JP2001120492A - Endoscope system device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an endoscope system device, which improves operation effectiveness by reducing space set for the whole device, making a monitor vision movable freely to desired position, making all the peripheral movable at once by an operator in sitting position. SOLUTION: A body 1A includes TV camera device 4, a light source device 5, a pneumatic device 6, an electric surgical knife 7 and so on. A sheet portion 3 is combined with the body in one unit. A monitor display 11 is installed by a monitor fixer arm 12 composed with a rotating portion 14, a portion 13 and a prop 15 at upper portion of the body 1. When an operator moves in sitting position, relative position to the device does not change.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an endoscope system device including an endoscope device and other medical instruments, and more particularly to a structurally integrated structure capable of reducing an installation space. The present invention relates to an endoscope system device capable of improving work efficiency.

[0002]

2. Description of the Related Art Generally, when performing an endoscopy or an operation, it is necessary to arrange various medical devices around a patient bed, and there is a feeling of pressure in a narrow examination room or operating room. . For this reason, in order to make it easier for the surgeon to perform examinations and operations, and for nurses to perform auxiliary tasks, and to prevent the patient from being overwhelmed, a number of medical devices must be arranged. It is desirable to provide an environment where a patient can undergo examinations and operations with a minimum amount of work space and a patient can be safely examined.

[0003] Further, in the case of an endoscopic examination or an operation or the like, if the examination time or the operation time is long, the treatment may be performed while sitting in consideration of the operator's fatigue. Normally, an endoscope or a plurality of other medical devices and a seat are separated from each other, and an operator can perform a treatment while sitting on the seat. However, when the operator moves during the endoscopy while sitting,
The position of the surgeon and the relative position between the observation monitor and other medical devices change, and these medical devices and the like must also move in accordance with the movement of the surgeon. Therefore, even if the surgeon sits on the seat and moves during the endoscopy, the seat and many medical devices can be integrated so that treatment can be performed without worrying about the position and movement of the medical devices. It is desired to provide a simplified endoscope system device. Therefore, conventionally, in view of such a demand, for example, Japanese Patent Application Laid-Open No. 7-8442
An endoscope inspection device described in Japanese Patent Application Laid-Open Publication No. H11-163,813 has been proposed.

In the endoscope inspection apparatus according to this proposal, a main body comprising a movable vertically long hollow box provided with a plurality of casters on the bottom surface and having a substantially inverted T-shaped side surface is provided. A medical device such as a light source device, a video processor, a camera device, a video device, a power supply battery, and a suction device necessary for performing an endoscopy is integrally arranged. In addition, a seat portion on which an operator sits is provided at a substantially central portion on the front surface of the main body, that is, many medical devices and the seat portion are integrally formed. Further, an insertion section to be inserted into a body cavity and an operation section for operating the endoscope itself are connected by a coil, and the insertion section is configured such that a twist of the insertion section due to a procedure is not transmitted to the operation section during insertion.

[0005] With this configuration, the operator does not need to perform operations such as twisting the body, and can perform the insertion operation while observing with the observation monitor while sitting on the seat portion. Various operations can be performed by the operation unit arranged at the position by the flexible joint.
In addition, since the seat and many medical devices are arranged integrally, even if the surgeon sits on the seat and moves during endoscopy, he or she does not mind the position and movement of the medical devices. The procedure can be performed without performing the procedure, and the installation space for the medical equipment can be reduced, so that a sufficient working space for the operator or nurse can be secured. In this way, there is an effect that the operator's fatigue during endoscopic examination can be reduced and operability can be improved.

[0006]

However, in the above-mentioned endoscope inspection apparatus, the sheet portion and many medical devices are structurally integrated into the main body. Or because the observation monitor required during surgery is arranged separately from the main body, when the operator moves while sitting on the seat during endoscopy,
The observation monitor must move accordingly.
Even if the observation monitor is attached to the main body, the observation monitor cannot be freely moved to a desired position, and there is a problem that the work efficiency is not satisfactory with respect to the improvement of work efficiency. Was.

In view of the above, the present invention has been made in view of the above problems, and is configured as a floor-standing type in which a sheet portion, a medical device, and an observation monitor are integrated in a main body, and the observation monitor can be freely moved. The installation reduces the installation space of the entire device, allows the observation monitor to be moved freely to the desired position, and allows all the peripheral devices to be used at once when the operator moves while sitting. It is an object of the present invention to provide an endoscope system device capable of improving work efficiency by being movable.

[0008]

According to the endoscope system of the present invention, one or a plurality of medical instruments can be mounted in the main body, and the main body can be freely moved to the lower surface of the main body. And a monitor attached to at least one surface of the cart body, and a monitor for displaying an image taken during an endoscopy or an operation. An observation monitor attached to an upper portion of the cart body via supporting means that can be moved and held, and operating means for intensively operating one or a plurality of medical devices mounted on the cart body. , Are provided.

According to the present invention, the peripheral device, the operation panel, the observation monitor, and the seat are integrally formed as required for the endoscopic examination or the operation, so that the installation space can be reduced. The feeling of oppression in the endoscopy room or the operating room can be eliminated, and a sufficient working space for the operator can be secured. Also, without giving the patient the feeling of oppression due to the installation of the device etc.,
It is also possible to give a sense of security. In addition, even when the operator moves while sitting on the seat, the observation monitor can be freely moved to a desired position, and the relative position with the device does not change. Endoscopy or surgery can be performed smoothly without worrying about the position of the device. Also, when the operator moves while sitting, the cart body is provided with a moving means, so that all the peripheral devices can be moved at once. Further, since the operating means for intensively operating one or a plurality of medical devices mounted on the cart body is provided, operability can be improved. Therefore, it is possible to improve the operability and work efficiency of the operator at the time of endoscopy or at the time of surgery.

[0010]

Embodiments of the present invention will be described below with reference to the drawings.

FIG. 1 is a perspective view showing an endoscope system apparatus according to a first embodiment of the present invention, and showing the entire configuration of the apparatus.

(Structure) As shown in FIG. 1, an endoscope system device 1 according to the present embodiment has a substantially inverted T-shaped side surface, a plurality of casters 2 on the bottom surface of a bottom portion 1a, and a vertically movable shape. A main body 1A composed of a hollow box body is provided, and a medical peripheral device required for performing an endoscopy or an operation is mounted in a hollow portion of the main body.

Although not shown, a cable for electrically connecting each device, a light transmission member (light guide) for transmitting illumination light, and air / water supply are provided in the vertically long hollow box body of the main body 1A.・ Each tube used for suction is built in.

A seat 3 on which an operator sits is provided substantially in the center of the front surface of the main body 1A. The seat portion 3 is configured to be movable in the height direction with respect to the vertically long hollow box body of the main body 1A, so that an operator can adjust the seat portion 3 to a desired height. I have. The seat 3 is provided with a backrest, and a suction bottle, a cylinder, and the like (not shown) are provided below the seat 3.

The devices mounted on the main body 1 include a TV camera device 4, a light source device 5, an insufflation device 6, and an electric scalpel unit 7 used for endoscopy or surgery. Each of them is arranged and fixed on the rear surface of the main body 1 sequentially from the upper stage. These peripherals also
Although not shown, it is electrically connected to a system controller built in the main body 1A, and has a connection form capable of performing bidirectional communication between the system controllers.

The system controller (not shown) includes:
An operation panel 8 for performing operation instructions and the like for various peripheral devices required at the time of an endoscopy or an operation, and a remote controller (not shown) that can be installed on a side bar of an operating table are connected. Therefore, by connecting the operation panel 8 in such a connection form, the operator can operate the operation panel 8.
Can be used to give operation instructions to various peripheral devices required during endoscopy, and to recognize the details of the operation and various information required during endoscopy or surgery. is there.

A panel arm 9 for holding the operation panel 8 from above the seat portion 3 is provided on the left side of the main body 1A.
Is installed. The panel arm 9 is formed in a hollow shape, and the above-mentioned cables (for example, a TV camera cable or the like) are removably inserted therein. )
It is configured such that cables necessary for an endoscope inspection and an operation can be pulled out from the panel arm opening 10 formed in the above.

Further, below the electric scalpel unit 7, a lower part 1B of the main body 1A is provided with a power supply battery for supplying power to the above-described devices, the system controller (not shown),
Alternatively, a suction device for sucking dirt or the like from the distal end side of the endoscope insertion portion (not shown) is mounted, and these are mounted on the main body 1A.
Is formed integrally with the main body 1A on the bottom 1a.

The present embodiment is characterized in that the mounting structure of the observation monitor 11 is improved in order to achieve the object.

Specifically, in the endoscope system device 1 shown in FIG. 1, a monitor fixing arm 12 for supporting an observation monitor 11 such as a liquid crystal monitor is provided on the upper surface of the main body 1A.

The monitor fixing arm 12 has a support portion 13 for supporting the observation monitor 11, and the other end of the support portion 13 is attached to the monitor fixed arm 12. Swivel unit 1 that can turn
4 and the other end of the revolving portion 14 are attached to the main body 1.
A column 1 configured to be vertically movable in the vertical direction of A
5 is comprised.

As the observation monitor 11, it is desirable to use a lightweight and power-saving monitor such as a liquid crystal monitor as described above, and it is not limited to the liquid crystal monitor. The swivel unit 14 includes the observation monitor 11 and the seat unit 3
It is formed with a predetermined length so that the distance from the operator sitting on the main body 1A is optimal, and without changing the relative position, for example, the observation monitor 11 supported by the support portion 13 is moved around the main body 1A. Is configured to be able to turn 360 degrees.

In the case where the angle capable of turning and rotating is not required to be 360 degrees, a means for limiting the turning angle may be provided at a connection portion between the column 15 and the turning portion 14. . Further, in this example, the turning unit 14
Has been described as having a predetermined length, but the present invention is not limited to this. For example, the distance between the observation monitor 11 and the operator sitting on the seat 3 can be adjusted according to the physique of the operator. Alternatively, it may be configured with a structure that can slide in the length direction. In this case, it is necessary to provide a means for locking and fixing the slide and maintaining the length.

(Operation) It is assumed that an endoscope inspection or an operation is performed using the endoscope system apparatus 1 having the above configuration. In this case, assuming that an operator performs an endoscopy or an operation while sitting on the seat portion 3 of the device 1, the operator needs to perform the endoscopy and the operation through the panel arm opening 10 of the panel arm 9 at the time of the endoscopy and the operation At the same time, the user pulls out a suitable cable, performs an operation necessary for the treatment using the operation panel 8, and starts the treatment.

At this time, in the endoscope system apparatus 1, as described above, the peripheral devices 4, 5, 6, and 7 are all mounted in the hollow portion of the main body 1A, and the seat portion 3 is also integrated with the main body 1A. And operation panel 8 necessary for treatment
Since the operator and the observation monitor 11 and the panel arm opening 10 for drawing out necessary cables are arranged at positions where the operator can easily work, the operator can perform the treatment without feeling a feeling of oppression. In other words, since the equipment and the like necessary for the endoscopic examination or the operation and the seat portion 3 have an integrated configuration mounted on the main body 1A of the endoscope system device 1, the installation space can be reduced, Even in a narrow examination room or operating room, a sufficient working space for the operator can be ensured, and working efficiency can be improved.

Further, it is assumed that the operator moves while sitting in accordance with the contents of the treatment of the patient. In this case, the operator can move smoothly with the plurality of casters 2 attached to the bottom surface of the bottom 1a of the main body 1A while sitting.

At this time, since the observation monitor 11 is arranged and fixed at a predetermined position from the upper portion of the main body 1A by the monitor fixing arm 12, even if the operator moves while sitting on the seat portion, the observation monitor 11 is not moved. Since the relative position does not change, and the relative position of the other operation panel 8 and peripheral devices with the operator does not change, the endoscopic examination or the operation can be performed without worrying about the position of the device necessary for the treatment. Surgery can be performed smoothly.

(Effects) Therefore, according to the present embodiment, the peripheral devices 4 to 7, the operation panel 8, the observation monitor 11, and the seat unit 3 are integrally formed as required for the endoscopic examination or the operation. By using the endoscope system device 1, the installation space can be reduced, so that the feeling of oppression in the endoscopic examination room or the operating room can be eliminated, and a sufficient working space for the operator can be secured. It is possible to do. Therefore, it is possible to improve the operation efficiency of the operator, and it is possible to give the patient a sense of security without giving the patient a feeling of oppression due to the installation of the device and the like.

Further, even when the operator moves while sitting on the seat, the relative position with respect to the device does not change, so that the operator does not need to worry about the position of the device for endoscopic examination. Or the operation can be performed smoothly. In addition, since cables and the like necessary for endoscopy or surgery are housed in the main body 1A of the endoscope system device 1 and the panel arm 9, it is possible to make the appearance clear and to further move. It is possible to move while sitting, without having to worry about the routing and catching of the cable. Therefore, the operator's fatigue at the time of endoscopic examination or operation can be reduced, and operability can be improved, which greatly contributes to improvement of work efficiency.

Note that, in addition to the peripheral device having the above configuration, the VT
A device that handles video signals such as an R, a printer, and an image processing device is required. Actually, in order to mount all of these devices, a structurally larger main body 1A (cart) is required, and the working space is reduced, and a feeling of oppression is felt.

However, since the VTR, the printer, and the image processing apparatus can transmit a wireless video signal, it is not necessary to enlarge the cart and mount all of them, and to install them at a distant position so as not to disturb the operation. It is possible to disperse and arrange. Therefore, by having such a configuration, it is possible to eliminate the feeling of oppression and reduce the number of cables to be used, as in the above-described embodiment.
An easy-to-use endoscope system can be provided.

Second Embodiment FIG. 2 shows a second embodiment of an endoscope system device according to the present invention, and is a configuration diagram showing the entire configuration of the device.

(Construction) In the present embodiment, the main body and the seat portion are integrally formed so that the front surface of each peripheral device faces the operator who is sitting, and the seat portion is configured to be rotatable and movable. The second embodiment is different from the first embodiment in that an electric drive unit for electrically moving the main body itself and an operation unit for operating the electric drive unit are provided inside the main body.

Specifically, as shown in FIG. 2, the endoscope system apparatus of the present embodiment has a main body 16 which is a box-shaped housing and on which a plurality of peripheral devices 16a can be mounted. The main body 16 accommodates a peripheral device group 16a as a medical device similar to that of the first embodiment.

A plurality of movable casters 17 are provided on the bottom surface of the main body 16. The caster 17 is configured to be electrically driven, and its driving is controlled by an electric driving means built in a lower part of the main body 16. That is, the main body 16 itself can be freely moved by the control by the electric driving means.

On the upper part of the main body 16, a monitor fixing arm 19 for fixing the observation monitor 18 is provided.

The monitor fixing arm 19 is rotatable around an arm pivot 19a, and is configured to be able to move to a desired position. That is, the observation monitor 18 can be moved to a desired position by rotating the fixed arm 19 about the arm pivot 19a as necessary.

The rotary seat 20 is installed on a seat fixing base 21 fixed to a lower portion of the main body 16 via a vertical rod 20a connected to a rotation center axis. The rotatable chair 20 is mounted so as to be rotatable in a horizontal direction with respect to a vertical rod 20a. The vertical rod 20a can move vertically (up and down) by engaging with driving means such as an electric motor provided in the seat fixing base 21. By controlling the means, the position of the rotary seat 20 can be changed to an optimum position.

In the present embodiment, the surgeon can move electrically together with the main body 16 while sitting on the rotary seat 20, and the accompanying operation can be easily performed.

Specifically, on the side of the seat fixing table 21,
A lever switch 22 for controlling the electric drive means built in the lower part of the main body 16 to move the caster 17 electrically is provided. By tilting the lever switch 22 in the direction in which it is to be moved, for example, a control signal for moving the main body 16 in the moving direction is transmitted to the electric driving means, and the caster 17 is moved.
The main body 16 is moved in an inclined direction by electrically driving the main body 16.
Can be moved electrically.

An operation panel 23 is provided on the side surface of the main body 16 for instructing operation of various peripheral devices necessary for an endoscopic examination or operation, similarly to the above-described embodiment. 16a can be centrally operated.

In this embodiment, the rotary seat 20
Has been described as being configured to have a fixed shape so that the distance between the rotary seat 20 and the main body 16 is maintained at a constant interval. However, the present invention is not limited to this. A slide structure may be provided so that the distance between the main body 16 and the rotary seat 20 can be adjusted. In this case, a holding means for holding a certain length is required.

(Operation) In the endoscope system apparatus according to the present embodiment, as described above, the peripheral devices 16a are all mounted in the main body 16, and the rotating seat 20 is also integrally formed with the main body 16. Since the operation panel 23 and the observation monitor 18 and the like necessary for the treatment are arranged at positions where the operator can easily work, the operation is performed in the same manner as in the first embodiment, and the operator feels oppression. The treatment can be performed without feeling. That is, the installation space can be reduced, a sufficient working space for the operator can be secured even in a narrow examination room or operating room, and the working efficiency can be improved.

When the procedure is performed while the operator is sitting, since the rotary seat 20 on which the operator sits is rotatable, the position of the peripheral device 16a can be changed to a desired position such as the operator's back or side. Can be arranged.

If the operator needs to move while sitting, the operator may operate the lever switch 22 so as to tilt it in the direction in which the operator wants to move. Then, a control signal for moving the main body 16 in the moving direction is transmitted from the switch 22 to the electric driving means,
The casters 17 are driven electrically. Thus, the main body 16
In the state where the operator is sitting, the operator can smoothly move in the desired direction without any trouble in the endoscopy or the operation.

(Effects) Therefore, according to the present embodiment, in addition to obtaining the same effects as in the first embodiment, the position of the peripheral device can be reduced by providing a rotary seat. It can be arranged at a desired position, such as the back, side, or the like, and can be directly operated using the operation panel of the peripheral device. Of course, it goes without saying that the operation by the operation panel 23 attached to the side surface of the main body can also be used. Further, the main body 16 can be electrically moved in any direction while the operator is sitting, and is provided with the lever switch 22 which is a simple operation method. By operating the, it is possible to smoothly move the main body in the target direction without hindrance to endoscopy or surgery. Thereby, the working efficiency can be further improved as compared with the first embodiment.

Third Embodiment: FIG. 3 shows a third embodiment of the endoscope system device according to the present invention, in which a rotary seat portion obtained by improving the device in the second embodiment is described. It is a perspective view which shows a structure of.

(Structure) In the present embodiment, the endoscope system device of the second embodiment is modified to further improve the operability of the operator when the main body is moved electrically. It is a characteristic that

The overall configuration of the endoscope system device of this embodiment is substantially the same as that of the endoscope system device of the second embodiment shown in FIG. 2, but as shown in FIG. The switch 22 (see FIG. 2) has been removed and the swivel seat 20 has been removed.
Parts are improved and a pedal switch 22a is newly provided as an auxiliary switch.

The rotary seat 20 also plays a role of a switch operation in place of the lever switch 22, and is provided at a seat end portion in a direction in which the user wants to move (for example, any of the directions 25a, 25b, 25c, and 25d shown in the figure). (For example, a pressure obtained by intentionally adding the weight of the operator: any of 24a, 24b, 24c, and 24d shown in the figure) to move the main body 16 in the moving direction. A control signal is generated and transmitted to the electric driving means in the same manner as in the above embodiment. Thus, caster 17
The main body 16 is moved in an inclined direction by electrically driving the main body 16.
Can be moved electrically.

The pressure 24a shown in the figure indicates the direction 25a, 24b is 25b, 24c is 25c, and 24d is 2
5d, and a pedal switch 22a as an auxiliary switch is provided on the bottom surface of the seat fixing portion 21 in order to prevent the movement of the main body 16 without the operator's intention during the treatment. I have. That is, when the surgeon intends to move the main body 16, the electric movement of the main body by the rotary seat 20 described above is performed only when the pedal switch 22 a is depressed with the foot and the pedal switch 22 a is turned on. Operation becomes possible. Conversely, the pedal switch 22
If a is not stepped on and is in the off state, the operation by the rotary seat 20 is invalidated.

(Operation) In this embodiment, the operation is substantially the same as that of the endoscope system device in the second embodiment, but it is necessary for the operator to move while sitting on the rotary seat 20. In this case, the operator applies a predetermined pressure (for example, intentionally applies the weight of the operator) to the seat end portion in the direction in which the rotary seat 20 has moved while stepping on the pedal switch 22a below the seat fixing portion 21. The resulting pressure:
Any of 24a, 24b, 24c, and 24d shown in FIG. Then, from the rotary seat 20, a control signal for moving the main body 16 in the moving direction is transmitted to the electric driving means, and the casters 17 are electrically driven. In this way, the main body 16 can be smoothly moved in a desired direction without hindrance to endoscopy or surgery while the operator is sitting.

(Effects) Therefore, according to the present embodiment, in addition to the same effects as in the second embodiment, the rotary seat 20 can be moved in the direction in which the surgeon wants to move while stepping on the pedal switch 22a. Just put weight on the body 1
Since the body 6 can be moved electrically in the direction in which the weight is applied, it is possible to further improve the operability when the body is moved. Therefore, it is possible to further improve the work efficiency of the operator in the endoscopic examination or the operation.

Fourth Embodiment FIGS. 4 and 5 show a fourth embodiment of the endoscope system apparatus according to the present invention.
Is a configuration diagram showing the overall configuration of the device in the case where the device in the second embodiment is improved, and FIG. 5 is a block diagram showing an example of an automatic drive control system circuit employed in the device. In FIG. 4, the same components as those of the device according to the second embodiment are denoted by the same reference numerals, and the description thereof will be omitted.
Only different parts will be described. (Configuration) In the present embodiment, the endoscope system device of the second embodiment is further provided with an automatic drive control system capable of automatically controlling the position of the observation monitor 18 and the electric movement of the main body. The feature is that the work efficiency has been further improved.

The overall configuration of the endoscope system device of the present embodiment is substantially the same as that of the endoscope system device of the second embodiment shown in FIG. An automatic drive control system (see FIG. 5) capable of automatically controlling the electric movement is provided.

As shown in FIG. 4, in the endoscope system apparatus of the present embodiment, a peripheral device group 16a is housed in a main body 16 similarly to the second embodiment, and a new Is provided with a small camera device 26.

The small camera device 26 takes an image of the periphery of the main body 16 and supplies the obtained image signal to a system controller (not shown) as an automatic drive control system built in the main body 16.

The monitor fixing arm 19 to which the observation monitor 18 is fixed can perform the same turning operation as in the second embodiment. However, the arm pivot 19a serving as the center of the turning is electrically driven. Means (not shown) is built-in, and by controlling the electric driving means to drive the arm pivot 19a, the monitor fixing arm 19 is turned to electrically move the observation monitor 18 to a desired position. It is possible to move. That is, the electric drive means of the arm pivot 19a and the system controller (not shown) are electrically connected.

Also, in the vertical rod 20a which can adjust the height position of the rotary seat 20 in the vertical direction (up and down direction), the driving means for driving the vertical rod 20a is also provided with a system controller (not shown). It is electrically connected.

More specifically, in the automatic drive control system, as shown in FIG.
Is supplied to an image processing circuit 26a in the system control. The image processing circuit 26a extracts an operator (not shown) and an edge portion of the observation monitor 18 from an image based on the obtained imaging signal, and supplies the extracted result to the control circuit 26c. In the control circuit 26c,
The observation monitor 18 and a shape storage circuit 26b in which information on the shape of the operator is stored in advance are connected, and a control circuit 26c
The electric drive means of the arm vivot 19a detects the position of the extracted arm by comparing the fetched extraction result with the information read from the shape storage circuit 26b, and based on the detection result, always arranges the position at the optimum position. Vertical rod 20
The control unit a is controlled.

Thus, during the operation, the operator does not need to manually adjust the position of the observation monitor 11 and the height of the rotatable seat 20 to control the drive to an optimum position that does not automatically disturb the operator. Becomes possible.

(Operation) In the present embodiment, the operation is substantially the same as that of the endoscope system device of the second embodiment. Further, before the operation, information of the procedure (eg, prostatic hypertrophy, uterine fibroids, etc.) and physical information of the operator (eg, height, sitting height, etc.) are stored in a system controller (not shown) of the main body 16.
The arm pivot 19a can be rotated by a driving means such as an electric motor (not shown) to move the observation monitor 18 to an optimum position. At the same time, the vertical rod 20a can be moved up and down, and the rotary seat 20 can be moved to an optimal position.

During the operation, the automatic drive control system shown in FIG.
Image processing circuit 2 from an image based on an imaging signal
An operator (not shown) and an edge portion of the observation monitor 18 are extracted by 6a, and the extraction result is given to the control circuit 26c.
Thereafter, the control circuit 26c compares the information read from the observation monitor 18 and the shape storage circuit 26b in which the information on the shape of the operator is stored with the extracted result, and detects their positions. The electric driving means of the arm pivot 19a is controlled so as to always be located at the optimum position based on the electric motor.

In this way, during the operation, the operator is not required to manually adjust the position of the observation monitor 11, so that the operator does not automatically disturb the operator.
Is always driven and controlled so as to face the operator.

(Effects) Therefore, according to the present embodiment, in addition to obtaining the same effects as those of the second embodiment, before the operation, the position of the observation monitor 11 and the rotary seat 20 are automatically adjusted. The drive can be automatically controlled to an optimal position that does not interfere with the operator without manually adjusting the height of the operator, so that the operator can save time and effort in setting, and an optimal layout space can be set. When the operator moves during the operation, the trouble of changing the position of the observation monitor and the position of the observation monitor can be omitted, and the operation can be smoothly performed in the optimal layout space without worrying about the direction of the observation monitor. .

Fifth Embodiment: FIG. 6 shows a fifth embodiment of the endoscope system device according to the present invention, and the entire device in the case where the device in the second embodiment is improved. It is a block diagram showing a structure. In FIG. 6, the same components as those in the apparatus according to the second embodiment are denoted by the same reference numerals, and description thereof will be omitted. Only different parts will be described. (Structure) The present embodiment is characterized in that the endoscope system device of the second embodiment is improved to further improve the work efficiency of the operator.

Specifically, the overall configuration of the endoscope system device of the present embodiment is substantially the same as that of the endoscope system device of the second embodiment shown in FIG. As shown, on the upper surface of the main body 16, a lighting device 27 required for endoscopy or surgery is installed.

The illuminating device 27 is mounted on the upper surface of the main body 16 by an arm 27a for holding an illuminating device 27b, and the arm 27a has a structure capable of freely moving the illuminating direction.

Also, a scope 28 is provided on the side of the main body 16.
Is provided. Also in this scope holder 29, the bent portion 29
The configuration is such that the arrangement can be freely changed via a.

The treatment tool table 30 can be held at a position above the height of the seat on the rotary seat 20 side of the main body 16 so that a treatment tool, such as forceps, can be easily taken, and can be stored in the main body 16. I can do it.

The observation monitor 18 and the peripheral device group 16
a, the lighting device 27 is connected to a power supply box (not shown) in the main body 16, and can be turned on / off collectively by a power switch 31.

(Operation and Effect) In the present embodiment, the operation is substantially similar to that of the endoscope system device of the second embodiment. Further, the lighting device 27 and the main body 1 are provided on the upper surface of the main body 16.
6 is a scope holder 2 for holding a scope 28
9 is provided, and the treatment tool base 30 is configured to be able to be stored in the main body and to be able to be held at a predetermined height of the main body 16, so that the operator can perform the treatment smoothly. , Observation monitor 18, peripheral device group 16a, lighting device 2
Power switch 3 that can turn on / off the power supply 7
1, the efficiency of the operator's work can be further improved by a simple operation.

By the way, like the endoscope system device according to the present invention, it is desired to systematize various medical devices necessary for performing an endoscopic operation. It is possible to improve efficiency. Such an embodiment is disclosed below.

FIGS. 7 and 8 are configuration diagrams showing a system configuration when a system is constructed for various medical devices including the endoscope system device of the present invention necessary for performing endoscopic surgery.
FIG. 8 is an enlarged view showing a configuration of a remote controller provided in the system.

In FIG. 7, reference numeral 51 denotes a TV camera device, reference numeral 52 denotes a light source device, reference numeral 53 denotes an insufflation device, and reference numeral 5 denotes
4 is an electric knife. These devices 51 to 54 are connected to the system controller 55 in a transmission form capable of bidirectional communication. In this case, these peripheral devices 51 to 54
The communication is performed according to the same communication protocol.

An operation panel 56, a remote controller 57, and a display panel (not shown) are connected to the system controller 55, and these operation means enable operations and information confirmation on the connected peripheral devices. It has become.

The remote controller 57 includes an operating table 58
Is installed on the side bar 59. As shown in FIG. 8, the remote controller 57 is divided into two right and left control switches 60a and 60b.
These are accommodated in the mounting table 61.

The left control switch 60a is used to operate the TV camera device 51, the light source device 52, the insufflation device 53, and the electric scalpel 54 which are controlled via the system controller 55. On the other hand, the right control switch 60b is used to operate the surgical light 62, the operating room light 63, and the operating table 58 which are directly connected to the control switch 60b.

In FIG. 7, reference numeral 65 denotes an operating light cable, reference numeral 66 denotes an operating room light cable, and reference numeral 67 denotes an operating table cable.
Peripheral devices are connected. The above-described devices (the surgical light 62, the operation light 63, and the operation table 58) are controlled by their own control signals transmitted through the cape.

In such a system, the control switch 60a on the left side of the remote controller 57
Then, like the insufflation device 53 and the electric scalpel 54, two-way communication is performed. For example, the operation of each device can be performed on the operation panel, and the operation state of each device is displayed on a display panel (not shown). The status of each device is constantly checked by the system controller 55, and if there is an abnormality, a notification to that effect is made on a voice, on the operation panel 56, or on the display panel. On the other hand, the control switch 60b on the right side directly operates the surgical light 62, the operating room light 53, and the operating table 58 without the intervention of the system controller 55.

Operating light 62, operating room light 63 and operating table 58
Directly receives the signal originally received by the remote controller 57.
It is possible to transmit to each device and operate each device independently of the system controller 55.

In this embodiment, a case has been described where peripheral devices for endoscopic surgery such as a TV camera and a remote controller for equipment are separately arranged on a mounting table. However, the present invention is not limited to this. Instead, they may be integrally arranged and configured.

In this system, it is of course possible to construct a system with the endoscope system device of the present invention.
It is possible to construct a more convenient system.

(Operation and Effect) In the prior art, peripheral devices for endoscopic surgery, such as a TV camera and an electric scalpel, and an operating light,
Since operating room lights and operating tables have different control methods, the equipment and facilities that can be used are limited, and conversely,
There was a problem that the system controller was large and expensive to accommodate many devices and equipment, but by constructing the system as described above, operating means for devices with the same communication protocol and unique control Since it is possible to operate from the same place while dividing the operating means for the equipment having the means, it is possible to construct a system that can operate more devices and equipment at low cost. This not only improves the work efficiency of the surgeon,
It also greatly contributes to cost reduction of medical systems.

FIG. 9 is a system block diagram showing another embodiment of the system.

In FIG. 9, the operating light 62 and the operating room light 6
3. A cable for transmitting a control signal for the operating table 58 is also connected to the system controller 55 so that these control signals are also supplied.

Reference numeral 71 denotes a remote control cable, which sends a signal to a control unit 72 of a system controller 57 to operate the TV camera device 51, the light source device 52, the insufflation device 53, and the electric scalpel 54. Cable 73 and surgical light 62, operating room light 63,
It includes a cable 74 for sending a signal for directly operating the operating table 58.

(Operation and Effect) In the present embodiment, the TV camera device 51, the light source device 52, and the insufflation device 5
3. The electric knife 54 can be controlled, and the remote controller 57 can operate the surgical light 62, the operating room light 63, and the operating table 58. That is, the remote controller 57
It is possible to operate on the side.

Therefore, according to the present embodiment, FIG.
In addition to obtaining the same effects as those of the system shown in (1), it is possible to reduce the complexity of cables and wiring in endoscopic surgery, and to improve work efficiency.

FIG. 10 shows another embodiment of the system, and is a system block diagram when each device or facility can be operated by a voice command.

In FIG. 10, a microphone 75 is connected to a control unit 72 of the system controller 55, and the control unit 72 distributes a control signal corresponding to a voice command to each device or facility and transmits the control signal.

Also in this case, the system controller 55 and each device perform bidirectional communication according to a predetermined communication protocol, and display information of each device on an operation panel or a display panel (not shown). On the other hand, operating light 62, operating room light 63,
To the operating table 58, a simple signal that each equipment originally receives is transmitted in response to the voice command.

(Operation and Effect) In the present embodiment, only the surgeon generates a sound to the microphone 75, and the various peripheral devices 51 to 54, the surgical light 62 as the equipment and the operating room light 6
3. Operation and control of the operating table 58 can be performed.

Therefore, equipment that cannot be operated by voice commands can be operated by voice, and operation can be controlled with common operation contents regardless of the type of each equipment. Can be easily incorporated into the system, greatly contributing to systematization. Other effects are the same as those of the embodiment shown in FIG.

By the way, in such a system, in order to further improve the working efficiency, not only the operating means by the operator's hand but also a foot switch which can be operated using the foot is used together. It is desirable to operate it. An embodiment in which such a foot switch is used together will be described below.

FIG. 11 is a configuration diagram showing a configuration of a foot switch portion provided for performing endoscopic surgery more efficiently in the system.

In FIG. 11, reference numeral 81 denotes an electric scalpel, and reference numeral 82 denotes an electric scalpel foot switch for controlling the output of the electric scalpel 81. Reference numeral 83 denotes an ultrasonic coagulation and incision device (hereinafter, referred to as an ultrasonic device), and reference numeral 84 denotes an ultrasonic device foot switch for controlling the output of the ultrasonic device 83.

The foot switch 82 for the electric scalpel and the foot switch 84 for the ultrasonic device are connected to the connecting members 85 and 8.
6 are connected and fixed.

The pedals 82a and 82b of the foot switch 82 for the electric scalpel are connected to the foot switch 8 for the ultrasonic device.
It is configured to be higher than the fourth pedals 84a, 84b.

(Operation and Effect) In such a foot switch, first, since the two foot switches are connected and fixed by the connecting members 85 and 86, they are not divided and can be reliably operated by the operator's foot. can do. At this time, the electric scalpel foot switch 82
Also, since the height of the pedal of the ultrasonic device foot switch 84 is different, the surgeon can determine which switch is the only one by touching the foot without checking with the eyes. For this reason, it is not necessary to visually confirm when using the foot switch, and the operation can be smoothly performed. Therefore, it is possible to improve work efficiency in a system using a foot switch.

In this embodiment, the connecting member 8 connects the foot switch for the electric scalpel and the foot switch for the ultrasonic device.
5 and 86, the description has been given of the case where they are connected and fixed and are integrally configured. However, the present invention is not limited to this, and may be configured with an originally integrated foot switch. In this case, it is necessary to change the height of each foot switch pedal.

FIG. 12 is a configuration diagram showing a modified example of the above-mentioned foot switch, and showing the configuration of an improved foot switch.

In FIG. 12, a foot switch 92 for an ultrasonic apparatus is provided above a foot switch 91 for an electric scalpel, and these two foot switches 91 and 92 are integrally formed. Also, these foot switches 9
A footrest 93 for placing a foot when the ultrasonic footswitch 92 is used is formed in the main body provided with the first and second components 92.

(Operation and Effect) In this embodiment, FIG.
1, the foot switch 91 for the electric scalpel and the foot switch 92 for the ultrasonic device
Since they are provided integrally in one main body, they are not divided when used. In addition, since each foot switch is arranged by changing the height in the vertical direction within one foot switch, it is possible to clearly identify whether the electric scalpel is used for the ultrasonic device, and it is possible to surely and smoothly. Foot switch operation can be performed.

In this embodiment, the configuration has been described in which the foot switch for the electric scalpel and the foot switch for the ultrasonic apparatus are integrally integrated. However, a foot switch for foot operation of other equipment is provided. It may be configured and its arrangement may be freely changed.

The height of the foot switch pedal is
By lowering the equipment for long-time use and increasing the equipment for short-time use, it is also possible to reduce operator fatigue.

Further, the height of the pedal may be changed depending on the magnitude of the effect of the device on the living body of the subject. For example, for a foot switch for a device such as an electric scalpel that incises and coagulates a living body tissue of a subject,
If you raise the pedal so that you can not step on it unless you are conscious of it, and if you configure the foot switch, such as a photography device or image recording device, simply to keep the image of the endoscope in the record, it should be placed lower, so that the operator can be It is effective in reducing fatigue of the patient and performing the treatment reliably and safely.

[Supplementary note] (Supplementary note 1) One or a plurality of medical devices can be mounted in the main body, and a cart main body provided with moving means on the lower surface of the main body capable of freely moving the main body itself. And a seat attached to at least one surface of the cart body, and a monitor for displaying a captured image at the time of endoscopy or operation, and a support capable of moving the monitor to a desired position and holding the monitor. An observation monitor attached to the upper part of the cart body via means, and operating means for intensively operating one or more medical devices mounted on the cart body. Endoscope system device.

(Appendix 2) The seat is attached to the cart main body at a predetermined interval by a seat fixing portion fixed to a lower portion of the cart main body, and is rotatably mounted. 2. The endoscope system device according to claim 1, wherein

(Additional Item 3) The above-mentioned seat is configured such that the height of the seat can be freely adjusted by electric power, and can be operated by the operation means.
An endoscope system device according to item 1.

(Additional Item 4) The additional device according to Additional Item 1, wherein the support means is configured to be able to move the observation monitor freely and electrically, and is operable by the operation means. Endoscope system equipment.

(Additional Item 5) The moving means of the cart body is configured to be electrically movable in any direction, and a cart operating means for operating and controlling the driving and moving direction of the moving means is provided near the seat. Additional item 1 characterized in that
An endoscope system device according to item 1.

(Additional Item 6) The cart operating means is configured to operate and support the moving direction by applying pressure to any direction of the seat. 6. The endoscope system device according to claim 5, wherein the presence or absence of an operation mode is determined based on a switch operation from a provided foot switch.

(Appendix 7) One or a plurality of medical devices, control means capable of controlling the one or a plurality of devices by communication, and the medical device provided integrally or separately with the control device. A first operation unit for operating the medical device, and one or more equipment devices;
In an endoscope system device having a second operation unit for operating these equipments, the second operation unit is arranged on a mounting table provided integrally with or separately from the first operation unit. An endoscope system device characterized in that the endoscope system device is provided.

(Additional Item 8) The operating means for controlling the plurality of medical devices is a plurality of foot switches, and the plurality of foot switches are connected and integrally formed. Endoscope system device.

(Additional Item 9) The endoscope system device according to Additional Item 8, wherein the plurality of foot switches are configured by changing the heights of pedals used for the switches.

[0117]

As described above, according to the present invention, the peripheral device, the operation panel, the observation monitor, and the seat portion are required to be integrated with each other for the endoscope inspection or the operation, so that the installation space is reduced. Can be reduced, the feeling of pressure in the endoscopy room or the operating room can be eliminated, and a sufficient working space for the operator can be secured. Therefore, it is possible to improve the operation efficiency of the operator, and it is possible to give the patient a sense of security without giving the patient a feeling of oppression due to the installation of the device and the like. In addition, even when the operator moves while sitting on the seat, the relative position with respect to the device does not change, so that the operator does not need to worry about the position of the device for endoscopy or surgery. Can be performed smoothly. In addition, since cables and the like necessary for endoscopy or surgery are housed in the main body 1 and the panel arm of the endoscope system device, the cables can be made clearer to the eye, and the cables can be moved when moving. Without having to worry about routing and catching
It is possible to move while sitting. Therefore, the operator's fatigue at the time of endoscopic examination or operation can be reduced, and operability can be improved, which greatly contributes to improvement of work efficiency.

[Brief description of the drawings]

FIG. 1 is a configuration diagram illustrating a first embodiment of an endoscope system device according to the present invention, and illustrating an overall configuration of the device.

FIG. 2 is a configuration diagram illustrating a second embodiment of an endoscope system device according to the present invention, and illustrating an overall configuration of the device.

FIG. 3 is a perspective view showing a third embodiment of the endoscope system apparatus according to the present invention, showing a configuration of a rotary seat portion.

FIG. 4 is a configuration diagram illustrating a fourth embodiment of an endoscope system device according to the present invention, and illustrating an overall configuration of the device.

FIG. 5 is a block diagram showing an example of an automatic drive control system circuit employed in the apparatus shown in FIG.

FIG. 6 is a configuration diagram showing a fifth embodiment of the endoscope system device of the present invention, and showing the overall configuration of the device.

FIG. 7 is a configuration diagram showing a system configuration when various medical devices required for performing an endoscopic operation are systemized.

FIG. 8 is an enlarged view showing a configuration of a remote controller provided in the system of FIG. 7;

FIG. 9 is a system block diagram showing another embodiment of the system.

FIG. 10 is a system block diagram showing another embodiment of the system, in which each device or facility can be operated by a voice command.

FIG. 11 is a configuration diagram showing a configuration of a foot switch provided in the system.

FIG. 12 is a configuration diagram showing a modified example of the foot switch of FIG. 11 and showing the configuration of an improved foot switch.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 ... Main body, 2 ... Caster, 3 ... Seat part, 4 ... TV camera device, 5 ... Light source device, 6 ... Insufflation device, 7 ... Electric scalpel, 8 ... Operation panel, 9 ... Panel arm, 10 ... Panel arm opening Reference numeral 11: Observation monitor, 12: Monitor fixing arm, 13: Supporting part, 14: Revolving part, 15: Prop, 16: Main body, 16a: Peripheral equipment group, 17: Caster, 18: Observation monitor, 19: Monitor fixed Arm, 20: rotary seat, 20a: vertical rod, 21: seat fixing stand, 22: lever switch, 22a: pedal switch, 23: operation panel, 24a, 24b, 24c, 24d: force direction, 25a, 25b, 25c , 25d: moving direction, 26: small camera device, 26a: image processing device, 26b: shape memory circuit, 27c: control circuit, 27: lighting device 28 ... scope, 29 ... scope holder, 30 ... treatment tool table, 31 ... power switch.

 ──────────────────────────────────────────────────続 き Continued on the front page F term (reference) 2H040 BA00 DA00 4C061 AA00 BB01 CC06 DD00 GG11 HH60 5C054 AA01 CC07 FC14 FF01 HA12

Claims (1)

[Claims] 1. A cart main body having one or a plurality of medical devices which can be mounted in the main body, and a moving means capable of freely moving the main body itself on a lower surface of the main body; A seat attached to at least one surface, and a monitor for displaying a captured image at the time of an endoscopy or an operation. An endoscope system device comprising: an observation monitor attached to an upper part of a main body; and operation means for intensively operating one or a plurality of medical devices mounted on the cart main body. .