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JP2006122268A - Protecting nose - Google Patents

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JP2006122268A
JP2006122268A JP2004313223A JP2004313223A JP2006122268A JP 2006122268 A JP2006122268 A JP 2006122268A JP 2004313223 A JP2004313223 A JP 2004313223A JP 2004313223 A JP2004313223 A JP 2004313223A JP 2006122268 A JP2006122268 A JP 2006122268A
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nose
protective nose
nasal
rectifier
protective
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Ikumi Takasago
育美 高砂
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a protecting nose which maintains humidity using moisture contained in exhalation and protects an elderly person from dyspnea. <P>SOLUTION: This protecting nose 1 is used for assisting respiration. The protecting nose 1 has a flow straightener 20 in the connecting section of a conduit 5 extending from a respiration air supplying apparatus 2. The flow straightening body has a flow straightener body 21 made of a moisture absorption member having a plurality of microscopic vent holes. The flow straightener body 21 of the protecting nose 1 is made of a wavy paper pulp tape 21c shaped in a roll. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

本発明は、保護鼻に関する。さらに詳しくは、睡眠時無呼吸症候群の治療に適するCPAP(Continuous Positive Airway Pressure)療法、換気不全に適するNPPV(Non-invasitive Positive Pressure Ventilation)療法などに用いる呼吸補助装置に好適な保護鼻に関する。   The present invention relates to a protective nose. More specifically, the present invention relates to a protective nose suitable for a respiratory assistance device used for CPAP (Continuous Positive Airway Pressure) therapy suitable for treatment of sleep apnea syndrome, NPPV (Non-invasitive Positive Pressure Ventilation) therapy suitable for ventilation failure, and the like.

従来より、睡眠時無呼吸症候群の治療や換気不全の治療に、鼻を覆うようにしてなる鼻マスクを有する呼吸補助装置が用いられている。   Conventionally, a respiratory assistance device having a nasal mask that covers the nose is used for the treatment of sleep apnea syndrome and the treatment of ventilation failure.

しかしながら、従来の鼻マスクを有する呼吸補助装置においては、鼻マスク内に送風機から一定圧力の空気が導管を介して供給されているが、その空気は適度に分散されることなく鼻マスク内に供給されるため、鼻腔内の粘膜や繊毛などを損傷させて鼻腔における調湿機能を損なうとともに、鼻腔内壁の血管を損傷するという問題がある。なお、この問題を解決すべく、特許文献1には給湿手段を備えた呼吸補助装置が提案されてはいるが、この提案に係る呼吸補助装置にあっては、室内の温度変化により鼻マスク内やホース内に結露が発生するという別の問題がある。   However, in a respiratory assistance device having a conventional nasal mask, air of constant pressure is supplied from a blower into the nasal mask through a conduit, but the air is supplied into the nasal mask without being properly dispersed. Therefore, there are problems that the mucous membrane and cilia in the nasal cavity are damaged to impair the humidity control function in the nasal cavity and damage the blood vessels on the inner wall of the nasal cavity. In order to solve this problem, Patent Document 1 proposes a respiratory assistance device having a humidifying means. However, in the proposed respiratory assistance device, a nasal mask is caused by a change in room temperature. There is another problem that condensation occurs inside and inside the hose.

また、鼻の筋肉が老化している高齢者においては、鼻マスク内に供給される空気の風圧により鼻腔が塞がれて呼吸ができなくなるという問題もある。すなちわ、呼吸補助装置でありながら、呼吸困難を招来しているという問題もある。
特開平10−179746号公報
In addition, there is also a problem that elderly people whose nasal muscles are aging cannot block their nasal passages due to the wind pressure of air supplied into the nasal mask. In other words, although it is a respiratory assistance device, there is also a problem that it causes breathing difficulty.
Japanese Patent Laid-Open No. 10-179746

本発明はかかる従来技術の課題に鑑みなされたものであって、呼気に含まれる水分を活用して湿度保全がなし得るとともに、高齢者に呼吸困難を生じさせない保護鼻を提供することを目的としている。   The present invention has been made in view of the problems of the prior art, and aims to provide a protective nose that makes it possible to maintain humidity by utilizing moisture contained in exhaled breath and does not cause difficulty in breathing for the elderly. Yes.

本発明の保護鼻は、呼吸補助に用いられる保護鼻であって、鼻マスクと該鼻マスクの呼吸用空気供給装置からの導管との接続部に配設された整流体とを備え、前記整流体が、微細な通気孔が多数設けられた吸湿部材からなる整流体本体を有することを特徴とする。   The protective nose of the present invention is a protective nose used for breathing assistance, comprising a nasal mask and a rectifier disposed at a connection portion between the nasal mask and a conduit from a breathing air supply device. The fluid has a rectifier body composed of a hygroscopic member provided with a large number of fine ventilation holes.

本発明の保護鼻においては、整流体本体が、波形を有するテープをロール状に成形してなるもの、スポンジ、または吸湿性のゾル・ゲル体とされるのが好ましい。   In the protective nose of the present invention, it is preferable that the rectifying body is a roll formed of a corrugated tape, a sponge, or a hygroscopic sol-gel body.

また、本発明の保護鼻においては、テープの材質が、紙パルプとされてなるのが好ましい。  In the protective nose of the present invention, the tape is preferably made of paper pulp.

さらに、本発明の保護鼻においては、整流体が、着脱自在に設けられてなるのが好ましい。   Furthermore, in the protective nose of the present invention, it is preferable that the rectifier is detachably provided.

しかして、本発明の保護鼻は、呼吸補助装置に備えられる。   Therefore, the protective nose of the present invention is provided in a respiratory assistance device.

本発明の保護鼻によれば、呼気に含まれる水分が整流体本体に吸収されるため、鼻マスク内が乾燥した場合には、その吸収された水分が鼻マスク内に蒸散するので、鼻腔内の調湿機能や鼻腔内の粘膜および繊毛などを損傷するおそれがないという優れた効果が得られる。   According to the protective nose of the present invention, since moisture contained in exhaled breath is absorbed by the rectifier body, when the inside of the nasal mask dries, the absorbed moisture evaporates in the nasal mask. The humidity control function, the mucous membrane in the nasal cavity, and cilia are not likely to be damaged.

また、本発明の保護鼻によれば、鼻マスク内に供給される空気が整流体により分散させてられているので、鼻腔が塞がれて呼吸ができなくなるおそれもないという優れた効果も得られる。   Further, according to the protective nose of the present invention, since the air supplied into the nasal mask is dispersed by the rectifier, an excellent effect is obtained that the nasal cavity is not blocked and breathing cannot be performed. It is done.

さらに、本発明の保護鼻によれば、加湿・加温器を併用した場合に発生しやすい、結露の鼻マスク内への流れ込みを防ぎ、呼吸を護るという優れた効果も得られる。   Furthermore, according to the protective nose of the present invention, it is possible to obtain an excellent effect of preventing condensation from flowing into the nasal mask and protecting breathing, which are likely to occur when a humidifier / heater is used in combination.

以下、添付図面を参照しながら本発明を実施形態に基づいて説明するが、本発明はかかる実施形態のみに限定されるものではない。   Hereinafter, although the present invention is explained based on an embodiment, referring to an accompanying drawing, the present invention is not limited only to this embodiment.

図1に、本発明の一実施形態に係る保護鼻を有する呼吸補助装置を示す。   FIG. 1 shows a respiratory assistance device having a protective nose according to an embodiment of the present invention.

呼吸補助装置Kは、図1に示すように、保護鼻1と、呼吸用空気供給装置2とを主要構成要素として備え、いわゆる睡眠時無呼吸症候群(SAS:sleep apnea syndrome)に対するCPAP(Continuous Positive Airway Pressure:持続陽圧呼吸)療法や、慢性的な呼吸不全に対する気管内挿管によらないNPPV(Non-invasitive Positive Pressure Ventilation:マスク式陽圧人工呼吸)療法を実施するために使用するものとされる。   As shown in FIG. 1, the respiratory assistance device K includes a protective nose 1 and a respiratory air supply device 2 as main components, and CPAP (Continuous Positive) for so-called sleep apnea syndrome (SAS). Airway Pressure (Continuous Positive Pressure Breathing) therapy and non-invasitive positive pressure ventilation (NPPV) therapy that does not rely on endotracheal intubation for chronic respiratory failure. The

保護鼻1は、鼻マスク1aと整流体20とを備えてなるものとされ、鼻を覆うように使用者Mの顔(頭部)Hにストラップ4を用いて取り付けられる。   The protective nose 1 includes a nasal mask 1a and a rectifying body 20, and is attached to the face (head) H of the user M using a strap 4 so as to cover the nose.

鼻マスク1aは、図2に示すように、硬質樹脂からなる概略3角形のお椀形であり、患者Mの鼻周囲に当接するそのエッジ1bを延伸するように軟質樹脂からなるクッション1cが設けられ、クッション1cのさらに上を覆うようにエッジ1bに沿ってフィルム状のより軟質な樹脂からなるガスリーク防止用のメンブレイン(薄膜)1dが設けられるものとされる。そして、鼻マスク1aとクッション1cにより使用者Mの鼻Nを受容する鼻受容空間10が形成されている。   As shown in FIG. 2, the nasal mask 1a has a generally triangular bowl shape made of a hard resin, and a cushion 1c made of a soft resin is provided so as to extend the edge 1b contacting the periphery of the nose of the patient M. Further, a membrane (thin film) 1d for preventing gas leak made of a soft resin in the form of a film is provided along the edge 1b so as to cover the upper side of the cushion 1c. A nose receiving space 10 for receiving the nose N of the user M is formed by the nose mask 1a and the cushion 1c.

鼻受容空間10は、睡眠時等に気道が閉塞されたときにも無呼吸状態とならないよう、呼吸用空気供給装置2により導管5を介して送られてくる空気により内圧が大気圧よりも高くされている。   The nasal receiving space 10 has an internal pressure higher than the atmospheric pressure by air sent through the conduit 5 by the breathing air supply device 2 so as not to be in an apnea state even when the airway is blocked during sleep or the like. Has been.

呼吸用空気供給装置2は、鼻受容空間10内圧が所定圧となるようにその送風量が調整されている。なお、呼吸用空気供給装置2は、公知の呼吸補助装置に使用されているものを好適に用いることができるので、その構成の詳細な説明は省略する。   In the breathing air supply device 2, the amount of air blown is adjusted so that the internal pressure of the nose receiving space 10 becomes a predetermined pressure. In addition, since the thing used for the well-known respiratory assistance apparatus can be used suitably for the air supply apparatus 2 for respiration, the detailed description of the structure is abbreviate | omitted.

鼻受容空間10と導管5とを接続する接続部分11には、導管5からの高圧空気が鼻受容空間10に直撃噴射するのを防止すべく整流体20が設けられている。   The connecting portion 11 that connects the nasal receiving space 10 and the conduit 5 is provided with a rectifying body 20 to prevent high-pressure air from the conduit 5 from being directly injected into the nasal receiving space 10.

整流体20は、図3(a)に示すように、紙パルプからなるテープ21aに紙パルプからなる波形状テープ21bを貼り合わせてなる貼合テープ21cをロール状としてなる整流体本体21を、鼻受容空間10内部で支持するように、取付具22により前記接続部分11に着脱自在に取り付けられてなるものとされる。整流体本体21は、前記構成とされていることにより、図3(b)に示すように、上流側から下流側に向けた多数の微細な通気孔21dが形成され、所望の通気性が確保される。また、整流体本体21が紙パルプとされていることにより、整流体本体21は呼気中の水分を吸収してその一定量を保持するとともに、鼻受容空間10内の湿度が低下した場合には、その保持している水分を蒸散させて鼻受容空間10の湿度を適度に維持する能力も有する。   As shown in FIG. 3 (a), the rectifying body 20 has a rectifying body main body 21 made of a laminating tape 21c formed by laminating a corrugated tape 21b made of paper pulp to a tape 21a made of paper pulp. It is assumed that the attachment portion 22 is detachably attached to the connection portion 11 so as to be supported inside the nose receiving space 10. As shown in FIG. 3B, the rectifier body 21 has a large number of fine air holes 21d from the upstream side to the downstream side, and ensures desired air permeability. Is done. Further, since the rectifying body main body 21 is made of paper pulp, the rectifying body main body 21 absorbs moisture in the exhaled breath and maintains a certain amount thereof, and when the humidity in the nose receiving space 10 is reduced. Also, it has the ability to maintain the humidity of the nasal receiving space 10 moderately by evaporating the retained water.

取付具22は、整流体本体21を保持する保持部22aを有するとともに、保持部22aを通してガスを流通する経路を形成するように導管5に嵌合される管状の嵌合部22bと、前記接続部分11と着脱自在に係止する係止部22cとを有してなる。なお、図示はされていないが、取付具22には整流体本体21が鼻受容空間10に突出するのを防止するため、丸十字状のカバーが設けられている。   The fixture 22 has a holding part 22a for holding the rectifying body 21 and a tubular fitting part 22b fitted to the conduit 5 so as to form a path for flowing gas through the holding part 22a. It has the part 11 and the latching | locking part 22c latched detachably. Although not shown, the attachment 22 is provided with a circular cross-shaped cover to prevent the rectifier body 21 from protruding into the nose receiving space 10.

係止部22cは爪状の突起とされ、図4に示すように、導管5の接続部分11における開口5aに設けられた溝5bを通して導管5内部に挿入される。係止部22cがストッパ5cと当接するまで整流体20を回転することにより、係止部22cが導管5の段差5dと係合して整流体20が接続部分11と係止される。   As shown in FIG. 4, the locking portion 22 c is a claw-like protrusion, and is inserted into the conduit 5 through a groove 5 b provided in the opening 5 a in the connection portion 11 of the conduit 5. By rotating the rectifying body 20 until the locking portion 22c comes into contact with the stopper 5c, the locking portion 22c engages with the step 5d of the conduit 5 and the rectifying body 20 is locked with the connecting portion 11.

このように、本実施形態の保護鼻1においては、使用者Mの鼻Nを受容する鼻受容空間10に整流体本体21が配設され、この整流体本体21の通気孔21dを通過して鼻受容空間10に快適な空気が供給されるとともに、整流体本体21の調湿機能により鼻受容空間10内が適度に維持されるため、鼻腔内壁や鼻腔内の繊毛を損傷することがなくなる。   Thus, in the protective nose 1 of the present embodiment, the rectifying body main body 21 is disposed in the nose receiving space 10 that receives the nose N of the user M, and passes through the vent hole 21d of the rectifying body main body 21. Comfortable air is supplied to the nasal receiving space 10, and the inside of the nasal receiving space 10 is appropriately maintained by the humidity control function of the rectifying body 21, so that the inner wall of the nasal cavity and cilia in the nasal cavity are not damaged.

また、導管5から鼻受容空間10に空気が直撃噴射せずに整流されて供給されるため、供給空気の風圧により鼻腔が塞がれることもなくなる。   Further, since air is rectified and supplied from the conduit 5 to the nasal receiving space 10 without direct injection, the nasal cavity is not blocked by the wind pressure of the supply air.

さらに、整流体20は着脱自在に取り付けられるため、衛生管理が容易である。   Furthermore, since the rectifier 20 is detachably attached, hygiene management is easy.

以上、本発明を実施形態に基づいて説明してきたが、本発明はかかる実施形態のみに限定されるものではなく、種々改変が可能である。   As mentioned above, although this invention has been demonstrated based on embodiment, this invention is not limited only to this embodiment, A various change is possible.

例えば、本実施形態では、整流体本体21は波形状テープ21bを貼り合わせてなる貼合テープ21cをロール状としてなるものとされているが、整流体本体21はこれに限定されるものではなく、所望の通気性と吸湿性を有するものとされればよく、例えば所望の通気性および吸湿性を有するように製造されたスポンジやゾル・ゲル体とすることもできる。   For example, in the present embodiment, the rectifying body main body 21 is a roll of a bonding tape 21c formed by laminating a wave-shaped tape 21b, but the rectifying body main body 21 is not limited to this. For example, a sponge or a sol-gel body manufactured to have desired breathability and hygroscopicity may be used.

また、本実施形態では、整流体本体21は鼻受容空間10に面する面がフラットとされかつ取付具22の保持部22aが円筒形とされているが、図5に示すように、取付具22Aの保持部22aが先広がりの円錐台形とされ、かつ整流体本体21Aが中央部が鼻受容空間10と反対側にくぼんだすり鉢状に形成され、しかも保持部22a底面とスペーサ(図示省略)により若干の隙間を設けるようにしてもよい。そして、保持部22aおよび整流体本体21Aをこのように形成することにより、整流体本体21Aと鼻Nとの干渉のおそれを少なくすることができる。その場合、丸十字状のカバーもすり鉢状とされる。   Further, in this embodiment, the rectifier body 21 has a flat surface facing the nose receiving space 10 and the holding portion 22a of the fixture 22 is cylindrical, but as shown in FIG. The holding portion 22a of 22A has a conical shape that is widened, and the rectifier body 21A is formed in a mortar shape in which the central portion is recessed on the opposite side to the nose receiving space 10, and the bottom surface of the holding portion 22a and a spacer (not shown) A slight gap may be provided. Then, by forming the holding portion 22a and the rectifying body main body 21A in this manner, the risk of interference between the rectifying body main body 21A and the nose N can be reduced. In that case, the round cross-shaped cover is also shaped like a mortar.

本発明は、鼻マスクを有する各種呼吸補助装置に適用できる。   The present invention can be applied to various respiratory assistance devices having a nasal mask.

本発明の一実施形態に係る保護鼻を有する呼吸補助装置の構成を示す概略図である。It is the schematic which shows the structure of the respiratory assistance apparatus which has a protective nose which concerns on one Embodiment of this invention. 同保護鼻の要部詳細を示す断面図である。It is sectional drawing which shows the principal part detail of the protection nose. 整流体本体の2面図であって、同(a)は貼合テープの正面図を示し、同(b)は整流体本体の部分拡大図を示す。It is a 2nd page figure of a rectifier body, and (a) shows the front view of a pasting tape, and (b) shows the elements on larger scale of a rectifier body. 整流体の係止機構の一例を示す平面図である。It is a top view which shows an example of the latching mechanism of a rectifier. 本発明の変形例の図1相当図である。It is a figure equivalent to FIG. 1 of the modification of this invention.

符号の説明Explanation of symbols

K 呼吸補助装置
N 鼻
1 保護鼻
1a 鼻マスク
1c クッション
5 導管
10 鼻受容空間
20 整流体
21 整流体本体
21a 紙パルプテープ
21b 紙パルプ波形テープ
21c 貼合紙テープ
21d 通気孔
22 取付具
K Respiratory Device N Nose 1 Protective Nose 1a Nose Mask 1c Cushion 5 Conduit 10 Nasal Receptive Space 20 Rectifier 21 Rectifier Body 21a Paper Pulp Tape 21b Paper Pulp Corrugated Tape 21c Adhesive Paper Tape 21d Vent 22 Attachment

Claims (5)

呼吸補助に用いられる保護鼻であって、鼻マスクと、該鼻マスクの呼吸用空気供給装置からの導管との接続部に配設された整流体とを備え、
前記整流体が、微細な通気孔が多数設けられた吸湿部材からなる整流体本体を有する
ことを特徴とする保護鼻。
A protective nose used for breathing assistance, comprising a nasal mask and a rectifier disposed at a connection portion of the nasal mask with a conduit from a breathing air supply device;
The protective nose characterized in that the rectifying body has a rectifying body main body made of a hygroscopic member provided with a large number of fine ventilation holes.
整流体本体が、波形を有するテープをロール状に成形してなるもの、スポンジ、または吸湿性のゾル・ゲル体であることを特徴とする請求項1記載の保護鼻。   2. The protective nose according to claim 1, wherein the rectifying body is a roll formed of a corrugated tape, a sponge, or a hygroscopic sol-gel body. テープの材質が紙パルプとされてなることを特徴とする請求項2記載の保護鼻。  The protective nose according to claim 2, wherein the material of the tape is paper pulp. 整流体が着脱自在に設けられてなることを特徴とする請求項1記載の保護鼻。   The protective nose according to claim 1, wherein the rectifier is detachably provided. 請求項1ないし請求項4のいずれか一項に記載の保護鼻を備えてなることを特徴する呼吸補助装置。   A respiratory assistance device comprising the protective nose according to any one of claims 1 to 4.
JP2004313223A 2004-10-28 2004-10-28 Protecting nose Withdrawn JP2006122268A (en)

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Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2007012145A1 (en) * 2005-07-29 2007-02-01 Resmed Limited Method and apparatus for managing moisture buildup in pressurised breathing systems
JP2012514512A (en) * 2009-01-11 2012-06-28 ヒューミッド メッド テクノロジー (ピーティーワイ) リミテッド Humidification face mask
JP2012135481A (en) * 2010-12-27 2012-07-19 Toray Medical Co Ltd Artificial nose, and method for producing the same
JP2013188288A (en) * 2012-03-13 2013-09-26 Toray Medical Co Ltd Artificial nose
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