JP7181638B2 - Treatment equipment - Google Patents

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JP7181638B2
JP7181638B2 JP2020209643A JP2020209643A JP7181638B2 JP 7181638 B2 JP7181638 B2 JP 7181638B2 JP 2020209643 A JP2020209643 A JP 2020209643A JP 2020209643 A JP2020209643 A JP 2020209643A JP 7181638 B2 JP7181638 B2 JP 7181638B2
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treatment
target site
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finger
core
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JP2022096506A (en
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篤 高部
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Leben Inc
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Description

本発明は、施術器具に関する。 The present invention relates to surgical instruments.

従来、生体に対して対象部位を押す、叩く等の施術を行う施術器具がある。例えば、ツボ等を押圧する押圧マッサージ器具（特許文献１を参照）が提案されている。 2. Description of the Related Art Conventionally, there are treatment instruments for performing treatment such as pressing or hitting a target site on a living body. For example, there has been proposed a pressure massage device that presses pressure points and the like (see Patent Document 1).

登録実用新案第３０２６８６４号公報Registered Utility Model No. 3026864

一方、近年、対象部位を揺らす、撫でる等することで、リンパ液の流れを改善したり、皮膚やファシア（線維性の立体網目状組織）をケアーしたりすることが行われている。しかし、上記押圧マッサージ器具は、ツボや経路をピンポイント的に押圧するものであり、このような施術には向いていない。 On the other hand, in recent years, it has been practiced to improve the flow of lymph fluid and to care for the skin and fascia (fibrous three-dimensional mesh tissue) by shaking or stroking the target site. However, the above-mentioned pressure massage device applies pinpoint pressure to acupuncture points and pathways, and is not suitable for such treatment.

また、施術者の手により対象部位をやさしく撫でたり、振動が深部に伝わるように揺らしたり、叩いたりする施術が行われている。例えば、対象部位に施術者の一方の手を載せ、その上に他方の手を重ねて揺らす施術や、施術者の一方の手を対象部位に載せ、他方の手で一方の手を叩く施術が行われている。このような施術は、施術者が異性である場合は、不便であり、手による直接接触を避けたい場合がある。セルフケアを行うことが考えられるが、自身の手が届く範囲には限界がある。 In addition, treatment is performed by gently stroking the target site with the hand of the practitioner, shaking it so that the vibration is transmitted to the deep part, or hitting it. For example, one of the practitioner's hands is placed on the target area and the other hand is placed on top of it and shaken, and one of the practitioner's hands is placed on the target area and the other hand is clapped. It is done. Such procedures are inconvenient for practitioners of the opposite sex who may wish to avoid direct contact with their hands. Self-care can be considered, but there are limits to what one can reach.

本発明は、上記課題の少なくとも一つを解決するためのもので、揺らす、撫でる、叩く等の施術を気軽に効率よく行うことができる施術器具を提供することを目的とする。 It is an object of the present invention to solve at least one of the above problems, and to provide a treatment instrument that allows easy and efficient treatment such as rocking, stroking, and tapping.

上述した少なくとも１つの課題を解決するために、本発明の一方面に係る施術器具は、生体に対して対象部位を撫でる、揺らす、または叩く施術を行う施術器具であって、対象部位と接触して施術を行う施術部と、前記施術部を操作するハンドル部と、備え、前記施術部は、芯部と、柔軟性を有し、前記芯部の外周の少なくとも一部を覆う作用部と、を含む棒状の指部を有する。 In order to solve at least one of the above-described problems, a treatment instrument according to one aspect of the present invention is a treatment instrument that performs treatment by stroking, shaking, or tapping a target site on a living body, and is in contact with the target site. and a handle portion for operating the treatment portion, wherein the treatment portion includes a core portion, an action portion having flexibility and covering at least a portion of the outer periphery of the core portion; It has a bar-like finger that includes

前記施術器具において、前記施術部は、前記指部を複数有してもよい。 In the treatment instrument, the treatment section may have a plurality of finger portions.

前記施術器具において、前記芯部は、複数の芯部材を有し、前記芯部材同士は、関節部により可動に接続されていてもよい。 In the treatment instrument, the core may have a plurality of core members, and the core members may be movably connected to each other by joints.

前記施術器具において、前記指部を個別に動かす指動機構を有してもよい。 The surgical instrument may have a fingering mechanism for individually moving the fingers.

前記施術器具において、複数の前記指部は、隣同士の間隔が調整可能であってもよい。 In the surgical instrument, the plurality of finger portions may be adjustable in adjacent spacing.

前記施術器具において、前記指部は、前記作用部の表面に凹凸模様が設けられていてもよい。 In the surgical instrument, the finger portion may have an uneven pattern on the surface of the action portion.

前記施術器具において、前記施術部を、対象部位上で移動させる移動機構を有してもよい。 The treatment instrument may have a movement mechanism for moving the treatment section on the target site.

前記施術器具において、前記施術部とともに施術を行う付加施術部を備えてもよい。 The treatment instrument may include an additional treatment section that performs treatment together with the treatment section.

本発明の一方面に係る施術器具は、生体に対して対象部位を撫でる、揺らす、または叩く施術を行う施術器具であって、柔軟性を有する材料により形成され、対象部位と接触して施術を行う施術部と、前記施術部とともに施術を行う付加施術部と、前記施術部及び前記付加施術部の一方または双方を操作するハンドル部と、を備える。 A treatment instrument according to one aspect of the present invention is a treatment instrument for performing treatment by stroking, shaking, or tapping a target site on a living body, and is made of a material having flexibility and is in contact with the target site to perform treatment. A treatment section for performing treatment, an additional treatment section for performing treatment together with the treatment section, and a handle section for operating one or both of the treatment section and the additional treatment section.

前記施術器具において、前記施術部に対して、前記付加施術部を移動させる移動機構を備えてもよい。 The treatment instrument may include a moving mechanism for moving the additional treatment section with respect to the treatment section.

前記施術器具において、前記付加施術部は、前記施術部と同様に構成され、前記付加施術部は、前記移動機構により、前記施術部上で滑り移動できてもよい。 In the treatment instrument, the additional treatment section may be configured in the same manner as the treatment section, and the additional treatment section may be slidably moved on the treatment section by the movement mechanism.

前記施術器具において、前記付加施術部は、前記移動機構により、前記施術部を叩くことができてもよい。 In the treatment instrument, the additional treatment section may hit the treatment section by the movement mechanism.

前記施術器具において、前記移動機構は、手動により移動させるもの、又はモータ或いはゼンマイを動力源とするものであってもよい。 In the surgical instrument, the moving mechanism may be manually moved or may be powered by a motor or spring.

前記施術器具において、前記施術部には、温熱ヒータが設けられていてもよい。 In the treatment instrument, the treatment section may be provided with a thermal heater.

本発明によれば、揺らす、撫でる、叩く等の施術を気軽に効率よく行うことができる施術器具を提供することができる。 ADVANTAGE OF THE INVENTION According to this invention, the treatment instrument which can perform treatment, such as rocking, stroking, and beating, easily and efficiently can be provided.

上記した以外の課題、構成及び効果は、以下の実施形態の説明により明らかにされる。 Problems, configurations, and effects other than those described above will be clarified by the following description of the embodiments.

第１実施形態に係る施術器具の一例を示す図で、（ａ）正面図、（ｂ）断面図である。BRIEF DESCRIPTION OF THE DRAWINGS It is a figure which shows an example of the surgical instrument which concerns on 1st Embodiment, (a) is a front view, (b) is sectional drawing. 図１の施術器具の他の例を示す図である。2 is a diagram showing another example of the surgical instrument of FIG. 1; FIG. 第２実施形態に係る施術器具の一例を示す図で、（ａ）正面図、（ｂ）側面図であるIt is a figure which shows an example of the surgical instrument which concerns on 2nd Embodiment, (a) is a front view, (b) is a side view. 図３の施術器具の使用状態を説明するための図である。FIG. 4 is a diagram for explaining how the surgical instrument of FIG. 3 is used; 第３実施形態に係る施術器具の一例を示す図で、（ａ）正面図、（ｂ）側面図である。It is a figure which shows an example of the surgical instrument which concerns on 3rd Embodiment, (a) is a front view, (b) is a side view. 図５の指部を説明するための図である。FIG. 6 is a diagram for explaining the finger portion of FIG. 5; 図５の施術部を説明するための図で、（ａ）初期状態、（ｂ）対象部位と接触状態の平面図、（ｃ）対象部位と接触状態の側面図、（ｅ）対象部位と接触状態の底面図である。(a) initial state, (b) plan view of contact state with target site, (c) side view of contact state with target site, (e) contact with target site It is a bottom view of a state. 図５の施術部の他の例を説明するための図で、（ａ）指部の間隔を広げた状態、（ｂ）対象部位と接触状態の平面図、（ｃ）対象部位と接触状態の側面図、（ｄ）対象部位と接触状態で一部の指を動かした状態の側面図である。5A and 5B are views for explaining another example of the treatment part, (a) a state in which the distance between the fingers is widened, (b) a plan view of the target site and the contact state, and (c) the target site and the contact state. (d) A side view of a state in which a part of the finger is moved while being in contact with the target site. 第４実施形態に係る施術器具の一例を示す図で、（ａ）一例を示す図、（ｂ）他の一例を示す図である。It is a figure which shows an example of the surgical instrument which concerns on 4th Embodiment, (a) is a figure which shows an example, (b) is a figure which shows another example. 第５実施形態に係る施術器具の一例を示す図である。It is a figure which shows an example of the surgical instrument which concerns on 5th Embodiment. 第６実施形態に係る施術器具の一例を示す図である。It is a figure which shows an example of the surgical instrument which concerns on 6th Embodiment. 図１１の付加施術部の他の例を示す図であるFIG. 12 is a diagram showing another example of the additional treatment portion of FIG. 11; 第７実施形態に係る施術器具の一例を示す図である。It is a figure which shows an example of the surgical instrument which concerns on 7th Embodiment. 図１３の施術器具の他の一例を示す図である。FIG. 14 is a diagram showing another example of the surgical instrument of FIG. 13; 図１３の施術器具の他の一例を示す図である。FIG. 14 is a diagram showing another example of the surgical instrument of FIG. 13; 図１３の付加施術部の他の例を示す図である。FIG. 14 is a diagram showing another example of the additional treatment portion of FIG. 13; 第８実施形態に係る施術器具の一例を示す図である。It is a figure which shows an example of the surgical instrument which concerns on 8th Embodiment. 図５の施術器具の他の例を示す図で、（ａ）正面図、（ｂ）側面図である。It is a figure which shows the other example of the treatment instrument of FIG. 5, (a) is a front view, (b) is a side view.

以下に本発明の実施形態の例を図面を用いて説明する。なお、下記実施形態において共通する構成要素については、前出の符号と同様な符号を付し説明を省略することがある。また、構成要素等の形状、位置関係等に言及する場合は、特に明示した場合及び原理的に明らかにそうでないと考えられる場合等を除き、実質的にその形状等に近似または類似するもの等を含むものとする。 An example of an embodiment of the present invention will be described below with reference to the drawings. It should be noted that constituent elements common to the following embodiments may be denoted by the same reference numerals as the aforementioned reference numerals, and description thereof may be omitted. In addition, when referring to the shape, positional relationship, etc. of components, etc., unless otherwise specified or in principle clearly considered otherwise, etc. that are substantially similar or similar to the shape, etc. shall include

＜第１実施形態＞
図１は第１実施形態に係る施術器具の一例を示す図で、（ａ）正面図、（ｂ）断面図である。図２は他の例を示す図である。図１において、Ｘは幅方向（横方向、左右方向）を示し、Ｙは長手方向（縦方向、前後方向）を示し、Ｚは厚み方向（深さ方向、上下方向）を示す（以下各図において同じ）。施術器具１は、生体に対して対象部位を撫でる、揺らす、叩く等の施術を行う施術器具である。 <First embodiment>
FIG. 1 is a diagram showing an example of a surgical instrument according to the first embodiment, and is (a) a front view and (b) a cross-sectional view. FIG. 2 is a diagram showing another example. In FIG. 1, X indicates the width direction (horizontal direction, left-right direction), Y indicates the longitudinal direction (longitudinal direction, front-back direction), Z indicates the thickness direction (depth direction, up-down direction) (each figure below) same in). The treatment instrument 1 is a treatment instrument for performing treatment such as stroking, shaking, and hitting a target site on a living body.

施術器具１は、対象部位と接触して施術を行う施術部１０と、施術部１０を操作するハンドル部４０とを有する。施術部１０は、対象部位と接触して施術を行う一以上の指部２０を有する。一例として、ここでは一の指部２０を有する例を説明する。 The treatment instrument 1 has a treatment section 10 for performing treatment by contacting a target site, and a handle section 40 for operating the treatment section 10 . The treatment unit 10 has one or more finger parts 20 that perform treatment in contact with the target site. As an example, an example having one finger portion 20 will be described here.

指部２０は、棒状に形成され、芯部２２と、柔軟性を有し、芯部２２の外周の少なくとも一部を覆う作用部２１とを含む。作用部２１は、固着部２３により芯部２２に固着される。固着部２３は、熱溶着によるものでもよいし、接着剤や粘着剤などが用いられてもよい。例えば、芯部２２をプラスチック樹脂で成型し、周囲にエラストマー樹脂やゴム材を作用部２１として二重成型し固着したりしても良い。 The finger portion 20 is formed in a bar shape and includes a core portion 22 and an action portion 21 having flexibility and covering at least a portion of the outer periphery of the core portion 22 . The acting portion 21 is fixed to the core portion 22 by the fixing portion 23 . The fixed portion 23 may be formed by thermal welding, or may be formed by using an adhesive or a pressure-sensitive adhesive. For example, the core portion 22 may be molded from a plastic resin, and an elastomer resin or rubber material may be double-molded and fixed as the action portion 21 around the core portion 22 .

作用部２１は、一例として、芯部２２の一部（例えば外周の１／２～２／３）を覆うように形成される。作用部２１は、図１（ｂ）に示すように、例えば、断面視略Ｕ字形状に形成され、対象部位と接触する接触面が凸曲面である。 As an example, the acting portion 21 is formed so as to cover a portion of the core portion 22 (for example, 1/2 to 2/3 of the outer circumference). As shown in FIG. 1(b), the action part 21 is formed in, for example, a substantially U-shaped cross section, and the contact surface that contacts the target site is a convex curved surface.

作用部２１は、一例として、図２に示すように、芯部２２の外周を全周覆うように形成される。作用部２１は、例えば、図２（ａ）に示すように、４つの面を有し、接触面が凸曲面である。作用部２１は、例えば、図２（ｂ）に示すように、断面視円形状に形成され、均一な厚みを有し、芯部２２と同心状である。作用部２１は、例えば、図２（ｃ）に示すように、断面視円形状に形成され、厚みに変化があり、芯部２２とは中心がずれている。 As an example, the acting portion 21 is formed so as to cover the entire outer periphery of the core portion 22 as shown in FIG. For example, as shown in FIG. 2(a), the acting portion 21 has four surfaces, and the contact surfaces are convex curved surfaces. For example, as shown in FIG. 2B, the acting portion 21 is formed in a circular cross-sectional shape, has a uniform thickness, and is concentric with the core portion 22 . For example, as shown in FIG. 2C, the acting portion 21 is formed in a circular cross-sectional shape, has a varying thickness, and is displaced from the center of the core portion 22 .

作用部２１は、柔軟性を有する素材により形成され、例えば、いわゆるシリコーン、ウレタン、エラストマーまたはゴム等の素材が用いられる。発泡材やジェル状の素材、人口皮革等が用いられてもよい。作用部２１に用いられる素材の硬度は、シリコーンの場合、例えば５°～３５°、好ましくは８°～３０°、より好ましくは１０°～２６°である。言い換えれば、作用部２１は、好ましくは、３０°以下の低硬度に形成される。他の素材の場合も、同様な硬度を有するように形成されてもよい。なお、素材に応じて硬度範囲を適宜変えてもよい。 The acting portion 21 is made of a flexible material, such as so-called silicone, urethane, elastomer, or rubber. A foam material, a gel-like material, artificial leather, or the like may be used. In the case of silicone, the hardness of the material used for the action portion 21 is, for example, 5° to 35°, preferably 8° to 30°, more preferably 10° to 26°. In other words, the action portion 21 is preferably formed with a low hardness of 30° or less. Other materials may be formed to have similar hardness. Note that the hardness range may be appropriately changed according to the material.

ここで、硬度とは、測定機が簡便であることから一般に広く普及している「デュロメータ硬さ」のことである。「デュロメータ硬さ」は、測定する対象の表面に鋭利ではない針（押針、インデンタ）を押し込んで、その変形量を測定し数値化する方法であり、針を押し込む力としてスプリングを用いている。ＪＩＳ Ｋ ６２５３－３に規格され、デュロメータには、タイプＡ、タイプＤ、タイプＥ及びタイプＡＭがあり、その選択は、次による。
－タイプＤデュロメータで硬さが２０未満の値を示す場合は，タイプＡを用いる。
－タイプＡデュロメータで硬さが２０未満の値を示す場合は，タイプＥを用いる。
－タイプＡデュロメータで硬さが９０を超える値を示す場合は，タイプＤを用いる。
本願明細書および特許請求の範囲における硬度は、上記で選択されたタイプのデュロメータで測定される値である。 Here, the hardness refers to "durometer hardness" which is widely used because the measuring instrument is simple and easy to use. "Durometer hardness" is a method in which a non-sharp needle (push needle, indenter) is pushed into the surface of the object to be measured, and the amount of deformation is measured and quantified, and a spring is used as the force to push the needle. . Standardized in JIS K 6253-3, durometers include type A, type D, type E and type AM, and the selection is as follows.
- If the type D durometer gives a hardness value of less than 20, use type A.
- if the type A durometer gives a hardness value less than 20, use type E;
- If the type A durometer shows a hardness value greater than 90, use type D.
Hardness in the specification and claims herein is a value measured in durometers of the type selected above.

芯部２２は、硬性を有し、一例として、図示のように断面が円形の棒状に形成される。芯部２２は、施術器具１の長手方向に延びて、ハンドル部４０と接続する。芯部２２は、金属（例えば鉄、銅、金、銀、アルミニウム、ステンレス、チタン、マグネシウム、タングステン、またはこれらの合金）、鉱石、又はポリプロピレン、ナイロン、ABS等の樹脂等により形成される。 The core part 22 has hardness, and as an example, is formed in a bar shape with a circular cross section as shown in the drawing. The core portion 22 extends in the longitudinal direction of the surgical instrument 1 and connects with the handle portion 40 . The core 22 is made of metal (for example, iron, copper, gold, silver, aluminum, stainless steel, titanium, magnesium, tungsten, or alloys thereof), ore, or resin such as polypropylene, nylon, ABS, or the like.

施術部１０は、対象部位に適度な荷重がかかるように、例えば１０ｇ～６００ｇ、好ましくは２０ｇ～５００ｇ、より好ましくは３０ｇ～４００ｇとなるように構成される。後述のように、複数の指部２０を有する場合、一の指部２０は、例えば１０ｇ～３００ｇ、好ましくは１０ｇ～２５０ｇ、より好ましくは１０ｇ～２００ｇである。 The treatment section 10 is configured to have a weight of, for example, 10 g to 600 g, preferably 20 g to 500 g, more preferably 30 g to 400 g, so that an appropriate load is applied to the target site. As will be described later, when having a plurality of fingers 20, one finger 20 is, for example, 10g to 300g, preferably 10g to 250g, more preferably 10g to 200g.

また、施術の対象部位によって施術時の全体の荷重の掛かる量を設定することもできる。例えば、皮膚表面のファシアケアーは１０ｇから４００ｇ、筋肉や腱へのアプローチには５０ｇから１ｋｇ、骨格（肋骨や手足の指など）系へのアプローチには２００ｇから１．５ｋｇ、骨格（背骨や手足など）系のアプローチには４００ｇから３ｋｇとする。 In addition, it is also possible to set the amount of the entire load applied during the treatment depending on the target part of the treatment. For example, 10g to 400g for fascia care on the skin surface, 50g to 1kg for muscles and tendons, 200g to 1.5kg for skeletal (ribs, fingers, toes, etc.), skeletal (backbone, limbs, etc.) ) from 400 g to 3 kg for system approaches.

施術器具１は、作用部２１が対象部位との密着性が高く、対象部位を揺らす施術を行いやすい。施術の際は、手で対象部位を揺らすように、指部２０を対象部位に載せた状態でハンドル部４０を左右又は前後に軽く振る。そうすると、作用部２１と密着している対象部位が作用部２１とともに動いて揺らされる。このとき、指部２０の自重により対象部位に適度な圧力がかかり、揺らしやすくなる。 In the treatment instrument 1, the action part 21 has high adhesion to the target site, and it is easy to perform treatment by shaking the target site. During treatment, the handle part 40 is lightly shaken left and right or back and forth with the finger part 20 placed on the target part so as to shake the target part by hand. Then, the target portion in close contact with the action portion 21 is moved and shaken together with the action portion 21 . At this time, an appropriate pressure is applied to the target part by the weight of the finger part 20, and it becomes easy to rock.

また、施術器具１は、指部２０の自重が対象部位に全部かからないように指部２０を少し持ち上げるようにし、ハンドル部４０を左右又は前後に移動させて、指部２０を対象部位上で左右または前後に滑り移動させて対象部位を撫でる施術を行うことができる。 In addition, in the surgical instrument 1, the fingers 20 are lifted slightly so that the weight of the fingers 20 is not entirely applied to the target site, and the handle 40 is moved left and right or back and forth to move the fingers 20 left and right on the target site. Alternatively, it is possible to perform a treatment by stroking the target site by sliding it back and forth.

また、施術器具１は、対象部位を指部２０で叩いて施術を行うことができる。作用部２１が柔軟性を有するため、衝撃を減らしながらも、振動を深部に伝えることができる。 Moreover, the surgical instrument 1 can perform a surgical operation by tapping the target site with the fingers 20 . Since the action part 21 has flexibility, it is possible to transmit the vibration to the deep part while reducing the impact.

このように、施術器具１は、施術部１０を柔軟性を備えるように構成し、人間の手ないし指を模して、効率よく施術を行うことができる。また、施術器具１は、施術者が異性である場合も行いやすく、セルフケアも行いやすい。 In this manner, the treatment instrument 1 has the treatment section 10 configured to be flexible, mimics a human hand or fingers, and can perform treatment efficiently. In addition, the treatment instrument 1 is easy to perform even when the operator is of the opposite sex, and self-care is also easy to perform.

施術器具１は、作用部２１の表面に凹凸模様が設けられてもよい。より具体的には、作用部２１の表面の全部または一部に細かな凹凸模様、例えば円形や半円形、渦巻状の模様、またはこれらを組み合わせた模様が設けられてもよい。凹凸の深さは、例えば、０．１ｍｍ～１ｍｍ、好ましくは０．２ｍｍ～１ｍｍである。模様を設けることで、対象部位との密着性（吸着性）を高めることができる。 The treatment instrument 1 may be provided with an uneven pattern on the surface of the action portion 21 . More specifically, all or part of the surface of the action portion 21 may be provided with a fine uneven pattern, such as a circular, semicircular, or spiral pattern, or a combination of these patterns. The depth of the unevenness is, for example, 0.1 mm to 1 mm, preferably 0.2 mm to 1 mm. By providing the pattern, it is possible to enhance the adhesion (adsorption) to the target site.

施術器具１は、作用部２１を覆ってこれを保護する表面層ないし表皮部を有してもよい。このような表面層ないし表皮部は、作用部２１と同じ素材で形成されてもよいし、異なる素材が用いられてもよい。硬度のみが異なる素材が用いられてもよい。表面層ないし表皮部の形成には、重ね成型や塗布、巻き付けなどの手法が用いられてもよい。また、表面層ないし表皮部には、上記のような凹凸模様が設けられてもよい。 The treatment instrument 1 may have a surface layer or epidermis that covers and protects the action portion 21 . Such a surface layer or epidermis may be made of the same material as the action portion 21, or may be made of a different material. Materials that differ only in hardness may be used. Techniques such as overmolding, coating, and winding may be used to form the surface layer or skin portion. Further, the surface layer or skin portion may be provided with the uneven pattern as described above.

施術器具１は、作用部２１の全部が芯部２２に固着されてよいし、一部のみが固着されてもよい。例えば、芯部２２の両側付近のみが固着されていることで、施術時に中間付近のたるみがより皮膚との密着性を高めるようにしてもよい。 As for the surgical instrument 1, the whole action part 21 may adhere to the core part 22, and only one part may adhere. For example, only the vicinity of both sides of the core part 22 may be fixed, so that the slack in the vicinity of the middle may enhance the adhesion to the skin during treatment.

＜第２実施形態＞
図３は第２実施形態に係る施術器具の一例を示す図で、（ａ）正面図、（ｂ）側面図である。図４はその使用状態を説明するための図である。以下では、主として上記実施形態と異なる点を説明する。本実施形態の施術部１０は、複数の指部を有し、接続部３０を介してハンドル部４０と接続する。なお、以下では５つの指部の例を説明するが、指部を２２～４本有してもよいし、６本以上有してもよい。 <Second embodiment>
FIG. 3 is a view showing an example of the surgical instrument according to the second embodiment, (a) a front view and (b) a side view. FIG. 4 is a diagram for explaining how it is used. Differences from the above embodiment will be mainly described below. The treatment section 10 of this embodiment has a plurality of finger sections and is connected to the handle section 40 via the connection section 30 . An example of five fingers will be described below, but the number of fingers may be 22 to 4, or may be 6 or more.

施術部１０は、一例として、図示のように、指部２０ａ、指部２０ｂ、指部２０ｃ、指部２０ｄ及び指部２０ｅの５つの指部を有する。これらの指部は、長手方向に延在し、隣同士の間には所定の隙間が設けられている。５つの指部は、指連結部により並列して連結され、一体となっている。ここでは、第１指連結部１３及び第２指連結部１４の２つの連結部が５つの指部を串状に挿通して連結している。より具体的には、第２指連結部１４が各指部の後方寄りの部分を挿通し、第１指連結部１３が第２指連結部１４よりもやや前方で各指部を挿通して、５つの指部を連結している。 As an example, the treatment section 10 has five fingers, finger 20a, finger 20b, finger 20c, finger 20d, and finger 20e, as shown. These fingers extend longitudinally with a predetermined gap between them. The five finger parts are connected in parallel by the finger connecting part and are integrated. Here, two connecting portions, the first finger connecting portion 13 and the second finger connecting portion 14, are connected by inserting five finger portions in a skewed manner. More specifically, the second finger connecting portion 14 is inserted through the rear portion of each finger, and the first finger connecting portion 13 is inserted through each finger slightly forward of the second finger connecting portion 14. , connecting five fingers.

接続部３０は、施術部１０と接続する前段部３１と、前段部３１より太い中段部３２と、中段部３２より太い後段部３３とを有する。これらは、同じ素材で構成されてもよいし、異なる素材で構成されてもよい。好ましくは、前段部３１は可撓性を有し、撓る。中段部３２も可撓性を有し撓るように構成されてもよい。 The connection part 30 has a front stage part 31 connected to the treatment part 10 , a middle stage part 32 thicker than the front stage part 31 , and a rear stage part 33 thicker than the middle stage part 32 . These may be made of the same material or may be made of different materials. Preferably, the front section 31 is flexible and bends. The middle section 32 may also be configured to have flexibility and bend.

なお、図示の施術器具１は、前段部３１から後段部３３まで、更にはハンドル部４０まで一続き状に棒状に構成されているが、並列の２本以上の棒状に構成されてもよいし、扁平な板状に構成されてもよい。また、図示では直線状に延びているが、湾曲形状、コの字形状等の形状に曲がり、施術の際に施術部１０よりも上方に位置するように施術部１０との間に段差が形成されてもよい。また、直線状の状態から、他の形状に変更できるようになってもよい。 The illustrated surgical instrument 1 is configured in a rod shape continuously from the front stage portion 31 to the rear stage portion 33 and further to the handle portion 40. However, it may be configured in parallel two or more rod shapes. , may be configured in a flat plate shape. In addition, although it extends linearly in the drawing, it bends into a curved shape, a U-shape, or the like, and a step is formed between the treatment section 10 and the treatment section 10 so that it is positioned above the treatment section 10 during treatment. may be Also, the linear state may be changed to another shape.

図４では、主に皮膚表面を揺らす例、例えば、皮膚や筋膜周辺の血液やリンパの流れを促進するためのファシアケアーの例を示す。図４の（１）で示すように、施術部１０を対象部位Ｏ（具体的には皮膚）上に載せると、その重さで対象部位Ｏが凹む。より具体的には、対象部位Ｏは、指部の下方部分が凹み、その両側が凸出する。なお、ここでは、便宜上、指部２０ｂ、指部２０ｃ、指部２０ｄのみを示し、他の部分は省略している。 FIG. 4 shows an example of mainly shaking the skin surface, for example, fascia care for promoting the flow of blood and lymph around the skin and fascia. As shown in (1) of FIG. 4, when the treatment section 10 is placed on the target site O (specifically, the skin), the target site O is depressed due to its weight. More specifically, the target portion O is recessed at the lower portion of the finger portion and protrudes on both sides thereof. For convenience, only the finger portions 20b, 20c, and 20d are shown here, and other portions are omitted.

図４の（２）で示すように、施術部１０が矢印方向に動くと、各指部と密着している対象部位Ｏは図中の矢印方向（左方向）に徐々に引かれる。また、各指部の作用部は、柔軟性を有するため変形して、移動方向の前方部分が凹み（肉薄になり）、後方部分が凸出する（肉厚になる）。また、作用部の応力（図示の矢印）により、対象部位Ｏを元の状態に戻そうとする。この力により、対象部位Ｏに対し左方向に引く力が強まるが、作用部の柔軟性による緩やかな（優しい）、引く力（横方向に加わる圧力）が加わる（起きる）。また、この位置から、施術部１０が図中の右方向に移動するときには、今までの左方向に引く力が徐々に弱まり、図４（１）の状態で引く力が解消した状態に戻る。この過程においても、作用部の柔軟性による穏やかな、引く力の解消が起きる。次に施術部が図中の右方向に動くことで図４（３）の状態に移行する。図４の（３）で示すように、反対方向に動く場合も同様に作用部の柔軟性による穏やかな力が変化が起きる。このように、ハンドル部を操作する人の動きにあまり影響されずに穏やかな力が対象部位に加わることで体に緊張を与えず施術することが出来る。 As shown in (2) of FIG. 4, when the treatment section 10 moves in the direction of the arrow, the target site O in close contact with each finger is gradually pulled in the direction of the arrow (leftward) in the figure. Also, since the acting portion of each finger has flexibility, it is deformed so that the forward portion in the moving direction is recessed (thinner) and the rearward portion is protruded (thickened). In addition, the stress of the acting portion (the arrow in the drawing) attempts to restore the target portion O to its original state. This force increases the leftward pulling force with respect to the target site O, but a gentle (gentle) pulling force (horizontal direction pressure) is applied (occurred) due to the flexibility of the action portion. When the treatment unit 10 moves rightward in the figure from this position, the leftward pulling force is gradually weakened, and the pulling force returns to the state shown in FIG. 4(1). Also in this process, a gentle, pulling force cancellation occurs due to the flexibility of the working part. Next, the treatment section moves to the right in the drawing, thereby shifting to the state shown in FIG. 4(3). As shown in (3) of FIG. 4, even when moving in the opposite direction, a gentle force change occurs due to the flexibility of the acting portion. In this manner, a gentle force is applied to the target site without being greatly affected by the movement of the person who operates the handle, so that the treatment can be performed without giving tension to the body.

また、この時に施術部１０の振れ幅は、対象部位上を施術部１０が滑らない範囲内に押えるほうが、施術効果が高まる。このため、施術部１０の振れ幅を制限ないし調整する機構を設けても良い。振れ幅は、５ｍｍから６０ｍｍ、好ましくは５ｍｍから５０ｍｍ、より好ましくは５ｍｍから４０ｍｍである。 Further, at this time, the treatment effect is enhanced by holding the swing width of the treatment section 10 within a range in which the treatment section 10 does not slip on the target site. Therefore, a mechanism for limiting or adjusting the amplitude of the treatment section 10 may be provided. The amplitude is 5 mm to 60 mm, preferably 5 mm to 50 mm, more preferably 5 mm to 40 mm.

なお、人間の体には、強い力や急激な圧力に対し、皮膚や筋肉などが危険を察知し拘縮する仕組みがあると言われている。その極端な一例としてむち打ち症が挙げられている。筋線維に過大な負荷がかかると筋小胞体が傷害され、活動電位が出なくても筋小胞体からカルシウムイオンが筋漿に出ていくと言われている。その結果、太いフィラメントの間に細いフィラメントが滑り込んで、筋線維が短縮し、このとき活動電位が出ないので、収縮と呼ばず拘縮と称されている。拘縮が発生すると、血流が障害され、これに拘縮によるエネルギー消費の増大が加わって代謝産物が蓄積し、ブラジキニンが産出されて痛みを生じると言われている。このときプロスタグランジンも産出され、ブラジキニンの発痛作用が増加し、筋肉が痛みの発生源となると、反射性筋収縮や血管収縮が加わって痛みを強め、痛みの悪循環ができ上がると言われている。 It is said that the human body has a mechanism in which the skin and muscles detect danger and contract when strong force or sudden pressure is applied. An extreme example is whiplash. It is said that the sarcoplasmic reticulum is damaged when an excessive load is applied to the muscle fibers, and calcium ions are released from the sarcoplasmic reticulum to the sarcoplasm even if no action potential is generated. As a result, the thin filaments slip between the thick filaments, shortening the muscle fibers, and at this time action potentials do not occur, so they are called contractures, not contractions. It is said that when contracture occurs, blood flow is disturbed, and in addition to this, energy consumption increases due to contracture, metabolites accumulate, and bradykinin is produced, causing pain. At this time, prostaglandins are also produced, and the pain-producing action of bradykinin increases. When muscles become the source of pain, reflex muscle contraction and vasoconstriction are added to intensify pain, and it is said that a vicious circle of pain is created. there is

このように、施術器具１は、ハンドル部を左右に所定幅で振る操作をすることで、施術部が複数の指部の延在方向と直交する方向に動く（振れる）ようになり、複数の指部で対象部位Ｏを優しく押圧し揺らす施術を行うことができる。 As described above, the treatment instrument 1 moves (swings) in a direction orthogonal to the extending direction of the plurality of fingers by swinging the handle portion left and right by a predetermined width. A treatment can be performed by gently pressing and shaking the target site O with the fingers.

なお、作用部が硬いと、対象部位Ｏと馴染まず、対象部位Ｏが皺寄せ状態となる、対象部位Ｏ上で滑る等のことが生じて、施術効果が損なわれる。一方、柔軟性を有する素材のみで構成され、硬い芯部を有しない場合は、圧力が均一になりにくく、指部を思うように動かしにくくなる。 If the action portion is hard, it will not fit well with the target site O, causing the target site O to wrinkle, slipping on the target site O, and the like, thereby impairing the effect of the treatment. On the other hand, if it is composed only of a flexible material and does not have a hard core, it is difficult to apply a uniform pressure, making it difficult to move the fingers as desired.

＜第３実施形態＞
図５は第３実施形態に係る施術器具の一例を示す図で、（ａ）正面図、（ｂ）側面図である。図６は、指部を説明するための図である。図７は、施術部を説明するための図で、（ａ）初期状態、（ｂ）対象部位と接触状態の平面図、（ｃ）対象部位と接触状態の側面図、（ｅ）対象部位と接触状態の底面図である。以下では、主として上記実施形態と異なる点を説明する。本実施形態の施術器具１は、施術部１０の指部が関節部を有する。 <Third Embodiment>
FIG. 5 is a diagram showing an example of a surgical instrument according to the third embodiment, and is (a) a front view and (b) a side view. FIG. 6 is a diagram for explaining the finger portion. 7A and 7B are diagrams for explaining the treatment part, (a) initial state, (b) plan view of target site and contact state, (c) side view of target site and contact state, (e) target site and It is a bottom view of a contact state. Differences from the above embodiment will be mainly described below. In the surgical instrument 1 of this embodiment, the fingers of the surgical section 10 have joints.

施術部１０は、５つの指部を有し、それぞれの指部は、芯部が複数の芯部材を有し、芯部材同士が関節部により可動に接続される。左右方向の両側の第１指部２０ａと第５指部２０ｅは略線対称に形成され、ここでは第１指部２０ａを例に説明する。一例として、第１指部２０ａは、芯部２２ａが第１芯部材２２１ａ、第２芯部材２２２ａ及び第３芯部材２２３ａの３つの棒状の芯部材を有し、第１芯部材２２１ａ及び第２芯部材２２２ａが第１関節部により可動に接続され、第２芯部材２２２ａ及び第３芯部材２２３ａが第２関節部により可動に接続される。好ましくは、第３芯部材２２３ａは、先端部近辺で横方向内側（第２指部２０ｂ側）に鈍角に屈曲し、基端部近辺で長手方向に屈曲して折り返されるような形状である。なお、第５指部２０ｅは、第１指部２０ａより若干長く形成されてもよい。 The treatment section 10 has five fingers, each finger has a plurality of core members, and the core members are movably connected to each other by joints. The first finger portion 20a and the fifth finger portion 20e on both sides in the left-right direction are formed substantially line symmetrically, and here, the first finger portion 20a will be described as an example. As an example, in the first finger portion 20a, the core portion 22a has three rod-shaped core members, namely, a first core member 221a, a second core member 222a and a third core member 223a. The core member 222a is movably connected by a first joint, and the second core member 222a and the third core member 223a are movably connected by a second joint. Preferably, the third core member 223a is bent laterally inward (toward the second finger portion 20b) at an obtuse angle in the vicinity of the distal end, and is bent in the longitudinal direction in the vicinity of the proximal end and folded back. The fifth finger portion 20e may be formed slightly longer than the first finger portion 20a.

好ましくは、各指部の作用部には芯部の関節部と対応する凹状の節部が設けられる。各指部は、少なくとも第１芯部材と第２芯部材との間の第１関節部と対応する節部を有する。第５指部２０ｅを例に説明すると、一例として、第５指部２０ｅは、第１関節部と対応して、径方向内側に凹む凹状の節部２１０１ｅを有する。指部に節部を設けることで、関節部がより動きやすくなる。 Preferably, the working portion of each finger is provided with a concave knuckle corresponding to the articulation of the core. Each finger has at least a first articulated portion and a corresponding knuckle portion between the first core member and the second core member. Taking the fifth finger portion 20e as an example, as an example, the fifth finger portion 20e has a concave joint portion 2101e that is concave inward in the radial direction corresponding to the first joint portion. By providing the knuckles on the fingers, the joints can be moved more easily.

中間の第２指部２０ｂ、第３指部２０ｃ及び第４指部２０ｄは、長さを除き略同形状に形成される。なお、長さは同等でもよいが、好ましくは、図示のように。第３指部２０ｃが他より長い。第３指部２０ｃを例に説明すると、一例として、芯部２２ｃは、４つの棒状の芯部材を有し、隣同士の芯部材は関節部により可動に接続される。 The intermediate second finger portion 20b, third finger portion 20c and fourth finger portion 20d are formed in substantially the same shape except for the length. It should be noted that the lengths may be equal, but preferably as shown. The third finger 20c is longer than the others. Taking the third finger portion 20c as an example, as an example, the core portion 22c has four rod-shaped core members, and adjacent core members are movably connected by joint portions.

ここで、芯部材についてより具体的に説明すると、各芯部材は、基端部が横幅を減らして板状に形成され、板厚を貫通する孔部が設けられる。第１芯部材以外の各芯部材は、先端部の中央に後方に凹む溝部が設けられ、溝部の両側の壁部に横方向に貫通する孔部が設けられる。各芯部材の基端部は、隣接芯部材の先端部の溝部に挿入され、共同して後述の軸部材に挿通され、連結される。
ここで示した例では、隣接芯部材間を軸部材で連結している。しかし、これに限らず、ワイヤーで芯部材の先端部同士を溶着やカシメ、接着、ねじ止めなどで連結して、各指部が各関節部分で屈曲可能にしても良い。また、芯部材間を直接連結せずに、作用部２１で各芯部材及び各芯部材間を包み込むことで、各芯部材を間接的に連結させ、各指部が各関節部分で屈曲可能にしてもよい。 Here, the core member will be described more specifically. Each core member is formed in a plate-like shape with a reduced width at the base end, and is provided with a hole penetrating through the thickness of the plate. Each of the core members other than the first core member has a rear recessed groove at the center of the distal end portion, and laterally penetrating holes are provided in the walls on both sides of the groove. The proximal end of each core member is inserted into the groove of the distal end of the adjacent core member, and jointly passed through a shaft member described later to be connected.
In the example shown here, adjacent core members are connected by shaft members. However, the present invention is not limited to this, and the tips of the core members may be connected with wires by welding, caulking, adhesion, screwing, or the like so that each finger can be bent at each joint. In addition, by wrapping each core member and between each core member with the action portion 21 instead of connecting the core members directly, each core member is indirectly connected and each finger can be bent at each joint. may

図６に示すように、第３指部２０ｃは、第１芯部材２２１ｃと第２芯部材２２２ｃが軸部材２２０１ｃにより回動可能に連結され、第２芯部材２２２ｃと第３芯部材２２３ｃが軸部材２２０２ｃにより回動可能に連結される。 As shown in FIG. 6, in the third finger portion 20c, a first core member 221c and a second core member 222c are rotatably connected by a shaft member 2201c, and a second core member 222c and a third core member 223c are connected as shafts. It is rotatably connected by member 2202c.

第３指部２０ｃは、第３芯部材２２３ｃと第４芯部材２２４ｃが軸部材１１０１により回動可能に連結される。軸部材１１０１は、図５（ａ）に示すように、第２指部２０ｂ、第３指部２０ｃ及び第４指部２０ｄの共通の枢軸であってこれらを一体に連結するものである。また、第１指部２０ａ、第５指部２０ｅを含む５つの指部の最後方の芯部材の基端部を挿通する軸部材１１０２は、図５（ａ）に示すように、５つの指部の共通の枢軸であってこれらを一体に連結するものである。好ましくは、共通の軸部材の周辺の作用部は、隣同士で結合して一体となり、掌状部１１を形成する。 In the third finger portion 20c, the third core member 223c and the fourth core member 224c are rotatably connected by the shaft member 1101. As shown in FIG. As shown in FIG. 5(a), the shaft member 1101 is a common pivot shaft for the second finger portion 20b, the third finger portion 20c and the fourth finger portion 20d and integrally connects them. 5A, the shaft member 1102 through which the proximal ends of the rearmost core members of the five fingers including the first finger 20a and the fifth finger 20e are inserted, the common pivot of the parts and connects them together. Preferably, the peripheral working portions of the common shaft member are joined together next to each other to form the palm portion 11 .

接続部３０の前段部３１の施術連結部３１１は、略Ｕ字状に形成され、前後方向に延びる両端部が軸部材１１０１及び軸部材１１０２により挿通され、所定角度内で回動可能に施術部を支持する。また、好ましくは、前段部３１が可撓性を有し、施術部１０の自重で撓るようになっている。 The treatment connection part 311 of the front stage part 31 of the connection part 30 is formed in a substantially U shape, and both ends extending in the front-rear direction are inserted by the shaft members 1101 and 1102 so that the treatment part is rotatable within a predetermined angle. support. Moreover, preferably, the front stage portion 31 has flexibility, and is bent by the weight of the treatment portion 10 itself.

また、図示しないが、各軸部材の軸部にばね部材（例えば捩じりばねや、板ばね、コイルばね）が設けられ、撓る量を押えられる構造としても良い。さらに、対象部位との接触面が湾曲面となるようにばね部材を組み合わせても良い。また、軸部材に、ラッチを設け、ラッチのばねの強度と組合せて、所定の強さで一定の角度を保持し固定できるようにして、各指部の角度を変更できるようにしてもよい。 Moreover, although not shown, a spring member (for example, a torsion spring, a leaf spring, or a coil spring) may be provided on the shaft portion of each shaft member to suppress the bending amount. Furthermore, the spring members may be combined so that the contact surface with the target site is a curved surface. Also, a latch may be provided on the shaft member, and combined with the strength of the spring of the latch, a fixed angle may be held and fixed with a predetermined strength, so that the angle of each finger may be changed.

施術部１０は、指部の芯部が関節部を有するため、図７（ａ）の初期状態の施術部１０を、対象部位Ｏ上に載せると、自重により指部が動き、対象部位Ｏの表面形状に沿った形となる。例えば、対象部位Ｏが凸曲面である場合は、図７（ｂ）、図７（ｃ）、図７（ｄ）に示すように、対象部位Ｏの凸曲面状に沿った形状に各指部が曲がり、対象部位Ｏと密接に接触するようになる。また、施術部１０は、指部の作用部が凹状の節部を有するため、関節部がより動きやすくなる。
これにより、対象部位Ｏが例えば肩や肘、踵、頭などの凸曲面（球面）状の部位の場合であっても、密接に接触して、揺らす、撫でるなどの施術を行うことができ、施術の効果を高めることができる。また、対象部位Ｏが腕や足などの円柱状の部位、腹部の側部などの半円柱状の部位の場合であっても、その形状に沿わせた形で施術を行い、高い施術効果が得られる。 Since the core of the fingers of the treatment section 10 has joints, when the treatment section 10 in the initial state shown in FIG. The shape conforms to the surface shape. For example, when the target site O is a convex curved surface, each finger portion is shaped along the convex curved surface of the target site O as shown in FIGS. 7B, 7C, and 7D. bends and comes into intimate contact with the target site O. In addition, since the operating portion of the finger portion of the treatment portion 10 has a concave knot portion, the joint portion can be more easily moved.
As a result, even if the target site O is a convex curved surface (spherical surface) such as a shoulder, elbow, heel, or head, it is possible to perform a treatment such as shaking or stroking by closely contacting the target site. It can enhance the effect of surgery. In addition, even if the target part O is a cylindrical part such as an arm or a leg, or a semi-cylindrical part such as the side of the abdomen, the treatment is performed along the shape of the part, and a high treatment effect can be obtained. can get.

好ましくは、施術部１０は、隣接の指部同士の間隔が調整可能である。一例として、図８（ａ）に示すように、第１指部２０ａ及び第５指部２０ｅを外側に動かして、隣接の指部との間隔を広げ、施術部１０全体の横幅を広げるようにしてもよい。これにより、広範囲の施術を効率よく行うことができる。また、例えば、図８（ｂ）、図８（ｃ）に示すように、真ん中の３本の指部による施術の場合も行いやすくなる。 Preferably, in the treatment section 10, the spacing between adjacent finger sections can be adjusted. As an example, as shown in FIG. 8(a), the first finger portion 20a and the fifth finger portion 20e are moved outward to widen the distance between the adjacent finger portions and widen the width of the treatment portion 10 as a whole. may As a result, a wide range of treatments can be performed efficiently. Further, for example, as shown in FIGS. 8(b) and 8(c), it becomes easier to perform the treatment using the middle three fingers.

施術部１０は、指部を個別に動かす指動機構を有してもよい。一例として、施術部１０は、指部の芯部材を引っ張るように構成された腱部材を有し、図８（ｄ）に示すように、腱部材により一部の指部を対象部位Ｏから離れる方向に引っ張って反らせることで、残りの指部で施術を行うようにしてもよい。他の例として、腱部材により、一部の指部を対象部位Ｏ方向に大きく曲げて、対象部位Ｏと接触しないようにしてもよい。また、対象部位Ｏに対して施術を行う指部を、腱部材により動かして、形状や動作を変えて施術を行ってもよい。 The treatment section 10 may have a finger movement mechanism for individually moving the fingers. As an example, the treatment section 10 has a tendon member configured to pull the core member of the finger, and as shown in FIG. By pulling it in a direction and bending it, you may make it operate|move with the remaining finger|toe part. As another example, a tendon member may bend some fingers in the direction of the target site O so as not to contact the target site O. FIG. Further, the finger part that performs the treatment on the target site O may be moved by the tendon member to change the shape or the operation to perform the treatment.

このように、施術器具１は、接触、密着の態様を変更するなどして、施術の対象部位や施術の目的などに合わせて施術を行うことができる。 In this manner, the treatment instrument 1 can perform treatment in accordance with the target site to be treated, the purpose of the treatment, etc., by changing the mode of contact and close contact.

図１８は第３実施形態に係る施術器具の他の例を示す図で、（ａ）正面図、（ｂ）側面図である。施術器具１は、さらに、当て部８１を備え、当て部８１に支えられて、施術部１０が振れるように施術が行われてもよい。
当て部８１は、側面当て部８１１と、当て腕部８１２と、位置調整部８１３とを有する。側面当て部８１１は、所定の間隔を置いて、施術部１０の横に設けられる。位置調整部８１３は、一例として、接続部３０の後段部３３に装着され、ネジ８１３１により接続部３０に固定される。当て腕部８１２は、側面当て部８１１と位置調整部８１３の間に延びる部分である。
当て部８１の位置は、ネジ８１３１を緩めて位置調整部８１３の位置を調整することで、調整され得る。当て腕部８１２が変形可能な素材で形成され、当て腕部８１２を所定の形状に曲げることで相対的に調整されてもよい。当て部８１にラッチ機構が設けられ、これによりまたはこれと合わせて位置ないし施術部１０との間隔が調整されるようになってもよい。
なお、側面当て部８１１は、施術者またはその装着物に当接または保持されるものでもよいし、非施術者またはその装着物に当接または保持されるものでもよいし、施術ベッドやいすまたはその周辺部材等に当接または保持されるものでもよい。なお、このような当て部は、他の実施形態の施術器具に設けられてもよい。 18A and 18B are diagrams showing another example of the surgical instrument according to the third embodiment, and are (a) a front view and (b) a side view. The treatment instrument 1 may further include a contact portion 81 , and the treatment may be performed so that the treatment portion 10 swings while being supported by the contact portion 81 .
The contact portion 81 has a side contact portion 811 , a contact arm portion 812 and a position adjusting portion 813 . The side contact part 811 is provided beside the treatment part 10 at a predetermined interval. As an example, the position adjustment part 813 is attached to the rear part 33 of the connection part 30 and fixed to the connection part 30 with a screw 8131 . The contact arm portion 812 is a portion extending between the side contact portion 811 and the position adjustment portion 813 .
The position of the contact portion 81 can be adjusted by loosening the screw 8131 and adjusting the position of the position adjusting portion 813 . The backing arm 812 may be made of a deformable material and relatively adjusted by bending the backing arm 812 into a predetermined shape. A latch mechanism may be provided in the abutting portion 81 , and the position or the distance from the treatment portion 10 may be adjusted by this or in conjunction therewith.
The side contact portion 811 may be in contact with or held by the operator or his/her attachment, may be in contact with or held by the non-operator or his/her attachment, or may be a treatment bed, chair, or It may be one that abuts on or is held by a peripheral member or the like. In addition, such a contact part may be provided in the surgical instrument of another embodiment.

＜第４実施形態＞
図９は第４実施形態に係る施術器具の一例を示す図で、（ａ）一例を示す図、（ｂ）他の一例を示す図である。以下では、主として上記実施形態と異なる点を説明する。本実施形態の施術器具１は、施術部１０を対象部位上で一体に移動させる移動機構を有する。 <Fourth Embodiment>
FIG. 9 is a diagram showing an example of a surgical instrument according to the fourth embodiment, (a) showing one example, and (b) showing another example. Differences from the above embodiment will be mainly described below. The treatment instrument 1 of this embodiment has a moving mechanism that moves the treatment section 10 integrally on the target site.

移動機構は、一例として、引き部４１と、前段部３１と、圧縮コイルばね７１とを含んで構成される。引き部４１は、ハンドル部４０に後方に引くことができるように配設される。ハンドル部４０は、ここでは、略四角枠状に形成され、引き部４１は、ハンドル部４０を横断するように配設される。引き部４１は、横方向に長い長尺部材で、前方の面が指を掛けやすいように４つの指と対応する４つの凹部を有する。 The movement mechanism includes, for example, a pull portion 41 , a front stage portion 31 and a compression coil spring 71 . The pull part 41 is arranged on the handle part 40 so that it can be pulled rearward. Here, the handle portion 40 is formed in a substantially rectangular frame shape, and the pull portion 41 is arranged so as to traverse the handle portion 40 . The pulling part 41 is an elongated member elongated in the lateral direction, and has four recesses corresponding to four fingers so that the front surface of the pulling part 41 can be easily hooked.

前段部３１は、ここでは、中段部３２及び後段部３３が筒状に形成され、前段部３１がその内側を挿通して、引き部４１と接続する。言い換えれば、前段部３１は、ハンドル部４０まで延びて、ハンドル部４０の前方枠に設けられた貫通孔を挿通して引き部４１と接続する。 The front step portion 31 includes a middle step portion 32 and a rear step portion 33 formed in a cylindrical shape. In other words, the front stage portion 31 extends to the handle portion 40 , is inserted through a through hole provided in the front frame of the handle portion 40 , and is connected to the pull portion 41 .

圧縮コイルばね７１は、前段部３１の露出部分に嵌められる。より具体的には、前段部３１には、施術部１０の基端部近辺に径方向に膨出する膨張部３１２が設けられる。膨張部３１２は、少なくとも後端が前段部３１の他の部分より太くなっている。圧縮コイルばね７１は、膨張部３１２と中段部３２との間に、前段部３１がその内側を挿通するように嵌められる。 The compression coil spring 71 is fitted to the exposed portion of the front step portion 31 . More specifically, the front stage portion 31 is provided with an expansion portion 312 that expands in the radial direction near the base end portion of the treatment portion 10 . At least the rear end of the expansion portion 312 is thicker than the other portions of the front step portion 31 . The compression coil spring 71 is fitted between the expanded portion 312 and the intermediate step portion 32 so that the front step portion 31 is inserted through the inner side thereof.

図９（ａ）に示すように、引き部４１を矢印方向に引くと、施術部１０が矢印方向に後退する。引き部４１を緩めると、圧縮コイルばね７１により、施術部１０が前方に戻される。このように、施術器具１は、移動機構を設けることで、上記施術以外に、さらに、施術部のみを前後方向に移動させて、対象部位を撫でる、優しく擦るなどの施術を行うことができる。 As shown in FIG. 9( a ), when the pulling portion 41 is pulled in the direction of the arrow, the treatment portion 10 retreats in the direction of the arrow. When the pulling portion 41 is loosened, the treatment portion 10 is returned forward by the compression coil spring 71 . In this manner, by providing the movement mechanism, the treatment instrument 1 can perform treatment such as stroking or gently rubbing the target site by moving only the treatment part in the front-rear direction, in addition to the above treatment.

施術部１０は、一例として、上記実施形態２（図３）と同様に、図９（ａ）のように指部が前後方向に延在するように配列される。施術部１０は、一例として、図９（ｂ）のように、指部が左右方向（横方向）に延在するように配列され、長手方向と交差するようになってもよい。複数の指部を串状に連結する指連結部は、第１指連結部１３、第２指連結部１４及び第３指連結部１６の３つの指連結部から構成されてもよい。 As an example, the treatment section 10 is arranged such that the fingers extend in the front-rear direction as shown in FIG. 9A, as in the second embodiment (FIG. 3). As an example, as shown in FIG. 9B, the treatment section 10 may be arranged such that the fingers extend in the left-right direction (horizontal direction) and intersect the longitudinal direction. A finger connecting portion that connects a plurality of finger portions in a skewed manner may be composed of three finger connecting portions: a first finger connecting portion 13 , a second finger connecting portion 14 and a third finger connecting portion 16 .

また、図示しないが、図９（ａ）の施術部１０が一体に回転することができ、回転して図９（ｂ）の態様になったり、他の角度で長手方向と交差する態様になったりして施術が行われてもよい。施術部１０を回転させる機構は、特に限定されず、従来技術が適宜用いられてよい。例えば、ラッチで回転が止まるなどの構造が用いられてもよい。 Also, although not shown, the treatment section 10 of FIG. 9(a) can be rotated integrally, and rotated to the state of FIG. 9(b), or to a state that crosses the longitudinal direction at another angle The operation may be performed on a regular basis. A mechanism for rotating the treatment section 10 is not particularly limited, and a conventional technique may be used as appropriate. For example, a structure in which rotation is stopped by a latch may be used.

＜第５実施形態＞
図１０は第５実施形態に係る施術器具の一例を示す図である。以下では、主として上記実施形態と異なる点を説明する。本実施形態の施術器具１は、施術部１０とともに施術を行う付加施術部５０を備える。施術部１０は、上記実施形態のいずれかの施術部と同様に形成され、一例として、上記第３実施形態（図５）と同様に形成される。 <Fifth Embodiment>
FIG. 10 is a diagram showing an example of a surgical instrument according to the fifth embodiment. Differences from the above embodiment will be mainly described below. The treatment instrument 1 of this embodiment includes an additional treatment section 50 that performs treatment together with the treatment section 10 . The treatment section 10 is formed in the same manner as the treatment section in any one of the above embodiments, and as an example, is formed in the same manner as in the third embodiment (FIG. 5).

付加施術部５０は、一例として、施術部１０と同様に形成される。好ましくは、施術器具１は、施術部１０に対して、付加施術部５０を移動させる移動機構を備える。移動機構は、一例として、接続軸３４と、ハンドル部４０と、付加接続部６０と、ねじりコイルばね７２と、ねじりコイルばね７３とを含んで構成される。この移動機構により、付加施術部５０は、施術部１０上で滑り移動できる。 The additional treatment section 50 is formed in the same manner as the treatment section 10, for example. Preferably, the treatment instrument 1 has a movement mechanism for moving the additional treatment section 50 with respect to the treatment section 10 . The movement mechanism includes, for example, the connection shaft 34 , the handle portion 40 , the additional connection portion 60 , the torsion coil spring 72 and the torsion coil spring 73 . This moving mechanism allows the additional treatment section 50 to slide on the treatment section 10 .

このとき、施術部１０の振れ幅は、対象部位上を施術部１０が滑らない範囲内に押えるほうが、施術効果が高まる。このため、施術部１０の振れ幅を制限ないし調整できる機構を設けても良い。振れ幅は、５ｍｍから６０ｍｍ、好ましくは５ｍｍから５０ｍｍ、より好ましくは５ｍｍから４０ｍｍである。 At this time, the treatment effect is enhanced when the amplitude of the treatment section 10 is held within a range in which the treatment section 10 does not slip on the target site. Therefore, a mechanism that can limit or adjust the amplitude of the treatment section 10 may be provided. The amplitude is 5 mm to 60 mm, preferably 5 mm to 50 mm, more preferably 5 mm to 40 mm.

接続部３０には、付加接続部６０と接続するための接続軸３４が設けられる。接続軸３４には、ねじりコイルばね７３のコイルが嵌められる。ねじりコイルばね７３の一方の腕は接続部３０に後方に延びるように配設され、他方の腕は後述の第１付加接続部６１に配設される。 The connecting portion 30 is provided with a connecting shaft 34 for connecting with the additional connecting portion 60 . A coil of a torsion coil spring 73 is fitted to the connection shaft 34 . One arm of the torsion coil spring 73 is arranged on the connection portion 30 so as to extend rearward, and the other arm is arranged on a first additional connection portion 61 which will be described later.

ハンドル部４０は、先端部より後方の部分が二股状に第１ハンドルと第２ハンドルに分かれている。ねじりコイルばね７２のコイルは、ハンドル部４０の先端部に配設され、両腕は第１ハンドル及び第２ハンドルにそれぞれ配設される。ねじりコイルばね７２の反発力により、ハンドル部４０は、第１ハンドルと第２ハンドルとが接近したり離開したりして開閉できる。 The handle portion 40 is bifurcated into a first handle and a second handle at the rear portion of the tip portion. The coil of the torsion coil spring 72 is arranged at the tip of the handle portion 40, and both arms are arranged on the first handle and the second handle, respectively. Due to the repulsive force of the torsion coil spring 72, the handle portion 40 can be opened and closed by bringing the first handle and the second handle closer together or separating them.

付加接続部６０は、付加施術部５０と接続部３０とを接続する第１付加接続部６１と、第１付加接続部６１とハンドル部４０とを接続する第２付加接続部６２とを有する。 The additional connection section 60 has a first additional connection section 61 that connects the additional treatment section 50 and the connection section 30 , and a second additional connection section 62 that connects the first additional connection section 61 and the handle section 40 .

第１付加接続部６１は、基端部寄りの部分に孔部が設けられ、この孔部と接続軸３４が篏合して、付加施術部５０が接続部３０に回動可能に接続される。第１付加接続部６１は、基端部が二股状に第１基端及び第２基端に分かれており、そのうちの一方の基端に線材（ケーブル等）により構成される第２付加接続部６２の一端が固定される。第２付加接続部６２は、ハンドル部４０の一方のハンドルを経由して、他方のハンドルに渡り、他端が固定される。 The first additional connection part 61 is provided with a hole near the base end, and this hole and the connection shaft 34 are fitted to connect the additional treatment part 50 to the connection part 30 so as to be rotatable. . The base end of the first additional connection portion 61 is bifurcated into a first base end and a second base end. One end of 62 is fixed. The second additional connection portion 62 extends to the other handle via one handle of the handle portion 40 and is fixed at the other end.

施術器具１は、好ましくは、接続部３０が外側（付加施術部５０から離れる方向）に湾曲ないし屈曲し、第１付加接続部６１が外側（施術部１０から離れる方向）に湾曲ないし屈曲して、施術部１０と付加施術部５０との間の間隔が広げられる。また、好ましくは、付加施術部５０は、施術部１０と交差するように配設される。 The treatment instrument 1 preferably has the connecting portion 30 curved or bent outward (in the direction away from the additional treatment portion 50), and the first additional connection portion 61 curved or bent outward (in the direction away from the treatment portion 10). , the distance between the treatment section 10 and the additional treatment section 50 is widened. Moreover, preferably, the additional treatment section 50 is arranged so as to cross the treatment section 10 .

施術の際は、まず、図１０中の（１）で図示のように、施術器具１を対象部位Ｏに載せる。（２）で図示のように、ハンドル部４０を握って矢印方向に閉じると、第２付加接続部６２が緩み、ねじりコイルばね７３が矢印方向にねじり、付加施術部５０が矢印方向に後退するように滑り移動する。（３）で図示のように、ハンドル部４０を緩めると、第２付加接続部６２が元の状態に戻り、ねじりコイルばね７３が開き、付加施術部５０が矢印方向に前進するように滑り移動する。 During treatment, first, the treatment instrument 1 is placed on the target site O as shown in (1) in FIG. 10 . As shown in (2), when the handle portion 40 is gripped and closed in the direction of the arrow, the second additional connection portion 62 loosens, the torsion coil spring 73 twists in the direction of the arrow, and the additional treatment portion 50 retreats in the direction of the arrow. It slides and moves. As shown in (3), when the handle portion 40 is loosened, the second additional connection portion 62 returns to its original state, the torsion coil spring 73 opens, and the additional treatment portion 50 slides forward in the direction of the arrow. do.

このように、施術器具１は、付加施術部を備えることで、上記施術以外に、さらに、複雑な施術を行うことができる。一例として、施術部上で、付加施術部を滑り移動させる移動機構を設けて、人間の両手を重ねて行う施術を行えるようになる。 In this way, the surgical instrument 1 can perform more complicated surgical procedures in addition to the surgical procedures described above by including the additional surgical section. As an example, a movement mechanism for slidingly moving the additional treatment section is provided on the treatment section, so that a treatment can be performed by placing both hands of a person on top of each other.

なお、本実施形態の施術部は、上記実施形態と異なる構成でもよい。一例として、施術部の指部は、芯部を有せず、作用部のみで構成されてもよい。一例として、施術部は、棒状の指部ではなく、広い接触面（平面、曲面など）を有する柔軟性のある板状部材で構成されてもよい。付加施術部は、施術部と同様に形成されてもよいし、異なる構成でもよい。また、ハンドル部は、上記のように施術部及び付加施術部の双方を操作するものでもよいし、一方のみを操作するものでもよい。すなわち、施術部及び付加施術部はそれぞれ別のハンドル部で操作されてもよい。 Note that the treatment section of this embodiment may have a configuration different from that of the above embodiment. As an example, the finger portion of the treatment portion may be composed only of the action portion without the core portion. As an example, the treatment section may be composed of a flexible plate-like member having a wide contact surface (flat surface, curved surface, etc.) instead of the rod-like finger portion. The additional treatment section may be formed in the same manner as the treatment section, or may have a different configuration. Further, the handle portion may operate both the treatment portion and the additional treatment portion as described above, or may operate only one of them. That is, the treatment section and the additional treatment section may be operated by separate handle sections.

ここでの施術は、一例として、対象部位（例えば肌）の上に施術部１０を載せ、その上に載る付加施術部５０が振れる（揺れ動く）ようにすることで、付加施術部５０が施術部１０を揺らし、施術部１０が対象部位を揺らすものである。この間接的な動きにより直接施術部を揺らす動きに比べてより穏やかで滑らかで優しい動作が得られ、より体に優しい施術となる。例えば皮膚のファシアケアーにおける揺らす圧力は通常２０ｇ前後と言われている。ここでは、例えば１０ｇから１００ｇとする。 As an example of the treatment here, the treatment section 10 is placed on a target site (for example, skin), and the additional treatment section 50 placed thereon is shaken (swayed) so that the additional treatment section 50 is moved to the treatment site. 10 is shaken, and the treatment section 10 shakes the target site. This indirect movement provides a gentler, smoother and gentler movement than the movement of directly shaking the treated area, resulting in a more body-friendly treatment. For example, it is said that the shaking pressure in fascia care for the skin is usually around 20 g. Here, for example, 10 g to 100 g.

また、この時に付加施術部５０の振れ幅は、対象部位上を施術部１０が滑らない範囲内に押えるほうが、施術の効果が高まる。このため、振れ幅は、５ｍｍから６０ｍｍ、好ましくは５ｍｍから５０ｍｍとする。またこの範囲で振れ幅を調節できるようにしても良い。 Further, at this time, the effect of the treatment is enhanced when the swing width of the additional treatment portion 50 is held within a range in which the treatment portion 10 does not slip on the target site. Therefore, the deflection width is set to 5 mm to 60 mm, preferably 5 mm to 50 mm. Also, the amplitude may be adjusted within this range.

＜第６実施形態＞
図１１は第６実施形態に係る施術器具の一例を示す図である。図１２は施術器具の付加施術部の他の例を示す図である。以下では、主として上記実施形態５と異なる点を説明する。本実施形態の付加施術部５０Ａは、施術部１０を叩くことができるように構成される。施術部１０は、上記実施形態のいずれかの施術部と同様に形成され、一例として、上記第２実施形態（図３）と同様に形成される。また、第５実施形態と同様に、施術部は上記実施形態と異なる構成でもよい。 <Sixth embodiment>
FIG. 11 is a diagram showing an example of a surgical instrument according to the sixth embodiment. FIG. 12 is a diagram showing another example of the additional treatment section of the treatment instrument. Differences from the fifth embodiment will be mainly described below. 50 A of additional treatment parts of this embodiment are comprised so that the treatment part 10 can be hit. The treatment section 10 is formed in the same manner as the treatment section in any one of the above embodiments, and as an example, is formed in the same manner as in the second embodiment (FIG. 3). Moreover, as in the fifth embodiment, the treatment section may have a different configuration from that in the above embodiment.

施術部１０に対して付加施術部５０Ａを移動させる移動機構は、一例として、接続軸３４Ａと、ハンドル部４０と、付加接続部６０Ａと、引張コイルばね７４とを含んで構成される。ハンドル部４０は、上記実施形態４（図９）と同様に構成される。 A movement mechanism for moving the additional treatment section 50A with respect to the treatment section 10 includes, for example, a connection shaft 34A, a handle section 40, an additional connection section 60A, and an extension coil spring 74. The handle portion 40 is configured in the same manner as in the fourth embodiment (FIG. 9).

接続部３０には、付加接続部６０Ａと接続するための接続軸３４Ａが設けられる。例えば、第１付加接続部６１Ａの細いピン状の軸部が接続軸３４Ａの孔部に嵌め込まれることで、付加施術部５０Ａが接続部３０に回動可能に接続される。引張コイルばね７４は、一方のフックが第１付加接続部６１Ａに係り、他方のフックが接続部３０に係るように配設される。第２付加接続部６２Ａは、一端が第１付加接続部６１Ａの基端部に固定され、他端が接続部３０を経由して、ハンドル部４０の引き部４１に固定される。 The connecting portion 30 is provided with a connecting shaft 34A for connecting with the additional connecting portion 60A. For example, by fitting the thin pin-shaped shaft portion of the first additional connection portion 61A into the hole portion of the connection shaft 34A, the additional treatment portion 50A is rotatably connected to the connection portion 30 . The tension coil spring 74 is arranged so that one hook is associated with the first additional connection portion 61A and the other hook is associated with the connection portion 30 . One end of the second additional connection portion 62A is fixed to the base end portion of the first additional connection portion 61A, and the other end is fixed to the pull portion 41 of the handle portion 40 via the connection portion 30 .

付加施術部５０Ａは、一例として、球体状に形成される。 50 A of additional treatment parts are formed in spherical shape as an example.

施術の際は、まず、施術器具１を対象部位Ｏに載せる。この状態では、付加施術部５０Ａは、第２付加接続部６２Ａが緩み、付加施術部５０Ａが施術部１０上に載っている。図１１中の（１）で図示のように、ハンドル部４０を握って引き部４１を引くと、第２付加接続部６２Ａが引っ張られ、付加施術部５０Ａが持ち上げられる。（２）で図示のように、引き部４１を矢印方向に緩めると、第２付加接続部６２Ａが緩み、引張コイルばね７４により、付加施術部５０Ａが矢印方向に下降して（落とされて）、施術部１０を叩くようになる。 At the time of treatment, the treatment instrument 1 is placed on the target site O first. In this state, the second additional connecting portion 62A of the additional treatment section 50A is loosened, and the additional treatment section 50A rests on the treatment section 10. As shown in FIG. As shown in (1) in FIG. 11, when the handle portion 40 is gripped and the pulling portion 41 is pulled, the second additional connection portion 62A is pulled, and the additional treatment portion 50A is lifted. As shown in (2), when the pulling portion 41 is loosened in the direction of the arrow, the second additional connection portion 62A is loosened, and the extension coil spring 74 lowers (drops) the additional treatment portion 50A in the direction of the arrow. , to hit the treatment site 10 .

なお、図示しないが、落とすことを前提とせず、例えば、付加施術部５０Ａを引張コイルばねと反発するコイルばねを拮抗させた状態にして、第２付加接続部６２Ａを引くことで、付加施術部５０Ａを横位置や下方向からでも動けるようにし叩ける構造としても良い。 Although not shown, it is not assumed that the additional treatment section 50A will be dropped. A structure may be adopted in which 50A can be moved from a horizontal position or from a downward direction so that it can be hit.

このように、施術器具１は、付加施術部を備えることで、上記施術以外に、さらに、複雑な施術を行うことができる。一例として、付加施術部が施術部を叩くように移動させる移動機構を設けて、人間の両手で間接的に対象部位Ｏを叩く施術を行えるようになる。これにより、衝撃を減らしながらも、振動を深部に伝えることができる。 In this way, the surgical instrument 1 can perform more complicated surgical procedures in addition to the surgical procedures described above by including the additional surgical section. As an example, a movement mechanism is provided to move the additional treatment section so that it hits the treatment section, and a treatment can be performed by indirectly hitting the target site O with both hands of a person. This allows vibrations to be transmitted deeper while reducing impact.

１２（ａ）に示すように、付加施術部５０Ａは玄能状に形成されてもよい。図１２（ｂ）に示すように、付加施術部５０Ａは、一端に打撃部５１Ａ、他端に打撃部５２Ａを有し、その間の細い中間部５３Ｃに衝撃吸収部５４Ａが設けられてもよい。図１２（ｃ）に示すように、付加施術部５０Ａは、一方の打撃部５２Ａが２つの細長い脚部で構成されてもよい。図１２（ｄ）に示すように、付加施術部５０Ａは、打撃部５２Ａの一つの脚部に湾曲ないし屈曲してなる衝撃吸収部５４Ａが設けられてもよい。２つの脚部は、長さが異なり、段差Ｍを有してもよい。図１２（Ｅ）に示すように、付加施術部５０Ａは、両脚部に衝撃吸収部５４Ａが設けられてもよい。 As shown in 12(a), the additional treatment portion 50A may be formed in the shape of a prick. As shown in FIG. 12(b), the additional treatment section 50A may have a striking section 51A at one end and a striking section 52A at the other end, and a shock absorbing section 54A may be provided in a narrow intermediate section 53C therebetween. As shown in FIG. 12(c), one striking portion 52A of the additional treatment portion 50A may be composed of two elongated legs. As shown in FIG. 12(d), the additional treatment section 50A may be provided with a shock absorbing section 54A formed by bending or bending one leg of the striking section 52A. The two legs may be of different lengths and have a step M. As shown in FIG. 12(E), the additional treatment section 50A may be provided with shock absorbing sections 54A on both legs.

＜第７実施形態＞
図１３は第７実施形態に係る施術器具の一例を示す図である。図１４は施術器具の他の一例を示す図である。図１５は施術器具の他の一例を示す図である。図１６は付加施術部の他の例を示す図である。以下では、主として上記実施形態と異なる点を説明する。上記実施形態の施術部１０の複数の指部が幅方向（Ｘ方向）に並ぶように配列されるのに対して、本実施形態の施術部１０は、複数の指部が上下方向（Ｚ方向）に並ぶように配列される。 <Seventh Embodiment>
FIG. 13 is a diagram showing an example of a surgical instrument according to the seventh embodiment. FIG. 14 is a diagram showing another example of the surgical instrument. FIG. 15 is a diagram showing another example of the surgical instrument. FIG. 16 is a diagram showing another example of the additional treatment area. Differences from the above embodiment will be mainly described below. While the plurality of fingers of the treatment section 10 of the above embodiment are arranged in the width direction (X direction), the treatment section 10 of the present embodiment has a plurality of fingers arranged in the vertical direction (Z direction). ) are aligned.

施術部１０は、第１指部２０ａ、第２指部２０ｂ及び第３指部２０ｃの３つの指部を有する。第１指部２０ａの芯部２２ａは３つの芯部材により構成され、第２指部２０ｂの芯部２２ｂは４つの芯部材により構成され、第３指部２０Ｃの芯部２２ｃは３つの芯部材により構成され、第１指部２０ａと線対称に構成される。各指部は、隣接芯部材同士が軸部材を介して可動に接続される。また、各指部の軸部材は、図示のように、互い違いに上・下の芯部材の中心付近に位置する様に配置される。言い換えれば、各指部の軸部材は、隣接の指部の軸部材と長手方向の位置が互い違いになるように配置される。指連結部１６は、略Ｕ字形状であり、両端部で第１指部２０ａ及び第３指部２０ｃと軸部材を介して可動に接続し、中間部で第２指部２０ｂと軸部材を介して可動に接続する。
ここで示した例では、隣接芯部材間を軸部材で連結している。しかし、これに限らず、ワイヤーで芯部材の先端部同士を溶着やカシメ、接着、ねじ止めなどで連結して、各指部が各関節部分で屈曲可能にしても良い。また、芯部材間を直接連結せずに、作用部２１で各芯部材及び各芯部材間を包み込むことで、各芯部材を間接的に連結させ、各指部が各関節部分で屈曲可能にしてもよい。 The treatment section 10 has three fingers, a first finger 20a, a second finger 20b and a third finger 20c. The core portion 22a of the first finger portion 20a is composed of three core members, the core portion 22b of the second finger portion 20b is composed of four core members, and the core portion 22c of the third finger portion 20C is composed of three core members. and configured line-symmetrically with the first finger portion 20a. Adjacent core members of each finger are movably connected via a shaft member. Also, the shaft members of the fingers are alternately arranged so as to be positioned near the centers of the upper and lower core members, as shown in the drawing. In other words, the stem members of each finger are arranged such that they are longitudinally staggered with the stem members of adjacent fingers. The finger connecting portion 16 has a substantially U shape, and is movably connected to the first finger portion 20a and the third finger portion 20c at both end portions, and is connected to the second finger portion 20b and the shaft member at the intermediate portion. connect movably through
In the example shown here, adjacent core members are connected by shaft members. However, the present invention is not limited to this, and the tips of the core members may be connected with wires by welding, caulking, adhesion, screwing, or the like so that each finger can be bent at each joint. In addition, by wrapping each core member and between each core member with the action portion 21 instead of connecting the core members directly, each core member is indirectly connected and each finger can be bent at each joint. may

接続部３０は、２つの弾性部材（例えば、コイルばねや板ばね、ゴム等）で構成され、上下２箇所で指連結部１６とハンドル部４０とを接続する。 The connecting portion 30 is composed of two elastic members (eg, coil spring, leaf spring, rubber, etc.), and connects the finger connecting portion 16 and the handle portion 40 at two upper and lower positions.

図１３中の（１）の施術器具１は、初期状態にある。施術の際は、（２）のように、矢印方向に施術部１０を振り下ろす。そうすると、（３）のように、第１指部２０ａが下降し、対象部位Ｏに当たって、矢印方向に跳ね返る。（４）のように、跳ね返って上昇する第１指部２０ａが下降する第２指部２０ｂに当たり、第２指部２０ｂが第３指部２０ｃに当たるが、第１指部２０ａが再び下降し、対象部位Ｏに当たる。（５）のように、第１指部２０ａの荷重とともに、第３指部２０ｃ及び第２指部２０ｂの荷重も対象部位にかかるようになるが、作用部が柔軟性を有するように構成されるため、この荷重は対象部位Ｏに瞬間的に与えられるのではなく、緩やかに、連続した力が掛かる。これにより体の深部に広がる。一方で、強く急激に加わることを避けることが出来る。また、凸部などでも、局部に力が加わるのではなく、例えば第１指部２０ａの下部全体で力が加わるようになる。
また、この際、第３指部２０ｃの先端側が屈曲し、第２指部２０ｂの先端側の芯部材を押し下げ、続いて第２指部２０ｂの先端側が屈曲し、第１指部２０ａの先端側を押し下げて屈曲させる。これにより第１指部２０ａの先端が対象部位Oを回り込むように動いて取り囲むように力を加えることが出来る。 The surgical instrument 1 of (1) in FIG. 13 is in the initial state. During the treatment, the treatment section 10 is swung down in the direction of the arrow as shown in (2). Then, as shown in (3), the first finger portion 20a descends, hits the target portion O, and rebounds in the direction of the arrow. As in (4), the first finger 20a that rebounds and rises hits the second finger 20b that descends, and the second finger 20b hits the third finger 20c, but the first finger 20a descends again, It hits the target part O. As in (5), the loads of the third finger portion 20c and the second finger portion 20b are applied to the target portion along with the load of the first finger portion 20a. Therefore, this load is not applied to the target portion O instantaneously, but is applied gently and continuously. This allows it to spread deeper into the body. On the other hand, a strong and abrupt addition can be avoided. In addition, the force is applied to the entire lower portion of the first finger portion 20a, for example, instead of being applied locally to the convex portion.
Also, at this time, the tip side of the third finger portion 20c bends to push down the core member on the tip side of the second finger portion 20b, and then the tip side of the second finger portion 20b bends to push down the tip of the first finger portion 20a. Push down on the sides to bend. As a result, the tip of the first finger portion 20a can move around the target site O and apply a force to surround it.

図１４に示すように、施術器具１は、施術部１０が直接対象部位Ｏと接触せず、付加施術部５０Ｂを介して、対象部位Ｏに作用を及ぼしてもよい。付加施術部５０Ｂは、板状の部材で構成される。付加施術部５０Ｂは、全体としてシリコーンゴムで構成されてもよいし、硬い部材をシリコーンゴムで覆うようにして構成されてもよい。付加施術部５０Ｂは、付加ハンドル部６３Ｂに設けられる圧縮コイルばね６４Ｂを介してハンドル部４０に接続される。 As shown in FIG. 14, in the treatment instrument 1, the treatment section 10 may not be in direct contact with the target site O, and may act on the target site O via the additional treatment section 50B. The additional treatment section 50B is composed of a plate-shaped member. The additional treatment section 50B may be made of silicone rubber as a whole, or may be made of a hard member covered with silicone rubber. The additional treatment section 50B is connected to the handle section 40 via a compression coil spring 64B provided in the additional handle section 63B.

なお、図示しないが、ここでは、付加施術部５０Ｂとして図３、図５、図１０の施術部１０が用いられてもよい。 Although not shown, here, the treatment section 10 shown in FIGS. 3, 5, and 10 may be used as the additional treatment section 50B.

図１５に示すように、施術器具１は、複数の指部が、上記のように共通の接続部ではなく、それぞれ異なる接続部（３０ａ、３０ｂ、３０ｃ）によりハンドル部４０に接続されてもよい。また、複数の指部を有する施術部１０が、上下方向に複数配列され、それぞれ異なる接続部でハンドル部に接続されてもよい。 As shown in FIG. 15, in the surgical instrument 1, a plurality of finger portions may be connected to the handle portion 40 by different connection portions (30a, 30b, 30c) instead of the common connection portion as described above. . Also, a plurality of treatment units 10 having a plurality of finger portions may be arranged in the vertical direction and connected to the handle portion by different connection portions.

図１６に示すように、付加施術部５０Ｂは、凸曲面状の凸部５５Ｂが設けられてもよい。これにより、例えば足裏のアーチなど凹曲面状の対象部位に沿う形状となり、より密接に接触できる。 As shown in FIG. 16, the additional treatment portion 50B may be provided with a convex portion 55B having a convex curved surface. As a result, for example, the shape conforms to a concavely curved target site such as the arch of the sole, so that more intimate contact can be achieved.

＜第８実施形態＞
図１７は第８実施形態に係る施術器具の一例を示す図である。以下では、主として上記実施形態と異なる点を説明する。施術器具１は、第１施術部１０ａ及び第２施術部１０ｂの２つの施術部を有する。第１施術部１０ａ及び第２施術部１０ｂは、上記第５実施形態（図１０）と同様に構成される。 <Eighth embodiment>
FIG. 17 is a diagram showing an example of a surgical instrument according to the eighth embodiment. Differences from the above embodiment will be mainly described below. The treatment instrument 1 has two treatment parts, a first treatment part 10a and a second treatment part 10b. The first treatment section 10a and the second treatment section 10b are configured in the same manner as in the fifth embodiment (FIG. 10).

第１施術部１０ａは第１接続部３０ａによりハンドル部４０に接続され、第２施術部１０ｂは第２接続部３０ｂによりハンドル部４０に接続される。第１接続部３０ａ及び第２接続部３０ｂは、軸部３５により、互いに交差し、回動可能に接続される。また、第１接続部３０ａと第２接続部３０ｂの間に引張コイルばね７５が配設される。 The first treatment section 10a is connected to the handle section 40 by the first connection section 30a, and the second treatment section 10b is connected to the handle section 40 by the second connection section 30b. The first connection portion 30a and the second connection portion 30b intersect each other and are rotatably connected by the shaft portion 35 . A tension coil spring 75 is arranged between the first connecting portion 30a and the second connecting portion 30b.

ハンドル部４０は、先端部より後方の部分が二股状に第１ハンドルと第２ハンドルに分かれている。ハンドル部４０は、上記実施形態（図１０）と同様にねじりコイルばねが設けられる。 The handle portion 40 is bifurcated into a first handle and a second handle at the rear portion of the tip portion. The handle portion 40 is provided with a torsion coil spring as in the above embodiment (FIG. 10).

施術器具１は、ハンドル部４０を開閉することで、上記施術以外に、第１施術部１０ａ及び第２施術部１０ｂを矢印方向に開閉して、対象部位Ｏを挟むようにし、押圧する施術を行うことができる。また、第１施術部１０ａ及び第２施術部１０ｂで対象部位Ｏを挟んだ状態で、ハンドル部４０を矢印方向の振ることで、対象部位Ｏを揺らす施術を行うことができる。 By opening and closing the handle portion 40, the treatment instrument 1 opens and closes the first treatment portion 10a and the second treatment portion 10b in the directions of the arrows to sandwich and press the target site O in addition to the above treatment. It can be carried out. Further, by swinging the handle portion 40 in the direction of the arrow while the target site O is sandwiched between the first and second treatment sections 10a and 10b, the target site O can be shaken for treatment.

なお、上記では、手動で付加施術部を移動させる移動機構や叩き機構を説明したが、これに限定されず、モータやゼンマイ、ソレノイド等を動力源とするものでもよい。また、これらの動作状態などを示したり、強調したりするように発光体やイルミネーションを設けても良い。 Although the moving mechanism and the hitting mechanism for manually moving the additional treatment portion have been described above, the present invention is not limited to this, and a motor, spring, solenoid, or the like may be used as a power source. In addition, a luminous body or illumination may be provided to indicate or emphasize these operating states.

また、上記各実施形態の施術器具の施術部には、温熱ヒータが設けられてもよい。付加施術部に温熱ヒータが設けられてもよい。 Further, a thermal heater may be provided in the treatment section of the treatment instrument of each of the above embodiments. A thermal heater may be provided in the additional treatment area.

なお、上記の記載に基づいて、当業者であれば、本発明の追加の効果や種々の変形を想到できるかもしれないが、本発明の態様は、上述した実施形態の例に限定されるものではない。請求の範囲に規定された内容及びその均等物から導き出される本発明の概念的な思想と趣旨を逸脱しない範囲で種々の追加、変更及び部分的削除が可能である。 Based on the above description, those skilled in the art may be able to conceive additional effects and various modifications of the present invention, but the aspects of the present invention are limited to the examples of the embodiments described above. is not. Various additions, changes, and partial deletions are possible without departing from the conceptual idea and spirit of the present invention derived from the content defined in the claims and equivalents thereof.

１ 施術器具
１０ 施術部
２０ 指部
２１ 作用部
２２ 芯部
２３ 固着部
３０ 接続部
４０ ハンドル部
５０、５０Ａ、５０Ｂ 付加施術部 1 treatment instrument 10 treatment part 20 finger part 21 action part 22 core part 23 fixing part 30 connection part 40 handle part 50, 50A, 50B additional treatment part

Claims (4)

生体に対して対象部位を撫でる、揺らす施術を行う施術器具であって、
対象部位と接触して施術を行う施術部と、
前記施術部を操作するハンドル部と、を備え、
前記施術部は、芯部と、柔軟性を有し、前記芯部の外周の少なくとも一部を覆い、対象部位と接触する接触面が横断面視凸曲面である作用部と、を含む棒状の指部を有し、
前記作用部は、デュロメーター硬度が５度以上で２６度以下の低硬度に形成され、
前記施術部は、前記指部を複数有し、
複数の前記指部は、互いに略平行に設けられ、
前記芯部は、複数の芯部材を有し、複数の前記芯部材は、前記作用部に少なくとも一部が覆われて前記作用部を介して直列に連結され、
前記指部は、自重及び対象部位との接触により、対象部位に応じて揺動して対象部位に沿って屈曲し、
複数の前記指部は、前記作用部の柔軟性及び前記指部の自重により対象部位と密着して対象部位を揺らすことができる
ことを特徴とする施術器具。 A treatment instrument for stroking and shaking a target part of a living body,
A treatment section that performs treatment in contact with the target site,
and a handle section for operating the treatment section,
The treatment section is a rod-shaped body including a core and a flexible action section that covers at least a part of the outer periphery of the core and has a contact surface that contacts the target site and has a convex curved surface in a cross-sectional view. having fingers,
The action portion is formed to have a low durometer hardness of 5 degrees or more and 26 degrees or less,
The treatment section has a plurality of finger sections,
The plurality of fingers are provided substantially parallel to each other,
The core portion has a plurality of core members, and the plurality of core members are at least partially covered by the action portion and connected in series via the action portion,
the finger swings and bends along the target site due to its own weight and contact with the target site;
A surgical instrument according to claim 1, characterized in that said plurality of fingers are in close contact with a target site due to the flexibility of said action section and the weight of said finger sections, so that said target site can be shaken. 生体に対して対象部位を撫でる、揺らす施術を行う施術器具であって、
対象部位と接触して施術を行う施術部と、
前記施術部を操作するハンドル部と、を備え、
前記施術部は、芯部と、柔軟性を有し、前記芯部の外周の少なくとも一部を覆い、対象部位と接触する接触面が横断面視凸曲面である作用部と、を含む棒状の指部を有し、
前記作用部は、デュロメーター硬度が５度以上で２６度以下の低硬度に形成され、
前記施術部は、前記指部を複数有し、
前記芯部は、複数の芯部材を有し、
前記芯部材同士は、関節部により可動に接続され、
前記指部は、前記芯部材同士が対象部位に接近する方向及び対象部位を離れる方向に回動可能に直列に連結され、自重及び対象部位との接触により、対象部位に応じて揺動して対象部位に沿って屈曲し、
複数の前記指部は、前記作用部の柔軟性及び前記指部の自重により対象部位と密着して対象部位を揺らすことができる
ことを特徴とする施術器具。 A treatment instrument for stroking and shaking a target part of a living body,
A treatment section that performs treatment in contact with the target site,
and a handle section for operating the treatment section,
The treatment section is a rod-shaped body including a core and a flexible action section that covers at least a part of the outer periphery of the core and has a contact surface that contacts the target site and has a convex curved surface in a cross-sectional view. having fingers,
The action portion is formed to have a low durometer hardness of 5 degrees or more and 26 degrees or less,
The treatment section has a plurality of finger sections,
The core portion has a plurality of core members,
The core members are movably connected by joints,
The finger portions are connected in series to be rotatable in a direction in which the core members approach the target site and in a direction away from the target site. bending along the target site,
A surgical instrument according to claim 1, characterized in that said plurality of fingers are in close contact with a target site due to the flexibility of said action section and the weight of said finger sections, so that said target site can be shaken. 請求項１または２に記載の施術器具であって、
前記指部は、前記作用部の表面に凹凸模様が設けられている
ことを特徴とする施術器具。 The surgical instrument according to claim 1 or 2 ,
A surgical instrument, wherein the finger portion has an uneven pattern on the surface of the action portion. 請求項１～３のいずれか一項に記載の施術器具であって、
前記施術部を、対象部位上で移動させる移動機構を有する
ことを特徴とする施術器具。 The treatment instrument according to any one of claims 1 to 3 ,
A surgical instrument, comprising a moving mechanism for moving the surgical section on the target site.
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