JP2005267115A - Dental care support system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a system and a device carrying out dental care support by a specialist regardless of where the specialist is when a common dentist carries out dental care of a specialized field in a field requiring advanced expert medical technology in dental care. <P>SOLUTION: A terminal device of the common dentist is connected to a portable terminal device of the specialist via a network including the Internet, and a server computer of a dental care support center. By sending an image of a treatment state by the dentist taken by an imaging device of the first terminal, and voice of the dentist to the terminal device of the specialist, the specialist grasps the state of treatment and a question, and dental care support can be carried out by voice and images. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

  The present invention provides an Internet connection between a terminal device of a general dentist and a portable terminal device of a specialist who has a high level of specialized technology for a treatment action requiring a high level of medical technology at a dentist's treatment site. The present invention relates to a system, an apparatus, and a program for the same, which are connected via a network including the same and support medical treatment of a general dentist using each terminal device.

  In the medical field of dental treatment, many patients are demanding treatments that require highly specialized techniques such as implants and adult orthodontics. In order to perform treatment requiring such highly specialized skills, doctors with highly specialized skills are required. However, the reality is that there are only a few specialists with such advanced expertise. Therefore, it is essential for general dentists to acquire such advanced technical skills. In order to acquire such specialized skills, guidance by a dentist with specialized skills is indispensable. However, in order for a general dentist to receive guidance from a dentist who has a high level of expertise while performing medical care, a supervising doctor visits the general dentist's practice site, or a general dentist visits the practice site of the instructor. It is difficult because it is necessary to visit a doctor. Furthermore, even if a specialist visits a site where an actual medical treatment or treatment is performed in order for a general physician to receive guidance, he / she can only learn the treatment performed by the specialist at that time. In other words, different types of treatment methods must also be taught at different times. Also, even if you actually visit the treatment, it is transient, so you need to learn repeatedly to understand it properly. In addition, it is essential to receive guidance from a specialist when performing treatment. However, it is extremely difficult for doctors who conduct general medical care to repeatedly receive guidance from specialists during their own examinations until they can acquire skills.

  Further, when a specialist goes to a general physician for guidance, guidance can only be given by the physician to which he / she goes, so the more doctors who wish to acquire the technology, the more difficult the guidance by the specialist.

On the other hand, in order to receive treatment requiring high-level technical skills, it is necessary for the patient to receive treatment to go to a hospital or clinic where specialists are located. There are few specialists who have such advanced technical skills, and it is difficult to obtain the opportunity for medical treatment. In addition, dental treatment is rarely completed with a single examination treatment, and a plurality of examination treatments are required. Therefore, it is very difficult for a patient to visit a distant specialist multiple times. For this reason, it is desirable that high-level specialized medical care can be received under a nearby doctor.
JP 2002-245183 A JP-A-9-117417

  The problem to be solved is, from the standpoint of a general dentist, to acquire a high level of expertise while conducting medical examination and treatment at his clinic. To that end, it is of course necessary to repeatedly learn by themselves using literature, images, etc., but in order to acquire reliable technology, it is necessary to receive guidance from a supervising physician who possesses advanced specialized skills. is there. Therefore, an object of the present invention is to obtain an apparatus, a program, and a system that can easily receive guidance from a specialist having advanced specialized techniques. On the other hand, from the standpoint of a supervising physician, you should be able to give guidance repeatedly without visiting a general physician. In addition, to be able to give guidance to multiple general physicians at the same time according to the individual examination and treatment conditions. Furthermore, it is to obtain an apparatus, a program, and a system that allow general doctors to perform guidance according to the desire of guidance wherever they are.

  According to a first aspect of the present invention, there is provided a dental care support system comprising: a first terminal device of a plurality of dentists; a server computer of a dental care support center; and a network in which a second terminal device portable to an instructor includes the Internet. Are connected to each other, and exchange of voice and images is performed with each other through the connected terminals to support dental care. For this purpose, the first terminal device of the dentist is connected to the server computer via the network by the first connection means, takes an image of the dental treatment by the dentist by the imaging means, and the first voice input means The voice of the dentist is input by the above, and further, the imaged dental treatment is guided by the first image transmission unit, and the input voice is guided by the first transmission unit via the network by the first voice transmission unit. It transmits to convey the situation to the second terminal device of the doctor. On the other hand, a first receiving means for receiving a voice by a first voice receiving unit and receiving an image by a first image receiving unit in order to receive guidance and guidance from a doctor from the network; The first audio output means for outputting the sound and the first display means for displaying the captured image by the captured image display section and the received image by the first image display section.

  On the other hand, the second terminal device of the instructing doctor is connected to the server computer via the network by the second connecting means, and is transmitted from the server computer via the network by the second image receiving unit of the second receiving means. One or more images are received, and the sound is received by the second sound receiving unit of the second receiving means. Furthermore, one or a plurality of received images are displayed by the second image display unit of the second display means. At the same time, the received voice is output by the second voice output means. In addition, the image selection means selects an image giving a priority instruction from a plurality of displayed images, and the voice of the instructing doctor input by the second voice input means is input as the voice for the selected image. Further, the instruction information input by the instruction information input means is input to the selected image. The image in which the instruction information is input is transmitted by the second image transmission unit of the second transmission unit, and the sound is transmitted by the second audio transmission unit to the first terminal device of the image selected via the network. .

  Further, the server computer is connected to the first terminal devices of a plurality of general dentists via the network by the server first connection means, and is connected to the second terminal device of the supervising doctor via the network by the server second connection means. Connect. Furthermore, the server first receiving means receives the image and sound transmitted from the first terminal device, and the server second transmitting means receives the one received by the second terminal device of the supervising physician connected to the network. Or a plurality of images and the sound of one selected by the second terminal device of the supervising physician are transmitted. On the other hand, the server second receiving means receives instruction information consisting of an image or sound transmitted from the second terminal device of the instructing doctor, and instructs the first terminal device of the corresponding dentist by the server first transmitting means. Send information. Thus, the invention of claim 1 is characterized in that a dental care support system is constituted by the above-described first terminal device, second terminal device, and server computer.

Furthermore, dental treatment technology information including a plurality of exemplary treatment images, a plurality of technical documents, and a plurality of treatment manuals by a specialized instructor is stored and stored in the dental treatment technology information storage means of the server computer. In addition, the latest information storage means stores the latest dental treatment technical information including the latest plurality of exemplary treatment videos, the latest plurality of technical literatures, and the latest plurality of treatment manuals by a specialized instructor. Further, when the dental medical technique information stored in the latest information storage means is updated for a predetermined period or the latest information storage means, the update storage means moves and stores the pre-update dental medical technique information in the dental medical technique information storage means. Further, the first terminal device stores the dental treatment technology information similar to the dental treatment technology information stored in the dental treatment technology information storage unit in the dental treatment technology information storage unit of the first storage unit. Furthermore, the dental practice technology information is displayed by the dental practice technology information display section of the first display means. Furthermore, it is connected to a server computer, and the latest dental care technology information stored in the latest information storage means is browsed by the dental care technology information browsing means.

Further, the latest information stored in the dental care technology information stored in the dental care technology information storage means or the latest information storage means as the guidance information for the first terminal device by the guidance information selection setting means of the second terminal device. Information necessary for guidance is selected and set as guidance information from the dental medical technology information, and the selected guidance information is displayed by the guidance information display unit of the second display means. Further, the information input to the displayed instruction information is input as instruction information by the instruction information input means of the instruction information input means. Further, the technical information transmission unit of the second transmission means transmits the guidance information to the first terminal device via the network. On the other hand, the first terminal device of the dentist receives the guidance information transmitted by the technical information receiving unit of the first receiving unit, and displays the received guidance information on the technical information display unit of the first display unit. . Further, the server computer is characterized in that the second technical information receiving unit of the server second receiving unit receives the guidance information and the first technical information transmitting unit of the server first transmitting unit transmits the guiding information.

According to a second aspect of the present invention, there is provided a dental care support system in which the terminal device update means of the server computer stores the dental care technology information stored in the first terminal device every predetermined period or every time the dental care technology information storage means is updated. The update information for updating the part with the updated dental care technical information is transmitted, and the first terminal device updating means of the first terminal device is updated according to the update information received by the update information receiving unit of the first receiving means. The dental medical storage means is updated with the provided dental medical technical information.

In the dental care support system according to the invention of claim 3 , the image has a viewpoint point, and the image displayed by the captured image display means of the first terminal device is stopped at an arbitrary time by the first switching means. The still image that is in the state and the moving image that is in the relay state are switched to each other, and the first image moving means moves the viewpoint point of the display image according to a voice command, and further the first display image is enlarged or reduced The display image is enlarged or reduced by the means. Of the images displayed by the second image display means of the second terminal device, the image selected by the second switching means is a still image in which the image is stopped at an arbitrary time and a relay state. Switching to a moving image is performed, and the second image moving means moves the viewpoint point of the display image in response to a voice command. Furthermore, the second display image enlargement / reduction means further performs enlargement / reduction of the selected display image on the system of claim 1.

  Here, the viewpoint point will be described. The viewpoint point is a starting point position that determines the display position internally with respect to the initial image. Thereafter, the display position of the image is determined starting from this position. The starting position is displayed at the center of the image, for example, so that the instructing doctor who is viewing the image and the doctor receiving the instruction can use the desired image position as a marker. For example, as the viewpoint point, the initial position gives the center position of the displayed image, and thereafter, the relative position by integration, the position of the absolute value with respect to the initial value, etc. are internally grasped and displayed on the image. Also, the display is reset when the display image is switched.

A fourth aspect of the present invention, the first terminal device dentist dental support system according to claim 1, the first connection procedure to be connected to the server computer via a network, the first terminal device Imaging procedure for imaging a dental treatment image by a dentist, a first voice input procedure for inputting the voice of the dentist of the first terminal device, and an image of the dental treatment imaged via the network A first image transmission procedure, a first transmission procedure having a first audio transmission procedure for transmitting input audio, a first audio reception procedure for receiving audio via a network, and receiving an image A first reception procedure having a first image reception procedure, a first audio output procedure for outputting received audio, a captured image display procedure for displaying a captured image, and a first image for displaying the received image A first having a display procedure And示手order is a program of the order to run.

A first storage procedure having a dental practice technology information storage procedure for storing dental practice technology information similar to the dental practice technology information stored in the dental practice technology information storage means in the dental practice technology information storage means; A first display procedure further comprising a dental care technology information display procedure for displaying the technology information, and a dental care technology information browsing procedure for browsing the latest dental care technology information stored in the latest information storage means connected to the server computer It is allowed to run to the first terminal device.

Furthermore, a first receiving procedure further has the technical information receiving step of receiving the instruction information, to perform a first display procedure first terminal device further has the technical information display procedure for displaying guidance information.

The invention of claim 5, the second terminal device guidance Medical dental practice support system according to claim 1, and a second connection procedure to be connected to the server computer via the network, via the network server A second image receiving procedure for receiving one or more images transmitted from a computer; a second receiving procedure having a second audio receiving procedure for receiving audio; and one or more received images are displayed. A second display procedure having a second image display procedure, a second audio output procedure for outputting received audio, an image selection procedure for selecting an image that gives priority to an instruction from a plurality of displayed images, A second voice input procedure for inputting the voice of the instructor as a voice for the selected image, an instruction information input procedure for inputting an instruction for the selected image, and an instruction information input via the network A second image transmission step of transmitting to the first terminal device of an image obtained by selecting an image having, in order to perform a second transmission procedure with a second audio transmission step of transmitting the voice input It is a program of.

Furthermore, it is selected by the instructing physician from the dental practice technology information stored in the dental practice technology information storage means as the guidance information for the first terminal device or the latest dental practice technology information stored in the latest information storage means. A guidance information selection and setting procedure for selecting and setting the selected information as guidance information, a second display procedure that further includes a guidance information display procedure for displaying guidance information, and an input procedure for inputting instruction information to the displayed guidance information. and instruction information input procedure with, to perform a second transmission procedure to the second terminal device further has the technical information transmitting step of transmitting the guidance information.

The invention of claim 6, the dental support center server computer dental practice support system according to claim 1, the server first connected via the first terminal device and the network of general dentists multiple A connection procedure, a server second connection procedure for connecting to a second terminal device of a supervising doctor via a network, a server first reception procedure for receiving an image and sound transmitted from the first terminal device, and a network A server second transmission procedure for transmitting one or a plurality of images received by the second terminal device of the instructing doctor connected to the second terminal device of the instructing doctor and the sound for one selected by the second terminal device of the instructing doctor; Server second reception procedure for receiving instruction information consisting of images or sounds transmitted from the second terminal device of the supervising doctor, and server first transmission procedure for transmitting instruction information to the first terminal device of the corresponding dentist run the door A program for causing.

Furthermore, a dental treatment technology information storage procedure for storing and storing dental treatment technology information consisting of a plurality of exemplary treatment images, a plurality of technical literatures, and a plurality of treatment manuals by a specialized instructor in a dental treatment technology information storage means, The latest information storage procedure for storing the latest dental treatment technology information including the latest plural model treatment videos, the latest plural technical literatures, the latest plural treatment manuals by the instructor in the latest information storage means, and a predetermined period or is when dental technology information stored in the second storage device has been updated, service and an update accumulation to move accumulate dental technical information before updating the dental technical information storing means in accordance with the information update procedure over Run the computer.

Additionally, further a server second receiving procedure with the first technical information transmission procedure further first transmission procedure server having a a servers to which to transmit the guidance information to the second technical information reception procedure that will receive guidance information to run on your computer.

According to a seventh aspect of the present invention , in the program according to the sixth aspect , the dental practice technical information storage unit of the first terminal device is updated every predetermined period or every time the dental practice technical information storage means is updated. further performed servers computer terminals update procedure for transmitting update information for updating in the dental technical information.

According to an eighth aspect of the present invention , in the program according to the fourth aspect , the first clinical procedure further includes an update information reception procedure for receiving the update information, and the dental practice technical information by the dental practice technical information updated according to the update information. The first terminal device updating procedure for updating the storage unit is further executed by the first terminal device.

According to a ninth aspect of the present invention , in the program according to the fourth or eighth aspect , a first switching procedure for mutually switching an image between a still image that is stopped at an arbitrary time and a moving image that is in a relay state, and procedures and, a first image transfer procedures for moving the viewpoint point of the display image according to a command by voice, first the further the first display image scaling procedure for scaling a displayed image that defines the view point against The terminal device is executed.

According to a tenth aspect of the present invention , in the program according to the fifth aspect , a second switching procedure for switching a selected image between a still image that is stopped at an arbitrary time and a moving image that is in a relay state. And a procedure for defining a viewpoint point for an image, a second image moving procedure for moving the viewpoint point of the display image according to a voice command, and a second display image scaling procedure for scaling the display image. further to be executed by the second terminal device.

  One invention described above should not be construed as achieving all the above-mentioned objects simultaneously, but each invention should be understood as achieving each object.

  In the following section of the effect of the invention, by installing and using the corresponding program in each device that controls the dental care support system, the effect of each invention can be obtained, and duplicate descriptions are avoided. be able to. Therefore, the effect of the invention will be described by installing a program corresponding to the apparatus constituting the dental care support system.

The dental care support system according to the first aspect of the invention comprises the first terminal devices of a plurality of dentists in which the program according to the fourth aspect of the invention is installed, and the program according to the sixth aspect of the invention. A server computer and a second terminal device portable to a supervising physician in which a program according to the invention of claim 5 is installed.

  First, the first terminal device of the dentist is connected to the server computer via the network by the first connection procedure in the first connection means. On the other hand, the second terminal device of the instructing doctor is connected to the server computer via the network by the second connection means and the second connection procedure.

  Next, in the first terminal device, an image of dental treatment by the dentist is picked up by the image pickup means by the image pickup procedure, and the picked-up image display section of the display means can display the picked-up image by the picked-up image display procedure. Become. Furthermore, the dentist's voice is input by the first voice input means and the first voice input procedure, and the captured image is transmitted to the first image transmission unit and the first image via the network. According to the procedure, the input voice is transmitted to the server computer by the first voice transmission unit and the first voice transmission procedure. On the other hand, in the second terminal device, in the second image receiving unit of the second receiving means, one to one transmitted from the server computer via the network according to the second image receiving order of the second receiving procedure. Receive multiple images. At the same time, the second voice receiving unit receives the voice according to the second voice receiving procedure. Next, in the second image display unit of the second display means, one or more received images are displayed according to the second display unit procedure and the second image display procedure. Further, the second sound output means outputs the sound received by the second sound output procedure. As a result, an image and sound from a dentist seeking guidance and advice are output to the second terminal device of the guidance doctor. Further, an image that is determined to be communicated by the instructing doctor is selected from a plurality of displayed images by an image selection means and an image selection procedure. Thereby, it becomes possible to select the first terminal device of the general doctor of the partner with whom the supervising doctor communicates by voice from among a plurality of displayed images. That is, the sound of the first terminal device of the selected image can be output via the second sound output means of its own second terminal device. The voice of the instructing doctor is also input to the first terminal device of the image selected by the second voice input means, and the second voice transmission unit and the second voice transmission procedure select the image selected by the second voice transmission procedure. 1 terminal device is transmitted. In the first terminal device, the voice received by the voice receiving unit of the first receiving means and the voice receiving procedure of the first receiving procedure is output. In other words, at the same time that the first terminal device of the selected image can be communicated by voice, the instruction information input means and the instruction information input by the instruction information input procedure can be input to the selected image. become able to. Furthermore, the image to which the instruction information is input is transmitted by the second image transmission unit and the second image transmission procedure. In the first terminal device, the image is transmitted by the first image reception unit and the first image reception procedure. It is received and displayed on the first image display unit by the first image display procedure. Thereby, in the 1st terminal device, guidance information transmitted from the 2nd terminal device is received, displayed as an image, and a sound comes to be output. Here, the selection of an image is, for example, that the corresponding image is clicked with the mouse. Therefore, the last clicked image becomes the image in the selected state, and the sound is an output and an input of the sound of the selected image to the first terminal device.

  The server computer includes a server first connection unit that connects to a plurality of first terminal devices of general dentists via a network, and a server second connection unit that connects to a second terminal unit of a supervising physician via a network. A server first receiving means for receiving the image and sound transmitted from the first terminal device, one or more images received by the second terminal device of the instructing physician connected to the network, and the instructing physician A second server transmitting means for transmitting the sound of one selected by the second terminal device, and a server for receiving instruction information consisting of an image or a sound transmitted from the second terminal device of the instructing physician. 2 The receiving means and the server first transmitting means for transmitting the instruction information to the corresponding first terminal device of the dentist, the first terminal device and the second terminal device described above are connected to the network. Through Connect Te, it is possible to connect so as to be able to communicate information with each other. As a result, if there is an environment where the first terminal device and the second terminal device can each be connected to the network, wherever there is a dentist who wants to be instructed, and where is the instructing physician who is instructing It is possible to receive guidance and guidance. For example, if the connection to the network is based on the use of a mobile phone line, the second terminal device can connect to the network wherever it is within the mobile phone connection area. . In addition, if you are in an area where you can use a public LAN system, you can use it. In addition, since the second terminal device is connected to a plurality of first terminal devices at the same time so that an image obtained by imaging the state of each medical treatment can be received, a dentist who always wants to receive a plurality of instructions. It is possible to grasp the situation of this via an image.

Further, the dental clinic technical information storage means may store dental technical information storing procedure plurality of exemplary treatment picture by expert guidance physician, a plurality of technical literature, the dental technical information comprising a plurality of treatment manual storage The latest information storage means uses the latest information storage procedure, the latest dental treatment technology consisting of the latest model treatment videos, the latest technical literature, and the latest treatment manuals by a specialized instructor. It becomes possible to memorize information. Further, when the dental practice technology information stored in the update information storage means is updated for a predetermined period or the latest information storage means, the pre-update dental care technology information is stored in the dental practice technology information storage means. You can move and accumulate. Further, in the first terminal device, dental treatment technology information similar to the dental treatment technology information stored in the dental treatment technology information storage unit is stored in the dental treatment technology information storage unit of the first storage unit by a dental treatment storage procedure. Thus, the dental care technology information can be displayed on the dental care technology information display section of the first display means by the dental care technology information display procedure. As a result, model treatment images, technical literature, treatment manuals, etc. by specialists can be viewed on their first terminal device, and it is possible to repeatedly view model treatment images at their clinics, In addition, technical literature and treatment manuals can be viewed repeatedly. On the other hand, the dental medical technology information browsing means can connect to the server computer according to the dental medical technology information browsing procedure, and can browse the latest dental medical technology information stored in the latest information storage means. The latest information such as the latest model treatment video, latest technical literature, and latest treatment manual by the doctor can be easily and repeatedly browsed.

Further , in the second terminal device, in the guidance information selection setting means, the dental care technology information stored in the dental care technology information storage means as the guidance information for the first terminal device or the latest information by the guidance information selection setting procedure. The information selected by the supervising doctor can be selected and set as the guidance information from the latest dental care technical information stored in the information storage means, the guidance information display section of the second display means, and It becomes possible to display the dental treatment technical information selected by the instruction information display procedure of the second display procedure as instruction information. Further, the instruction information can be input to the instruction information input means of the instruction information input means and the instruction information displayed by the instruction information input procedure of the instruction information input procedure. The instruction information to which the instruction information is input is transmitted by the technical information transmission procedure of the second transmission procedure in the technical information transmission unit of the second transmission means. On the other hand, in the first terminal apparatus of the dentist, the technical information receiving unit of the first receiving means can receive the guidance information by the technical information receiving procedure of the first receiving procedure. Further, in the technique information display section of the first display means, you can display guidance information by technical information display procedure of the first display procedure Uninaru.

  On the other hand, the server computer can receive the guidance information in the second technical information receiving unit of the server second receiving means by the second technical information receiving procedure of the server second receiving procedure. Further, the first technical information transmission unit of the server first transmission means can transmit the guidance information to the first terminal device by the first technical information transmission procedure of the server first transmission procedure. Thus, the instructed instruction information can be transmitted to the first terminal device in the second terminal device.

Furthermore, in the dental support system according to the invention of claim 2, the server computer, the program of claim 7, the first terminal device, by using install the program of claim 8, the server computer Terminal device updating means and dental care technology information in which the dental care technology information storage unit of the first terminal device is updated every predetermined period or every time the dental care technology information storage means is updated by the terminal device update procedure. The update information to be updated can be transmitted. Furthermore, in the first terminal device, the update information receiving unit of the first receiving means can receive the update information by the update information receiving procedure of the first receiving procedure. Furthermore, in the first terminal device update means, the dental care storage means can be updated with the dental care technical information updated according to the update information by the first terminal device update procedure.

Furthermore, in the dental care support system of the invention of claim 3 , by installing the program of claim 9 on the first terminal device and using the program of claim 10 on the second terminal device, the image is obtained. Will be able to have a viewpoint point. Furthermore, since the first terminal device has the first switching procedure in the first switching means, the image is exchanged between a still image that is stopped at an arbitrary time and a moving image that is in a relay state. It will be possible to switch. As a result, the dentist who is treating can temporarily stop the image at a scene where he / she wishes to obtain advice and can ask the second terminal device for guidance and advice. Become. Further, the first image moving means moves the viewpoint point of the display image by a voice command according to the first image moving procedure, and the first display image scaling means displays the first display image according to the first display image scaling procedure. Since the image can be enlarged / reduced, a doctor seeking guidance can control the display portion of the image by voice, for example, by an instruction word such as “right, up”, “enlarge”, etc. As a result, it becomes possible to tell the supervisor more clearly what part. Furthermore, since an instruction can be given by voice, the desired image can be transmitted to the instructing doctor without stopping the hand during treatment and operating the first terminal device.

  On the other hand, in the second terminal device, the second switching procedure in the second switching unit mutually converts the image into a still image that is stopped at an arbitrary time and a moving image that is in a relay state with respect to the selected image. It will be possible to switch to. Further, the viewpoint point of the display image can be moved by a voice command by the second image moving means and the second image moving procedure, and the display image can be enlarged / reduced by the second display image enlargement / reduction means. Become. Thereby, the moving image in the relay state and the still image in the stopped state can be switched at any time with respect to the captured image transmitted from the first terminal device from the second terminal device of the supervising physician. It becomes like this. Thereby, when inputting guidance information, since guidance can be performed in a stopped state, guidance contents can be transmitted more accurately. Further, since the display position, enlargement and reduction of the image can be instructed by voice, the display image can be controlled smoothly.

  Furthermore, the following effects can be obtained by using the above-described invention in an integrated manner.

  Dentists will be able to learn the latest treatment methods and receive guidance at their clinics. By imaging and recording the situation of self-treatment, having the instructor examine it, and receiving guidance, look back on self-treatment rather than temporary guidance, and compare patient's treatment results Since learning is possible, it is possible to expect faster progress. In addition, for example, it takes time in the middle of treatment, and even contents that cannot be instructed can be stopped by temporarily stopping the image and instructing the dentist with sufficient time even if the instruction is recorded. It becomes. In addition, it is possible to more clearly instruct a dentist about what kind of treatment should be performed by using an image that has undergone actual treatment. Furthermore, since this recording and instruction can be performed at a dentist's clinic, an instructor's laboratory, etc., both of them can minimize time constraints and provide more time. Can be used for

  In addition, since the model treatment images can be seen, it is possible to learn the latest advanced technical skills more clearly, quickly and by receiving guidance compared to the self-treatment images.

  The functions of the plurality of means provided in the present invention are realized by hardware resources whose functions are specified by the configuration itself, hardware resources whose functions are specified by a program, or a combination thereof. The functions of the plurality of means are not limited to those realized by hardware resources that are physically independent of each other.

  Hereinafter, a dental care support system of the present invention will be described with reference to the drawings. FIG. 1 is a diagram showing a connection relationship through a network of a dental care support system.

The first terminal devices 10A, 10B, 10C are installed in an examination room, an operating room, etc. of a general dentist's clinic. The first terminal device 10A, for example, a public line 8, the Internet network 7b including the Internet service provider that has subscribed dentists, through 7c, the server computer 30 of the dental support center (hereinafter, the server computer 30 Connect). On the other hand, the second terminal device 20 is a portable terminal device of a supervising physician. The second terminal device 20 is connected to the server computer 30 via a public line 8 or public wireless LAN including a mobile phone line, and an Internet network 7a including an Internet service provider to which a supervising doctor is subscribed. The server computer 30 is connected so that the first terminal device 10 and the second terminal device 20 can exchange information with each other. Information relating to the first terminal device 10 and the second terminal device 20 is previously stored in the server from the management terminal 9 via a local area network 5 (hereinafter referred to as LAN 5), a wide area network (hereinafter referred to as WAN), or the like. Registered in the computer 30.

  Further, the corresponding program according to the present invention is installed in each of the first terminal device 10, the second terminal device 20, and the server computer 30.

  Next, FIG. 2 is a hardware connection block diagram of the first terminal device.

  As a physical hardware configuration of the first terminal device 10A, a microphone 10Am as a first voice input means 10m, a speaker 10As as a first voice output means 10s, and an imaging means 10c are used for a known personal computer. And a computer system including peripheral devices such as a modem and a terminal adapter constituting a first connection means as a connection device to a network including the Internet.

  The first terminal device 10 of the present invention includes an image pickup means 10c composed of a CCD camera and peripheral devices, a first sound input means 10m composed of a microphone and peripheral devices, and a first sound output means composed of a speaker and peripheral devices. , A first storage means 140 composed of an external storage device such as a hard disk, an MO, a DVD, and its peripheral devices, a first display means 110 composed of a monitor device such as a display and its peripheral devices, and firmware for data reception And the first receiving means 120 composed of peripheral devices, the first transmission means 130 composed of firmware and peripheral devices related to data transmission, and the functions required in the first terminal device 10 are realized by controlling them. It is comprised by the control apparatus 100 provided with CPU which performs the processing program for doing. Furthermore, an input device such as a keyboard and a mouse, an input button, and the like are provided as necessary.

  The program used by being installed in the first terminal device 10 according to the present invention can be implemented by being installed in the first terminal device 10 to implement a plurality of functions and procedures of the program. In addition, a program used by being installed in the second terminal device 20 can be implemented by being installed in a computer of the second terminal device 20 to implement a plurality of functions and procedures possessed by the program. These programs are not limited to this, but are activated under a general-purpose OS such as Windows. Furthermore, a program used by being installed in the server computer 30 can be implemented by being installed in the server computer 30 to implement a plurality of functions and procedures of the program. The program of the server computer 30 is activated under a general-purpose OS corresponding to a server such as Windows.

Next, FIG. 3 is a hardware connection block diagram of the second terminal device 20.
Further, as a physical hardware configuration of the second terminal device 20, the microphone 20m as the second voice input means 20m, the speaker 20s as the second voice output means 20s, and the Internet are used for a known personal computer. Is implemented by a computer system including peripheral devices such as a modem and a terminal adapter constituting the second connection means 250 as a connection means to a network including

  The second terminal device 20 includes a second audio input means 20m comprising a microphone and peripheral devices, a second audio output means comprising speakers and peripheral devices, and an external storage device such as a hard disk, MO, DVD, etc. A second storage means 240 comprising a device; a second display means 210 comprising a monitor device such as a display and its peripheral equipment; a second receiving means 220 comprising firmware relating to data reception and peripheral equipment; and data A control device including a second transmission unit 230 including firmware related to transmission and peripheral devices, and a CPU that controls the second transmission unit 230 and executes a processing program for realizing functions required in the second terminal device 20 200. Furthermore, an input device such as a keyboard and a mouse, an input button, and the like are provided as necessary.

Next, FIG. 4 is a hardware connection block diagram of the server computer 30 of the dental care support center. Further, the physical hardware configuration of the server computer 30 includes a server first connection means 350 for connecting a plurality of first terminal devices 10 to a computer system having a known server function, and a plurality of second terminal devices. 20 is realized by a computer system including server second connection means 355 for connecting to the computer 20.

  In the above and the following description, for the sake of simplicity, the first terminal device 10, the second terminal device 20, and the server computer 30, all of which will be described in a typical example, the first terminal The device 10, the second terminal device 20, and the server computer 30 can all be connected and installed. Generally, a plurality of devices are connected and installed, but their operations are common. The description is omitted.

Next, the above-described devices will be described in detail with mutual operations. First, in the dental care support system, the first terminal device 10 is installed in a general dentist's examination room, operating room, and the like, and a corresponding program is installed. Furthermore, the power is turned on, and an initial screen 400 shown in FIG. 11 is displayed on the first display means 110 of the first terminal device 10.

  Here, the initial screen 400 will be described. The displayed button is activated and executed by being selectively clicked (hereinafter referred to as “click”) by a pointing device such as a mouse (hereinafter referred to as “mouse”). The menu button 401 displays an initial screen 400 that is a menu screen. The image sending button 402 is a button for displaying an input screen for sending an image captured by a CCD camera, an X-ray photograph, a digital camera, or the like and stored in a memory, an external storage device or the like to the second terminal device 20. It is. The send mail button 403 is a button for displaying an input screen for sending an e-mail such as a contact with a supervising doctor. The help button 404 is a button for displaying the help screen 600. One return button 405 is a button for returning to the previous screen by clicking when returning to the previous screen when operating.

  A dental computer support request button 411 in the support menu is clicked when a general dentist performs a treatment requiring a high degree of expertise such as an implant or an adult orthodontic in his / her own examination room. At the same time, a procedure for connection to the terminal 30 is requested and a request for dental care support is made. At the same time, a dental care support screen 500 is displayed. Details will be described later. Next, the medical equipment purchase support button 412 displays a screen for supporting the purchase of equipment and materials necessary for performing advanced specialized medical care by clicking. The equipment and materials for performing highly specialized medical care are specialized and are generally difficult to obtain. Therefore, this system provides support for purchasing medical equipment and materials.

  Clicking on the exemplary treatment video button 421 in the movie menu allows the dental treatment technology information display unit 116 to view the image of the dental treatment technology information stored in the dental treatment technology information storage unit 141 of the first terminal device 10. (Dental medical technology information browsing means 101). By clicking the latest model treatment image button 422, the latest dental medical technique information stored in the latest information storage unit 342 can be viewed. The model treatment relay video button 423 can be clicked to view the video when the model doctor relays the model treatment. The video manual button 424 can be clicked to view a video image regarding usage and usage of the system. In either case, the corresponding menu screen is displayed, and the video to be viewed can be selected from the corresponding menu. Also, the latest dental medical technology information can be downloaded to the first terminal device 10 of itself. Further, the relay video can be stored in the first storage unit 140 of the first terminal device 10 of the relay video.

  The treatment manual button 431 in the manual and literature menu can be clicked to browse the treatment manual stored in the dental care technology information storage unit 141 (dental care technology information browsing means 101). When the latest treatment manual button 432 is clicked, the latest dental medical technique information stored in the latest information storage means 342 can be viewed. The technical literature button 433 can be clicked to view internal and external technical journals, academic papers, technical literature, and the like stored in the dental practice technical information storage unit 141 (dental practice technical information browsing means 101). When the latest technical document button 434 is clicked, the latest internal and external technical journals, academic papers, technical documents, etc. stored in the latest information storage means 342 can be viewed. In any case, it is possible to select a desired document, technical journal, academic paper, etc. from the corresponding menu. Furthermore, the latest dental practice technology information can be stored in the dental practice technology information storage unit 141.

  A financial manual button 435 can be clicked to read a manual for financial management in a dental clinic. The management manual button 436 can be clicked to read a manual for management in a dental clinic. By clicking the telephone answering manual button 437, it is possible to view a manual for telephone answering at a dental clinic. In addition, by clicking on the treatment manual button, a manual on the treatment method for the staff in the dental clinic can be viewed. Manuals such as finance, management, telephone reception, and reception are different from the actual acquisition of dental care technology, but for dentists and clinic staff, it is the next most important knowledge after dental care technology. . At present, informed consent is recommended and sufficient explanation and consent are required between the doctor and the patient. To that end, it is very important how doctors and staff respond to patients by their attitude and manner of speaking. However, there are many demands at universities, etc., although there are few learning opportunities in the field of patient reception. Accordingly, by enhancing such manuals, dentists and staff can concentrate on dental treatment with peace of mind.

Next, when the dental care support request button 411 is clicked and the screen 500 of FIG. 12 is displayed, details of the first terminal device 10, the second terminal device 20, and the server computer 30 are exchanged. Explained.
When the dental care support request button 411 is clicked, the first terminal device 10 displays a screen 500. By clicking the image / audio instruction button 501, it is possible to receive dental medical support by image and sound. First, connection is made to the stored address of the server computer 30. The server computer 30 takes a connection procedure to the second terminal device 20 registered in advance, and transmits user information, address information, and the like of the first terminal device 10. Thereby, the first terminal device 10 can communicate with the second terminal device 20 by the server computer 30.
Next, the image captured by the imaging unit 10 c is displayed in the display area 511 by the captured image display unit 112 of the first display unit 110. At the same time, the first image transmission unit 131 transmits the first image via the first connection unit 150 and the Internet network 7 according to the first image transmission procedure.

  Therefore, the image captured by the imaging unit 10 c is transmitted to the server computer 30, received by the server first receiving unit 320 via the server first connection unit 350 of the server computer 30, and transmitted by the server second transmission unit 335. It is transmitted as a relay image to the second terminal device 20 via the second connection means 355. In the second terminal device 20, it is received via the second connection unit 250 and the second image receiving unit 222 of the second receiving unit 220, and is displayed by the second image display unit 211. At the same time, the voice input from the first voice input unit 10m is also converted into a digital signal by the first voice transmission unit 132 of the first transmission unit 130 and transmitted. Like the image information, it is transmitted to the second terminal device 20, received by the second audio receiving unit 221 of the second receiving means 220, and outputted through the speaker of the second audio output means 20 s. Similarly, the voice from the second terminal device 20 of the instructing doctor is also input by the second voice input unit 20m, and the second connection unit 250 is input by the second voice transmission unit 232 of the second transmission unit 230. To the server computer 30. As a result, the voices can communicate with each other.

  The doctor in the first terminal device 10 wants to receive guidance on the captured image displayed in the display area 511 (captured image display unit 112) of the first display means 110 of his / her first terminal device 10. When the image has the right timing, it is switched to the still image in the stopped state by the moving image / temporary stop button 521 (first switching means 103). For example, when the image displayed in the display area 511 (the captured image display unit 112) is a moving image, the moving image / pause button 521 displays a still image switching button and is touched with a finger or clicked with a mouse or the like. To switch to the still image state. In the case of a still image, a moving image switching button is displayed, and the screen is switched to a moving image state by touching the screen with a finger or clicking with a mouse or the like. Similarly, the instructor in the second terminal device 20 needs to give guidance for the captured image displayed by the second image display unit 211 of the second display unit 210 of the second terminal device 20 of the second terminal device 20. When the image becomes a certain image, the second switching means 205 switches from the moving image to the still image. Similar to the first switching unit 103 of the first terminal device 10, the second switching unit 205 displays a still image switching button when the displayed image is a moving image, and touches the screen with a finger. By clicking with the mouse or the like, the still image state is switched. In the case of a still image, a moving image switching button is displayed, and the state is switched to the moving image state by touching with a finger or clicking with a mouse or the like.

  Further, by further providing a display area 512, in the initial state, the image captured by the imaging means 10c is always displayed in the display area 511 and the display area 512, and when the moving image / pause button 521 is clicked. In the display area 511, an image at the time of clicking is displayed, and a moving image / pause button 521 is displayed as a moving image switching button. For the image displayed in the display area 511, an image at a desired time point of the captured image may be displayed by the fast forward button 522 and the rewind button 520. In this case, the captured image may be stored in a storage unit such as the first storage unit 140 and the server storage unit 340.

  Hereinafter, since the operation is the same for the display image of the first terminal device 10 and the display image of the second terminal device 20, the first terminal device is used in order to avoid redundant description. 10 will be described.

  Further, when the user wants to move up, down, left, or right with respect to the display image, it moves “up”, “down”, “right”, “left”, or the like with respect to the first audio output unit 10s. Speak the directive. In the first image moving means 104, the contents of the instruction word are analyzed, the viewpoint point of the image is moved, and the image is moved by redisplaying. When the user wants to enlarge or reduce the display image, he / she utters an instruction word related to the size such as “enlarge”, “large”, “reduce”, “small”. The first display image enlargement / reduction means 105 analyzes the content of the instruction word, enlarges / reduces it to a predetermined magnification around the viewpoint point, and redisplays it. In addition, the movement, enlargement, and reduction instructions may be moved not only by voice but also by a mouse or the like. A move button 528 and enlargement / reduction buttons (526, 527) are arranged on the screen, and the button is pointed by a finger. It may be executed by operating with a touch pen, a mouse or the like. The same applies to the second image moving means 206 and the second display image enlargement / reduction means 207 of the second terminal device 20. The first image moving means 104, the first display image enlargement / reduction means 105, the second image movement means 206, and the second display image enlargement / reduction means 207 include known voice recognition means, and if necessary, A database such as a language dictionary is provided in the first storage unit 140 and the second storage unit 240, and it corresponds to input in a language.

  Next, the operation of the first terminal device 10 and the second terminal device 20 when the instructing doctor gives an instruction via the displayed captured image will be described.

  Generally, in the second terminal device 20, a plurality of captured images from the plurality of first terminal devices 10 are displayed. The instructor of the second terminal device 20 provides guidance from the displayed images, and the image of the first terminal device 10 that performs voice and image communication with each other by the image selection means 201 with a mouse. Click on the screen to select an image. Thereafter, sound is input to the selected image, and the instruction information input unit 202 can input the image when giving guidance. In the instruction information input means 202, the pointing position is indicated by inputting by a pointing device such as a touch pen or mouse, by directly touching the screen with a finger, by inputting or canceling a line, or by inputting characters through a keyboard. Or input instructions. The input instruction information is transmitted to the first terminal device 10 by the second image transmission unit 231. In the first terminal device 10, the instruction information is displayed in the display area 510 on the screen 500. The input of characters through the keyboard is displayed in the display area 530, and the character information input from both the first terminal device 10 and the second terminal device 20 is displayed in the respective display areas of both terminal devices. At the same time. At this time, the voice of the supervising doctor is also transmitted by the second voice transmitting unit 232 and transmitted as an input to the first terminal device 10 of the selected image. At this time, the server computer 30 is selected by the server first transmission unit 330 as the audio for the first terminal device 10 selected by the image selection unit 201 for the audio from the second terminal device 20. Voice is transmitted to the first terminal device 10. Also, only the voices from the selected first terminal apparatus 10 are selected from the received voices from the first terminal apparatus 10, and transmitted to the second terminal apparatus 20 by the server second transmission means 335. To do. Thereby, in the 2nd terminal device 20, transmission / reception of the audio | voice about the selected image is attained.

  In the display areas 510, 511, and 512, display contents can be switched to each other as necessary. When it is desired to confirm the self-captured state with a larger image, the captured image displayed in the display area 512 is displayed in the display area 510. Further, in the display areas 511 and 512, when it is desired to secure a large display area in the display area 510, it can be placed behind the display area 510. Furthermore, guidance by the instructor is usually performed by selection from the instructor, but if you want to receive guidance urgently, click the guidance request button 525 to send a request for guidance. In the second terminal device 20, when a request signal is received, a signal such as blinking the frame of the screen of the corresponding dentist may be displayed.

  In the above-described guidance by the instructor, guidance is input for the currently captured image. However, the captured image is sequentially stored in the server storage unit 340 of the server computer 30, the rewind button is displayed on the image, and the winding is performed. By clicking the return button, the display image may be returned to a desired time after the start of imaging. By doing in this way, it becomes possible to select the image of the state where guidance is easier. In addition, when it is desired to record the treatment status imaged by the imaging means 10c, the recording can be started and stopped at any time by clicking the recording button 524.

  Further, by clicking the voice call button 502, it is also possible to receive guidance only by voice without an image.

  Furthermore, a captured image can be displayed on the display area 511 using the captured image button 503. This button is used, for example, when the user wants to switch to an image by the imaging means 10c when the file operation button 504 is instructed by displaying an image of dental medical technology information.

  Further, the display area 505 displays information representing the current state such as the file name, display time, and volume of the currently displayed image.

  In addition, the server computer 30 stores the latest dental treatment technology information including a plurality of exemplary treatment videos, a plurality of technical literatures, and a plurality of treatment manuals in a dental treatment technology information storage unit 341 of the server storage unit 340. The information storage means 342 stores and accumulates the latest plurality of exemplary treatment videos, the latest plurality of technical literatures, and the latest plurality of treatment manuals by a specialized instructor. These pieces of information are updated as needed from the management terminal 9 connected to the server computer 30. When the latest information storage unit 342 updates the dental medical technology information, the update storage unit 301 automatically stores the dental medical technology information before the update when the latest information storage device 342 has the same type of information. The information is moved and accumulated in the means 341 and the registration information is updated.

  Further, the terminal device update unit 302 updates the dental care technology information storage unit 141 for the first terminal device 10 every predetermined period or when the dental care technology information storage unit 341 is updated. Update information is created so as to be updated with the medical technique information, and transmitted to the first terminal device 10. At this time, information such as an address related to the first terminal device 10 is stored and registered in the server storage unit 340 in advance. The first terminal device 10 receives the update information by the update information receiving unit 124, and updates the dental care technology information storage unit 141 by the first terminal device update unit 102. At this time, the update information transmitted from the server computer 30 is, for example, information informing that the update has been made, and when the first terminal device 10 is connected to the server computer 30 by this update information, the terminal device updating means is connected. The updated dental medical technology information necessary for 302 is transmitted, and the dental medical technology information storage unit 141 can be updated. Since a variety of update information configurations and update methods are known, any method results in dental care technology information stored in the dental care technology information storage unit 341 and a dental care technology information storage unit. The information stored in 141 may be updated at the same time as the dental medical technology information storage unit 341 is updated or so as to be the same information every certain period. Even if the first terminal device 10 does not receive the update information, the first terminal device 10 connects to the server computer 30 from itself and confirms whether or not the dental medical technology information in the dental medical technology information storage unit 341 has been updated. It may be possible. In this way, by making it possible to make an inquiry from the first terminal device 10, if the update frequency of the dental care technology information storage unit 341 is high, update information is created each time the update is performed, and the first terminal device 10 is updated. It is complicated and burdensome for both the server computer 30 and the first terminal device 10 to transmit to. Therefore, if the update information is transmitted from the server computer 30 every predetermined period, the first terminal device 10 cannot always obtain the latest information. However, by making an inquiry about update information from the first terminal device 10, the first terminal device 10 can always obtain the latest information by making an inquiry when the latest information is needed. Become. Further, when the first terminal device 10 is powered on, the latest information may be automatically inquired and the program of this system may be controlled so as to obtain the latest information. By doing in this way, even if a dentist is not conscious, the dental care technical information of the 1st terminal device 10 will be automatically updated to the newest thing.

  A general dentist uses the first terminal apparatus 10 to store the dental medical technology information stored in the dental medical technology information storage unit 141 described above into the dental medical technology information browsing means 101 (help button 404, video manual button 604, A manual button 605) is displayed on the dental care technology information display unit 116 (display area 620), and before performing a treatment action, necessary dental care technology information is browsed. For example, by watching the model treatment video by the specialist instructor about the treatment to be performed by yourself, reading the technical literature, checking the treatment manual, learning the procedure, notes etc. in treatment, Confirm. If necessary, repeat, watch, learn and confirm. In addition, it connects to the server computer 30, browses the information required by itself from the latest information storage means 342, and acquires the latest technical information. At the same time, it may be downloaded to the dental medical technology information storage unit 141 of the first terminal device 10 of the device itself. Further, various latest technical information can be acquired by browsing the latest information storage unit 342 at any time. In this way, even a general dentist can acquire the latest dental care technical information while staying at his / her own clinic. The dental practice technology information browsing means 101 displays a list of dental practice technology information stored in the dental practice technology information storage unit 141 and the latest information storage means 342 on the dental practice technology information display unit 116, and the contents are displayed. Let them browse. In addition, by setting a keyword by inputting characters from the keyboard, it is possible to retrieve and display relevant information from the dental medical technology information.

  In the second terminal device 20, the instructing doctor selects the doctor of the first terminal device 10 from the information stored in the dental care technical information storage unit 341 and the latest information storage unit 342 by the instruction information selection setting unit 204. Is selected and displayed by the guidance information display unit 215. Next, necessary guidance information is input by the guidance information input means 203 with respect to the information displayed on the guidance information display unit 215. Here, the guidance information selection setting unit 204 displays a list of information stored in the dental care technical information storage unit 341 and the latest information storage unit 342 on the guidance information display unit 215. Control for browsing the content displayed on the guidance information display unit 215 is performed. Further, the stored contents are searched using a keyword by character input from the keyboard, a list of matched information is displayed, and further, the display of the contents is controlled. On the other hand, the instruction information input unit 203 enables input of the displayed contents with a mouse, a touch pen, a keyboard, a finger, or the like, similarly to the instruction information input unit 202. Therefore, for example, the instructing doctor performs a mark on a portion to be noticed or a content to be noted with a mouse, a touch pen, a keyboard, a finger, or the like on the displayed content.

Next, the help screen 600 in FIG. 13 will be described. In this screen, manuals are displayed and various operation support can be easily received when using the system.

A basic operation button 602 displays a menu for explaining basic operations. By clicking the FAQ and answer button 603, you can answer the simple questions according to what you want to do and what you want to do. The frequently asked questions will be displayed. I have prepared it. Even users unfamiliar with the system can use it easily. Further, by clicking the video manual button 604, it can be seen the system for use in a video document and video treatment methods. By clicking the View Manual button, you can see the manuals provided in the system. Further, by clicking the remote support request button 610, the self IP address is detected and displayed in the IP address display area 611. By clicking a button 612 to request, it connects to the operator's computer stored in advance and transmits its own IP address. The computer of the support center operator performs remote control on the first terminal device 10 using the transmitted IP address, and performs settings, file downloads, and the like required by the first terminal device 10. By remote support by an operator, even a dentist who is not familiar with a computer system makes complicated settings easier to use because it is performed by the operator. The computer of the operator may be the management terminal 9 or another computer installed in the dental care support center, installed in a place different from the dental care support center and connected via the Internet It may be.

  Next, the processing procedure of each apparatus will be described with reference to the flowcharts of FIGS. 5, 6, 7, 8, 9, and 10. FIG.

  First, as described above, the first terminal device 10 and the second terminal device 20 are connected to the server computer 30 and a network including the Internet, and their procedures are well known. do not do. Various methods and procedures are known for connection to the network, for example, through a public telephone line, through a cable of a cable TV, or through an optical fiber cable, and any method may be used.

  As shown in FIG. 5, the first terminal apparatus 10 captures a therapeutic image by the imaging means 10c. The first voice input means 10m inputs the voice of the dentist and the voice of the treatment room (S400). The captured image is displayed in the display area 511 (captured image display unit 112) by the captured image display procedure (S402). If necessary, the captured image is temporarily stopped and switched to the moving image state, and the display portion is moved, enlarged, or reduced (S404). This part will be described later in detail according to the flowchart of FIG. The image transmitted from the second terminal device 20 and having the guidance information input is displayed in the display area 510 (S406). The voice of the supervising physician transmitted from the second terminal device 20 is output by the first voice output means (S408). The first terminal device 10 repeats S400 to S408, and at the same time, performs an image transmission process (S410), an audio transmission process (S412), an image reception process (S420), and an audio reception process (S422). Run in parallel. As a result, the first terminal device 10 can transmit and receive information to and from the second terminal device 20 while performing image capturing processing, audio processing, and display processing.

  Next, as illustrated in FIG. 6, the second terminal device 20 transmits a plurality of captured images transmitted from the plurality of connected first terminal devices 10 to the second image display unit 211. The image is displayed by an image display procedure (S500). An image to be instructed is selected from the captured images by the image selection procedure and clicked (S502). The selected image is temporarily stopped, moved, enlarged or reduced (S504). The sound of the selected image from the first terminal device 10 is output (S506). Input of guidance information to the selected image and guidance by voice are performed (S508). Necessary information is selected and set from the dental care technical information by the instruction information selection setting procedure, and the instruction information is input by the instruction information input procedure (S510). The second terminal device 20 repeats S500 to S510, and at the same time, performs the image reception process (S520), the sound reception process (S522), the image transmission process (S530), and the sound transmission process (S532). Run in parallel. Thereby, in the 2nd terminal device 20, display of a picked-up image from a plurality of 1st terminal devices 10, sound processing, selection of 1st terminal device 10 guided from a plurality of 1st terminal devices 10, guidance It is possible to transmit / receive information to / from the first terminal device 10 while inputting information.

  Next, as shown in FIG. 7, the server computer 30 mainly receives an image and sound from the first terminal device 10 (S600), and transmits an image and sound to the second terminal device 20 (S602). ), Reception of images and sounds from the second terminal apparatus 20 (S604), and transmission of images and sounds to the first terminal apparatus 10 selected by the second terminal apparatus 20 (606). By constantly repeating S600 and S606, information is communicated from the first terminal device 10 to the second terminal device 20 and from the second terminal device 20 to the first terminal device 10. Further, as shown in FIG. 9, the dental medical technology information is updated as necessary. For example, registration input of dental care technology information from the management terminal 9 connected to the server computer 30 to the dental care technology information storage means 341 is performed by a dental care technology information storage procedure (S800). Next, the latest dental practice technology information is registered in the latest information storage unit 342, and the dental practice technology information storage unit 341 is updated by an update accumulation procedure. In S804, when it is determined that a predetermined period has elapsed since the dental medical technology information storage unit 341 has been updated or the dental medical technology information storage unit 341 has been updated, the terminal device update unit 302 performs a terminal device update procedure. Follow this to create update information. The created update information is transmitted to the first terminal device 10 according to the registration information of the first terminal device 10 registered in the server storage unit 340. Here, the determination condition in S804 is that update information is created every predetermined period when the dental medical technology information storage unit 341 is frequently updated, and if the update is not frequent, Update information is created each time the medical technology information storage unit 341 is updated. Here, frequent is a case where update information is created and transmission to the first terminal device 10 is a burden on the server computer 30. If the server computer 30 has sufficient capability and does not interfere with normal business, it is desirable to create and transmit update information each time the dental medical technology information storage unit 341 is updated. Further, each time the dental medical technology information storage unit 341 is updated, update information is created, but transmission to the first terminal device 10 may be performed every predetermined period.

  On the other hand, the update procedure of the dental practice technology information stored in the dental practice technology information storage unit 141 in the first terminal device 10 will be described with reference to the flowchart of FIG.

First, initial registration of dental medical technology information is performed (S900). This may be received from the server computer 30 via a network, or may be registered using a CD-ROM, DVD or the like when the dental care support system is introduced. After connecting to the network and starting up the system, if update information from the server computer 30 is received, it is automatically determined to receive the update information (S902). If the received update information, updates the dental technical information stored in accordance with the received update information in the dental technical information storage unit 141 by the first terminal device update procedure (S 9 04). Further, when the update information is transmitted from the server computer 30 every predetermined period, the latest dental care technical information may not be obtained. In this case, the latest information is requested from the first terminal device 10 to the server computer 30, and the dental care technology information storage unit 141 is updated (S908).

  Next, display image control in the first terminal device 10 and the second terminal device 20 will be described with reference to the flowchart of FIG.

  It is checked whether the stop button displayed on the display image has been clicked or touched by a finger or the like (S700). If there is an input of the moving image / temporary stop button 521, the moving image display of the captured image is temporarily stopped in step S702. In step S704, it is checked whether the moving image / pause button 521 displayed on the display image has been clicked or touched by a finger or the like (S704). When there is an input, the received image is displayed as it is to switch to the moving image state (S706). In step S708, it is determined whether an instruction to move the image display position (input of the up / down / left / right movement button 528, instruction by voice) has been issued. If it is determined that a movement command has been issued, the viewpoint point is moved in S710 in order to move the image display position in the direction of the command. In step S712, the image is displayed again around the moved viewpoint point, and the image transfer is completed. In step S <b> 714, it is determined whether there is an instruction to enlarge an image (an instruction using the enlargement button 526 or sound). If it is determined that there has been a command to enlarge and display an image, a predetermined magnification is enlarged around the viewpoint point in accordance with the command (S716). Here, the predetermined magnification is, for example, 1.2 times. Further, when an enlarged display is necessary, an enlarged display at a desired magnification can be obtained by repeatedly giving an enlargement instruction. Although it is 1.2 times here, it may be other than that. In S718, redisplay is performed to complete the enlarged display. In S720, it is determined whether there is an instruction to reduce the image display (reduction button 527 or an instruction by sound). If it is determined that an image reduction display command has been issued, a predetermined magnification reduction is performed around the viewpoint point in accordance with the command (S722). Here, the predetermined magnification is, for example, 0.8 times. When further reduction display is necessary, a reduction display at a desired magnification can be obtained by repeatedly performing a reduction instruction. Here, it is 0.8 times, but other values may be used. In S724, redisplay is performed to complete the enlarged display.

  Also, a button for returning to the initial magnification may be provided, and when the button is input, the initial magnification may be returned regardless of the enlargement / reduction described above.

  In the above-described embodiment, the captured image is transmitted only from the first terminal device 10 to the second terminal device 20. However, in the second terminal device 20, the imaging device, the imaging procedure, the transmission unit, and the transmission procedure are transmitted. It is also possible to transmit the treatment performed in the second terminal device 20 to the first terminal device 10. By doing in this way, it becomes possible to watch on the first terminal device 10 by relaying the exemplary treatment of the supervising doctor performed in the second terminal device 20. Such a relay of treatment by the supervising doctor tells the doctor of the first terminal device 10 in advance that the audience rating of general doctors will increase, so that the supervising doctor will go to the hospital where the supervising doctor conducts the treatment. Even without it, it is possible to observe the treatment while staying in the own examination room.

  The above-described exemplary treatment schedule includes, for example, a notification display area 440 on the screen 400, which is connected to the server computer 30 when the first terminal device 10 is turned on. By doing so, it is possible to obtain the latest model treatment relay information without the dentist being conscious. The notification may notify not only the relay information but also the schedule of the time when the instructor cannot perform the instruction.

  Further, in the above embodiment, the second terminal device 20 has been described by taking a portable computer device as an example. However, the second terminal device 20 is limited to confirming a video and giving advice guidance to the dentist by voice. For example, the portable terminal device may be a mobile phone that can confirm video, and may be a mobile phone that cannot confirm video as long as the instruction is only audio.

  Furthermore, in the said Example, although transmission / reception of the information between the 1st terminal device 10 and the 2nd terminal device 20 was performed via the server computer 30, as shown in the explanatory view of the connection relation of FIG. The first terminal device 10 and the second terminal device 20 can be connected via the Internet network. Therefore, the server computer 30 may directly send and receive information by knowing each other's address.

  The above-described embodiment is an example of the present invention, and the present invention is not limited to this. Various modifications can be considered in light of the essence of the invention.

  The present invention provides a system that supports dental practice requiring advanced medical technology.

Explanatory drawing of the connection relation through the network of a dental care support system. The hardware connection block diagram of a 1st terminal device. The hardware connection block diagram of a 2nd terminal device. The hardware block diagram of the server computer of a dental care support center. The flowchart which showed the process sequence of the 1st terminal device. The flowchart which showed the process sequence of the 2nd terminal device. The flowchart which showed the process sequence of the server computer of a dental care support center. The flowchart which showed the process sequence of the control of the display image in a 1st terminal device and a 2nd terminal device. The flowchart which showed the process sequence of the update of the dental care technical information of the server computer of a dental care support center. The flowchart which showed the process sequence of the update of the dental care technical information of a 1st terminal device. Explanatory drawing of the initial screen in the 1st terminal device at the time of this system starting. Explanatory drawing of the screen which receives dental care support in the 1st terminal device of this system. Explanatory drawing of the help screen in the 1st terminal device of this system. Explanatory drawing of the connection relation via the network of the dental care support system of the other Example of this system.

Explanation of symbols

5 ... Local area networks 7a, 7b, 7c ... Internet network 8 ... Public line 9 ... Management terminals 10A, 10B, 10C ... First terminal devices 10Am, 10Bm, 10Cm, 20Bm ... Microphone (voice input means)
10As, 10Bs, 10Cs, 20As ... Speaker (Audio output means)
10Ac, 10Bc, 10Cc ... Camera (imaging means)
20A ... second terminal device 30 ... server computers 100, 200, 300 of the dental care support center ... control device 101 ... dental care technical information browsing means 102 ... first terminal device update means 103 ... first switching means 104 ... First image moving means 105 ... first display image enlargement / reduction means 110 ... first display means 111 ... first image display section 112 ... captured image display section 116 ... dental practice technology information display section 117 ... guidance information display Unit 120 ... first receiving means 121 ... first audio receiving unit 122 ... first image receiving unit 123 ... technical information receiving unit 124 ... update information receiving unit 130 ... first transmitting unit 131 ... first image transmission Unit 132 ... First voice transmission unit 140 ... First storage unit 141 ... Dental practice technology information storage unit 150 ... First connection unit 200 ... Control device 201 ... Image selection unit 20 ... Instruction information input means 203 ... Instruction information input means 204 ... Instruction information selection setting means 205 ... Second switching means 206 ... Second image moving means 207 ... Second display image enlargement / reduction means 210 ... Second display means 211 ... second image display unit 215 ... guidance information display unit 220 ... second reception means 221 ... second voice reception unit 222 ... second image reception unit 230 ... second transmission means 231 ... second image Transmission unit 232 ... second voice transmission unit 233 ... technical information transmission unit 240 ... second storage unit 250 ... second connection unit 300 ... control device 301 ... update storage unit 302 ... terminal device update unit 310 ... server display unit 320 ... Server first receiving means 321 ... First technical information receiving section 325 ... Server second receiving means 326 ... Second technical information receiving section 330 ... Server first transmitting means 331 ... First technical information transmission Unit 335 ... Server second transmission means 336 ... Second technical information transmission section 340 ... Server storage means 341 ... Dental practice technical information storage means 342 ... Latest information storage means 350 ... Server first connection means 355 ... Server second connection means 400 ... Initial screen 500 in first terminal device of dental care support system ... Screen 600 for receiving dental care support in first terminal device ... Help screen of dental care support system in first terminal device

Claims (17)

A plurality of first terminal devices of a plurality of dentists, a server computer of a dental care support center, and a second terminal device that can be carried by a supervising doctor are connected to each other via a network including the Internet, and are connected to each other. In a dental care support system that supports dental care through a terminal,
The first terminal device of the dentist is
First connection means for connecting to the server computer via the network;
Imaging means for imaging an image of dental treatment by a dentist;
First voice input means for inputting the voice of the dentist;
A first transmission unit including a first image transmission unit configured to transmit the captured dental treatment image via the network; and a first audio transmission unit configured to transmit the input voice;
A first receiving unit having a first sound receiving unit for receiving sound via the network, and a first image receiving unit for receiving an image;
First audio output means for outputting the received audio;
A captured image display unit that displays the captured image; and a first display unit that includes a first image display unit that displays the received image;
The second terminal device of the supervisor is
Second connection means for connecting to the server computer via the network;
A second receiving unit having a second image receiving unit for receiving one or more images transmitted from the server computer via the network, and a second audio receiving unit for receiving the audio;
A second display means having a second image display unit for displaying one or more of the received images;
Second audio output means for outputting the received audio;
Image selection means for selecting an image that gives priority and instruction from the plurality of displayed images;
A second voice input means for inputting the voice of the supervising doctor as a voice for the selected image;
Instruction information input means for inputting an instruction to the selected image;
A second image transmission unit configured to transmit an image having the input instruction information via the network; and a second transmission unit including a second audio transmission unit configured to transmit the input audio. ,
The server computer is
Server first connection means for connecting the first terminal devices of the plurality of general dentists via a network;
Server second connection means for connecting to the second terminal device of the supervising doctor via the network;
Server first receiving means for receiving an image and sound transmitted from the first terminal device;
Server second transmission for transmitting the received one or more images and the sound of one selected by the second terminal device of the instructing doctor to the second terminal device of the instructing doctor connected to the network Means,
Server second receiving means for receiving instruction information consisting of images or sounds transmitted from the second terminal device of the supervising doctor, and server first for transmitting the instruction information to the first terminal device of the corresponding dentist A dental care support system comprising a transmission means. The image has a viewpoint point;
The first terminal device includes a first switching unit that switches the image between a still image that is stopped at an arbitrary time and a moving image that is in a relay state, and movement of a viewpoint point of the display image by a command by voice. A first image moving means for performing the display and a first display image enlargement / reduction means for enlarging / reducing the display image,
The second terminal device displays the selected image with a second switching means for switching between a still image that is stopped at an arbitrary time and a moving image that is in a relay state, and a voice command. 2. The dental care support system according to claim 1, further comprising second image moving means for moving the viewpoint point of the image and second display image enlargement / reduction means for enlargement / reduction of the display image. The server computer stores dental treatment technology information storage means for storing and storing dental treatment technology information composed of a plurality of exemplary treatment videos, a plurality of technical literatures, and a plurality of treatment manuals by a specialized instructor, and the latest by a specialized instructor. The latest information storage means for storing the latest dental practice technical information consisting of a plurality of exemplary treatment images, the latest plurality of technical literatures, the latest plurality of treatment manuals, and the predetermined period or the latest information storage means When the dental medical technology information is updated, it further has an update storage means for moving and storing the dental medical technology information before the update to the dental medical technology information storage means,
The first terminal device includes a first storage means having a dental care technology information storage unit for storing dental care technology information similar to the dental care technology information stored in the dental care technology information storage means, The first display means further comprising a dental medical technology information display unit for displaying dental medical technology information;
The dental service according to claim 1 or 2, further comprising dental medical technology information browsing means connected to the server computer for browsing the latest dental medical technology information stored in the latest information storage means. Medical support system. The second terminal device is:
Selected by the instructor from the dental practice technology information stored in the dental practice technology information storage means or the latest dental practice technology information stored in the latest information storage means as guidance information to the first terminal device Guidance information selection setting means for selecting and setting the performed information as guidance information, the second display means further including a guidance information display unit for displaying the guidance information,
The instruction information input means further comprising instruction information input means for inputting instruction information to the displayed instruction information;
The second transmission means further comprising a technical information transmission unit for transmitting the guidance information;
The first terminal device of the dentist is
The first receiving means further comprising a technical information receiving unit for receiving the guidance information;
The first display means further comprising a technical information display unit for displaying the guidance information;
The server computer of the dental care support center is
The server second receiving means further comprising a second technical information receiving unit for receiving the guidance information;
The dental care support system according to claim 3, further comprising the server first transmission unit further including a first technical information transmission unit that transmits the guidance information. The server computer updates the dental care technology information storage unit of the first terminal device with the updated dental care technology information every predetermined period or whenever the dental care technology information storage means is updated. A terminal device updating means for transmitting information;
The first terminal device updates the dental care storage means with the first reception means further including an update information receiving unit for receiving the update information, and the dental care technical information updated according to the update information. The dental care support system according to claim 3 or 4, further comprising first terminal device updating means. The program used by being installed in the first terminal device of the dentist according to claim 1 is:
A first connection procedure for connecting to a server computer via the network;
An imaging procedure for taking an image of dental treatment by a dentist;
A first voice input procedure for inputting the voice of the dentist;
A first image transmission procedure for transmitting the imaged dental treatment image via the network; and a first transmission procedure having a first audio transmission procedure for transmitting the input audio;
A first audio reception procedure for receiving the audio via the network; a first reception procedure having a first image reception procedure for receiving the image;
A first audio output procedure for outputting the received audio;
The first terminal device according to claim 1, wherein the first terminal device according to claim 1 executes a captured image display procedure for displaying the captured image and a first display procedure including a first image display procedure for displaying the received image. program. A program used by being installed in the second terminal device of the supervising doctor according to claim 1,
A second connection procedure for connecting to the server computer via the network;
A second image receiving procedure for receiving one or more images transmitted from the server computer via the network, and a second receiving procedure having a second audio receiving procedure for receiving the audio;
A second display procedure having a second image display procedure for displaying one or more of the received images;
A second audio output procedure for outputting the received audio;
An image selection procedure for selecting an image that gives priority and instruction from the plurality of displayed images;
A second voice input procedure for inputting the voice of the supervising doctor as a voice for the selected image;
An instruction information input procedure for inputting an instruction to the selected image;
A second image transmission procedure for transmitting an image having the input instruction information via the network;
The program for making the 2nd terminal device of Claim 1 perform the 2nd transmission procedure which has the 2nd audio | voice transmission procedure which transmits the said input audio | voice. The program used by being installed in the server computer of the dental care support center according to claim 1,
A server first connection procedure for connecting the first terminal devices of the plurality of general dentists via a network;
A server second connection procedure for connecting the second terminal device of the supervising doctor via the network;
A server first receiving procedure for receiving an image and sound transmitted from the first terminal device;
Server second transmission for transmitting the received one or more images and the sound of one selected by the second terminal device of the instructing doctor to the second terminal device of the instructing doctor connected to the network Procedure and
A server second receiving procedure for receiving instruction information composed of images or sounds transmitted from the second terminal device of the supervising doctor, and a server first for transmitting the instruction information to the first terminal device of the corresponding dentist A program for causing a server computer according to claim 1 to execute a transmission procedure. The program according to claim 6,
A first switching procedure for switching the image between a still image that is stopped at an arbitrary time and a moving image that is in a relay state, a procedure for defining a viewpoint point for the image, and a voice command The program for making the 1st terminal device of Claim 2 perform the 1st image movement procedure which moves a viewpoint point, and the 1st display image enlargement / reduction procedure which enlarges / reduces a display image further. The program according to claim 7,
A second switching procedure for switching the image to a still image that is stopped at an arbitrary time and a moving image that is in a relay state with respect to the selected image; a procedure for defining a viewpoint point for the image; and an audio The second terminal apparatus according to claim 2, further comprising: a second image moving procedure for moving the viewpoint point of the display image according to a command by the second terminal, and a second display image scaling procedure for scaling the display image. Program to let you. The program according to claim 8, wherein
Dental treatment technology information storage procedure for storing and storing dental treatment technology information consisting of multiple exemplary treatment videos, multiple technical literatures, and multiple treatment manuals in a dental care technology information storage means, and a specialized supervising physician The latest information storage procedure for storing the latest dental practice technology information consisting of the latest model treatment videos, the latest technical documents, the latest treatment manuals in the latest information storage means, and the predetermined period or the first An update accumulation procedure for moving and accumulating the dental medical technology information before update in the dental medical technology information storage means according to the information update procedure when the dental medical technology information stored in the storage device of 2 is updated. A program to be executed by the server computer described in 1. In the program according to claim 6 or 9,
A first storage procedure having a dental care technology information storage procedure for storing dental care technology information similar to the dental care technology information stored in the dental care technology information storage means in a dental care technology information storage means; The first display procedure further comprising a dental medical technology information display procedure for displaying medical technology information;
The program for making the 1st terminal device of Claim 3 perform further the dental treatment technical information browsing procedure which connects to the said server computer and browses the newest dental medical technology information memorize | stored in the said latest information storage means . In the program according to claim 7 or 10,
Selected by the instructor from the dental practice technology information stored in the dental practice technology information storage means or the latest dental practice technology information stored in the latest information storage means as guidance information to the first terminal device Instruction information selection setting procedure to select and set the information as instruction information,
The second display procedure further comprising a guidance information display procedure for displaying the guidance information;
The instruction information input procedure further comprising an input procedure for inputting instruction information to the displayed guidance information;
The program for making the 2nd terminal device of Claim 4 further perform the said 2nd transmission procedure which further has the technical information transmission procedure which transmits the said guidance information. The program according to claim 12,
The first reception procedure further comprising a technical information reception procedure for receiving the guidance information;
The program for making the 1st terminal device of Claim 4 further perform the said 1st display procedure which further has the technical information display procedure which displays the said guidance information. The program according to claim 11,
The server second reception procedure further including a second technical information reception procedure for receiving the guidance information, and the server first transmission procedure further including a first technical information transmission procedure for transmitting the guidance information. Item 5. A program for causing a server computer of the dental care support center according to Item 4 to be further executed. In the program according to claim 11 or 15,
A terminal that transmits update information that updates the dental care technology information storage unit of the first terminal device with the updated dental care technology information every predetermined period or whenever the dental care technology information storage means is updated. The program for making a server computer of the dental care support center of Claim 5 further perform an apparatus update procedure. In the program according to claim 12 or 14,
The first reception procedure further comprising an update information reception procedure for receiving the update information, and a first terminal device update for updating the dental care technology information storage unit with the dental care technology information updated according to the update information The program for making the 1st terminal device of Claim 5 perform further a procedure.

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