JP3944538B2 - Medical goods - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a medical article in which medical devices are integrally enclosed in a container, which is generally used when cleanliness is required. In particular, medical pads such as gauze, bandages, wound dressings, and absorbent pads that have been sterilized, sterilized, disinfected, sterilized, etc. (hereinafter referred to as sterilization) are integrally enclosed in a container. The present invention relates to a medical article suitable for the case.
[0002]
[Prior art]
2. Description of the Related Art Conventionally, medical devices that require hygiene management have been managed by various methods. As one of the methods, in order to prevent secondary infection due to contamination of a medical device, a treatment for reducing bacteria attached to the medical device by sterilizing the medical device is performed. Particularly in hospitals, in order to sterilize many medical devices at once, sterilization is performed using a container with a lid made of stainless steel or resin having an openable / closable vent called a cast. Specifically, a medical device to be sterilized is placed in the cast, the lid is closed, sterilization is performed by introducing a sterilizable gas or vapor from the vent, and then the vent is closed. This type of container is sterilized during sterilization, but the container body and lid are not sealed, so the internal sterilization storage period after sterilization is short and every time a sterilized product is used. Since it has a structure for opening and closing the lid, there is a high possibility that the medical device inside the container is contaminated. For this reason, disposable medical devices such as gauze and absorbent cotton, which have relatively different amounts of use and number of uses, have a large number of times of opening and closing the lid, and the time until use up is not constant.
[0003]
In hospitals, sterilized levers, forceps, and the like are used to remove disposable medical devices such as gauze and cotton wool from the cast. Furthermore, from the viewpoint of preventing infection, it is often used to apply the removed medical device to the affected area using a lever or forceps other than the one removed from the container. In addition, depending on the size and shape of the medical device to be used, there are cases where two levers and forceps are used at a time, and a considerable number of levers and forceps are used throughout the hospital, and these are re-sterilized. There is. In fact, the labor and sterilization time required for re-sterilization of such insulators and forceps has become a large cost burden for the hospital side, and the labor cost for sterilization in the recent environmental changes to reduce medical costs, Equipment costs are seen as a problem.
[0004]
Under such circumstances, many methods have been adopted in which medical devices are individually stored in containers (generally referred to as sterilization bags) made of sterilization packaging materials, from the storage of medical devices in conventional containers such as casts. It is coming. This is because with such an individual storage method, sterility can be maintained until just before use of the medical device, and the sterilization storage period can be extended. This is because the same device can be used when the medical device is taken out of the container and when it is applied to the affected part, and the sterilization cost of the insulator or the like can be suppressed.
[0005]
However, even with a sterilization bag made of such a sterilization packaging material, it is still necessary to prepare sterilized levers, forceps, etc. when taking out the medical device from the container. When opening the bag, it was necessary to take care not to touch the medical device directly. As a technique for solving these problems, for example, a dispenser has been proposed in which a sterilized flat disposable product is accommodated in a hose-shaped protective sheet and the disposable product is released from the protective sheet by an intermittent peeling function. (For example, refer to Patent Document 1). However, such a large-scale device is expensive to manufacture, and it is necessary to secure a place to install it. Also, when the disposable items inside are used up, new disposable items are set in the device one by one. It is necessary and extremely complicated.
[0006]
Moreover, it is a product in which a liquid holding pad such as alcohol gauze is enclosed in a fluid-impermeable package, and can be opened without tearing the package when the package is opened and without exposing the pad surface. The method is shown (for example, refer patent document 2). This package has a flange part for grasping by hand when opened, and the pad is attached to the inner layer of the package, so that after opening, one side of the pad is exposed on the package while holding the flange part. You can create a state. Therefore, the user can use the liquid holding pad as it is for cleaning the skin while holding the flange of the package, and can discard the liquid holding pad together with the package after use. Certainly, it is possible to handle the liquid holding pad without using an insulator or forceps by processing such that the liquid holding pad and the package are integrally attached. Since only certain surfaces are exposed, the liquid holding pad is only partially used, resulting in inefficient material usage. Further, when it is desired to use the liquid holding pad alone, such an integral structure is not easy to use, and its usage is limited.
[0007]
In addition, the present invention relates to a package for a medical device, and a double-structured package including an outer container and an inner envelope body provided with an opening in a longitudinal direction provided in the outer container is disclosed (for example, (See Patent Document 3). This inner envelope is provided so that the medical device inside is not contaminated even after the outer container is opened, and there is an open part installed in the longitudinal direction, which makes it easier to medical care than the conventional one. Can be peeled from the appliance. However, the inner envelope structure that wraps the entire medical instrument has a limitation in the convenience of removal from the medical instrument. In fact, such a structure is undesirable because it requires both hands to open the package, which can be cumbersome for doctors and nurses who must perform various operations at once.
[0008]
Further, a medical accessory kit has been proposed in which a gauze and tweezers for grasping the gauze are accommodated in the tray, the opening of the tray is sealed with a gas-permeable sterilization sheet, and sterilized (for example, (See Patent Document 4). Here, it has been proposed that when grasping the gripping portion of the tweezers or opening the tray, the gripping portion of the tweezers is disposed at the opening start position of the tray so that the finger does not touch the gauze. However, such kits take two steps: unpacking the tray and then holding the medical device inside. For example, when the handicapped or blind people such as elderly people use it at home There is a possibility that the operation cannot be performed well. In some cases, it is possible to pick and drop the medical device.
[0009]
[Patent Document 1]
JP 58-30954 A (Pages 3-5, Fig. 2)
[Patent Document 2]
JP-T 61-501019 (pages 6-7, Fig. 2)
[Patent Document 3]
Japanese Utility Model Publication No.59-112771 (pages 6-9, Fig. 1)
[Patent Document 4]
Japanese Patent Laid-Open No. 9-84806 (pages 2 and 3, FIG. 1)
[0010]
[Problems to be solved by the invention]
It is an object of the present invention to easily take out a medical device from a container without contaminating the medical device and using a special device when taking out the sterilized medical device enclosed in the container. An object of the present invention is to provide a medical article that can be applied to an affected area.
[0011]
[Means for Solving the Problems]
Therefore, in order to solve the problems described above, according to the present invention, a container, a medical device sealed in the container, is pre-installed so as to sandwich the medical device partially been and sealed in the container A gripping means, and after the container is opened, the gripping means is grasped so that the medical device can be grasped and taken out of the container. The knob means is separable from the taken out medical device. .
[0012]
The container used in the present invention is not particularly limited as long as it can enclose a medical device, but a bag-like or tray-like container (generally called a sterilization bag) formed from a sterilization packaging material is used. preferable. As the packaging material and packaging method of this sterilization bag, known ones can be appropriately selected depending on the sterilization method and the storage period until use. For example, in the case of high-pressure steam sterilization and short-term storage, it is generally preferable to use a sterilization bag made of a plastic film such as paper or cellophane when storing a little longer, such as cotton cloth or nonwoven fabric. In the case of ethylene oxide gas sterilization and radiation sterilization, it is possible to maintain a long-term expiration date by performing sterilization after completely sealing and packaging using a plastic material. About the packaging method, the structure which can be opened so that it may not touch a medical device inside at the time of opening is preferable, and the conventionally used packaging method is employable. Among them, a packaging container in which the two members are sealed so as to face each other and the two members are opened so as to be peeled in the opposite directions is preferable.
[0013]
The medical device enclosed in the container is not particularly limited, but is generally suitable for disposable products (disposable products) that are frequently used and require frequent use of levers, forceps, and the like. A medical pad such as a gauze, a bandage, a wound dressing, an absorbent pad or the like in which the portion directly touches the human body is particularly suitable from the viewpoint that the effect of the present invention is sufficiently exhibited.
[0014]
The knob means in the present invention is installed in a state where the medical device is partially sandwiched before opening the container. After the container is opened, the user picks and pulls the knob means directly on the surface of the medical device. The main part of the medical device can be exposed from the container without touching. In this way, since the knob means is in a state in which the medical device is sandwiched in advance, there is no need to newly sandwich the medical device, and the medical device can be picked out immediately after the container is opened. The shape of the knob means is advantageously tweezers or a cylinder. As for the size, it is desirable to have at least a size that can be operated by pinching with a finger. Since this knob means is installed with the medical device partially sandwiched, it can be easily separated from the medical device, and after pinching the medical device and carrying out a given work, the medical device can be used alone. Can be applied to the affected area. The position where the knob means is installed is not particularly limited, but it is preferably attached to the surface of the medical device located in the vicinity of the opening start position of the container. By doing so, it is possible to pinch the medical device immediately after opening the container and to prevent accidental touching the surface of the medical device when opening the container. Further, if a plurality of knob means are provided at appropriate locations in accordance with the size and shape of the medical device enclosed in the container, the medical device can be more easily pinched. The material constituting the knob means is preferably a material that can withstand several sterilization treatments and does not allow liquid and bacteria attached to the fingertips to permeate the medical device. Specifically, plastic and paper are preferable, and metal is not preferable because of problems such as material cost and processing time. In particular, a light-transmitting material is more preferable because it can be inspected at a glance even if a foreign substance is mixed between the knob means and the medical device when the medical device is manufactured.
[0015]
When using medical pads that are relatively soft, such as gauze, bandages, wound dressings, absorbent pads, etc., that tend to bend when pinched, the medical pads are less likely to bend. A pinch means that can be pinched is preferable. Specifically, when the knob means is pinched, it is preferable that the knob means deforms the cross-sectional shape of the medical pad and raises the second moment of the cross section. In addition, a cross section here is a cross section orthogonal to the bending direction (direction where force is applied and bent) of a medical pad. As a cross-sectional shape for increasing the cross-sectional secondary moment, an arc shape, a V-shape, a U-shape, or a shape such as a waveform in which these shapes are continuous can be used. In this way, by changing the cross-sectional shape of the medical pad and increasing the secondary moment of the cross-section, when the medical pad is pinched, the medical pad can be maintained as straight as possible without bending. As a result, when applying a medical pad, the medical pad can be moved almost horizontally without touching clothes, bedding, or medical equipment, etc., thus preventing contamination of the medical pad and aligning it with the affected area. It will be easy to do.
[0016]
As a method for increasing the cross-sectional secondary moment of the medical pad by the knob means, for example, a method of selecting the size of the knob means and the hardness of the material so that the user can perform a method of increasing the cross-sectional secondary moment. There is. The size of the knob means used in this method is large enough for the user to pinch the knob means with three or more fingers, or two fingers can pinch the knob means at a portion other than the fingertip. It is only necessary to have a size that can be adjusted (how to pinch the knob means is shown in the embodiments described later). Further, the hardness of the knob means is not deformed by its own weight, but is preferably hard enough to be deformed when pinched. For example, paper, plastic sheet, fiber cloth, or a combination of them can be used. As another method, there is a method in which an operating point for deforming the medical pad is provided on the knob means so that the moment of inertia of the cross section of the medical pad is increased. Specifically, there is a method in which a meshing portion for sandwiching the medical pad of the knob means from above and below is processed so as to mesh with a predetermined shape such as an arc shape, a V shape, a U shape, etc. Preference is given to using plastic technology. As yet another method, in a tweezer-shaped knob means composed of two members, there is a method in which the knob means is formed using a material that is hard and hardly deformed in one of the members, and a material that is softer and more easily deformed than the other member. is there. As a combination of the two members, materials having different hardness such as paper, plastic sheet, fiber cloth, and foam material can be appropriately selected and used.
[0017]
DETAILED DESCRIPTION OF THE INVENTION
Next, embodiments of the present invention will be described with reference to examples shown in the drawings. Note that the same reference numerals are used for the same parts in the reference numerals in the figure.
[0018]
FIG. 1 shows an embodiment of the present invention, a is a plan view thereof, b is a side sectional view taken along line bb of a, FIG. 2 shows a method for using the same, and a is a perspective view showing an opening operation of a medical article. FIGS. B, c are perspective views showing a state in which the medical device is pinched. Reference numeral 1 denotes a medical article according to the present invention, in which a medical device 3 and a knob means 4 are enclosed in a container 2 and sterilized. In this embodiment, gauze is used as the medical device 3. The container 2 is formed by sealing the two container forming members 2a and 2b so as to be peeled from each other along the seal portion 5, and the unsealed end provided outside the seal portion 5 is opened. Acts as a starting point 6. As materials used for 2a and 2b, from the viewpoint of sterilization efficiency and adhesiveness, a transparent plastic sheet is used on one side, and a gas-permeable paper or non-woven fabric is used on the other side. Paper). The knob means 4 is formed in a wide tweezers shape, and is installed in a state where the medical device 3 is sandwiched from above and below at the end of the medical device near the opening start location 6. Further, in this embodiment, when the medical device 3 is applied to an affected part or the like, a gripping method that raises the cross-sectional second moment of the medical device so that the medical device 3 can be applied as straight as possible without bending. It is possible. Specifically, the size of the knob means 4 so that the cross-sectional shape of the medical pad in the vicinity of the knob means can be deformed into an arcuate shape (shown in FIG. 2) without touching the surface of the medical device 3. The hardness is selected. The knob means 4 is made of a light-permeable plastic material that is impermeable to liquid and can be deformed when pinched with a finger.
[0019]
Next, a method of using the medical article 1 shown in FIG. 1 will be described using FIGS. 2a, 2b, and 2c. First, as shown in FIG. 2a, the ends of the container forming members 2a and 2b forming the opening start location 6 are grasped, and the container forming members 2a and 2b are opened so as to peel away from each other in the opposite directions. The tool 3 is exposed from the container 2. Next, the medical device 3 is taken out from the container with the knob means 4 out of the container. Thereafter, using the thumb and index finger as shown in FIG. 2b, or using the thumb, index finger and middle finger as shown in FIG. 2c, the medical tool 3 is pinched so that the cross section of the medical tool 3 is deformed into an arcuate shape. The tool 3 is applied to the affected area or the like so that the tool 3 is in a straight state.
[0020]
FIG. 3 shows another embodiment of the present invention, in which a is a plan view, b is a side sectional view taken along line bb of a, and the same reference numerals are given to the same parts as in FIG. The embodiment of FIG. 3 differs from the embodiment of FIG. 1 in that the knob means 4 is formed in a cylindrical shape and covers the end portion of the medical device 3 so as to surround it. By making the knob means into the cylindrical shape in this way, it is possible to more reliably prevent the medical device surface from being touched when opened. The usage method of the embodiment of FIG. 3 is the same as the usage method (FIG. 2) described in the embodiment of FIG.
[0021]
FIG. 4 shows still another embodiment of the present invention, in which a is a plan view thereof, b is a side sectional view taken along line bb of a, and c and d are perspective views showing the opening operation of the medical article. Parts equivalent to 1 are given the same reference numerals. The embodiment of FIG. 4 differs from the embodiment of FIG. 1 in that the knob means 4 is joined to the container 2. That is, in the embodiment of FIG. 4, a bonding layer 7 made of an adhesive is provided on one side of the knob means 4, and the knob means 4 is bonded to one container forming member 2 b of the container 2. In this embodiment, as shown in FIGS. 4c and 4d, the medical device 3 is exposed from the inside of the container while holding the container 2 during the opening operation, and after the application of the medical device, the container 2 and the knob means 4 are simultaneously attached. Can be discarded. About the usage method after opening of the Example of FIG. 4, it applies by the method similar to the usage method demonstrated in the Example of FIG.
[0022]
FIG. 5 shows still another embodiment of the present invention, in which a is a plan view thereof, b is a side sectional view taken along line bb of a, c and d are perspective views showing a method of application to an affected area, and e is a figure. 5 is a perspective view showing a modification of the embodiment of FIG. The embodiment of FIG. 5 differs from the embodiment of FIG. 1 in that a peelable member 8 is attached to the surface of the medical device 3. That is, the peelable member 8 is a sheet-like member having a tab 9 for pinching with a finger, and is temporarily attached to one surface of the medical device 3 by a peelable adhesive layer 10 provided on one side thereof. Yes. The medical device 3 shown in the embodiment of FIG. 5 is a gauze having a plastic net 11 that is non-adherent to a wound on the surface. Such a gauze having a net coated on its surface is suitable for use in the embodiment of FIG. 5 because it can be easily peeled off when the peelable member 8 is peeled off from the gauze and can be easily peeled off. It is. The material used for the peelable member 8 is preferably a material having such a hardness that the medical device 3 can be kept straight without being bent when attached to the medical device 3. Uses transparent plastic materials.
[0023]
Next, the usage method of FIG. 5 is demonstrated using FIG. Note that the opening operation of FIG. 5 is the same as that of the embodiment of FIG. When the medical device 3 taken out from the container 2 is applied to the affected part, in the embodiment of FIG. 5, the peelable member 8 has an appropriate hardness, so that the medical device 3 does not flex as shown in FIG. 5c. In addition, it is possible to maintain a straight state, and it is also easy to position to the place 51 to be applied. Thereafter, as shown in FIG. 5d, the medical device 3 is placed on the affected part 52, the tab 9 of the peelable member 8 is pinched and peeled off, and finally the knob means 4 is removed and the medical device 3 is applied. When the size of the medical device to be applied is large, the size of the peelable member increases, which may be disadvantageous economically. In such a case, as shown in FIG. A peelable member 8 is provided in a position where the balance can be achieved in a straight state, for example, in the vicinity of the end of the medical device 3 opposite to the attachment position of the knob means 4. That is, the two parts of the knob means 4 and the peelable member 8 are pinched to keep the medical device parallel to the affected part.
[0024]
FIG. 6 shows still another embodiment of the present invention, in which a is a plan view thereof, b is a side sectional view taken along line bb of a, and c and d are perspective views showing an application method to the affected part. The same reference numerals are given to the equivalent parts. The embodiment of FIG. 6 is a modification of the embodiment of FIG. 5 and has the same configuration as the embodiment of FIG. 5 except that the role of the peelable member is replaced by one container forming member of the container. . That is, the container forming member 2a is temporarily attached to one surface of the medical device 3 by the peelable adhesive layer 12 partially provided on the inner surface of the container. Regarding the method of using the embodiment of FIG. 6, as shown in FIGS. 6c and 6d, a method essentially the same as that of the embodiment of FIG. 5 is used. In the embodiment of FIG. 6, the example in which the adhesive layer 12 is provided on the 2a side is shown, but of course, the adhesive layer 12 may be provided on the 2b side, and the selection thereof takes into consideration the hardness and workability of the container forming member. It is preferable to do so.
[0025]
FIG. 7 shows a pinch means suitable when using a medical pad that is relatively soft and flexible in shape when pinched, such as gauze, adhesive bandage, wound dressing, absorbent pad, etc., as a medical device. That is, the knob means can deform the cross-sectional shape of the medical pad in the vicinity of the knob means and raise the sectional second moment. 7A, 7B, and 7C, each of which is a knob means formed of plastic, can guide the cross-sectional shape of the medical pad to a predetermined shape. FIG. 7a is a tweezer-shaped knob means molded from a transparent plastic material having elasticity. The upper member has a protrusion 71 in the center, and the lower member connected to the upper member is an upper protrusion. Two protrusions 72, 73 are arranged on both sides of the part 71, and the medical pad sandwiched between the protrusions 71 and the two protrusions 72, 73 is moved downward by the protrusions 71. By applying a force in the upward direction by the protrusions 72 and 73, the cross-sectional shape can be guided into an arcuate shape. 7B and 7C show knob means formed of a relatively hard plastic material. FIG. 7B shows the upper and lower members 74 and 75 having a U-shaped cross section, and FIG. 7C shows that the upper and lower members 77 and 78 have a corrugated cross section. The upper and lower members are connected by 76 and 79, respectively. When a force is applied with the medical pad sandwiched between the upper and lower members, the cross-sectional shape of the medical pad can be guided into a U-shape and a waveform, respectively. FIG. 7d is a gripping means configured in two tweezers with two different hardnesses. One member 710 uses a hard plastic sheet and the other member 711 uses a thinner and more flexible plastic sheet. The two members are connected by a connector 712. The member 711 is larger than the member 710 and is formed so as to protrude at least to the left and right from the member 710. Therefore, when the larger member 711 is deformed to conform to the shape of the member 710 and the medical pad is deformed, Touching the medical pad can be prevented. The member 710 may have a cross section as shown in FIGS.
[0026]
【The invention's effect】
According to the present invention, the medical device that has been subjected to sterilization or the like is partially sandwiched by the knob means when sealed in the container. It can be taken out of the container without touching, and it can be applied to the affected area as it is and the knob means can be easily removed from the medical device. It can be applied to the affected area without the need for equipment, and it does not require the complicated and extremely advanced techniques required for the medical treatment of conventional medical devices, and it is possible to carry out extremely safe treatment. Costs and equipment required for storage and preparation of medical devices can be reduced, and medical devices can be stored enclosed in containers and procured as necessary. In which it can be reduced significantly.
[Brief description of the drawings]
BRIEF DESCRIPTION OF DRAWINGS FIG. 1 is a plan view of an embodiment of the present invention, and b is a side sectional view taken along line bb of a.
FIGS. 2A and 2B are diagrams for explaining how to use the embodiment shown in FIG. 1, wherein a is a perspective view showing an opening operation, and b and c are perspective views showing a state in which a medical device is pinched.
3A is a plan view, FIG. 3B is a side cross-sectional view taken along line bb of a, and FIG. 3C is a perspective view showing an unsealing operation in different embodiments of the present invention.
4A is a plan view, FIG. 4B is a side sectional view taken along line bb of a, and FIGS. 4C and 4D are perspective views showing an unsealing operation in yet another embodiment of the present invention.
5A is a plan view, FIG. 5B is a side sectional view taken along line bb of a, FIG. 5C is a perspective view showing an application method to an affected area, and FIG. 5E is a part thereof. It is a perspective view which shows a modification.
6A is a plan view, FIG. 6B is a side cross-sectional view taken along the line bb of a, and FIG.
7A to 7D are perspective views showing different examples of the knob means of the present invention.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 1 Medical article 2 Container 2a Container formation member 2b Container formation member 3 Medical tool 4 Knob means 5 Seal part 6 Opening start place 7 Joining layer 8 Separable member 9 Tab 10 Adhesive layer 11 Net 12 Adhesive layers 71-78, 710, 711 Knob member 76, 79, 712 Knob connector

Claims (9)

A container, a medical device sealed in the container, and a knob means that is preliminarily installed so as to partially sandwich the medical device and sealed in the container; A medical article characterized in that the medical device can be grasped and taken out of the container by pinching, and the knob means is separable from the taken out medical device. The medical article according to claim 1, wherein the knob means is tweezers-like knob means for sandwiching a medical device . 2. The medical article according to claim 1 , wherein the knob means is a knob means surrounding the end of the medical device in a cylindrical shape . The medical article according to any one of claims 1 to 3, wherein at least a part of the knob means is joined to the container. The medical article according to any one of claims 1 to 3, wherein a part of the material constituting the container is extended inside the container, and the extended part functions as a knob means. The medical device includes a peelable member attached to at least a part of the surface of the medical device, and the peelable member includes a tab for pinching without directly touching the surface of the medical device. Medical article as described in one. The medical article according to any one of claims 1 to 6, wherein at least a part of the surface of the medical device is detachably attached to the inner surface of the container. The medical article according to any one of claims 1 to 7, wherein the medical device is a flat pad. A container, a medical pad enclosed in the container, and a knob means that is installed in advance so as to partially sandwich the medical pad and enclosed in the container;
The knob means is a means for pinching the medical pad so that the cross-sectional shape of the medical pad is deformed into an arcuate shape, a V shape, a U shape, or a continuous waveform when the medical pad is pinched, The medical pad can be grasped and taken out of the container by pinching the knob means after opening, and the knob means is separable from the taken-out medical pad. be that physicians Ryoyo goods.

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