JP2012019912A - Vest device for bedridden patient - Google Patents

Abstract

The present invention relates to a vestibule apparatus for a bedridden patient capable of automatically changing the position of the entire trunk of a patient having difficulty in body movement, or performing automatic body pressure distribution and respiratory physical therapy in the trunk section.
SOLUTION: Three upper holding portions for containing and holding the neck, left shoulder, and right shoulder, respectively, branching from the upper trunk of the patient who is bedridden, and the left leg and right leg branching from the lower trunk of the patient Two lower holding portions for binding and holding the respective portions, a trunk covering portion for covering and fastening the entire circumference of the trunk, a tethered garment main body that can be worn integrally therewith, A plurality of air bag bodies provided to follow the upper half of the trunk and the lower half of the trunk in each of a plurality of sections of the left back portion and the right back portion mainly of the upper body by the patient's body movement / rotation And a plurality of the air bladders individually or in combination with two or more air supply devices that can be controlled to be in a pressurized or depressurized state. Clothing device
[Selection] Figure 4

Description

The present invention relates to the medical and health fields of patients who are difficult to move and who are hospitalized or are in bed at a facility or at home. The present invention relates to the patient's back and right and left and up and down, and the area is individually or externally divided into multiple areas. The present invention relates to a vestibule apparatus for a bedside patient that performs automatic respiratory physiotherapy, body pressure distribution of the thorax, spine, and pelvis, and posture change by accurately applying pressure or reducing pressure every time.

In general, for patients who have difficulty moving due to various diseases and who are hospitalized or are treated on the bed in a facility or at home, doctors aim to improve pulmonary respiratory function and distribute body pressure in the trunk including the thorax, spine, and pelvis.・ Respiratory physiotherapy (for example, see Non-Patent Document 1), that is, pressurization / decompression therapy adapted to breathing of the rib cage and trunk, by the human and manual labor of nurses and caregivers In addition, posture change (for example, see Non-Patent Document 2) has been performed.
However, human and manual respiratory physiotherapy and postural change are heavy labors that require a great deal of labor, and the postural change of a large number of patients should be repeated every short time for more than 24 hours. It is difficult and labor is limited every 2 hours (for example, see Non-Patent Document 2). For this reason, various techniques have been tried in place of human and manual methods, but the actual situation has not been met.
The problems of the prior art will be described in detail below.

First, Patent Document 1 reports a roll-over device in which air bags are provided on the left and right sides of the back of a clothing such as a shirt and sleepwear. Here, a schematic diagram of a general human trunk skeleton is shown in FIG. 22. In order to repeat the trunk position change, the left thoracic HTL / left pelvis HPL with the spinal column HS as the rotation center axis and It is apparent from the skeletal structure of FIG. 22 that rotation control linked to the right and left thoracic HTR / right pelvic HPR is necessary. However, in this patent document 1, the movement of the lower body below the left and right pelvis cannot be controlled, and it is considered difficult to turn over and change the posture automatically. This is because the lower body part below the left and right pelvis of the device is simply an open shirt and sleepwear with no distinction between left and right, and has two rows of air bag bodies on the back side. (B) As shown in (c), because of the change in the positional relationship between the acting force on the left pelvic HPL / right pelvic HPR and the left air bag body NL / right air bag body NR, which is expected by the device of Patent Document 1. In addition, it is considered difficult to roll over and reposition. For example, as shown in (a) in the figure, when the body position change is started by pressurizing and inflating the left air bag body NL provided in the clothing fabric N and raising the left half, the trunk is due to its own weight M In addition, the left air bag body NL inflated slides to the right according to the inclination, and the center line of the trunk tends to shift to the right. At that time, because the upper body has both arms passed through the sleeves, the rightward displacement and rotation are controlled somewhat, but as shown in (b) of the figure, the lower body below the pelvis HP is covered with the coated fabric N There is nothing to stop the rotational displacement M1 and the rightward movement displacement M2 between the covering fabric N and the pelvis HP just by being wrapped around the right pelvic HPR until it passes over the deflated right air bag NR. Inevitably, the left pelvis HPL gets on the upper surface of the right air bag body NR by shifting rightward. In this state, as the next stage of posture change, if the left air bag body NL is decompressed and reduced and the right air bag body NR is pressurized and inflated, the upper right body is raised, but as shown in FIG. On the other hand, the left pelvic HPL that rises on the right air bag body NR is raised, and the left pelvic HPL, right pelvic HPR (lower body), left thoracic HTL, and right thoracic rib in the skeletal structure shown in FIG. The movement with the HTR (upper body) is not linked to the left and right, twisted via the spinal column HS, and excessive spinous burden is imposed on the spinal column HS, forcing the automatic posture change to be stopped. That is, in the roll-over device of Patent Document 1, it is considered difficult to automatically change the position and lie down, and to expect a respiratory function improvement effect.

Also, as in Patent Document 2, for example, there is a diaper cover for pressure dispersion / position conversion limited to the pelvic part of a patient who is difficult to move, but the effect of the technique and device is locally lower than the buttocks / pelvic part. It is limited to reducing the labor of treatment and preventing pressure ulcers, and it has not been explored to improve pulmonary respiratory function, change the posture to the whole trunk including the rib cage and spinal column, and disperse body pressure. ing.

Further, as a conventional technique, a bed / mat type automatic posture changing device has been reported as a device other than those provided in a patient's vest and sick clothes. For example, Patent Document 3, Patent Document 4, Patent Document 5, Non-Patent Document 3, and Non-Patent Document 4 are present, but in a bed / mat type device, the posture change, that is, the left or right half of the trunk. Disadvantages that cannot cope with the body movement / displacement to the opposite side edge part (see, for example, Patent Document 3 and Patent Document 4), and automatic posture conversion of the entire surface of the bed including the bed edge to cope with it Mechanism (for example, see Non-Patent Document 4 and Non-Patent Document 5) or a trunk centerline correction mechanism (for example, see Patent Document 5), the mechanism covers the structure of the entire bed mat, There was a drawback that the weight and volume had to be considerably increased. Even if it is a mat type currently on the market, the weight of the mat body is 3 to 8 kg or more (see, for example, Non-Patent Document 4 and Non-Patent Document 5), and in terms of transportation and storage space in wards and hospital rooms, There were obstacles to flexible and flexible use for patients.

Further, as another conventional technique, there is an extracorporeal high-frequency chest wall automatic compression device (see, for example, Non-Patent Document 6), but it is not automatically synchronized with the expiration / inspiration cycle, and either the right or left disease The side lung cannot be pressurized. Conventionally, there has been no device that pressurizes one or both lungs from the back by automatically synchronizing with an artificial respirator or an exhalation / inspiration cycle of a spontaneous breathing curve.

Utility model registration No. 2558262 Japanese Patent No. 2733027 Utility model registration No. 3075638 Shokai 59-183235 JP-A-11-76318

“Shin Kozu: Extrathoracic compression method. Respiratory physiotherapy standard technique”, Medical Shoin Co., Ltd., 2008, p. 26-27 “BarbaraPieper: Watanabe Jun Supervised: Mechanical additions causing skin damage; compression, slipping, friction. Essential knowledge of wound management, 1st edition” Elsevier Japan, 2008, p. 253-296 “Noriko Matsui: How often does the posture change? Q & A for pressure ulcers answering questions in the field, 1st edition” Chugai Medical Co., Ltd., 2008, p. 59-61 “Cape Website: NEO Product Catalog”, Cape Co., Ltd., 2009 “Morten Homepage: Super Assistance Mat K02 Product Catalog”, Molten Corporation, 2009 “TOKIBO Website: ELETROMED, INC. Smart Vest Product Catalog”, Toki Trading Co., Ltd., 2009

The present invention minimizes human and manual labor for patients with difficult body movements, and automatically pressurizes and decompresses each section in multiple sections on the left back and right back of the trunk. Respiratory physiotherapy for left or right diseased lung or both lungs, Respiratory physiotherapy synchronized with the respiratory cycle, Automatic body pressure distribution in each section such as thorax, spine, pelvis, etc. It is possible to automatically change the position of the entire trunk of the patient up to the lower body of the pelvis, etc., and repeat such pressurization / decompression in a cycle of less than 1 hour and repeat it stably over many days over 24 hours. An object of the present invention is to provide a vestibule apparatus for a bedridden patient.

Further, the present invention is different from the conventional bed / mat type automatic posture changing device in that the weight of the mat body alone is 3 to 8 kg or more as described in the background art section. Accordingly, the trunk device main body intends to provide a trunk-covered device having a weight of 1 kg or less. Accordingly, it is intended to reduce the volume and weight, and to make it easier and more convenient for the patient to use flexibly and flexibly, that is, transport and store.

The present invention comprises three upper holding parts, ie, a neck holding part, a left shoulder holding part, and a right shoulder holding part, which contain and hold the neck, left shoulder, and right shoulder, respectively, branched from the upper body of the trunk patient. Covers the entire circumference of the trunk with two lower holding parts that hold the left leg part and right leg part that diverge from the lower half of the patient's trunk, ie, the left leg holding part and the right leg holding part. A trunk covering portion that is fastened together at the front or side, the upper holding portion, the lower holding portion, and the trunk covering portion that can be worn as a single body 繫 In addition, each of the left back portion and the right back portion of the main body of the garment is provided so as to follow the main body of the body and the upper half of the patient's trunk and the lower half of the trunk even when the patient moves and rotates. The plurality of air bag bodies and the plurality of air bag bodies are pressurized individually or in combination with two or more. The other is characterized in that the form air supply device and is controllable so as to be pressure-reduced state.

In the present invention, the main body of the garment further holds the left leg from the upper trunk, the right shoulder, and the left leg from the lower trunk in order to further adapt to the physique of each patient. Left shoulder circumference adjustment section, right shoulder circumference adjustment section, left leg circumference adjustment section, right leg circumference The present invention is characterized in that a length adjusting portion and a trunk circumference adjusting portion capable of adjusting and fastening the trunk circumference in the trunk covering portion are provided.

Further, according to the present invention, the air bags of the plurality of sections are pressurized individually by repeating ON / OFF in synchronization with the exhalation / inspiration cycle signal of the artificial respirator individually or in conjunction with two or more sections. -An air supply device that is electrically controlled to a reduced pressure state.

In the present invention, the plural-compartment air bags are repeatedly turned ON / OFF in synchronization with the expiratory / inspiratory cycle signal of the spontaneous breathing curve of the spontaneously breathing patient individually or in conjunction with two or more compartments. And an air supply device that is electrically controlled in a pressurized / depressurized state.

Further, according to the present invention, the air bags of the plurality of sections are turned ON / OFF alternately at set time intervals by a timer circuit independent of the expiration / inspiration cycle, individually or in conjunction with two or more sections. It is characterized by comprising an air supply device that is repeatedly turned OFF and electrically repeatedly controlled to a pressurized or reduced pressure state.

Further, the present invention is characterized in that the plurality of compartment air bags are sewn to the back part of the jacket main body.

Furthermore, the present invention is characterized in that the plurality of compartments are accommodated in a pocket portion provided in a back portion of the main body.

(1) The effect obtained by claim 1 will be described. Three upper holding parts that contain and hold the neck, left shoulder, and right shoulder that branch from the upper body of the patient's trunk, and the left and right legs that branch from the lower part of the patient's trunk. The main body of the tie-type garment that is integrated with the two lower holding parts to be held together, covering the entire circumference of the trunk, so that it can be divided into a plurality of sections on the left back and right back parts The provided air bag body shifts the left and right vertical position relative to the patient's left and right thorax, left and right lungs, spinal column, left and right pelvis, etc., depending on the patient's body movement / posture / tilt / posture change / rotation / rotation Will be reduced and will be stabilized in unison. For example, if the upper left rear air bag body, the lower left rear air bag body, the upper right rear air bag body, and the lower right rear air bag body have a total of four air bag bodies, each air bag body has the left lung, left pelvis Corresponding to the respective back compartments such as the right lung and the right pelvis, it is possible to reliably pressurize and decompress each compartment from the back. In addition, the air bags of multiple compartments are linked individually or in combination with two or more compartments, and by repeating the pressurization and decompression with the air supply device, the respiratory physiotherapy effect of either the left or right diseased lung or both lungs, The body pressure dispersion effect of the left and right rib cage, spinal column, and left and right pelvis is obtained.

Of course, for the reasons described above, the left-right positional relationship between the air bag body in the left row compartment and the air bag body in the right row compartment, with the trunk center line sandwiched, is the body movement / posture / tilt / posture change / rotation of the patient. The deviation is also suppressed by rotation and displacement. In that state, for example, the left upper two air bags in the upper left rear air bag, the lower left rear air bag, the upper right rear air bag, and the lower right rear air bag, for a total of four air bags. The body of the patient is placed on the upper body (mainly the rib cage) by repeating the pressurization and decompression alternately left and right by the air supply device simultaneously in parallel and in the right row with two compartments in parallel. The lower half of the body (mainly the pelvis) interlocks and repeats the left half of the trunk and the right half of the trunk, and the trunk, that is, the torso of the trunk, does not occur, and the reliable and safe posture change continues. Can be repeated. Also by this, the respiratory function improvement effect, the body pressure dispersion effect of the left and right thorax, the spinal column, and the left and right pelvis, the bedsore prevention effect, and the like can be obtained.

That is, the present invention differs from Patent Document 1 in which the present invention is composed of shirts and nightclothes described as prior art documents, in that not only the upper body of a patient but also the left and right pelvis linked to the upper body by the vest apparatus of the present invention. The following movements can be controlled. In particular, the characteristic of the vest configuration of the present invention is that the positional relationship between the lower trunk of the trunk including not only the upper trunk of the left and right ribs but also the left and right pelvises and the air bag bodies of the left and right upper and lower compartments is stabilized. As a necessary condition, not only the neck, left shoulder, and right shoulder from the upper part of the patient, such as a simple shirt and nightwear, but also the new left leg and right leg from the lower part of the patient are held together. This is to create a joint-type jacket that integrates the upper and lower body of the trunk. Further, in claim 2, in order to further adapt to the physique of each individual patient, each holding portion is provided with a holding portion circumferential length adjusting portion, adjusted so as not to loosen the circumferential length, and held and fixed with a surface fastener or the like. It was. That is, not only the neck, left shoulder, and right shoulder, but also a total of five holding portions including the left leg and the right leg branched from the lower trunk of the trunk, which were not in the configuration of Patent Document 1, are secured. For the first time by adopting the tethered vest configuration of the present invention, regardless of patient movement, posture, tilt, posture change, rotational rotation, displacement, etc. This makes it possible to repeat pressurization and decompression under a stable positional relationship with the left and right rib cages and the left and right pelvis. Furthermore, as a notable effect of the present invention that was not found in Patent Document 1, position stabilization in the left, right, top, and bottom back sections enables not only the patient in a flat lying position on the bed but also the upper body bed up state. It is considered that a reliable pressurizing / depressurizing effect can be sufficiently obtained in each back section.

Further, the clothing apparatus according to claim 1 is provided in the range of the lateral width of the left and right upper and lower back surfaces of the body covering the entire circumference of the patient's trunk, that is, the back surface of the human body, and extends over the entire bed or mat bed. There is no need to provide it. Further, there is no need for a device for correcting the positional relationship between the patient's trunk center and the bed or mat. Therefore, the effect of weight reduction and volume reduction can be obtained. The cotton vest and urethane left and right air bag bodies can be combined to be less than 1 kg. Then, the apparatus can be easily transported and moved in the ward or ward, and the storage space can be reduced, so that the patient can be used flexibly and flexibly.

Further, the main body of the first aspect can be spread on a bed or the like by opening all the holding portions and the covering portion. If the patient is placed in the supine position on the plane, the next method of clothing is to cover the trunk while holding or holding the neck, left shoulder, right shoulder, left leg, right leg. As long as the hook and loop fasteners are not loosened, the sleeves and hems do not need to be passed by bending and extending the patient's limbs, and the clothes can be put on. That is, it is possible to reduce the physical burden at the time of attaching / detaching the vest to / from a patient who often wears an infusion tube or an electrode cord on the extremities.

(2) The effect obtained by claim 2 will be described. The main body according to claim 1, wherein the stability of the positional relationship between the air bag body and the patient's trunk in the plurality of compartments on the left rear surface and the right rear surface is determined by the size of the main body being adapted to the patient's physique. The size is set to large, medium, small or L / M / S. However, many sizing settings that are more closely tailored to the individual patient's physique are inefficient in terms of economic practicality, and overall vests that are too cramped are not suitable for patients. Therefore, after setting the size of the patient's clothing for the patient with a little margin, the bifurcation from the upper trunk, the bifurcation from the lower trunk, that is, the left shoulder holder, the right shoulder In the head holder, the left leg holder, and the right leg holder, a belt-like left shoulder circumference adjuster and right shoulder circumference adjuster are provided to focus on the circumference of each part of the patient. The left leg circumference adjustment section and right leg circumference adjustment section are provided, and the trunk covering section is also provided with a belt-like trunk circumference adjustment section, each of which is provided with a hook-and-loop fastener, a button or a string. By adjusting and fixing, the left-right and up-and-down positional relationship between the air bag body and the patient trunk of the plurality of compartments of the left back part and the right back part of the clothing main body is further stabilized.

(3) The effect obtained by claim 3 will be described. When the multi-compartment air bag body according to claim 1 is an upper left back air bag body, a lower left back air bag body, an upper right back air bag body, and a lower right back air bag body, a total of 4 compartment air bag bodies, of which the upper left back surface The air bag body or the upper right back air bag body is synchronized with the exhalation / inhalation cycle of the ventilator and repeatedly turned ON / OFF from the air supply device to the left or right diseased side lungs or both lungs of patients with lung disease On the other hand, pressurization / decompression can be performed from the back, and efficient respiratory physical therapy can be automatically promoted, such as elimination of sputum and secretions that cause lung disease, and ventilation improvement. In addition, when secretions such as sputum accumulate in both lower lung fields, pressurize and depressurize in synchronization with the exhalation / inspiration cycle of the ventilator by linking the left and right lower back bladders. Then, there is a possibility that an efficient secretion excretion effect can be obtained.

(4) The effect obtained by claim 4 will be described. When the multi-compartment air bag body according to claim 1 is an upper left back air bag body, a lower left back air bag body, an upper right back air bag body, and a lower right back air bag body, a total of 4 compartment air bag bodies, of which the upper left back surface The air bag body or upper right air bag body is turned ON / OFF in synchronization with the exhalation / inspiration cycle of the spontaneous breathing curve of the spontaneous breathing patient, and is applied to the left or right diseased lung or both lungs of patients with lung disease. On the other hand, pressurization / decompression can be performed from the back, and efficient respiratory physical therapy can be automatically promoted, such as elimination of sputum and secretions that cause lung disease, and ventilation improvement. In addition, it is considered that respiratory physical therapy that promotes abdominal spontaneous breathing is possible if the left and right lower back bladders are linked to synchronize with the exhalation / inspiration cycle of the spontaneous breathing curve and pressurized / depressurized. .

(5) The effect obtained by claim 5 will be described. Air supply that electrically and repeatedly controls pressurization or depressurization of the air bag body by repeating ON / OFF alternately at set time intervals by an automatic timer circuit independent of the breathing curve. If the apparatus is used, for example, in the upper left rear air bag body, the lower left rear air bag body, the upper right rear air bag body, and the lower right rear air bag body in a total of four air bag bodies, the upper and lower two air bag bodies in the left row If the pressurization and decompression cycle is set so that the air bags in the upper and lower two compartments in the right row are pressurized simultaneously in 20 minutes after the simultaneous pressurization in 20 minutes in parallel, the cycle is less than 40 minutes, that is, less than 1 hour. It is possible to reduce the pressure and pressure. If this air supply device is used as the air supply device according to claim 1, automatic posture change of the trunk including the left and right lungs, left and right thorax and left and right pelvis in a stable and stable 40-minute cycle, that is, a cycle of less than 1 hour, It becomes possible in many days of 24 hours or more, and the improvement effect of labor and time efficiency is brought about.

(6) The effect obtained by claim 6 will be described. The main body of the garment in which the left back portion and the right back portion of the air bag body are sewn to each compartment of the back portion includes a neck holding portion, a left shoulder holding portion, and a right shoulder holding portion from the upper trunk. And the left leg holding part from the lower body of the patient's trunk, the right leg holding part, and the trunk covering part that covers the entire circumference of the trunk and fastens it on the front or side can be worn together, The position stabilizing effect of the air bag body can be obtained in which the positional relationship with the left and right rib cages and the left and right pelvis is reduced by the patient's body movement / posture / tilt / posture change / rotation / rotation. Because of this effect, respiratory physical therapy that repeats pressurization / depressurization from the back of each compartment and stable posture change by pressurization / depressurization alternately in two left and right rows are possible. Moreover, it is not necessary to additionally install a device for correcting the positional relationship deviation on the bed or the mat itself.

(7) The effect obtained by the seventh aspect will be described. By adopting a method of storing the air bag body in a pocket portion provided on the back portion of the main body of the clothing, the air bag body is taken out from the pocket portion when not in use and can be disinfected or sterilized separately from the main body of the clothing. Care is possible. As a result, in the maintenance and management as a clinical device for a patient, an easier and more efficient effect is brought about.

The back view at the time of wearing this invention, the vestibule apparatus for bedside patients of Claim 1 Front view of the supine position wearing a vestibular device External view seen from the back with the main body of the same jacket unfolded The back view at the time of wearing this invention, the vestibule apparatus for bed patients of Claim 2 Front view of the supine position wearing a vestibular device External view seen from the back with the main body of the same jacket unfolded Appearance view of the upper left and right back air bag bodies pressurized and the upper body bed up (B) Appearance view from the head direction when the left air bag body is pressurized (b) Appearance view from the head direction when the right air bag body is pressurized (B) Explanatory diagram viewed from both legs when the left bladder is pressurized (b) Explanatory diagram viewed from both legs when the right bladder is pressurized (A) Cross-sectional view at the lung / thoracic region when the left bladder is pressurized (b) Cross-sectional view at the lung / thoracic region when the right bladder is pressurized (B) The upper left back air bag body is decompressed in synchronization with the inhalation of the ventilator and the left lung is expanded. (B) The upper left back air bag body is used for the exhalation of the ventilator. A figure that attempts to excrete secretions such as sputum due to left lung disease through the airway by pressurizing in synchronization and pressurizing the left lung from the back The upper left back air bag body is pressurized in synchronization with the exhalation of the spontaneous breathing curve, the left lung is pressurized from outside the body, and secretions such as sputum due to left lung disease are excreted through the airway Schematic circuit diagram showing the air circuit and electrical circuit of the jacket apparatus Explanatory drawing showing the pattern of compressed air supply The figure which added the interface with the synchronizing device interposed between the artificial respiration apparatus or the spontaneous-respiration monitoring apparatus to the electric circuit of FIG. The external view which inserted the air bag body which shows the Example of Claim 7 in the pocket of 4 divisions of the main body main body back part Body posture conversion angle when the vestibule device of claim 1 is used for 12 healthy persons (A) Thoracic body posture conversion angle diagram (B) Pelvic posture conversion angle diagram The posture change angle (b) Thoracic posture change angle diagram (b) Pelvic posture change angle diagram when the vestibule device of claim 1 is used for 16 patients after surgery. A post-operative progress chart in which a 72-year-old patient with pneumonia was subjected to automatic body position change for 10 days at a period of 30 to 60 minutes immediately after the right femoral fracture surgery. (B) Body temperature, (b) Required amount of inhaled oxygen, and (c) Oxygen saturation. (A) Wearing questionnaire items for clothing devices (b) Illustrating questionnaire results for 12 healthy subjects (c) Illustrating questionnaire results for 29 patients after surgery In 12 healthy subjects, pressurize two air bladders in the left row with left pressurization for 10 minutes → intermittent rest period 5 minutes → two air bladders in the right row with the right pressurization in 10 minutes for automatic posture of the trunk Illustration of the results of the conversion and (a) back pressure and (b) pelvic center sacral pressure Schematic diagram of human body trunk skeleton (A) Expected view of the acting force on the pelvis part when the left air bag body of Patent Document 1 is started to pressurize (B) Pelvis part and left and right air when the left air bag body of Patent Document 1 is pressed Positional relationship diagram with bag body and predicted drawing of acting force (c) In Patent Document 1, following the above (a) and (b), the rotation against the pelvic position change at the start of pressurization of the right air bag body And expected figure of action force

DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, the present invention will be described with reference to the drawings illustrating embodiments.
FIG. 1: shows the state which looked at the state which covered the patient H by the trunk main body 1 of Claim 1 from the back of the trunk.
The trunk main body 1 for covering the entire circumference of the trunk includes a neck holding part (upper holding part) 2 from above the patient H, a left shoulder holding part (upper holding part) 3, a right shoulder holding part (upper holding part) 4, In addition, it is a tether-type garment configuration having a left leg holding part (lower holding part) 5 and a right leg holding part (lower holding part) 6 from the lower side of the patient H. When viewed from the back side, the left and right leg portions are held separately by the left and right leg fasteners and the right leg portion holding hooks.

As shown in FIG. 1, on the back of the main body 1 of claim 1, the upper left rear air bag body 1La, the lower left rear air bag body 1Lb, and the upper right rear air bag body 1Ra are arranged in four left and right upper and lower sections. The lower right back portion air bag body 1Rb is provided. Each of the four compartments is connected to the air supply device 8 by a pressure tube 9 so as to be individually pressurized and decompressed. In this case, the neck part 2 from the patient's upper part, the left shoulder part 3, the right shoulder part 4, and the left leg part 5 and the right leg part 6 from the lower part of the patient. The four air bag bodies are stabilized in positional relation with the four compartments on the back of the trunk.

With such a configuration, each section can be individually pressurized and decompressed, and the movements of the left and right rib cages and the left and right pelvis can be controlled. Here, the positional relationship between the compartments is stabilized and can be individually pressurized and depressurized, so that, for example, the upper left back portion air bag body 1La, that is, the portion corresponding to the left lung can be individually pressurized and depressurized. It becomes possible. Further, any combination of the respective sections is possible. For example, the upper left rear air bag body 1La and the lower left rear air bag body 1Lb in the left row are simultaneously arranged in parallel, and the upper right rear air bag body 1Ra in the right row and right Simultaneously pressurize and depressurize the lower back part air bag body 1Rb alternately in parallel to change the position of the trunk while controlling the movement of the upper body and pelvis, and the lower left back air bag body 1Lb, The right lower back portion air bag body 1Rb can be pressurized and depressurized alternately left and right to change the posture of only the pelvis. That is, among the four air bladders, when a part is limited according to the purpose for the patient and only one section is pressurized / depressurized, or when two or more sections are selected and interlocked and pressurized / depressurized. It means that it is possible. In the present embodiment, the air bag body has two left and right sections, but the number of sections may be one section or more than two sections, and the number is not limited.

FIG. 2 shows a state in which the patient H who is bedped on the bed 10 is viewed from the front, and the main body 1 is a front opening and covers the trunk and is fastened to the front with a hook-and-loop fastener for covering the trunk. At the same time, the cervical holding part 2, the left shoulder holding part 3, the right shoulder holding part 4 from the upper body of the patient, and the total branching from the trunk of the left leg holding part 5 and the right leg holding part 6 from the lower body of the patient. It is a tie-type garment in which five parts are contained or bound and held together. As a result, the four-compartment air bags 1La, 1Lb, 1Ra, and 1Rb provided on the back of the main body 1 shown in FIG. 1 have stable horizontal and vertical positional relationships on the back of the upper trunk and lower trunk. The patient H is integrated to follow the body movement / posture / tilt / posture change / rotation / rotation of the patient H.

FIG. 3 is an external view of the main body of the first claim as seen from the back. The trunk main body 1 is a front opening, and is fastened to a plurality of trunk covering surface fastener A surfaces 7A and the corresponding trunk covering surface fastener B surface 7B so as not to loosen the trunk. At the same time as covering, the neck holding part 2, the left shoulder holding part 3, the right shoulder holding part 4 from above the patient, and the left leg holding part 5 and the right leg holding part 6 from below the patient in total 5 sites. It is a style in which the clothing is held and the hook-and-loop fastener A side and B side of each part are fastened and worn. In such a style, if the patient is placed in a supine position on the plane in which the main body 1 is developed with the back of the main body 1 facing the bed surface, the trunk is covered and secured. In addition, if the holding parts at the five locations are held together and held together, they can be worn without passing through the sleeves and hems due to the patient's neck and limb flexion and extension. Here, the fixing material of the trunk covering fixing part, the neck holding part, the left shoulder holding part, the right shoulder holding part, the left leg holding part, the right leg holding part, of course, is not limited to the hook-and-loop fastener, Other materials such as buttons and hooks may be used.

FIG. 4 is a view of a state in which the patient H is entirely covered with the trunk main body 1 according to claim 2 as viewed from the back. In addition to the one of claim 1 of FIG. 1, the main body 1 includes a left shoulder circumference adjustment section 3X, a right shoulder circumference adjustment section 4X, a left leg circumference adjustment section 5X, and a right leg circumference adjustment. It shows that the unit 6X is provided. By properly tightening each belt-like holding part circumference adjustment part so as not to be loosened or tight, it is possible to wear a jacket that further conforms to the patient's physique, and at the same time, air bags in each back section It shows that the positional relationship can be further stabilized.

FIG. 5 shows a state in which a patient H who wears the vest main body 1 of claim 2 and sits on the bed 10 is viewed from the front. In addition to the one of claim 1 in FIG. 2, the main body 1 includes a left shoulder circumference adjustment unit 3X, a right shoulder circumference adjustment unit 4X, a left leg circumference adjustment unit 5X, and a right leg circumference adjustment. This shows that a part 6X and a trunk circumference adjusting part 7X are provided. By tightening and fastening each belt-shaped perimeter adjustment so as not to be too tight, it is possible to wear a jacket that further conforms to the physique of the patient, and at the same time, the position of the air bag body in each back section Can be further stabilized.

FIG. 6 is an external view of the main body of the second aspect developed from the back. In addition to the one of claim 1 in FIG. 2, the main body 1 includes a left shoulder circumference adjustment unit 3X, a right shoulder circumference adjustment unit 4X, a left leg circumference adjustment unit 5X, and a right leg circumference adjustment. It shows that a part 6X and a trunk circumference adjusting part 1X are provided. Each of the belt-shaped peripheral length adjusting portions is configured such that the length thereof is adjusted by the surface fastener A surface and the B surface to be fastened together. Of course, as a form to fasten, a thing using a string, a button, a hook, etc. is also possible, and it is not limited to a hook-and-loop fastener.

FIG. 7 shows an example in which the upper body of a patient H who is wearing a jacket with air bag bodies in four sections on the left, right, top, and bottom is bed-up. The upper left back air bag body 1La and the lower left back air bag body 1Lb are pressurized simultaneously in parallel, but the air bag breaks due to the stabilization of the position of each air bag body in the left and right upper and lower back 4 sections. It is possible to change the position of the trunk smoothly without bending, biting and closing.

(A) and (b) of FIG. 8 are views of the posture change viewed from the head direction. The upper left back air bag body 1La and the upper right back air bag body 1Ra are the neck holding part 2, the left shoulder holding part 3, the right shoulder holding part 4 and the left shoulder holding part circumference adjusting part 3X from above the patient, the right shoulder. The main body 1 that has the holding part circumference adjusting part 4X and is integrated and held on the left and right back surfaces of the upper trunk, and the back surface is the protruding part of the spine without changing the positional relationship. It shows that the median part Hf is decompressed.

(A) and (b) of FIG. 9 are views of the posture change viewed from both legs. The lower left back air bag body 1Lb and the lower right back air bag body 1Rb have a left leg holding part 5 and a right leg holding part 6 from the lower part of the patient, and are integrated into the body main body 1 and integrated with the main body 1 of the lower trunk. Each of the left and right rear surfaces is held and fixed, and the movement of the pelvis can be controlled without shifting the right-and-left positional relationship, the body position is changed, and the sacral midline Hg, which is the protruding part of the pelvis, is decompressed.

As shown in FIGS. 10 (a) and 10 (b), the upper left rear air bag body 1La and the upper right rear air bag body 1Ra can be viewed from the rear without shifting the positional relationship between the left lung HL and the right lung HR, respectively. Stable pressurization and decompression are repeated.

  FIGS. 11 (a) and 11 (b) show the left upper back air when the main body 1 is worn by the patient H wearing the artificial respirator 11AB in the state where secretions HLa such as sputum are accumulated in the left lung HL due to left pneumonia. It is the figure which controlled the air supply apparatus 8 by the pressurization / decompression cycle 8ab which synchronized the bag body 1La with the expiration | expiration / inhalation cycle 11ab of the artificial respirator 11AB, ie, an airway pressure curve. Here, in the airway pressure curve in the artificial respiration circuit, the signal of the expiration / inspiration cycle 11ab is, for example, the synchronizer 11X with the pressure increase start point as the inspiration start time point 11ac and the pressure decrease start point as the exhalation start time point 11bc. It can be transmitted to the air supply device 8 by an electrical signal via the pressure signal, and can be used as a trigger point for pressure reduction / pressurization ON / OFF. The synchronization device 11X may be provided integrally with the artificial respiration device 11AB.

(A) in the figure shows the state of the inspiratory phase, in which the upper left rear air bag body 1La is decompressed in accordance with the inhalation 11a of the artificial respirator 11AB and does not hinder the expansion of the left lung HL. In the state shown in (b), after moving to the expiratory phase, the air bag body 1La is pressurized and inflated by inflating the air bag body 1La in synchronization with the exhalation air 11b. At the same time as the pressurization, the body of the patient H is tilted so that secretions HLa such as left lung HL sputum are secreted and excreted HLx through the airway Hi. In other words, the air bag body 1La pressurization ON 8bc is set at the exhalation start time point 11bc of the exhalation / inhalation cycle 11ab, and the air bag body 1La is pressurized OFF 8ac at the inspiration start time point 11ac. By repeating this in the respiratory cycle, the respiratory improvement effect of the left lung HL is brought about. In this embodiment, one pressurization ON 8bc is provided for one exhalation 11b, but for example, how to synchronize such as one press ON8bc for three exhalations 11b. Can be set arbitrarily.

  FIG. 12 shows a spontaneous respiration curve from a self-respiration monitoring monitor electrode 12xy worn on the chest and wearing a vest main body 1 in a patient who has left pneumonia and a secretion of HLa such as sputum in the left lung HL and is spontaneously breathing. It is a figure which performs air supply control to upper left back air bag body 1La by pressurization and decompression cycle 8ab synchronized with 12ab. By inflating the air bag body 1La by inflating the air bag body 1La in synchronization with the spontaneous exhalation signal 12b, the left lung HL is pressurized from the upper left back surface outside the body, and at the same time the patient H's body is tilted. It is intended to make secretions HLa such as sputum excrete secretion HLx through airway Hi. That is, the pressurization ON 8bc of the air bag body 1La is set at the exhalation start time 12bc of the spontaneous breathing curve 12ab, and the pressurization OFF 8ac of the air bag body 1La is set at the inspiration start time 12ac. By repeating this in the respiratory cycle, the respiratory improvement of the left lung HL is brought about. Similar to the artificial respiration apparatus 11AB, the signal of the spontaneous respiration curve 12ab is transmitted to the air supply apparatus 8 as an electric signal via the spontaneous respiration monitoring apparatus 12AB and the synchronization apparatus 12X, and the trigger points for decompression / pressurization ON / OFF are set. can do. As in the case of the artificial respiration apparatus 11AB, the synchronization apparatus 12X may be provided integrally with the spontaneous breath monitoring apparatus 12AB. In the present embodiment, one pressurization ON 8bc is provided for one exhalation 12b. However, as in the case of artificial respiration, for example, one application is performed for three exhalation 12b. How to synchronize can be arbitrarily set by providing the pressure ON8bc. Here, as a method of the spontaneous breathing monitoring apparatus 12AB, a known method is described in which a high frequency current is passed between two electrodes mounted on the rib cage, and a breathing curve is drawn using the change in impedance due to breathing. The signal of the spontaneous respiration curve 11ab is obtained by the impedance nomograph method or the inductance plethysmograph method for drawing a respiration curve using the change in inductance due to the change in the cross-sectional area of the stretchable coil wound around the rib cage according to respiration. It is possible.

FIG. 13 is a schematic circuit diagram showing a clothing apparatus comprising the clothing body 1 in FIG. 1, FIG. 2, FIG. 4, FIG. 5, and FIG. 10, and an air supply device 8 including an air circuit and an electric circuit. As shown in FIG. 13, the air supply device 8 includes a compressed air supply source 20 such as a compressor, a tank 21 for suppressing pulsation of compressed air connected to the compressed air supply source 20, and a pressure A control unit 23 having a sensor 22; a left solenoid valve 25L and a right solenoid valve 25R connected to the tank 21 by a supply path 24; a supply port for the supply path 24, the left solenoid valve 25L and the right solenoid valve 25R; The left check valve 26L and the right check valve 26R provided between the two. The number of solenoid valves and check valves is determined according to the number of compressed air supply passages. In the case of the clothing apparatus shown in the figure, two left solenoid valves 25L and two right solenoid valves 25R are provided. The left check valve 26L and the right check valve 26R are provided, but the number of the check valves is not limited to two, and a larger number can be provided depending on the purpose.

The left solenoid valve 25L or the right solenoid valve 25R is a known three-way valve provided with a supply port, a distribution port, and an exhaust port, and is configured to open and close the three-way valve with a spherical valve body (not shown) operated by a solenoid unit. Has been. The supply port is connected to the compressed air supply source 20 via the left check valve 26L and the right check valve 26R, the supply path 24, and the tank 21. The distribution ports are connected to the corresponding air bag bodies via the pressure-resistant tubes 9. The exhaust port can communicate with the distribution port and is open in the air supply device 8.

Compressed air from the compressed air supply source 20 passes through the tank 21, the supply path 24, the left check valve 26L and the right check valve 26R, and is supplied into the supply port of the left solenoid valve 25L or the right solenoid valve 25R. Then, it passes through the pressure-resistant tube 9 from the distribution port of the electromagnetic valve and is supplied to the air bag body. The supplied compressed air does not flow back by the check valve but is held in the air bag body. When the valve body of the left solenoid valve 25L or the right solenoid valve 25R moves and the exhaust port communicates with the distribution port, the compressed air in the air bag body is exhausted. The exhausted compressed air is discharged into the air supply device 8 and further discharged from a vent (not shown) provided in the air supply device 8.

The control unit 23 is electrically connected to the compressed air supply source 20 and the left solenoid valve 25L or the right solenoid valve 25R as shown by the broken line in FIG. 13 to control the compressed air supply source 20, and the left solenoid valve 25L. Alternatively, the right solenoid valve 25R is ON / OFF controlled.

The switch mechanism provided in the air supply device 8 is turned on to start pressurization / decompression, that is, supply / exhaust. When air supply / exhaust is started, the compressed air supply source 20 is activated to supply compressed air, and the control unit 23 starts ON / OFF of the left solenoid valve 25L or the right solenoid valve 25R. The control unit 23 turns ON / OFF the left solenoid valve 25L or the right solenoid valve 25R according to a previously stored pattern. FIG. 14 below lists ON / OFF patterns of the left solenoid valve 25L or the right solenoid valve 25R. This is an example, and the present invention is not limited to this, and various patterns can be stored in the control unit 23.

  For example, the pattern shown in FIG. 14 will be described. In other words, assuming that the air supply / exhaust operation time T1 and the intermittent stop time T2 are given here, as an example, mode A is T1 = 10 minutes, T2 = 5 minutes, mode B is T1 = 20 minutes, T2 = 10 minutes, mode C T1 = 30 minutes and T2 = 10 minutes. The left solenoid valve 25L connected to the air bag body 1La, 1Lb via the pressure-resistant tube 9 is turned on, the valve body of the left solenoid valve 25L moves, and the supply port and the distribution port communicate with each other. Compressed air begins to flow into 1Lb. The left solenoid valve 25L is turned ON for a time T1. After time T1, the left solenoid valve 25L is turned OFF, the valve body of the left solenoid valve 25L communicates with the exhaust port and the distribution port, and the air in the air bladders 1La and 1Lb is exhausted from the left solenoid valve 25L. More exhausted. Next, when the left solenoid valve 25L is turned OFF and time T2 has passed, the right solenoid valve 25R connected to the air bladders 1Ra and 1Rb via the pressure-resistant tube 9 is turned ON, and the valve body of the right solenoid valve 25R moves. The supply port and the distribution port communicate with each other, and compressed air begins to flow into the air bag bodies 1Ra and 1Rb. The right solenoid valve 25R is turned ON for a time T1. When the time T1 passes, the valve body of the left solenoid valve 25L is turned off, the exhaust port and the distribution port communicate with each other, and the air in the air bladders 1Ra and 1Rb is exhausted from the exhaust port of the right solenoid valve 25R. Further, when the right solenoid valve 25R is turned OFF and time T2 has passed, the left solenoid valve 25L communicating with the air bladders 1La and 1Lb is turned ON and the above pattern is repeated.

  The pressure sensor 22 communicates with the tank 21 through a pipe 27 and measures the pressure in the tank 21. If the left solenoid valve 25L or the right solenoid valve 25R is ON, the supply port and the distribution port of the solenoid valve communicate with each other, and the pressure in the tank 21 and the air bag body connected to the distribution port of the solenoid valve is the same. The pressure sensor 22 measures the pressure of the air bag body.

The control unit 23 sets a different internal pressure for each air bag body. Therefore, when the compressed air supply source 20 is driven to flow compressed air into the air bag, the commercial AC power source supplied to the compressed air supply source 20 is set. Proportional control is performed to change the conduction angle. In addition, when the set pressure value and the pressure value measured by the pressure sensor 22 are different, the control unit 23 changes the conduction angle in order to quickly approach the set pressure.

  FIG. 15 is a circuit diagram in which the synchronizer 11 / 12X and the air supply device 8 are connected between the air supply device 8 and the artificial respiration device 11AB or the spontaneous breathing monitoring device 12AB. 12 shows a method of intermittently automatically pressurizing the left diseased lung as shown in FIG. 12 in synchronism with exhaled air 11b or 12b. The communication line 28 of the synchronization device 11 / 12X is connected to an input / output circuit 29 connected to the control unit 23 of the air supply device 8. When the signal of the expiration / inspiration cycle 11ab or the spontaneous breathing curve 12ab is input to the control unit 23 via the input / output circuit 29 through the communication line 28, the control unit 23 is synchronized with the expiration 11b or 12b as described above. In order to pressurize the air bag body 1La, the compressed air supply source 20 is controlled, and the left solenoid valve 25L is controlled to be ON / OFF.

As shown in FIG. 16, the upper left back air bag body 1La, the lower left back air bag body 1Lb, the upper right back air bag body 1Ra, and the lower right back air bag body 1Rb are center lines of the back portion of the main body 1 However, as a clothing apparatus, it may of course be stored in the upper left back pocket 12La, the lower left back pocket 12Lb, the upper right back pocket 12Ra, and the lower right back pocket 12Rb.

FIG. 17 shows the change of body posture in 12 healthy persons of 22 to 56 years old who weigh 45 to 92 kg with 30 mmHg pressurization with 30 min. The result of having performed is shown. The posture change angle of the rib cage shown in (a) of the figure is an angle with the line connecting the distal ends of both clavicles to the horizontal plane, and the posture change angle of the pelvis shown in (b) of the figure is relative to the horizontal plane. The angle of the line connecting the upper anterior iliac spine on both sides. As shown in (b) of the figure, the right side of the thorax is raised 19.6 degrees on the right and the left side is raised 19.0 degrees on the average, and at the same time, the pelvis is raised on the right side as shown in (b) of the figure. It has been shown that the body position is converted to a stable body with the left and right thoracic ribs and the left and right pelvis linked together, with an average of 21.3 degrees and an angle of 21.4 degrees on the left. . Further, it is considered that the angle of posture change can be further increased depending on the volume of the air bag body and the degree of pressurization.

FIG. 18 is a view showing an example of 16 patients after orthopedic general anesthesia operation, who are 17 to 94 years old and weighing 38 to 110 Kg, with the consent of the patient or their families, using the vestibule device according to claim 1. The result of performing posture change with a period of 30 minutes to 60 minutes under pressure is shown. As shown in (a) of the figure, the thoracic posture change angle was raised by an average of 20.6 degrees on the right side and an average of 18.9 degrees on the left side, and at the same time as shown in (b) of the figure In addition, the pelvic position change angle is an average of 20.3 degrees on the right side and an average of 18.8 degrees on the left side. It is shown that it is done.

FIG. 19 shows a patient after a right femoral fracture operation combined with bilateral swallowing pneumonia using the vestibule device of claim 1 for 10 days under the consent of the patient or his family. It is the clinical course figure which performed the automatic posture change of the trunk continuously. In the course of stable automatic posture change of the trunk after wearing for 10 days, (b) Decrease in body temperature, (b) Decrease in required oxygen intake, (c) Oxygen saturation in the figure An increase is obtained, which shows the effect of improving swallowing pneumonia and lung respiratory function.

FIG. 20 is a questionnaire regarding the wearability, the influence of pressurization, and the mechanical influence at the time of using the jacket apparatus of claim 1. (A) in the figure shows the questionnaire items and the score evaluation method. (B) in the figure is the average score result of each item in 12 healthy subjects described in Example 1. (C) of the figure is the result of the average score of each item in 29 inpatients after orthopedic surgery with the consent of the patient or their family, including the postoperative patient described in Example 2. There were no significant risks or major problems in healthy subjects and inpatients after orthopedic surgery, indicating that the clinical trial was safe.

FIG. 21 shows the left air pressure body 10 minutes left pressurization 10 minutes → intermittent rest period 5 minutes → two right air bag body right pressure 10 minutes in 12 healthy subjects It is the result of performing automatic posture change of the trunk and measuring (a) back central pressure in the same figure and (b) pelvic central sacral pressure in the same figure. Both the back central pressure and the pelvic central sacral pressure often show body pressures of 30 mmHg or more during the intermittent resting period, but they are significantly reduced when the left and right rows are pressurized. In each case, Wilcoxon mean difference test is P <0.01. By the automatic posture change of the trunk according to the present invention, the pressure reduction of the back central pressure and the pelvic central sacral pressure, that is, the significant body pressure dispersion in the center of the trunk is obtained.
(Possibility of industrial use)

The present invention can prevent and improve respiratory complications in hospitalized patients and facilities / home-care patients with difficulty in body movement, and promotes distribution of body pressure in the trunk including the rib cage, spine, and pelvis. It becomes possible to automate part of the respiratory physiotherapy and repositioning that have relied on human and manual labor until 24 hours or more in other days with a cycle of less than 1 hour. As a result, it is possible to improve the working conditions and reduce labor costs for healthcare professionals, as well as more efficient medical effects for patients. In addition, as an automatic posture change device, there is a possibility that efficiency of movement, transportation, storage, etc. can be obtained by reducing the weight and volume as compared with the conventional bed / mat type device. For these reasons, the present invention may be used in the medical and nursing care related industries.

1 Main body 1La Upper left rear air bag body 1Lb Lower left rear air bag body 1Ra Upper right rear air bag body 1Rb Lower right rear air bag body 2
Neck holder 3
Left shoulder holder 3A
Surface fastener A surface 3B of the left shoulder holding portion Surface fastener B surface 3X of the left shoulder holding portion Left shoulder circumference adjusting portion 3XA Surface fastener A surface 3XB Left shoulder circumference adjusting portion Surface fastener B surface of the left shoulder circumference adjusting portion 4
Right shoulder holding part 4A Right shoulder holding part surface fastener A surface 4B Right shoulder holding part surface fastener B surface 4X Right shoulder circumference adjustment part 4XA Right shoulder circumference adjustment part H surface fastener A side 4XB Left shoulder Surface fastener B surface 5 of the circumference adjustment section
Left leg holding part 5A Surface fastener A surface 5B of left leg holding part Surface fastener B surface 5X of left leg holding part Left leg circumference adjusting part 5XA Surface fastener A side 5XB of left leg circumference adjusting part Left Leg fastener B surface of leg circumference adjustment part 6
Right leg holding part 6A Left leg holding part hook-and-loop fastener A surface 6B Left leg holding part hook-and-loop fastener B surface 6X Left leg part circumference adjusting part 6XA Left leg part circumference adjusting part hook-and-loop fastener A side 6XB Left Surface fastener B surface 7 of the leg circumference adjusting portion 7 Trunk covering portion 7A Surface fastener A surface 7B of the trunk covering portion Surface fastener B surface 7X of the trunk covering portion Trunk circumference adjusting portion 7XA Trunk circumference adjusting portion Surface fastener A surface 7XB Trunk fastener B surface 8 of trunk circumference adjustment part
Air supply device 8ab Pressurization / decompression cycle 8bc Pressurization ON
8ac Pressurization OFF
8c Air circuit and electric circuit 9 Pressure-resistant tube 10 Bed 11AB Artificial respirator 11ab Expiratory / inspiratory cycle 11a
Intake 11b
Exhalation 11bc exhalation start time 11ac
Inhalation start time 11X Synchronous device 12xy Spontaneous breath monitoring monitor-electrode 12AB Spontaneous breath monitoring device 12ab Spontaneous breathing curve 12b
Spontaneous exhalation 12bc Expiration start time 12ac Inhalation start time 12X Synchronizer 13La Upper left pocket 13Lb Lower left pocket 13Ra Upper right pocket 13Rb Lower right pocket 20 Compressed air supply source 21 Tank 22 Pressure sensor 23 Control unit 24 Supply path 25L Left solenoid valve 25R Right solenoid valve 26L Left check valve 26R Right check valve 27 Pipe 28 Communication line 29 from the synchronization device 11 / 12X I / O circuit
H
patient
HL left lung
HR right lung
HLa secretion
HLx
Secretion excretion
Hd left leg
H e Right leg
Hf Rear midline
Hg Sacral midline
HT thorax
HTL left rib cage
HTR right rib cage
HP pelvis
HPL left pelvis
HPR right pelvis
HS spine
N
Patent document 1 clothing fabric
NL Patent document 1 left air bag body
NR
The right air bag body of patent document 1
M Weight
M1 shift to the right
M2 Rotational deviation
T1 Supply / exhaust operation time
T2 intermittent pause time

Claims (7)

Three upper holding parts, ie, a neck holding part, a left shoulder holding part, a right shoulder holding part, which contain and hold the neck, left shoulder, and right shoulder, respectively, branched from the upper body of the patient's trunk, and the patient's body Two lower holding parts that tie and hold the left leg part and the right leg part from the lower half of the trunk, that is, the left leg holding part, the right leg holding part, and the front or A trunk covering portion that is fastened at the side, the upper holding portion, the lower holding portion, and the trunk covering portion that can be worn as a single body &#32363; A plurality of sections provided on each of the left back portion and the right back portion of the body so as to follow the main body of the clothing and the upper half of the patient's trunk and the lower half of the trunk even when the patient moves and rotates. The air bag body and a plurality of the air bag bodies are pressurized or depressurized individually or in conjunction with two or more. Vest apparatus for the lying patient characterized in that form by the air supply device can be controlled so as to be state. The main body of the garment has a left shoulder holding part from the upper trunk, a right shoulder holding part, a left leg holding part from the lower trunk, and a right leg holding in order to further adapt to the physique of each patient. Left shoulder circumference adjustment section, right shoulder circumference adjustment section, left leg circumference adjustment section, right leg circumference adjustment section, and body The trunk apparatus for a bedridden patient according to claim 1, further comprising a trunk circumference adjusting portion that can adjust and fix the trunk circumference in the trunk covering portion. The multiple-compartment air bags are turned on and off in synchronization with the exhalation and inspiration cycle signals of the artificial respiration device individually or in conjunction with two or more compartments, and are electrically pressurized and decompressed. The vestibule apparatus for a bedridden patient according to claim 1 or 2, characterized by comprising an air supply device to be controlled. The above-mentioned multiple-compartment air bags are turned on and off by repeating ON / OFF in synchronization with the exhalation / inspiration cycle signal of the spontaneous breathing curve of each spontaneous breathing patient individually or in conjunction with two or more compartments. The vestibule apparatus for a bedridden patient according to claim 1 or 2, characterized by comprising an air supply device that is electrically controlled to a state. The multi-compartment air bag body is pressurized by turning ON / OFF alternately at set time intervals by a timer circuit independent of the exhalation / inspiration cycle, individually or in conjunction with two or more compartments. 3. The vestibule apparatus for a bed patient according to claim 1 or 2, wherein the apparatus is an air supply device that is electrically repetitively controlled in a reduced pressure state. 6. The vestibule apparatus for a bedridden patient according to claim 1, wherein the plurality of air bag bodies are sewn to a back part of the main body of the vestibule. 6. The dressing apparatus for a bedridden patient according to claim 1, wherein the plurality of air bag bodies are housed in a pocket portion provided in a back portion of the body main body.