JP2005278743A - Dental treatment unit - Google Patents

Dental treatment unit Download PDF

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JP2005278743A
JP2005278743A JP2004094202A JP2004094202A JP2005278743A JP 2005278743 A JP2005278743 A JP 2005278743A JP 2004094202 A JP2004094202 A JP 2004094202A JP 2004094202 A JP2004094202 A JP 2004094202A JP 2005278743 A JP2005278743 A JP 2005278743A
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patient
dental treatment
physiological state
state value
treatment
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Motoharu Yokoi
元治 横井
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Osada Research Institute Ltd
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Osada Research Institute Ltd
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  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Abstract

<P>PROBLEM TO BE SOLVED: To secure safety of a patient by automatically stopping an instrument during a treatment at an abnormal change in a physiological state of the patient during the dental treatment. <P>SOLUTION: This dental treatment unit is provided with a sweating amount measuring instrument 21 at the tip of an elbow rest 11 and a blood pressure and pulse measuring instrument 22 at the tip of an elbow rest 12, and the measured values are displayed on a monitor 23. This unit obtains initial treatment values measured by the measuring instruments prior to the start of the dental treatment, a maximum physiological state value of the patient determined by measurement conditions such as the sex and age of the patient, and physiological state value during the dental treatment of the patient, emits an alarm when the physiological state value during the dental treatment of the patient approaches to the maximum physiological state value during the dental treatment of the patient, and, when it reaches the maximum value, stops the dental treatment instrument used for the treatment. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

本発明は、歯科治療ユニット、より詳細には、患者用治療椅子に患者の生理的な状態(例えば、発汗量や血圧,脈拍等)を測定できる機能を持たせ、その生理的な状態をモニタ表示するとともに、その生理的な状態が予め設定された所定値を超えた時に、その時に使用している歯科治療インスツルメントを停止するようにしたものである。   The present invention provides a dental treatment unit, more specifically, a treatment chair for a patient, with a function capable of measuring a patient's physiological state (for example, sweat volume, blood pressure, pulse, etc.) and monitors the physiological state. In addition to displaying, when the physiological state exceeds a predetermined value set in advance, the dental treatment instrument used at that time is stopped.

図4は、本発明が適用される歯科用治療ユニットの一例を示す全体構成図で、図中、10は歯科治療ユニットで、該ユニット10は、治療椅子1、ワークテーブル2、スピットン3、無影灯4、インスツルメントホルダー5、フットスイッチ6、アシスタント用インスツルメントホルダー7等から成り、インスツルメントホルダー5には、歯科治療において使用する種々のインスツルメント8が収納されており、周知のように、歯科治療に当たり、患者は椅子1に座り、頭を安頭台9に固定して治療を受ける。治療中、術者は治療椅子1を上下動,起倒,傾斜動等させて、患者を治療しやすい姿勢にして治療を行う。   FIG. 4 is an overall configuration diagram showing an example of a dental treatment unit to which the present invention is applied. In the figure, reference numeral 10 denotes a dental treatment unit, which includes a treatment chair 1, a work table 2, a spiton 3, It consists of a shadow lamp 4, an instrument holder 5, a foot switch 6, an instrument holder 7 for assistants, etc. The instrument holder 5 houses various instruments 8 used in dental treatment, As is well known, in the case of dental treatment, the patient sits on the chair 1 and receives the treatment with his head fixed to the cradle 9. During treatment, the surgeon moves the treatment chair 1 up and down, tilts, tilts, etc., and treats the patient in an easy-to-treat posture.

歯科治療中、患者によっては、非常に緊張し、発汗したり、血圧や脈拍が上がったりする等生理的な異常を来たし、そのまま治療を続けることは危険である。しかし、従来の歯科治療ユニットにおいては、患者の生理的な状態をモニタリングする機能はついておらず、患者の緊張状態等は術者の感覚に頼るしかなかった。しかし、術者といえども、全ての患者の平常時の生理状態を知っているわけではなく、また、治療開始時の緊張状態がどの程度のものであったかを覚えているわけでもない。更には、治療開始時の患者の発汗量や血圧,脈拍は、患者の緊張の度合いにより平常時の発汗量や血圧より多少上がっているかも知れない。   During dental treatment, some patients are very tense, sweating, and have physiological abnormalities such as blood pressure and pulse rise, and it is dangerous to continue treatment. However, the conventional dental treatment unit does not have a function of monitoring the physiological state of the patient, and the tension state of the patient has to rely on the operator's senses. However, even the surgeon does not know the normal physiological state of all patients and does not remember how much the tension was at the start of treatment. Furthermore, the amount of sweating, blood pressure, and pulse of the patient at the start of treatment may be slightly higher than the amount of sweating and blood pressure in normal times depending on the degree of tension of the patient.

患者の平常(又は、治療開始前)の生理状態を知るために、患者の血圧や脈拍数を計測することは行われているが、従来、治療中におけるこれら血圧や脈拍の異常変化に対しては何ら考慮されておらず、そのまま治療を続けることは危険である場合がある。   In order to know the normal (or before treatment) physiological state of a patient, the blood pressure and pulse rate of the patient have been measured. Is not considered at all, and it may be dangerous to continue treatment.

本発明は、上述のごとき実情に鑑みてなされたもので、歯科治療中における患者の異常な生理状態の変化に対して、治療中のインスツルメントを自動的に停止させるようにして、患者の安全を保つようにしたものである。   The present invention has been made in view of the above circumstances, and in response to a change in an abnormal physiological state of a patient during dental treatment, the instrument being treated is automatically stopped so that the patient's It is designed to keep it safe.

患者用歯科治療椅子に患者の生理状態(例えば、発汗量,血圧,脈拍等)を測定する測定手段を設け、歯科治療中、これらの生理状態を計測監視し、これらの生理状態が予め定められた値以上になった時、或いは、予め定められた値以上変化した時に、使用中の歯科治療具(インスツルメント)を自動的に停止させるようにした。   The patient's dental treatment chair is provided with measuring means for measuring the physiological state of the patient (for example, sweat volume, blood pressure, pulse, etc.), and during the dental treatment, these physiological states are measured and monitored, and these physiological states are determined in advance. The dental treatment tool (instrument) in use is automatically stopped when the value exceeds a predetermined value or when the value changes by a predetermined value or more.

請求項1の発明は、歯科治療椅子に設けられた患者の生理状態を測定する測定器と、歯科治療開始に先立って前記測定器によって測定された測定値及び測定条件によって決定される当該患者の最大生理状態値を演算する演算装置と、該演算装置によって出力される当該患者の最大生理状態値と該患者の歯科治療中における前記測定器にて測定される生理状態値とを比較する比較装置と、当該患者の歯科治療中における生理状態値が前記当該患者の最大生理状態値に達した時に、当該治療に使用中の歯科治療具を停止させる手段とを有することを特徴としたものである。   According to the first aspect of the present invention, there is provided a measuring instrument for measuring a physiological condition of a patient provided in a dental treatment chair, and a measurement value and a measurement condition measured by the measuring instrument prior to the start of dental treatment. An arithmetic device that calculates the maximum physiological state value, and a comparison device that compares the maximum physiological state value of the patient output by the arithmetic device and the physiological state value measured by the measuring device during dental treatment of the patient And a means for stopping the dental treatment tool being used for the treatment when the physiological state value during the dental treatment of the patient reaches the maximum physiological state value of the patient. .

請求項2の発明は、請求項1の発明において、前記当該患者の歯科治療前における生理状態値と、前記演算によって当該患者の最大生理状態値と、当該患者の歯科治療中における生理状態値とを同時に表示するモニタを有することを特徴としたものである。   The invention of claim 2 is the invention of claim 1, wherein the physiological state value of the patient before dental treatment, the maximum physiological state value of the patient by the calculation, and the physiological state value of the patient during dental treatment It is characterized by having a monitor which displays simultaneously.

請求項3の発明は、請求項1又は2の発明において、前記測定条件は、当該患者の性別及び年齢であることを特徴としたものである。   The invention of claim 3 is characterized in that, in the invention of claim 1 or 2, the measurement condition is the sex and age of the patient.

請求項4の発明は、請求項1乃至3のいずれかの発明において、当該患者の歯科治療中における生理状態値が前記当該患者の最大生理状態値に近づいた時にアラーム音を発生するようにしたことを特徴としたものである。   According to a fourth aspect of the present invention, in any one of the first to third aspects of the invention, an alarm sound is generated when a physiological state value during dental treatment of the patient approaches the maximum physiological state value of the patient. It is characterized by that.

本発明の歯科治療ユニットによると、歯科治療中に患者の生理状態が異常に大きくなった時或いは異常に変化した時に、治療中のインスツルメントを自動的に停止するようにしたので、患者の生理的な異常による事故を未然に防ぐことができ、同時に、患者に安心感を与えることができ、更には、術者の判断ミスを避ける一助となり、術者の精神的負担を軽減することができる。   According to the dental treatment unit of the present invention, when a patient's physiological condition becomes abnormally large or changes abnormally during dental treatment, the instrument under treatment is automatically stopped. Accidents due to physiological abnormalities can be prevented, and at the same time, the patient can be reassured. In addition, it helps to avoid misjudgment by the surgeon and reduces the mental burden on the surgeon. it can.

図1は、本発明による歯科治療ユニットの一実施例を説明するための要部構成図で、図中、図4に示した従来の歯科治療ユニットと同じ作用をする部には、図4の場合と同一の参照番号を付し、その詳細な動作説明は省略する。而して、図1において、11,12は歯科治療椅子1に設けられた肘受けで、好ましくは、この肘受け11,12の先端部に発汗量測定器21、及び、血圧,脈拍測定器22等が設けられており、これらの測定値がモニタ23に表示されるようになっている。   FIG. 1 is a block diagram of a main part for explaining an embodiment of a dental treatment unit according to the present invention. In the drawing, a part having the same function as the conventional dental treatment unit shown in FIG. The same reference numerals as in the case are attached, and the detailed operation description is omitted. Thus, in FIG. 1, 11 and 12 are elbow supports provided in the dental treatment chair 1. Preferably, the sweating amount measuring device 21 and the blood pressure and pulse measuring devices are provided at the tips of the elbow supports 11 and 12. 22 etc. are provided, and these measured values are displayed on the monitor 23.

図2は、本発明の動作説明をするためのブロック図、図3は、モニタ23上のディスプレイ表示例を示す図である。
歯科治療に当たり、患者は歯科治療椅子1に座り、肘受け11,12に肘を乗せ、例えば、左肘受け11の先端部に設けられた発汗量測定器21を左手で握り、右肘受け12の先端部に設けられた血圧,脈拍測定器22の例えば指挿入用の穴に中指を挿入すると、その時の発汗量及び血圧,脈拍が計測、記憶され、モニタ23のディスプレイ23cに例えばデジタル表示される(図3中の初期値を表示)。その状態で、モニタ23或いはその他の任意の場所に設けられている操作キー23aより患者の性別、年齢等を入力すると、例えば、モニタ23内に設けられているCPU(最大生理状態値演算部)23bにより、当該患者の許容し得る最大値(生理状態が異常であると認められる値)が演算、記憶され、その値が例えば前記初期値の横に並んでデジタル表示される(図3中の最大値を表示)。
FIG. 2 is a block diagram for explaining the operation of the present invention, and FIG. 3 is a diagram showing a display display example on the monitor 23.
In the dental treatment, the patient sits on the dental treatment chair 1, puts his elbow on the elbow receivers 11, 12, for example, grasps the sweat amount measuring device 21 provided at the tip of the left elbow receiver 11 with the left hand, and receives the right elbow receiver 12. When the middle finger is inserted into, for example, a finger insertion hole of the blood pressure / pulse measuring device 22 provided at the distal end of the head, the amount of sweating, blood pressure, and pulse at that time are measured and stored, and are digitally displayed on the display 23c of the monitor 23, for example. (The initial value in FIG. 3 is displayed). In that state, when the patient's sex, age, etc. are input from the operation key 23a provided on the monitor 23 or other arbitrary location, for example, a CPU (maximum physiological state value calculation unit) provided in the monitor 23 23b, the maximum value that the patient can tolerate (value in which the physiological state is recognized to be abnormal) is calculated and stored, and the value is digitally displayed next to the initial value, for example (see FIG. 3). Displays the maximum value).

以降、歯科治療中、患者の発汗量の測定及び血圧,脈拍の測定は続行され、その都度、現在測定値が前記最大値表示の横に例えばデジタル表示(図3中の現在値の表示)される。歯科治療中、前記現在値は逐次変化するが、その値は比較器23dにて前記最大値と比較され、その値が予め定められた最大値に近づくと、当該測定値が最大値に近づいたことを示すアラーム24が鳴ったり、ディスプレイ23cの現在値表示がフラッシングして患者の生理状態が臨界値に近づいていることを警告し、現在値が最大値に達すると、インスツルメント停止装置25が作動して現在使用中の歯科治療器具(インスツルメント)の動力源を切断する等して、当該インスツルメントの使用を不能にする。   Thereafter, during dental treatment, measurement of the amount of sweating of the patient and measurement of blood pressure and pulse are continued, and each time the current measurement value is displayed, for example, digitally (the display of the current value in FIG. 3) next to the maximum value display. The During the dental treatment, the current value changes sequentially, but the value is compared with the maximum value by the comparator 23d. When the value approaches a predetermined maximum value, the measured value approaches the maximum value. When the alarm 24 is sounded or the current value display on the display 23c is flushed to warn that the patient's physiological condition is approaching the critical value, and the current value reaches the maximum value, the instrument stop device 25 Is activated to disable the use of the instrument, such as by disconnecting the power source of the dental treatment instrument (instrument) currently in use.

なお、使用中のインスツルメントが使用不能になった後は、治療椅子をアップライト位置に戻したり、音楽を流す等して患者をリラックスさせ、更にはインスツルメントが使用不能になった後、或いは、所定時間経過した後、前記警報が消え、現在測定値が前記最大値以下になり、或いは、前記現在測定値が初期値近傍に低下した時に、前記使用不能になったインスツルメントを再度使用可能にする。   After the instrument that is in use becomes unusable, the patient can be relaxed by returning the treatment chair to the upright position, playing music, etc., and the instrument becomes unusable. Or, after a predetermined time has passed, the alarm disappears, and when the current measured value falls below the maximum value, or the current measured value falls close to the initial value, the disabled instrument is Make it available again.

以上の説明から明らかなように、本発明による歯科治療中、患者の生理状態が異常になった時に、アラーム表示をフラッシングしたりアラーム音を発生し、更には、使用中の歯科治療具(インスツルメント)を自動的に停止するようにしたので、患者の生理的異常を原因とする事故を未然に防ぐことができ、患者に対して安心感を与えることができ、更には、術者に対しても精神的安心感を与えることができ、術者の精神的負担を軽減して術者の疲労を軽減することができる。   As is clear from the above description, during the dental treatment according to the present invention, when the physiological state of the patient becomes abnormal, the alarm display is flushed or an alarm sound is generated. (Strument) is automatically stopped, so accidents caused by the patient's physiological abnormalities can be prevented, giving the patient a sense of security, In contrast, it can provide a sense of mental security, reduce the mental burden on the surgeon, and reduce the surgeon's fatigue.

本発明による歯科治療ユニットの一実施例を示す要部構成図である。It is a principal part block diagram which shows one Example of the dental treatment unit by this invention. 本発明の動作説明をするための要部ブロック図である。It is a principal part block diagram for demonstrating operation | movement of this invention. 図1に示したモニタの一表示例を説明するための図である。It is a figure for demonstrating the example of a display of the monitor shown in FIG. 本発明が適用される従来の歯科治療椅子の一例を説明するための要部構成図である。It is a principal part block diagram for demonstrating an example of the conventional dental treatment chair with which this invention is applied.

符号の説明Explanation of symbols

1…歯科治療椅子、10…歯科治療ユニット、11,12…肘受け、21…発汗量測定器、22…血圧,脈拍測定器、23…モニタ(液晶表示装置)、24…アラーム装置、25…インスツルメント停止装置。 DESCRIPTION OF SYMBOLS 1 ... Dental treatment chair, 10 ... Dental treatment unit, 11, 12 ... Elbow holder, 21 ... Sweat measuring device, 22 ... Blood pressure, pulse measuring device, 23 ... Monitor (liquid crystal display device), 24 ... Alarm device, 25 ... Instrument stop device.

Claims (4)

歯科治療椅子に設けられた患者の生理状態を測定する測定器と、歯科治療開始に先立って前記測定器によって測定された測定値及び測定条件によって決定される当該患者の最大生理状態値を演算する演算装置と、該演算装置によって出力される当該患者の最大生理状態値と該患者の歯科治療中における前記測定器にて測定される生理状態値とを比較する比較装置と、当該患者の歯科治療中における生理状態値が前記当該患者の最大生理状態値に達した時に、当該治療に使用中の歯科治療具を停止させる手段とを有することを特徴とする歯科治療ユニット。   A measuring device for measuring a patient's physiological state provided in the dental treatment chair, and calculating a maximum physiological state value of the patient determined by measurement values and measurement conditions measured by the measuring device prior to starting dental treatment. An arithmetic device, a comparison device that compares the maximum physiological state value of the patient output by the arithmetic device with a physiological state value measured by the measuring device during dental treatment of the patient, and dental treatment of the patient A dental treatment unit comprising: means for stopping a dental treatment tool being used for the treatment when a physiological value in the middle reaches a maximum physiological value of the patient. 前記当該患者の歯科治療前における生理状態値と、前記演算によって当該患者の最大生理状態値と、当該患者の歯科治療中における生理状態値とを同時に表示するモニタを有することを特徴とする請求項1に記載の歯科治療ユニット。   The monitor has a monitor for simultaneously displaying a physiological state value of the patient before dental treatment, a maximum physiological state value of the patient by the calculation, and a physiological state value of the patient during dental treatment. The dental treatment unit according to 1. 前記測定条件は、当該患者の性別及び年齢であることを特徴とする請求項1又は2に記載の歯科治療ユニット。   The dental treatment unit according to claim 1 or 2, wherein the measurement condition is sex and age of the patient. 当該患者の歯科治療中における生理状態値が前記当該患者の最大生理状態値に近づいた時にアラーム音を発生するようにしたことを特徴とする請求項1乃至3のいずれかに記載の歯科治療ユニット。   4. The dental treatment unit according to claim 1, wherein an alarm sound is generated when a physiological state value during the dental treatment of the patient approaches the maximum physiological state value of the patient. .
JP2004094202A 2004-03-29 2004-03-29 Dental treatment unit Pending JP2005278743A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20210108782A (en) * 2020-02-26 2021-09-03 스타일치과기공 주식회사 Fluid cushion and dental unit chair including the same

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2002125938A (en) * 2000-10-20 2002-05-08 Morita Mfg Co Ltd Medical system
JP2003310584A (en) * 2002-04-26 2003-11-05 Yoshida Dental Mfg Co Ltd Dental care instrument and dental consulting method

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2002125938A (en) * 2000-10-20 2002-05-08 Morita Mfg Co Ltd Medical system
JP2003310584A (en) * 2002-04-26 2003-11-05 Yoshida Dental Mfg Co Ltd Dental care instrument and dental consulting method

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20210108782A (en) * 2020-02-26 2021-09-03 스타일치과기공 주식회사 Fluid cushion and dental unit chair including the same
KR102376578B1 (en) * 2020-02-26 2022-03-21 스타일치과기공 주식회사 Fluid cushion and dental unit chair including the same

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