JP6940147B2 - Excrement receiving unit for long-term care and garter for long-term care to attach it - Google Patents

Description

The present invention relates to an automatic excrement treatment device for long-term care used in hospitals, nursing care facilities, homes, etc., and more specifically, to an excrement receiving unit to be attached to a person requiring long-term care and a nursing care garter for attaching the excrement receiving unit. ..

In hospitals and long-term care facilities, automatic excrement treatment devices are used as long-term care equipment for patients who have difficulty in going to the toilet, such as patients with lower limb disorders or inability to walk (hereinafter referred to as "persons requiring long-term care"). .. The automatic excrement treatment device has a mechanism for receiving and sucking excrement from the user, that is, a care recipient, and a mechanism for cleaning and drying the anus and pubic area. The mechanism for receiving and sucking excrement includes an excrement receiver as its main component. The excrement receiver is assembled to a diaper designed as a wearer and positioned in the crotch of the care recipient.

With reference to Patent Documents 1 to 5, the excrement receiver is a molded product for receiving urine and stool, and includes a vertically long and curved shape portion extending from the genital area to the anus when viewed from the side. ..

The excrement receiver disclosed in Patent Documents 1 and 2 is made of a relatively soft material such as polyethylene foam. The excrement receiver of Patent Document 3 is made of silicone resin. The excrement receiver of Patent Document 4 is made of a plastic material that can absorb the pressing force by elasticity. Although there is no description about the material of the excrement receiver of Patent Document 5, it is presumed that the excrement receiver is made of a material having appropriate elasticity.

The excrement receiver is used in combination with the processing device main body arranged on the bedside. The excrement receiver is connected to the processing apparatus main body via a flexible connecting member including a filth suction hose and the like. The excrement receiver is provided with an excrement detection sensor, a suction port for discharging excrement, and a discharge hole for discharging warmed washing water. The discharge holes are prepared for cleaning the anus and cleaning the genital area. Warmed wash water is supplied to the discharge holes, and then warmed air is supplied to, for example, the discharge holes. For example, by discharging air from the discharge hole, the inside of the excrement receiver, the genital area, and the area around the anus are dried.

That is, the main body of the processing device has a cleaning function of supplying warmed washing water to the discharge hole of the excrement receiver, for example, a drying function of supplying heated air to the discharge hole, and suction of the excrement receiver. It has a suction function that sucks filth including excrement from the mouth through a hose. When the processing device body detects the excrement of a care recipient with an excrement detection sensor or the like, it sucks the excrement from the excrement receiver according to a predetermined procedure, then cleans the anus, etc., and then dries it. The process is carried out. Since the operation of the processing apparatus main body is described in detail in Patent Document 3, refer to Patent Document 3.

Patent Document 6 proposes an excrement receiving unit in which an excrement receiving device is composed of several members and each member is separable. The excrement receiving unit has a tray-shaped stool receiving part that receives stool and a urine receiving part that stands up from one end of the stool receiving part and receives urine. , It has a cup-like shape with a bulge in the direction away from the care recipient, and its upper end is open upward.

The excrement receiving unit disclosed in Patent Document 6 has two members that can be attached to and detached from the above-mentioned main parts. The first removable member is a roof member that is removable with respect to the upper end opening of the urine receiving portion, and this roof member has a shape including an eaves extending to the abdomen. The second removable member is a member that can be attached to the upright side edge of the urine receiving portion and is installed on the stool receiving portion of the main component to receive the buttocks of the care recipient.

Japanese Unexamined Patent Publication No. 4-364841 Japanese Unexamined Patent Publication No. 2000-210322 Japanese Unexamined Patent Publication No. 2006-55513 Japanese Unexamined Patent Publication No. 2009-39405 Japanese Unexamined Patent Publication No. 2011-229820 Japanese Unexamined Patent Publication No. 2013-208379

As described above, the excrement receiver is a molded product including a vertically elongated shape portion extending vertically from the genital area to the anus and curved when viewed from the side. Then, the excrement receiver is worn by the diaper in a state of being positioned in the crotch of the care recipient to receive urine and stool. Of course, in order to prevent leakage from the excrement receiver, the excrement receiver is kept in close contact with the care recipient, especially during excretion.

The urine receiving part of the excrement receiving device is located between the left and right thighs of the care recipient. Conventional excrement receivers are generally unisex. In the case of men, the penis and scrotum are housed in the urine receiving area. For this reason, the urine receiving portion of the conventional excrement receiving device is set to a width dimension that can receive the scrotum.

For women, the width of the urine receiving area is sufficient to face the genital area. Therefore, the current width of the urine receiving portion is unnecessarily large for women, which causes the following problems. First, it becomes difficult to bring it into close contact with the body when urinating, which may cause urine to leak out. In addition, it causes pressure on the inside of the thigh, which causes discomfort and pain and skin damage.

An object of the present invention is to provide an excrement receiving unit for long-term care and a garter for long-term care for wearing the excrement receiving unit for long-term care, which can solve problems such as discomfort and pain that women are particularly likely to feel.

The above technical problem is, according to one aspect of the present invention.
A suction port (18) for discharging excrement and a discharge hole (20,22) for discharging wash water toward the anus and pubic area at the front end portion (16) having a height extending upward and opening upward. ) And the toilet receiving member (12)
The urine receiving member (14) which is separate from the stool receiving member (12) and can be connected to the upper end of the front end portion (16) of the stool receiving member (12) is included.
The urine receiving member (14) is a relatively narrow female urine receiving member (14fm) and a relatively wide male urine receiving member, which are selectively connected to the stool receiving member (12). Including (14m)
The lower end of the female urine receiving member (14fm) and the male urine receiving member (14m) has a connecting portion (42) having a common shape and connectable to the upper end of the stool receiving member (12).
The male urine receiving member (14 m) is an excrement receiving unit characterized in that a portion (14a) for receiving the scrotum of a care recipient is formed wider (Wm) in comparison with other portions. Achieved by providing.

The effects and other objectives of the present invention will become apparent from the detailed description of the preferred examples below.

It is a figure for demonstrating the state in which an automatic excretion processing apparatus is used for excretion care of a care-requiring person lying on a bed. It is an exploded perspective view of the excrement receiving unit of 1st Example. It is a figure for demonstrating the structure when the front end portion of the stool receiving member of the excrement receiving unit of 1st Example is seen from the front. It is a figure for demonstrating an example of the connection structure of a stool receiving member and a urine receiving member included in 1st Example. It is a figure for demonstrating the modification of the connection structure of the stool receiving member and the urine receiving member included in 1st Example. It is a figure for demonstrating another modification of the connection structure of the stool receiving member and the urine receiving member included in 1st Example. It is a figure for demonstrating another modification of the connection structure of a stool receiving member and a urine receiving member included in 1st Example. It is a figure for demonstrating still another modification of the connection structure of a stool receiving member and a urine receiving member included in 1st Example. It is a figure for demonstrating still another modification of the connection structure of the stool receiving member and the urine receiving member included in 1st Example. It is a top view of the garter which can be suitably used for mounting the excrement receiving unit of 1st Example. FIG. 10 is a diagram for explaining a state immediately before attaching the excrement receiving unit of the first embodiment to a care recipient using the illustrated garter. It is a top view of the cushion which can be suitably applied to the excrement receiving unit according to this invention. FIG. 12 is a cross-sectional view for explaining a structure for attaching the illustrated cushion to the excrement receiving unit. FIG. 5 is a plan view of another example of a cushion that is suitably applicable to an excrement receiving unit according to the present invention. FIG. 14 is a cross-sectional view for explaining a structure for attaching the illustrated cushion to the excrement receiving unit. 12 and 14 are cross-sectional views for explaining an example of the internal structure of the illustrated cushion. It is a figure which shows the state just before installing the penis positioning tool which is an option of the excrement receiving unit of this invention on a male urine receiving member. It is a figure which shows the state which the penis positioning tool is installed in the urine receiving member for men. It is an exploded perspective view of the excrement receiving unit of the 2nd Example.

Hereinafter, preferred embodiments of the present invention will be described with reference to the accompanying drawings.

FIG. 1 shows a care recipient 4 lying on the bed 2. The care associated with the excretion of the care recipient 4 is performed by the automatic excretion processing device. In FIG. 1, since the care-requiring person 4 is using the comforter Q, only the main body of the automatic excretion processing device, that is, the processing device main body 6 located beside the bed 2 appears in the drawing.

The excrement receiving unit 10 of the first embodiment shown in FIG. 2 is positioned on the lower abdomen of the care recipient 4. The excrement receiving unit 10 is connected to the processing device main body 6 (FIG. 1) by a flexible connecting member 8 including a filth suction hose.

FIG. 2 is a diagram for explaining the configuration of the excrement receiving unit 10. The excrement receiving unit 10 will be described with reference to FIG. The excrement receiving unit 10 includes a stool receiving member 12 and a urine receiving member 14 that is separate from the stool receiving member 12, and the stool receiving member 12 and the urine receiving member 14 are separate members.

The stool receiving member 12 has a tray-like shape having a front end portion 16 having a U-shaped cross section, and also has a front end portion 16 having a U-shaped cross section and an upward extending height. The front wall 16a of the front end portion 16 has a suction port 18, an anal discharge hole 20, and a genital discharge hole 22 in this order from the lower end to the upper end on the inner surface, that is, the surface facing the lower abdomen of the care recipient. Is provided.

FIG. 3 is an explanatory view of the front wall 16a of the front end portion 16 as viewed from the front. On the outer surface of the front wall 16a, a hose connection port 24 to which the filth suction hose of the flexible connecting member 8 is connected, a washing water receiving port 26 for receiving the warmed washing water, and a temperature for receiving the heated air. A wind receiving port 28 and an electrical connection terminal 30 are provided. The hose connection port 24, the washing water reception port 26, the hot air reception port 28, and the connection terminal 30 include a filth suction hose, a cable, and the like housed in the flexible connecting member 8 extending from the processing device main body 6 (FIG. 1). Be connected. In FIG. 2, reference numeral 32 indicates an excrement detection sensor.

At the front end portion 16 having a height in the vertical direction of the toilet receiving member 12, the upper end portion 16b having a U-shaped cross section is opened upward.

With reference to FIG. 2, the urine receiving member 14 has a vertically elongated elongated shape curved along the lower abdomen of the human body and has a U-shaped cross section that bulges forward. The lower end of 14 is open downward.

Available for women and men. In order to distinguish between women's and men's urine receiving members 14, "fm" is added to the women's urine receiving member 14, and "m" is added to the men's urine receiving member 14. The female urine receiving member 14fm is relatively narrow in comparison with the male urine receiving member 14m, and has substantially the same width Wfm from the lower end to the upper end. Preferably, the width of the lower end of the female urine receiving member 14fm should be designed to be as small as possible. This makes it possible to make the urine receiving member 14fm a width suitable for women. And this can prevent the woman from being uncomfortable.

On the other hand, in the male urine receiving member 14m, the width W1 of the portion excluding the lower end portion is larger than the width Wfm for females. Further, in the male urine receiving member 14m, the width Wm of the portion 14a that receives the scrotum of the care recipient is wider than the width W1.

A common-shaped connecting portion 42 is formed at the lower end of the U-shaped cross section of the female urine receiving member 14fm and the male urine receiving member 14m. The female urine receiving member 14fm and the male urine receiving member 14m can be used properly. The female urine receiving member 14fm and the male urine receiving member 14m can be selectively detachably fixed to the front end portion 16 of the stool receiving member 12 by the connecting portion 42.

In the male urine receiving member 14m, the width Wm of the portion 14a that receives the scrotum is larger than that of other portions, in other words, the portion near the connecting portion 42 at the lower end has substantially the same width as that for females. Therefore, it is possible to prevent giving discomfort due to wearing as in the case of women.

FIG. 4 is a diagram for explaining an example of a connecting structure between the connecting portion 42 of the urine receiving member 14 and the front end portion 16 of the stool receiving member 12. The connecting portion 42 of the urine receiving member 14 has a groove shape that opens downward, specifically, an inverted U-shaped cross section, and the connecting portion 42 is connected to the upper end of the stool receiving member 12 (front end portion 16). The urine receiving member 14 and the stool receiving member 12 are integrated by fitting into the portion 16b. By forming the connecting portion 42 of the urine receiving member 14 into an inverted U-shaped cross section, it is possible to prevent the urine released by the care recipient from leaking from the connecting portion 42 in the process of hitting the urine receiving member 14 and flowing down. .. In the example of FIG. 4, claws 44 are provided on both the urine receiving member 14 and the stool receiving member 12, and the pair of claws 44 prevents the urine receiving member 14 from being inadvertently removed from the stool receiving member 12. .. Of course, the upper end portion 16b of the stool receiving member 12 (front end portion 16) is tightly fitted into the connecting portion 42 having an inverted U-shaped cross section of the urine receiving member 14 without the claw 44 without the claw 44. It may be adopted.

5 to 9 are views for explaining another example of a detachable connecting structure between the urine receiving member 14 and the stool receiving member 12. FIG. 5 is a diagram for explaining an example using the double-sided adhesive tape 46. FIG. 6 is a diagram for explaining an example using the concave-convex member 48. FIG. 7 is a diagram for explaining an example using a pin 50 and a pin hole 52 for receiving the pin 50. FIG. 8 is a diagram for explaining an example using a hole 54 aligned with the urine receiving member 14 and the stool receiving member 12 and a combination 56 of a screw and a nut inserted into the hole 54. In FIG. 9, for example, the upper end portion 16b of the stool receiving member 12 (front end portion 16) is fitted into the connecting portion 42 having an inverted U-shape in cross section of the urine receiving member 14, and then the stool receiving member 12 is inserted. It is a figure for demonstrating an example in which the attached 1st cloth 58 and the 2nd cloth 60 attached to a urine receiving member 14 are connected with the 1st and 2nd cloths 58, 60 by a fastener 62.

FIG. 10 shows a care garter 64 for attaching the excrement receiving unit 10 to the crotch of a care recipient. The long-term care garter 64 is an alternative to conventional diapers. That is, the nursing care garter 64 is not exclusively for the excrement receiving unit 10 shown in the figure, but can be widely applied to the excrement receiving device in general.

The nursing garter 64 has a waist belt 66, left and right crotch belts 68 connected to the waist belt 66, and a crossing belt 70 connecting the left and right crotch belts 68, and the crossing belt 70 is the length of the crotch belt 68. It is provided in the middle part of the direction. By fixing one end of the crossing belt 70 extending from one crotch belt 68 to the other crotch belt 68 so as to be detachable, the waist belt 66, the pair of crotch belts 68, and the crossing belt 70 are attached to the mounting window 72. Can be formed. As can be seen from FIG. 11, the excrement receiving unit 10 is received in the mounting window 72. Each element of the care garter 64 is fixed by a hook-and-loop fastener 74. By adopting a structure in which one end of the crossing belt 70 is locked or detached from the crotch belt 68, the excrement receiving unit 10 can be easily attached to and detached from the garter 64 which is the attachment of the excrement receiving unit 10. can.

Returning to FIG. 2, the stool receiving member 12 preferably has a flange 80 having a spread capable of receiving the buttocks of the care recipient. The front end portion 80a of the flange 80 has a shape that is curved to the upper end of the front end portion 16 having a height extending upward and extends upward. The front end portion 80a can be engaged with the peripheral edge portion of the mounting window 72 of the garter 64.

The excrement receiving unit 10 preferably includes a cushion 84. The cushion 84 may be a conventionally known water-repellent outer skin, but it is preferable that the cushion 84 is provided with, for example, a cloth outer skin that is both water-repellent and breathable. This makes it possible to suppress the occurrence of skin disorders such as pressure ulcers. The cushion 84 contains gel, air, etc. contained in the outer skin, and thus has a cushioning property. FIG. 12 is a plan view of the cushion 84. The cushion 84 has a symmetrical shape and can be used upside down. The cushion 84 is fixed to the upper surface of the flange 80 of the stool receiving member 12 by using, for example, double-sided adhesive tape 86 (FIG. 13).

FIG. 14 shows a cushion 88 of a modified example. The illustrated cushion 88 has a plurality of bands 90 extending from the main body 88a, and the plurality of bands 90 are detachably fixed to the flange 80 of the toilet receiving member 12 by using, for example, a surface fastener or a double-sided adhesive tape 92. Thereby, the cushion 88 can be fixed to the lower surface of the flange 80 (FIG. 15).

FIG. 16 is a diagram for explaining the internal structure of the cushion 84 or 88. The cushion material 92 is housed in the outer skin 84a (88a). The cushion material 92 preferably has a large number of irregularities 92a on one surface, and the other surface 92b has a flat structure. When the cushion 84 or 88 is used with the unevenness 92a facing up, the body pressure can be dispersed by point contact on the buttocks of the care recipient, and the care recipient who dislikes this can disperse the body pressure with the flat surface 92b facing up. 88 can be used.

As the excrement receiving unit 10, a penis positioning tool 94 is prepared as an option. The penis positioning tool 94 has a cylindrical shape and is used for positioning the penis of a care recipient in a state of being slightly downward, which is its natural posture. The penis positioning tool 94 preferably has one or a plurality of slits 94a extending in the longitudinal direction from the entrance of the penis positioning tool 94. The penis of the care recipient is inserted into the penis positioning tool 94. When the care recipient has an erection, the slit 94a can easily increase the diameter of the part of the penis positioning tool 94 corresponding to the part of the penis root, thereby preventing congestion of the penis. Can be done.

The penis positioning tool 94 has a pair of hooks 96 separated in the radial direction at one end in the longitudinal direction, and the pair of hooks 96 can be fitted to both side edges of a male urine receiving member 14 m. FIG. 18 shows a state in which the penis positioning tool 94 is installed on the male urine receiving member 14 m. By using the penis positioning tool 94, it is possible to prevent the penis of the care recipient from being received by the male urine receiving member 14 m in an upward state. If the penis of the care recipient is accepted by the male urine receiving member 14 m in an upward state, there is a high possibility that urine will leak to the outside due to urination.

FIG. 19 shows the excrement receiving unit 100 of the second embodiment. Since the basic configuration and structure of the illustrated excrement receiving unit 100 are the same as those of the first embodiment (FIG. 2) described above, the same elements as those included in the first embodiment are designated by the same reference numerals. Therefore, the description thereof will be omitted.

With reference to FIG. 19, the urine receiving member 102 has one for women and one for men, and is identified by adding "fm" for women and "m" for men. The urine receiving member 102 for both women and men has a transparent observation window 104 and a light-shielding curtain 106 on the outside thereof, and by opening the curtain 106, the inside of the urine receiving member 102, that is, appropriate It can be visually confirmed from the outside whether or not it is installed. Of course, the privacy of the care recipient can be protected by closing the curtain 106 at all times. Preferably, the urine receiving member 102 has a lamp 106, and if necessary, the inside of the urine receiving member 102 is illuminated by the lamp 106.

10 Excrement receiving unit of the first embodiment 100 Excrement receiving unit of the second embodiment 12 Urine receiving member 14 Urine receiving member 14fm Women's urine receiving member 14m Men's urine receiving member 16 Front end of the stool receiving member 18 Suction port 20 Discharge hole for anus 22 Discharge hole for pubic area 42 Connecting part at the lower end of urine receiving member 64 Nursing garter 66 Garter waist belt 68 Garter crotch belt 70 Garter crossing belt 72 Garter mounting window 94 Penis positioning tool 94a Penis positioning tool slit

Claims (6)

It is an excrement receiving unit (10,100) that constitutes a part of the excrement processing device and is attached to the care recipient.
A suction port (18) for discharging excrement and a discharge hole (20,22) for discharging wash water toward the anus and pubic area at the front end portion (16) having a height extending upward and opening upward. ) And the toilet receiving member (12)
The urine receiving member (14) which is separate from the stool receiving member (12) and can be connected to the upper end of the front end portion (16) of the stool receiving member (12) is included.
The urine receiving member (14) is a relatively narrow female urine receiving member (14fm) and a relatively wide male urine receiving member, which are selectively connected to the stool receiving member (12). Including (14m)
The lower end of the female urine receiving member (14fm) and the male urine receiving member (14m) has a connecting portion (42) having a common shape and connectable to the upper end of the stool receiving member (12).
The male urine receiving member (14m) is an excrement receiving unit characterized in that a portion (14a) for receiving the scrotum of a care recipient is formed wider (Wm) in comparison with other portions. The connecting portion (42) has a groove shape that opens downward, and the upper end (16b) of the front end portion (16) of the toilet receiving member (12) is fitted to the groove-shaped connecting portion (42). The excrement receiving unit according to claim 1, which is possible. The first or second aspect of the present invention, wherein the toilet receiving member (12) has a tray shape and further has a flange (80) for laterally extending from the upper end of the tray shape to receive the buttocks of a care recipient. Excrement receiving unit. Further having a penis positioning tool (94) that can be attached to the male urine receiving member (14 m),
The excrement receiving unit according to any one of claims 1 to 3, wherein the penis positioning tool (94) has a shape into which the penis of a care recipient can be inserted. The excrement receiving unit according to claim 4, wherein the penis positioning tool (94) has a tubular shape whose diameter can be expanded by a slit (94a). The excrement receiving unit according to any one of claims 1 to 5, wherein the urine receiving member (14) has a transparent window for visually observing the inside thereof and a lamp for illuminating the inside.

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