JP2003305090A - Examination appliance for medical care - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an examination appliance for medical care allowing the feeling of a patient to be relieved for safely receiving a medical care and increasing a medical care effect in medical and dental cares. <P>SOLUTION: A proper voice guidance is transmitted from a loud speaker 91 according to the presence or absence of a patient on a medical care stand 1 and the state of progress of medical care. The operating controls of related equipment around the medical care stand 1 such as a dental light 4 and a basin 3 for gargle are performed automatically. <P>COPYRIGHT: (C)2004,JPO

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical examination apparatus, in particular, a medical examination apparatus including a medical examination table suitably used for medical and dental purposes and related equipment arranged around the examination table.

[0002]

2. Description of the Related Art In a dental or otolaryngological examination table or a chair for a beauty / beauty salon, a backboard sheet is erected to a vertically movable seatboard sheet so that it can be used for treatment or treatment. Depending on,
The seat sheet is raised or lowered as appropriate, or the back sheet is moved to the standing position or horizontal position. For a dental couch,
When the patient sits down, the seat sheet is lowered and the back sheet is in an upright state, and when the patient is in a treatment state after sitting down, the seat sheet is raised to a height that is easily treated by the doctor ( Sometimes it is lowered), and in the case of recumbency treatment, the backboard sheet is laid down almost horizontally.

During treatment, for example when gargling,
Alternatively, the back plate sheet is adjusted to an appropriate angle by upper jaw treatment or lower jaw treatment. A motor, a hydraulic mechanism, or other mechanism is used as a drive source for the lifting mechanism of the seat plate seat and the undulating mechanism of the back plate seat, and in the case of a dental examination table, the lifting and undulating motions are performed according to the treatment content. There are also those which are adapted to automatically operate in a predetermined operation pattern.

In the above-mentioned dental treatment, the treatment is carried out while the operator or the nurse appropriately gives guidance to the patient according to the progress of the treatment and the purpose of medical treatment. For example, "Please hang it on the examination table. Tilt down the backboard.", "Because you raise the backboard, gargle.", "Since the examination is over, raise the backboard. From the examination table Please get off. "

Further, a dental light supported by a movable arm that can be horizontally swiveled and bent and extended freely is installed on the side of the examination table, and the operator or nurse lays it down on the examination table in a horizontal state during treatment. The dental light is positioned to illuminate the patient's mouth. And the treatment is over,
Alternatively, when the patient is woken up for gargling, the dental light is retracted in advance so that the head of the patient is not exposed to the light. Furthermore, the vacuum tank connected to the gargle basin and vacuum syringe,
Each time the examination of one patient is completed, the switch is operated to wash the patient.

[0006]

The above-mentioned guidance to the patient, the movement of the dental arm, the washing operation of the gargle basin and the vacuum tank, etc. are performed by an operator or a nurse each time. Inappropriate patients may feel embarrassed, forgetting to evacuate the dental light may interfere with patient movement, or may cause discomfort to the next patient if they forget to clean the gargle basin or vacuum tank. It will also end up. This kind of work is very troublesome for the operator and the nurse, and may be a cause of impairing the efficiency of treatment because he is conscious of this.

The present invention has been made in view of the above situation, and automatically outputs the guidance to the patient in a loud voice according to the progress of the treatment, and the operation control of the related devices is also appropriately performed according to the progress of the treatment. It is intended to provide a novel medical examination apparatus that can be automatically performed.

[0008]

In order to solve the above-mentioned problems, the invention according to claim 1 is a medical examination apparatus comprising a medical examination table and related equipment arranged in the vicinity thereof, and The medical examination apparatus is characterized in that voice guidance to the patient and / or operation control of the related equipment is automatically performed according to the presence or absence of the patient and the progress status of the treatment.

The invention according to claim 2 is characterized in that the medical examination table is equipped with a detection means for detecting the sitting of the patient. Furthermore, in the invention of claim 3, the voice guidance pre-records a plurality of types of messages corresponding to the respective treatment modes, and the identification selected according to the presence or absence of a patient on the examination table and the progress status of the treatment. The message is reproduced and the voice is expanded from the speaker.

According to a fourth aspect of the present invention, the examination table is a dental examination table, and the related equipment is at least a dental light, a gargle basin, a vacuum tank, an intraoral camera, a television monitor, a liquid crystal panel monitor, and a CD deck. And one selected from a cable broadcasting receiver. The invention of claim 5 is characterized in that on / off control of the dental light and movement control of the movable arm for dental light are controlled based on the detection result of the detection means and the treatment mode.

The invention according to claim 6 is characterized in that the illuminance of the dental light is variable according to the treatment mode, and the invention according to claim 7 is that a patient on a medical examination table has withdrawn by the detection means. When it is determined that the gargle basin and the vacuum tank are washed.

The invention according to claim 8 is provided with a function capable of voice-guidating more specific instructions and cautions to the patient in response to the control operation of the medical examination table after detecting the seating of the patient. Provided is a medical examination apparatus, which is a medical examination apparatus including a medical examination table and related equipment arranged around the examination table, and a sensor for detecting the sitting of a patient and a seat sheet supporting the patient. Position control means for controlling the position of a controlled movable part such as a backboard sheet to a target position specified in advance according to the purpose of treatment or diagnosis, and a loudspeaker, and the position control means treats or diagnoses. Depending on the purpose
With the operation of sequentially controlling the position of the controlled movable part,
Precautions for the patient, treatment, position control guidance for diagnosis, operation instructions to the patient, voice guidance recording means that is stored in advance as a voice signal, and when the sensor detects the patient sitting, The voice guidance recording means is activated to output the first voice guidance, and thereafter, the position control means is activated in accordance with the purpose of treatment or diagnosis, and the voice control is executed in accordance with the operation for performing the position control. It is characterized by further comprising a signal processing unit for sequentially reading out necessary voice signals from the guidance recording means and outputting cautions for the patient, position control guidance, and operation instructions by voice from the loud speaker.

According to a ninth aspect of the present invention, medical treatment / diagnosis auxiliary equipment such as dental light, gargle basin, and vacuum tank are arranged as related equipment around the medical examination table, and the voice guidance recording means is provided for the related equipment. But treatment,
When the control is performed according to the diagnostic purpose, information such as the control operation, the precautions for the patient, and the operation instruction is further stored as an audio signal. Depending on the purpose, along with the operation of controlling the related equipment, necessary voice signals are sequentially read from the voice guidance recording means, and cautions for the patient, position control guidance, and operation instructions are output from the loud speaker. The medical examination apparatus for medical use is characterized by further outputting by voice.

Further, according to the invention of claim 10, the seating sensor is incorporated into a seating sheet or a backing sheet, and a micro switch, a pressure sensor, etc. for detecting the presence of the patient by direct or indirect contact with the patient. The invention of claim 11 is characterized in that the seating sensor is a non-contact sensor that detects the presence of a patient by reflection or transmission of light or ultrasonic waves. .

Furthermore, in the invention of claim 12, the voice guidance recording means is capable of newly adding a voice signal as needed, storing and outputting the voice signal, and rewriting the voice signal already stored. It is characterized by being.

[0016]

BEST MODE FOR CARRYING OUT THE INVENTION Embodiments of the present invention will be described below. FIG. 1 is a plan view (a) and a side view (b) for explaining a medical examination table of the present invention by taking a dental examination table as an example. In the figure, reference numeral 1 is a dental examination table, and a seat plate sheet 11 is provided on a base 10 installed on the floor so as to be vertically movable. A back plate sheet 12 is continuously provided at one end of the seat plate sheet 11 so as to be capable of undulating. As the lifting mechanism and the undulating mechanism, although not shown, a known mechanism in which a motor (servo motor or the like) or a hydraulic mechanism is used as a drive source and a link mechanism is combined therewith is adopted.
And is incorporated into the backboard sheet 12.

The other end of the back plate sheet 12 is further provided with a vertically movable headrest 13 for supporting the head of the patient. A tray 2 for placing various jigs and chemicals used by a surgeon to perform a treatment operation, or for preparing various fillers is horizontally swivelable on the side of the backboard sheet 12 on the side of the backboard sheet 12. It is mounted so that it can maintain a horizontal state regardless of the undulating motion.

Further, a handpiece holder 21 for temporarily holding the various handpieces h ... Stored in the shoulder portion of the back plate sheet 12 is fixed to one side edge of the tray 2. . A handpiece (vacuum syringe) for sucking and removing the treatment liquid in the patient's oral cavity in the handpiece h is connected to a vacuum tank (not shown) installed at an appropriate location near the medical examination table 1 by piping. . A cleaning device 8 (see FIG. 2) for cleaning the vacuum tank is also attached to the vacuum tank.

Further, an intraoral camera 22 for taking an image of the inside of the mouth is detachably locked to one side edge portion of the tray 2, and various information necessary for dental treatment is provided on the other side portion of the tray 2. X-ray image, patient chart, device failure
A liquid crystal panel monitor (television monitor) 23 is provided upright which can display diagnostic information and the like or can switch the display and operate the device by touch operation.

A gargle basin 3 and a dental light 4 are installed on one side of the seat sheet 11 (opposite to the side where the patient gets on and off). The gargle basin 3 is equipped with a water supply device for supplying gargle water and a cleaning device 30 (see FIG. 2) for cleaning the inside of the basin.

The dental light 4 is for irradiating the inside of the oral cavity of the patient on the medical examination table 1, and is a plurality of link members connected to the upper end of the pillar 40 standing on the floor so as to be horizontally pivotable and bendable. Is attached to the tip of a movable arm 41 for dental light, which is composed of The mechanism that controls the turning and bending of the movable arm 41 for dental light is configured by combining a motor as a drive source with a link mechanism, a gear, a timing belt, and the like.

Reference numeral 5 denotes a foot pedal switch for allowing an operator (nurse) to move up and down the seat plate sheet 11 and raise and lower the back plate sheet 12. Further, although not shown, a work tray for nurses and other related devices are appropriately arranged on the side of the medical examination table 1.

Reference numeral 6 is a patient seating sensor embedded in the seat plate sheet 11. As the seating sensor 6, a pressure sensor that detects the pressure when the patient is seated, a micro switch that operates by a pressing operation based on the seating of the patient, or the like is preferably adopted, but it is attached to the armrest or the base of the basin 3. A light transmission type, a light reflection type, or an ultrasonic type sensor is also preferably used.

As other related equipment, the back plate sheet 12 is used.
A CD deck 24 that is installed in or near the desk and plays music or the like to soften the patient's mood on the medical examination table 1.
Alternatively, a cable broadcasting receiver 25 for playing background music is appropriately provided in the clinic (see FIG. 2).

Next, the operation control of the seat sheet 11, the back sheet 12, and related equipment will be described with reference to the block diagram of FIG. 2 and the flowchart of FIG. In FIG. 2, 11,
12 and 4 are a seat plate, a back plate, and a dental light, respectively, but here, their drive mechanism (including an on / off mechanism for the dental light and an illuminance switching mechanism)
As described below.

The seat plate seat drive mechanism 11, the back plate seat drive mechanism 12 and the dental light drive mechanism 4 are CPs.
It is connected to a moving speed control means (position control means) 7 such as U, and each driving control is performed by this moving speed control means 7. The position detection sensors 11a and 12a are
The present position of the seat sheet 11 and the back sheet 12 is detected, and the detection data is sequentially input to the moving speed control means 7.

SW1, SW2 and SW3 are automatic position control switches operated by an operator or a nurse to position-control the medical examination table 1 according to various treatment modes.
For example, SW1 raises (lowers) the seat sheet 11 and back sheet 12 after the patient sits on the examination table 1.
Is a switch that is operated when the patient is in a state of treatment by tilting horizontally, SW2 is a switch that is operated when the back plate sheet 12 is raised to gargle the patient during treatment, and SW3 is a treatment. Is a switch which is operated when the back plate sheet 12 is erected and the patient is withdrawn. These switches SW1, SW2 and SW3 are also connected to the moving speed control means 7.

Furthermore, the basin cleaning device 30, the vacuum tank cleaning device 8, the intraoral camera 22, and the liquid crystal panel monitor (television monitor) 2 which are the other related equipment described above.
3, a CD deck 24 and a cable broadcasting receiver (including a speaker) 25 are also connected to the moving speed control means 7.

The seating sensor 6 is connected to the moving speed control means 7 through a signal processing section 71, and the signal processing section 71 is also connected to a voice guidance recording means 9 and a loud speaker 91. The voice guidance recording means 9 is for preliminarily storing the cautions for the patient, the guidance of the position control for the treatment and the diagnosis, and the operation instruction for the patient as a voice signal.
It can be stored or reproduced and output, and can be rewritten as needed.

A flow of each operation at the time of dental treatment in the dental examination table unit configured as described above will be described with reference to FIG. The patient is shown in FIG.
When the user sits down on the medical examination table 1 which is erected in the state of the chain double-dashed line in (b), the sitting sensor 6 is turned on (step S
1). The detection signal from the seating sensor 6 is input to the signal processing unit 71, and the voice guidance unit including the voice guidance recording unit 9 and the loud speaker 91 is activated (step S2).

Then, in the voice guidance recording means 9, the first voice guidance pattern "please sit back and wait for a while" is selected and reproduced and output from the loudspeaker 91 (step S3). With this guidance, the patient waits for a while on the examination table 1 until the treatment is started.

Next, when the operator or the nurse operates the automatic position control switch SW1 (step S4), the moving speed control means 7 causes the seat sheet 11 and the back sheet 1 to move.
The position information from each of the two position detection sensors 11a and 12a and the separation distance to the target position are calculated, and an appropriate moving speed is set (step S5). Thereby, the movement position control of the seat board sheet 11 and the back board sheet 12 is executed, and the medical examination table 1 is in a substantially horizontal normal medical treatment state (see FIG. 1).
It is set to the state of the solid line in (b). At the same time, the signal processing unit 71 selects the treatment start guidance pattern “Begin medical examination.” From the voice guidance recording means 9, and this guidance is reproduced and output from the loud speaker 91 in the same manner as above (step S6).

Further, at this time, the moving speed control means 7 calculates the separation distance to the target position (the position where the oral cavity of the patient is irradiated) from the position information from the position sensor 4a of the dental light 4 for the dental light. The driving means of the movable arm 41 is horizontally swiveled / bent / extended to set the dental light 4 to a predetermined position and the switch is controlled to be turned on. However, these dental light arm 4
The drive of 1 and the operation of turning on the dental light 4 may be manually operated by an operator or the like.

During treatment, if the patient is gargling,
When the operator or the nurse operates the automatic position control switch SW2 (step S4), the user moves back to a proper position for gargling (slightly inclined from the state of the chain double-dashed line in FIG. 1B) through step S5 in the same manner as above. The plate sheet 12 is erected. At the same time, the gargling guidance pattern “Please gargle.” Is selected at the same time as above, and this guidance is reproduced and output from the loudspeaker 91 (step S).
6). At this time, the dental light 4 is automatically turned off before the backboard sheet 12 starts to stand up, and the drive mechanism of the dental light arm 41 is activated so that the dental light 4 does not hinder the undulation of the patient. The position is automatically controlled to retract to the position. When the gargle is finished and the treatment is restarted, the automatic position control switch SW1 is operated and the medical examination table 1 is set to the treatment state again.

In the case of dental treatment, there is not a little work to fill the tooth defect portion with the photocurable resin filler, and in such a case, a "filling switch" (not shown) is operated. As a result, the illuminance of the dental light 4 is automatically reduced. That is, the light wavelength region (57
This is because 0 to 580 nm) is often included in the wavelength region of a commonly used dental light (halogen lamp), so that curing is prevented from proceeding due to irradiation of dental light during the filling operation.

When the treatment is completed, the automatic position control switch SW3 is operated (step S4), and the patient exits through the step S5 as described above (state of the chain double-dashed line in FIG. 1B ... Initial state). The back plate sheet 12 is erected so that the seat plate sheet 11 is lowered. At this time, similarly to the above, the dental light 4 is automatically turned off before the back plate sheet 12 starts the standing motion, and the drive mechanism of the movable arm 41 for dental light is operated to cause the dental light 4 to move.
Is automatically controlled so as to retract to a position that does not hinder the ups and downs of the patient. Further, the exit guidance pattern “examination is completed” is selected, and this guidance is reproduced and output from the loud speaker 91 (step S6).

After that, when the patient exits the medical examination table 1 and the seating sensor 6 is turned off, the basin cleaning device 30 and the vacuum tank cleaning device 8 are activated to perform cleaning. Although not shown in the flow chart of FIG. 3, the intraoral camera 2 responds to on / off of the seating sensor 6 and progress of treatment, that is, each position control command in step S4.
2. On / off control of the liquid crystal panel monitor 23, the CD deck 24, and the cable broadcasting receiver 25 is automatically performed as appropriate.

In step 7 in FIG. 3, the elapsed time after the first voice guidance output is timed, and if the automatic position control switch is not operated during this time, an alarm is issued in step S8 to alert the operator. However, these steps are not necessarily required. Further, when the patient does not sit down, unnecessary voice guidance, in-hospital BGM, or room lights can be automatically turned off.

The disclosed technique of the present invention is preferably applied to a medical, especially dental, examination table, but it goes without saying that it is also applied to an otolaryngology examination table and other examination tables. . Furthermore, the technical idea of the present invention is also preferably applied to a treatment chair for physical and beauty treatment. Also,
If the voice guidance is to be heard only by the operator depending on the content, the voice guidance can also be reproduced and output from the earphone or the like by an appropriate switch operation by the operator.

[0040]

According to the present invention, appropriate voice guidance and operation control of peripheral devices are automatically performed each time according to the presence / absence of a patient (confirmation of seating) and the progress status of treatment. The operator and the nurse can concentrate on the medical treatment work while receiving the comfortable treatment with care, and the medical treatment efficiency is dramatically improved.
~ 7).

Further, after detecting the sitting of the patient, there is a function capable of voice-guidating more specific instructions and cautions to the patient according to the control operation of the examination table. From the beginning to the end, the patient can receive a more comfortable and comfortable treatment (claims 8 to 1).
2).

[Brief description of drawings]

FIG. 1 is a plan view (a) and a side view (b) showing a case where a medical examination table of the present invention is a dental examination table.

FIG. 2 is a block diagram of an embodiment for executing the operation control of the present invention.

FIG. 3 is a flow chart of an embodiment of operation control of the present invention.

[Explanation of symbols]

1 Clinic 11 seat sheet 12 Backboard sheet 3 gargling basin 4 dental lights 41 Movable Arm for Dental Light 6 Seating sensor (detection means) 7 Position control means (moving speed control means) 71 Signal processing unit 8 Vacuum tank cleaning device 9 Voice guidance recording means 91 loud speaker 22 Intraoral camera 23 LCD panel monitor (TV monitor) 24 CD deck 25 cable broadcasting receiver

Claims (12)

[Claims] 1. A medical examination apparatus comprising a examination table and related devices arranged around the examination table, and voice guidance to the patient and / or the above-mentioned voice guidance according to the presence / absence of the patient on the examination table and the progress of the treatment. A medical examination apparatus characterized in that the operation of related equipment is automatically controlled. 2. The medical examination apparatus according to claim 1, wherein the examination table is provided with a detection means for detecting sitting of a patient. 3. The voice guidance according to claim 1, wherein a plurality of types of messages corresponding to respective treatment modes are recorded in advance in the voice guidance, and whether or not there is a patient on the examination table.
A medical examination apparatus for reproducing a specific message selected according to the progress of treatment and expanding the sound from a speaker. 4. The dental examination table according to claim 1, 2 or 3, wherein the related equipment is
A medical treatment device for medical use, which is at least one selected from dental lights, gargle basins, vacuum tanks, intraoral cameras, television monitors, liquid crystal panel monitors, CD decks, and cable broadcasting receivers. 5. The medical examination apparatus according to claim 4, wherein on / off control of a dental light and movement control of a movable arm for a dental light are controlled based on a detection result of the detection means and a treatment mode. 6. The medical examination apparatus according to claim 4, wherein the illuminance of the dental light is variable according to a treatment mode. 7. The medical examination apparatus according to claim 4, wherein the gargling basin and the vacuum tank are washed when the detection unit determines that the patient on the examination table has withdrawn. 8. A medical examination apparatus comprising a medical examination table and related equipment arranged around the examination table, a sensor for detecting sitting of a patient, a seat sheet supporting a patient, a back board sheet, and the like. Position control means for controlling the position of the controlled movable part to a target position specified in advance according to the purpose of treatment or diagnosis, and a loudspeaker, and the position control means corresponds to the purpose of treatment or diagnosis. A voice guidance recording means for preliminarily storing, as a voice signal, precautions for the patient, position control guidance for treatment and diagnosis, and operation instructions to the patient in association with the operation of sequentially controlling the position of the controlled movable part. When the sensor detects that the patient is seated, the voice guidance recording means is activated to output the first voice guidance, and thereafter, the position control means is selected according to the purpose of treatment or diagnosis. With activation, the position control is executed, and the necessary audio signals are sequentially read from the voice guidance recording means, and the patient's precautions, position control guidance, and operation instructions are output by voice from the loud speaker. A medical diagnostic apparatus comprising a signal processing unit for outputting. 9. The medical device according to claim 8, wherein a treatment / diagnosis assisting device such as a dental light, a mouthwash basin, and a vacuum tank is provided as a related device around the medical examination table, and the voice guidance recording means is provided for the related device. However, when it is controlled according to the purpose of treatment or diagnosis, it further stores information such as its control operation, precautions for patients, operation instructions, etc. as a voice signal. Depending on the purpose of the treatment or diagnosis of the device, the operation of controlling the related equipment
A medical diagnostic apparatus characterized in that necessary voice signals are sequentially read from the voice guidance recording means, and the cautions for the patient, position control guidance, and operation instructions are further output as voice from the loud speaker. . 10. The micro-switch according to claim 8 or 9, wherein the seating sensor is incorporated in a seating sheet or a backing sheet, and detects the presence of a patient by direct or indirect contact with the patient. Medical care equipment that is a contact sensor such as a sensor. 11. The medical examination apparatus according to claim 8 or 9, wherein the seating sensor is a non-contact sensor that detects the presence of a patient by reflection or transmission of light, ultrasonic waves, or the like. 12. The voice guidance recording means according to claim 8, wherein the voice guidance recording means is capable of newly adding a voice signal, storing and outputting the voice signal as required, and rewriting the voice signal already stored. Medical care equipment that is possible.