JP2004081566A - Medical drape - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To easily, quickly and properly adjust the size of an opening of an open window part to a desired one on the occasion of an operation. <P>SOLUTION: This drape for the medical treatment is constituted of a base cloth 2 having dimensions large enough substantially to cover the whole body of a patient and the open window part 3 having the opening 5 which is provided for exposing a place of incision of the patient and of which the size is changeable. The open window part 3 is provided with a plurality of kinds of open window covers 6 having dimensions large enough to cover a desired region in the opening 5, for instance, and the size of the opening 5 can be adjusted by sticking the covers to the base cloth 2 or a reinforcing cloth 4 so that they cover the desired region of the opening 5. <P>COPYRIGHT: (C)2004,JPO

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a medical drape for covering a portion other than a surgical (incision) site of a patient during an operation, and more particularly to a medical drape capable of changing a size of a hole in a fenestration.
[0002]
[Prior art]
Conventionally, medical drapes are applied to patients at the time of surgery in order to barrier blood, body fluids, and liquids such as physiological saline that are scattered at the time of surgery. A fenestration for exposing the incision is provided to secure an operative field. In addition, by covering the patient with such a medical drape, unclean portions other than the operation field are covered with the drape, so that the operation field is kept clean during the operation.
[0003]
[Problems to be solved by the invention]
By the way, since the optimal fenestration size differs for each patient depending on the physique and surgical purpose of each patient, a medical drape having fenestrations of optimal sizes for various physiques and various surgical purposes of patients has been developed. It cannot be prepared in advance. In pediatrics in particular, it targets patients from newborns to the age of 15, and there is a large difference between patients in physical size due to the wide range of ages, so optimizing the size of the fenestration is a major issue. However, it was impossible to prepare a medical drape having a fenestration of an optimal size for each patient.
[0004]
Therefore, conventionally, several types of medical drapes having different fenestrations are prepared in advance, and a drape having a fenestration of an optimal size is selected and used each time according to the physique and operation purpose of the patient. Was. If there is no drape having an aperture of an optimal size, prepare a drape having an aperture of an appropriate size, cut the aperture of the drape with scissors, and cut the aperture. Had been adjusted to the optimal size. Alternatively, several square-shaped cloths are prepared, and these cloths are arranged so as to surround the incised portion and cover the patient, thereby forming a fenestration having a desired size.
[0005]
However, if several types of medical drapes with different sizes of fenestrations are prepared in advance, a disadvantage arises in that a large space for storing various drapes must be secured. In addition, when the window of the drape is cut with scissors or the like to adjust it to the optimal size, it takes time and effort to adjust the size, and there is a risk that lint generated from the cut may become an infection medium for bacteria. Will occur. Also, several square cloths are prepared, and these cloths are arranged so as to surround the incised portion and cover the patient, thereby forming a fenestration having a desired size. Therefore, the burden is placed on the medical staff who performs several operations a day, and especially in the case of urgent surgery, such a draping method is further burdened on the medical staff. .
[0006]
Therefore, an object of the present invention is to solve the above-mentioned problems and to provide a medical drape capable of easily and quickly appropriately adjusting the size of a hole in a fenestration portion to a desired size during surgery.
[0007]
[Means for Solving the Problems]
In order to achieve the above object, the medical drape of the present invention has a base cloth having a size enough to cover the entire body of a patient, and a fenestration section having a variable hole size for exposing an incision site of the patient, It is composed of
[0008]
Here, the first fenestration in the medical drape of the present invention includes a plurality of fenestration lids having a size that can cover a desired region in the hole, and is provided so as to cover a desired region of the hole. The size of the hole can be adjusted by attaching the hole to a cloth or a reinforcing cloth. The second fenestration has a fenestration lid large enough to cover the entire surface of the first hole provided in the base cloth, and the fenestration lid has a hole size larger than that of the first hole. The size of the hole is adjusted in multiple steps by attaching a window cover with the second hole to a base cloth or a reinforcing cloth so as to cover the first hole. It is possible.
[0009]
Further, the third fenestration in the medical drape of the present invention is provided with a size adjusting cloth slidably disposed on the first hole provided in the base cloth, and a cover covering the size adjusting cloth. The size adjustment cloth is provided with a second hole having a size larger than the first hole, and the size adjustment cloth has a second hole when the size adjustment cloth slides. Arranged to move on one hole, the covering cloth is provided with a rectangular third hole wider than the second hole, and the covering cloth is such that the third hole is the first hole. It is covered by a base cloth or a reinforcing cloth so as to be located directly above, and the size of the aperture of the fenestration can be finely adjusted by sliding the size adjusting cloth.
[0010]
Still further, the fourth fenestration in the medical drape of the present invention may be such that a fenestration lid large enough to cover the entire surface of the hole provided in the base cloth is covered with the base cloth or the reinforcing cloth in a state of covering the hole. The window cover is provided with a plurality of perforations of different sizes so as to close each other, and by cutting off the entire cloth inside the desired perforation from the window cover, the size of the hole is reduced. It can be adjusted in multiple stages.
[0011]
BEST MODE FOR CARRYING OUT THE INVENTION
A medical drape 1 according to an embodiment of the present invention will be described with reference to FIGS. FIG. 1 is an overall configuration diagram of a medical drape 1 according to an embodiment of the present invention, and FIG. 2 is a diagram illustrating a configuration of a fenestration portion of the medical drape 1 according to the embodiment.
[0012]
<First embodiment>
First, the configuration of the medical drape 1 in the first embodiment will be described. The medical drape 1 of the present embodiment is configured such that a fenestration 3 is provided on a base cloth 2 having a size that can cover the entire body of a patient. The base fabric 2 is made of a nonwoven fabric having a high barrier property against bacteria and viruses and subjected to a water-repellent treatment. In addition, a reinforcing cloth 4 is provided around the fenestration 3 to reinforce the periphery of the fenestration 3 with a water-absorbing material or a waterproof material according to the purpose of the operation.
[0013]
In addition, as shown in FIGS. 1 and 2, the fenestration 3 in the present embodiment includes a substantially elliptical hole 5 having a long axis in the lateral direction (the left-right direction on the paper surface) and a substantially half area of the hole 5. A substantially semi-elliptical fenestration window cover 6 having a size that can be covered. An adhesive portion 7 such as a double-sided tape is provided on the back surface of the window cover 6 so that the window cover 6 can be attached to the reinforcing cloth 4. It should be noted that a release paper 8 is normally attached to the adhesive portion 7, and the window cover 6 can be attached to the reinforcing cloth 4 by peeling off the release paper 8.
[0014]
Although the drape for small incision of the surgical drape is shown as an example in the present embodiment, the shape of the hole 5 in the fenestration 3 and the arrangement position of the fenestration 3 in the base cloth 2 are selected depending on the purpose of the operation. Can be set arbitrarily. Further, a hook-and-loop fastener may be used for the bonding portion 7.
[0015]
According to the medical drape 1 provided with the fenestration section 3 having the above-described configuration, the size of the hole 5 becomes large when the drape in the state where the fenestration lid 6 is stuck is placed over the patient and the hole 5 is positioned at the incision point. If the size is smaller than the desired size, the medical worker can increase the size of the hole 5 by peeling the fenestration cover 6 out of the hole 5. According to the medical drape 1, when the drape without the window cover 6 is put on the patient and the hole 5 is positioned at the incision, the size of the hole 5 is larger than a desired size. In this case, the medical worker peels off the release paper 8 in a state where almost half of the hole 5 is covered with the window cover 6 and affixes the window cover 6 to the reinforcing cloth 4 to reduce the size of the hole 5 to approximately half. It can be as small as possible.
[0016]
Since the size of the hole 5 can be adjusted in two stages in this manner, a desired size of the hole 5 can be set according to the purpose of the operation or the physique of the patient. For example, in the case of a bilateral inguinal hernia operation, the operation may be performed without attaching the fenestration lid 6, and in the case of an operation for acute appendicitis or one-sided inguinal hernia operation, the fenestration lid 6 is attached, and The procedure may be performed with the size reduced. In addition, when performing a unilateral inguinal hernia operation, it is possible to easily shift to a bilateral inguinal hernia operation during the operation. In particular, in inguinal hernia repair in pediatrics, a single drape with this type of fenestration could be used for patients from 4 months to 7 years.
[0017]
Further, when several square cloths are prepared as in the related art, and these cloths are arranged so as to surround the incised portion and cover the patient, thereby forming a fenestration having a desired size. In the medical drape of the present invention, a gap is formed at the place where the square cloths are overlapped, but the gap is not formed. The effect is also obtained.
[0018]
In the medical drape window lid 6 according to the present embodiment, if a plurality of sizes of window lids 6 are prepared, a window lid having a desired size according to a surgical purpose or a patient's physique is prepared. By selecting 6, the size of the hole 5 can be adjusted in a plurality of steps.
[0019]
<Second embodiment>
Further, as another embodiment, a configuration of the fenestration 3 as shown in FIG. 3 can be considered. FIG. 3 is a view showing the configuration of the fenestration 3 of the medical drape according to the second embodiment of the present invention.
[0020]
In the fenestration 3a having the configuration shown in FIG. 3, unlike the first embodiment, the fenestration lid 6a is large enough to cover the entire surface of the hole 50a (first hole 50a) provided in the base fabric 2. , A second hole 50b. The size of the second hole 50b provided in the perforated window lid 6a is set smaller than that of the first hole 50a, and the drape with the perforated window lid 6a attached thereto is given to the patient. If the size of the hole 50a is smaller than a desired size when the hole 50a is positioned over the incision, the medical worker may peel off the fenestration window cover 6a from the hole 50a to remove the hole 50a. Can be increased from the size of the second hole 50b to the size of the first hole 50a. As described above, the size of the hole of the fenestration 3a can be adjusted to the size of the first hole 50a and the size of the second hole 50b. The drape provided with the fenestration having such a configuration can be used for thoracotomy such as esophageal atresia and laparotomy such as biliary atresia. Also, especially in the case of pediatrics, it could be used for patients of 4 months and 6 months.
[0021]
In addition, in the second embodiment, if various types of apertured window covers 6a provided with a plurality of types of second holes 50b are prepared, as in the first embodiment, the sizes of the holes are plural. It is also possible to adjust in stages.
[0022]
Even with the medical drape provided with the fenestration 3a having the above configuration, the size of the fenestration 3a can be easily adjusted by attaching and detaching the fenestration lid 6a. The desired hole size can be set according to the physique.
[0023]
Here, in the above embodiment, the size of the apertures of the fenestrations 3 and 3a can be adjusted by providing the fenestration lid 6 and the fenestration lid 6a. The configuration of the fenestration that allows stepwise size adjustment will be described below with reference to FIGS. 4 and 5. FIG. 4 is a diagram showing the configuration of the fenestration 3b of the medical drape according to the third embodiment of the present invention, and FIG. 5 is a diagram showing the configuration of the fenestration 3c of the medical drape according to the fourth embodiment. .
[0024]
<Third embodiment>
First, the fenestration 3b of the medical drape according to the third embodiment has the base cloth 2 provided with the first hole 51a of the fenestration 3b as shown in FIG. A size adjustment cloth 9 slidable on the surface of the base cloth 2 for adjustment, a coating cloth 10 covered by the size adjustment cloth 9 to make the movable direction of the size adjustment cloth 9 constant. Have a three-layer structure.
[0025]
The configuration of the fenestration 3b shown in FIG. 4 will be described in detail below. First, rectangular first holes 51a are provided in the left and right directions on the base cloth 2 on the base cloth 2, and the size adjustment cloth 9 is arranged on the base cloth 2 so as to be slidable along the longitudinal direction of the first holes 5. In addition, a covering cloth 10 is provided on the base cloth 2 so as to straddle the size adjusting cloth 9. With such a configuration, the size adjusting cloth 9 can slide along the longitudinal direction between the covering cloth 10 and the base cloth 2.
[0026]
Further, the size adjusting cloth 9 is provided with a rectangular second hole 51b having a width smaller than the first hole 51a, and the size adjusting cloth 9 slides on the size adjusting cloth 9 as shown in FIG. Sometimes the second hole 51b is arranged to move on the first hole 51a. Further, the covering cloth 10 is provided with a rectangular third hole 51c wider than the second hole 51b, and the covering cloth 10 has the third hole 51c right above the first hole 51a. It is covered on the base cloth 2 so as to be located. Here, the longitudinal directions of the first hole 51a, the second hole 51b, and the third hole 51c are the same.
[0027]
The medical drape is put on the patient at the time of surgery by the three-layered fenestration 3b as described above, and then the size adjustment cloth 9 is slid in the longitudinal direction (the left-right direction in FIG. 4), thereby giving the patient a The size of the hole of the fenestration 3b can be finely adjusted according to the physique and the surgical procedure. After the fine adjustment of the size is completed, the position of the size adjusting cloth 9 can be fixed by sticking a film drape 11 or the like with an adhesive on the fenestration 3b. The size of the hole once set does not change due to displacement or the like.
[0028]
As described above, since the size of the hole in the fenestration 3b can be easily finely adjusted, the optimum hole size can be set according to the purpose of the operation or the physique of the patient. In addition, even during surgery, it is not necessary to adjust the size, and even an inexperienced person can easily perform the draping to realize the optimal fenestration size.
[0029]
The drape provided with the fenestration having the above configuration is used, for example, as an extracardiac drape, and is used for operations such as complete large vessel metastasis, atrial septal defect, and right ventricular outflow tract enlarging operation. Is possible. In particular, in the case of pediatrics, it could be used for patients from 5 months to 5 years and 3 months.
[0030]
<Fourth embodiment>
Further, in the fenestration 3c of the medical drape according to the fourth embodiment, the fenestration lid 6b large enough to cover the entire surface of the hole 52 provided in the base cloth 2 is covered with the base cloth 2 in a state of covering the hole 52. (Or the reinforcing cloth 4), and the window lid 6b is provided with a plurality of perforations 20 each having a substantially rectangular shape and different sizes as shown in FIG. A grip portion 21 for separating the entire cloth (hereinafter, also referred to as a cut-out cloth portion) inside the perforation 20 from the fenestration lid 6b is substantially provided at an edge of the cloth surrounded by the perforation 20. One is provided for each of the rectangular perforations 20. In this embodiment, the perforations 20 of three different sizes are provided on the window cover 6b. However, the shape and the set number of the perforations 20 are not limited to the above numbers, and can be set arbitrarily. It is.
[0031]
Here, in the fourth embodiment, when the medical drape is put on the patient, the medical worker can check the incision point under the medical drape, and the hole 52 of the fenestration 3c can be placed on the patient even after putting the drape. In particular, the fenestration lid 6b is made of a transparent material so that it can be easily aligned with the incision.
[0032]
According to the fenestration 3c having the above-described configuration, the medical worker puts the medical drape on the patient during the operation, selects the perforation 20 according to the surgical purpose and the physique of the patient, and selects the perforation 20. By grasping the grasping portion 21 and removing the cut-off cloth portion from the fenestration lid 6b along the perforation 20, an optimum hole size can be easily obtained. In addition, since the size can be adjusted simply by cutting out the cut-off cloth portion along the desired perforation 20, it is easy and quick to perform the draping without time and effort in adjusting the hole size to the optimum size even during surgery. Work can be realized.
[0033]
【The invention's effect】
As described above, according to the medical drape of the present invention, the size of the fenestration can be easily and quickly adjusted to the optimal size in accordance with the purpose of surgery and the size of the patient at the time of surgery. it can. Therefore, even if it is an emergency operation, immediate response can be performed. In addition, since the size can be adjusted in a plurality of stages, one drape can be used for patients of various ages. For this reason, only one kind of product needs to be stored, so that the drape inventory space can be saved and the drape inventory management becomes easy.
[Brief description of the drawings]
FIG. 1 is an overall configuration diagram of a medical drape according to a first embodiment of the present invention.
FIG. 2 is an enlarged view of the vicinity of a fenestration portion of the medical drape according to the first embodiment, and FIG. (B) is a figure which shows the state which is not closed by the window lid.
FIG. 3 is an enlarged view of the vicinity of a fenestration portion of a medical drape according to a second embodiment of the present invention, and FIG. (B) is a figure which shows the state which is not closed by the window lid.
FIG. 4 is an enlarged configuration diagram near a fenestration of a medical drape according to a third embodiment of the present invention.
FIG. 5 is an enlarged configuration diagram near a fenestration of a medical drape according to a fourth embodiment of the present invention.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 1 ... Medical drape, 2 ... Base cloth, 3, 3a-3c ... Window part, 4 ... Reinforcement cloth, 5 ... Hole, 6 ... Window lid, 6a ... Window lid with hole, 6b ... Window lid, 7 adhesive part, 8 release paper, 9 size adjustment cloth, 10 coating cloth, 11 film drape, 20 perforation, 21 grip part, 50a, 51a first hole, 50b, 51b second Hole, 51c: third hole, 52: hole.

Claims (5)

A medical drape comprising: a base cloth having a size capable of covering the entire body of a patient; and a fenestration section having a variable hole size for exposing an incision site of the patient. The fenestration portion includes a plurality of fenestration lids having a size that can cover a desired region in the hole, and is attached to a base cloth or a reinforcing cloth so as to cover a desired region of the hole, thereby forming the hole. The medical drape according to claim 1, wherein the size of the medical drape is adjustable. The fenestration section includes a fenestration lid large enough to cover the entire surface of the first hole provided in the base cloth, and the fenestration lid has a hole size smaller than the first hole. A second hole is provided, and by attaching the window cover with the second hole to a base cloth or a reinforcing cloth so as to cover the first hole, the size of the hole can be adjusted in a plurality of steps. The medical drape according to claim 1, wherein: The fenestration section includes a size adjustment cloth slidably arranged on the first hole provided in the base cloth, and a covering cloth covered so as to straddle the size adjustment cloth,
The size adjustment cloth is provided with a second hole having a size larger than the first hole, and the size adjustment cloth is configured such that the second hole moves on the first hole when the size adjustment cloth slides. Placed,
The covering cloth is provided with a rectangular third hole having a width wider than the second hole, and the covering cloth is provided with a base cloth or a reinforcing member such that the third hole is located directly above the first hole. Wrapped in cloth,
The medical drape according to claim 1, wherein the size of the aperture of the fenestration portion can be finely adjusted by sliding the size adjustment cloth. The fenestration section has a fenestration lid large enough to cover the entire surface of the hole provided in the base cloth, and is fixed to the base cloth or the reinforcing cloth in a state of covering the hole,
A plurality of perforations of different sizes are provided on this fenestration lid so as to close each, and the entire size of the cloth inside the perforation is cut off from the fenestration lid to adjust the size of the holes in a plurality of steps. The medical drape according to claim 1, wherein the medical drape is enabled.

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