ）は、実施形態に係る注射器が設置された補助具を使用者が把持した状態を示す側面図である。FIG. 2A is a side view showing the configuration of the syringe according to the embodiment. FIG.2 (b) is a side view which shows the state which installed the syringe in the auxiliary tool which concerns on embodiment. FIG.2 (c) is a side view which shows the state which the user hold | gripped the auxiliary tool with which the syringe concerning embodiment was installed. 図３（ａ）は、実施形態１に係る検証１で用いた比較例２に係る補助具に注射器を設置した状態を示す側面図である。図３（ｂ）は、実施形態１に係る検証１で用いた比較例２に係る注射器が設置された補助具を使用者が把持した状態を示す側面図である。FIG. 3A is a side view showing a state in which a syringe is installed in the auxiliary tool according to the comparative example 2 used in the verification 1 according to the first embodiment. FIG. 3B is a side view showing a state where the user holds the auxiliary tool in which the syringe according to Comparative Example 2 used in Verification 1 according to Embodiment 1 is installed. 図４（ａ）は、実施形態に係る検証１の使用性に関する検証の結果を示す図である。図４（ｂ）は、実施形態に係る検証１の注入量に関する検証の結果を示す図である。FIG. 4A is a diagram illustrating a result of verification regarding the usability of verification 1 according to the embodiment. FIG. 4B is a diagram illustrating a verification result regarding the injection amount of verification 1 according to the embodiment. 図５（ａ）～（ｃ）は、実施形態に係る検証２で用いた注射器が設置された補助具を示す側面図である。FIGS. 5A to 5C are side views showing an auxiliary tool in which the syringe used in the verification 2 according to the embodiment is installed. 図６は、実施形態に係る検証２の使用性に関する検証の結果を示す図である。FIG. 6 is a diagram illustrating a result of verification regarding the usability of verification 2 according to the embodiment. 図７（ａ）は、変更例に係る補助具の構成を示す側面図である。図７（ｂ）は、変更例に係る補助具の断面を示す図である。図７（ｃ）は、実施形態に係る補助具の断面を示す図である。Fig.7 (a) is a side view which shows the structure of the auxiliary tool which concerns on the example of a change. FIG.7 (b) is a figure which shows the cross section of the auxiliary tool which concerns on the example of a change. FIG.7 (c) is a figure which shows the cross section of the auxiliary tool which concerns on embodiment. 図８（ａ）～（ｃ）は、変更例に係る補助具の構成を示す側面図である。FIGS. 8A to 8C are side views showing the configuration of the auxiliary tool according to the modified example. 図９（ａ）～（ｃ）は、変更例に係る補助具の構成を示す側面図である。FIGS. 9A to 9C are side views showing the configuration of the auxiliary tool according to the modified example. 図１０は、実施形態に係る補助具提供システムの構成を示す図である。FIG. 10 is a diagram illustrating a configuration of the assisting tool providing system according to the embodiment. 図１１は、実施形態に係る薬局の処理装置と専門家施設の処理装置の構成を示すブロック図である。FIG. 11 is a block diagram illustrating a configuration of a pharmacy processing apparatus and a specialist facility processing apparatus according to the embodiment. 図１２（ａ）～（ｃ）は、それぞれ、実施形態に係る薬局の処理装置に保持される患者テーブル、注射器テーブルおよび受付テーブルの構成を示す図である。FIGS. 12A to 12C are diagrams showing configurations of a patient table, a syringe table, and a reception table held in the processing apparatus of the pharmacy according to the embodiment, respectively. 図１３（ａ）、（ｂ）は、それぞれ、実施形態に係る薬局の処理装置に保持される薬局入力パラメータテーブルおよび専門家入力パラメータテーブルの構成を示す図である。FIGS. 13A and 13B are diagrams showing configurations of a pharmacy input parameter table and an expert input parameter table held in the pharmacy processing apparatus according to the embodiment, respectively. 図１４は、実施形態に係る薬局の処理装置に表示される入力画面の構成を示す図である。FIG. 14 is a diagram illustrating a configuration of an input screen displayed on the pharmacy processing apparatus according to the embodiment. 図１５（ａ）～（ｅ）は、それぞれ、実施形態に係る指の径、示指から小指までの長さ、平面間隔、握り間隔および平面からの高さの計測方法を示す図である。FIGS. 15A to 15E are diagrams showing measurement methods of the finger diameter, the length from the index finger to the little finger, the plane interval, the grip interval, and the height from the plane according to the embodiment, respectively. 図１６は、実施形態に係る薬局の処理装置に表示されるパラメータ画面の構成を示す図である。FIG. 16 is a diagram illustrating a configuration of a parameter screen displayed on the pharmacy processing apparatus according to the embodiment. 図１７は、実施形態に係る専門家施設の処理装置に表示されるパラメータ画面の構成を示す図である。FIG. 17 is a diagram illustrating a configuration of a parameter screen displayed on the processing apparatus of the specialist facility according to the embodiment. 図１８（ａ）は、実施形態に係る薬局の処理装置における補助器発注時の処理を示すフローチャートである。図１８（ｂ）は、実施形態に係る専門家施設の処理装置における補助器発注時の処理を示すフローチャートである。FIG. 18A is a flowchart showing processing at the time of ordering an auxiliary device in the pharmacy processing apparatus according to the embodiment. FIG. 18B is a flowchart showing processing at the time of ordering an auxiliary device in the processing apparatus of the specialist facility according to the embodiment.
　ただし、図面はもっぱら説明のためのものであって、この発明の範囲を限定するものではない。 However, the drawings are for explanation only and do not limit the scope of the present invention.
　１．補助具
　以下に示す補助具１００は、使用者による自己注射を補助するための補助具である。補助具１００の使用者は、典型的には注射器２００による薬剤の投与を受ける患者である。この他、使用者は、たとえば患者が身動きできないような場合に、患者を補助または援助する補助者であってもよい。以下の実施形態において、注射器２００に収容される薬剤は、自己注射により投与される薬剤であればよく、たとえば、インスリンやＧＬＰ－１受容体作動薬などである。 1. Auxiliary tool The auxiliary tool 100 shown below is an auxiliary tool for assisting the self-injection by a user. A user of the assisting device 100 is typically a patient who receives a medicine by the syringe 200. In addition, the user may be an assistant who assists or assists the patient when the patient cannot move, for example. In the following embodiment, the drug accommodated in the syringe 200 may be a drug administered by self-injection, such as insulin or a GLP-1 receptor agonist.
　図１（ａ）は、補助具１００の構成を示す斜視図であり、図１（ｂ）は、図１（ａ）に示す補助具１００のＣ１－Ｃ２断面を示す図である。図１（ａ）、（ｂ）において、ＸＹＺ軸は互いに直交している。以下、便宜上、ＸＹ平面を水平面に平行とし、Ｚ軸正方向を下方向とする。以下の図面においても、ＸＹＺ軸は、図１（ａ）、（ｂ）のＸＹＺ軸と同様である。 FIG. 1A is a perspective view showing the configuration of the assisting tool 100, and FIG. 1B is a diagram showing a cross-section C1-C2 of the assisting tool 100 shown in FIG. 1A and 1B, the XYZ axes are orthogonal to each other. Hereinafter, for convenience, the XY plane is parallel to the horizontal plane, and the positive Z-axis direction is the downward direction. In the following drawings, the XYZ axes are the same as the XYZ axes in FIGS. 1 (a) and 1 (b).
　図１（ａ）、（ｂ）に示すように、補助具１００は、筒部１１０と、接続部１２０と、鍔部１３０と、を備える。筒部１１０は、Ｚ軸方向に沿って延びており、筒部１１０の長手方向は、Ｚ軸方向に平行である。筒部１１０には、薬剤を収容した注射器２００が挿入される。注射器２００については、追って図２（ａ）を参照して説明する。接続部１２０は、ＸＹ平面に平行な平板形状を有しており、筒部１１０の上端からＹ軸正方向に沿って延びるように設けられている。鍔部１３０は、接続部１２０のＹ軸正側の端部からＺ軸正方向に沿って延びるように形成されている。すなわち、鍔部１３０は、筒部１１０の長手方向に沿って延びている。 As shown in FIGS. 1A and 1B, the assisting tool 100 includes a tube part 110, a connection part 120, and a flange part 130. The cylinder part 110 extends along the Z-axis direction, and the longitudinal direction of the cylinder part 110 is parallel to the Z-axis direction. A syringe 200 containing a medicine is inserted into the cylinder part 110. The syringe 200 will be described later with reference to FIG. The connecting portion 120 has a flat plate shape parallel to the XY plane, and is provided so as to extend along the Y-axis positive direction from the upper end of the cylindrical portion 110. The flange portion 130 is formed so as to extend from the end portion on the Y axis positive side of the connecting portion 120 along the Z axis positive direction. That is, the collar part 130 extends along the longitudinal direction of the cylindrical part 110.
　鍔部１３０は、筒部１１０に対して弾性変形可能に設けられている。本実施形態では、筒部１１０、接続部１２０および鍔部１３０が、樹脂等の可撓性材料により一体形成されている。補助具１００の材料は、プラスチック樹脂、特に、ＡＢＳ樹脂が好ましい。この他、補助具１００の材料は、ポリエチレン、ポリプロピレン、ポリ塩化ビニル、ポリスチレン、ポリ酢酸ビニル、ポリウレタン、ポリテトラフルオロエチレン、ＡＳ樹脂、アクリル樹脂、ポリ乳酸、フェノール樹脂、エポキシ樹脂、メラミン樹脂、尿素樹脂、不飽和ポリエステル樹脂、アルキド樹脂、熱硬化性ポリイミド、ポリカーボネート、ＰＥＴ、ゴム類（ラテックス、ニトリル、セラテックス）、可撓性金属類、ジュラルミン類、リキッドメタル、炭素繊維強化樹脂、グラスファイバー、カーボンファイバー、セラミック、紙（パルプ）および木材等であってもよい。 The collar portion 130 is provided so as to be elastically deformable with respect to the cylindrical portion 110. In this embodiment, the cylinder part 110, the connection part 120, and the collar part 130 are integrally formed by flexible materials, such as resin. The material of the auxiliary tool 100 is preferably a plastic resin, particularly an ABS resin. In addition, the material of the auxiliary tool 100 is polyethylene, polypropylene, polyvinyl chloride, polystyrene, polyvinyl acetate, polyurethane, polytetrafluoroethylene, AS resin, acrylic resin, polylactic acid, phenol resin, epoxy resin, melamine resin, urea. Resin, unsaturated polyester resin, alkyd resin, thermosetting polyimide, polycarbonate, PET, rubber (latex, nitrile, celatex), flexible metals, duralumin, liquid metal, carbon fiber reinforced resin, glass fiber, Carbon fiber, ceramic, paper (pulp), wood and the like may be used.
　筒部１１０は、使用者の手指によって握られる。筒部１１０のＺ軸方向の長さは、筒部１１０を握る使用者の掌の幅（示指から小指までの長さ）以上となっている。筒部１１０は、外側面１１１と、孔１１２と、窓部１１４、１１５と、を備える。図１（ｂ）に示すように、外側面１１１には、複数の凹部１１１ａと複数の凸部１１１ｂとが設けられている。凹部１１１ａと凸部１１１ｂは、Ｚ軸方向において交互に並んでいる。凹部１１１ａと凸部１１１ｂは、筒部１１０を握る手指に沿う形状となるよう、外側面１１１に設けられている。 The cylinder part 110 is gripped by the user's fingers. The length of the cylindrical portion 110 in the Z-axis direction is equal to or greater than the width of the palm of the user who holds the cylindrical portion 110 (the length from the indicated finger to the little finger). The cylinder part 110 includes an outer surface 111, a hole 112, and window parts 114 and 115. As shown in FIG. 1B, the outer surface 111 is provided with a plurality of concave portions 111a and a plurality of convex portions 111b. The concave portions 111a and the convex portions 111b are alternately arranged in the Z-axis direction. The concave portion 111a and the convex portion 111b are provided on the outer surface 111 so as to have a shape along a finger that grips the cylindrical portion 110.
　図１（ａ）、（ｂ）に示すように、孔１１２は、筒部１１０をＺ軸方向に貫通する。孔１１２に注射器２００が挿入されると、注射器２００は、孔１１２の内側面１１２ａによって水平方向における位置が決められる。図１（ｂ）に示すように、内側面１１２ａには、全周に亘って、係止部１１３が設けられている。係止部１１３は、内側面１１２ａから孔１１２の中心方向に突出した突条部である。係止部１１３は、筒部１１０に挿入された注射器２００を、図２（ａ）に示す注射器２００の押し子２４０が筒部１１０から所定量だけ上方向に突出する位置に係止する。すなわち、係止部１１３により、孔１１２に挿入された注射器２００のＺ軸方向の位置が決められる。 As shown in FIGS. 1A and 1B, the hole 112 penetrates the cylindrical portion 110 in the Z-axis direction. When the syringe 200 is inserted into the hole 112, the syringe 200 is positioned in the horizontal direction by the inner surface 112 a of the hole 112. As shown in FIG.1 (b), the latching | locking part 113 is provided in the inner surface 112a over the perimeter. The locking portion 113 is a protrusion that protrudes from the inner side surface 112 a toward the center of the hole 112. The locking portion 113 locks the syringe 200 inserted into the tube portion 110 at a position where the pusher 240 of the syringe 200 shown in FIG. 2A protrudes upward from the tube portion 110 by a predetermined amount. That is, the position of the syringe 200 inserted in the hole 112 in the Z-axis direction is determined by the locking portion 113.
　図１（ａ）に示すように、窓部１１４、１１５は、それぞれ、筒部１１０の上部および下部に設けられている。窓部１１４は、図２（ａ）に示す注射器２００のダイヤル２５０を外部に露出させる。窓部１１５は、図２（ａ）に示す注射器２００の容器２２０の上端付近における外側面を外部に露出させる。 As shown in FIG. 1A, the window portions 114 and 115 are provided at the upper and lower portions of the cylindrical portion 110, respectively. The window part 114 exposes the dial 250 of the syringe 200 shown in FIG. The window 115 exposes the outer surface near the upper end of the container 220 of the syringe 200 shown in FIG.
　鍔部１３０は、筒部１１０を握る複数の手指を外側から押さえる。鍔部１３０のＺ軸方向の長さは、筒部１１０を握る使用者の手指のうち、少なくとも示指、中指および薬指を覆い得る長さとされる。実施形態の補助具１００の場合、鍔部１３０のＺ軸方向の長さは、示指、中指、薬指および小指を覆い得る長さである。鍔部１３０は、内側面１３１を備える。図１（ｂ）に示すように、内側面１３１には、複数の凹部１３１ａと複数の凸部１３１ｂとが設けられている。凹部１３１ａと凸部１３１ｂは、Ｚ軸方向において交互に並んでいる。凹部１３１ａと凸部１３１ｂは、筒部１１０を握る手指に沿う形状となるよう、内側面１３１に設けられている。 The heel part 130 presses a plurality of fingers that grip the cylinder part 110 from the outside. The length of the collar portion 130 in the Z-axis direction is a length that can cover at least the index finger, the middle finger, and the ring finger among the fingers of the user gripping the cylinder portion 110. In the case of the auxiliary tool 100 according to the embodiment, the length of the collar portion 130 in the Z-axis direction is a length that can cover the index finger, the middle finger, the ring finger, and the little finger. The collar portion 130 includes an inner side surface 131. As shown in FIG. 1B, the inner surface 131 is provided with a plurality of concave portions 131a and a plurality of convex portions 131b. The concave portions 131a and the convex portions 131b are alternately arranged in the Z-axis direction. The concave portion 131a and the convex portion 131b are provided on the inner side surface 131 so as to have a shape along a finger that grips the cylindrical portion 110.
　図２（ａ）は、注射器２００の構成を示す側面図である。 FIG. 2A is a side view showing the configuration of the syringe 200.
　注射器２００は、本体部２１０と、容器２２０と、針２３０と、押し子２４０と、ダイヤル２５０と、を備える。本体部２１０は、筒状部材である。本体部２１０の外側面の径は、補助具１００の内側面１１２ａの径とほぼ同じである。本体部２１０の下端には、薬剤を収容する筒状の容器２２０が接続されている。容器２２０の外側面の径は、本体部２１０の外側面の径よりも一段小さい。また、本体部２１０には、窓部２１２が設けられている。窓部２１２は、ダイヤル２５０を外部に露出させる。 The syringe 200 includes a main body 210, a container 220, a needle 230, a pusher 240, and a dial 250. The main body 210 is a cylindrical member. The diameter of the outer surface of the main body 210 is substantially the same as the diameter of the inner surface 112 a of the auxiliary tool 100. A cylindrical container 220 that stores a medicine is connected to the lower end of the main body 210. The diameter of the outer surface of the container 220 is one step smaller than the diameter of the outer surface of the main body 210. Further, the main body 210 is provided with a window 212. The window part 212 exposes the dial 250 to the outside.
　針２３０は、容器２２０の下端に設置されている。押し子２４０は、本体部２１０の上端から上方向に所定量だけ突出している。押し子２４０は、本体部２１０に対して、Ｚ軸方向に移動可能に設置されており、且つ、Ｚ軸を中心として回転可能に設置されている。 The needle 230 is installed at the lower end of the container 220. The pusher 240 protrudes upward from the upper end of the main body 210 by a predetermined amount. The pusher 240 is installed so as to be movable in the Z-axis direction with respect to the main body 210 and is installed so as to be rotatable about the Z-axis.
　ダイヤル２５０は、本体部２１０の外側面の上端に、薬剤の投入量を設定するために設けられている。より詳細には、ダイヤル２５０は、本体部２１０の上端付近の内側に設けられており、窓部２１２を介して外部に露出している。ダイヤル２５０は、押し子２４０のＺ軸方向の押し込みと、押し子２４０のＺ軸を中心とする回転とに応じて、Ｚ軸を中心として回転し、窓部２１２に位置付けられる目盛りが変化するよう、押し子２４０に接続されている。使用者は、Ｚ軸を中心としてダイヤル２５０を回転させることにより、薬剤の投入量を設定する。薬剤の投入量が設定された後、押し子２４０が押し込まれると、設定された量の薬剤が針２３０から吐出される。 The dial 250 is provided at the upper end of the outer surface of the main body 210 to set the amount of medicine to be charged. More specifically, the dial 250 is provided on the inner side near the upper end of the main body 210 and is exposed to the outside through the window 212. The dial 250 rotates around the Z axis in accordance with the pushing of the pusher 240 in the Z-axis direction and the rotation of the pusher 240 around the Z axis so that the scale positioned on the window 212 changes. , Connected to the pusher 240. The user sets the dosage of the medicine by rotating the dial 250 about the Z axis. When the pusher 240 is pushed in after the dose of the medicine is set, the set amount of the medicine is discharged from the needle 230.
　図２（ｂ）は、図１（ａ）、（ｂ）の補助具１００に、図２（ａ）の注射器２００を設置した状態を示す側面図である。 FIG. 2 (b) is a side view showing a state where the syringe 200 of FIG. 2 (a) is installed in the auxiliary tool 100 of FIGS. 1 (a) and 1 (b).
　図２（ｂ）に示すように、注射器２００が補助具１００に設置されると、注射器２００の本体部２１０の外側面が、補助具１００の内側面１１２ａに支持され、注射器２００の本体部２１０の下端２１１が、補助具１００の係止部１１３に係止される。これにより、注射器２００のＸＹ平面における位置と、注射器２００のＺ軸方向における位置とが固定される。このとき、押し子２４０は、筒部１１０の上端から上方向にＨ１だけ突出する。また、注射器２００のダイヤル２５０が、窓部１１４を介して外部に露出し、注射器２００の容器２２０の上部が、窓部１１５を介して外部に露出する。使用者は、窓部１１４を介してダイヤル２５０を調整でき、また、窓部１１５を介して注射器２００内における薬剤の残存量を確認できる。 As shown in FIG. 2B, when the syringe 200 is installed in the auxiliary tool 100, the outer surface of the main body 210 of the syringe 200 is supported by the inner surface 112a of the auxiliary tool 100, and the main body 210 of the syringe 200 is supported. The lower end 211 is locked to the locking portion 113 of the auxiliary tool 100. Thereby, the position in the XY plane of the syringe 200 and the position in the Z-axis direction of the syringe 200 are fixed. At this time, the pusher 240 protrudes upward from the upper end of the cylinder part 110 by H1. Further, the dial 250 of the syringe 200 is exposed to the outside through the window portion 114, and the upper portion of the container 220 of the syringe 200 is exposed to the outside through the window portion 115. The user can adjust the dial 250 through the window 114 and can check the remaining amount of the medicine in the syringe 200 through the window 115.
　図２（ｂ）に示すように補助具１００が設置された注射器２００を用いて、薬剤を自己注射する手順について説明する。 A procedure for self-injecting a drug using a syringe 200 provided with the auxiliary tool 100 as shown in FIG. 2 (b) will be described.
　使用者は、所定の空うち動作を行った後、Ｚ軸を中心に押し子２４０を回転させて、窓部２１２の中心位置に、注射する薬剤の量に応じたダイヤル２５０の目盛りを位置付ける。続いて、図２（ｃ）に示すように、使用者は、筒部１１０と鍔部１３０との間に、示指、中指、薬指および小指を挿入し、これら４つの指により筒部１１０を握る。そして、使用者は、針２３０を腹部等の注射部位に刺す。使用者は、針２３０が注射部位に刺さった状態で、図２（ｃ）に示すように、押し子２４０を親指で押し込む。押し子２４０が押し込まれると、押し子２４０の下部に接続された図示しないピストンが移動し、容器２２０内の薬剤が針２３０の先端から吐出される。その後、使用者は、押し子２４０を親指で押したまま、針２３０を注射部位から抜く。 After the user performs a predetermined emptying operation, the user rotates the pusher 240 around the Z axis, and positions the scale of the dial 250 corresponding to the amount of the medicine to be injected at the center position of the window 212. Subsequently, as shown in FIG. 2C, the user inserts the index finger, the middle finger, the ring finger, and the little finger between the tube portion 110 and the collar portion 130, and grips the tube portion 110 with these four fingers. . Then, the user inserts the needle 230 into the injection site such as the abdomen. The user pushes the pusher 240 with the thumb as shown in FIG. 2C with the needle 230 stuck in the injection site. When the pusher 240 is pushed in, a piston (not shown) connected to the lower part of the pusher 240 moves, and the medicine in the container 220 is discharged from the tip of the needle 230. Thereafter, the user removes the needle 230 from the injection site while pressing the pusher 240 with the thumb.
　＜検証１＞
　次に、本実施形態に係る補助具１００による効果を検証した検証１について説明する。本検証では、注射器２００を単独で用いる比較例１と、補助具３００を用いる比較例２と、補助具１００を用いる実施形態とを比較した。 <Verification 1>
Next, the verification 1 which verified the effect by the auxiliary tool 100 which concerns on this embodiment is demonstrated. In this verification, the comparative example 1 using the syringe 200 alone, the comparative example 2 using the auxiliary tool 300, and the embodiment using the auxiliary tool 100 were compared.
　比較例２に係る補助具３００について、図３（ａ）、（ｂ）を参照して説明する。 The assisting tool 300 according to Comparative Example 2 will be described with reference to FIGS. 3 (a) and 3 (b).
　図３（ａ）に示すように、補助具３００は、筒部３１０と鍔部３２０を備える。筒部３１０は、Ｚ軸方向に延びており、外側面３１１と孔３１２を備える。外側面３１１には凹凸は設けられておらず、外側面３１１の径は一定である。 As shown in FIG. 3A, the auxiliary tool 300 includes a cylindrical portion 310 and a flange portion 320. The cylindrical portion 310 extends in the Z-axis direction and includes an outer surface 311 and a hole 312. The outer side surface 311 is not provided with irregularities, and the outer side surface 311 has a constant diameter.
　孔３１２は、筒部３１０をＺ軸方向に貫通する。孔３１２に注射器２００が挿入されると、注射器２００は、孔３１２の内側面３１２ａによって水平方向における位置が決められる。孔３１２には、係止部３１３が設けられている。係止部３１３は、筒部３１０に挿入された注射器２００の押し子２４０が、筒部３１０からＨ２だけ上方向に突出する位置に係止する。Ｈ２は、図２（ｂ）に示すＨ１よりも大きい。 The hole 312 penetrates the cylindrical portion 310 in the Z-axis direction. When the syringe 200 is inserted into the hole 312, the syringe 200 is positioned in the horizontal direction by the inner surface 312 a of the hole 312. A locking portion 313 is provided in the hole 312. The locking portion 313 is locked at a position where the pusher 240 of the syringe 200 inserted into the tube portion 310 protrudes upward from the tube portion 310 by H2. H2 is larger than H1 shown in FIG.
　比較例２に係る補助具３００では、図２（ｂ）に示す窓部１１４がないため、筒部３１０の上端がダイヤル２５０の位置よりも下に位置付けられる構成となっている。すなわち、注射器２００が補助具３００に設置されたときに、ダイヤル２５０が筒部３１０上端よりも上側の位置において外部に露出するようになっている。また、筒部３１０のＺ軸方向の長さは、補助具１００の筒部１１０のＺ軸方向における長さに比べて小さく設定されている。 In the auxiliary tool 300 according to Comparative Example 2, since the window portion 114 shown in FIG. 2B is not provided, the upper end of the cylindrical portion 310 is positioned below the position of the dial 250. That is, when the syringe 200 is installed on the auxiliary tool 300, the dial 250 is exposed to the outside at a position above the upper end of the cylindrical portion 310. Further, the length of the cylindrical portion 310 in the Z-axis direction is set smaller than the length of the cylindrical portion 110 of the auxiliary tool 100 in the Z-axis direction.
　鍔部３２０は、筒部３１０の上部からＹ軸方向に突出するように設けられている。鍔部３２０のＹ軸正側の端部は、筒部３１０が使用者によって握られたときに示指の上部に沿うよう、Ｚ軸正側に曲がっている。 The collar part 320 is provided so as to protrude from the upper part of the cylinder part 310 in the Y-axis direction. The end portion on the Y axis positive side of the collar portion 320 is bent to the Z axis positive side so as to be along the upper portion of the index finger when the cylindrical portion 310 is gripped by the user.
　比較例２の場合も、実施形態と同様に、薬剤の自己注射が行われる。しかしながら、比較例２の場合、押し子２４０の突出量Ｈ２が大きいため、図３（ｂ）に示すように、親指で押し子２４０を押し込もうとすると、使用者は、実施形態の補助具１００の場合よりも上に親指を大きく移動させる必要がある。したがって、使用者は、押し子２４０を押し込みにくくなる。 In the case of Comparative Example 2, drug self-injection is performed as in the embodiment. However, in the case of the comparative example 2, since the protrusion amount H2 of the pusher 240 is large, as shown in FIG. 3B, when the user pushes the pusher 240 with the thumb, the user uses the auxiliary tool of the embodiment. It is necessary to move the thumb much higher than 100. Therefore, it becomes difficult for the user to push in the pusher 240.
　また、比較例２の場合、筒部３１０のＺ軸方向の長さが短いため、図３（ｂ）に示すように、使用者の小指が筒部３１０の外側面３１１上に乗らず、薬指も筒部３１０の下端からはみ出している。このため、使用者は、補助具３００を安定して握りにくくなる。また、比較例２の場合、筒部３１０の外側面３１１には凹凸が設けられていないため、使用者は、補助具３００を安定して握りにくくなる。 In the case of Comparative Example 2, since the length of the cylindrical portion 310 in the Z-axis direction is short, the user's little finger does not get on the outer surface 311 of the cylindrical portion 310 as shown in FIG. Also protrudes from the lower end of the cylindrical portion 310. For this reason, it becomes difficult for the user to grip the auxiliary tool 300 stably. Moreover, in the case of the comparative example 2, since the unevenness | corrugation is not provided in the outer side surface 311 of the cylinder part 310, a user becomes difficult to grasp the auxiliary tool 300 stably.
　以上のように、比較例２の補助具３００を用いた場合には、薬剤投与の際に種々の問題が生じると考えられる。また、注射器２００を単独で用いる比較例１の場合も、注射器２００は、使用者の手に沿いにくい形状であるため、使用者は注射器２００を安定して握りにくくなると考えられる。 As described above, when the assisting device 300 of Comparative Example 2 is used, various problems are considered to occur during drug administration. Moreover, also in the case of the comparative example 1 which uses the syringe 200 independently, since the syringe 200 is a shape which is hard to follow a user's hand, it is thought that a user becomes difficult to grasp the syringe 200 stably.
　以下に示す検証では、実施形態の補助具１００が、上記のような問題を改善し、実際に使いやすいか否かを複数の観点から検証した。 In the verification shown below, it was verified from a plurality of viewpoints whether the assisting tool 100 of the embodiment improved the above problems and was actually easy to use.
　本検証において、被検者は、２０歳代の健常人ボランティア１０名（男性：３名、女性：７名）とした。被検者は、注射器２００を単独で用いた場合（比較例１）と、補助具３００を用いた場合（比較例２）と、補助具１００を用いた場合（実施形態）とにおいて、それぞれ注入操作を行った。注入操作は、メラミンスポンジに対して注射器２００内の薬液を注入することにより行わった。 In this verification, the subjects were 10 healthy volunteers in their 20s (3 males and 7 females). The subject injects when the syringe 200 is used alone (Comparative Example 1), when the auxiliary tool 300 is used (Comparative Example 2), and when the auxiliary tool 100 is used (Embodiment). The operation was performed. The injection operation was performed by injecting the drug solution in the syringe 200 into the melamine sponge.
　（１）使用性に関する検証
　使用性に関する検証において、評価はシェッフェの一対比較法（中屋の変法）により行われた。具体的には、被検者は、比較例１、２と実施形態の３つの中から２つの方法を選択して注入操作を行い、「握りやすさ」、「押しやすさ」、「保持のしやすさ」、「総合評価」の４つの評価項目について、選択した２つの方法の評価を行った。被験者は、選択した２つの方法を比較して、先に注入操作を行った方法に対して、後の方法の良否を評価した。評価は、非常に良い（＋２）、良い（＋１）、同じぐらい良い（０）、悪い（－１）、非常に悪い（－２）の５段階とした。また、１人の被検者は、比較例１、２と実施形態の全ての組合せについて評価を行った。 (1) Verification regarding usability In verification regarding usability, Scheffe's paired comparison method (Nakaya's modified method) was used. Specifically, the subject performs the injection operation by selecting two methods from the three examples of Comparative Examples 1 and 2 and the embodiment, and performs “ease of gripping”, “ease of pushing”, and “holding”. Two selected methods were evaluated for the four evaluation items of “Ease of Ease” and “Comprehensive Evaluation”. The subject compared the two selected methods, and evaluated the quality of the later method relative to the method in which the injection operation was performed first. The evaluation was made into five levels: very good (+2), good (+1), equally good (0), bad (-1), and very bad (-2). In addition, one subject evaluated all combinations of Comparative Examples 1 and 2 and the embodiment.
　図４（ａ）は、比較例１、２と実施形態において、被検者による使用性に関する検証の結果を示す図である。 FIG. 4A is a diagram showing the results of verification regarding usability by the subject in Comparative Examples 1 and 2 and the embodiment.
　図４（ａ）に示すように、「握りやすさ」、「押しやすさ」、「総合評価」の３つの評価項目において、実施形態の評価が最も高く、比較例１、２と比較して有意な差が認められた。「保持のしやすさ」については、実施形態と比較例２との間に有意な差は認められなかったものの、比較例１と比較して有意な差が認められた。この結果から、実施形態の補助具１００を用いることにより、注射器２００を単独で用いる場合（比較例１）と、補助具３００（比較例２）を用いる場合とに比べて、使用性が向上することが示された。 As shown in FIG. 4A, the evaluation of the embodiment is the highest in the three evaluation items of “ease of grip”, “ease of pushing”, and “overall evaluation”, compared with Comparative Examples 1 and 2. Significant differences were observed. Regarding “ease of holding”, a significant difference was recognized between the embodiment and Comparative Example 2, but a significant difference was recognized as compared with Comparative Example 1. From this result, by using the auxiliary tool 100 of the embodiment, the usability is improved as compared with the case where the syringe 200 is used alone (Comparative Example 1) and the case where the auxiliary tool 300 (Comparative Example 2) is used. It was shown that.
　（２）注入量に関する検証
　注入量に関する検証では、あらかじめ注入操作前のメラミンスポンジの重量を測定しておき、注入後のメラミンスポンジの重量を差し引くことで注入量を算出した。検証では、注射器２００の注入量が０．２ｇに設定された。 (2) Verification regarding injection amount In verification regarding injection amount, the weight of melamine sponge before injection operation was measured in advance, and the injection amount was calculated by subtracting the weight of melamine sponge after injection. In the verification, the injection amount of the syringe 200 was set to 0.2 g.
　図４（ｂ）は、比較例１、２と実施形態において、注入量に関する検証の結果を示す図である。図４（ｂ）に示すように、薬液の注入量は、比較例１、２と実施形態のいずれの場合も、約０．２ｇであり、３つの場合で差は認められなかった。この結果から、薬液の注入量について、実施形態の補助具１００は、比較例１、２に対して劣っていないことが示された。すなわち、実施形態の補助具１００は、比較例１、２と同様に液量を注入できることが示された。 FIG. 4B is a diagram showing the results of verification regarding the injection amount in Comparative Examples 1 and 2 and the embodiment. As shown in FIG.4 (b), the injection amount of the chemical | medical solution was about 0.2g in any of the comparative examples 1 and 2 and embodiment, and the difference was not recognized by three cases. From this result, it was shown that the auxiliary tool 100 of the embodiment was not inferior to Comparative Examples 1 and 2 with respect to the injection amount of the chemical solution. That is, it was shown that the auxiliary tool 100 of the embodiment can inject the liquid amount as in Comparative Examples 1 and 2.
　（３）液漏れに関する検証
　液漏れに関する検証では、あらかじめ操作練習用の薬液（生理食塩水）を赤色食用色素によって着色した。被検者が注入操作を行った後、確認者がメラミンスポンジの表面を確認し、メラミンスポンジの表面に着色が見られた場合に液漏れありと評価した。 (3) Verification regarding liquid leakage In verification regarding liquid leakage, a chemical solution (physiological saline) for operation practice was colored in advance with a red food coloring. After the subject performed the injection operation, the confirmer confirmed the surface of the melamine sponge, and when the surface of the melamine sponge was colored, it was evaluated that there was liquid leakage.
　液漏れは、比較例１の場合にのみ３名の被検者において認められ、比較例２の場合および実施形態の場合には、全ての被検者において認められなかった。この結果から、薬液の液漏れについて、実施形態の補助具１００は、比較例１、２に対して劣っていないことが示された。すなわち、実施形態の補助具１００は、比較例１のように液漏れが生じることなく、適正に薬液を注入できることが示された。 Liquid leakage was observed in 3 subjects only in the case of Comparative Example 1, and was not observed in all subjects in the case of Comparative Example 2 and the embodiment. From this result, it was shown that the auxiliary tool 100 of the embodiment was not inferior to Comparative Examples 1 and 2 in terms of chemical liquid leakage. That is, it was shown that the auxiliary tool 100 of the embodiment can properly inject the chemical solution without causing leakage as in Comparative Example 1.
　また、実施形態の補助具１００は、適正な液量を注入でき、液漏れが生じることなく適性に薬液を注入できたことから、実施形態の補助具１００によれば、治療上の安全性を確保できることが確認できた。 In addition, since the auxiliary device 100 of the embodiment can inject an appropriate amount of liquid and can inject a chemical liquid appropriately without causing liquid leakage, the auxiliary device 100 of the embodiment provides therapeutic safety. It was confirmed that it could be secured.
　＜検証２＞
　次に、本実施形態の補助具１００の外側面１１１に設けられた凹凸の効果を検証した検証２について説明する。本検証は、外側面１１１の形状に差異を設けた補助具４０１～４０３を用いて行った。 <Verification 2>
Next, verification 2 for verifying the effect of the unevenness provided on the outer surface 111 of the auxiliary tool 100 of the present embodiment will be described. This verification was performed by using auxiliary tools 401 to 403 having different shapes on the outer surface 111.
　図５（ａ）～（ｃ）は、それぞれ、補助具４０１～４０３の構成を示す側面図である。補助具４０１～４０３において、補助具１００と同様の構成については、便宜上、補助具１００と同様の番号を付している。以下、補助具４０１～４０３について、補助具１００と異なる部分について説明する。 FIGS. 5A to 5C are side views showing the configurations of the auxiliary tools 401 to 403, respectively. In the auxiliary tools 401 to 403, the same components as those of the auxiliary tool 100 are denoted by the same numbers as those of the auxiliary tool 100 for convenience. Hereinafter, the parts of the auxiliary tools 401 to 403 that are different from the auxiliary tool 100 will be described.
　図５（ａ）～（ｃ）に示すように、補助具４０１～４０３において、鍔部１３０と窓部１１５は省略され、窓部１１４は、孔ではなく、上部が開放された切欠となっている。また、接続部１２０のＹ軸正側の端部が、筒部１１０が使用者によって握られたときに示指の上部に沿うよう、Ｚ軸正側に曲がっている。 As shown in FIGS. 5A to 5C, in the auxiliary tools 401 to 403, the collar portion 130 and the window portion 115 are omitted, and the window portion 114 is not a hole, but a notch with an open top. Yes. Also, the Y-axis positive side end of the connecting portion 120 is bent to the Z-axis positive side so as to be along the upper part of the index finger when the cylindrical portion 110 is gripped by the user.
　図５（ａ）に示すように、補助具４０１の外側面１１１には、凹凸は設けられておらず、外側面１１１の径は一定である。図５（ｂ）、（ｃ）に示すように、補助具４０２、４０３の外側面１１１には、補助具１００と同様の凹凸、すなわち複数の凹部１１１ａと複数の凸部１１１ｂが設けられている。また、補助具４０３の凹凸の振幅は、補助具４０２の凹凸の振幅よりも小さい。 As shown in FIG. 5A, the outer surface 111 of the auxiliary tool 401 is not provided with irregularities, and the diameter of the outer surface 111 is constant. As shown in FIGS. 5B and 5C, the outer surface 111 of the assisting devices 402 and 403 is provided with the same unevenness as the assisting device 100, that is, a plurality of concave portions 111a and a plurality of convex portions 111b. . Further, the amplitude of the unevenness of the auxiliary tool 403 is smaller than the amplitude of the unevenness of the auxiliary tool 402.
　本検証において、被検者は、２０歳代の健常人ボランティア５５名（男性：２１名、女性：３４名）とした。被検者は、補助具４０１～４０３を用いて、それぞれ注入操作を行った。注入操作は、太ももに設置したインスリン練習用パッドに対して行われた。被検者は、補助具４０１～４０３を用いて注入操作を行い、「握りやすさ」、「押しやすさ」、「総合的な投与のしやすさ」の３つの評価項目について評価を行った。評価は、最も高い評価を５点とし、５段階で行われた。 In this verification, the subjects were 55 healthy volunteers in their 20s (male: 21 people, female: 34 people). The subject performed the injection operation using the auxiliary tools 401 to 403, respectively. The injection operation was performed on an insulin exercise pad placed on the thigh. The subject performed an injection operation using the assisting devices 401 to 403 and evaluated three evaluation items of “ease of grasping”, “ease of pushing”, and “ease of comprehensive administration”. . The evaluation was performed in five stages, with the highest evaluation being 5 points.
　図６は、補助具４０１～４０３を用いて行われた被検者による使用性に関する検証の結果を示す図である。図６に示すように、全ての評価項目について、補助具４０３の評価が最も高く、次いで補助具４０２の評価が高かった。この結果から、筒部１１０の外側面１１１の形状が、補助具４０１のように平坦ではなく、補助具４０２、４０３のように各指が密着するような凹凸形状である方が、使用する際に手指が安定し、使用性が向上することが示された。 FIG. 6 is a diagram showing a result of verification regarding usability performed by the subject using the auxiliary tools 401 to 403. As shown in FIG. 6, the evaluation of the auxiliary tool 403 was the highest and the evaluation of the auxiliary tool 402 was the highest for all the evaluation items. From this result, the shape of the outer surface 111 of the cylindrical portion 110 is not flat like the assisting tool 401, but is more uneven as the assisting tools 402 and 403 are in close contact with each finger. It was shown that the fingers are stable and usability is improved.
　なお、本検証では、補助具４０１～４０３において鍔部１３０が省略されているため、図６に示す各評価項目について、凹凸のみによる効果を適正に評価できる。 In this verification, since the collar portion 130 is omitted in the auxiliary tools 401 to 403, the effect of only the unevenness can be appropriately evaluated for each evaluation item shown in FIG.
　＜補助具による効果＞
　上記実施形態によれば、以下の効果が奏され得る。 <Effects of assistive devices>
According to the embodiment, the following effects can be achieved.
　図２（ｃ）に示すように、使用者が筒部１１０を把持した状態において、鍔部１３０によって筒部１１０を握る複数の手指が外側から押さえられるため、筒部１１０に対する使用者の把持が補強される。よって、使用者の握力が弱い場合や使用者の手指が不自由な場合など、使用者が円滑に筒部１１０を把持しにくい状態にあっても、使用者は、補助具１００に装着された注射器２００により、薬剤を円滑に投与することができる。 As shown in FIG. 2C, in the state where the user holds the cylinder part 110, a plurality of fingers holding the cylinder part 110 are pressed from the outside by the collar part 130, so that the user can hold the cylinder part 110. Reinforced. Therefore, even when the user has difficulty in gripping the cylindrical portion 110 smoothly, such as when the user's grip strength is weak or when the user's fingers are inconvenient, the user is attached to the auxiliary tool 100. The syringe 200 can smoothly administer the medicine.
　図２（ｃ）に示すように、指が筒部１１０の外側面１１１の凹凸に嵌まることにより、指と筒部１１０との密着性が高まり、筒部１１０のずれが抑制される。このため、使用者は、より確実かつ安定的に筒部１１０を握ることができる。よって、使用者が円滑に筒部１１０を把持しにくい状態にあっても、使用者は、薬剤をより円滑に投与することができる。 As shown in FIG. 2 (c), the finger fits into the irregularities on the outer surface 111 of the cylindrical portion 110, whereby the adhesion between the finger and the cylindrical portion 110 is enhanced, and the displacement of the cylindrical portion 110 is suppressed. For this reason, the user can hold the cylinder part 110 more reliably and stably. Therefore, even if the user is in a state where it is difficult to smoothly hold the cylindrical portion 110, the user can administer the medicine more smoothly.
　図２（ｃ）に示すように、指が鍔部１３０の内側面１３１の凹凸に嵌まることにより、指と鍔部１３０との密着性が高まり、筒部１１０のずれが抑制される。このため、使用者による筒部１１０の把持状態がより安定化され得る。よって、使用者が円滑に筒部１１０を把持しにくい状態にあっても、使用者は、薬剤をより円滑に投与することができる。 As shown in FIG. 2 (c), when the finger fits into the irregularities on the inner side surface 131 of the heel portion 130, the adhesion between the finger and the heel portion 130 is enhanced, and the displacement of the cylindrical portion 110 is suppressed. For this reason, the holding state of the cylinder part 110 by a user can be stabilized more. Therefore, even if the user is in a state where it is difficult to smoothly hold the cylindrical portion 110, the user can administer the medicine more smoothly.
　図２（ｃ）に示すように、鍔部１３０の長さは、筒部１１０を握る使用者の手指のうち、少なくとも示指、中指および薬指を覆い得る長さとなっている。このように、少なくとも３つの指が鍔部１３０で押さえられることにより、筒部１１０に対する使用者の把持が確実に補強され得る。よって、使用者が円滑に筒部１１０を把持しにくい状態にあっても、使用者は、薬剤をより円滑に投与することができる。なお、実施形態の補助具１００の場合、鍔部１３０の長さは、示指、中指、薬指および小指を覆い得る長さであるため、さらに使用者の把持が補強され得る。 As shown in FIG. 2C, the length of the collar portion 130 is a length that can cover at least the index finger, the middle finger, and the ring finger among the fingers of the user holding the tube portion 110. As described above, the gripping of the user with respect to the cylindrical portion 110 can be reliably reinforced by pressing at least three fingers with the collar portion 130. Therefore, even if the user is in a state where it is difficult to smoothly hold the cylindrical portion 110, the user can administer the medicine more smoothly. In addition, in the case of the auxiliary tool 100 of the embodiment, the length of the collar portion 130 is a length that can cover the index finger, the middle finger, the ring finger, and the little finger, so that the gripping of the user can be further reinforced.
　図２（ｂ）に示すように、窓部１１４からダイヤル２５０が外部に露出するため、注射器２００の本体部２１０を筒部１１０により深く挿入でき、これにより、筒部１１０から突出する押し子２４０の位置を、筒部１１０の上端に近づけることができる。このため、図２（ｃ）に示すように、筒部１１０を片手で握った状態で、その手の親指で押し子２４０を円滑に操作できる。よって、使用者が円滑に筒部１１０を把持しにくい状態にあっても、使用者は、薬剤をより円滑に投与することができる。 As shown in FIG. 2B, since the dial 250 is exposed to the outside from the window portion 114, the main body portion 210 of the syringe 200 can be inserted deeper into the cylindrical portion 110, and thereby the pusher 240 protruding from the cylindrical portion 110. Can be brought closer to the upper end of the cylindrical portion 110. For this reason, as shown in FIG.2 (c), the pusher 240 can be smoothly operated with the thumb of the hand in the state which grasped the cylinder part 110 with one hand. Therefore, even if the user is in a state where it is difficult to smoothly hold the cylindrical portion 110, the user can administer the medicine more smoothly.
　図２（ｃ）に示すように、筒部１１０の長さが、筒部１１０を握る使用者の掌の幅以上となっている。これにより、掌が幅方向に筒部１１０からはみ出しにくいため、筒部１１０を把持する際に、指および掌と筒部１１０との密着性が高まる。このため、使用者は、より安定的に筒部１１０を把持できる。よって、使用者が円滑に筒部１１０を把持しにくい状態にあっても、使用者は、薬剤をより円滑に投与することができる。 As shown in FIG. 2 (c), the length of the cylinder part 110 is equal to or greater than the width of the palm of the user who holds the cylinder part 110. Thereby, since the palm does not easily protrude from the cylinder part 110 in the width direction, the adhesion between the finger and the palm and the cylinder part 110 is enhanced when the cylinder part 110 is gripped. For this reason, the user can hold | maintain the cylinder part 110 more stably. Therefore, even if the user is in a state where it is difficult to smoothly hold the cylindrical portion 110, the user can administer the medicine more smoothly.
　＜補助具の変更例＞
　使用者による自己注射を補助するための補助具は、図１（ａ）、（ｂ）に示す補助具１００に限らず、たとえば、以下に示す補助具４１１～４１７であってもよい。以下に示す補助具４１１～４１４において、補助具１００と同様の構成については、便宜上、補助具１００と同様の番号が付されている。以下、補助具４１１～４１７について、補助具１００と異なる部分について説明する。 <Examples of changing aids>
The assisting tool for assisting the self-injection by the user is not limited to the assisting tool 100 shown in FIGS. 1A and 1B, but may be assisting tools 411 to 417 described below, for example. In the auxiliary tools 411 to 414 described below, the same components as those of the auxiliary tool 100 are denoted by the same numbers as those of the auxiliary tool 100 for convenience. Hereinafter, the parts of the auxiliary tools 411 to 417 that are different from the auxiliary tool 100 will be described.
　図７（ａ）は、補助具４１１の構成を示す側面図であり、図７（ｂ）は、図７（ａ）に示す補助具４１１のＣ３－Ｃ４断面を示す図である。図７（ａ）、（ｂ）に示すように、補助具４１１の鍔部１３０の内側面１３１は、Ｚ軸方向に見て凹形状となっている。なお、上記補助具１００の鍔部１３０の内側面１３１は、図７（ｃ）に示すように、Ｚ軸方向に見て凸形状となっている。 7 (a) is a side view showing the configuration of the auxiliary tool 411, and FIG. 7 (b) is a view showing a C3-C4 cross section of the auxiliary tool 411 shown in FIG. 7 (a). As shown in FIGS. 7A and 7B, the inner surface 131 of the collar portion 130 of the auxiliary tool 411 has a concave shape when viewed in the Z-axis direction. In addition, as shown in FIG.7 (c), the inner surface 131 of the collar part 130 of the said auxiliary tool 100 becomes convex shape seeing in the Z-axis direction.
　図７（ｂ）に示すように内側面１３１が凹形状に構成されると、筒部１１０を握る使用者の示指、中指、薬指および小指の外側部分に、凹形状の内側面１３１が密着しやすくなる。これにより、使用者は、より安定的に筒部１１０を把持できる。ただし、図７（ｂ）の場合、Ｘ軸正側およびＸ軸負側における筒部１１０と鍔部１３０との間隔が、図７（ｃ）に比べて狭くなるため、筒部１１０と鍔部１３０の間に手指を挿入しにくくなることが想定される。したがって、手指の挿入のしやすさの観点からは、図７（ｃ）に示すように、外側面１１１は凸形状である方が望ましい。 When the inner side surface 131 is configured in a concave shape as shown in FIG. 7B, the concave inner side surface 131 comes into close contact with the outer portions of the user's index finger, middle finger, ring finger, and little finger holding the cylinder part 110. It becomes easy. Thereby, the user can hold | maintain the cylinder part 110 more stably. However, in the case of FIG. 7B, the interval between the cylindrical portion 110 and the flange portion 130 on the X-axis positive side and the X-axis negative side is narrower than that in FIG. It is assumed that it is difficult to insert a finger during 130. Therefore, from the viewpoint of ease of finger insertion, the outer surface 111 is preferably convex as shown in FIG.
　図８（ａ）～（ｃ）は、補助具４１２～４１３の構成を示す側面図である。 8 (a) to 8 (c) are side views showing the configuration of the auxiliary tools 412 to 413. FIG.
　図８（ａ）に示すように、補助具４１２では、鍔部１３０のＹ軸正側の外側面１３２にも、内側面１３１と同様の凹凸が設けられている。図８（ｂ）に示すように、補助具４１３では、鍔部１３０の内側面１３１の凹凸が省略されている。図８（ｃ）に示すように、補助具４１４では、筒部１１０の外側面１１１の凹凸が省略されている。 As shown in FIG. 8A, in the auxiliary tool 412, the outer surface 132 on the Y axis positive side of the collar portion 130 is provided with unevenness similar to that of the inner surface 131. As shown in FIG. 8B, in the auxiliary tool 413, the unevenness of the inner side surface 131 of the collar portion 130 is omitted. As shown in FIG. 8C, in the auxiliary tool 414, the unevenness of the outer surface 111 of the cylindrical portion 110 is omitted.
　図９（ａ）～（ｃ）に示す補助具４１５においても、上記実施形態と同様、鍔部１３０によって筒部１１０を握る複数の手指が外側から押さえられるため、筒部１１０に対する使用者の把持が補強される。 Also in the auxiliary tool 415 shown in FIGS. 9 (a) to 9 (c), since a plurality of fingers gripping the cylinder part 110 are pressed from the outside by the collar part 130 as in the above embodiment, the user's grip on the cylinder part 110 is held. Is reinforced.
　なお、図８（ｂ）、（ｃ）に示す補助具４１３、４１４では、使用者による筒部１１０の把持の安定性が、外側面１１１と内側面１３１の両方に凹凸が設けられる場合に比べて劣る可能性がある。しかし、補助具４１３、４１４では、外側面１１１と内側面１３１の両方に凹凸が設けられない場合に比べると、使用者による筒部１１０の把持の安定性が高められ得る。 In addition, in the auxiliary tools 413 and 414 shown in FIGS. 8B and 8C, the stability of the gripping of the cylindrical portion 110 by the user is higher than when the unevenness is provided on both the outer surface 111 and the inner surface 131. May be inferior. However, in the auxiliary tools 413 and 414, the stability of gripping of the cylindrical portion 110 by the user can be improved as compared with the case where the outer surface 111 and the inner surface 131 are not provided with unevenness.
　図９（ａ）～（ｃ）は、それぞれ、補助具４１５～４１７の構成を示す側面図である。 FIGS. 9A to 9C are side views showing the configurations of the auxiliary tools 415 to 417, respectively.
　図９（ａ）に示すように、補助具４１５では、接続部１２０が、筒部１１０の下端に設けられている。図９（ｂ）に示すように、補助具４１６では、接続部１２０が、筒部１１０の上端および下端に設けられている。図９（ｃ）に示すように、補助具４１７では、接続部１２０が、筒部１１０のＺ軸方向の中央位置付近に設けられている。 As shown in FIG. 9A, in the auxiliary tool 415, the connection part 120 is provided at the lower end of the cylinder part 110. As shown in FIG. 9B, in the auxiliary tool 416, the connection part 120 is provided at the upper end and the lower end of the cylinder part 110. As shown in FIG. 9 (c), in the auxiliary tool 417, the connection part 120 is provided near the center position of the cylinder part 110 in the Z-axis direction.
　図９（ａ）～（ｃ）に示す補助具４１５においても、上記実施形態と同様、鍔部１３０によって筒部１１０を握る複数の手指が外側から押さえられるため、筒部１１０に対する使用者の把持が補強される。また、指が筒部１１０の外側面１１１の凹凸と鍔部１３０の内側面１３１の凹凸に嵌まることにより、指と筒部１１０との密着性が高まり、筒部１１０のずれが抑制される。このため、使用者は、確実かつ安定的に筒部１１０を握ることができる。 Also in the auxiliary tool 415 shown in FIGS. 9 (a) to 9 (c), since a plurality of fingers gripping the cylinder part 110 are pressed from the outside by the collar part 130 as in the above embodiment, the user's grip on the cylinder part 110 is held. Is reinforced. In addition, the finger fits into the unevenness of the outer surface 111 of the tube part 110 and the unevenness of the inner surface 131 of the collar part 130, so that the adhesion between the finger and the tube part 110 is enhanced and the displacement of the tube part 110 is suppressed. . For this reason, the user can hold the cylinder part 110 reliably and stably.
　上記実施形態では、鍔部１３０が示指から小指の４指を外側から押さえる構成であったが、鍔部１３０が押さえる指の数はこれに限られるものではない。たとえば、鍔部１３０が、示指のみを外側から押さえる構成であってもよく、あるいは、示指から中指までの３指を外側から押さえる構成であってもよい。また、鍔部１３０が押さえる指の数が所望の数となる補助具１００を使用者が選択可能であってもよい。鍔部１３０が押さえる指の数が多いほど筒部１１０の把持が補強されるが、使用者によっては、４指全てが鍔部１３０で押さえられると、窮屈感を覚える場合があり得る。これに対し、鍔部１３０が押さえる指の数を使用者が選択可能であると、使用者において窮屈感がなく、且つ、確実に把持できる補助具１３０を使用できる。 In the above-described embodiment, the collar unit 130 is configured to press the four fingers from the index finger to the little finger from the outside, but the number of fingers pressed by the collar unit 130 is not limited to this. For example, the configuration may be such that the collar portion 130 presses only the index finger from the outside, or the configuration that presses three fingers from the index finger to the middle finger from the outside. Moreover, the user may be able to select the assisting tool 100 in which the number of fingers pressed by the buttocks 130 is a desired number. As the number of fingers pressed by the buttocks 130 increases, the gripping of the cylindrical portion 110 is reinforced. However, depending on the user, if all four fingers are pressed by the buttocks 130, a tight feeling may be felt. On the other hand, if the user can select the number of fingers pressed by the buttocks 130, the user can use the assisting tool 130 that does not feel cramped and can be gripped with certainty.
　また、接続部１２０のＺ軸正側の側面が、筒部１１０を握る示指の側面に沿うようにＺ軸負側に凹んでいてもよく、また、これに伴い接続部１２０のＺ軸負側の側面がＺ軸負側に隆起した構成であってもよい。これにより、使用者は、筒部１１０を握る際に、自身の示指をより円滑に接続部１２０の下方に位置付けることができ、違和感なく筒部１１０を握ることができる。 Further, the side surface on the positive side of the Z-axis of the connecting portion 120 may be recessed to the negative side of the Z-axis so as to follow the side surface of the index finger gripping the cylindrical portion 110, and accordingly, the negative side of the connecting portion 120 on the Z-axis side The side surface may be raised on the negative side of the Z-axis. Thereby, when grasping the cylinder part 110, the user can position his / her index finger more smoothly below the connection part 120, and can grasp the cylinder part 110 without a sense of incongruity.
　２．補助具提供システム
　上記実施形態および変更例に示した補助具の使用者は、年齢および性別の様々であり、また、手指に変形等が生じている場合もある。このため、平均的な手指の大きさに合わせた画一的な補助具が提供されると、使用者によっては、手指にフィットせず、操作感が低下することもあり得る。補助具は、使用者ごとの手指に適合するよう形成することが好ましい。 2. Auxiliary device providing system The user of the auxiliary device shown in the embodiment and the modified example has various ages and genders, and there are cases where the finger is deformed. For this reason, if a uniform assisting tool that matches the size of the average finger is provided, some users may not fit the finger and the operational feeling may be reduced. The auxiliary tool is preferably formed so as to be adapted to the fingers of each user.
　以下、このように使用者ごとの手指に適合する補助具を提供するための補助具提供システムの構成例について説明する。ここでは、上記実施形態で示した補助具１００を使用者ごとに形成することが想定されている。 Hereinafter, a configuration example of an assisting device providing system for providing assisting devices suitable for the fingers of each user will be described. Here, it is assumed that the auxiliary tool 100 shown in the above embodiment is formed for each user.
　図１０に示すように、本構成例に係る補助具提供システム１では、薬局２と、専門家施設３と、製造者施設４とにそれぞれ設置された処理装置２ａ、３ａ、４ａが、インターネット等のネットワーク網５で互いに接続された構成となっている。処理装置２ａ、３ａ、４ａは、それぞれ、パーソナルコンピュータやサーバコンピュータによって構成される。 As shown in FIG. 10, in the assisting device providing system 1 according to this configuration example, the processing devices 2a, 3a, and 4a installed in the pharmacy 2, the specialist facility 3, and the manufacturer facility 4 are connected to the Internet or the like. The network 5 is connected to each other. The processing devices 2a, 3a, and 4a are each configured by a personal computer or a server computer.
　補助具１００を形成する場合、まず、使用者が薬局２に訪れる。薬局２では、薬剤師が、使用者の手指の径等に関する手指情報を処理装置２ａに入力する。処理装置２ａは、入力された手指情報に適合するように、補助具１００の各種パラメータの値を設定し、設定したパラメータ値を使用者の手指情報および使用者情報とともに専門家施設３の処理装置３ａに送信する。 When forming the auxiliary tool 100, first, the user visits the pharmacy 2. In the pharmacy 2, the pharmacist inputs finger information related to the diameter of the user's finger and the like to the processing device 2a. The processing device 2a sets the values of various parameters of the assisting tool 100 so as to match the input hand information, and sets the set parameter values together with the user's hand information and user information in the processing facility of the specialist facility 3. Send to 3a.
　専門家施設３では、処理装置３ａが受信したパラメータ値と手指情報を、専門家が参照して、パラメータ値の修正の要否を確認する。専門家は、使用者の手指の状態を加味したパラメータ値の設定および調整において、専門的なスキルを備えている。パラメータ値の修正が必要な場合、専門家は、パラメータ値を修正し、修正後のパラメータ値を製造者施設４の処理装置４ａに送信する操作を行う。また、パラメータ値の修正が必要ない場合、専門家は、パラメータ値をそのまま製造者施設４の処理装置４ａに送信する操作を行う。これにより、補助具１００のパラメータ値が製造者施設４の処理装置４ａに送信される。このとき、発注元の薬局情報および使用者情報も、処理装置４ａに送信される。 In the expert facility 3, the expert refers to the parameter value and finger information received by the processing device 3a, and confirms whether the parameter value needs to be corrected. The expert has specialized skills in setting and adjusting the parameter value in consideration of the state of the user's finger. When the parameter value needs to be corrected, the expert performs an operation of correcting the parameter value and transmitting the corrected parameter value to the processing device 4a of the manufacturer facility 4. When the parameter value does not need to be corrected, the expert performs an operation of transmitting the parameter value as it is to the processing device 4a of the manufacturer facility 4. Thereby, the parameter value of the auxiliary tool 100 is transmitted to the processing device 4a of the manufacturer facility 4. At this time, the ordering pharmacy information and user information are also transmitted to the processing device 4a.
　製造者施設４では、処理装置４ａが、受信したパラメータ値に基づいて、形成機４ｂで補助具１００を形成する。形成機４ｂは、たとえば、３次元プリンタからなる。製造者は、形成された補助具１００に使用者情報を付して、発注元の薬局２に輸送する。使用者は、輸送された補助具１００を、薬局２で受け取る。こうして、使用者は、自身の手指に適合する補助具１００を取得する。 In the manufacturer facility 4, the processing device 4a forms the auxiliary tool 100 with the forming machine 4b based on the received parameter value. The forming machine 4b is composed of, for example, a three-dimensional printer. The manufacturer attaches user information to the formed auxiliary tool 100 and transports it to the ordering pharmacy 2. The user receives the transported assisting tool 100 at the pharmacy 2. In this way, the user acquires the assisting tool 100 that fits his / her fingers.
　図１１に示すように、薬局２の処理装置２ａは、制御部５１０と、記憶部５１１と、表示部５１２と、入力部５１３と、通信部５１４とを備えている。 As shown in FIG. 11, the processing device 2a of the pharmacy 2 includes a control unit 510, a storage unit 511, a display unit 512, an input unit 513, and a communication unit 514.
　制御部５１０は、ＣＰＵ（CentralProcessing Unit）等の処理ユニットからなっており、記憶部５１１に記憶されたプログラムに従った制御処理を実行する。記憶部５１１は、ハードディスクトライブやＲＯＭ（Read Only Memory）、ＲＡＭ（Random Access Memory）等からなっており、制御部５１０が実行する制御プログラムや後述する各種テーブル（データベース）を保持する。 The control unit 510 includes a processing unit such as a CPU (Central Processing Unit), and executes control processing according to a program stored in the storage unit 511. The storage unit 511 includes a hard disk drive, a ROM (Read Only Memory), a RAM (Random Access Memory), and the like, and holds a control program executed by the control unit 510 and various tables (databases) described later.
　表示部５１２は、モニター等の表示手段を備える。入力部５１３は、キーボードやマウス等の入力手段を備える。通信部５１４は、ネットワーク網５を介して各種情報を送受信するインタフェースである。 The display unit 512 includes display means such as a monitor. The input unit 513 includes input means such as a keyboard and a mouse. The communication unit 514 is an interface that transmits and receives various types of information via the network 5.
　専門家施設３の処理装置３ａも、処理装置２ａと同様の構成である。処理装置３ａは、制御部６１０と、記憶部６１１と、表示部６１２と、入力部６１３と、通信部６１４とを備えている。制御部６１０は、記憶部６１１に保持された制御プログラムに従って制御処理を実行する。 The processing apparatus 3a of the expert facility 3 has the same configuration as the processing apparatus 2a. The processing device 3a includes a control unit 610, a storage unit 611, a display unit 612, an input unit 613, and a communication unit 614. The control unit 610 executes control processing according to the control program held in the storage unit 611.
　図１２（ａ）～（ｃ）および図１３（ａ）、（ｂ）は、薬局２の処理装置２ａに保持される各種テーブルの構成を示す図である。これらのテーブルは、処理装置２ａの記憶部５１１に保持される。 FIGS. 12 (a) to 12 (c) and FIGS. 13 (a) and 13 (b) are diagrams showing configurations of various tables held in the processing device 2a of the pharmacy 2. FIG. These tables are held in the storage unit 511 of the processing device 2a.
　図１２（ａ）に示すように、患者テーブルは、患者ＩＤと、患者の氏名、性別、生年月日とを互いに対応づけた構成となっている。薬局２に新たな患者が訪れると、その患者に関する情報が患者テーブルに登録される。患者テーブルの登録は、薬剤師が処理装置２ａの入力部５１３を介して行う。 As shown in FIG. 12 (a), the patient table has a configuration in which the patient ID is associated with the patient's name, sex, and date of birth. When a new patient visits the pharmacy 2, information about the patient is registered in the patient table. Registration of the patient table is performed by the pharmacist via the input unit 513 of the processing device 2a.
　図１２（ｂ）に示すように、注射器テーブルは、注射器ＩＤと、当該注射器の名称、当該注射器用の補助具１００の画像（外観画像）および当該注射器に固有の補助具１００のパラメータ（１）～（４）の値とを互いに対応づけた構成となっている。たとえば、インスリン接種用の注射器には、図２（ａ）に示した注射器２００の他に、本体部２１０の形状（径や長さ）等が異なる数種の注射器が存在する。注射器テーブルには、これら数種の注射器と、各注射器に関する情報とが対応付けられている。 As shown in FIG. 12B, the syringe table includes a syringe ID, a name of the syringe, an image (appearance image) of the auxiliary tool 100 for the syringe, and a parameter (1) of the auxiliary tool 100 unique to the syringe. The values of (4) to (4) are associated with each other. For example, in the syringe for inoculating insulin, there are several types of syringes having different shapes (diameters and lengths) of the main body 210 in addition to the syringe 200 shown in FIG. In the syringe table, these several types of syringes are associated with information about each syringe.
　注射器テーブルには、補助具１００の画像として、各注射器が装着される補助具１００の外観画像に、補助具１００の各パラメータの範囲を重ねた画像（たとえば、図１６の領域２１参照）が保持されている。また、パラメータ（１）～（４）の欄には、注射器の種類によって固有に決まる補助具１００のパラメータ（１）～（４）の値（図１６の領域２１参照）が保持されている。 In the syringe table, as an image of the auxiliary tool 100, an image (for example, see a region 21 in FIG. 16) in which the range of each parameter of the auxiliary tool 100 is superimposed on the appearance image of the auxiliary tool 100 to which each syringe is mounted is held. Has been. In addition, the parameter (1) to (4) columns hold values of parameters (1) to (4) of the assisting tool 100 that are uniquely determined by the type of syringe (see region 21 in FIG. 16).
　図１２（ｃ）に示すように、受付テーブルは、注文番号に、患者ＩＤと、注射器ＩＤと、手指情報と、手指特殊入力の有無と、コメントとを対応付けた構成となっている。患者から補助具１００の注文があると、注文番号が追加され、受付テーブルに新たな情報が登録される。受付テーブルには、薬剤師が処理装置２ａの入力部５１３を介して入力した情報が登録される。 As shown in FIG. 12C, the reception table has a configuration in which the order number is associated with a patient ID, a syringe ID, hand information, presence / absence of hand special input, and a comment. When there is an order for the assisting device 100 from the patient, the order number is added and new information is registered in the reception table. Information input by the pharmacist via the input unit 513 of the processing device 2a is registered in the reception table.
　患者ＩＤの欄には、補助具１００を注文した患者のＩＤが登録される。注射器ＩＤの欄には、薬剤師が提供する注射器のＩＤが登録される。手指情報の欄には、患者の手指の径等、薬剤師が計測した使用者（典型的には患者）の手指に関する情報が登録される。手指特殊入力の有無の欄には、使用者の手指に変形がある場合など、使用者の手指に特殊な事情があるか否かが登録される。コメントの欄には、使用者の手指に関するコメントが登録される。受付テーブルに登録される各情報の入力方法については、追って、図１４を参照して説明する。 In the column of patient ID, the ID of the patient who ordered the assisting tool 100 is registered. The syringe ID provided by the pharmacist is registered in the syringe ID column. In the finger information column, information related to the finger of the user (typically a patient) measured by the pharmacist, such as the diameter of the patient's finger, is registered. Whether or not there is a special situation in the user's finger, such as when the user's finger is deformed, is registered in the column of presence / absence of special finger input. A comment regarding the user's finger is registered in the comment column. A method for inputting each information registered in the reception table will be described later with reference to FIG.
　図１３（ａ）に示すように、薬局入力パラメータテーブルは、注文番号に、注文の日時と、補助具１００の各パラメータの値と、コメントとが対応付けられた構成となっている。注文番号およびコメントの欄には、図１２（ｃ）の受付テーブルの注文番号とコメントの欄の内容が転記される。日時の欄には、パラメータの値が確定された日時が登録される。パラメータの欄は、図１２（ｃ）の受付テーブルの手指情報をもとに算出された補助具１００の各パラメータの値が登録される。ここでは、補助具１００に１５のパラメータが設定されている。パラメータ（１）～（１５）の内容については、追って、図１６を参照して説明する。 As shown in FIG. 13A, the pharmacy input parameter table has a configuration in which the order number is associated with the date and time of the order, the value of each parameter of the assisting tool 100, and the comment. In the order number and comment fields, the contents of the order number and comment fields in the reception table of FIG. In the date and time column, the date and time when the parameter value is determined is registered. In the parameter column, the value of each parameter of the assisting tool 100 calculated based on the finger information of the reception table of FIG. 12C is registered. Here, 15 parameters are set in the auxiliary tool 100. The contents of parameters (1) to (15) will be described later with reference to FIG.
　図１３（ｂ）に示すように、専門家入力パラメータテーブルは、注文番号に、修正の日時と、補助具１００の各パラメータの値とが対応付けられた構成となっている。専門家入力パラメータテーブルは、専門家が修正した補助具１００の各パラメータの値を専門家施設３の処理装置３ａから受信した場合に、受信した各パラメータの値が登録される。注文番号の欄には、専門家がパラメータ値を修正した補助具１００の注文番号が登録される。日時の欄には、修正の日時、すなわち、専門家施設３の処理装置３ａから各パラメータの修正値を受信した日時が登録される。パラメータの欄には、受信した各パラメータの修正値が登録される。 As shown in FIG. 13B, the expert input parameter table has a configuration in which the order number is associated with the date and time of correction and the value of each parameter of the auxiliary tool 100. In the expert input parameter table, when the value of each parameter of the auxiliary tool 100 corrected by the expert is received from the processing device 3a of the expert facility 3, the value of each received parameter is registered. In the order number column, the order number of the auxiliary tool 100 whose expert has corrected the parameter value is registered. The date and time of correction, that is, the date and time when the correction value of each parameter is received from the processing device 3a of the expert facility 3 is registered in the date and time column. The correction value of each received parameter is registered in the parameter column.
　なお、専門家施設３の処理装置３ａにも、図１２（ｂ）に示す注射器テーブルが保持されている。また、処理装置３ａは、薬局２の処理装置２ａから図１３（ａ）に示す薬局入力パラメータテーブルの情報を受信した場合に、受信した情報を、自身の対応するデータベースに登録する。また、処理装置３ａは、図１３（ｂ）に示す専門家入力パラメータテーブルの情報を、薬局２の処理装置２ａに送信する際に、自身の対応するデータベースに登録する。 In addition, the syringe table shown in FIG. 12B is also held in the processing device 3a of the specialist facility 3. Further, when the processing device 3a receives the information of the pharmacy input parameter table shown in FIG. 13A from the processing device 2a of the pharmacy 2, it registers the received information in its corresponding database. Further, the processing device 3a registers the information of the expert input parameter table shown in FIG. 13B in its corresponding database when transmitting the information to the processing device 2a of the pharmacy 2.
　図１４は、補助具１００の使用者（典型的には患者）の情報を入力する入力画面１０の構成を示す図である。入力画面１０は、薬局２に設置された処理装置２ａの表示部５１２に表示される。 FIG. 14 is a diagram showing a configuration of the input screen 10 for inputting information of a user (typically a patient) of the assisting tool 100. The input screen 10 is displayed on the display unit 512 of the processing apparatus 2a installed in the pharmacy 2.
　入力画面１０は、領域１１～１７と、キー１８とを含んでいる。領域１１には、別途準備された患者登録画面で登録された患者のＩＤと患者の氏名が表示され、さらに、別途準備された注文受付画面で割り振られた注文番号が表示される。 The input screen 10 includes areas 11 to 17 and a key 18. The area 11 displays the patient ID and patient name registered on the separately prepared patient registration screen, and further displays the order number assigned on the separately prepared order reception screen.
　領域１２には、薬剤師が患者に提供する注射器の種類が入力される。領域１２の右端には、注射器の選択候補をプルダウン表示させるためのボタンが配置されている。薬剤師は、入力部５１３によりこのボタンを操作して、自身が提供しようとする注射器を選択候補から選択する。これにより、注射器の入力が完了する。 In area 12, the type of syringe provided to the patient by the pharmacist is entered. On the right end of the region 12, a button for pulling down a selection candidate for the syringe is arranged. The pharmacist operates this button with the input unit 513 to select the syringe to be provided from the selection candidates. This completes the input of the syringe.
　領域１３には、補助具１００の使用者の示指、中指、薬指および小指の直径が入力される。薬剤師は、使用者の示指、中指、薬指および小指の直径を計測し、各指の計測値を入力欄１３ａ～１３ｄに入力する。各指の直径は、図１５（ａ）に矢印で示すように、各指の第２関節において計測される。 In the area 13, the diameters of the index finger, middle finger, ring finger, and little finger of the user of the auxiliary tool 100 are input. The pharmacist measures the diameters of the user's index finger, middle finger, ring finger, and little finger, and inputs the measured values of each finger in the input fields 13a to 13d. The diameter of each finger is measured at the second joint of each finger as shown by the arrow in FIG.
　領域１４には、補助具１００の使用者の示指から小指までの長さが入力される。薬剤師は、使用者の示指から小指までの長さを計測し、計測値を領域１４に入力する。示指から小指までの長さは、図１５（ｂ）に矢印で示すように、各指の付け根の位置において計測される。 In the area 14, the length from the index finger to the little finger of the user of the auxiliary tool 100 is input. The pharmacist measures the length from the user's index finger to the little finger and inputs the measured value in the area 14. The length from the index finger to the little finger is measured at the base position of each finger as shown by the arrow in FIG.
　領域１５には、補助具１００の使用者の各指に関するコメントが入力される。たとえば、怪我の後遺症等により所定の指が曲がっており、あるいは、曲げ伸ばしに制約があるような場合、薬剤師は、その内容を、領域１５に入力する。 In the area 15, a comment regarding each finger of the user of the assisting tool 100 is input. For example, when a predetermined finger is bent due to an aftereffect of injury, or when bending and stretching are restricted, the pharmacist inputs the content in the area 15.
　領域１６は、補助具１００の使用者の手指が特殊な状況にあるため、薬剤師が追加の手指情報を入力すべきと判断した場合に、チェックが付されるチェックボックスである。薬剤師は、領域１６にチェックを付した後、領域１７の全ての入力欄１７ａ～１７ｌにそれぞれ対応する情報を入力する。 Area 16 is a check box that is checked when the pharmacist determines that additional hand information should be input because the hand of the user of the assisting device 100 is in a special situation. The pharmacist checks the area 16 and then inputs information corresponding to all the input fields 17a to 17l in the area 17.
　入力欄１７ａ～１７ｄには、補助具１００の使用者の５つ指のうち隣り合う指間の平面間隔が入力される。ここで、平面間隔とは、図１５（ｃ）に矢印で示すように、使用者が指を広げたときの指先間の間隔である。薬剤師は、使用者の隣り合う指間の平面間隔を計測し、各計測値をそれぞれ入力欄１７ａ～１７ｄに入力する。 In the input fields 17a to 17d, a plane interval between adjacent fingers among the five fingers of the user of the assisting tool 100 is input. Here, the plane interval is the interval between the fingertips when the user spreads his / her finger as shown by an arrow in FIG. The pharmacist measures the plane interval between the adjacent fingers of the user and inputs each measured value in the input fields 17a to 17d.
　入力欄１７ｅ～１７ｉには、補助具１００の使用者の５つ指の平面からの高さが入力される。ここで、平面からの高さとは、図１５（ｅ）に矢印で示すように、使用者が指を広げて平面に手を置いたときの各指と平面との間の隙間の最大値である。薬剤師は、使用者の各指について、平面からの高さを計測し、各計測値をそれぞれ入力欄１７ｅ～１７ｉに入力する。 In the input fields 17e to 17i, the height from the plane of the five fingers of the user of the assisting tool 100 is input. Here, the height from the plane is the maximum value of the gap between each finger and the plane when the user spreads his finger and places his hand on the plane, as shown by the arrow in FIG. is there. The pharmacist measures the height from the plane for each finger of the user, and inputs each measured value in the input fields 17e to 17i.
　入力欄１７ｊ～１７ｌには、補助具１００の使用者の示指から小指までの４指のうち隣り合う指間の握り間隔が入力される。ここで、握り間隔とは、図１５（ｄ）に矢印で示すように、使用者が示指から小指までの４指を自然に閉じた状態で握ったときの指間の間隔の最大値である。薬剤師は、使用者の隣り合う指間の握り間隔を計測し、各計測値をそれぞれ入力欄１７ｊ～１７ｌに入力する。 In the input fields 17j to 17l, a grip interval between adjacent fingers among the four fingers from the index finger to the little finger of the user of the assisting tool 100 is input. Here, the grip interval is the maximum value of the interval between fingers when the user grasps the four fingers from the index finger to the little finger in a naturally closed state, as indicated by arrows in FIG. . The pharmacist measures the grip interval between adjacent fingers of the user, and inputs each measured value in the input fields 17j to 17l.
　使用者の手指に異常がある場合、入力欄１７ａ～１７ｌの何れかに異常な値が含まれる。後述のように、入力欄１７ａ～１７ｌに入力された手指情報は、領域１５に入力されたコメントとともに専門家施設３の専門家によって参照され、補助具１００の各パラメータの値の調整に役立てられる。 When there is an abnormality in the user's finger, an abnormal value is included in any of the input fields 17a to 17l. As will be described later, the finger information input in the input fields 17a to 17l is referred to by the expert in the expert facility 3 together with the comment input in the area 15, and is used for adjusting the values of the parameters of the auxiliary tool 100. .
　なお、領域１３～１７に対する入力は、注射器の薬剤投与の際に、使用者が補助具１００を把持する手指（通常は、利き腕の手指）に対して行われる。 Note that the input to the regions 13 to 17 is performed on the finger (usually, the hand of the dominant arm) that the user holds the assisting tool 100 when the drug is administered by the syringe.
　キー１８は、領域１２～１７に対する入力が完了した場合に、処理を次のステップに進めるためのキーである。薬剤師は、領域１２～１７に対する入力が完了した場合に、キー１８を操作する。全ての入力が完了していない場合、キー１８は操作不能に設定される。キー１８が操作されると、図１６に示すパラメータ画面２０が表示部５１２に表示される。 The key 18 is a key for proceeding to the next step when the input to the areas 12 to 17 is completed. The pharmacist operates the key 18 when the input to the areas 12 to 17 is completed. If all inputs have not been completed, the key 18 is set inoperable. When the key 18 is operated, a parameter screen 20 shown in FIG. 16 is displayed on the display unit 512.
　図１６に示すように、パラメータ画面２０は、領域２１～２７と、キー２８、２９とを含んでいる。 As shown in FIG. 16, the parameter screen 20 includes areas 21 to 27 and keys 28 and 29.
　領域２１には、補助具１００の外観に、補助具１００のパラメータ（１）～（１５）の範囲を重ねて示す画像が表示される。領域２１には、図１２（ｂ）の注射器テーブルに格納された画像のうち、図１４の領域１２で薬剤師が選択した注射器に対応する補助具１００の画像が表示される。 In the region 21, an image showing the range of the parameters (1) to (15) of the auxiliary tool 100 overlaid on the appearance of the auxiliary tool 100 is displayed. In the area 21, an image of the auxiliary tool 100 corresponding to the syringe selected by the pharmacist in the area 12 of FIG. 14 among the images stored in the syringe table of FIG. 12B is displayed.
　領域２２には、図１４のキー１８が操作される際に、領域１１～１４および領域１６、１７に保持されていた情報が表示され、領域２３には、図１４の領域１５に保持されていた情報が表示される。 The area 22 displays the information held in the areas 11 to 14 and the areas 16 and 17 when the key 18 in FIG. 14 is operated, and the area 23 is held in the area 15 in FIG. Information is displayed.
　領域２４、２６には、領域２１に表示された補助具１００のパラメータ（１）～（１５）の値が表示される。このうち、パラメータ（１）～（４）の欄には、図１２（ｂ）の注射器テーブルに格納されたパラメータ（１）～（４）の値のうち、図１４の領域１２で薬剤師が選択した注射器に対応するパラメータ（１）～（４）の値が表示される。パラメータ（５）～（１５）の欄には、図１４の領域１３、１４における各指の径および示指から小指までの長さと各パラメータとの相関演算により、制御部５１０が算出した値が表示される。 In the areas 24 and 26, the values of the parameters (1) to (15) of the assisting tool 100 displayed in the area 21 are displayed. Of these, the parameters (1) to (4) are selected by the pharmacist in the area 12 of FIG. 14 from the values of the parameters (1) to (4) stored in the syringe table of FIG. The values of parameters (1) to (4) corresponding to the injected syringe are displayed. In the columns of parameters (5) to (15), values calculated by the control unit 510 by the correlation calculation between the diameters of the fingers and the lengths from the index finger to the little finger and the parameters in the regions 13 and 14 of FIG. 14 are displayed. Is done.
　図１１に示す記憶部５１１には、予め、各指の径および示指から小指までの長さと、パラメータ（５）～（１５）との間の相関を規定する演算式が記憶されている。制御部５１０は、図１４に示す入力画面１０において薬剤師が入力した各指の径および示指から小指までの長さを、各パラメータの相関演算式に適用して、各パラメータの値を取得する。 In the storage unit 511 shown in FIG. 11, an arithmetic expression that prescribes the correlation between the diameter of each finger, the length from the indicated finger to the little finger, and the parameters (5) to (15) is stored in advance. Control unit 510 obtains the value of each parameter by applying the diameter of each finger and the length from the index finger to the little finger input by the pharmacist on input screen 10 shown in FIG. 14 to the correlation calculation expression of each parameter.
　パラメータ（１）は、補助具１００の筒部１１０の最上部の厚みである。パラメータ（２）は、補助具１００の孔１１２の直径である。パラメータ（３）、（４）は、それぞれ、補助具１００の窓部１１４の横方向および縦方向の幅である。なお、本実施形態では、パラメータ（２）の値にパラメータ（１）の値を２倍して加算した値（筒部１１０の径）が、どの種類の注射器が選択された場合でも同一の値になるように設定されている。すなわち、薬剤師が本体部２１０の直径が小さい注射器を選択した場合は、パラメータ（２）の値が小さくなり、パラメータ（１）の値が大きくなる。 Parameter (1) is the thickness of the uppermost part of the cylindrical part 110 of the auxiliary tool 100. Parameter (2) is the diameter of the hole 112 of the auxiliary tool 100. Parameters (3) and (4) are the horizontal and vertical widths of the window 114 of the auxiliary tool 100, respectively. In the present embodiment, the value obtained by doubling the value of the parameter (1) and adding the value of the parameter (2) (the diameter of the cylindrical portion 110) is the same regardless of which type of syringe is selected. It is set to be. That is, when the pharmacist selects a syringe with a small diameter of the main body 210, the value of the parameter (2) becomes small and the value of the parameter (1) becomes large.
　パラメータ（５）は、補助具１００の筒部１１０の長さである。パラメータ（５）は、図１４の領域１４に入力された示指から小指までの長さよりもやや大きい値として算出される。パラメータ（６）は、補助具１００の接続部１２０の長さである。パラメータ（６）は、示指に対するパラメータ（９）の値（示指に対する筒部１１０側の凹部１１１ａと鍔部１３０側の凹部１３１ａとの間の距離)と、予め設定された鍔部１３０の厚みとに基づいて算出される。 Parameter (5) is the length of the cylinder part 110 of the auxiliary tool 100. The parameter (5) is calculated as a value slightly larger than the length from the index finger to the little finger input in the area 14 of FIG. Parameter (6) is the length of the connecting portion 120 of the auxiliary tool 100. The parameter (6) includes the value of the parameter (9) for the index finger (the distance between the concave portion 111a on the tube portion 110 side and the concave portion 131a on the collar portion 130 side) and the preset thickness of the collar portion 130. Is calculated based on
　パラメータ（７）は、補助具１００の鍔部１３０の幅である。パラメータ（７）は、示指から小指の４指が鍔部１３０によって外側から所定の力で押さる弾性力が得られるように、接続部１２０の長さと鍔部１３０の長さとに基づいて算出される。パラメータ（８）は、鍔部１３０の長さである。パラメータ（８）は、鍔部１３０の下端が筒部１１０の下端に揃うように算出される。 Parameter (7) is the width of the buttocks 130 of the assisting tool 100. The parameter (7) is calculated based on the length of the connecting portion 120 and the length of the collar portion 130 so that an elastic force can be obtained by pressing the four fingers from the index finger to the little finger from outside with a predetermined force. The Parameter (8) is the length of the collar 130. The parameter (8) is calculated so that the lower end of the collar portion 130 is aligned with the lower end of the cylindrical portion 110.
　パラメータ（９）は、筒部１１０側の凹部１１１ａと鍔部１３０側の凹部１３１ａとの間の距離である。パラメータ（９）は、示指から小指の各指の位置に対してそれぞれ算出される。パラメータ（９）は、図１４の領域１３に入力された４指の直径に基づいて算出される。 Parameter (9) is a distance between the concave portion 111a on the cylindrical portion 110 side and the concave portion 131a on the flange portion 130 side. The parameter (9) is calculated for each finger position from the index finger to the little finger. The parameter (9) is calculated based on the diameter of the four fingers input to the area 13 in FIG.
　パラメータ（１０）は、補助具１００の筒部１１０の外側面１１１に形成された凹部１１１ａの深さであり、パラメータ（１１）は、筒部１１０の外側面１１１に形成された凸部１１１ｂの高さである。パラメータ（１０）（凹部１１１ａの深さ）と、パラメータ（１１）（凸部１１１ｂの高さ）は、筒部１１０の外側面１１１の外径、すなわち、パラメータ（２）の値にパラメータ（１）の値を２倍して加算した値を基準に設定される。パラメータ（１０）、（１１）は、示指から小指の各指の位置に対してそれぞれ算出される。パラメータ（１０）、（１１）は、示指から小指がそれぞれ各指の凹部１１１ａにフィットするように、図１４の領域１３に入力された４指の直径に基づいて算出される。 The parameter (10) is the depth of the concave portion 111a formed on the outer surface 111 of the cylindrical portion 110 of the assisting tool 100, and the parameter (11) is the value of the convex portion 111b formed on the outer surface 111 of the cylindrical portion 110. It is height. The parameter (10) (depth of the concave portion 111a) and the parameter (11) (height of the convex portion 111b) are set to the outer diameter of the outer surface 111 of the cylindrical portion 110, that is, the parameter (1) ) Is doubled and added to set the reference. Parameters (10) and (11) are respectively calculated for the positions of the fingers from the index finger to the little finger. The parameters (10) and (11) are calculated based on the diameters of the four fingers input to the region 13 in FIG. 14 so that the little finger from the index finger fits into the recess 111a of each finger.
　パラメータ（１２）は、補助具１００の筒部１１０の外側面１１１に形成された凹部１１１ａのピッチである。パラメータ（１２）も、示指から小指の各指の位置に対してそれぞれ算出される。パラメータ（１２）は、使用者が指を揃えて筒部１１０を握った場合に示指から小指の４指がそれぞれ各指の凹部１１１ａに沿うように、図１４の領域１３に入力された４指の直径に基づいて算出される。 Parameter (12) is the pitch of the recesses 111a formed on the outer surface 111 of the cylindrical part 110 of the auxiliary tool 100. The parameter (12) is also calculated for each finger position from the index finger to the little finger. The parameter (12) includes four fingers input in the region 13 of FIG. 14 so that when the user holds the tube part 110 with fingers aligned, the four fingers from the index finger to the little finger respectively follow the recesses 111a of each finger. It is calculated based on the diameter of.
　パラメータ（１３）は、補助具１００の鍔部１３０の内側面１３１に形成された凹部１３１ａの深さであり、パラメータ（１４）は、鍔部１３０の内側面１３１に形成された凸部１３１ｂの高さである。パラメータ（１３）（凹部１３１ａの深さ）と、パラメータ（１４）（凸部１３１ｂの高さ）は、上側に隣り合う凸部１３１ｂの高さを基準に設定される。パラメータ（１３）、（１４）は、示指から小指の各指の位置に対してそれぞれ算出される。パラメータ（１３）、（１４）は、示指から小指までの４指がそれぞれ各指の凹部１３１ａにフィットするように、図１４の領域１３に入力された４指の直径に基づいて算出される。 The parameter (13) is the depth of the concave portion 131a formed on the inner side surface 131 of the collar portion 130 of the assisting tool 100, and the parameter (14) is the depth of the convex portion 131b formed on the inner side surface 131 of the collar portion 130. It is height. The parameter (13) (depth of the concave portion 131a) and the parameter (14) (height of the convex portion 131b) are set based on the height of the convex portion 131b adjacent to the upper side. Parameters (13) and (14) are calculated for the positions of the fingers from the index finger to the little finger, respectively. The parameters (13) and (14) are calculated based on the diameters of the four fingers input to the region 13 in FIG. 14 so that the four fingers from the index finger to the little finger fit into the concave portions 131a of the fingers, respectively.
　パラメータ（１５）は、補助具１００の鍔部１３０の内側面１３１に形成された凹部１３１ａのピッチである。パラメータ（１５）も、示指から小指の各指の位置に対してそれぞれ算出される。パラメータ（１５）は、使用者が指を揃えて筒部１１０を握った場合に示指から小指の４指がそれぞれ各指の凹部１３１ａに沿うように、図１４の領域１３に入力された４指の直径に基づいて算出される。 Parameter (15) is the pitch of the recesses 131a formed on the inner surface 131 of the collar part 130 of the assisting tool 100. The parameter (15) is also calculated for each finger position from the index finger to the little finger. The parameter (15) is the four fingers input in the region 13 of FIG. 14 so that the four fingers from the index finger to the little finger are along the recesses 131a of each finger when the user grips the cylindrical portion 110 with the fingers aligned. It is calculated based on the diameter of.
　なお、鍔部１３０側の各指の凹部１３１ａと筒部１１０側の各指の凹部１１１ａは、筒部１１０の長さ方向（図１（ａ）のＺ軸方向）において同じ位置にある。 It should be noted that the concave portion 131a of each finger on the collar portion 130 side and the concave portion 111a of each finger on the cylindrical portion 110 side are at the same position in the length direction of the cylindrical portion 110 (Z-axis direction in FIG. 1A).
　図１６に示すように、領域２４には、パラメータ（１）～（４）の値と、パラメータ（５）～（８）の算出結果が表示される。領域２６には、パラメータ（９）から（１５）の算出結果が表示される。領域２５は、領域２６に表示されるパラメータ（９）～（１５）の値を、どの指に対して表示させるかを選択するために用いられる。領域２５の右端には、指の選択候補をプルダウン表示させるためのボタンが配置されている。薬剤師は、入力部５１３によりこのボタンを操作して、所望の指を選択する。これにより、選択した指に対応するパラメータ（９）～（１５）の値が、領域２６に表示される。 As shown in FIG. 16, in the area 24, the values of the parameters (1) to (4) and the calculation results of the parameters (5) to (8) are displayed. In the area 26, the calculation results of the parameters (9) to (15) are displayed. The area 25 is used to select for which finger the values of the parameters (9) to (15) displayed in the area 26 are displayed. On the right end of the area 25, a button for pull-down display of finger selection candidates is arranged. The pharmacist operates this button with the input unit 513 to select a desired finger. As a result, the values of the parameters (9) to (15) corresponding to the selected finger are displayed in the area 26.
　領域２７には、図１４の領域１５に入力されたコメントが表示される。薬剤師は、領域２４、２６に表示された各パラメータの値を確認した後、キー２８を操作する。これにより、領域２２、２７に表示された情報（患者氏名は除く）と、各パラメータの値が、専門家施設３の処理装置３ａに送信される。また、領域２２に表示された情報は、薬局２の処理装置２ａに構築された受付テーブル（図１２（ｃ）参照）に登録され、各パラメータの値は、薬局２の処理装置２ａに構築された薬局入力パラメータテーブル（図１３（ａ）参照）に登録される。 In the area 27, the comment input in the area 15 in FIG. 14 is displayed. The pharmacist operates the keys 28 after confirming the values of the parameters displayed in the areas 24 and 26. As a result, the information (excluding the patient name) displayed in the areas 22 and 27 and the value of each parameter are transmitted to the processing device 3a of the specialist facility 3. The information displayed in the area 22 is registered in the reception table (see FIG. 12C) constructed in the processing device 2a of the pharmacy 2, and the values of the parameters are constructed in the processing device 2a of the pharmacy 2. Registered in the pharmacy input parameter table (see FIG. 13A).
　なお、薬剤師は、図１６に示すパラメータ画面２０において、領域２４、２６に表示されたパラメータ（５）～（１５）の値を適宜修正可能である。たとえば、薬剤師が、修正しようとするパラメータ値の位置にカーソルを位置付けてマウスをクリックすると、このパラメータ値が修正可能な状態に設定される。所定のパラメータ値を演算値から修正した場合、薬剤師は、適宜、領域２７に対して、修正に関するコメントを追記する。その後、キー２８が送信されると、修正後のパラメータ値を含む各パラメータの値が、領域２２、２７に表示された情報とともに、専門家施設３の処理装置３ａに送信される。 Note that the pharmacist can appropriately correct the values of the parameters (5) to (15) displayed in the areas 24 and 26 on the parameter screen 20 shown in FIG. For example, when the pharmacist positions the cursor at the position of the parameter value to be corrected and clicks the mouse, the parameter value is set to a correctable state. When the predetermined parameter value is corrected from the calculated value, the pharmacist appropriately adds a comment regarding the correction to the area 27. Thereafter, when the key 28 is transmitted, the value of each parameter including the corrected parameter value is transmitted to the processing device 3a of the specialist facility 3 together with the information displayed in the areas 22 and 27.
　また、薬剤師は、図１６に示すパラメータ画面２０において、キー２９を操作することにより、画面を図１４の入力画面１０に戻すことができる。これにより、薬剤師は、各種情報の入力を適宜やり直すことができる。 Further, the pharmacist can return the screen to the input screen 10 of FIG. 14 by operating the key 29 on the parameter screen 20 shown in FIG. Thereby, the pharmacist can redo the input of various information suitably.
　こうして、各パラメータの値と領域２２、２７に表示された情報が、専門家施設３の処理装置３ａに送信されると、処理装置３ａにおいて、受信した情報をもとに、図１７に示すパラメータ画面３０が表示される。 Thus, when the values of the parameters and the information displayed in the areas 22 and 27 are transmitted to the processing device 3a of the expert facility 3, the parameters shown in FIG. 17 are obtained based on the received information in the processing device 3a. A screen 30 is displayed.
　図１７に示すパラメータ画面３０は、領域３１～３７と、キー３８、３９とを含んでいる。領域３１～３７は、図１６に示すパラメータ画面３０の領域２１～２７と同じである。図１７のパラメータ画面３０を参照して、専門家は、領域３４、３６に表示されているパラメータ値の修正の要否を判断する。この場合、専門家は、特に、領域３２の下段に示された手指特殊入力の有無と、平面間隔、平面からの高さ、および、握り間隔と、領域３７のコメントを参照する。 The parameter screen 30 shown in FIG. 17 includes areas 31 to 37 and keys 38 and 39. The areas 31 to 37 are the same as the areas 21 to 27 of the parameter screen 30 shown in FIG. Referring to parameter screen 30 in FIG. 17, the expert determines whether or not the parameter values displayed in areas 34 and 36 need to be corrected. In this case, the expert particularly refers to the presence / absence of finger special input, the plane interval, the height from the plane, the grip interval, and the comments in the region 37 shown in the lower part of the region 32.
　たとえば、専門家は、当該使用者の平面間隔や平面からの高さおよび握り間隔に基づき、所定の指に変形等が生じていると判断すると、その度合いに応じて、当該指に対応するパラメータの値を修正する。この際、専門家は、領域３７に、当該指の変形についてコメントがあるか否かを確認する。あるいは、専門家は、領域３７に、薬剤師側で所定のパラメータ値を修正したことの記載がある場合、その修正が適正であるか否かを判断する。そして、修正が適正でないと判断した場合、専門家は、当該パラメータ値を適正な値に修正する。 For example, when the expert determines that a predetermined finger is deformed based on the plane interval, the height from the plane, and the grip interval of the user, the parameter corresponding to the finger is determined according to the degree. Correct the value of. At this time, the expert confirms whether or not there is a comment on the deformation of the finger in the region 37. Alternatively, when there is a description in the region 37 that the predetermined parameter value has been corrected on the pharmacist side, the expert determines whether or not the correction is appropriate. When it is determined that the correction is not appropriate, the expert corrects the parameter value to an appropriate value.
　こうしてパラメータ値を修正した後、専門家がキー３８を操作すると、修正後のパラメータ値と、領域３２の上段に表示された注文番号、注射器種別、患者ＩＤと、当該注文を受けた薬局２の情報（住所、薬局名、等）とが、製造者施設４の処理装置４ａに送信される。このとき、同時に、これらの情報が、専門家施設３の処理装置３ａから、当該発注を行った薬局２側の処理装置２ａに送信される。薬局２側の処理装置２ａでは、受信した情報を、図１３（ｂ）に示す専門家入力パラメータテーブルに登録する。 After the parameter value is corrected in this way, when the expert operates the key 38, the corrected parameter value, the order number, the syringe type, the patient ID, and the pharmacy 2 that has received the order are displayed. Information (address, pharmacy name, etc.) is transmitted to the processing device 4 a of the manufacturer facility 4. At the same time, these pieces of information are transmitted from the processing device 3a of the specialist facility 3 to the processing device 2a on the pharmacy 2 side where the order is placed. In the processing device 2a on the pharmacy 2 side, the received information is registered in the expert input parameter table shown in FIG.
　また、専門家がパラメータ値を修正することなくキー３８を操作すると、薬局２側から受信したパラメータ値がそのまま、注文番号、注射器種別および患者ＩＤと、当該注文を受けた薬局２の情報（住所、薬局名、等）とともに、製造者施設４の処理装置４ａに送信される。この場合、これらの情報は、当該発注を行った薬局２の処理装置２ａには送信されない。 Further, when the expert operates the key 38 without correcting the parameter value, the parameter value received from the pharmacy 2 side remains as it is, the order number, the syringe type and the patient ID, and information on the pharmacy 2 that received the order (address) And the name of the pharmacy, etc.) are transmitted to the processing device 4a of the manufacturer facility 4. In this case, these pieces of information are not transmitted to the processing device 2a of the pharmacy 2 that has placed the order.
　なお、専門家は、パラメータ値の修正が困難な程度に、使用者の手指に異常があると判断した場合、キー３９を操作して、製造依頼を中止する。この場合、専門家は、別途、発注元の薬局２に連絡を行って、当該使用者に対する補助具１００の個別設計を薬剤師に促す等の対応をとる。 If the expert determines that there is an abnormality in the user's finger to the extent that it is difficult to correct the parameter value, the expert operates the key 39 to cancel the manufacturing request. In this case, the specialist separately contacts the ordering pharmacy 2 and takes measures such as prompting the pharmacist to individually design the assisting device 100 for the user.
　こうして、補助具１００に関する情報が製造者施設４の処理装置４ａに送信されると、処理装置４ａにおいて、受信した情報に基づく補助具１００の形成が行われる。具体的には、処理装置４ａは、受信したパラメータ値と注射機種別とを補助具１００の形成プログラムに適用し、形成機４ｂにより、補助具１００を形成する。こうして形成された補助具１００は、薬局の情報により指定された送り先に、注文番号、注射器種別および患者ＩＤを標記したラベルとともに、製造者により輸送される。こうして、使用者は、自身の手指に適合する補助具１００を受け取ることができる。 Thus, when the information regarding the assisting tool 100 is transmitted to the processing device 4a of the manufacturer facility 4, the assisting device 100 is formed based on the received information in the processing device 4a. Specifically, the processing device 4a applies the received parameter value and syringe type to the forming program for the auxiliary tool 100, and forms the auxiliary tool 100 by the forming machine 4b. The auxiliary device 100 formed in this way is transported by the manufacturer to the destination designated by the information of the pharmacy together with the label indicating the order number, the syringe type and the patient ID. Thus, the user can receive the assisting tool 100 that fits his / her fingers.
　図１８（ａ）は、補助具１００の発注時における薬局２側の処理装置２ａの処理を示すフローチャートである。また、図１８（ｂ）は、補助具１００の発注を薬局２側から専門家施設３の処理装置３ａが受信した場合の処理装置３ａにおける処理を示すフローチャートである。これらフローチャートによる処理により、上記のように、図１４および図１６の画面が処理装置２ａにおいて表示され、また、図１７に示す画面が処理装置３ａにおいて表示される。 FIG. 18A is a flowchart showing the processing of the processing device 2a on the pharmacy 2 side when ordering the auxiliary tool 100. FIG. 18B is a flowchart illustrating processing in the processing device 3a when the processing device 3a of the specialist facility 3 receives an order for the auxiliary tool 100 from the pharmacy 2 side. By the processing according to these flowcharts, the screens of FIGS. 14 and 16 are displayed on the processing device 2a as described above, and the screen shown in FIG. 17 is displayed on the processing device 3a.
　図１８（ａ）を参照して、薬剤師により発注処理が開始されると、処理装置２ａの制御部５１０は、図１４に示す入力画面１０を表示部５１２に表示させて、使用者の手指に関する手指情報の入力を受け付ける（Ｓ１１）。入力画面１０に対する入力が完了すると、制御部５１０は、入力された手指情報に基づいて、補助具１００の各パラメータ値を算出し（Ｓ１２）、算出したパラメータ値を手指情報とともにパラメータ画面２０（図１６）に表示させる（Ｓ１３）。薬剤師は、適宜、パラメータ画面２０において、パラメータ値の修正およびコメントの追記を行う。 Referring to FIG. 18 (a), when ordering processing is started by the pharmacist, the control unit 510 of the processing device 2a displays the input screen 10 shown in FIG. 14 on the display unit 512 and relates to the user's finger. An input of finger information is accepted (S11). When the input to the input screen 10 is completed, the control unit 510 calculates each parameter value of the auxiliary tool 100 based on the input hand information (S12), and the calculated parameter value together with the hand information is displayed on the parameter screen 20 (FIG. 16) (S13). The pharmacist appropriately modifies the parameter value and adds a comment on the parameter screen 20.
　その後、薬剤師により、パラメータ画面２０のキー２８が操作されると（Ｓ１４：ＹＥＳ）、制御部５１０は、パラメータ値を、手指情報およびその他の情報とともに、専門家施設３の処理装置３ａに送信する（Ｓ１５）。このとき、同時に、制御部５１０は、パラメータ値および手指情報を対応するテーブルに登録する。これにより、制御部５１０は、発注時の処理を終了する。 Thereafter, when the pharmacist operates the key 28 on the parameter screen 20 (S14: YES), the control unit 510 transmits the parameter value to the processing device 3a of the specialist facility 3 together with the finger information and other information. (S15). At the same time, control unit 510 registers the parameter value and finger information in the corresponding table. Thereby, control unit 510 ends the processing at the time of ordering.
　図１８（ｂ）を参照して、処理装置３ａの制御部６１０は、薬局２側の処理装置２ａから受信した情報（図１８（ａ）のＳ１５で送信された情報）に基づいて、図１７に示すパラメータ画面３０を表示する（Ｓ２１）。専門家は、適宜、パラメータ画面３０において、パラメータ値の修正を行う。 Referring to FIG. 18 (b), the control unit 610 of the processing device 3a, based on the information received from the processing device 2a on the pharmacy 2 side (information transmitted in S15 of FIG. 18 (a)), FIG. Is displayed (S21). The expert appropriately corrects the parameter value on the parameter screen 30.
　その後、専門家により、パラメータ画面３０のキー３８が操作されると（Ｓ２２：ＹＥＳ）、制御部６１０は、パラメータ値を、注射機種別およびその他の情報とともに、製造者施設４の処理装置４ａに送信する（Ｓ２３）。このとき、同時に、制御部６１０は、パラメータ値および手指情報を自身のデータベースに登録する。また、専門家がパラメータ値の修正を行った場合、制御部６１０は、修正後のパラメータ値を、発注元の薬局２の処理装置２ａに送信する。この場合、修正後のパラメータ値が、薬局２側の処理装置２ａにおいて、専門家入力パラメータテーブルに登録される。これにより、制御部６１０は、処理を終了する。 Thereafter, when the key 38 on the parameter screen 30 is operated by an expert (S22: YES), the control unit 610 sends the parameter value to the processing device 4a of the manufacturer facility 4 together with the syringe type and other information. Transmit (S23). At the same time, control unit 610 registers the parameter value and hand information in its own database. When the expert corrects the parameter value, the control unit 610 transmits the corrected parameter value to the processing device 2a of the ordering pharmacy 2. In this case, the corrected parameter value is registered in the expert input parameter table in the processing device 2a on the pharmacy 2 side. Thereby, the control unit 610 ends the process.
　また、専門家により、パラメータ画面３０のキー３９が操作されると（Ｓ２４：ＹＥＳ）、制御部６１０は、パラメータ値を製造者施設４の処理装置４ａに送信することなく処理を終了する。 Further, when the key 39 on the parameter screen 30 is operated by an expert (S24: YES), the control unit 610 ends the process without transmitting the parameter value to the processing device 4a of the manufacturer facility 4.
　ステップＳ２３によりパラメータ値を含む製造依頼情報が製造者施設４の処理装置４ａに送信されると、上記のように、製造者施設４においてパラメータ値に基づき補助具１００が形成される。形成された補助具１００は、発注元の薬局２に輸送され、使用者に受け取られる。 When the manufacturing request information including the parameter value is transmitted to the processing device 4a of the manufacturer facility 4 in step S23, the assisting device 100 is formed based on the parameter value in the manufacturer facility 4 as described above. The formed auxiliary tool 100 is transported to the ordering pharmacy 2 and received by the user.
　使用者は、こうして受け取った補助具１００について握り具合を確認し、握りに違和感があるような場合に、そのことを、薬剤師に申し出る。これを受けて、薬剤師は、処理装置２ａの表示部５１２に、当該補助具１００の注文番号に対応するパラメータ画面２０（図１６参照）を表示させる。上記のように専門家が発注時にパラメータ値を修正している場合、図１３（ｂ）の専門家入力パラメータテーブルに登録されているパラメータ値がパラメータ画面２０の領域２４、２６に表示される。また、専門家がパラメータ値を修正しなかった場合は、図１３（ａ）の薬局入力パラメータテーブルに登録されているパラメータ値がパラメータ画面２０の領域２４、２６に表示される。 The user confirms the gripping state of the assisting tool 100 received in this way, and if the gripping feels uncomfortable, he / she reports it to the pharmacist. In response, the pharmacist causes the display unit 512 of the processing device 2a to display the parameter screen 20 (see FIG. 16) corresponding to the order number of the assisting tool 100. As described above, when the expert corrects the parameter value at the time of ordering, the parameter values registered in the expert input parameter table of FIG. 13B are displayed in the areas 24 and 26 of the parameter screen 20. Further, when the expert does not correct the parameter value, the parameter value registered in the pharmacy input parameter table of FIG. 13A is displayed in the areas 24 and 26 of the parameter screen 20.
　薬剤師は、適宜、使用者の違和感を解消するよう、パラメータ画面２０において、パラメータ値を修正する。この場合、薬剤師は、使用者の違和感の内容とパラメータ値の修正内容（どのパラメータ値をどのように修正したか）を領域２７に追記し、キー２８を操作する。これにより、修正後のパラメータ値とパラメータ値の修正内容および使用者の違和感の内容が、専門家施設３の処理装置３ａに送信される。 The pharmacist appropriately modifies the parameter value on the parameter screen 20 so as to eliminate the user's uncomfortable feeling. In this case, the pharmacist adds the contents of the user's uncomfortable feeling and the parameter contents correction contents (which parameter value was corrected how) to the area 27 and operates the key 28. Thereby, the parameter value after correction, the correction content of the parameter value, and the content of the user's uncomfortable feeling are transmitted to the processing device 3a of the expert facility 3.
　あるいは、薬剤師は、自身ではパラメータ値の修正を行えないと判断した場合、使用者の違和感の内容と、パラメータ値の修正は行わなかったこと示すコメントを領域２７に追記し、キー２８を操作する。これにより、未修正のパラメータ値と使用者の違和感の内容およびコメントが、専門家施設３の処理装置３ａに送信される。 Alternatively, when the pharmacist determines that the parameter value cannot be corrected by himself, he adds the content of the user's uncomfortable feeling and a comment indicating that the parameter value has not been corrected to the area 27 and operates the key 28. . Thereby, the uncorrected parameter value, the content of the user's uncomfortable feeling and the comment are transmitted to the processing device 3a of the expert facility 3.
　専門家施設３の処理装置３ａでは、受信した情報に基づいて図１７のパラメータ画面３０が表示される。専門家は、表示されたパラメータ画面３０中の領域３７を参照し、使用者の違和感の内容に応じて、適宜、パラメータ値を修正する。その後、専門家は、キー３８を操作して、修正後のパラメータ値をその他の情報とともに、製造者施設４の処理装置４ａに送信する。 In the processing apparatus 3a of the expert facility 3, the parameter screen 30 of FIG. 17 is displayed based on the received information. The expert refers to the area 37 in the displayed parameter screen 30 and appropriately corrects the parameter value according to the content of the user's uncomfortable feeling. Thereafter, the expert operates the key 38 to transmit the corrected parameter value together with other information to the processing device 4a of the manufacturer facility 4.
　これにより、製造者施設４において、修正後のパラメータ値に基づく補助具１００が形成され、発注元の薬局２に輸送される。こうして、使用者は、違和感が解消された補助具１００を受領する。 Thereby, in the manufacturer facility 4, the auxiliary tool 100 based on the corrected parameter value is formed and transported to the ordering pharmacy 2. Thus, the user receives the assisting tool 100 in which the uncomfortable feeling is eliminated.
　＜補助具提供システムによる効果＞
　本実施形態に係る補助具提供システム１によれば、使用者の手指の状態に応じて補助具１００の各種パラメータの値（寸法）が設定されるため、使用者の手指の状態に適合する補助具１００を使用者ごとに作成できる。このため、使用者が円滑に筒部１１０を把持しにくい状態にあっても、使用者は、より安定的かつ確実に補助具１００を把持することができる。よって、使用者は、薬剤をより一層円滑に投与することができる。 <Effects of assistive device providing system>
According to the assisting instrument providing system 1 according to the present embodiment, since the values (dimensions) of various parameters of the assisting tool 100 are set according to the state of the user's finger, the assist conforming to the state of the user's finger The tool 100 can be created for each user. For this reason, even if the user is in a state where it is difficult to smoothly grip the cylindrical portion 110, the user can grip the auxiliary tool 100 more stably and reliably. Therefore, the user can administer the medicine more smoothly.
　また、使用者の示指、中指、薬指および小指の径と、示指から小指までの長さに適合した補助具１００を使用者ごとに作成できる。よって、使用者は、安定的かつ確実に補助具１００を把持することができ、薬剤をより円滑に投与することができる。 Also, it is possible to create for each user an assisting device 100 that matches the diameter of the user's index finger, middle finger, ring finger, and little finger, and the length from the index finger to the little finger. Therefore, the user can hold the auxiliary tool 100 stably and reliably, and can administer the medicine more smoothly.
　なお、本実施形態では、鍔部１３０が示指から小指までを覆うように補助具１００が構成されるため、入力画面１０において、示指から小指までの４指の径の入力が受け付けられたが、たとえば、鍔部１３０が示指と中指のみを覆うように補助具１００が構成される場合、入力画面１０の領域１３は、示指と中指の２指の径の入力を受け付けるように変更される。また、鍔部１３０が示指、中指および薬指のみを覆うように補助具１００が構成される場合、入力画面１０の領域１３は、示指、中指および薬指の３指の径の入力を受け付けるように変更される。鍔部１３０が示指のみを覆うように補助具１００が構成される場合、入力画面１０の領域１３は、示指の径の入力を受け付けるように変更される。 In the present embodiment, since the assisting tool 100 is configured so that the buttock 130 covers from the index finger to the little finger, the input screen 10 accepts the input of the diameter of four fingers from the index finger to the little finger. For example, when the assisting tool 100 is configured so that the collar unit 130 covers only the index finger and the middle finger, the area 13 of the input screen 10 is changed to accept input of the diameters of the two fingers of the index finger and the middle finger. In addition, when the assisting device 100 is configured so that the buttocks 130 cover only the index finger, the middle finger, and the ring finger, the area 13 of the input screen 10 is changed to accept the input of the diameters of the 3 fingers of the index finger, the middle finger, and the ring finger. Is done. When the assisting tool 100 is configured so that the buttocks 130 cover only the index finger, the area 13 of the input screen 10 is changed to accept the input of the diameter of the index finger.
　なお、入力画面１０において、鍔部１３０が示指からどの指までを覆うように補助具１００を形成するかを薬剤師において選択可能であってもよい。この場合、薬剤師は、使用者に、鍔部１３０がどの指までを覆うことが好ましいかを確認しながら、鍔部１３０が覆うべき指の数を選択する。 It should be noted that on the input screen 10, the pharmacist may be able to select whether the assisting device 100 is formed so as to cover the finger 130 to which finger. In this case, the pharmacist selects the number of fingers that the buttock 130 should cover while confirming to the user which finger the buttock 130 should cover.
　＜補助具提供システムの変更例＞
　本実施形態では、補助具１００のパラメータ値の演算処理が、薬局２側の処理装置２ａにおいて行われたが、この演算処理が、専門家施設３側の処理装置３ａで行われてもよく、あるいは、薬局２側の処理装置２ａと専門家施設３側の処理装置３ａの両方で行われてもよい。 <Examples of changes to assistive device provision system>
In this embodiment, the calculation processing of the parameter value of the auxiliary tool 100 is performed in the processing device 2a on the pharmacy 2 side, but this calculation processing may be performed in the processing device 3a on the specialist facility 3 side, Or you may perform by both the processing apparatus 2a by the side of the pharmacy 2, and the processing apparatus 3a by the side of the specialist facility 3.
　補助具１００のパラメータ値の演算処理が専門家施設３側の処理装置３ａのみで行われる場合、薬局２側の処理装置２ａは、図１４に示す入力画面１０で入力された手指情報（４指の径、示指から小指までの長さ、コメント、特殊入力の有無、平面間隔、平面からの高さ、握り間隔を含む）を、注射器種別と、患者情報および注文番号とともに、専門家施設３の処理装置３ａに送信する。専門家施設３の処理装置３ａは受信した情報に基づき相関演算を行って、補助具１００の各パラメータ値を算出する。これにより、図１７に示すパラメータ画面３０が構成され、処理装置３ａの表示部６１２に表示される。その後の処理は、上記実施形態と同様である。 When the calculation processing of the parameter value of the auxiliary tool 100 is performed only by the processing device 3a on the specialist facility 3, the processing device 2a on the pharmacy 2 side receives the finger information (four fingers) input on the input screen 10 shown in FIG. (Including the diameter of the finger, the length from the index finger to the little finger, comments, presence or absence of special input, plane interval, height from plane, and grip interval), together with the syringe type, patient information and order number, It transmits to the processing apparatus 3a. The processing device 3a of the expert facility 3 performs a correlation calculation based on the received information, and calculates each parameter value of the auxiliary tool 100. Thereby, the parameter screen 30 shown in FIG. 17 is configured and displayed on the display unit 612 of the processing apparatus 3a. Subsequent processing is the same as in the above embodiment.
　この場合、薬局２側の処理装置２ａ（第１の処理装置）は、使用者の手指情報を受け付けるための受付部として機能し、専門家施設３の処理装置３ａ（第２の処理装置）は、パラメータ値を算出する演算部と、算出したパラメータ値を製造者施設４の処理装置４ａに送信する通信部として機能する。この場合、薬局２側の処理装置２ａ（第１の処理装置）と専門家施設３の処理装置３ａ（第２の処理装置）とによって、補助具１００を成形するための情報を使用者ごとに生成して管理する情報管理装置が構成される。 In this case, the processing device 2a (first processing device) on the pharmacy 2 side functions as a receiving unit for receiving user's hand information, and the processing device 3a (second processing device) of the specialist facility 3 is , Functioning as a calculation unit for calculating the parameter value and a communication unit for transmitting the calculated parameter value to the processing device 4a of the manufacturer facility 4. In this case, information for molding the auxiliary tool 100 is provided for each user by the processing device 2a (first processing device) on the pharmacy 2 side and the processing device 3a (second processing device) of the specialist facility 3. An information management device that generates and manages is configured.
　また、必ずしも、薬局２と専門家施設３に情報管理装置の機能が分けられていなくともよく、薬局２のみに情報管理装置の機能が集約されていてもよい。この場合、薬局２に設置された処理装置２ａ（情報管理装置）から製造者施設４の処理装置４ａに各種パラメータの値が直接送信される。 In addition, the functions of the information management apparatus do not necessarily have to be divided into the pharmacy 2 and the specialist facility 3, and the functions of the information management apparatus may be integrated only in the pharmacy 2. In this case, the values of various parameters are directly transmitted from the processing device 2a (information management device) installed in the pharmacy 2 to the processing device 4a of the manufacturer facility 4.
　また、必ずしも、形成装置（処理装置および形成機）と情報管理装置が外部のネットワーク網を介して接続されていなくともよく、同じ施設（たとえば薬局２）内に形成装置（処理装置および形成機）と情報管理装置の両方が設置され、これらが内部ネットワークによって接続されていてもよい。 In addition, the forming apparatus (processing apparatus and forming machine) and the information management apparatus do not necessarily have to be connected via an external network, and the forming apparatus (processing apparatus and forming machine) is installed in the same facility (for example, pharmacy 2). And an information management device may be installed, and these may be connected by an internal network.
　たとえば、図１０に示す薬局２内に、補助具１００を形成するための形成機（３Ｄプリンターなど）が設置され、この形成機が処理装置２ａに接続されていてもよい。この場合、処理装置２ａは、補助具１００の各パラメータ値を算出する演算部の機能とともに、算出したパラメータ値に基づいて、形成機により補助具１００を形成する形成装置の機能を備える。こうすると、使用者は、輸送を待たずに速やかに補助具１００を取得できる。また、取得した補助具１００に使用者が違和感を持った場合にも、その場で違和感の内容を確認しながら速やかに補助具１００を再形成して使用者に提供できる。 For example, a forming machine (such as a 3D printer) for forming the auxiliary tool 100 may be installed in the pharmacy 2 shown in FIG. 10, and this forming machine may be connected to the processing apparatus 2a. In this case, the processing apparatus 2a includes a function of a forming unit that forms the auxiliary tool 100 by a forming machine based on the calculated parameter value, in addition to a function of a calculation unit that calculates each parameter value of the auxiliary tool 100. In this way, the user can quickly obtain the auxiliary tool 100 without waiting for transportation. Further, even when the user feels uncomfortable with the acquired assisting device 100, the assisting device 100 can be quickly reformed and provided to the user while confirming the content of the uncomfortable feeling on the spot.
　また、上記実施形態では、筒部１１０の径、すなわち、パラメータ（２）にパラメータ（１）を２倍して加算した値が一定であったが、年齢や指、掌の長さに応じて筒部１１０の径を変化させてもよい。この場合、入力画面１０に使用者の年齢や指、掌の長さに関する情報の入力項目が含められ、これら入力項目における入力情報に基づいて、パラメータ（１）の値が相関演算により求められる。 In the above embodiment, the diameter of the cylindrical portion 110, that is, the value obtained by doubling the parameter (1) and adding the parameter (1) to the parameter (2) is constant, but depending on the age, the finger, and the palm length. The diameter of the cylinder part 110 may be changed. In this case, the input screen 10 includes input items of information regarding the user's age, finger, and palm length, and the value of the parameter (1) is obtained by correlation calculation based on the input information in these input items.
　また、上記実施形態では、専門家施設３の処理装置３ａから製造者施設４の処理装置４ａに補助具１００のパラメータ値が送信され、このパラメータ値に基づいて、処理装置４ａにより補助具１００の生成データが生成されて補助具１００が形成されたが、補助具１００の生成データが、専門家施設３の処理装置３ａにおいて生成されて、製造者施設４の処理装置４ａに送信されてもよい。この場合、専門家施設３の処理装置３ａは、薬局２の処理装置２ａから受信したパラメータ値と手指情報を、アルゴリズムにより、補助具１００の生成データへと変換する。 Moreover, in the said embodiment, the parameter value of the auxiliary tool 100 is transmitted from the processing apparatus 3a of the expert facility 3 to the processing apparatus 4a of the manufacturer facility 4, and based on this parameter value, the processing apparatus 4a sets the auxiliary tool 100. Although the generation data is generated and the auxiliary tool 100 is formed, the generation data of the auxiliary tool 100 may be generated in the processing device 3a of the expert facility 3 and transmitted to the processing device 4a of the manufacturer facility 4. . In this case, the processing device 3a of the specialist facility 3 converts the parameter value and hand information received from the processing device 2a of the pharmacy 2 into generation data of the assisting device 100 using an algorithm.
　また、上記実施形態では、専門家施設３の専門家が、薬局２の処理装置２ａから受信した補助具１００のパラメータ値を修正したが、この修正を、専門家施設３の処理装置３ａのアルゴリズムによって行うようにしてもよい。 Moreover, in the said embodiment, although the expert of the expert facility 3 corrected the parameter value of the auxiliary tool 100 received from the processing apparatus 2a of the pharmacy 2, this correction is performed using the algorithm of the processing apparatus 3a of the expert facility 3. You may make it perform by.
　この場合、アルゴリズムは、手指特殊入力が「有り」となっている場合に、当該使用者の平面間隔や平面からの高さおよび握り間隔に基づき、所定の指に変形等が生じているか否かを判定し、変形等が生じている場合に、変形度合いに応じて、当該指に対応するパラメータ値を修正する。あるいは、アルゴリズムは、図１７の領域３７に記載されるコメントに、薬剤師側で所定のパラメータ値を修正したことの記載がある場合、その修正が適正であるか否かを判断する。そして、修正が適正でないと判断した場合、アルゴリズムは、当該パラメータ値を適正な値に修正する。 In this case, when the finger special input is “Yes”, the algorithm determines whether or not the predetermined finger is deformed based on the plane interval, the height from the plane, and the grip interval of the user. When a deformation or the like occurs, the parameter value corresponding to the finger is corrected according to the degree of deformation. Alternatively, the algorithm determines whether or not the correction is appropriate when the comment described in the region 37 in FIG. 17 includes a description that a predetermined parameter value has been corrected on the pharmacist side. When it is determined that the correction is not appropriate, the algorithm corrects the parameter value to an appropriate value.
　なお、アルゴリズムは、パラメータ値の修正が困難な程度に、使用者の手指に異常があると判断した場合、製造依頼を中止する。この場合、アルゴリズムは、別途、発注元の薬局２にこの旨の連絡を自動送信し、当該使用者に対する補助具１００の個別設計を薬剤師に促す等の対応をとる。 The algorithm cancels the manufacturing request when it is determined that the user's finger is abnormal to the extent that it is difficult to correct the parameter value. In this case, the algorithm automatically sends a notification to that effect to the ordering pharmacy 2 to prompt the pharmacist to design the assisting device 100 individually for the user.
　この他、本発明の実施形態は、特許請求の範囲に記載された範囲内で種々の変更が可能である。 In addition, the embodiment of the present invention can be variously modified within the scope described in the claims.
　１００、４１１～４１７　補助具
　１１０　筒部
　１１１　外側面
　１１３　係止部
　１１４　窓部
　１３０　鍔部
　１３１　内側面
　２００　注射器
　２４０　押し子
　２５０　ダイヤル
　１　補助具提供システム
　２ａ　処理装置（情報管理装置、第１の処理装置）
　３ａ　処理装置（情報管理装置、第２の処理装置）
　４ａ　処理装置（形成装置）
　４ｂ　形成機（形成装置）
　５１０　制御部（演算部）
　５１２　表示部（受付部）
　５１３　入力部（受付部）
　５１４　通信部
　６１４　通信部 DESCRIPTION OF SYMBOLS 100,411-417 Auxiliary tool 110 Cylinder part 111 Outer side surface 113 Locking part 114 Window part 130 Gutter part 131 Inner side surface 200 Syringe 240 Pusher 250 Dial 1 Auxiliary tool provision system 2a Processing apparatus (information management apparatus, 1st process) apparatus)
3a Processing device (information management device, second processing device)
4a Processing device (forming device)
4b Forming machine (forming equipment)
510 Control Unit (Calculation Unit)
512 Display unit (reception unit)
513 Input section (reception section)
514 Communication unit 614 Communication unit

Claims (11)

  1. 　自己注射を補助するための補助具であって、
    　薬剤を収容した注射器が挿入される筒部と、
    　前記筒部に挿入された前記注射器を、押し子が前記筒部から所定量だけ突出する所定の位置に係止する係止部と、
    　前記筒部を握る手指を外側から押さえるための鍔部と、を備え、
    　前記鍔部は、前記筒部の長手方向に沿って延びており、且つ、前記筒部に対して弾性変形可能に設けられている、
    ことを特徴とする補助具。     An auxiliary device for assisting self-injection,
    A cylinder part into which a syringe containing a medicine is inserted;
    A locking part for locking the syringe inserted into the cylindrical part at a predetermined position where the pusher protrudes from the cylindrical part by a predetermined amount;
    A hook for pressing a finger that grips the tube from the outside, and
    The collar portion extends along the longitudinal direction of the tubular portion, and is provided so as to be elastically deformable with respect to the tubular portion.
    An auxiliary tool characterized by that.
  2. 　前記筒部の外側面に、前記筒部を握る手指に沿う形状の凹凸が設けられている、
    請求項１に記載の補助具。     On the outer surface of the tube portion, there are provided irregularities in the shape along the fingers gripping the tube portion,
    The auxiliary tool according to claim 1.
  3. 　前記鍔部の内側面に、前記筒部を握る手指に沿う形状の凹凸が設けられている、
    請求項１または２に記載の補助具。     On the inner surface of the buttocks, there are provided irregularities in the shape along the fingers that grip the tube part,
    The auxiliary tool according to claim 1 or 2.
  4. 　前記鍔部の長さが、前記筒部を握る使用者の複数の手指を覆い得る長さとなっている、
    請求項１ないし３の何れか一項に記載の補助具。     The length of the buttocks is a length that can cover a plurality of fingers of the user gripping the cylindrical portion,
    The auxiliary tool according to any one of claims 1 to 3.
  5. 　前記鍔部の長さが、前記筒部を握る使用者の手指のうち、少なくとも示指、中指および薬指を覆い得る長さとなっている、
    請求項１ないし４の何れか一項に記載の補助具。     The length of the buttocks is a length that can cover at least the index finger, the middle finger, and the ring finger among the fingers of the user gripping the cylindrical portion,
    The auxiliary tool according to any one of claims 1 to 4.
  6. 　前記注射器は、本体外側面の上端に、前記薬剤の投入量を設定するためのダイヤルを備え、
    　前記筒部は、前記ダイヤルを外部に露出させるための窓部を備える、
    請求項１ないし５の何れか一項に記載の補助具。     The syringe includes a dial for setting the amount of the medicine to be charged at the upper end of the outer surface of the main body,
    The tube portion includes a window portion for exposing the dial to the outside.
    The auxiliary tool according to any one of claims 1 to 5.
  7. 　前記筒部の長さが、前記筒部を握る使用者の掌の幅以上となっている、
    請求項１ないし６の何れか一項に記載の補助具。     The length of the tube portion is equal to or greater than the width of the palm of the user holding the tube portion.
    The auxiliary tool according to any one of claims 1 to 6.
  8. 　請求項１ないし７の何れか一項に記載の補助具を成形するための情報を使用者ごとに生成して管理する情報管理装置であって、
    　使用者の手指に関する手指情報の入力を受け付ける受付部と、
    　前記受付部を介して入力された前記手指情報に基づいて前記補助具を構成する各種パラメータの寸法を算出する演算部と、
    　前記演算部により算出された寸法に基づく情報を、前記補助具を形成するための形成装置に送信する通信部と、を備える、
    ことを特徴とする情報管理装置。     An information management device that generates and manages information for forming the auxiliary tool according to any one of claims 1 to 7 for each user,
    A reception unit for receiving input of finger information related to the user's fingers;
    A calculation unit for calculating dimensions of various parameters constituting the auxiliary tool based on the finger information input via the reception unit;
    A communication unit that transmits information based on the dimensions calculated by the calculation unit to a forming apparatus for forming the auxiliary tool,
    An information management apparatus characterized by that.
  9. 　前記受付部は、前記手指情報として、少なくとも示指の径と、示指から小指までの長さの入力を受け付け、
    　前記演算部は、入力された前記径および前記長さと前記各種パラメータとの相関に基づく演算により、前記各種パラメータの前記寸法を算出する、
    請求項８に記載の情報管理装置。     The accepting unit accepts input of at least the diameter of the index finger and the length from the index finger to the little finger as the finger information,
    The calculation unit calculates the dimensions of the various parameters by calculation based on the correlation between the input diameter and the length and the various parameters.
    The information management apparatus according to claim 8.
  10. 　薬局に設置された第１の処理装置と、
    　前記薬局とは異なる施設に設置され、外部ネットワーク網を介して前記第１の処理装置に接続された第２の処理装置と、を備え、
    　前記受付部は、前記第１の処理装置に配置され、
    　前記通信部は、第２の処理装置に配置されている、
    請求項８または９の何れか一項に記載の情報管理装置。     A first processing device installed in a pharmacy;
    A second processing device installed in a facility different from the pharmacy and connected to the first processing device via an external network; and
    The reception unit is disposed in the first processing device,
    The communication unit is disposed in the second processing device,
    The information management device according to claim 8 or 9.
  11. 　請求項７ないし１０の何れか一項に記載の情報管理装置と、
    　外部ネットワーク網を介して前記情報管理装置に接続され、前記演算部により算出された前記各種パラメータの前記寸法に基づく情報を前記通信部から受信し、受信した前記情報に基づいて前記補助具を形成する形成装置と、を備える、
    ことを特徴とする補助具生成システム。     An information management device according to any one of claims 7 to 10,
    Connected to the information management device via an external network, receives information based on the dimensions of the various parameters calculated by the calculation unit from the communication unit, and forms the auxiliary tool based on the received information And a forming device
    An assisting device generating system characterized by that.
PCT/JP2017/037634 2016-10-21 2017-10-18 Self-injection aid, information management device, and aid production system WO2018074500A1 (en)

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JP2016207401A JP2018064912A (en) 2016-10-21 2016-10-21 Auxiliary tool for self injection, information management device and auxiliary tool generation system
JP2016-207401 2016-10-21

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112439753A (en) * 2019-09-02 2021-03-05 涩谷机器株式会社 Cleaning device and operation setting method thereof

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3656472A (en) * 1969-04-15 1972-04-18 Pierre Ben Moura Instrument for the parenteral penetration of a needle
JPS6232800A (en) * 1985-08-06 1987-02-12 Rion Co Ltd Manufacture of auriculate form for hearing aid
JP2013063152A (en) * 2011-09-16 2013-04-11 Kenichi Toraishi Injector aid and injector
JP2014532524A (en) * 2011-11-07 2014-12-08 イーライ リリー アンド カンパニー Injection device with ergonomic improvement

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3656472A (en) * 1969-04-15 1972-04-18 Pierre Ben Moura Instrument for the parenteral penetration of a needle
JPS6232800A (en) * 1985-08-06 1987-02-12 Rion Co Ltd Manufacture of auriculate form for hearing aid
JP2013063152A (en) * 2011-09-16 2013-04-11 Kenichi Toraishi Injector aid and injector
JP2014532524A (en) * 2011-11-07 2014-12-08 イーライ リリー アンド カンパニー Injection device with ergonomic improvement

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112439753A (en) * 2019-09-02 2021-03-05 涩谷机器株式会社 Cleaning device and operation setting method thereof

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