JP2002125938A - Medical system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical system capable of judging the state of a patient in examination correctly based on both of biological information obtained before the examination and that obtained during the examination. SOLUTION: The medical system (10) has probes (40, 42 and 44) for detecting the biological information of the patient and a display part (30) for displaying the biological information during the examination (present data 74) and that before the examination (inspection data 72). Another system has a comparing part for comparing the present data with the inspection data and another display part for displaying the compared result of the comparing part. Furthermore, another system has a control part (50) for stopping the supply of an operation medium to an examination tool used at present in accordance with the comparing result of the comparing part. Furthermore, it is desirable that the central controller (46) of the biological information monitoring device is incorporated in a patient examination table (12).

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical system used for patient care in various medical fields such as surgery, internal medicine, dentistry, otolaryngology, obstetrics and gynecology, otolaryngology, and ophthalmology.

[0002]

2. Description of the Related Art Conventionally, as a medical system, there has been proposed a system in which a patient table is provided with a biological information detecting device such as a sphygmomanometer or a pulse meter. Such a medical system is very effective in the sense that biological information of a patient under medical care can be obtained in real time and reflected in medical care.

[0003]

However, biological information has considerable variation among individuals. For example, taking blood pressure as an example, a normal blood pressure is significantly different between a low blood pressure person and a high blood pressure person. Therefore, there is a problem that the state of the patient during the medical treatment cannot be accurately grasped only by monitoring the blood pressure during the medical treatment.

[0004]

Therefore, the present invention can accurately determine the state of a patient during medical treatment based on both biological information acquired before medical treatment and biological information acquired during medical treatment. It provides a medical system.

Specifically, the medical system of the present invention has a biological information detector for detecting biological information of a patient placed on a patient table, and the current data detected by the biological information detector is Are displayed on the first display unit together with the inspection data corresponding to the current data obtained in advance.

A medical system according to another aspect of the present invention includes a comparing unit for comparing current data and test data, and a second display unit or a notifying unit for displaying or notifying the comparison result of the comparing unit.

A medical system according to another aspect of the present invention includes a control unit for stopping supply of a working medium to a medical device currently in use according to a comparison result of the comparison unit.

[0008] Another medical system of the present invention is one in which a control device of a biological information monitoring device is built in a patient table.
Another medical system has a built-in control device of a biological information monitoring device, and the control device can access test data of a patient through communication means.

[0009]

According to the medical system having such a configuration, the first display unit displays the current data as the biological information of the patient placed on the patient table and the examination data obtained before the medical treatment. You. Therefore, the operator can obtain the patient's biological information via the first display unit before starting the medical treatment, so that the medical treatment according to the patient's living body can be performed. In addition, by visually comparing the test data acquired in advance during the medical treatment with the current data sequentially acquired during the medical treatment, it is possible to know the state of the patient that cannot be estimated from the appearance of the patient through the first display unit. Medical treatment according to the patient's condition. Furthermore, when the patient's blood pressure or the like excessively increases or decreases during medical treatment, the excessive increase or decrease is displayed on the second display unit or is notified to the notification unit, so that the patient can be in a dangerous state. I can report it. Furthermore, since the supply of the working medium is stopped before the patient is in a dangerous state, the operator does not need to constantly monitor the display unit, and can concentrate on the medical treatment with peace of mind.

[0010]

Preferred embodiments of the present invention will be described below with reference to the accompanying drawings. In the following,
An example in which the present invention is applied to a dental care unit will be described.
The application of the present invention is not limited to the field of dental care, but is applicable to all medical fields (eg, surgery, internal medicine, otolaryngology, obstetrics and gynecology,
It can be used for otolaryngology and ophthalmology.

FIG. 1 shows a dental care unit (hereinafter simply referred to as a “clinical unit”) 10 provided with a medical table 12. The examination table 12 includes a lower unit 18 fixed to the floor 16 of the examination room 14 and an upper unit 20 provided on the lower unit 18. The lower unit 18 is a floor 1
6 and is rotatable about a vertical axis (not shown). On the other hand, the upper unit 20 includes a seating portion 22 fixed to the lower unit 18 and disposed substantially horizontally.
And a back portion 2 that is tiltably connected to a rear end portion of the seat portion 22.
4 and a headrest 26 connected to the upper end of the back 24
It has.

A table 28 arranged on one side of the back portion 24 (on the right side of the back portion 24 in the drawing) is connected to the back portion 24 by a link mechanism (not shown) so as to maintain substantially horizontal regardless of the inclination angle of the back portion 24. Have been. On the table 28, a monitor (first display unit) 30 for displaying various biological information described below is provided. In the present embodiment, the monitor 30 is installed on the table 28, but the monitor 30 may be installed at any location as long as the operator can see the display on the monitor 30.
Further, the monitor 30 can substitute an X-ray viewer 32 for displaying an X-ray image. In addition, a spittoon 34 for gargle and a patient lighting device 36 are provided on the side of the medical examination table 12 (the side opposite to the table 28).

Above the back 24 and beside the headrest 26, a plurality of medical instruments 3 including a dental cutting handpiece and the like are provided.
8 are held. In addition, the medical table 12 includes various kinds of biological information of the patient, specifically, blood pressure, arterial blood oxygen saturation, electrocardiogram, heartbeat, etc. [heart beat cycle (RR) and R potential (potential of R with respect to the baseline) in the electrocardiogram). ] Which is a biological information monitoring device or a biological information detector for measuring
0, 42 and 44 are arranged respectively. And these medical instruments 38 and probes 40, 42, 44 are
Is connected to the control device 46 shown in FIG. Note that the probes 40, 42, and 44 may be of a finger type or an arm type as long as the target biological information can be obtained.

The control device (central control device) 46 shown in FIG.
A central controller 48 for comprehensively managing the medical instrument 38 and the probes 40, 42, 44; an operating medium controller 50 for controlling the operating medium supplied to the medical instrument;
It has a biological information control unit 52 for displaying the detection results of 2, 44 and the like, and is built in the examination table 12. In the present embodiment, the control device 46 is built in the seat portion 22,
It may be built in the back 24. The working medium includes a medium necessary for driving the medical instrument and a medium necessary for the medical instrument to achieve a target function.For example, in the case of a tooth cutting handpiece, cutting is performed. Includes both the high pressure air required to rotate the tool and the water injected into the cutting section.

The operating medium control unit 50, corresponding to each medical instrument 38, supplies a supplying unit (supply path) 54 for supplying an operating medium to the medical instrument 38, and permits the supply of the operating medium to the medical instrument 38. The permission unit 56, the working medium supply source 58, and the instruction unit 60 for instructing the supply of the working medium to the medical care instrument 38 are connected. Specifically, the supply unit 54 differs depending on the type of the working medium. When the working medium is electric, it is an electric wire, when it is water, it is a water supply pipe, and when it is air, it is an air supply pipe. When a plurality of working media are used, a supply unit for supplying these working media is housed in one tube. The permission unit 56 is an electric circuit that determines whether the medical instrument 38 and the supply unit 54 connected to the medical device 38 are pulled out from the back 24, and permits the supply of the working medium only when the medical device 38 is pulled out. The instruction unit 60 is a foot switch installed on the side of the examination table 12. The working medium supply source 58 includes a power supply 62 for supplying electricity, an air supply source 64 for supplying high-pressure air, and a water supply source 66 for supplying water. In such a configuration, when a medical instrument 38 using air and water as a working medium is used, the medical instrument 38 is used.
And the supply unit 54 connected to the medical instrument 38
Withdraw from 4. Thereby, the permission unit 56 sets the medical device 3
8 is supplied with working medium. Next, when the foot switch 60 is turned on, the working medium control unit 50 activates the air supply source 64 and the water supply source 66 and supplies air and water to the medical instrument 38 via the supply unit 54.

The biological information control section 52 includes various probes 40,
42 and 44 and the monitor 30. The biological information control unit 52 also stores the biological information of the patient acquired before the medical treatment (systolic blood pressure, diastolic blood pressure, arterial oxygen saturation, RR, R potential, and history of heart disease, etc.).
Is connected via a central control unit 46 and communication means such as a hospital LAN, and a biometric information storage unit 68 as necessary.
Is displayed on the monitor 30.

At the time of dental treatment using the medical treatment unit 10 having the above-described configuration, the patients placed on the examination table 12 are provided with probes 40, 42, and 44 at necessary sites, and as shown in FIG. The patient's personal information 70 and biological information (current data 74) obtained from 40, 42, 44 are displayed on the monitor 3.
Displayed as 0. On the monitor 30, the corresponding biological information (test data 72) acquired before the medical treatment for the patient supplied via the in-hospital LAN is simultaneously displayed for comparison. The biological information control unit 52 also includes, as shown in FIG.
The examination data 72 and the current data 74 are read and compared, and when the difference between them exceeds a predetermined value, a signal indicating a patient abnormality is output to the central control unit 46. Similarly, when the RR and the R potential obtained from the electrocardiogram become lower or higher than predetermined values, a signal indicating a patient abnormality is output to the central controller 46. When receiving the signal of the patient abnormality from the biological information control unit 52, the central control unit 46 transmits a signal corresponding to the working medium control unit 50. Working medium control unit 50
Receives the signal, stops supplying the working medium to the medical instrument 38 currently used for medical treatment.

Therefore, according to the medical treatment unit 10, the operator can obtain the biological information of the patient via the monitor 30 before starting the medical treatment, so that the medical treatment according to the living body of the patient can be performed. Further, during the medical treatment, the test data 72 acquired in advance and the current data 74 sequentially acquired during the medical treatment
By visually comparing the results, it is possible to predict in advance through the monitor 30 the onset of stress accidents or the like that cannot be inferred from the appearance of the patient's face or the like, and to perform medical care according to the patient's situation. . Further, when the patient's blood pressure or the like excessively rises (or the saturated oxygen concentration in the blood excessively decreases) during medical treatment, it can be predicted before the patient becomes dangerous. In particular, since the supply of the working medium is stopped before the patient is in a dangerous state, the operator does not need to constantly look at the monitor 30 and can concentrate on the medical treatment with confidence. Furthermore, when an abnormality occurs in the living body, it can be dealt with immediately.

In the above-described embodiment, the supply of the working medium is stopped when the difference between the test data 72 and the current data 74 exceeds a predetermined value. However, the supply of the working medium or the supply of the working medium is stopped. Prior to the stop, an appropriate display may be displayed on the display unit (second display unit) 76 of the monitor 30, or the danger may be notified by another display device such as an audio alarm (for example, a buzzer sound) or a flashing lamp. You may. In addition, various functions included in the medical care unit 10 (for example, raising and lowering of a medical table, tilting of a backrest unit) and the like may be stopped.

Also, as shown in FIG.
Although the mobile devices 42 and 44 are connected to the ends of the cords, for example, as shown in FIG.
0a, an electrocardiographic measuring device 44a or the like.

[Brief description of the drawings]

FIG. 1 is a perspective view of a medical system according to the present invention.

FIG. 2 is a control circuit diagram of the medical system shown in FIG.

FIG. 3 is an exemplary view showing a screen displayed on the monitor of FIG. 1;

FIG. 4 is a flowchart showing a part of control contents in the control device.

FIG. 5 is a perspective view of a medical system according to another embodiment of the present invention.

[Explanation of symbols]

 10: Medical unit 12: Medical table 30: Monitor 40, 42, 44: Probe (biological information detector)

Claims (5)

[Claims] 1. A medical system comprising a patient table and a medical device driven by supplying a working medium, wherein a biological information detector for detecting biological information of a patient placed on the patient table is provided; A first display unit that displays current data detected by the biological information detector. 2. A comparison unit for comparing the current data with test data corresponding to the current data obtained in advance for the patient, and a second display for displaying or notifying a comparison result of the comparison unit. The medical system according to claim 1, further comprising a unit or a notification unit. 3. The medical system according to claim 2, further comprising a control unit for stopping supply of the working medium to the medical device currently in use according to a comparison result of the comparison unit. 4. A medical system wherein a control device of a biological information monitoring device is built in a patient table. 5. A medical system having a built-in control device for a biological information monitoring device, wherein the control device is capable of accessing patient test data through communication means.