JP2004532084A - 医療又は歯科−医療器具及び/又は医療又は歯科−医療器具のための供給装置及び/又は保守装置及び/又はシステム - Google Patents
医療又は歯科−医療器具及び/又は医療又は歯科−医療器具のための供給装置及び/又は保守装置及び/又はシステム Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C1/00—Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
- A61C1/0007—Control devices or systems
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
- A61B17/1626—Control means; Display units
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C19/00—Dental auxiliary appliances
- A61C19/002—Cleaning devices specially adapted for dental instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/90—Identification means for patients or instruments, e.g. tags
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C1/00—Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
- A61C1/0007—Control devices or systems
- A61C1/0015—Electrical systems
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C2204/00—Features not otherwise provided for
- A61C2204/005—Features not otherwise provided for using chip tag or any electronic identification mean, e.g. RFID
Abstract
Description
【0001】
本発明は特許請求の範囲の請求項1,6,9,10又は13の前文に従う医療又は歯科−医療器具又は医療又は歯科−医療器具のための供給装置および/又は保守装置又はシステムに関する。
【背景技術】
【0002】
医療又は歯科−医療器具にあっては、人又は動物の体又はその部分(人工補綴物)の処置に使用することが目的とされ、それにより、体に接触して発病源で汚染されてしまう可能性がある。このことは、特に、器具が分泌物又は体液に接触する場合に懸念される。従って、一人の患者の処置の後、あるいは、次の患者の処置の前に、器具を清掃及び/又は消毒/殺菌する必要がある。そのための各種手段は、器具の体への接触が如何に強いか、さらには、如何なる処置手段が実行されたかに依存する。
【0003】
更に、各種の医療又は歯科−医療器具の構成と機能は、互いに大きく異なっている可能性がある。特に、工具が駆動装置によって動かされる器具については、その機能の能力を維持し、また磨耗や機能停止を避けるために一定間隔をもって、少なくとも一つの器具を機械的にサービスする必要がある。それらが機能動作中に汚染されたかどうかに関係なく、器具が一定期間をもって(例えば、一定動作時間数後に)サービスされるという規則を伴う器具がある。少なくとも一つの器具の使用待ち状態のための上記の保守手段を、以下においては「保守」という用語で呼ぶことにする。従って、医療又は歯科−医療器具については、少なくともある期間中に作用する処置段階と、その使用待ち状態を維持するために器具が動作する保守段階とがある。
【0004】
処置段階においては、医療又は歯科−医療器具は、医療又は歯科−医療用供給装置に接続される。今日の基準に従えば、斯かる供給装置は、電子制御装置を有し、そこから湾曲又は屈曲可能な供給ラインが伸び、それに対して器具が着脱可能な連結器により接続される。器具又はその工具は、供給装置から供給ラインを介して、それを機能させるための供給又は制御がなされる。これには、駆動エネルギー及び/又は処置媒質の供給が含まれる。
【0005】
供給装置には、器具が一つのみ、あるいは、連結器により供給ラインに選択的に接続可能な複数の異なる器具が関連付けられる。この場合、器具の種類に従って異なる駆動媒質が、そこに存在し、あるいは、供給される。このような種類の供給装置については、例えば、独国特許出願公開第4410276A1号明細書において述べられている。
【0006】
独国特許出願公開第4220522A1号明細書には、歯科治療ステーションに属するエネルギー供給ユニットに対して種々の消費者負荷(例えば、歯科用器具)を認識可能にするシステムであって、供給ラインに関連付けられた器具を識別するために供給ラインに設けられた符号化手段と、電気接続ラインにより符号化手段に接続されたエネルギー供給ユニットに属する評価回路とを有するシステムが述べられている。電気接続ラインは、供給ラインを介して伸びている。
【0007】
独国特許出願公開第19729177A1号明細書から、医療供給装置であって、それを用いて電気制御装置の助けにより駆動モータに連結可能な工具を有する器具に対する供給及び制御を行う医療供給装置について知ることができる。制御装置には、一定の器具又は工具を動作するための固定された所定の動作プログラムが、製造者により記憶されている。それに加えて、ユーザ専用動作プログラムの作成が可能とされる。更に、選択ボタンの助けにより、設定モードを呼び出すことができ、そのもとで、ユーザは、動作手順に任意に割り込み、動作パラメータを任意に変更できる。
【0008】
独国特許出願公開第19913962A1号明細書においては、保守チャンバを囲むハウジングを有する歯科用ハンドピースのための保守装置が述べられている。保守チャンバには、器具の一端を受容する少なくとも一つの連結部が配置され、この連結部まで保守供給ラインが伸びている。簡単な構成と信頼性のある機能を保証するために連結部には、保守装置の制御装置に信号を出し、それに応じて制御装置が保守媒質のための供給システムを制御するため、その保守配置内で器具により作動されるセンサーが関連付けられている。
【0009】
このような種類の器具上のコードは、識別及び/又は動作パラメータデータをも含み、従って、器具を医療又は歯科−医療供給装置に連結する際に、装置により呼び出すことができ、また、器具の供給を制御するために使用できるようなデータのためのメモリー要素の存在を示唆する。
【特許文献1】
独国特許出願公開第4410276A1号明細書
【特許文献2】
独国特許出願公開第4220522A1号明細書
【特許文献3】
独国特許出願公開第19729177A1号明細書
【特許文献4】
独国特許出願公開第19913962A1号明細書
【発明の開示】
【発明が解決しようとする課題】
【0010】
本願発明は、特許請求の範囲の請求項1における前文に従う器具の適用範囲を広げることを目的とする。
【課題を解決するための手段】
【0011】
この目的は、特許請求の範囲の請求項1における特徴部の記載事項により達成される。
【0012】
本願発明による器具において、メモリー要素は、他のデータによりデータが上書きされるように構成される。それにより、器具上のデータメモリーを変更することができる。その結果、器具は、変更されたデータに対するデータキャリヤとして用いることができ、そこから実質的な利点が生じる。一方では、器具は、少なくともそれが装置から分離された期間、装置のデータメモリーから独立したものとなる。更に、複数の装置との選択的連結により、器具は、変更されたデータを個々の関係する装置に転送でき、それにより装置間における直接のデータ転送が不要となる。この他に、発明は、また、器具が、そのデータの変更能力により異なるデータに適応できるだけでなく、例えば、次々と続く動作段階において、データを収集するのにも適しているという利点にも通じる。この場合、メモリーに前の動作段階の少なくとも一つのパラメータを書き込むことができ、それを次の動作段階を制御するために読み出すことができる。動作段階間の従属性を作り出すことができ、前の動作段階が実行された場合にのみ更なる動作段階が実行される。器具をこの更なる動作段階を実行する装置に連結する際に、これに関するデータ照会が呼び出される。このことは、前の動作段階が実行された場合にのみ動作段階を実行すべき場合、あるいは、実行しなければならない場合に、特に重要である。この条件は、器具の保守及び/又はサービスにおいてもたらされる。更に、器具は、そのデータの継続登録に適しており、従って、器具の操作使用方法をとることができる。
【0013】
更に、本願発明は、特許請求の範囲の請求項6における前文に従う供給装置について、データの搬送を改良又は拡大することを目的とする。
【0014】
この目的は特許請求の範囲の請求項6における特徴部に記載された事項により達成される。特許請求の範囲の請求項6に記載された発明による供給装置にあっては、データ受信機又は読取装置は、メモリー要素へのデータ転送のためのデータ送信機でもある。それにより、供給ラインを介してデータを送ることができ、メモリー要素に関連するデータがメモリー要素に与えられるので、供給装置のデータ記憶が、器具が供給装置から遮断される間は、少なくとも需要から解放され、更には、器具を選択的に連結できる複数の供給装置がある場合に、装置間の直接データラインが不要とされるので、本願発明に従うこの構造は、供給装置の実質的な単純化をもたらす。即ち、データ搬送は、各場合に装置から転送されるそのデータを有する器具により担当され得るものとされる。器具が第二の装置に連結されるとき、第二の装置は器具からデータを呼び出すことができ、従って、装置間の直接のデータラインが不要とされる。
【0015】
本願発明は、更に、特許請求の範囲の請求項9における前文に従う保守装置の機能及び/又は制御を改良及び/又は単純化することを目的とする。
【0016】
この目的は、特許請求の範囲の請求項9における特徴部に記載された事項により達成される。
【0017】
特許請求の範囲の請求項9に従う保守装置は、器具に記憶された識別及び/又は動作パラメータデータを読み取る読取装置を有する。それにより、保守装置は、識別及び/又は動作パラメータデータに従って制御され得るものとされる。そして、個々に読み取られた識別及び/又は動作パラメータに対する保守装置の機能又は制御を適合させる処理が自動的に行われる。更に、この構成は、保守装置の実質的な単純化にもつながる。なぜなら、当該装置に器具を連結する際に、データ搬送は器具を介して遂行でき、また呼び出せるので、少なくとも一つの更なる装置に機能的に接続されたシステムにおいて、装置間の直接のネットワークが不要とされるからである。
【0018】
本願発明は、更に、保守装置のより良好なあるいは単純な機能又は制御を可能とする、医療又は歯科−医療器具の使用法及び保守に対するシステムを提供することを目的とする。
【0019】
この目的は、特許請求の範囲の請求項10における特徴部に記載された事項により達成される。
【0020】
特許請求の範囲の請求項10に従うシステムにあっては、保守装置はコンピュータに接続され、それにより、保守装置はコンピュータともデータ交換する。このことにより、保守装置は、利用可能なコンピュータから制御できるものとされ、それ自身の制御手段を必要としないので単純化され得ることになる。それに加えて、供給装置は、器具の供給のためのセットアップもされ、その際、コンピュータに既に記憶された制御データを利用することができ、従って、保守装置を制御するために識別及び/又は動作パラメータを利用できる。
【0021】
本願発明は、更に、二つの医療又は歯科−医療装置を有する少なくとも一つの医療又は歯科−医療器具を機能的に動作するためのシステムを改良することを目的とする。
【0022】
この目的は、特許請求の範囲の請求項13における特徴部に記載された事項により達成される。特許請求の範囲の請求項13に従うシステムには、登録手段が設けられ、それにより、少なくとも一つの動作段階の少なくとも一つの動作パラメータの進展又は所望値及び/実際値が登録可能とされる。それにより、器具の実際の動作に関するシステムのデータ及び/又は機能的シーケンスが、選択的に記録,理解,表現及び適用することが可能であれば文書化される。その結果、動作シーケンスの検査が実質的に単純化されることになる。
【0023】
少なくとも一つの動作パラメータ又は特徴の実際値を検出及び登録することは、特に有益である。このことは、取り分け、安全性のモニター及び/又は改良に有益である。というのは、製造者により設定された値又はユーザ専用の値(例えば、治療装置の場合は工具の回転速度、あるいは、殺菌装置の場合は殺菌温度)ではなく、実際に達成された実際値を決定して、それを登録することができるからである。従って、処置手順及び/又は保守手順についての技術的安全性のために重要であるパラメータ値が考慮される。このことは、例えば、殺菌装置形式の保守装置の場合に明瞭である。殺菌装置が保守段階において殺菌温度の所定の実際値に達しない場合には、発明によるシステムを用いてこのことが検出又は決定され、従って、理解及び適用することが可能であれば文書化もされる。このことは、例えば、保証請求及び/又は遂行に関する証明又は証拠の提出に関連して特に重要である。
【0024】
登録手段は、少なくとも一つの装置又は器具に関連付けられて、電子メモリー又はメモリーチップにより与えられる。この電子メモリー又はメモリーチップに対しては、他の処置専用及び/又は保守専用情報のパラメータの所望値及び/又は実際値を、データ形式をもって転送及び記憶することができ、例えば、処置段階及び/又は保守段階の間において記憶できる。
【0025】
本願発明は、また、誤った手順の使用法及び/又は誤った保守手順が回避されるという点で安全性の改良を可能にする。このため、登録手段に接続された制御手段は、準備のできていないあるいは準備が不十分な、特に、殺菌が不十分になされた器具の使用が欠陥報告又は機能封鎖等により回避されるように構成することができるものとされる。そして、対応する所定のやり方で、器具が適さない保守手順(例えば、殺菌禁止)を、例えば、表示すること又は封鎖することにより避けることもできる。
【0026】
本願発明では、少なくとも一つの装置のメモリー及び制御手段と少なくとも一つの器具の間のデータ転送を、ワイヤレスリモートコントロール(無線転送路、例えば、電波または赤外転送路)、あるいは、電気的又は光学的ラインにより行うこともできる。
【0027】
器具のための連結器の領域におけるデータラインの構成と機能を改良し、コンパクトな構造とする特徴は、各従属請求項に記載された事項に含まれる。
【発明を実施するための最良の形態】
【0028】
以下に、本願発明による種々の利点をもたらす構成が、好ましい実施例と図面を参照してより詳細に説明される。
【実施例】
【0029】
図1において、その全体が1で示される処置装置の主要部分は、人間又は動物の体又はその部分を処置する器具2,器具2にエネルギーと、電流,光,水及び空気等の駆動及び動作媒質とを供給する供給装置3、及び、その後端が供給装置3に接続され、その自由前端が着脱可能な連結器により器具2に接続された、湾曲又は屈曲可能な供給ライン4を含んで構成される。図1に示される実施例においては、器具2は物質除去器具2(例えば、ドリル器具)であり、その前方領域において保持器又は取付け装置5を有し、その中に工具6が工具軸6aにより着脱自在に挿入される。器具2は細長いあるいはロッド状の形状を有し、例えば、図1に示されるように、真っ直ぐに伸びている。
【0030】
この実施例の場合、器具はいわゆるハンドピース7であり、着脱可能な連結器8、特に、差し込み連結器又は差し込み/回転連結器により、いわゆる接続部9に接続され、これが、例えば、ネジ接続により供給ライン4に着脱不可能に、あるいは着脱自在に接続される。連結器8は好ましくは一方の連結部内の連結凹部8aと、他方の連結部上の移動のための遊びを有する連結凹部8aに合った連結ピン8bにより形成される。好ましくは、連結凹部8aが、ハンドピースの後端部領域に配置されて後方に広がり、連結ピン8bが接続部9から前方に突き出すものとされる。連結凹部8aと連結ピン8bは、好ましくは丸く形成され、それにより、これらの部分間の相対回転性が確保され、そのことが器具2又はハンドピース7の取り扱いを容易にする。
【0031】
差し込み連結器又は差し込み/回転連結器8は、それに関連付けられた着脱自在のラッチ装置11を有する。このラッチ装置11は、好ましくは手動により係合状態を解くものとされ、差し込み連結器又は差し込み/回転連結器8が差し込まれる際に、自動的に作動し、手動で加えられる引っ張り力に応じて係合状態を解く状態をとることができる。そのようなラッチ装置11は、好ましくは、一方の連結部上のラッチ端と、弾性戻り力に抗してラッチ端の後を係合する連結位置から外れる他方の連結部上のラッチ要素とにより形成される。それにより、ラッチ装置11は、連結部が共に差し込まれた際に自動式にスナップインし、解放するには、上記のように手動により係合状態を解くことができる。
【0032】
供給装置3は、それを制御しかつ機能させるため所望の機能を設定するスイッチテーブル12と、読み取られたデータを読み出し、機能を制御しかつ調節するための評価回路を有する電子制御装置13とを有するものとされる。それに関連して、コンピュータ14は、器具2又は工具6及び供給装置3の動作パラメータとデータと関連機能及び条件とを表示するためのスクリーン15を有するパーソナルコンピュータ(PC)と、上記のデータ又は情報の登録又は記録のための登録装置16及びプリンタ17とが、上述の制御又は調節のために一体化されて構成され得るものとされる。
【0033】
種々のタイプの処置を実行するため、処置装置1には、それ自体は既知の複数の器具2が関連付けられる。図2は、例として、いわゆるアングルピース形式の器具2を示す。器具2は、従って、連結器8に関して各場合に適切に形成された種々の構造と機能を含むものとされ、それにより、それらは選択的に接続部9に連結でき、また、交換可能とされる。接続部9に配置されたモータM(例えば、電気モータ)により回転可能とされ、かつ、工具6に駆動接続された状態をとる軸方向に伸びる駆動軸が付いた器具も含まれる。工具6は、器具2の前端部領域に配置された圧縮エアタービンにより駆動可能とされ、このタービンは、供給装置3から供給ライン4,接続部9及び器具2を縦方向に貫通して伸びる圧縮空気供給ライン及び吐出ラインを通じての空気の供給を受ける。
【0034】
動作媒質又は処置媒質の供給のため、器具は、空気ライン,水ライン又はスプレーラインを有し、それらは、それ自体は既知の方式をもって器具2の前端部において外に出て、処置個所に向けられる。器具2は、その前端部領域に配置された光出口まで伸びるランプを伴って、縦方向に伸びる光導体又は縦方向に伸びる電気ラインを有する照明装置を有していてもよい。上記の装置に対する供給のため、供給装置3の供給ユニット3aから供給ライン4を通って接続部9又は器具2における関連する消費者負荷まで伸びる、いわゆる媒質ラインが設けられる。回転/差し込み結合器が設けられた場合には、媒質ラインは、特に、密封方式をもってこれを共軸的に通過し、かつ/あるいは、複数の媒質ラインが、それ自体知られているようにZ型の密封方式をもって連結ピン8bと連結凹部8aの間の円筒形の分割継ぎ手を通過する。これらのそれ自体既知の関係をより一層明確にするため、図2にあっては、例えば、水,圧縮空気及び光に対する三つの媒質ライン18,19,20が概略的に図解されており、これらは共軸的にあるいはZ状に連結器8を通過する。
【0035】
異なる処置又は動作プログラムを設定するため、処置装置1は、少なくとも二つのプログラムレベルを有する。第一のプログラムレベルについては、ユーザが、製造者によりあるいは工場で予め決定された複数の治療又は動作プログラムから所望のものを選択できる。第二のプログラムレベルについては、ユーザが、複数のユーザ専用に作られた動作プログラムから所望のものを選択できる。動作プログラムの一つが選択された後には、制御装置13が、選択された動作プログラムに対応する動作パラメータ情報又はデータに従って器具2又は工具6を制御する。ユーザは、ユーザ専用の記憶された動作プログラムと製造者により予め決定された動作プログラムとから所望通りのプログラム選択を行うことができるのである。
【0036】
各動作プログラムに関連付けられた動作パラメータは、選択されるべき器具2に関する情報とその駆動及び/又は処置専用データ(例えば、回転速度,透過率,効率,動作媒質、及び、動作媒質量等に関するデータ)とを含む。
【0037】
登録装置16は、例えば、スクリーン15上での表示、あるいは、プリンタ17によるプリントアウトによる表示を行うため、所望の動作についてのユーザ専用のデータと現在の動作時間を越える情報とを登録すること及びそれらを呼び出すことができる。
【0038】
器具2の識別のため、器具2はその連結部の領域にコード10aを有する。このコード10aは、接続部9又は供給ライン4上の他の連結部の領域に配置され、また、少なくとも一つの関連付けられたデータラインにより制御装置13に接続された読取装置10bによる読取りが可能とされる。
【0039】
機能的動作が可変とされるデータの場合、登録装置16は、好ましくは、例えば、ユーザにより設定された設定望値だけでなく、実際に到達した実際値も登録するようにセットアップされる。それには、例えば、最大回転速度が含まれ、斯かる最大回転速度は、負荷とパワーとによって異なる。実際値の登録は、実際の状況を記録し、その後、動作を明らかにしかつ評価するために状況を呼び出し、それを表示することを可能にする。
【0040】
10をもって示される識別装置は、例えば、光学的,電磁的又は誘導効果的なものとされる。連結凹部8aと連結ピン8bとを有する差し込み/回転連結器8の場合、識別装置を連結器8の円筒形又は放射状の分割継ぎ手の両側に配置するのがよい。コード10aは、実施例の場合、連結凹部8aを囲む器具2のスリーブ壁2aの中又は上に配置され、従って、読取装置10bが、連結ピン8b又はスリーブ壁2aの反対側にある接続部9に配置される。第一の場合には、識別装置10の作動方向は放射方向であり、それにより読取装置10bのデータは連結ピン8b内の外面からアクセスできるものとされ、一方、第二の場合には、読取装置10bはスリーブ壁2aの軸方向突起領域に配置され、データは接続部9上の環状段差表面からアクセスできるものとされる。
【0041】
同一又は類似の部分に同一の参照符号が付された図6に示された実施例の場合、裏面、ここではスリーブ壁2aの裏面上の、例えば、パターンコード、特に、バーコードの形式のコード10aを有する光学的識別装置10と、接続部9の放射方向の分割継ぎ手の後にある読取装置10bとがある。この読取装置10bは、例えば、発光ダイオードにより形成された光源10cと、光電池センサー10dとを有し、これらは、好ましくは、放射方向分割表面にある環状段差において広がる凹部21内に固定して置かれた、共通の、特に、円筒形の台10e内に配置され、あるいは、埋め込まれる。パターンコード(白黒領域)は、好ましくは、図7に示すように、間に異なる角度のものが含まれる放射方向の縞により形成される。読み取り方向は、軸方向又は軸方向に平行とされる。
【0042】
同一又は類似の部分に同一の参照符号が付された図8及び図9に示される実施例にあっては、読取装置10bの読み取り方向は、放射方向、ここでは、放射方向で内側に向いている。この実施例の場合、互いに隣り合った複数の光電導セルセンサー10dが、コード10aに関して円周方向に、かつ、放射方向で外向きに配置される。コード10aは、外側円周又は線分面上に白黒マーク、特に、バーコードで形成される。図9に示されるように、コード10aと読取装置10bとは、互いに放射方向に対向する連結部の部分に配置される。ここでは、コード10aは、読取装置10bにより上方に係合される器具2上の内側ショルダ2bの外面に配置してもよい。好ましくは、複数備えられる光電導セルは、接続部9の前向きの端面に配置されて、センサーリング線分内にまとめられる。読取装置10bを受容する自由空間は、接続部9の突き出たスリーブ延長部により覆われてもよい。パラレル・シリアルコンバータ又は評価回路は、10gが付されたものとして示されている。
【0043】
図9及び図10に示される実施例は、接続部9の放射方向の分割継ぎ手の後に適当に配置された磁気センサー10h(例えば、ホールセンサー又はフィールドプレート)を有した識別装置10を備えている。磁石10iは、後方に開いた凹部22内でセンサー10hに対向するスリーブ壁2a内に配置されている。図11は、ランプ23を有する照明装置が備えられた場合におけるセンサー10hの配置と電気接続を概略的に示し、このランプは、当該実施例の場合、センサー10hに関して円周方向にずれた接続部9内に配置され、スリーブ壁2a内で前方に伸びかつランプ23に対向して器具2内に配置される光導体24に光を供給する。センサー10hは、電気ライン部10jを介してランプ23の電流回路25に接続される。コード10aは、この実施例においては、異なる器具が異なる長さの電磁場を有する磁石10iを有し、ホールセンサー10hと磁石10iの間のエアギャップが各々において結合状態が異なるように構成されている。それにより、センサー10h内に異なる電位が生じ、電子制御装置13の信号ラインを介して供給され、この信号ラインはセンサー10hから接続部9と供給ライン4を介して後方に、所望の動作データを設定するための電子制御装置13まで伸びている。
【0044】
図12乃至図14a及び図14bに示される実施例にあっては、器具2のための識別装置10は、連結器8の領域に回転部が取り付けられ、それが器具2の駆動チャンネルに回転可能に取り付けられた駆動軸2cであるように設けられている。駆動軸2cの後方端部は、差し込み連結器2dにより接続部9に回転可能に付けられた駆動軸部9aに連結されているが、この駆動軸部は、例えば、モータMの駆動軸であってもよい。この構成にあっては、連結ピン8bの端面において接続部9に保持されるセンサー10kが設けられている。器具2の駆動軸2cには、角度Φに渡って伸びかつ角度Φに渡って高さが低くなっている強磁性材料の送信機要素10aが配置されている。斯かる送信機要素10aは、展開図で見れば傾斜形状を有している。そして、送信機要素10aは、駆動軸2cの回転に伴ってセンサー10kを通過する。センサー10kは、例えば、コイルとされ、送信機要素10aは、センサー10kを形成するコイルを通過しつつ、駆動軸2cの回転速度と回転方向に従った電圧Uを発生する。
【0045】
こうして送信機要素10aの開始高さと終了高さを選択することにより、かつ/あるいは、送信機要素が伸びる角度Φを選択することにより、器具2の符号化が可能であり、言い換えれば、ある傾斜形状を選択することにより符号化が可能とされる。
【0046】
図14a及び図14bにおいて、センサー要素10kの出力信号を、時間対電圧Uの関係をもって図解する。図13における駆動軸2cの回転の際に電圧パルスが生じる。
【0047】
駆動軸2cの右方回転に対する電圧パルスを、図14aに示す。この場合、送信機要素10aによる傾斜は、センサー10kに関して上昇形状を有し、その結果、正の電位パルスが発生される。
【0048】
それに対して、駆動軸の左方回転の場合の電圧パルスを、図14bに示す。この場合、送信機要素10aによる傾斜は、センサー10kに関して下降形状を有し、電圧パルスは負とされる。
【0049】
図14a及び14bの両図において、電圧パルスは持続時間t1及び持続時間t2を有する。周期はTである。図13に示す角度Φと図14a及び14bに示される時間との関係は下記の式で与えられる。
【0050】
Φ = 360 °×t1/T
【0051】
駆動軸2cの回転速度nは、n=1/Tである。t1とt2又はTの測定により、符号化角度Φが演繹される。
【0052】
回転速度nを知ることができれば、電圧Uの振幅の測定により傾斜形状を決定でき、従って、符号化を行うことができることになる。
【0053】
電圧パルスの極性は、駆動軸2cの回転方向(右又は左への)に関する情報を提供する。
【0054】
図15及び図16に示される実施例にあっては、コード10aは、各場合に応じて変更可能とされる。コード10aは、読取装置10bにより読取り可能な一定のデータを利用可能とするだけでなく、そこに記憶されたデータについての変更を行うことができ、このことは、電子制御装置13からそこに転送されたデータについても当てはまる。斯かるデータは、動作データ、例えば、製造者により予め決定され、あるいは、ユーザにより作成された少なくとも一つの動作プログラムを含んでいてもよい。また、他の情報、例えば、器具2の動作、及び/又は治療すべき患者、及び/又は保守手順の意味での器具の処理に関する情報も含んでもよい。それにより、読取装置10bは、それと同時にデータ送受信機10oであり、コード10aは、データ送信機10oからのデータの転送を通じて変更可能であり、好ましくは、データ送信機10oから転送されたデータによるデータの上書きが行われるメモリー要素10pにより構成される。図15及び図16は、呼出しかつ再度書込みが行われるデータが、電子制御装置13とメモリー要素10pとの間で一方向及び別の方向に選択的に転送されるデータ転送装置についての、二つの実施例を夫々示す。
【0055】
図15には、データ送受信機10oとメモリー要素10pと間の機械接点手段10qを有する実施例が示されている。個々の電気接点は、簡略化のため図示されていない。図16には、データ送受信機10oとメモリー要素10pとの間で無接点データ転送が行われる実施例が示されている。斯かる無接点データ転送は、例えば、電磁的にあるいは誘導的に行われる。メモリー要素10pはトランスポンダ、即ち、照会−応答システムに従って作動する送受信装置により構成されてもよい。データ送受信機10oの場合、対応するトランスポンダを含んでもよい。どちらの場合も、各場合に予め作成された、特に、ピン状コンポーネントにより構成され、かつ、凹部21,22に対応する凹部内の所定場所に入れられたメモリー要素が含まれる。
【0056】
患者に対する器具2の意図された処置のため、及び/又は、器具2自身の処理(例えば、保守手段)のため、及び/又は、データ登録のため、重要なデータを器具2へ転送することにより、そのデータを受信し、かつ、好ましくは、そのデータをメモリー要素10pに戻すことができるデータ送受信機を有した別の装置と器具2とを組み合わせることができる。そのような更なる装置の場合には、例えば、ユーザが利用可能な第二の処置装置(図示せず)及び/又は以下に述べる保守装置が含まれる。従って、図15及び図16に示される実施例では、データ搬送が器具2により行えるので、供給装置3と更なる装置の間に直接のデータラインを設けることは不要とされる。
【0057】
上述の実施例の全てについて、接続部9上又はこれから突き出る連結ピン8b上に、感知コンポーネントである読取装置10bを配置し、器具2上にコードを配置するのが有利である。それにより、識別装置10における低感度の部分が、洗浄,消毒及び/又は殺菌に際して、重要な要件(特に温度)の影響を受ける器具2上に配置されることになる。その他、電子制御装置13が、少なくとも一つの適当なデータラインにより、読取装置10b又はデータ送受信機10oに接続される。
【0058】
図3乃至図5は、各々が、例として保守装置のような第二の装置を示し、図3及び図4の夫々は殺菌装置31を示し、図5は洗浄及び給油用の保守装置32を示している。
【0059】
図3に示される殺菌装置31は、ハウジング33内に、図示しないドアにより開閉できる殺菌チャンバ34を有し、それにより殺菌すべき器具2を殺菌チャンバ34、例えば、容器又はボール35まで持って行き、そこに置くことができる。図6乃至図11,図15及び図16に示される構成に従う器具2で使用できるように、殺菌装置31には、読取装置10b又はデータ送受信機10oが関連付けられ、それは殺菌チャンバ34の中に配置されても外に配置されてもよい。また、コード10aに基づいて器具2を識別でき、さらに、消毒に必要な供給手段による供給を実行し、そのため、例えば、必要な殺菌温度(例えば、少なくとも135°)までの殺菌チャンバ34の加熱と、必要に応じての、殺菌チャンバ34の正圧又は負圧の発生も行う。参照符号36及び37が夫々付された、殺菌媒質を利用可能にする供給装置と、読み取られたデータ用の評価回路を有しかつ殺菌手段を制御する電子制御装置とが、関連付けられている。読取装置10b又はデータ受信機10oにより読み取られたデータは、器具2を認識し、殺菌手段を制御するため、制御装置37に供給される。
【0060】
図4に示される実施例は、図3に示される実施例とは、殺菌チャンバ34内に、連結ピン8bに形状とサイズとが対応する連結ピン8b1が配置され、これが、例えば、殺菌チャンバ34の壁に取りけられ、その上に、器具2がその連結凹部8aを用いて挿入される点において異なる。この図4に示される実施例において、連結器8は、それと対応する反対に形成されてもよく、つまり殺菌チャンバに連結凹部が配置され、その中に、突き出た連結ピンにより器具2が挿入されてもよい。それにより、殺菌チャンバ34には、位置決めと器具2及びそのデータの認識とを容易にする、器具2のための位置決め装置が設けられる。
【0061】
図5に示される保守装置32は、ハウジング38内に保守チャンバ39を有しており、斯かる保守チャンバ39は、図示されていないドアにより選択的に開閉される。そして、保守チャンバ39中に器具2がもたらされ、保守手順のため、保守チャンバ39内で、例えば、容器又はボールあるいは連結部(特に殺菌装置31に対して既に述べた連結ピン8b1)の上に配置される。保守装置32は、図5に概略的に示されるように、異なる器具2のための複数の連結部又は連結ピン8b1を有するものとされる。図3及び図4に示される殺菌装置31も、異なる器具2のためのそのような連結部を有するものとされる。保守装置32は、供給装置36と、保守媒質(例えば、圧縮空気又はオイルのような保守媒質)を利用可能にし、またこれらの媒質を器具2へ供給するとともに、洗浄及び/又は保守を実行する目的でこれらの手段を制御する、読み取られたデータのための評価回路を有する電子制御装置37とを有する。なお、保守装置32は、導入部で述べられたような種類のものであってもよい。
【0062】
保守装置31と同様に、保守装置32も、付属する連結部8b1に関連付けられた読取装置10b又はデータ送受信機10oを有し、斯かる読取装置10b又はデータ送受信機10oは、コード10a又はデータ記憶に基づいて、導入又は連結された器具2を認識し、そのデータを、供給装置36を制御しかつ保守手順を実行する制御装置37へと送る。
【0063】
第一又は第二の保守装置、ここでは、殺菌装置31と保守装置32又は他の装置において、各場合に応じて、関係データを処理しかつそのデータに対応する制御を実行するコンピュータ14aの適用が可能であるなら、それがスクリーン15に関連付けられてもよい。その他に、これら装置の夫々には、動作データ及び情報の登録(例えば、実行される保守手段の登録、特に、この動作データの所望値及び実際値の登録)のための登録装置16が関連付けられる。斯かる動作データ及び情報は、殺菌装置31の場合、例えば、殺菌時間及び/又は殺菌温度及び/又は殺菌正圧又は負圧を含んだものとされる。保守装置32の場合には、例えば、吹きつけ時間及び/又は給油時間のような保守手段の保守又は機能時間及び/又は油量を含んだものとされる。
【0064】
上述の実施例の場合、保守媒質(ここでは、圧縮空気と油)に対する供給ライン41が存在し、かつ、単純化された方式で図解されている。斯かる供給ライン41は、個々に関連付けられた貯蔵器から連結部8b1まで伸び、器具2の連結状態において器具2の媒質チャンネル(ここでは、チャンネル18,19及び/又はいわゆる駆動チャンネル)と接続状態にあり、その中に器具2の駆動軸が、圧縮空気の吹き付けによる洗浄と、保守媒質(特に油)の導入又は吹き付けによる駆動チャンネルの保守とを目的として回転可能に取り付けられる。
【0065】
図15及び図16に示される構造にあっては、必要なデータが器具2に記憶され、器具2により関係する装置に転送され、あるいは、関係する装置から呼び出されるので、データライン42による装置1及び/又は31及び/又は32についての直接のネットワークの構築を省略することができる。コード10aが読取装置10bによりのみ読み取れる構成では、少なくとも二つの装置間にネットワーク42を構築することが必要である。このネットワークは、特定の電気ラインにより、あるいは、無線方式により(例えば、赤外線又は電波送信路を介して)行うことができるが、少なくとも二つの装置1及び/又は31及び/又は32及び/又は少なくとも一つの更なる装置(例えば、第二の処置装置)に共通の電子制御装置13又は共通のコンピュータ14,共通の登録装置16及び共通のプリンタ17が備えられる。このような構成にあっては、器具2を図15及び図16に示されるようにして保守又は処理すべき場合には、制御が共通に行われるので、ネットワーク42の構築が必要とされるのである。
【産業上の利用可能性】
【0066】
以下に、本願発明による構成の様々な利点と機能とにつき、まとめて述べる。
【0067】
図1及び図2に示される実施例においては、処置装置1は、おそらく存在することになる治療椅子と共に、外科装置(特に、マイクロ外科装置又は歯科用治療装置)が含まれる治療ステーションを形成する。動作データ(例えば、使用時に生じる回転の最大トルク又は最大工具速度)の所望値だけでなく実際値、更には、動作情報(例えば、時間,日付)をも登録する結果として、動作データの所望値や実際値も、処置中だけでなく処置後も呼び出せ、一時的に、あるいは恒久的に、例えば、スクリーン15上に表示することができ、また、プリンタ17によりプリントアウトすることにより表示することができる。そして、それにより、患者又は体の処置への器具2の使用及び/又は(例えば、保守のための)器具2自身の処理を決定しかつ評価することができ、このことは、特に、保証請求と処置寿命に関連して意味をもつ。
【0068】
これらの利点と手段とは、図1及び図2に示される治療装置だけでなく、洗浄及び/又は消毒及び/又は殺菌を実行する保守装置32にも適用される。
【0069】
本願発明による構成は、器具2の以下の要件の認識と遂行を可能にする。即ち、
a)いずれの器具2が関係するか。
b)器具2が如何なる要件(例えば、回転速度,トルクのような動作データ)を提供し、如何なる動作媒質(空気,水,電流等)が必要か。
c)器具が如何なる状態にあるか(例えば、器具が既に何時間動作したか,洗浄又は消毒又は殺菌又は保守がされているか)。
【0070】
上述の要件a)とb)とは、個々あるいは共通の電子制御装置により、得られた識別データを電子制御装置に記憶されたデータと比較及び評価することにより認識される。また、要件c)は、関連する動作データが決定されて登録され、それにより、関連する登録データが器具2の現在の状態を表すようにすることにより遂行される。そして、データを継続して登録することにより、処置及び保守の特定の動作機能だけでなく動作の進展も登録できる。前の動作手順が生じ、あるいは、データにより登録又は記憶された特定の動作条件が達成された場合、一定の動作手順のみが影響を受けるように前の動作手順又は記憶されたデータに従って個々の動作手順又はデータを制御することができる。例えば、器具2が保守されなかった場合には、関連するデータがないことに基づいて、制御装置はこの欠陥を認識し、かつ、引き続く動作手順を封鎖し、あるいは、警報信号によりこの欠陥を表示し、あるいは、この欠陥を登録する。例えば、器具2が保守されていない場合、あるいは、保守が不十分である場合(例えば、殺菌温度及び/又は殺菌時間が所望値に対応しない場合)、制御装置は、遅くとも器具を供給装置3に連結した際に、このことを認識し、それにより制御装置は使用を封鎖し、あるいは、少なくともこの欠陥を表示する。
【0071】
そのような封鎖又は表示は、さらに、器具2が所定の動作時間数を超えたか否かの判別を可能にし、それについては、関連するデータの登録によりモニターすることができる。
【0072】
本願発明は、装置及び/又は器具が適切な認識データを記憶するときは、少なくとも一つの器具2の動作手順及び状態が少なくとも二つの処置及び/又は供給装置において認識できるという洞察に基づいている。器具2は、例えば、その保守のための保守装置31又は32に連結される。この装置は器具の個々の種類を認識する。装置は、次に、正確にこの器具2に対して記憶されたデータを呼び出す。そして、これらのパラメータ(油量、吹き出し時間)に従って、保守サイクルが開始される。保守が完了した後には、関連する手順又は保守データが記憶され、その際には、器具2のシリアル番号も役立つことになる。
【0073】
少なくとも一つの他の装置が、前の動作手順のデータを呼び出しかつ記憶する状況にあるときは、装置のデータネットワークを通じて、複数の装置の動作手順(例えば、器具2の保守及び動作)を追跡することができる。
【0074】
例えば、器具Aが、2001年1月16日10時に保守装置32内で保守を受け、2001年1月16日10時5分に殺菌装置31内で殺菌され、2001年10月16日11時に処置装置1(患者4)上で合計5分間動作して、それらについてのデータが保存されたとすると、それに基づき、その後の動作手順が決定できるだけでなく、例えば、関連する制御装置に未殺菌の器具2が連結される際に、その制御装置に付随する欠陥報告によって推測又は認識される欠陥も決定できる。
【図面の簡単な説明】
【0075】
【図1】本願発明に係る医療又は歯科−医療処置装置ついての概略的側面図である。
【図2】処置装置に対する多目的装置の部分を構成する医療又は歯科−医療器具である。
【図3】殺菌装置の形式をとる第一の保守装置についての概略的側面図である。
【図4】殺菌装置の形式をとる第一の保守装置の変形例についての概略的側面図である。
【図5】洗浄及び/又は潤滑装置の形式をとる第二の保守装置についての概略的側面図である。
【図6】図1においてXにより示される部分の詳細の一例をあらわす拡大図である。
【図7】図1においてXにより示される部分の詳細の変形例である。
【図8】図1においてXにより示される部分の詳細の更なる変形例である。
【図9】図8に示される例におけるIX−IX断面である。
【図10】図1においてXにより示される部分の詳細の更なる変形例である。
【図11】図1においてXにより示される部分の詳細の更なる変形例である。
【図12】図1においてXにより示され部分の詳細の更なる変形例を備えた器具である。
【図13】図12に示される例におけるXIII−XIII断面である。
【図14a】図12及び13に示される例において発生される電圧の波形である。
【図14b】図12及び13に示される例において発生される電圧の波形である。
【図15】図1においてXにより示される部分の詳細の更なる変形例である。
【図16】図1においてXにより示される部分の詳細の更なる変形例である。
Claims (15)
- 識別及び/又は動作パラメータデータに対するメモリー要素(10p)を有し、該メモリー要素(10p)が、前記データを他のデータにより上書きするように構成されることを特徴とする医療又は歯科−医療器具(2)。
- 前記メモリー要素(10p)が、データの取込み及び/又は発行を行う接点手段(10q)、又は、データの非接触状態のもとでの取込み及び/又は発行を行う手段を有することを特徴とする請求項1に記載の器具。
- 媒質を供給する供給装置(3)の供給ライン(4)における対応する連結部に連結可能な連結部を有し、前記メモリー要素(10p)が前記連結部の領域に配置されることを特徴とする請求項1又は請求項2に記載の器具。
- 前記連結部が、後方に配置された連結凹部(8a)又は前記器具から後方に突き出た連結ピン(8b)により形成され、前記メモリー要素(10p)が、前記連結凹部(8a)を囲むスリーブ壁(2a)に配置されかつ前記スリーブ壁(2a)の内面から、もしくは、スリーブ壁(2a)の後方環状端面から前記対応する連結部に対してアクセスでき、あるいは、前記連結ピン(8b)に配置されかつ前記連結ピン(8b)の表面からアクセスでき、あるいは、環状段差面の後ろの連結ピン基部に配置されかつ前記環状段差からアクセスできることを特徴とする請求項3に記載の器具。
- 器具(2)が少なくとも一つの処置段階と少なくとも一つの保守段階を経るもとで、前記処置段階から少なくとも一つのパラメータが前記メモリー要素(10p)に書き込まれ、それが前記保守段階の制御のために読み出され、かつ/あるいは前記保守段階の少なくとも一つのパラメータが前記メモリー要素(10p)に書き込まれ、それが前記処置段階の制御のために読み出されることを特徴とする請求項1乃至請求項4の何れかに記載の器具(2)の使用法。
- コンピュータ制御され、供給ライン(4)が設けられてその端部に連結部が配置され、それを用いて前記供給ライン(4)が医療又は歯科−医療器具(2)に接続できるものとされ、前記連結部の領域に、前記器具(2)のメモリー要素(10p)に記憶された識別及び/又は動作データを受信するデータ受信機が配置されて、該データ受信機が、データを前記メモリー要素(10p)に転送するデータ送信機(10o)でもあることを特徴とする、少なくとも一つの医療又は歯科−医療器具(2)に媒質を供給する供給装置(3)。
- 前記データ送受信機(10o)が前記供給ライン(4)の前端部に配置された連結部の領域に配置されることを特徴とする請求項6に記載の供給装置。
- 前記連結部が、前記供給ライン(4)から突き出る連結ピン(8b)により形成され、前記データ受信機又は送信機(10o)が、前記連結ピン(8b)内又は環状ショルダ面の後ろに配置され、そこから前記連結ピンが前記連結凹部を囲むスリーブ壁内で伸びていることを特徴とする請求項7に記載の供給装置。
- 少なくとも一つの医療又は歯科−医療器具(2)の保守を行うものであって、前記器具(2)に記憶された識別及び/又は動作パラメータデータの読み取りのための読取装置(10b)によって特徴付けられる保守装置(31,32)。
- 医療又は歯科−医療器具(2)についての処置及び保守を行うものであって、前記器具が、処置用媒質を前記器具に供給する供給装置(3)と、前記器具(2)を保守する保守装置(31,32)とを伴い、前記供給装置(3)が、前記供給装置(3)とデータ交換するコンピュータ(14)に接続されるシステムであって、前記保守装置(31,32)が前記コンピュータ(14)に接続されかつそれとデータ交換することを特徴とするシステム。
- 前記保守装置又はシステムが連結部を有し、それにより前記器具(2)を前記保守装置(31,32)に連結でき、前記読取装置(10b)が前記連結部の領域に配置されることを特徴とする請求項9又は請求項10に記載の保守装置又はシステム。
- 前記連結部が、突き出た連結ピン(8b1)により形成され、前記読取装置(10b)が、前記連結ピン(8b1)内又は前記連結ピン(8b1)が突き出ている環状段差面の後ろに配置されていることを特徴とする請求項9乃至請求項11の何れかに記載の保守装置又はシステム。
- 登録手段(16)が設けられ、それにより少なくとも一つの動作段階の動作データの進展又は所望値及び/又は実際値が登録可能であることを特徴とする、少なくとも二つの装置に対して動作段階を経るべき少なくとも一つの医療又は歯科−医療器具(2)のためのシステム。
- 前記装置が、一つ又は二つの処置装置(3)と、保守装置、特に、殺菌装置(31)及び前記器具(2)を洗浄する保守装置(32)と、で構成されることを特徴とする請求項13に記載のシステム。
- 前の動作段階が完了しなかった場合、あるいは、前の動作段階のデータの実際値が無いもしくは不満足である場合、に欠陥報告が行われ、かつ/あるいは、装置の動作段階が封鎖されることを特徴とする請求項13又は請求項14に記載のシステム。
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DE10127772 | 2001-06-07 | ||
PCT/EP2002/006136 WO2002098315A2 (de) | 2001-06-07 | 2002-06-04 | Dentalmedizinisches instrument, versorgungsgerät, pflegegerät und system für das dentalmedizinische instrument |
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JP2008258995A Division JP2009006174A (ja) | 2001-06-07 | 2008-10-03 | 医療又は歯科医療器具を作動させるとともに保守するためのシステム |
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JP2004532084A true JP2004532084A (ja) | 2004-10-21 |
JP2004532084A5 JP2004532084A5 (ja) | 2006-01-05 |
JP4339678B2 JP4339678B2 (ja) | 2009-10-07 |
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JP2003501361A Expired - Fee Related JP4339678B2 (ja) | 2001-06-07 | 2002-06-04 | 医療又は歯科医療器具,医療又は歯科医療器具に媒質を供給する供給装置、及び、医療又は歯科医療器具のための保守装置 |
JP2008258995A Pending JP2009006174A (ja) | 2001-06-07 | 2008-10-03 | 医療又は歯科医療器具を作動させるとともに保守するためのシステム |
JP2011055132A Pending JP2011139911A (ja) | 2001-06-07 | 2011-03-14 | 医療又は歯科医療器具を作動させるとともに保守するためのシステム |
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JP2011055132A Pending JP2011139911A (ja) | 2001-06-07 | 2011-03-14 | 医療又は歯科医療器具を作動させるとともに保守するためのシステム |
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US (1) | US7258546B2 (ja) |
EP (2) | EP2067451B1 (ja) |
JP (3) | JP4339678B2 (ja) |
AT (1) | ATE451068T1 (ja) |
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US20040209223A1 (en) | 2004-10-21 |
EP1392193B1 (de) | 2009-12-09 |
DE10225232A1 (de) | 2002-12-12 |
WO2002098315A3 (de) | 2003-04-10 |
US7258546B2 (en) | 2007-08-21 |
JP4339678B2 (ja) | 2009-10-07 |
ATE451068T1 (de) | 2009-12-15 |
EP2067451A1 (de) | 2009-06-10 |
DE50214070D1 (de) | 2010-01-21 |
JP2009006174A (ja) | 2009-01-15 |
JP2011139911A (ja) | 2011-07-21 |
WO2002098315A2 (de) | 2002-12-12 |
EP2067451B1 (de) | 2013-11-20 |
EP1392193A2 (de) | 2004-03-03 |
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