JP2019058213A - Fixing plate - Google Patents

Abstract

To provide a fixing plate that enables a tracheostomy tube to be fixed sufficiently without depending on a patient's body type and posture.SOLUTION: A fixing plate 1A is provided for fixing a tracheostomy tube 100 to a patient while being inserted. The fixing plate is provided as follows: a through-hole 2 for connectors having a size capable of inserting a connector 102 is formed; a size capable of inserting each of a pair of frames 103 is provided; a pair of through-holes 3 for frames arranged on both sides of left and right directions of the through-hole 2 for connectors is formed so that the pair of frames 103 can be inserted at the same time; and a pair of upper side through-holes 4 and a pair of lower side through-holes 5 arranged around the through-hole 2 for connectors and the through-hole 3 for frames, and capable of mounting the fixing member to be fixed to the patient are formed.SELECTED DRAWING: Figure 4

Description

  The present invention relates to a fixation plate used to secure an intubated tracheostomy tube to a patient.

  The tracheostomy tube has a pair of laterally extending frames that are exposed to the outside of the patient in the intubated state. The intubated tracheostomy tube is fixed to the patient by attaching various fasteners to the pair of frames and winding the fasteners around the patient's neck. As such a fixing tool, a dedicated commercially available product called a cannula holder, a neck strap, a neck band, etc., a cotton tape for medical use, etc. are used.

  In addition, a tube of a respirator is connected to a connector exposed to the outside of a patient in a state of intubation to a tracheostomy tube fixed to the patient using a fixing device. As an aid to prevent removal of the ventilator pipe connector, there is a ring externally fitted to the connector of the tracheostomy tube, and a strap for winding and fixing the ventilator pipe to the ring And a strap attached to the neck of a patient are known (Patent Document 1).

U.S. Patent Application Publication No. 2005/0161047

  When securing a tracheostomy tube to a patient, in general, it is often sufficient to secure using a pair of frames described above and various fasteners. However, for example, if the patient's tracheostomy falls below the midline, the distance between the patient's neck and the frame will be greater than usual, and if the patient has abnormal hypertonia. The patient's posture changes. Then, the tracheostomy tube can not be sufficiently fixed using the fixing tool, and there is a possibility that an unintended positional deviation or extubation may occur.

  Then, an object of this invention is to provide the fixed plate which can fully fix a tracheostomy tube irrespective of a patient's body type and posture.

  The fixing plate according to the present invention includes a pipe portion (101, 201) for intubating a patient, and a connector (102, 202) connected to an end of the pipe portion and exposed to the outside of the patient, extending in the left-right direction A fixation plate (1A) for fixing a tracheostomy tube (100, 200) with a pair of frames (103, 203), which can be used for fixation to the neck of the patient, to the patient in the intubated state To 1F), and a connector through hole (2, 12) having a size capable of inserting the connector is formed, having a size capable of inserting each of the pair of frames, and the pair of frames A pair of frame through holes (3, 13) disposed on both sides in the left-right direction of the connector through hole so as to simultaneously insert the connector through holes, and the connector through hole and the through hole At least four fixing member through holes (4, 14, 5, 15), which are arranged around the through hole for the lens and can be attached with a fixing member for fixing to the patient is there.

  According to this fixing plate, the fixing plate is combined with the tracheostomy tube by inserting each of the pair of frames into the frame through hole while inserting the connector of the tracheostomy tube into the connector through hole. Then, in a state where the fixing plate is combined with the tracheostomy tube, the fixing members can be attached to the at least four fixing member through holes and fixed to the patient using the fixing members. As a result, the tracheostomy tube is fixed to the patient by the fixing plate supported by at least four supporting points, and therefore, the body shape and posture of the patient as compared to the fixing method of fixing to the patient's neck with only a pair of frames. Can fix the tracheostomy tube sufficiently.

  In one aspect of the fixing plate of the present invention, the four fixing member through holes are provided on the left and right in the upper part through the upper part of the pair of upper through holes arranged on the upper part and the upper part through holes. It may include a pair of arranged lower through holes. According to this aspect, the fixing member is attached to each of the pair of upper through holes, while the fixing member is attached to each of the pair of lower through holes, so that the tracheostomy tube is placed on the upper and lower sides with respect to the patient. Each can be fixed. For example, since the upper side can be fixed to the patient's neck and the lower side to the patient's chest using fixing members, the tracheostomy tube can be fixed more securely than fixing to the patient's neck alone.

  In this aspect, the pair of upper through holes are each formed in the shape of a long hole linearly extending, and the long side is directed obliquely upward, and the pair of lower through holes are each linear It may be formed in the shape of a long hole extending in the direction of FIG. When the fixing member is a belt-like member, it is easy to guide the fixing member obliquely upward around the tracheostomy opening and guide the fixing member obliquely downward, so that the tracheostomy tube is fixed to the patient It becomes easy.

  In one aspect of the fixing plate of the present invention, each of the pair of frame through holes is formed in a long hole shape curved in an arc shape toward the side of the connector through hole, and for the pair of frames One of the pair of frames is inserted into one of the through holes, and the other of the pair of frames is inserted into the other of the pair of frame through holes, and the connector is inserted into the connector through hole. A margin may be provided in the circumferential length of each of the pair of frame through holes so that the tracheostomy tube can be rotated. Depending on the patient, the trachea may be inclined to the midline, and intubating the tracheostomy tube to such a patient may cause the pair of frames to be inclined.

  According to this aspect, a margin is provided in the circumferential length for each of the pair of frame through holes. Therefore, even in a patient whose pair of frames incline when the tracheostomy tube is intubated as described above, the inclination is absorbed by the margin in the circumferential direction of the through hole for the frame, so the patient is inclined to the fixed plate There is no Therefore, the fixation of the tracheostomy tube intubated to such a patient does not become unstable. In addition, a pair of tracheostomy tube frames are not limited to those extending straight in the left and right direction, but various types such as those extending at an angle upward obliquely with respect to the left and right direction or those with different angles Exists. Also, there are various types of tracheostomy tubes with respect to the width in the vertical direction of the pair of frames. According to this aspect, even with such various types of tracheostomy tubes, since the pair of frames can be held by the frame through holes provided with a margin in the circumferential direction, the versatility is high.

  In one aspect of the fixing plate of the present invention, a connector insertion portion (51, 61) in which the connector through hole is formed, and the fixing member through hole are formed, and the height and height are parallel to the connector insertion portion. A fixing member mounting portion (52, 62) having a difference (.DELTA.H), and a connecting portion (53, 63) connecting the connector insertion portion and the fixing member mounting portion, the pair of frame through holes May be formed in the connection portion. When the connector of the tracheostomy tube is inserted into the connector insertion hole and the pair of frames are inserted in the frame through-hole in a curved state, the elastic force that causes the curved frame to return to its original shape A force may be exerted in the direction to withdraw the tracheostomy tube intubated into the patient. According to this aspect, the connector insertion portion and the fixing member attachment portion having the difference in height are connected at the connection portion, and the pair of frame through holes are formed in the connection portion. Therefore, if the height difference is at least the thickness of the frame, it is possible to insert the pair of frames into the frame through hole without bending the pair of frames while inserting the connector of the tracheostomy tube into the connector through hole.

  In the above description, in order to facilitate understanding of the present invention, the reference numerals of the attached drawings are appended in parentheses, but the present invention is not limited to the illustrated embodiment.

  As described above, according to the fixation plate of the present invention, since the tracheostomy tube is fixed to the patient by the fixation plate supported by at least four supporting points, fixation to the patient's neck only with a pair of frames The tracheostomy tube can be sufficiently fixed regardless of the patient's body type and posture as compared with the fixing method.

The figure which showed the external appearance of an example of a tracheotomy tube. The figure which showed the state which looked at the tracheostomy tube from the arrow II direction of FIG. The figure which showed the fixed plate which concerns on the 1st form of this invention. The figure which showed the state which the fixed plate of the 1st form was combined with the tracheostomy tube. The figure which showed an example of the fixing method of a fixing plate. The figure which showed another example of the fixing method of a fixing plate. The figure which showed the fixed plate which concerns on the 2nd form of this invention. The figure which showed the state which the fixation plate of the 2nd form was combined with the tracheostomy tube. Explanatory drawing which showed the characteristic of the fixed plate. The figure which showed the state which the tracheotomy tube rotated counterclockwise. The figure which showed the state which the tracheotomy tube rotated clockwise. The figure which showed the fixed plate of a 3rd form. The figure which showed the fixation plate of the 4th form. The figure which showed the fixed plate of the 5th form. Sectional drawing regarding the XIVb-XIVb line | wire of FIG. 14A. The figure which showed the fixation plate of the 6th form. Sectional drawing regarding the XVb-XVb line of FIG. 15A. The figure which showed the state which the fixation plate of the 5th form was combined with the tracheostomy tube.

(First form)
The tracheostomy tube 100 shown in FIGS. 1 and 2 is intubated into a patient who has been tracheostomized, and various devices such as a ventilator (not shown) are connected. The tracheostomy tube 100 has a pipe portion 101 inserted into the patient, and a connector 102 connected to an end of the pipe portion 101 and exposed to the outside of the patient, for example, a ventilator pipe (not shown) connected thereto And a pair of frames 103 used for fixation to the neck of the patient. The pipe portion 101 is provided with a cuff 104 for closing the gap between the outer periphery of the pipe portion 101 and the inner surface of the patient's trachea to prevent air leakage on the outer peripheral side of the pipe portion 101. As shown in FIG. 2, the pair of frames 103 extends in the left-right direction, and an opening 103a is formed at each end. In the case of fixing to the neck of a patient using a pair of frames 103, a fastener (not shown) such as a cotton tape for medical use or a cannula holder is attached to the opening 103a, and such a fastener is attached to the neck of the patient It is wound.

  The fixation plate 1A shown in FIG. 3 is used, for example, to fix the tracheostomy tube 100 shown in FIGS. 1 and 2 to a patient. Although the fixing plate 1A is basically used in place of using the pair of frames 103, the fixing plate 1A does not prevent the use of the pair of frames 103 while using the fixing plate 1A. The fixing plate 1A is made of, for example, a plate-like resin material having a certain degree of flexibility. Moreover, in order to ensure visibility when fixing the tracheostomy tube 100, a material having translucency may be selected as the material of the fixing plate 1A.

  The fixing plate 1A includes a connector through hole 2 having a size capable of inserting the connector 102 of the tracheostomy tube 100, and a pair of frame through holes 3 having a size capable of inserting the pair of frames 103. A pair of upper through holes 4 and a pair of lower through holes 5 are formed around the connector through hole 2 and the frame through hole 3 for attaching various fixing members.

  The pair of frame through holes 3 are disposed on both sides in the left-right direction of the connector through hole 2 so that the pair of frames 103 can be inserted simultaneously. Each of the pair of frame through holes 3 is formed in the shape of a long hole curved in an arc shape toward the side of the connector through hole 2. And although it will be described in detail later, one of the pair of frames 103 is inserted into one of the pair of frame through holes 3 and the other of the pair of frames 103 is inserted into the other of the pair of frame through holes 3 The circumferential length of each of the pair of frame through holes 3 is provided with a margin so that the tracheotomy tube 100 can be rotated in a state where the connector 102 is inserted into the through hole 2.

  The pair of upper through holes 4 and the pair of lower through holes 5 correspond to an example of the four fixing member through holes of the present invention. The pair of upper through holes 4 are disposed on the left and right in the upper portion of the fixed plate 1A, and the pair of lower through holes 5 are disposed on the left and the right in the lower portion positioned lower than these.

  When fixing the tracheostomy tube 100 intubated to the patient using the fixation plate 1A, as shown in FIG. 4, with the connector 102 of the tracheostomy tube 100 inserted in the connector through hole 2 of the fixation plate 1A. One of the pair of frames 103 is inserted into one of the pair of frame through holes 3, and the other of the pair of frames 103 is inserted into the other of the pair of frame through holes 3. As a result, the tracheostomy tube 100 is combined with the fixed plate 1A. In this state, the fixing plate 1A is fixed to the patient P as shown in FIG. 5 and FIG.

  FIG. 5 shows a method of preparing two medical cotton tapes and fixing the fixing plate 1A to the patient P so as to cross at the back of the patient P. As shown in FIG. In this fixing method, first, the first cotton tape T1 is passed through one of the pair of upper through holes 4 (for example, the left side in FIG. 5), and the remaining cotton tape T1 is diagonally backed via the neck Pn of the patient P Guide down. Then, the first cotton tape T1 guided obliquely downward is guided obliquely upward on the front side of the patient via the armpit Pa of the patient P. On the front side of the patient P, the first cotton tape T1 guided obliquely upward is passed through one of the pair of lower through holes 5 (for example, the right side in FIG. 5) and the remaining first cotton tape T1 patient's armpit Tie with Pa to form a knot Tk. On the other hand, the second cotton tape T2 is the same as the first cotton tape T1, and the other of the upper through holes 4 on the diagonal (right side of the figure) and the other of the lower through holes 5 (left side of the figure) The second cotton tape T2 is tied at the armpit Pa of the patient P to form a knot Tk. As a result, the fixing plate 1A is fixed to the patient P such that the two cotton tapes T1 and T2 intersect at the back surface of the patient P.

  FIG. 6 shows a method of preparing two cotton tapes for medical use and preparing a neck band to fix the fixation plate 1A to the patient P in the neck and chest of the patient. In this fixing method, first, the neck band N is passed through both of the pair of upper through holes 4 and fixed on the back side of the neck Pn of the patient P with a surface fastener (not shown) provided on the neck band N. On the other hand, two maintenance tapes T1 and T2 are respectively passed through the pair of lower through holes 5, and the remaining cotton tapes T1 and T2 are looped from the chest Pb of the patient P toward the back side. T23 is tied to each other on the front side of the patient P to form a knot Tk. Thereby, the fixed plate 1A is fixed to the patient P in the neck and chest of the patient.

  Various fixing methods other than those shown in FIGS. 5 and 6 can be adopted, but in consideration of various factors such as the type of patient P and the state of tracheostomy, a fixing method that makes the tracheostomy tube 100 hard to come off can be selected appropriately. Just do it. Fixing plate 1A is in the form of an elongated hole in which each of the pair of upper through holes 4 extends linearly, and the long side is directed obliquely upward, and each of the pair of lower through holes 5 is It is in the shape of a long hole extending linearly, and the long side is formed to be directed obliquely downward. Therefore, since it becomes easy to guide cotton tape T1 and T2 which are an example of a beltlike fixing member, and neck holder N in a diagonal direction, fixation to patient P of tracheostomy tube 100 becomes easy.

  According to the first embodiment, since the tracheostomy tube 100 is fixed to the patient by the fixing plate 1A supported by the four support points, the fixing method is compared to the fixing method of fixing to the patient's neck only with the pair of frames 103. Thus, the tracheostomy tube can be sufficiently fixed regardless of the patient's body type and posture. Moreover, while attaching the fixing member to each of the pair of upper through holes 4, by attaching the fixing member to each of the pair of lower through holes, the tracheostomy tube 100 is placed on the upper side and the lower side with respect to the patient. It can be fixed. Therefore, the tracheostomy tube can be fixed more securely than fixing only to the patient's neck.

(Second form)
Next, a second embodiment of the present invention will be described with reference to FIGS. As shown in FIGS. 7 and 8, the fixing plate 1B of the second embodiment is basically configured in the same manner as the fixing plate 1A. That is, fixing plate 1B has connector through hole 12 having a size capable of inserting connector 202 of tracheostomy tube 200, and a pair of frame through holes 13 having a size capable of inserting each of a pair of frames 203. A pair of upper through holes 14 and a pair of lower through holes 15 are formed around the connector through hole 12 and the frame through hole 13 for attaching various fixing members. The illustrated tracheostomy tube 200 is an example for a child, and includes a pipe portion 201 and a cuff 204 as a configuration other than the above.

  The fixing plate 1B is designed for children, and has a smaller overall size than the fixing plate 1A of the first embodiment shown in FIG. 3 and is designed to fit the shape of the child. Tracheostomy child patients are characterized by a smaller space around the tracheostomy below the neck than adults. Also, children have weaker skin than adults. Therefore, it is not necessary to use an obstructive molding around the neck as much as possible, and the size of the molding should be minimized. Therefore, the fixing plate 1B is designed to be smaller in overall size than the fixing plate 1A for adults.

  In addition, the tracheostomy tube for children differs in shape depending on the manufacturer, and there is no standardized standard. Based on the current situation, the fixed plate for children which should have the minimum size is a product requirement that it can be applied to various children's tracheostomy tubes. However, the connector part is connected to the pipe of the respirator, and the outer diameter is common and is not different from that for adults. Therefore, the fixed plate 1B for children has the following features from the fact that it should be designed with the greatest common factor of the tracheostomy tube for children while being adapted to the shape of the child.

(1) The shape of the through hole 12 for the connector is a D-shape in which a part of the circle is a straight line while the through hole 2 for the connector of the fixed plate 1A is circular.
(2) The point where the arch at the top of the plate is shallower than the fixed plate 1A.
(3) The relative positional relationship between the pair of frame through holes 13 and the connector through hole 12 is closer to the upper portion than the fixed plate 1A.
(4) A point which is relatively wider than the case of the fixed plate 1A when the distance between the left and right of the pair of upper through holes 14 and the distance between the left and right of the pair of lower through holes 15 are compared.

  As shown in FIGS. 7 and 8, in the fixed plate 1B, similarly to the fixed plate 1A, each of the pair of frame through holes 13 is a long hole curved in an arc toward the connector through hole 12 side. It is formed in the shape of a circle. Then, one of the pair of frames 203 of the tracheostomy tube 200 is fixed to one of the pair of frame through holes 13 while the other of the pair of frames 203 is inserted to the other of the pair of frame through holes 13. Plate 1 B is combined with tracheostomy tube 200. In addition, the fixation method to the patient of the fixation plate 1B can employ | adopt the fixation method using the cotton tape for medical treatment and the neck band which were shown to FIG.5 and FIG.6 similarly to the fixation plate 1A.

  In the fixed plate 1B, since the pair of elongated through holes 13 for the frame has a margin in the circumferential direction, the angle of the pair of frames 203 is different from that of the tracheostomy tube 200 as shown in FIG. The present invention is applicable to other tracheostomy tubes 200 'and tracheostomy tubes 200 ". Therefore, frame through-holes with a margin in circumferential length even for various types of tracheostomy tubes Since the pair 13 can hold the pair of frames, the versatility is high.

  Further, due to the circumferential direction allowance provided in the frame through holes 13, one of the pair of frames 203 is formed in one of the pair of frame through holes 13, and the other is formed in the other of the pair of frame through holes 13. The tracheostomy tube 200 can be rotated with the other inserted and the connector 202 inserted in the connector through hole 12. Depending on the patient, the trachea may be inclined to the midline, and intubating the tracheostomy tube to such a patient may cause the pair of frames to be inclined. As shown in FIGS. 10 and 11, even in a patient whose trachea is inclined with respect to the midline CL, the inclination is absorbed by the margin in the circumferential direction of the through hole 13 for a frame, so the fixed plate 1B I can't lean to the top. Therefore, the fixation of the tracheostomy tube intubated to such a patient does not become unstable.

  According to the second aspect, the same effect as that of the first aspect can be obtained. And fixation of the tracheostomy tube suitable for a child's body shape and condition is realizable.

  The present invention is not limited to the above embodiments, and can be implemented in various embodiments. The number of fixing member through holes arranged around the connector through holes and the pair of frame through holes is not limited to four, and may be four or more.

  The fixed plate of each of the above-described embodiments has a constant plate thickness, but the constant plate thickness is merely an example. For example, as shown in FIGS. 12 and 13, the third embodiment fixed plate 1C and the third embodiment in which the thickness of the hatching area AR present around each through hole is relatively thicker than the other areas. It is also possible to change to the fixed plate 1D in the form of 4. According to these embodiments, the thickness of the through holes can be reduced while maintaining the strength of the through holes, so that the weight can be reduced as compared with the case where the thickness is constant. In the fixing plate of the fourth embodiment, the thickness of the hatching area AR 'is relatively thick also at the peripheral edge.

  Also, as shown in FIGS. 14A and 14B and FIGS. 15A and 15B, the fixing plate of the present invention can also be practiced in a form configured in a three-dimensional shape. A fifth embodiment is shown in FIGS. 14A and 14B, which corresponds to a modification of the third embodiment. The fifth mode is a fixed plate 1E for adults, which is designed for adult patients. The fixing plate 1E includes a connector insertion portion 51 in which the connector through hole 2 is formed, a fixing member attachment portion 52 in which the upper through hole 4 and the lower through hole 5 are formed, the connector insertion portion 51 and the fixing member attachment portion And a connection portion 53 in which the frame through hole 3 is formed. The connector insertion portion 51 and the fixing member attachment portion 52 are parallel to each other and have a height difference ΔH. The connection portion 53 extends in a direction crossing the connector insertion portion 51 and the fixing member attachment portion 52. Therefore, the opening direction of the frame through hole 3 is a direction along each of the connector insertion portion 51 and the fixing member attaching portion 52. The height difference ΔH between the connector insertion portion 51 and the fixing member attachment portion 52 is set to be slightly larger than the thickness of the frame 103 (see FIG. 1) of the tracheostomy tube 100. According to the fixing plate 1E of the fifth embodiment, as shown in FIG. 16, the connector 102 of the tracheostomy tube 100 is inserted into the through hole 2 for the connector without bending the pair of frames 103. It can be inserted into the through hole. In the fifth embodiment, as in the third embodiment, the plate thickness around each of the upper through hole 4 and the lower through hole 5 is relatively thicker than that in the other region.

  A sixth embodiment is shown in FIGS. 15A and 15B, which corresponds to a modification of the fourth embodiment. The sixth mode is a fixed plate 1F for children, which is designed for children's patients. The fixing plate 1F includes a connector insertion portion 61 in which the connector through hole 12 is formed, a fixing member attachment portion 62 in which the upper through hole 14 and the lower through hole 15 are formed, a connector insertion portion 61 and a fixing member attachment portion 62 and a connection portion 63 in which a frame through hole 13 is formed. The connector insertion portion 61 and the fixing member attachment portion 62 are parallel to each other and have a height difference ΔH. The connection portion 63 extends in a direction crossing the connector insertion portion 61 and the fixing member attachment portion 62. Therefore, the opening direction of the frame through hole 13 is a direction along each of the connector insertion portion 61 and the fixing member attachment portion 62. The height difference ΔH between the connector insertion portion 61 and the fixing member mounting portion 62 is set to be slightly larger than the thickness of the frame 203 of the tracheostomy tube 200. According to the stationary plate 1F of the sixth embodiment, the same effect as that of the fifth embodiment can be obtained (see FIG. 16). That is, in a state where the connector 202 of the tracheostomy tube 200 is inserted into the through hole 12 for connector, the pair of frames 203 can be inserted into the through hole for frame without bending. In the sixth embodiment, as in the fourth embodiment, the plate thickness around each of the upper through hole 14 and the lower through hole 15 is relatively thicker than that in the other region.

1A to 1F Fixing Plate 2, 12 Through Hole for Connector 3, 13 Through Hole for Frame 4, 14 Upper Through Hole (Through Hole for Fixing Member)
5, 15 Lower through-hole (through hole for fixing member)
100, 200 Tracheostomy tube 101, 201 Pipe portion 102, 202 Connector 103, 203 Frame 51, 61 Connector insertion portion 52, 62 Fixing member mounting portion 53, 63 Connection portion

Claims (5)

A pipe section for intubating a patient, a connector connected to an end of the pipe section, a connector exposed to the outside of the patient, and a pair of frames extending in the lateral direction and used for fixing the patient's neck A fixation plate for fixing a tracheostomy tube provided with
A connector through hole having a size capable of inserting the connector is formed,
A pair of frame through holes are formed on both sides in the left-right direction of the connector through hole so as to allow insertion of each of the pair of frames, so that the pair of frames can be inserted simultaneously. And,
At least four fixing member through holes which are disposed around the connector through hole and the frame through hole and to which a fixing member for fixing to the patient can be attached are formed. Fixed plate.   The four fixing member through holes are a pair of upper side through holes disposed on the upper side and the left side in the upper part, and a pair of lower side through holes disposed on the lower side in the lower part below the pair of the upper side through holes The stationary plate according to claim 1, comprising: Each of the pair of upper through holes is in the form of a long hole extending in a straight line, and the long side faces obliquely upward.
The fixed plate according to claim 2, wherein the pair of lower through holes are each formed in a long hole shape linearly extending, and the long side faces obliquely downward. Each of the pair of frame through holes is formed in a long hole shape curved in an arc shape toward the side of the connector through hole,
One of the pair of frames is inserted into one of the pair of frame through holes, the other of the pair of frames is inserted into the other of the pair of frame through holes, and the connector is inserted into the connector through hole. The fixing plate according to claim 1, wherein a margin is provided in a circumferential length of each of the pair of frame through holes so that the tracheostomy tube can be rotated in the closed state. A connector insertion portion in which the connector through hole is formed, a fixing member through portion in which the fixing member through hole is formed, and having a height difference parallel to the connector insertion portion, the connector insertion portion, and the connector insertion portion And a connecting portion for connecting with the fixing member mounting portion,
The fixing plate according to any one of claims 1 to 4, wherein the pair of frame through holes are formed in the connection portion.

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