JP2002320670A - Protecting device for peritoneal dialysis - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a protecting device with which a percutaneous inserting part of a catheter is protected to prevent tunnel infection and which has superior and hygienic operating performances. SOLUTION: A protecting device for peritoneal dialysis has an inserting hole for inserting a tube-shaped body that is implanted in the body of a patient, on a band-shaped body. A housing part of the tube-shaped body inserted into the inserting hole is fixed to the band-shaped body. Most or all surrounding part of the housing part is attachable and detachable to and from the band shaped body.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a protective device for storing a catheter for peritoneal dialysis.

[0002]

2. Description of the Related Art Conventionally, CAPD (continuous peritoneal dialysis)
Therapy is known as a therapy that substitutes the peritoneum for renal function to discharge waste products and ensure the balance of various body fluid components, which can be operated by the patient himself, and that is similar to a healthy person during dialysis. Because it can be, it is attracting much attention. In this CAPD therapy, the exchange set is connected to an extension tube connected to the outer end of the peritoneal catheter, and the spent dialysate in the peritoneal cavity is discharged.
This is a therapy that purifies blood by supplying new dialysate. The operation of draining and supplying the above dialysate is 4 times a day.
It is performed every 6 hours, but during other times, the patient carries a daily life with an abdominal catheter and an extension tube.

[0003] However, since the peritoneal catheter and the extension tube are long, it is necessary to bundle them so that they can be held around the body. The peritoneal catheter is fixed by adhesion between the patient's skin and the cuff of the catheter. When a force is applied in the direction of pulling out the peritoneal catheter, the adhesion is released and the percutaneous insertion site (embedded portion) of the catheter is removed. Bacterial infection (tunnel infection)
This is because there is a possibility of causing.

[0004] For this reason, patients are living with their catheters and extension tubes properly bundled and kept in place by a commercially available abdominal band or the like. However, they are not prepared for peritoneal dialysis patients, and they are operable. And hygiene problems.

[0005] As a protective device in a similar field, for example, there is a gastrostomy belly band described in Utility Model Registration No. 3066243. The gastric fistula belly band described in this publication has a pocket for accommodating a gastrostoma catheter in the belly band.
This pocket has a form that only the upper end is open,
The opening can be opened and closed by the surface tape.
Many patients with a gastrostomy catheter need to rest, and the main body of handling (operating) the abdominal band is often a nurse or caregiver. Therefore, the gastrostomy band is required to have good operability when worn by an operator such as a nurse on a sleeping patient. On the other hand, in the case of a CAPD patient, the patient must wrap his or her body standing or sitting. Therefore, when a peritoneal diaper having the same form as that of the gastrostoma described above is used for peritoneal dialysis, the posture of the patient is restricted, so that the opening of the pocket is relatively narrow as in the gastrostoma. Difficult to handle.
In addition, at the time of drainage and injection operations, at least the extension tube must be almost completely removed from the storage portion, and at this time, smooth flow of the liquid may be hindered by bending of the catheter or the extension tube. There is. That is, even though similar protective equipment is used, a CA that drains and injects the above-mentioned gastrostomy abdominal band four times a day.
Direct use for PD patients has many operational problems.

[0006]

SUMMARY OF THE INVENTION An object of the present invention is to provide a protective device for peritoneal dialysis for protecting a percutaneous insertion site of a catheter to prevent tunnel infection, which has good operability and hygiene. The purpose of the present invention is to provide specific protective equipment.

[0007]

That is, in the protective device for peritoneal dialysis according to the present invention, an insertion hole for inserting a tubular body embedded in a patient's body is formed in a band-shaped main body, and the insertion hole is inserted through the insertion hole. In the protective device for peritoneal dialysis having a storage part for storing the formed tubular body, a part of the periphery of the storage part is fixed to a band-shaped main body, and most of the periphery of the storage part is detachable, or the circumference of the storage part is Is detachable from the belt-shaped main body.

[0008] With the above configuration, most of the periphery of the storage section is left detachable, or the entire periphery of the storage section is detachable, so that a tubular body such as a peritoneal catheter can be taken in and out. Opening is wide, so that the tubular body can be easily stored and taken out. In addition, since the storage part can be completely removed or most of the storage part periphery can be removed from the main body, leaving the abdomen body unremoved from the abdomen, the tube can be bent when draining or injecting liquid. Does not hinder the flow of liquid.

[0009] In the protective device for peritoneal dialysis according to the present invention, the insertion hole may include a part of an insertion hole formed from one end of each longitudinal end of the band-shaped body when the band-shaped body is wound around a patient; It is preferable to adopt a configuration formed by the remaining portion of the insertion hole formed from the other end of both ends in the longitudinal direction of the band-shaped main body.

[0010] In the protective device for peritoneal dialysis according to the present invention, it is preferable that at least a portion of the inside of the housing where the outer end of the tubular body is located is formed of a water-absorbing material.

[0011] Further, the protective device for peritoneal dialysis according to the present invention preferably has a configuration in which the accommodating portion is rectangular and three sides are detachable with a surface tape.

The protective device for peritoneal dialysis according to the present invention is preferably made of a nonwoven fabric, has a stretchable portion in at least a part of the belt-shaped main body, and is preferably configured to be discarded once or once a day. .

The protective device for peritoneal dialysis according to the present invention preferably has a structure in which at least a portion of the tubular body facing the percutaneous insertion opening is formed of a material having antibacterial properties.

[0014]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, a protective device for peritoneal dialysis according to an embodiment of the present invention will be described in detail with reference to FIGS.

FIG. 1 is a surface view of a protective device for peritoneal dialysis according to one embodiment of the present invention, and FIGS. 2 and 3 are surface views of a protective device for peritoneal dialysis according to another embodiment.

The protective device for peritoneal dialysis according to the present embodiment comprises:
The main body 2 is a band-like. Reference numeral 21 in FIG. 1 is a portion located on the back of the patient and is made of a material having elasticity. The belt-shaped main body 2 is provided with fastening ends 22 and 23 for fastening the protective device for peritoneal dialysis to the abdomen of the patient.
It is detachable with a surface tape or the like. At a position of the main body 2 where the peritoneal catheter is inserted percutaneously, an insertion hole 4 for inserting a tubular body constituted by the peritoneal catheter, the extension tube and the like is provided. In addition, a rectangular storage portion 3 that covers the insertion hole 4 is provided at a position located in front of the abdomen of the patient.

The shape of the insertion hole 4 is not particularly limited, such as a circular hole. However, as shown in FIG. 2 and FIG. One end of both ends, the remaining portion 4b of the insertion hole is formed from the other end of both ends in the longitudinal direction of the band-shaped main body 2, and when the band-shaped main body 2 is wound around the patient, a part 4a and the remaining portion 4b of the insertion hole are formed. It is preferable to adopt a form in which the insertion hole is formed. This is because such a configuration makes it extremely easy to attach and detach the belly band.

As shown in FIG. 1, in the present embodiment, the shape of the storage portion 3 is a quadrangle, and a part of the square is fixed to the belt-shaped main body 2 by sewing or the like, and most of the rest is formed. Is detachable from the belt-shaped main body 2 by a surface tape.
In the present embodiment, a configuration is described in which a side 31 as a part of the periphery of the storage unit 3 is fixed to the main body 2 and the remaining three sides 32, 33, and 34 are detachable as a large part of the periphery. However, a configuration in which the entire periphery is detachable and the storage unit 3 is detachable from the band-shaped main body 2 may be adopted. Further, the shape of the storage section is also rectangular, but is not limited to a square, and may be any form such as a circle or an ellipse. The surface tapes may be provided at appropriate intervals so that the storage unit 3 can be easily attached and detached, instead of being provided continuously over the entire length of each side.

Regarding the position where the storage section 3 is provided,
When the protective device for peritoneal dialysis according to the present invention is mounted, it is not particularly limited except that the protective device for peritoneal dialysis is provided on the abdomen of a patient, provided that the protective device is provided at a position covering the insertion hole 4. For example, as shown in FIG. 1, when the insertion hole 4 is provided at the middle of the band-shaped main body 2, the entire storage section 3 may be provided on the band-shaped main body, or as shown in FIGS. 2 and 3. The insertion holes 4 are provided at both ends of the belt-shaped main body 2 at portions 4 a of the insertion holes 4.
And the remaining portion 4b are formed, and when the insertion hole 4 is formed for the first time when the band-shaped body 2 is mounted, it is preferable to provide the band-shaped body 2 from the vicinity of the end of the band-shaped body 2 to the winding direction of the band-shaped body 2 in the middle direction. Alternatively, a configuration may be provided in which the belt-shaped main body 2 is provided so as to be located on the other end of the band-shaped main body 2 from the vicinity of the end on which the winding of the band-shaped main body 2 is wound when mounted.

Further, it is preferable that the inside of the storage section 3 has a form in which a water absorbing material is stuck. In rare cases, drainage liquid or isodine may leak from the connector portion at the outer end of the tubular body accommodated in the storage portion 3, and this is for preventing them from soiling the clothes of the patient. Therefore, in the present embodiment, a configuration in which the water-absorbing material is stuck on the entire inner surface of the storage section 3 has been described. However, the present invention is not limited to this, and at least the position of the outer end of the tubular body of the storage section 3. The portion to be formed may be formed of a water absorbing material.

The protective device for peritoneal dialysis patients of the present embodiment is preferably made of non-woven fabric, for example. The protective device for peritoneal dialysis according to the present invention is to be discarded once or once a day.
It is sufficient to have a strength that can withstand daily use (use).

The protective device for peritoneal dialysis according to the present invention is preferably provided in a sterilized state. Preferably, at least a portion of the catheter facing the vicinity of the percutaneous insertion portion is formed of a material having antibacterial properties. This is because the percutaneous insertion portion of the catheter is preferably kept as clean as possible, because some patients are inexpensive to cause tunnel infection due to adhesion between the cuff of the catheter and the percutaneous skin. It is preferred that the antimicrobial activity be of a single use or daily use, ie lasting from 6 hours to 24 hours. Since the protective device for peritoneal dialysis according to the present embodiment is directly attached to the patient's skin, taking into account the effect on the patient's skin, the antibacterial activity is maintained until it is discarded. That's enough.

[0023]

As described above, in the protective device for peritoneal dialysis according to the present invention, the storage portion for storing the tubular body such as the peritoneal catheter has a large part which can be attached and detached except a part of the periphery of the storage portion. Alternatively, since the entire periphery is made detachable from the band-shaped main body, the opening for taking in and out the tubular body such as an abdominal catheter is wide, so that the tubular body can be easily stored and taken out, and the operability is good. In addition, the protective device for peritoneal dialysis according to the present invention is sanitary because it is discarded once or once a day. That is, a protective device for peritoneal dialysis, which protects the percutaneous insertion site of the catheter and prevents tunnel infection, and has good operability and a sanitary protective device can be provided.

[Brief description of the drawings]

FIG. 1 is a surface view of a protective device for peritoneal dialysis according to an embodiment of the present invention.

FIG. 2 is a front view of a protective device for peritoneal dialysis according to another embodiment of the present invention.

FIG. 3 is a surface view of a protective device for peritoneal dialysis according to another embodiment of the present invention.

[Explanation of symbols]

 2. Main body 21. Site located on the patient's back 22. Fixed end 23. Fixed end 3. Storage unit 31. Sides 32, 33, 34 as a part of the periphery of the storage section 3. 3. the remaining three sides as the majority of the periphery Insertion hole

Claims (6)

[Claims] 1. A protection device for peritoneal dialysis, wherein a through-hole for inserting a tubular body embedded in a patient's body is formed in a band-shaped main body, and a storage portion for storing the tubular body inserted into the through-hole is provided. A part of the periphery of the storage part is fixed to the band-shaped main body, and most of the periphery of the storage part is detachable, or the entire periphery of the storage part is detachable from the band-shaped body. Dialysis protective equipment. 2. The insertion hole, when the band-shaped body is wound around a patient, a part of the insertion hole formed from one end of both ends in the longitudinal direction of the band-shaped body and the other end of both ends in the longitudinal direction of the band-shaped body. The protective device for peritoneal dialysis according to claim 1, wherein the protective device is formed by the remaining portion of the insertion hole formed from the portion. 3. The protective device for peritoneal dialysis according to claim 1, wherein at least a portion of the inside of the housing where the outer end of the tubular body is located is formed of a water-absorbing material. 4. The protective device for peritoneal dialysis according to claim 1, wherein said storage portion is rectangular, and three sides are detachable with a surface tape. 5. The belt-shaped main body is made of non-woven fabric, has a stretchable portion at least in a part of the band-shaped main body, and is discarded once or once a day. The protective device for peritoneal dialysis according to the paragraph. 6. A protective device for peritoneal dialysis according to claim 1, wherein at least a part of the protective device for peritoneal dialysis facing the percutaneous insertion opening of the tubular body is made of a material having antibacterial properties.