JP2001276151A - Diagnosis and treatment - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide diagnosis and treatment bed capable of reducing the physical and mental load on doctor or nurse and easily usable also for patient. SOLUTION: In this diagnosis and treatment bed to be used for the obstetrics and gynecology department or the like, a filth draining mechanism 72 for discharging a washing liquid W simultaneously with the end of examination in interlocking with the controller of the bed is provided on a filth receiving part 7 for receiving the filth fallen from a lesion, thereby, the filth removing work in the exchange of patients is dispensed with. A lid member 73 openable and closable by manual operation is provided in the filth falling opening part 7a of the filth receiving part 7.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a couch, and more particularly, to a couch used for treatment and treatment in medical institutions such as obstetrics, gynecology, urology, and anus.

[0002]

2. Description of the Related Art FIG. 12 shows an example of a conventional examination table for obstetrics and gynecology (hereinafter referred to as an examination table). As shown in the drawing, in this type of medical table, a back plate a supporting the back of the patient S is provided.
A medical table main body d including a seat b for supporting the buttocks of the patient S and a pair of leg receiving parts c and c for supporting the legs of the patient is provided on a main body base e.

The main body base e has tilting means for rotating the back plate part a in the front-rear direction (see arrow x) and opening and closing means for opening and closing the leg receiving parts c, c right and left (see arrow y). ),
Various drive mechanisms, such as an elevating means for moving the medical table main body d up and down (see arrow z) and a rotating means for rotating the medical table main body d horizontally (see arrow w), are selectively provided. A control unit (not shown) for controlling the driving mechanism is provided. The control unit is connected to a controller f provided with a foot-operated operation switch as indicated by reference character f, and is configured to output an operation command signal to the drive mechanism from the control unit in accordance with the operation of the controller f. ing.

That is, in the conventional medical table, the posture of the table main body d (specifically, the inclination angle of the back plate a, The opening degree of the leg receiving portions c, c, and the height position and the direction of the medical table main body d) can be freely adjusted.

[0005] Further, in this kind of medical table, there is provided a waste receiving portion g for receiving the waste flowing out of the affected part of the patient S during medical treatment. Specifically, the waste receiving portion g is disposed so as to be located below the notch formed by cutting the tip of the seat portion b, that is, the lower portion of the genital portion of the patient S into a U-shape. It is formed of a dish-shaped member capable of receiving dirt falling through the gap of the notch.

An upper limb stand (not shown) for mounting the forearm of the patient S when performing infusion on the patient S is detachably attached to the side of the back plate a. May be attached to.

[0007]

However, such conventional obstetric and gynecological examination tables have the following problems, and their improvement has been desired.

(1) That is, in a medical institution in which this kind of medical table is arranged, it is general to treat a large number of patients in one day. When the treatment is completed, the next patient's medical treatment is performed immediately.However, if the waste of the previous patient remains in the waste receiving part, the patient who receives the medical treatment afterwards will have an aversion to the patient. Nurses and assistants were working to remove filth. As a result, nurses and assistants working in such medical institutions are forced to remove dirt many times a day, which places a large physical and mental burden, and it is desired to reduce the burden. Was.

In connection with this, recently, an electric lid member is provided on the upper part of the waste receiving portion so that the lid member can be closed by operating the controller when a patient changes. Although a configuration has been proposed, such a configuration entails an increase in cost, but also takes time to open and close the lid member, so that opening the lid member in a case where the patient is suffering from a bleeding disorder is not enough. In some cases, the waste receiving portion could not function sufficiently.

(2) Further, when a large number of patients come to the hospital, the medical treatment performed therein includes many routine medical treatments in which procedures are predetermined. In such a case, the doctor has to reset the position of the medical table each time the patient changes, and the setting operation is complicated, and the physical and mental burden on the doctor is large.

(3) Further, in this type of medical table, as described above, the upper limb platform may be detachably attached to both side surfaces of the back plate portion. The upper limb is normally removed because the is rarely used. For this reason, it is necessary to secure a storage place for the removed upper limb stand, but if this storage place is far away, it must be transported each time an infusion is performed, which may reduce work efficiency and burden nurses and assistants. was there. In addition, since the conventional arm limb could hardly adjust the direction, angle, etc., it could not be used at all when the patient was lying on his back with the backboard lying down. He was forced to do so.

The present invention has been made in view of such a conventional problem, and its object is to provide a doctor,
It is an object of the present invention to reduce the physical and mental burden on nurses and to provide an examination table that is easy for patients to use.

[0013]

According to a first aspect of the present invention, there is provided a medical examination table, comprising a back plate supporting a patient's back, a seat supporting a patient's buttocks, and a pair of supporting members supporting a patient's legs. A medical table body having a leg receiving portion, a driving mechanism for changing the posture of the medical table body in accordance with the progress of medical treatment, and a control section thereof, and filth that catches the filth flowing out of the affected part during medical treatment In a medical table where a receiving part is provided at a lower part of the medical table main body, the waste receiving part includes a dirt discharging mechanism for discharging received dirt from a predetermined drain port, and the control unit controls the medical table main body by It is characterized in that the waste discharging mechanism is set to operate when the control for leaving the patient is performed.

In a preferred embodiment, the waste discharging mechanism includes a cleaning nozzle provided to face the waste receiving portion, and a cleaning liquid supply pump for supplying a cleaning liquid to the cleaning nozzle. Further, the control unit includes a storage unit that stores a procedure for changing the posture of the medical table main body, and includes a control configuration that executes processing for sequentially changing the posture of the medical table main unit according to the procedure stored in the storage unit. .

According to the present invention, when the control section performs control for shifting the posture of the medical table main body to the posture at the end of medical treatment, the waste discharging mechanism operates accordingly. That is, the cleaning liquid supplied from the cleaning liquid supply pump is supplied into the waste receiving part simultaneously with the end of the medical treatment, and the waste accumulated in the waste receiving part by this cleaning liquid is discharged from the outlet. That is, since the waste is automatically discharged upon completion of the medical treatment, the work of removing the waste when the patient is changed becomes unnecessary, and as a result, the physical and mental burden on nurses and assistants is reduced.

Further, at this time, the control section appropriately combines in advance the elevating position by the elevating means, the tilting position by the tilting means, and the opening and closing position by the opening / closing means to at least the patient introduction / retreat posture and one or more medical treatment postures. The postures are set and stored as described above, and the postures are sequentially changed by operating one posture selection switch, so that the doctor is released from the complicated operation of the controller associated with general medical care.

A medical table according to a fourth aspect of the present invention has a back plate for supporting the back of a patient, a seat for supporting the buttocks of the patient, and a pair of leg receiving portions for supporting the legs of the patient. The medical table has a drive mechanism and a control unit for changing the posture of the medical table in accordance with the progress of medical treatment, and a filth receiving unit for receiving dirt flowing out of the diseased part during medical treatment. The medical table provided at the lower part of the main body is characterized in that a manual lid member that slides in a substantially horizontal direction is provided in the waste drop opening of the waste receiving part.

As a preferred embodiment, a handle for opening and closing the lid member is provided on a side surface of the waste receiving portion. Further, the upper surface of the lid member is formed so as to have a certain inclination with respect to a horizontal plane, and the inclined downstream end portion is set so as to be located inside the waste drop-in opening.

That is, according to the present invention, the cover member provided in the waste receiving portion is in the form of a manual opening / closing lid that slides in a substantially horizontal direction, and the handle of the opening / closing lid is a side surface of the waste receiving member. Therefore, if it becomes necessary to open the lid member urgently due to sudden bleeding, rupture of water, etc., a doctor or a nurse can immediately open the lid member. In addition, even if dirt falls on the upper surface of the lid member because the lid member cannot be opened in time, the dirt can be easily washed away because the lid member is formed with an inclination.

A medical table according to a seventh aspect of the present invention has a back plate for supporting a patient's back, a seat for supporting a patient's buttocks, and a pair of leg receivers for supporting a patient's legs. The couch main body, and a drive mechanism and a control unit for changing the posture of the couch main body in accordance with the progress of medical care, and an armrest portion for mounting a patient's arm, the armrest portion of the back plate portion In the medical table that is rotatably mounted along the side surface, an upper limb for mounting the patient's forearm is detachably attached to the armrest via a predetermined angle. Features.

In a preferred embodiment, the armrest includes a first use position in which the support surface is horizontal when the back plate is in the upright position, And a second use position that is retracted substantially along the back surface, wherein when the arm rest is in the first use position, the support surface of the upper limb rest is the support surface of the arm rest. The angle of the angle so that the support surface of the upper limb rest is located on substantially the same plane as the surface of the backboard portion when the armrest portion is located at the second use position while being located slightly above. The shape and dimensions are set. In addition, an upper limb base storage section to which the angle can be attached is provided on any of the back surface of the back plate, the side of the main body base, and the back surface.

That is, in the present invention, the upper limb for mounting the patient's forearm on the armrest portion of the examination table is detachably attached. When the armrest is in the first use position, the support surface of the upper limb is located slightly above the support surface of the armrest. When the patient is in the sitting state, the support surface of the upper limb is positioned at a height where the patient can easily place the forearm.

On the other hand, the armrest portion is connected to the second
In the use position, the upper limb support is reversed so that the support surface of the upper limb portion is positioned substantially on the same plane as the surface of the backboard portion. Even when the patient is lying down and lying on his / her back, the support surface of the upper limb stand is positioned at a height where the patient can easily place the forearm.

As described above, according to the present invention, regardless of the state of the backboard (ie, whether the patient is in a sitting state or a supine state), the upper limb stand is always attached to a position where the patient can easily place the forearm. This makes it possible to prevent the patient from forcing the patient to perform the infusion. Further, when the upper limb is not used, the angle can be attached to the upper limb cradle storage portion provided on the back plate portion, so that the upper limb cradle can be quickly taken out when needed.

[0025]

DESCRIPTION OF THE PREFERRED EMBODIMENTS One embodiment of the present invention will be described below with reference to FIG.
This will be described in detail with reference to FIG.

FIG. 1 is a front view of a medical table according to the present invention. The medical table 1 is suitably used for medical treatment in obstetrics and gynecology (specifically, medical examination near the genital area except for parturition), and the medical table main body 2 and the main body base 3 are main parts. Is configured as

A: About the medical table main body 2 Specifically, the medical table main body 2 includes a back plate 4 supporting a patient's back, a seat 5 supporting a patient's buttocks, and a patient's legs. A pair of leg receiving portions 6 and 6 to support, a filth receiving portion 7 for receiving filth flowing out of the affected part at the time of medical treatment, an armrest portion 8 for placing a patient's arm, and an upper limb stand 9 used during infusion and the like (FIG. 7) as a main part.

The back plate portion 4 is a backrest for supporting a patient (not shown) from the head to the waist from behind.
(See arrow x). An elastic member (not shown) serving as a cushion is inserted into the back plate portion 4 and is made of a synthetic resin having water resistance and chemical resistance over the entire surface (support surface) 41. Seat is mounted. As the elastic material used here, a foamed material having elasticity is used, but more preferably, elasticity is slightly weaker, and the elastic material is depressed according to the body shape of the patient at the sitting position. A foam material that maintains the state, a so-called boundless cushion, is employed.

An upper limb table storage section 401 for storing an upper limb table 9 described later is provided on the back surface of the back plate section 4 (see FIGS. 2 and 10). The upper limb table storage section 401 has a structure in which an angle 93 of the upper limb table 9 described later can be mounted. Since the details thereof are substantially the same as those of the upper limb table mounting section 87 described later, the detailed description is omitted. It is performed in the mounting section 87. Note that the upper limb stand storage unit 401 may be provided on the back surface or side surface of the main body base 3 other than the back surface of the back plate unit 4.

The seat portion 5 is a stool rotatably connected to the lower end 4a of the back plate portion 4 via a connecting mechanism (not shown), and has a support surface 51 for supporting a patient formed on a surface thereof. ing. As shown in FIG. 2, the center of the support surface 51 is depressed in a substantially U-shape, so that the patient's buttocks can be held. The support surface 51 is also provided with a synthetic resin sheet having water resistance and chemical resistance similarly to the support surface 41 of the back plate portion 4.
An elastic member similar to the above is inserted inside the sheet.

In the center of the distal end of the seat 5, dirt flowing out of the affected part of the patient S seated on the examination table main body 2 is placed.
A substantially U-shaped notch 52 is formed for dropping downward.

The leg receiving portion 6 is a footrest for supporting both feet of the patient, and as shown in FIGS. 1 and 2,
A pair of left and right is provided in front of the seat 5. Specifically, the leg receiving portion 6 is attached to a distal end of an arm 62 whose base end is linked to an opening / closing drive mechanism (not shown), and is pivoted in the direction of the arrow y in FIG. 1 by the open / close drive mechanism. It is possible.

In the present embodiment, the support surface 61 of the leg receiving portion 6 has a substantially L-shape in a side view so as to support from the back of the patient's knee to the vicinity of the thigh. At the same time (see FIG. 2), it is formed so that a substantially central portion thereof is depressed when viewed from the front so as to be able to hold the placed foot (see FIG. 1). The support surface 61 is also made of a synthetic resin sheet having water resistance and chemical resistance similarly to the support surface 41 of the back plate 4, and an elastic member is inserted inside the sheet in the same manner as described above. I have.

As described above, the waste receiving portion 7 is a member for receiving waste flowing and falling from the affected part of the patient during medical treatment, and as shown in FIG.
11 so as to be located below the notch 52.

Specifically, the waste receiving portion 7 is provided in
As shown in (a), it is shaped like a saucer having a substantially rectangular waste drop-in opening 7a at the top. More specifically, the waste receiving portion 7 is provided with a container body 71 that constitutes the receiving tray.
And a waste discharging mechanism 72 for discharging the received waste from a drain port 71a provided on the bottom surface of the container body 71, and a lid member 73 attached to the waste drop-in opening 7a. .

The waste discharging mechanism 72 includes a pipe member 721 disposed along the inner periphery of the upper end of the container 71, and a cleaning liquid supply pump (not shown) for supplying the cleaning liquid W to the pipe member 721. You. The pipe member 721
Has a plurality of through holes 72 facing the bottom surface of the container body 71.
Are formed at appropriate intervals,
The through holes 722 function as nozzles (washing liquid nozzles) for spraying the washing liquid W as described later. That is,
In the present embodiment, the cleaning liquid supply pump (not shown) is driven to supply the cleaning liquid W from the cleaning liquid tank (not shown) into the pipe member 721, and the cleaning liquid W is supplied from the through hole to the bottom surface of the container 71. It is configured to be discharged toward.

As a result, the cleaning liquid W discharged to the bottom surface of the container body 71 flows down along the slope toward the drain port 71a formed on the bottom surface of the container body 71. The waste accumulated on the bottom surface is discharged from the drain 71a together with the cleaning liquid W (see FIG. 3B).
As the cleaning liquid W, tap water can be used, but a liquid having a bactericidal action (eg, acidic water)
Is preferably used. Further, in the present embodiment, the discharge of the dirt is left to the natural force accompanying the flow of the cleaning liquid W. However, it is also possible to increase the water pressure of the cleaning liquid supply pump to discharge the waste by the water pressure.

In FIG. 3, reference numeral 723 denotes an attachment for attaching a pipe (not shown) for sending a cleaning liquid to the pipe member 721.
Reference numeral 4 denotes a covering cover for covering the pipe member 721 from above. The cleaning liquid supply pump is electrically connected to a control unit described later, and is configured to be able to control the drive / stop of the pump by an operation command signal from the control unit.

FIG. 4 is a perspective view showing a specific structure of the lid member 73 of the waste receiving portion 7. As shown in FIG. 4, the lid member 73 has a plurality (three in the illustrated example) of lid structure. Piece 7
By combining 3a, 73b, and 73c, these lid constituent pieces 73a to 73c are configured in a double-door shape so as to be expandable and contractible. That is, the lid member 73 is in the form of an open / close lid that is opened and closed in a superimposed manner by sliding the lid component pieces 73a to 73c.

That is, the lid member 73 is composed of the lid constituent pieces 73a to 73c and a pair of holding members 74 for holding the lid constituent pieces 73a to 73c slidably in a substantially horizontal direction.
a, 74b and mounting plates 75a, 7 for mounting the holding members 74a, 74b to the mounting arms 11, 11.
5b and a sliding handle 76 connected to the lid component 73c located at the front end in the extending direction among the lid components 73a to 73c as main components. In the drawing, reference numeral 751 denotes a bolt insertion hole used for attaching the holding members 74a, 74b to the attachment arms 11, 11.

More specifically, the lid constituting pieces 73a to 73c
Of the other lid component pieces 73b, excluding the lid component piece 73a,
As shown in FIG. 5, 73c has a shape in which its central portion 731 is depressed with a downward inclination toward the front end in the extending direction. And one of the two wings 73
2 is a slide groove 741 formed in the holding member 74a.
And the other wing portion 733 is provided with a pair of slide guide holes 732 and 734 facing in the expansion and contraction direction, and is provided in the holding member 74b through the slide guide grooves 73 and 734. The slide shaft 742 is inserted.

The restricting pieces 73 are respectively attached to both the distal end and the proximal end of the lid constituting pieces 73a to 73c (73a is fixed to the holding members 74a and 74b and only the distal end).
5,736 are provided in an upright manner, and the lid constituting pieces 73a to 73
When these members come into contact with each other by extension of c, extension of the lid constituting pieces 73a to 73c is regulated. In connection with this, the restriction pieces 735, 73
As shown in FIG. 4, the slide restriction in the extension direction by the cover member 6 is performed while the cover member 3 is fully extended, as shown in FIG.
The tip of 3c is set so as to be located inside the waste drop-in opening 7a.

In the lid member 73 thus configured, the other wing 7 of the lid component 73c is provided.
33, the sliding handle 76 is attached through the through hole 744 of the holding member 74b, whereby the sliding handle 76 provided on the side surface of the waste receiving portion 7 is slid horizontally ( 4), the lid components 73a to 76c can be manually expanded and contracted quickly (that is, the lid 73 is opened and closed).
When the lid member 73 is closed, a downward slope is formed on the upper surface of the lid member 73 by the lid component pieces 73b and 73c toward the front end in the extension direction, and the inclined downstream end is formed by the dirt dropping. Even if dirt falls onto the lid member 73 in a state where the lid member 73 is closed, water or a cleaning liquid is applied to the lid member 73 to easily receive the dirt. It can be washed off in the part 7.

As shown in FIG.
A pair is attached to the left and right side surfaces of the back plate portion 4.
The armrests 8 are rotatable along side surfaces of the back plate 4. Specifically, as shown in FIG. 2, when the back plate portion 4 is in the upright position, the armrest portion 8 is in a first use position where the support surface 81 is horizontal (a dashed line in FIG. 2). ) And a second use position (a position indicated by a solid line in FIG. 2) in which the support surface 81 is retracted so as to be substantially along the back surface of the back plate portion 4.
And That is, the armrest portion 8 is removably attached to the second use position when it is not necessary.

Therefore, the mounting structure of the armrest portion 8 having such first and second use positions is shown in FIG.
It will be described based on. FIG. 6A shows an armrest mounting device 42 provided on a side surface of the back plate portion 4. The mounting device 42 engages with a mounting device 82 provided on the armrest 8 to be described later to set the use position. The mounting device 42 is provided with a rotation protruding vertically at a predetermined position on a side surface of the back plate 4. The rotating shaft 43 includes a shaft 43 and a protruding member 44 extending radially from a base end of the rotating shaft 43.

On the other hand, the attachment 82 of the armrest 8
As shown in FIG. 6 (b), is provided on the lower surface (surface opposite to the support surface 81) 86 on the base end side of the armrest portion 8.
The mounting tool 82 is provided with an insertion hole 83 having a shape and a size that allows the rotation shaft 43 to be inserted in the center thereof.
The two engagement recesses 84a, 84b having a shape and a dimension capable of engaging with the convex member 44 in the radial direction about the center 3 and the depth of the recess groove is slightly shallower than the engagement recesses 84a, 84b. It is composed of a concave portion 84c.

When mounting the armrest 8, as shown in FIG. 6C, the insertion hole 83 of the mounting tool 82 is inserted into the rotating shaft 43, and the engaging recesses 84a and 84b are inserted in this state. Either one is fitted and attached to the convex member 44. The armrest portion 8 mounted in this manner has a tip portion rotatable around the rotation shaft 43, and its rotation range is limited to engagement concave portions 84 a, 84 b engaging with the convex upper member 44. Is regulated by the position of

That is, by adjusting the positions where the engaging recesses 84a and 84b are provided, the first use position and the second use position are determined. In addition, the wearing tool 42
A spring 85 is mounted between the spring 82 and the spring 82, and the elasticity of the spring 85 causes the elastic fitting 82 to be elastically locked to the elastic fitting 42, and the elastic fitting 82 is pulled and engaged against the elasticity. Engagement recess 84a or 84b via transition recess 84c
The above positioning is fixed.

In this embodiment, an armrest mounting portion 87 for attaching the armrest 9 to the armrest portion 8 is provided. Specifically, as shown in FIG. 2, the upper limb mounting part 87 is fixedly provided on the lower surface 86 of the armrest part 8, and a distal end 93b of an angle 93 described later is fitted to an outer side surface thereof. An engagement hole 87a of a possible shape is provided.

The support surface 81 of the armrest portion 8
Like the support surface 41 of the back plate 4, the seat is made of a synthetic resin sheet having water resistance and chemical resistance, and an elastic member similar to the above is inserted inside the sheet.

The upper limb stand 9 is a member that is detachably attached to the armrest section 8 and is a member of the medical table main body 2.
It is used to place the patient's forearm when receiving an intravenous drip while sitting or supine. Here, FIG. 7 shows a state in which the upper limb stand 9 is mounted on the armrest portion 8.

The upper limb base 9 has a flat upper limb base body 92 having a support surface 91 formed on the surface thereof, and an angle 93 having a base end portion 93a fixedly attached to the upper limb base main body 92.
It is composed of The angle 93 is formed of a plate-like member bent as shown in FIG. 8, and is bent such that the tip end 93 b thereof is located substantially parallel to the upper limb base main body 92 at a predetermined interval. In addition, the shape of the tip 93b is such that the mounting position of the upper limb 9
The shape is vertically symmetrical (in the illustrated example, rectangular in cross section) so that it can be inverted up and down as viewed from 1.

The upper limb stand 9 thus configured can be used in the following manner by adjusting the shape and size of the angle 93 (specifically, setting the bending position). You.

That is, when the armrest 8 is in the second use position (see the armrest 8 shown by the solid line in FIG. 2), the support surface 91 of the upper limb 9
The shape and dimensions of the angle 93 are set so as to be located on substantially the same plane as the surface (support surface 41). This is because, as shown in FIG. 9, when the back plate portion 4 is laid down backward and the seat portion 5 and the back plate portion 4 are horizontal (that is, the patient is supine), and a drip is performed on the patient. This is because the support surface of the upper limb stand 9 is on the same plane as the support surface 41 of the backboard portion 4 so that the patient can have a comfortable posture. In other words, this armrest 9
As shown in FIG. 9, the armrest unit 8 is attached to the outside of the armrest unit 8 so as to be orthogonal to the armrest unit 8, so that the patient can use the upper limb table 9 by shifting his forearm outward in a supine position. Can be.

Then, the shape and dimensions of the angle 93 are as follows:
By being set according to the second use position,
The backrest 4 is raised and the armrest 8 is moved to the first position.
In the case of the use position (that is, the state where the patient is seated), as shown in FIG.
1 is located slightly above the support surface 81 of the armrest portion 8. That is, when receiving a drip in this seated state, the patient can use the upper limb base 9 by slightly lifting the forearm and projecting it outward, and can receive the drip in a comfortable posture even in the seated state. It is empirically clear that if the support surface 91 of the upper limb stand 9 is at the same height as the support surface 81 of the armrest portion 8 in the seated state, the patient will be in an unreasonable posture because the forearm is extended outward.

As described above, in the present embodiment, the upper limb stand 9 can be detachably attached to the armrest portion 8 and the attachment position thereof can be turned upside down. Even if the patient is in a sitting or supine state, it is possible to perform the infusion without forcing the patient into an unreasonable posture. In this embodiment, the back plate portion 4 and the seat portion 5 are formed separately, but they may be formed integrally.

B: Main Body Base 3 The main body base 3 is a base serving as a base for installing the medical table main body 2 on a floor or the like. A drive mechanism (not shown) for driving the medical table main body 2 having the seat portion 5 and the leg receiving portion 6 and a control unit (not shown) for controlling the drive mechanism are provided.

More specifically, the driving mechanism includes a back plate 4
Tilting means for rotating the front and rear directions (see arrow x in FIG. 2), opening and closing means (see arrow y in FIG. 1) for opening and closing the leg receiving portions c, c substantially right and left, and It is selectively constituted by elevating means for moving up and down (see arrow z in FIG. 2) and rotating means for rotating the medical table main body 2 horizontally (see arrow w in FIG. 2). Each of these drive units is electrically connected to the control unit, and can be driven and controlled based on an operation command signal from the control unit.

On the other hand, the control section is realized by a microcomputer storing a predetermined control program for controlling the operation of each section of the examination table 1. In other words, this microcomputer receives sensor detection signals from various sensor means provided in the drive mechanism to grasp the operation status of the drive mechanism, and a controller (not shown) such as a foot-operated switch as shown in FIG. And a program for performing a process of individually outputting an operation command signal to a target drive mechanism based on an operation input from a controller f) having the above.

The controller is provided with operation switches (not shown) corresponding to the tilting means, the opening / closing means, the lifting / lowering means, and the rotating means. And a posture selection switch for sequentially changing the posture to one or a plurality of medical postures. By sequentially operating this one operation switch, the medical table main body 2 returns to the initial position, and the cleaning liquid supply is performed. An operation command signal for instructing the pump to drive the pump is output for a fixed time.

In the present embodiment, the attitude selection switch is provided with storage means (preferably, a non-volatile memory such as an EEPROM or a flash memory) in which the control unit stores the procedure for changing the attitude of the examination table main body 2. Provided.

That is, this posture selection switch is a posture selection switch for automatically performing a routine work-like posture conversion operation of the medical table body 2 which is frequently performed by sequentially operating only one switch. The storage means stores the order of the posture change of the medical table main body 2 performed in the routine work in correspondence with the posture selection switch. Then, in the control unit,
By sequentially operating such posture selection switches,
A process of outputting an operation command signal to the drive mechanism is performed according to the procedure of the posture change stored in the storage means. Therefore, an example of this processing will be described with reference to the flowchart of FIG.

(1) When the power of the examination table 1 is turned on, the control unit determines whether or not the posture selection switch has been set (see step S1 in FIG. 11).

(2) Then, the respective driving means are operated by operating individual operation switches, the postures arbitrarily set by these operation switches are stored, and the posture selection switches are set (the posture storage operation in S1). After that, when this switch is operated once, the process proceeds to the subsequent step S2 in FIG.
A preset patient introduction posture process is executed. The contents of the processing of the patient introduction posture can be appropriately changed by rewriting the data in the storage means. For example, the medical table main body 2 is lowered to the lowest position, the back plate portion 4 is raised, and the leg receiving portion is moved. Processing such as closing (specifically, output processing of an operation command signal corresponding to these) is performed.

(3) When the patient introduction posture process is completed and the posture selection switch is operated, the process proceeds to the subsequent step S5 in FIG. 11, and the posture of the medical table main body 2 is set to a first medical posture (step S5). Processing for changing to the medical care posture 1) is performed. For example, the medical table main body 2 is gradually raised, the back plate 4 is tilted in the horizontal direction, the leg receiving portion is opened, and the patient is horizontally rotated so that the affected part of the patient comes in front of the doctor. Then, by the next operation of the posture selection switch, the process proceeds to the subsequent step S7 in FIG. 11, and a process of changing the medical table main body 2 to the second medical posture (medical posture 2) is performed.

Here, the “medical posture 1” and the “medical posture 2” are appropriately set according to the contents of the medical treatment. Further, in the illustrated example, the case where the posture change processing is performed twice for “medical posture 1” and “medical posture 2” is shown, but this process is performed once or twice or more depending on the contents of medical treatment. It is also possible.

(4) Then, after the processing of the “medical posture 2” is completed, the next operation of the posture selection switch causes the step S in FIG.
The process moves to 9 to execute the patient exit process. As the patient exit process, for example, in contrast to the above-described patient introduction process, a process of closing the leg receiving portions 6 and 6 and a process of rotating the examination table main body 2 to position the patient in the exit position are performed. An operation command signal for operating the cleaning liquid supply pump to operate the pump is output for a predetermined time. When these processes are completed, the control unit returns to step S1 in FIG. 11 and waits for the operation of the posture selection switch again.

As described above, by providing the control section with the storage means for storing the procedure for changing the attitude of the medical table main body 2, the operation of changing the attitude of the medical table main body 2 that is repeatedly performed on a daily basis for medical care is reduced. As a result, the erroneous operation is eliminated, and the burden on the doctor is further reduced. In addition, since only one attitude selection switch needs to be sequentially operated, the operation becomes easy.

The above-described embodiment shows a preferred embodiment of the present invention, and the present invention is not limited to this, and various design changes can be made within the scope.

That is, in the above embodiment, the case where the medical table 1 according to the present invention is used for medical treatment in obstetrics and gynecology has been described, but the present invention can also be used for medical treatment / examination in urology and anus. It is.

In the above embodiment, the cleaning nozzle 72
Although the configuration using the through hole 722 provided in the pipe member 721 as 1 has been described, the design can be changed to another form as long as the cleaning liquid W can be supplied into the waste receiving portion 7.

[0072]

As described in detail above, according to the present invention,
Various effects such as those listed below can be obtained, and it is possible to reduce the physical and mental burden of doctors and nurses and the mental burden of patients, and to provide an easy-to-use medical table. it can.

In the medical examination table according to the first aspect of the present invention, on the condition that the waste receiving section is provided with a waste discharging mechanism, and the control section controls the medical examination table main body to be in the posture at the end of medical treatment. Since the waste discharging mechanism is set to operate, the waste is automatically discharged at the same time as the medical treatment ends. This eliminates the need for filth removal work at the time of patient change, thereby reducing the physical and mental burden on nurses and assistants.

Further, in the medical examination table according to the third aspect of the present invention, the procedure for changing the posture of the medical examination table main body is stored in the control unit,
Since the process of sequentially changing the posture of the medical table main body is executed in accordance with the stored procedure, the procedure of the routine work-like medical procedure in which the medical procedure is predetermined is stored, and the posture of the medical table at the time of such medical procedure is stored. Can be simplified and there is no risk of erroneous operation, so that the physical and mental burden on the doctor can be reduced.

According to the medical table of the fourth aspect of the present invention, since the sewage drop opening of the sewage receiving portion is provided with the manually operated slide type lid member, the electric type lid member is provided. The opening and closing of the lid member can be performed quickly at a lower cost than in the first embodiment. Moreover, since the sliding handle of the lid member is provided on the side surface of the waste receiving portion, a lid member excellent in operability can be provided. In addition, since the upper surface of the lid member is attached with a certain inclination with respect to the horizontal plane, even if filth falls on the lid member by mistake, it can be easily washed away, and the filth removal operation becomes easy. .

Further, according to the medical table of the present invention, since the upper limb for mounting the forearm of the patient is detachably attached to the armrest via an angle of a predetermined shape, the drip or the like can be performed. The upper limb platform can be removed when no need is made. Moreover, since the upper limb can be used in any of the first and second use positions by setting the shape and size of the angle, the patient receives the infusion in both the seated state and the supine state. The patient's burden can be reduced without being forced into an unreasonable posture. Further, by providing the upper limb base storage section to which the angle can be attached on the back surface of the backboard section, problems such as the storage place of the upper limb base removed from the armrest section can be solved.

[Brief description of the drawings]

FIG. 1 is a front view of a medical table according to the present invention when a backboard portion is in an upright state.

FIG. 2 is a side view when the back plate of the medical examination table is in an upright state.

FIG. 3 is an explanatory view showing a sewage receiving section of the medical examination table. FIG. 3 (a) is a plan view partially showing the sewage receiving section, and FIG. 3 (b) is a sewage receiving section. It is a side sectional view of a part.

FIG. 4 is a perspective view showing an external configuration of a sewage receiving section of the medical examination table.

FIG. 5 is a perspective view for explaining an expansion and contraction operation of a lid member of a sewage receiving section in the medical examination table.

FIG. 6 is an exploded view showing an attached state of an armrest portion to a back plate portion in the medical examination table. FIG. 6 (a) is a perspective view of the back plate portion, and FIG. 6 (b) is a perspective view of the armrest portion. From FIG. 6 (c)
FIG. 4 is a perspective view of a back plate portion to which an armrest portion is attached, as viewed from the back.

FIG. 7 is a front view showing the upper and lower limbs of the medical examination table.

FIG. 8 is a partial cross-sectional partial front view showing a mounting state of an armrest portion and an upper limb portion in the medical examination table.

FIG. 9 is a partially omitted plan view when the back plate portion of the medical examination table is in a lying state.

FIG. 10 is a side view showing a state in which an upper limb table is stored in a back plate portion of the medical examination table.

FIG. 11 is a flowchart illustrating an example of an automatic driving process in a control unit of the medical examination table.

FIG. 12 is a perspective view showing a conventional medical table.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 Clinic table 2 Clinic table main body 3 Main body base 4 Back plate part 6 Leg receiving part 7 Dirty receiving part 7a Opening for filth drop 8 Armrest part 9 Upper limb base 71a Drainage port 72 Dirty discharging mechanism 721 Pipe member 722 Through hole (wash nozzle) ) 76 Slide handle 81 Armrest support surface 91 Upper limb support surface 93 Angle

Claims (9)

[Claims] 1. A medical table main body having a back plate supporting a patient's back, a seat supporting a patient's buttocks, and a pair of leg receivers supporting a patient's legs, adapted to the progress of medical treatment. A driving mechanism and a control unit for changing the posture of the medical table main body, and a dirt receiving part for receiving dirt flowing out of the affected part during medical treatment is provided at the lower part of the medical table main body. The waste receiving unit is provided with a waste discharging mechanism for discharging the received waste from a predetermined drain, and when the control unit controls the medical table base to be in a patient-exiting posture, the waste discharge is performed. A couch, wherein the mechanism is set to operate. 2. The cleaning apparatus according to claim 1, wherein the waste discharging mechanism includes a cleaning nozzle provided facing the waste receiving portion, and a cleaning liquid supply pump for supplying a cleaning liquid to the cleaning nozzle. Medical table. 3. A main body base having elevating means, a back plate part for tiltably supporting a patient's back by a tilting means which can be raised and lowered with respect to the main body base, and a seat part for supporting a patient's buttocks, A medical table main body having a pair of leg receiving portions for supporting the legs of the medical table openably and closably by opening and closing means, and the lifting / lowering means, tilting means, and opening / closing means for changing the posture of the medical table main body in accordance with medical treatment. In a medical table having a driving mechanism and a control unit thereof, the control unit appropriately combines in advance an elevating position by the elevating unit, a tilting position by the tilting unit, and an opening / closing position by the opening / closing unit, and at least the patient introduction / retreat posture and It is possible to set and memorize multiple medical postures, and to change these postures by operating one posture selection switch. Treatment table, characterized in that the the. 4. A medical table main body having a back plate supporting a patient's back, a seat supporting a patient's buttocks, and a pair of leg receivers supporting a patient's legs, and adapted to the progress of medical treatment. A driving mechanism and a control unit for changing the posture of the medical table main body, and a dirt receiving part for receiving dirt flowing out of the affected part during medical treatment is provided at the lower part of the medical table main body. A medical table, wherein a manual lid member that slides in a substantially horizontal direction is provided in the waste drop opening of the waste receiving portion. 5. A handle for opening and closing the lid member,
The medical table according to claim 4, wherein the medical table is provided on a side surface of the waste receiving portion. 6. An upper surface of the lid member is formed so as to have a constant inclination with respect to a horizontal plane, and the inclined downstream end is set to be located inside the waste drop-in opening. The examination table according to claim 4 or 5, wherein 7. A medical table main body having a back plate supporting a patient's back, a seat supporting a patient's buttocks, and a pair of leg receivers supporting a patient's legs, and adapted to the progress of medical treatment. A drive mechanism for changing the posture of the medical table main body and a control unit therefor, and an armrest for mounting a patient's arm is rotatably mounted along the side surface of the back plate. A medical table, wherein an upper limb table for mounting a patient's forearm is detachably attached to the armrest section via an angle of a predetermined shape. 8. The armrest portion includes a first use position where a support surface is horizontal when the back plate portion is in an upright position, and a position where the support surface is substantially along a back surface of the back plate portion. A second use position in a retracted state, wherein when the armrest portion is at the first use position, the support surface of the upper limb is located slightly above the support surface of the armrest portion. In addition, when the armrest portion is in the second use position, the shape and dimensions of the angle are set such that the support surface of the upper limb rest is located on substantially the same plane as the surface of the backboard portion. The medical examination table according to claim 7, wherein: 9. The upper limb base storage section to which the angle can be attached is provided on one of the back surface, the side surface of the main body base, and the back surface of the back plate portion. Clinic.