JP2002035133A - Tubular member fixing instrument and method for using the same - Google Patents
Tubular member fixing instrument and method for using the sameInfo
- Publication number
- JP2002035133A JP2002035133A JP2000222097A JP2000222097A JP2002035133A JP 2002035133 A JP2002035133 A JP 2002035133A JP 2000222097 A JP2000222097 A JP 2000222097A JP 2000222097 A JP2000222097 A JP 2000222097A JP 2002035133 A JP2002035133 A JP 2002035133A
- Authority
- JP
- Japan
- Prior art keywords
- tubular body
- skin
- body fixing
- adhesive
- adhesive layer
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/02—Holding devices, e.g. on the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/02—Holding devices, e.g. on the body
- A61M2025/0253—Holding devices, e.g. on the body where the catheter is attached by straps, bands or the like secured by adhesives
- A61M2025/026—Holding devices, e.g. on the body where the catheter is attached by straps, bands or the like secured by adhesives where the straps are releasably secured, e.g. by hook and loop-type fastening devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/02—Holding devices, e.g. on the body
- A61M2025/0266—Holding devices, e.g. on the body using pads, patches, tapes or the like
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biophysics (AREA)
- Pulmonology (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
Description
【０００１】[0001]
【発明の属する技術分野】本発明は、医療に使用される
チューブ、カテーテル、ケーブル等（以下管状体とい
う）を患者の体に固定、保持するための管状体固定具及
びその使用方法に関する。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a tubular body fixing device for fixing and holding a tube, a catheter, a cable and the like (hereinafter referred to as a tubular body) used for medical treatment to a patient's body and a method of using the same.
【０００２】[0002]
【従来の技術】医療処置のためチューブ、カテーテル、
ケーブル等の管状体を患者の体に接続し、輸血、輸液、
薬液等の投与、体液、排泄物等の排出を行うことが行わ
れるが、この管状体は時に長時間体に保持しなければな
らない。そのため、従来ロール状の粘着テープから必要
な長さに切り取ったものを使用して管状体を患者の体表
面に固定することが行われている。体位変換、清拭、管
状体交換のため、管状体を体から外したり、管状体の固
定位置を変更したりする場合には、管状体を粘着テープ
から取り外したり、或いは粘着テープを体から外さなけ
ればならないが、従来の粘着テープは、その構造上一旦
管状体を固定すると管状体と強固に固着する構造となっ
ているため、管状体を粘着テープから外すことが困難で
あり、そのため管状体を途中から切断したり、粘着テー
プごと体から引き剥がす必要があり、この作業は医師、
看護婦はもとより、患者にとっても大きな負担となって
いる。その点を解決すべく医療現場では医師、看護婦の
独自の工夫もなされているが、なお確実な固定方法が確
立されておらず、時に管状体が患者の体から脱落すると
いった医療上危険な事態が発生することがあった。2. Description of the Related Art Tubes, catheters,
Connect a tubular body such as a cable to the patient's body,
Administration of a drug solution and the like and discharge of body fluids and excrement are performed, but this tubular body must sometimes be held for a long time. Therefore, conventionally, a tubular body cut to a required length from a roll-shaped adhesive tape has been used to fix a tubular body to a patient's body surface. When removing the tubular body from the body or changing the fixing position of the tubular body for repositioning, wiping, or replacing the tubular body, remove the tubular body from the adhesive tape or remove the adhesive tape from the body. However, the conventional adhesive tape has a structure in which once the tubular body is fixed, it is firmly fixed to the tubular body once the structure is fixed.Therefore, it is difficult to remove the tubular body from the adhesive tape. It is necessary to cut off from the middle or to peel off the whole adhesive tape from the body.
This is a huge burden for patients as well as nurses. In order to solve this problem, doctors and nurses have made their own ingenuity in the medical field, but a reliable fixing method has not yet been established, and there is a medical risk that the tubular body may fall off the patient's body. Things happened.
【０００３】またこの種の粘着テープを長時間体表面に
貼付する場合には、粘着テープが通気性を有することが
必要である。その一方で粘着テープは、管状体を粘着テ
ープから外し、再び固定するという再剥離性を有するこ
とが要求されるが、従来の粘着テープでは通気性を高め
ると再剥離が困難で、通気性と再剥離性とを併せ持つた
粘着テープはなお得られていない。[0003] When this kind of adhesive tape is applied to the body surface for a long time, it is necessary that the adhesive tape has air permeability. On the other hand, pressure-sensitive adhesive tapes are required to have removability in which the tubular body is removed from the pressure-sensitive adhesive tape and fixed again. An adhesive tape having removability has not yet been obtained.
【０００４】[0004]
【発明が解決しようとする課題】本発明の課題は、管状
体の交換や位置調整を容易に行うことができる管状体固
定具及びその使用方法を提供することにある。SUMMARY OF THE INVENTION It is an object of the present invention to provide a tubular body fixing device capable of easily replacing and adjusting the position of a tubular body and a method of using the same.
【０００５】[0005]
【課題を解決するための手段】上述の課題を解決するた
め、本発明においては、皮膚接着部と、皮膚接着部の非
接皮側上に固定された管状体固定部とを備え、皮膚接着
部は通気性で柔軟性の材料からなり接皮側に粘着層と粘
着層の保護膜を有し、管状体固定部は皮膚接着部上に一
部が設置された細長い固定片から形成され、皮膚接着部
と反対側に粘着層及び粘着層の保護膜を有し、皮膚接着
部と管状体固定部とは相互に再剥離可能である。In order to solve the above-mentioned problems, the present invention comprises a skin bonding portion and a tubular body fixing portion fixed on a non-skin side of the skin bonding portion. The part is made of a breathable and flexible material, has an adhesive layer and a protective film of the adhesive layer on the skin side, the tubular body fixing part is formed from an elongated fixing piece partly installed on the skin adhesive part, An adhesive layer and a protective film for the adhesive layer are provided on the side opposite to the skin adhesive part, and the skin adhesive part and the tubular body fixing part are re-peelable from each other.
【０００６】皮膚接着部は、 通気性で柔軟性の材料か
らなる単一の基材で非接皮側に低接着性の性質を有する
もので構成するか、或は、通気性で柔軟性の材料からな
り接皮側に粘着層を有する基材と、基材の非接皮側上に
ラミネートされた低接着性、通気性、柔軟性のシートと
から構成することができる。皮膚接着部の非接皮側の表
面を多孔性に形成すると再剥離性を高める上で有利であ
る。[0006] The skin-adhesive part may be made of a single base material made of a breathable and flexible material and having a low adhesive property on the non-skin side, or may be made of a breathable and flexible material. It can be composed of a substrate made of a material and having an adhesive layer on the skin side, and a low-adhesion, air-permeable, flexible sheet laminated on the non-skin side of the substrate. Forming the surface of the skin-bonded portion on the non-skin side to be porous is advantageous in enhancing removability.
【０００７】また本発明の管状体固定具の使用方法にお
いては、皮膚接着部の非接皮側に一部が設置された管状
体固定部の保護膜を除去した後、管状体固定部上の所定
位置に管状体を配置し、管状体固定部をその粘着層を内
側にして折り返し、折り返した管状体固定部の間に管状
体を挟み込み、折り返された管状体固定部をその粘着層
により皮膚接着部の非接皮側に固着させる。Further, in the method of using the tubular body fixing device of the present invention, after removing the protective film of the tubular body fixing portion partially provided on the non-skin side of the skin bonding portion, the tubular body fixing portion is removed. The tubular body is placed at a predetermined position, the tubular body fixing portion is folded back with its adhesive layer inside, the tubular body is sandwiched between the folded tubular body fixing portions, and the folded tubular body fixing portion is placed on the skin by the adhesive layer. It is fixed to the non-skin side of the bonding part.
【０００８】[0008]
【発明の実施の形態】次に本発明の実施の形態を図面に
示す実施例について説明する。BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a block diagram showing an embodiment of the present invention;
【０００９】図１は本発明の実施例の、ａは正面図、ｂ
は断面図、ｃ〜ｈは使用方法の説明図である。１は本発
明の管状体固定具で、皮膚接着部２と管状体固定部３と
を備え、皮膚接着部２は接皮側に粘着層４及びこの粘着
層を保管中保護する保護膜５を有し、管状体固定部３は
細長い固定片から形成され、その一端の固定部分６で皮
膚接着部２の非接皮側の表面７上に溶着固定されてい
る。管状体固定部３はその非接皮側即ち皮膚接着部と反
対側の表面に粘着層８及びこの粘着層を保管中保護する
保護膜９を有し、使用に際しては保護膜９を取り外し、
管状体固定部３を折り返すようにしてその間に管状体を
挟み込み、粘着層８を利用して管状体を皮膚接着部２上
に固着させるものである。なお図には示していないが、
管状体固定部３の固定部分６に対して反対側の自由端１
０には粘着剤が塗布されていない小部分が設けられ、管
状体固定部３を指で持つとき操作しやすいようになって
いる。FIG. 1 shows an embodiment of the present invention.
Is a sectional view, and c to h are explanatory views of a method of use. Reference numeral 1 denotes a tubular body fixing device of the present invention, which comprises a skin adhesive portion 2 and a tubular body fixing portion 3, and the skin adhesive portion 2 has an adhesive layer 4 on the skin side and a protective film 5 for protecting the adhesive layer during storage. The tubular body fixing portion 3 is formed of an elongated fixing piece, and is fixed by welding to a surface 7 on the non-skin side of the skin bonding portion 2 at a fixing portion 6 at one end. The tubular body fixing part 3 has an adhesive layer 8 and a protective film 9 for protecting the adhesive layer during storage on the non-skin side, that is, on the surface opposite to the skin adhesive part.
The tubular body fixing portion 3 is folded back so that the tubular body is sandwiched therebetween, and the tubular body is fixed on the skin adhesive portion 2 using the adhesive layer 8. Although not shown in the figure,
Free end 1 opposite to fixing portion 6 of tubular body fixing portion 3
A small portion to which no adhesive is applied is provided at 0, so that it is easy to operate when holding the tubular body fixing portion 3 with a finger.
【００１０】皮膚接着部２は、柔軟性、非接皮側の低接
着性、繰返しの剥離に耐え得る強度、扱い易い硬さと厚
み、皮膚への強い接着性等の機能が要求される。皮膚接
着部２は単一の基材で構成した単独構造でも、基材の上
に適当な別の層をラミネートした複合構造でもよい。単
独構造としては多孔性熱可塑性樹脂シートが好ましく、
例えば、ポリプロピレン、ポリエチレン、ポリビニルア
ルコール、α−オレフィン類の単独または共重合体から
なるポリオレフィン系合成樹脂、ポリ塩化ビニル系合成
樹脂、ポリ塩化ビニリデン系合成樹脂、ポリエチレンテ
レフタレート系合成樹脂、ポリウレタン、ポリアミド樹
脂、スチレン−ブタジエン、等を単独又は適宜混合して
使用することができる。最も普通に使用される材料は、
ポリエチレン、ポリプロピレン類、ポリアミド樹脂であ
る。また必要に応じ、顔料、熱安定剤、光安定剤、紫外
線吸収剤、無機、有機のスリップ材を添加することがで
きる。その厚さは0.025〜5mm、好ましくは0.1〜2mmであ
る。0.025mmより薄いと扱い難く、剥離時に千切れる可
能性があり、また繰返しの剥離に耐える十分な強度が得
られない。また5mmより厚いと硬くて貼付したとき違和
感があり、曲面への追従性が悪い。通気性が良好である
ことも必要であり、開口率は15〜70％が好ましく、70％
を超えると強度が落ち繰返しの剥離に耐えられず、皮膚
への十分な接着力も得られず、15％未満では柔軟性が損
なわれ、また管状体固定部との接着面積が増え、管状体
固定部との再剥離が困難になる。開口は方形、円形、楕
円形、三角形等の対称形、非対称形のどちらでもよく、
表面エネルギーが3.0×10-2N/m以下が好ましい。The skin adhesive portion 2 is required to have functions such as flexibility, low adhesiveness on the non-skin side, strength enough to withstand repeated peeling, hardness and thickness that can be easily handled, and strong adhesiveness to the skin. The skin bonding portion 2 may have a single structure composed of a single substrate or a composite structure in which another appropriate layer is laminated on the substrate. As a single structure, a porous thermoplastic resin sheet is preferable,
For example, polypropylene, polyethylene, polyvinyl alcohol, polyolefin-based synthetic resin composed of homo- or copolymer of α-olefins, polyvinyl chloride-based synthetic resin, polyvinylidene chloride-based synthetic resin, polyethylene terephthalate-based synthetic resin, polyurethane, polyamide resin , Styrene-butadiene, etc. can be used alone or in a suitable mixture. The most commonly used materials are
Polyethylene, polypropylene, and polyamide resin. If necessary, pigments, heat stabilizers, light stabilizers, ultraviolet absorbers, inorganic and organic slip materials can be added. Its thickness is between 0.025 and 5 mm, preferably between 0.1 and 2 mm. If the thickness is less than 0.025 mm, it is difficult to handle, may be broken at the time of peeling, and the strength sufficient to withstand repeated peeling cannot be obtained. On the other hand, if it is thicker than 5 mm, it is hard and uncomfortable when affixed, and the followability to a curved surface is poor. It is also necessary that the air permeability is good, and the opening ratio is preferably 15 to 70%, and 70%
If it exceeds the strength, it will not be able to withstand repeated peeling, and will not have sufficient adhesive strength to the skin.If it is less than 15%, flexibility will be impaired, and the area of adhesion to the tubular body fixing part will increase, and the tubular body will be fixed. Re-peeling from the part becomes difficult. The opening may be either symmetric, such as square, circular, elliptical, or triangular, or asymmetric,
The surface energy is preferably 3.0 × 10 −2 N / m or less.
【００１１】皮膚接着部２の複合構造としては、基材と
その上にラミネートされたシートとから構成したものを
使用することができる。基材には、織物、編物、不織
布、又はフォームが使用され、織物、編物、不織布には
天然繊維、例えば綿、毛、絹、麻、又は化学繊維、例え
ばレーヨン、キュプラ、ポリノジック（商標、低弾性率
のレーヨン繊維）、アセテート、トリアセテート、プロ
ミックス、ポリエチレン、ポリプロピレン、ポリアミド
樹脂、ポリエステル、アクリル、アクリル系、ビニロ
ン、ポリ塩化ビニル、ビニリデン、ポリウレタン等があ
る。フォームには、ポリエチレン、ポリプロピレン、ポ
リエチレンとエチレン−酢酸ビニル共重合体との混合の
ポリオレフィン系樹脂発泡体、ポリウレタン系発泡体、
ポリ塩化ビニル発泡体、ゴム系発泡体等がある。基材は
皮膚の発汗による蒸れが起きない通気性を有するのが好
ましく、JISP8117で定義された透気度が8分/100cc/642
ｍｍ2以下、好ましくは1分/100cc/642ｍｍ2以下であ
り、8分を超えると発汗に対する蒸発量が少なく蒸れが
起こる。厚さは0.025〜5mm、好ましくは0.1〜3mmであ
り、単独構造の場合と同様に、0.025mmより薄いと扱い
難く、剥離時に千切れる可能性があり、5mmより厚いと
硬くて貼付したとき違和感があり、曲面への追従性が悪
い。この基材の上にラミネートするシートとしては、単
独構造として先に説明した多孔性熱可塑性樹脂シートを
使用するのが好ましく、その厚さは0.01〜1mmが好まし
く、通気性があり、開口率は15〜90％が好ましく、開口
率が90％を超えると貼り合せ基材の露出面積が増え、再
剥離性が不充分となり、材料破壊も起こる。また15％未
満では柔軟性が損なわれ、表面エネルギーの高い基材の
場合、再剥離が困難になる。As the composite structure of the skin bonding portion 2, a structure composed of a base material and a sheet laminated thereon can be used. A woven fabric, a knitted fabric, a nonwoven fabric, or a foam is used for the substrate, and a natural fiber such as cotton, wool, silk, hemp, or a chemical fiber such as rayon, cupra, or polynosic (trademark) Rayon fiber having elastic modulus), acetate, triacetate, promix, polyethylene, polypropylene, polyamide resin, polyester, acrylic, acrylic, vinylon, polyvinyl chloride, vinylidene, polyurethane and the like. Foams include polyethylene, polypropylene, polyolefin resin foam of a mixture of polyethylene and ethylene-vinyl acetate copolymer, polyurethane foam,
There are polyvinyl chloride foam, rubber foam and the like. The base material preferably has air permeability that does not cause stuffiness due to perspiration of the skin, and the air permeability defined by JISP8117 is 8 minutes / 100 cc / 642
mm 2 or less, preferably 1 minute / 100 cc / 642 mm 2 or less, stuffiness occurs less evaporation amount for perspiration exceeds 8 minutes. The thickness is 0.025 to 5 mm, preferably 0.1 to 3 mm.Similar to the case of a single structure, if it is thinner than 0.025 mm, it is difficult to handle, it may be broken at the time of peeling, and if it is thicker than 5 mm, it is hard and uncomfortable when pasted There is poor followability to curved surfaces. As a sheet to be laminated on the substrate, it is preferable to use the porous thermoplastic resin sheet described above as a single structure, the thickness is preferably 0.01 to 1 mm, breathable, the aperture ratio is If the opening ratio exceeds 90%, the exposed area of the bonded substrate increases, the removability becomes insufficient, and material destruction occurs. If it is less than 15%, flexibility is impaired, and in the case of a substrate having a high surface energy, re-peeling becomes difficult.
【００１２】この複合構造の利点は次の点にある。即
ち、基材表面がシートにより補強されることにより、皮
膚へ貼付するとき基材がカールせず扱い易く、一端貼付
されると柔軟性のため追従性がよく、剥離時基材の破壊
を起こさない。前述の熱可塑性樹脂は、表面の通気性を
確保するため表面に開孔を設けるが、このため接皮側に
設ける粘着層のための粘着剤の塗工が困難で、塗工面が
ドット状になり、糊残りが生ずる場合があり、皮膚接着
部として要求される機能を満たすシートの選択が必ずし
も容易ではない。これに対し複合構造の場合に基材とし
て使用する織物、編物、不織布等のための粘着層の製造
は容易で、また組合せも豊富である。不織布、フォーム
等はその柔軟性と低反発性とにより、管状体が固定され
たとき基材の変形により管状体の形状に追従し易い。基
材の性質から、貼付時、冷たく感じることが少なく感触
がよい。更に、熱可塑性樹脂単体では表面の平滑さと表
面張力との関係で、文字が書き難く、一方布やフォーム
も表面が柔軟で荒れているため文字が書き難い。しかし
ながら、基材と熱可塑性樹脂シートとをラミネートする
ことによって表面が書き易い性質のものが得られる。The advantages of this composite structure are as follows. That is, the base material surface is reinforced by the sheet, so that the base material does not curl when applied to the skin and is easy to handle, and once applied, has good followability for flexibility and causes destruction of the base material when peeled. Absent. The above-mentioned thermoplastic resin has openings on the surface to ensure the air permeability of the surface, but it is difficult to apply the adhesive for the adhesive layer provided on the skin side, and the coated surface has a dot shape. In some cases, adhesive residue may occur, and it is not always easy to select a sheet that satisfies the function required as a skin adhesive part. On the other hand, in the case of a composite structure, it is easy to produce an adhesive layer for a woven fabric, a knitted fabric, a nonwoven fabric, or the like used as a base material, and there are many combinations. Due to its flexibility and low resilience, nonwoven fabrics and foams easily follow the shape of the tubular body due to deformation of the substrate when the tubular body is fixed. Due to the nature of the base material, it does not feel cold at the time of application and has a good feel. Furthermore, it is difficult to write characters with a single thermoplastic resin due to the relationship between the surface smoothness and the surface tension, while the surface of a cloth or foam is also soft and rough, making it difficult to write characters. However, by laminating the base material and the thermoplastic resin sheet, it is possible to obtain a material whose surface is easy to write.
【００１３】皮膚接着部を人体表面に粘着固定するため
の粘着層４を形成するための粘着剤に必要な機能は、良
好な接着強度、皮膚接着部と皮膚に対し過度の拘束又は
弛緩なしに体の撓み、曲げを許容すること、通気性が良
好なことである。粘着剤としてはゴム系、アクリル系、
ビニルエーテル系、ウレタン系等を使用することができ
る。厚さは5〜100μmの範囲がよく、粘着物性のバラン
スと製造上の安定性を考えると20〜70μm、より好まし
くは20〜65μmの範囲がよい。5μm未満では必要な接着
力が得られず、100μmを超えると製造が困難で生産性が
低下し、また粘着剤の凝集力が低下し、被着体に糊残り
する恐れがある。これを塗工重量でいうと、単位面積当
りの塗工量が10〜90g/m2、より好ましくは20〜65 g/
m2、である。通気性を良好にするためには、乾燥により
気化、発泡する物質を粘着剤中に混合し、粘着剤塗工後
に乾燥させる方法や、粘着剤の塗工方法により機械的に
孔を作る方法、例えばパターン塗工法、スプレー塗工法
等により、粘着層を多孔化するのがよい。粘着層の引き
剥がし粘着力は、JIS Z0237に基づく180度引き剥がし法
に従い、被着体にステンレス板を使用し、300mm/minの
引き剥がし速度で引き剥がしたときの数値で表すと、2
〜25N/25mmの範囲、好ましくは5〜15N/25mmの範囲を使
用するのが適している。2 N/25mmより小さいと粘着力が
弱過ぎて皮膚に付きづらく、長時間貼付していると皮膚
から剥離しやすく、更に管状体固定部の繰り返しの剥離
作業により皮膚より剥がれ易くなる。また25 N/25mmよ
り大きいと、皮膚から剥離する際の剥離刺激が強過ぎ
る。The function required for the pressure-sensitive adhesive for forming the pressure-sensitive adhesive layer 4 for pressure-sensitively fixing the skin-bonded portion to the human body surface is good adhesive strength, without excessive restraint or relaxation of the skin-bonded portion and the skin. To allow flexing and bending of the body and to have good air permeability. Rubber-based, acrylic-based,
Vinyl ether type, urethane type and the like can be used. The thickness is preferably in the range of 5 to 100 μm, and in consideration of the balance of adhesive properties and production stability, the thickness is preferably in the range of 20 to 70 μm, more preferably 20 to 65 μm. If it is less than 5 μm, the required adhesive strength cannot be obtained, and if it exceeds 100 μm, the production is difficult and the productivity is reduced, and the cohesive strength of the pressure-sensitive adhesive is reduced and adhesive may be left on the adherend. Speaking this in terms of coating weight, the coating amount per unit area is 10 to 90 g / m 2 , more preferably 20 to 65 g / m 2
m 2 . In order to improve the air permeability, a substance that evaporates by drying, a substance that foams is mixed in the adhesive, a method of drying after applying the adhesive, a method of mechanically forming pores by a method of applying the adhesive, For example, the adhesive layer is preferably made porous by a pattern coating method, a spray coating method, or the like. Peeling adhesive strength of the adhesive layer, according to the 180-degree peeling method based on JIS Z0237, using a stainless steel plate for the adherend, when expressed in numerical values when peeled at a peeling speed of 300 mm / min, 2
Suitably, a range of 2525 N / 25 mm is used, preferably a range of 5-15 N / 25 mm. If it is less than 2 N / 25 mm, the adhesive strength is too weak to adhere to the skin, and if it is applied for a long time, it is easy to peel off from the skin. If it is larger than 25 N / 25 mm, the peeling stimulus when peeling from the skin is too strong.
【００１４】粘着層の保護膜５は、保管中の粘着剤の層
を保護し、かつ粘着層から容易に剥離できるものであ
り、一般の剥離紙、剥離シート、剥離フィルムを使用す
ることができる。The protective film 5 of the adhesive layer protects the adhesive layer during storage and can be easily peeled off from the adhesive layer, and can be a general release paper, release sheet or release film. .
【００１５】管状体固定部３は、皮膚接着部に対し優れ
た適合性を有し、かつ粘着剤を塗工できることが要求さ
れる。プラスチックフィルム、紙、不織布、織物、編
物、フォーム基材等を単体または複合体の形で使用する
ことができる。厚さは15〜400μmが好ましく、15μm未
満では腰が弱く扱いずらく、機械的強度に乏しく、テー
プ状のものの製造が困難であり、400μmを超えると扱い
づらくなり、又曲面への追従性が悪くなる。管状体固定
部３と粘着層８との付着性を強固にするため、両者の間
に投錨効果を高める中間層を設けてもよく、或はコロナ
処理やプライマーによる表面処理で管状体固定部３の表
面の投錨効果をあげることもできる。これを管状体固定
部の表面張力で表現すると、3.0×10-2N/m以上、好まし
くは3.9×10-2N/m以上である。The tubular body fixing portion 3 is required to have excellent compatibility with the skin adhesive portion and to be able to apply an adhesive. Plastic films, papers, nonwoven fabrics, woven fabrics, knitted fabrics, foam substrates and the like can be used alone or in the form of a composite. The thickness is preferably 15 to 400 μm, and if it is less than 15 μm, it is hard to handle and has poor mechanical strength, it is difficult to manufacture a tape-like material, and if it exceeds 400 μm, it becomes difficult to handle, and the followability to curved surfaces is poor. become worse. In order to strengthen the adhesion between the tubular body fixing portion 3 and the adhesive layer 8, an intermediate layer for enhancing the anchoring effect may be provided between the two, or the tubular body fixing portion 3 may be provided by corona treatment or surface treatment with a primer. The effect of anchoring on the surface can be improved. If this is expressed by the surface tension of the tubular body fixing portion, it is 3.0 × 10 −2 N / m or more, preferably 3.9 × 10 −2 N / m or more.
【００１６】管状体固定部３の粘着層に使用する粘着剤
は、皮膚接着部の粘着層に使用するものと同様のものを
使用することができるが、その引き剥がし粘着力は皮膚
接着部の粘着層のそれより小さいことが必要である。こ
の粘着層の引き剥がし粘着力は、皮膚接着部の粘着層の
粘着力を求めたのと同様のJIS Z0237に基づく180度引き
剥がし法に従い、ただし被着体としてはステンレス板に
皮膚接着部テープを非接皮側を上面にして貼り合わせた
ものを使用し、300mm/minの引き剥がし速度で引き剥が
したときの数値で表すと、1〜15N/25mmの範囲、好まし
くは2〜7N/25mmの範囲を使用するのが適している。1 N/
25mmより小さいと管状体の固定力が劣り、管状体の確実
な固定が困難になり、15 N/25mmを超えると管状体固定
部を皮膚接着部から再剥離するのが困難になり、皮膚接
着部の表面基材を破壊したり、皮膚接着部を皮膚より引
き剥がしてしまう恐れがある。なお、通気性は必ずしも
必要ではない。保護膜９についても皮膚接着部に使用し
たものと同様のものを使用することができる。As the pressure-sensitive adhesive used for the pressure-sensitive adhesive layer of the tubular body fixing portion 3, the same pressure-sensitive adhesive as that used for the pressure-sensitive adhesive layer of the skin-bonded portion can be used. It is necessary to be smaller than that of the adhesive layer. The peeling adhesive strength of the adhesive layer is in accordance with the 180-degree peeling method based on JIS Z0237, which is the same as that for determining the adhesive strength of the adhesive layer of the skin adhesive portion. Using the one with the non-skin side facing up, expressed as a value when peeled off at a peeling speed of 300 mm / min, a range of 1 to 15 N / 25 mm, preferably 2 to 7 N / 25 mm It is appropriate to use the range. 1 N /
If it is smaller than 25 mm, the fixing strength of the tubular body is inferior and it is difficult to fix the tubular body securely.If it exceeds 15 N / 25 mm, it becomes difficult to remove the tubular body fixing part from the skin adhesive part again, There is a risk of breaking the surface base material of the part or peeling off the skin adhesive part from the skin. Note that air permeability is not always necessary. The same protective film 9 as that used for the skin bonding portion can be used.
【００１７】次にこの管状体固定具の使用方法を説明す
る。先ず皮膚接着部２の粘着層保護膜５を外して粘着層
４でもって患者の体の管状体を固定すべき個所に粘着固
定させる。次に管状体固定部３の粘着保護膜９を取除
き、図１ｃ、ｄに示すように管状体固定部３の上に管状
体１１を置き、図１ｅ、ｆに示すように管状体固定部３
の固定部分６と反対側の自由端１０を持って図の左側に
折り返す。この折り返した自由端１０を皮膚接着部２の
表面７まで折り、管状体固定部３を皮膚接着部２の表面
７上に押し付けると、図１ｇ、ｈに示すように粘着層８
により皮膚接着部２と管状体固定部３とは固着し、管状
体１１は両者の間に挟まれて皮膚接着部２上に固定され
る。この場合、最初管状体１１を管状体固定部３の皮膚
接着部２との固定部分６上に粘着層８を利用して仮固定
しておき、管状体固定部３を折り返して最終的に皮膚接
着部２に押し付ける際に正確な固定位置になるよう管状
体１０の位置調整をすることもできる。Next, a method for using the tubular body fixing device will be described. First, the adhesive layer protective film 5 of the skin adhesive portion 2 is removed, and the adhesive layer 4 is used to adhesively fix the tubular body of the patient at a position to be fixed. Next, the adhesive protective film 9 of the tubular body fixing portion 3 is removed, and the tubular body 11 is placed on the tubular body fixing portion 3 as shown in FIGS. 1c and 1d. As shown in FIGS. 3
With the free end 10 opposite to the fixing portion 6 of FIG. When the folded free end 10 is folded to the surface 7 of the skin adhesive portion 2 and the tubular body fixing portion 3 is pressed on the surface 7 of the skin adhesive portion 2, the adhesive layer 8 is formed as shown in FIGS.
As a result, the skin bonding portion 2 and the tubular body fixing portion 3 are fixed, and the tubular body 11 is fixed on the skin bonding portion 2 while being sandwiched between them. In this case, first, the tubular body 11 is temporarily fixed using the adhesive layer 8 on the fixing portion 6 of the tubular body fixing portion 3 with the skin bonding portion 2, and the tubular body fixing portion 3 is turned back to finally form the skin. The position of the tubular body 10 can be adjusted so that the tubular body 10 is accurately fixed when pressed against the bonding portion 2.
【００１８】上述の実施例では、管状体固定部３は皮膚
接着部２と溶着により部分６で固定されているが、この
ように永久固定ではなく、管状体固定部３の裏側、即ち
皮膚接着部と対向する側の一部に粘着部を設け、この粘
着部で皮膚接着部２の任意の個所に粘着固定して、管状
体の固定位置の選択範囲を拡大し得るようにすることも
できる。In the above-described embodiment, the tubular body fixing portion 3 is fixed to the skin bonding portion 2 by welding at the portion 6. However, the fixing is not permanent, but the back side of the tubular body fixing portion 3, that is, the skin bonding portion. An adhesive portion may be provided on a part of the side facing the portion, and the adhesive portion may be adhesively fixed to an arbitrary portion of the skin adhesive portion 2 so that a selection range of a fixing position of the tubular body can be expanded. .
【００１９】図２は管状体固定部の折り返しの仕方によ
り管状体の種々の固定態様が可能であることを説明する
もので、図１と同等部分には同符号を付してある。図２
ａにおいては、管状体１１を管状体固定部３の皮膚接着
部２に対する固定部分６の自由端１０側の端部１２に置
いて管状体固定部３を折り返したもので、管状体１１の
大きな表面積で管状体固定部３の粘着層と接触し、大き
な固定力が得られることが分る。図２ｂにおいては、管
状体１１を管状体固定部３の皮膚接着部２に対する固定
部分６より自由端１０側に若干ずらした位置に置いて管
状体固定部３を折り返し、その折り返した部分に管状体
１１を挟み込んだもので、管状体固定部３により包まれ
た管状体１１が皮膚接着部２より若干浮いた状態を取り
得ることが分る。このように固定することによって、体
の動きにより皮膚接着部２が動いても管状体１１の位置
はそれほど影響を受けないようにすることができる。図
２cにおいては、管状体１１を管状体固定部３の皮膚接
着部２に対する固定部分６上にこの部分の粘着層８を利
用して仮固定した状態を示す。このようにすることによ
り、矢印で示すように管状体の固定位置の細密な位置調
整が容易となる。FIG. 2 explains that various fixing modes of the tubular body are possible depending on how the tubular body fixing portion is folded back, and the same reference numerals are given to the same parts as in FIG. FIG.
In (a), the tubular body fixing portion 3 is folded by placing the tubular body 11 on the free end 10 side end 12 of the fixing portion 6 with respect to the skin bonding portion 2 of the tubular body fixing portion 3. It can be seen that the surface area comes into contact with the adhesive layer of the tubular body fixing portion 3 and a large fixing force is obtained. In FIG. 2B, the tubular body 11 is placed at a position slightly displaced toward the free end 10 from the fixed portion 6 of the tubular body fixing portion 3 with respect to the skin adhesive portion 2, and the tubular body fixing portion 3 is folded. It can be seen that the tubular body 11 sandwiched by the body 11 and wrapped by the tubular body fixing portion 3 can take a state slightly floating above the skin bonding portion 2. By fixing in this manner, the position of the tubular body 11 can be prevented from being affected so much even if the skin adhesive portion 2 moves due to the movement of the body. FIG. 2C shows a state in which the tubular body 11 is temporarily fixed on the fixing portion 6 of the tubular body fixing portion 3 to the skin bonding portion 2 by using the adhesive layer 8 of this portion. This facilitates fine adjustment of the fixed position of the tubular body as indicated by the arrow.
【００２０】図３は本発明の別の実施例を示し、ａは平
面図、ｂ、ｃはそれぞれ管状体を固定した２つの異なる
状態の平面図である。この実施例では、皮膚接着部２上
に２個の管状体固定部３１、３２が設けられている。そ
れぞれの構成は図１のものと同一である。各管状体固定
部３１、３２はその皮膚接着部２に対する固定部分３
３、３４が管状体固定部の長手方向に距離を置いて配置
され、各自由端３５、３６が互いに反対方向に延びてい
る。この実施例では図３ｂに示すように、管状体３７、
３８をそれぞれ管状体固定部３１、３２に固定すること
により、一つの皮膚接着部上に２本の別の管状体を固定
することができる。また、図３ｃに示すように、１本の
管状体３９を途中で半ループ３１０を描かせ、その両側
で固定することにより、管状体の向きを変える場合に管
状体に折れを生じて閉塞状態が生ずるのを防止すること
ができる。FIG. 3 shows another embodiment of the present invention, in which a is a plan view, and b and c are plan views showing two different states in which a tubular body is fixed, respectively. In this embodiment, two tubular body fixing portions 31 and 32 are provided on the skin bonding portion 2. Each configuration is the same as that of FIG. Each of the tubular body fixing portions 31 and 32 has a fixing portion 3 for the skin bonding portion 2.
3, 34 are arranged at a distance in the longitudinal direction of the tubular body fixing part, and each free end 35, 36 extends in the opposite direction. In this embodiment, as shown in FIG.
By fixing 38 to the tubular body fixing portions 31 and 32, two different tubular bodies can be fixed on one skin adhesive portion. Further, as shown in FIG. 3C, a half-loop 310 is drawn in the middle of one tubular body 39, and is fixed on both sides thereof. Can be prevented from occurring.
【００２１】図４は本発明の更に別の実施例を示し、ａ
は平面図、ｂは管状体を固定した状態の平面図である
す。この実施例でも皮膚接着部２上に２個の管状体固定
部４１、４２が設けられている。それぞれの構成は図１
のものと同一である。各管状体固定部４１、４２はその
皮膚接着部２に対する固定部分４３、４４が一列をな
し、各自由端４５、４６が互いに反対方向に延びてい
る。この実施例では図４ｂに示すように、管状体４７は
２個の管状体固定部により固定され、しかも各管状体固
定部４１、４２の折り返し方向が逆であるから、固定に
高い信頼性が得られる。FIG. 4 shows yet another embodiment of the present invention, wherein a
Is a plan view, and b is a plan view in a state where the tubular body is fixed. Also in this embodiment, two tubular body fixing portions 41 and 42 are provided on the skin bonding portion 2. Each configuration is shown in Fig. 1.
Is the same as Each of the tubular body fixing portions 41, 42 has a fixing portion 43, 44 for the skin bonding portion 2 in a line, and each free end 45, 46 extends in the opposite direction. In this embodiment, as shown in FIG. 4B, the tubular body 47 is fixed by two tubular body fixing portions, and the turning directions of the tubular body fixing portions 41 and 42 are reversed, so that the fixing is highly reliable. can get.
【００２２】[0022]
【発明の効果】本発明によれば、管状体固定部を折り返
して管状体を包むようにして固定するものであるから、
管状体固定部の粘着層と管状体との接触面積を従来の粘
着テープに比して大きくとることができ、管状体をより
確実に固定することが可能となり、また管状体固定部の
折り返しの仕方を変えることにより管状体を皮膚接着部
から浮かして保持したり、管状体を仮固定してその固定
位置の細密な調整をすることもでき、更に通気性と再剥
離性の両者を満足する管状体固定具が得られるから、固
定具を取り扱う医師や看護婦、固定具を付けられる患者
双方の精神的、肉体的負担を軽減するものである。According to the present invention, since the tubular body fixing portion is folded back and fixed so as to wrap the tubular body,
The contact area between the pressure-sensitive adhesive layer of the tubular body fixing portion and the tubular body can be made larger than that of the conventional adhesive tape, and the tubular body can be more reliably fixed. By changing the way, the tubular body can be held floating from the skin adhesive part, or the tubular body can be temporarily fixed to finely adjust the fixing position, and furthermore, both breathability and removability are satisfied Since the tubular body fixing device can be obtained, the mental and physical burden on both doctors and nurses who handle the fixing device and patients who can be provided with the fixing device can be reduced.
【図1】本発明の実施例の、ａは平面図、ｂは断面図、
ｃ〜ｈは使用方法の説明図である。1A is a plan view, b is a cross-sectional view, and FIG.
c to h are explanatory diagrams of the method of use.
【図２】本発明の実施例の、ａ、ｂ、ｃは異なる固定態
様の説明図である。FIG. 2 is an explanatory view of a fixed mode in which a, b, and c are different in the embodiment of the present invention.
【図３】本発明の別の実施例の、ａは平面図、ｂ、ｃは
管状体を固定した状態の平面図である。3A is a plan view of another embodiment of the present invention, and FIGS. 3B and 3C are plan views of a state where a tubular body is fixed. FIG.
【図４】本発明の更に別の実施例の、ａは平面図、ｂは
管状体を固定した状態の平面図である。4A is a plan view and FIG. 4B is a plan view showing a state where a tubular body is fixed, according to still another embodiment of the present invention.
１ 管状体固定具 ２ 皮膚接着部 ３ 管状体固定部 ４ 粘着層 ５ 保護膜 ６ 管状体固定部の固定部分 ７ 皮膚接着部の表面 ８ 粘着層 ９ 保護膜 １０ 管状体固定部の自由端 １１ 管状体 ３１、３２ 管状体固定部 ３３、３４ 管状体固定部の固定部分 ３５、３６ 管状体固定部の自由端 ３７、３８ 管状体 ３９ 管状体 ３１０ 半ループ ４１、４２ 管状体固定部 ４３、４４ 管状体固定部の固定部分 ４５、４６ 管状体固定部の自由端 ４７ 管状体 DESCRIPTION OF SYMBOLS 1 Tubular body fixing device 2 Skin bonding part 3 Tubular body fixing part 4 Adhesive layer 5 Protective film 6 Fixed part of tubular body fixing part 7 Surface of skin bonding part 8 Adhesive layer 9 Protective film 10 Free end of tubular body fixing part 11 Tubular Body 31, 32 Tubular body fixing part 33, 34 Tubular body fixing part fixing part 35, 36 Free end of tubular body fixing part 37, 38 Tubular body 39 Tubular body 310 Half loop 41, 42 Tubular body fixing part 43, 44 Tubular Fixed part of body fixing part 45, 46 Free end of tubular body fixing part 47 Tubular body
Claims (5)
に固定された管状体固定部とを備え、皮膚接着部は通気
性で柔軟性の材料からなり接皮側に粘着層と粘着層の保
護膜を有し、管状体固定部は皮膚接着部上に一部が設置
された細長い固定片から形成され、その皮膚接着部と反
対側に粘着層及び粘着層の保護膜を有し、皮膚接着部と
管状体固定部とは相互に再剥離可能であることを特徴と
する管状体固定具。1. A skin bonding part, and a tubular body fixing part fixed on a non-skin side of the skin bonding part, wherein the skin bonding part is made of a breathable and flexible material and has an adhesive layer on a skin side. And a protective film of an adhesive layer, and the tubular body fixing portion is formed from an elongated fixing piece partially disposed on the skin adhesive portion, and the adhesive layer and the protective film of the adhesive layer are provided on the opposite side of the skin adhesive portion. A tubular body fixing device, comprising: a skin adhesive portion and a tubular body fixing portion that are releasable from each other.
らなる単一の基材から構成されることを特徴とする請求
項１記載の管状体固定具。2. The tubular body fixing device according to claim 1, wherein the skin bonding portion is formed of a single base made of a breathable and flexible material.
らなり接皮側に粘着層を有する基材と、基材の非接皮側
上にラミネートされた低接着性、通気性及び柔軟性のシ
ートとから構成されていることを特徴とする請求項１記
載の管状体固定具。3. A base material having a skin-adhesive portion made of a gas-permeable and flexible material and having an adhesive layer on the skin side, and a low-adhesiveness, air-permeability and 2. The tubular body fixing device according to claim 1, comprising a flexible sheet.
あることを特徴とする請求項１〜３のいずれか１つに記
載の管状体固定具。4. The tubular body fixing device according to claim 1, wherein the surface of the non-skin side of the skin bonding portion is porous.
た管状体固定部の保護膜を除去した後、管状体固定部上
の所定位置に管状体を配置し、管状体固定部をその粘着
層を内側にして折り返し、折り返した管状体固定部の間
に管状体を挟み込み、折り返された管状体固定部をその
粘着層により皮膚接着部の非接皮側に固着させることを
特徴とする請求項１記載の管状体固定具の使用方法。5. After removing the protective film of the tubular body fixing part partially installed on the non-skin side of the skin adhesive part, the tubular body is arranged at a predetermined position on the tubular body fixing part, and the tubular body fixing is performed. Folded back with the adhesive layer inside, sandwiching the tubular body between the folded tubular body fixing portions, and fixing the folded tubular body fixing portion to the non-skin side of the skin adhesive portion by the adhesive layer. The method of using the tubular body fixing device according to claim 1, wherein
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2000222097A JP3693156B2 (en) | 2000-07-24 | 2000-07-24 | Tubular body fixture |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2000222097A JP3693156B2 (en) | 2000-07-24 | 2000-07-24 | Tubular body fixture |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JP2002035133A true JP2002035133A (en) | 2002-02-05 |
| JP3693156B2 JP3693156B2 (en) | 2005-09-07 |
Family
ID=18716395
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2000222097A Expired - Fee Related JP3693156B2 (en) | 2000-07-24 | 2000-07-24 | Tubular body fixture |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JP3693156B2 (en) |
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| KR100754105B1 (en) | 2006-10-21 | 2007-08-31 | 김성혜 | Fixing apparatus for medical drainage tube |
| GB2436525A (en) * | 2006-03-28 | 2007-10-03 | East And North Hertfordshire N | Catheter support devices |
| JP2009017941A (en) * | 2007-07-10 | 2009-01-29 | Alcare Co Ltd | Catheter fixing appliance and skin pasting-on member for use in fixing catheter to skin |
| JP2009544428A (en) * | 2006-07-26 | 2009-12-17 | ブルースカイ・メディカル・グループ・インコーポレーテッド | Coating material |
| JP2013192607A (en) * | 2012-03-16 | 2013-09-30 | Ryoichi Ichihashi | Fixture for medical tube, fixing tape for medical tube, and fixing method of medical tube |
| CN104162193A (en) * | 2014-08-08 | 2014-11-26 | 浙江大学 | Disposable application special for dialysis indwelling catheter |
| US9198801B2 (en) | 2004-04-05 | 2015-12-01 | Bluesky Medical Group, Inc. | Flexible reduced pressure treatment appliance |
| US10058642B2 (en) | 2004-04-05 | 2018-08-28 | Bluesky Medical Group Incorporated | Reduced pressure treatment system |
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| CN102526821B (en) * | 2012-01-11 | 2014-08-06 | 刘思波 | Bedside fixing support for hemodialysis tubing |
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| US10058642B2 (en) | 2004-04-05 | 2018-08-28 | Bluesky Medical Group Incorporated | Reduced pressure treatment system |
| US11730874B2 (en) | 2004-04-05 | 2023-08-22 | Smith & Nephew, Inc. | Reduced pressure treatment appliance |
| US10842919B2 (en) | 2004-04-05 | 2020-11-24 | Smith & Nephew, Inc. | Reduced pressure treatment system |
| US10363346B2 (en) | 2004-04-05 | 2019-07-30 | Smith & Nephew, Inc. | Flexible reduced pressure treatment appliance |
| US10350339B2 (en) | 2004-04-05 | 2019-07-16 | Smith & Nephew, Inc. | Flexible reduced pressure treatment appliance |
| US10105471B2 (en) | 2004-04-05 | 2018-10-23 | Smith & Nephew, Inc. | Reduced pressure treatment system |
| US9198801B2 (en) | 2004-04-05 | 2015-12-01 | Bluesky Medical Group, Inc. | Flexible reduced pressure treatment appliance |
| GB2436525A (en) * | 2006-03-28 | 2007-10-03 | East And North Hertfordshire N | Catheter support devices |
| JP2009544428A (en) * | 2006-07-26 | 2009-12-17 | ブルースカイ・メディカル・グループ・インコーポレーテッド | Coating material |
| US8784393B2 (en) | 2006-07-26 | 2014-07-22 | Bluesky Medical Group, Inc. | Dressing |
| KR100754105B1 (en) | 2006-10-21 | 2007-08-31 | 김성혜 | Fixing apparatus for medical drainage tube |
| JP2009017941A (en) * | 2007-07-10 | 2009-01-29 | Alcare Co Ltd | Catheter fixing appliance and skin pasting-on member for use in fixing catheter to skin |
| JP2013192607A (en) * | 2012-03-16 | 2013-09-30 | Ryoichi Ichihashi | Fixture for medical tube, fixing tape for medical tube, and fixing method of medical tube |
| CN104162193A (en) * | 2014-08-08 | 2014-11-26 | 浙江大学 | Disposable application special for dialysis indwelling catheter |
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| Publication number | Publication date |
|---|---|
| JP3693156B2 (en) | 2005-09-07 |
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