JP2000113088A - Diagnosis and treatment device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To enable an operator to devote himself (or herself) to diagnosis and treatment to be original work in accordance with normal diagnosis and treatment procedure by providing the diagnosis and treatment device with a control means for judging diagnosis and treatment appliances held in usable states and automatically starting application software corresponding to a judged result. SOLUTION: When the connection part 6a of a diagnosis and treatment appliance 6 is connected to a connection port 5, code data indicating the appliance 6 are sent from the port 5 to a judging means 4 to judge the connected appliance 6 and a control means 2a automatically starts application software for the appliance 6. The code data are generally constituted so as to form a communication circuit between the appliance 6 and the means 4 when the connection part 6a is connected to the connection port 5, and when a power supply for the connected appliance 6 is turned on, the code data are transmitted from the appliance 6. It is also available to turn on/off the power supply for the appliance 6 from the diagnosis and treatment device 1 side.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical treatment apparatus using a computer, in which a plurality of types of medical instruments are appropriately selected to perform a medical treatment.

[0002]

2. Description of the Related Art In various medical devices, a medical device is connected to a personal computer (hereinafter, referred to as a personal computer), or image information such as an X-ray image is displayed on a personal computer provided in a medical table via a network. There is known an apparatus in which diagnosis results and images are processed to record and manage each patient. This device starts application software corresponding to a device to be connected, and executes a predetermined function or application under the program. Examples of the above medical instruments include pocket measuring instruments and root canal length measuring instruments for dentistry, fundus cameras for ophthalmology, impedance audiometers for otolaryngology, and other departments such as ultrasonic diagnostic instruments. The equipment used is mentioned.

[0003] For example, in a dental medical device, when performing root canal length measurement, application software for a root canal length measuring device is started, and images and measurement data for measurement are displayed on a display of a personal computer to perform measurement. When the operation is completed, the application software is terminated. When performing diagnosis by displaying image information recorded on an external server, start application software for images,
The desired image is transmitted from the server, displayed on the display, diagnosed and filed for each patient, and then the application software for the image is terminated. As described above, it is common practice to display diagnostic information on a display of a relatively large personal computer in an easy-to-understand manner or to create a database of information.

[0004] In the above-mentioned usage, it is necessary to start up the application software corresponding to the medical instrument to be used and to prepare the operating environment of the personal computer. For this reason, when changing the medical equipment to be used, the surgeon such as a dentist must perform the operation of terminating the software and the operation of starting the new software. The time required for this interrupts the flow of medical care. In particular, when selecting application software by operating a pointing device such as a mouse, the flow of medical treatment is completely stopped, and since the fingers become dirty when operating the mouse, etc., washing of the fingers and sterilization of the pointing device are performed. Is required. In addition, extra costs and space are required to install a mouse, etc., and medical care must be performed while always being aware of the start and end of the software. There was a problem that it was hindered.

[0005]

SUMMARY OF THE INVENTION In view of the above problems, an object of the present invention is to provide a medical treatment apparatus which enables an operator to concentrate on medical treatment without having to bother with starting or ending software. Things.

[0006]

In order to achieve the above-mentioned object, a medical treatment apparatus according to the present invention includes a computer. In a medical device configured to perform medical treatment using dedicated application software for a medical device, a determination unit for determining a medical device in a used state and application software corresponding to the determination result are automatically generated. And control means for starting up.

Specifically, for example, when a specific medical device is connected to or selected from a medical device, code data indicating the device is transmitted from the medical device to the determination means, and the medical device is used. The state is determined to be in a state, and predetermined application software is started according to the determination result.

When the medical device is connected to the medical device, a connection signal corresponding to the shape of the connecting portion of the connected medical device is sent to the determining means to determine that the medical device is in use. Then, it is configured to start predetermined application software according to the determination result.

When the power of a specific medical device connected to the medical device is turned on, the determining device determines that the medical device with the power turned on is in use.
It is configured to start predetermined application software according to the determination result.

[0010] Alternatively, a plurality of types of medical instruments provided in advance in the medical treatment apparatus are respectively held at predetermined standby positions, and it is always detected that they are at the standby position, and it is detected that they are not at the standby position. When the determination is made, it is determined by the determining means that the non-existent medical device is in use, and predetermined application software is activated according to the determination result. If the medical device that is determined to be used requires an operating medium such as water or air, it is possible to start the application software and supply the operating medium according to the medical device. You may make it become.

[0011] With this configuration, the operator automatically connects the necessary medical equipment to the medical equipment according to a normal medical procedure, or picks up the medical equipment provided in the medical equipment, and automatically performs the operation. The activation of the application software for the medical instrument is started and the device can be used, so that a special activation operation is not required, and it is possible to concentrate on the medical treatment.

If the dedicated application software for the medical device determined to be in use is not installed in the computer, the fact is displayed on the display unit.

[0013] The medical care apparatus is connected to a computer network, and is configured to perform predetermined functions in cooperation with other devices on the network. In this case, if the dedicated application software of the medical device determined to be used is not installed on the computer of the medical device and is installed on another computer on the network, it is automatically The corresponding application software is configured to be installed.

[0014] The medical care device of the present invention may be a personal computer itself, or the computer may be configured to be portable and capable of communicating with the medical care device.

The medical treatment apparatus described above is, for example, for dental use, and the medical treatment equipment is, for example, a pocket measuring instrument, a root canal length measuring instrument,
It is a dental tool such as a cutting tool.

[0016]

Next, an embodiment of the present invention will be described. FIG. 1 is a block diagram showing a basic configuration of the apparatus. 1 is a computer 2, a display unit 3, and a judgment unit 4.
And a medical device having a connection port 5 and a computer 2
Has a built-in control means 2a such as a CPU. Numeral 6 denotes a plurality of different types of medical devices, which are connected to the medical device 1 by connecting the connection portions 6a to the connection ports 5 described above. Reference numeral 7 denotes a network including a plurality of external devices 8. One of the external devices 8 is a computer, and the computer 2 is connected to the network 7. The network 7 constitutes, for example, a LAN (local area network) of a medical institution, and the medical care apparatus 1 can access a database in the network by being incorporated in this LAN, thereby enabling comprehensive operation. Become.

The medical care device 1 is generally composed of a medical care chair for a patient, cabinets and various auxiliary devices attached thereto, and the computer 2 is built in the medical care chair or installed in the vicinity thereof. The arrangement is not limited to this. For example, a personal computer provided separately from the medical chair can be used as the computer 2, or a computer in the network 7 can be used. Further, a computer such as a personal computer can be regarded as the medical care apparatus 1. By using the computer in various manners as described above, it is possible to perform operations such as recording and organizing the medical treatment results for each patient, forming a database, and utilizing the database for subsequent medical treatments.

The computer 2 automatically activates dedicated application software necessary for using each medical instrument 6 and predetermined application software corresponding to the medical instrument detected to be in use. Application software to install the software. The determining means 4 is provided separately and functions independently.
There are various modes such as those cooperating with the control unit 2a and those included in the control unit as one function of the control unit 2a.

One or a plurality of connection ports 5 are provided, and each medical instrument 6 is provided with a connection portion 6a corresponding thereto. When the number of the connection ports 5 is one, the connecting portion 6a of the medical instrument 6 to be used is connected to the connection port 5. When the number of the connection ports 5 is plural, each medical instrument 6 is connected.
Can be respectively connected to the connection port 5 from the beginning. When one connection port 5 is used, it is determined that the specific medical instrument 6 connected to the connection port 5 is used, and when there are a plurality of connection ports 5, one of the medical apparatus 6 is selected. It is determined by the determination means 4 that each of them has been used. This determination is made by various methods, such as by code data as described below, by a connection signal, by turning on the power of the medical instrument 6, or by picking up from the standby position.

The detection based on the code data is performed as follows. In this case, when the connection portion 6a of the medical instrument 6 is connected to the connection port 5, code data indicating the medical instrument 6 is transmitted from the connection port 5 to the judgment means 4 and the connected medical instrument 6 is judged. Then, the control means 2a automatically starts up the application software of the medical instrument 6 according to the judgment result. The code data at this time is generally configured such that a communication circuit between the medical instrument 6 and the judging means 4 is formed when the connecting portion 6a is connected to the connection port 5, and the connected medical instrument is connected. By turning on the power source of No. 6, the information is transmitted from the medical device. Also, the power of the medical instrument 6 is turned on / off on the medical device 1 side, or the power switch of the medical device 6 is provided on the medical device 1 side, and the power is automatically turned on when a communication circuit is formed. Then, the code data transmitting circuit of the medical instrument 6 may be operated to immediately transmit the code data.

The determination based on the connection signal is performed as follows. In this case, the shape of the connecting portion 6a is made different for each medical device by an appropriate method, for example, by providing a convex portion or a concave portion in a part of the connecting portion 6a of the medical device 6, and a plurality of connecting ports 5 Are provided, and ON / OFF of a specific contact is controlled according to the difference in the shape of the connection portion 6a. A connection signal indicating the medical device connected according to the ON / OFF state or a combination thereof is determined from the connection port 5. It is sent to the means 4.

The judgment based on the power-on of the medical instrument is made by directly detecting the power-on of the medical instrument 6 connected to the connection port 5, and a plurality of connection ports 5 are provided.
This is suitable for a case where an individual is dedicated to a corresponding medical instrument. This determination is made, for example, by always forming a signal circuit for detecting the opening and closing of the relay contact provided on the medical instrument 6 between the medical instrument 6 and the medical device 1 and turning on the power to close the relay contact. It is determined that the medical treatment instrument 6 has been selected and used.

The determination based on picking up from the standby position is suitable when a plurality of types of medical instruments 6 are provided in the medical apparatus 1 in advance. That is, in this case, the holding section of each medical instrument 6 is provided in the medical treatment apparatus 1 or in the vicinity thereof, and is held in a predetermined holding section when not in use, that is, in a standby state. Means for detecting that the medical instrument 6 is held are provided, respectively, so that the presence or absence of the medical instrument is always detected. Therefore, when the specific medical instrument 6 is taken out of the holding unit for use, it is detected that the specific medical instrument 6 is no longer in the standby position, and it is determined that the medical instrument 6 is in use. When two or more medical devices 6 are not at the standby position, the device first removed from the holding unit is given priority.

FIGS. 2 and 3 show that a specific medical instrument 6 is connected to the connection port 5 or that a specific medical instrument 6 is selected by the above-described method, and the application software is started. This shows the procedure for performing medical treatment and exiting the software after use.It shows only the basic procedure, omitting the power on / off of each device and the specific operation procedure at the time of medical treatment. is there. FIG. 2 shows a case where the medical treatment apparatus 1 is installed alone, and FIG.
In the latter case, the medical device 1 only needs to have a function not provided on the network side, such as a function of connecting the medical device 6 and transmission of information on the connected device.

In FIG. 2, step S1 is a standby state, in which the medical instrument 6 is constantly monitored to be connected to the connection port 5 or that a specific medical instrument 6 is selected. When the connection or selection of the medical device is detected, the process proceeds to step S2, where the type of the medical device 6 is determined by the determining means 4, the corresponding application software is started in step S3, and the corresponding application software is started in step S4. Predetermined medical treatment is performed.

The medical treatment is terminated by turning off the power of the medical device 6 in use, disconnecting the connecting portion 6a from the connection port 5, or returning the medical device 6 to a predetermined holding portion. Since the determination can be made, in the next step S5, it is constantly monitored whether or not this state is reached. If it is determined that the medical treatment has been completed, the process proceeds to step S6, the application software ends, and the process returns to the standby state of step S1 again.

In FIG. 3, the medical care apparatus 1 on the client side is shown.
Is shown on the left side, and the network 7 on the server side
The procedure of the inside computer is shown on the right side, and the steps of the same processing as in FIG. 2 are given the same step numbers.

That is, when connection or selection of a specific medical instrument 6 is detected in step S1, the process proceeds to step S11, and the client number of the medical apparatus 1 and information necessary for determination are sent to the computer on the network 7. . The computer of the network 7 determines the corresponding medical device 1 based on the information sent in step S11 (step S11).
2) and activation of application software (step S3)
The medical device 1 makes use of this software to determine the medical treatment in step S4 and the end of step S5, and sends end information in step S12. Based on this information, the computer of the network 7 terminates the application software (step S6) and returns to the standby state of step S1. As shown by a broken line as step S6 'in FIG. 3, it can be considered that the software operating on the medical treatment device side is terminated on the device side. In this case, step S12 on the medical treatment device side is unnecessary. .

Although not shown in the above procedure, if the medical instrument 6 to be used is new and the application software to be started in step S3 in FIG. This can be displayed on the display unit 3 to urge installation. When the software is installed on the computer of the network 7, the software may be used as it is as shown in FIG. 3, but it is downloaded and automatically installed on the computer 2 of the medical care device 1. You may do so.

[0030]

Next, an embodiment in dentistry will be described with reference to FIGS. The medical device 1 in this case is composed of, for example, a medical table for patients and a medical table, cabinets, various auxiliary devices, and the like attached thereto. The medical instrument 6 is, for example, a root canal length measuring device, a pocket measuring device, a dental radiograph, various cutting tools, and the like. The computer 2 is incorporated in, for example, a medical table, or is installed in the vicinity thereof, and a display unit is provided. 3, that is, the display is attached to the rear edge of the medical table or the like.

FIGS. 4A and 4B show an example of a root canal length measuring instrument, in which a jack 51 as a connection port is provided on the shoulder portion of the back sheet 11a of the examination table 11. FIG. 61 is a handpiece for measuring the root canal length, 61a is a plug for connection, 61b is a control circuit for measuring the root canal length, and the control circuit 61b is installed in the medical table 11. When the plug 61a is inserted into the jack 51, the power of the control circuit 61b is turned on, and the computer 21 detects that the power is turned on.
Then, the installed application software for root canal length measurement is automatically started, and the display 31 is displayed.
Displays an image 31a indicating the position of the measuring needle, for example.
Root canal length measurement becomes possible. After the measurement, plug 61a
Control circuit 61b by pulling
Is turned off and the application software terminates.

FIGS. 5A and 5B show an example in the case of a pocket measuring instrument, and the jack 51 as a connection port is the same as that in FIG. 62 is a handpiece for measuring pockets, 62a is a plug for connection, 62b is a control circuit for measuring pockets, and the control circuit 62b is provided inside the examination table 11. When the plug 62a is inserted into the jack 51, the power of the control circuit 62b is turned on, a model code signal 62c indicating that the pocket measuring device is used is sent to the computer 21, and it is detected that the pocket measuring device is connected. You. Then, application software for pocket measurement is automatically started, and an image 31b indicating, for example, the depth of the pocket or the tooth to be measured is displayed on the display 31, so that the pocket can be measured. After the measurement is completed, the power of the control circuit 62b is turned off by pulling out the plug 62a from the jack 51, and the application software ends.

FIG. 6 shows an example of a dental X-ray apparatus. The X-ray apparatus 63 is provided with a contact 63b of a relay that operates when the power switch 63a is turned on, and this contact circuit is connected to the jack 52 of the computer 21 which is a connection port dedicated to the X-ray apparatus. When the power switch 63a is turned on, the contact 63b is turned on, and it is determined that the X-ray apparatus 63 is used by this on,
In response to this, the application software for the X-ray apparatus is automatically started, and the image 31 is displayed on the display 31.
c is displayed, and X-ray photography is enabled. In the image 31c, data necessary for X-ray imaging, such as the standing state of the device 63 and imaging conditions, are appropriately displayed.
A panoramic photographing screen of a dental arch obtained by photographing is also displayed during or after photographing. After the photographing is completed, when the power switch 63a is turned off, the application software is also terminated.

FIG. 7 shows examples of various tools for cutting and the like. The plurality of types of tools 64 to 67 are provided on the examination table 11, and as is well known, for example, the back sheet 11a
The handle portion is inserted into and held by holding portions 64a to 67a provided inside the shoulder portions of the holding portion 64a.
The detection units 64b to 67b are provided below the
Is provided. The detection units 64b to 67b include:
For example, a limit switch for mechanically detecting a grip portion of the tool is used, and each of the limit switches is connected to the computer 21 and always detects whether or not the tool is held by the holding portion.

Therefore, when one of the tools 64 to 67 is selected and lifted, the detecting section corresponding to the tool is activated, and its operating state is sent to the computer to detect the type of the selected tool. In response to this, if the tool requires special application software, the corresponding predetermined software is automatically activated and the tool becomes usable, and the display 31 displays an image 31 relating to the tool.
d is displayed. When the tool is returned to the holding unit after use is completed, the return is detected and the application software ends. Note that the image 31d in the case of a tool that does not require application software has, for example, a content that simply indicates the number of revolutions, torque, and the like. In addition, there is a case where an operating medium such as water or air is required at the time of a cutting operation, but when such a tool is selected, the operating medium according to the tool can be supplied. Is done.

[0036]

As is apparent from the above description, the medical treatment apparatus of the present invention includes a computer, and when a required one of a plurality of types of medical treatment equipment is selected and used, the selected medical treatment equipment is used. And a control means for automatically activating the corresponding application software in accordance with the result of the determination, wherein the medical device is configured to perform medical treatment using dedicated application software. , And is provided.

Therefore, it is not necessary to start or end the application software, and the surgeon can concentrate on the diagnosis or treatment, which is the original work, in accordance with the normal medical procedure, and the flow of medical care is interrupted. Can proceed efficiently without any Further, no extra cost or space is required for installing a pointing device such as a mouse, and the necessity of washing the fingers and sterilizing the pointing device by operating these devices is eliminated.

In the case where a medical device in use is determined by software using code data, a plurality of types of medical devices can be handled by providing a common connection portion, and the number of required wires is reduced. The structure of the medical care device is simplified.

In the case where a medical device in a used state is determined by a connection signal, turning on the power of the medical device, or picking up the medical device from a standby position, etc.
The control circuit is simpler than when using code data.

If the dedicated application software for the medical device determined to be in use is not installed in the computer, a message to that effect is displayed on the display unit. You can easily notice that you need to install it and take appropriate action.

Further, in a configuration in which the medical care device is connected to a computer network and can perform predetermined functions in cooperation with other devices on the network, the medical care device is connected to a local area network of a medical institution. Comprehensive management can be easily implemented, for example, by incorporating the database so that the database can be used.

If the necessary application software is not installed on the computer of the medical treatment apparatus, the application software is downloaded from another computer on the network and the corresponding application software is automatically installed. Operation is unnecessary and convenient.

Further, in the case where the medical treatment device itself is a personal computer or the computer is configured to be portable and capable of communicating with the medical treatment device, the medical treatment device of the present invention can be implemented by utilizing a relatively inexpensive personal computer. Obtainable.

Further, when the medical treatment apparatus and the medical treatment equipment are for dental use, the above-mentioned effects can be obtained in a dental medical institution.

[Brief description of the drawings]

FIG. 1 is a block diagram showing a basic configuration of an apparatus according to an embodiment of the present invention.

FIG. 2 is a flowchart showing an operation procedure of the apparatus.

FIG. 3 is a flowchart showing an operation procedure of the apparatus.

FIG. 4 is a schematic view showing a perspective view and a configuration of a main part of an embodiment in dentistry.

FIG. 5 is a schematic view showing a perspective view and a configuration of a main part of another embodiment.

FIG. 6 is a schematic diagram showing a configuration of another embodiment.

FIG. 7 is a schematic diagram showing a configuration of still another embodiment.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 Medical treatment apparatus 2, 21 Computer 2a Control means 3, 31, Display part (display) 4 Judgment means 5 Connection port 6 Medical equipment 6a Connection part 7 Network 8 External equipment 11 Clinic table 61 Root canal length measuring handpiece 62 Pocket measurement Handpiece 63 X-ray machine 64, 65, 66, 67 Tool

Claims (12)

[Claims] 1. A medical treatment system comprising a computer, wherein when a required one of a plurality of types of medical instruments is selected and used, medical treatment is performed using dedicated application software of the selected medical instrument. A determination device for determining a medical device in a state of being used;
Control means for automatically starting corresponding application software according to the determination result. 2. A specific medical device is connected to a medical device,
Alternatively, when the medical device is selected, code data indicating the device is sent from the medical device to the determining means, and it is determined that the medical device is in use, and predetermined application software is started in accordance with the determination result. The medical treatment device according to claim 1, wherein the medical treatment device is configured as follows. 3. When the medical device is connected to the medical device, a connection signal corresponding to the shape of the connection portion of the connected medical device is sent to the determining means, and the medical device is determined to be in use. 2. The medical treatment apparatus according to claim 1, wherein the medical device is configured to start predetermined application software according to a result of the determination. 4. When the power of a specific medical device connected to the medical device is turned on, the determining device determines that the powered medical device is in use, and according to the determination result, The medical treatment apparatus according to claim 1, wherein the medical treatment apparatus is configured to start predetermined application software. 5. A plurality of types of medical instruments provided in advance in a medical device are respectively held at predetermined standby positions, and it is always detected that the medical devices are at the standby positions.
When it is detected that the medical device is not present at the standby position, the determining unit determines that the medical device that has become nonexistent is in use, and starts predetermined application software according to the determination result. Item 7. The medical treatment device according to Item 1. 6. When it is determined that a medical device requiring an operation medium such as water or air is used,
The medical treatment apparatus according to claim 5, wherein an operation medium according to the medical treatment instrument can be supplied. 7. When a dedicated application software for a medical device determined to be in use is not installed in a computer, the fact is displayed on a display unit. Medical equipment. 8. The medical treatment device according to claim 1, wherein the medical treatment device is connected to a computer network, and is configured to perform a predetermined function while cooperating with another device on the network. 9. When the dedicated application software of the medical device determined to be used is not installed in the computer of the medical device and installed in another device on the network, 9. The medical treatment apparatus according to claim 8, wherein the application software corresponding to the application is installed. 10. The medical treatment device according to claim 1, wherein the computer of the medical treatment device is a personal computer. 11. The computer is portable,
The medical treatment device according to any one of claims 1 to 10, wherein the medical treatment device is configured to be able to communicate with the medical treatment device. 12. The medical treatment device according to claim 1, wherein the medical treatment device and the medical treatment device are for dental use.