JP2008253377A - Laser therapy apparatus - Google Patents

Laser therapy apparatus Download PDF

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JP2008253377A
JP2008253377A JP2007096253A JP2007096253A JP2008253377A JP 2008253377 A JP2008253377 A JP 2008253377A JP 2007096253 A JP2007096253 A JP 2007096253A JP 2007096253 A JP2007096253 A JP 2007096253A JP 2008253377 A JP2008253377 A JP 2008253377A
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operator
laser
communication circuit
protective glasses
laser light
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Eiju Fujita
英寿 藤田
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Panasonic Holdings Corp
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Matsushita Electric Industrial Co Ltd
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Priority to JP2007096253A priority Critical patent/JP2008253377A/en
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a laser therapy apparatus detecting that safety goggles for preventing a risk are rightly worn when using the apparatus and securing the safety of an operator against an accident such as radiation error in the laser therapy apparatus by the laser light radiation. <P>SOLUTION: This laser therapy apparatus is provided with a grip section 6 being gripped by the operator for guiding the laser light to a patient's affected part, a communication circuit 7 attached to the grip section and executing a short-range radio communication, the safety goggles 8 worn by the operator, a communication circuit 9 attached to the frame of the safety goggles for communicating with the communication circuit attached to the grip section, wherein the communication circuits 7 and 9 are adapted to communicate with each other when the safety goggles 8 worn by the operator and the grip section 6 held by the operator's hand for guiding the laser light approach a prescribed distance, so as to recognize that the operator wears the safety goggles and protect the operator from the radiation error and unforeseen reflected laser light. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

本発明は生体組織に対する蒸散、凝固、止血、切開といった、レーザ光の効能、効果を利用して治療を施すレーザ治療装置に関する。   The present invention relates to a laser treatment apparatus that performs treatment using the effects and effects of laser light such as transpiration, coagulation, hemostasis, and incision on living tissue.

近年、レーザ光は歯肉、神経組織、髄質などを含む柔軟な組織の切開、蒸散などをはじめ種々の手術をなすために医科および歯科の分野で広く治療用として使用されている。   In recent years, laser light has been widely used for medical treatment in the medical and dental fields in order to perform various operations including incision and transpiration of flexible tissues including gingiva, nerve tissue, and medulla.

レーザ光を生体に照射したとき、その熱エネルギーにより止血しながら切開をする手術などの有益な治療が行える半面、使い方を誤ると致命的なけが・事故を引き起こす危険性があり、従来、レーザ光が治療の患部から外れその反射光量が一定値以下に低下した時レーザ光の発振を停止することで安全性を高める装置(例えば特許文献1参照)が示されている。   When laser light is irradiated on a living body, it can perform beneficial treatments such as surgery that makes an incision while stopping hemostasis with the thermal energy, but there is a risk of causing fatal injury or accident if used incorrectly. However, there is shown an apparatus (see, for example, Patent Document 1) that stops the oscillation of laser light when it is removed from the affected area of treatment and the amount of reflected light falls below a certain value, thereby improving the safety.

しかし、従来のレーザ治療装置では、例えば眼への誤照射などの事故を防ぐために、装置を使用する場合は保護めがねを着用していただくことを取扱説明書や警告表示ラベルで注意喚起しているが、実際に保護めがねを着用するかどうかは操作者すなわち医師の意識にゆだねられているのが実情である。
特開昭58−32758号公報
However, in conventional laser treatment devices, for example, in order to prevent accidents such as mis-irradiation of the eyes, when using the device, the user should be reminded to wear protective glasses. However, in reality, whether or not to actually wear protective glasses is left to the operator, that is, the doctor's consciousness.
JP 58-32758 A

しかしながら、前述の通り、従来のレーザ治療装置では、保護めがねの着用は操作者の意識に依存しており、うっかりミスで保護めがねをかけ忘れる場合がある。特に口腔外科領域においては、義歯や手術器具などレーザ光を反射するものが多く存在するので、保護めがねの着用なしでレーザ照射を行った場合、想定外の部分からのレーザ光の反射が操作者の眼に入光する可能性を否定できない。   However, as described above, in the conventional laser treatment apparatus, wearing protective glasses depends on the operator's consciousness, and there is a case where the protective glasses are accidentally forgotten and forgotten. Especially in the field of oral surgery, there are many things that reflect laser light, such as dentures and surgical instruments, so when laser irradiation is performed without wearing protective glasses, the laser light is reflected from an unexpected part. The possibility of light entering the eyes cannot be denied.

本発明は、このような従来の課題を解決するためになされたもので、レーザ治療装置を使用する上で、保護めがねが正しく着用されているかを検出し、操作者の安全を確保することを目的としたものである。   The present invention has been made to solve such a conventional problem. In using the laser treatment apparatus, the present invention detects whether the protective glasses are worn correctly and ensures the safety of the operator. It is intended.

前記課題を解決するために、本発明にかかるレーザ治療装置において、操作者が手に持つ把持部と保護めがねのフレーム双方に無線等による通信が可能な通信回路を備えることを第1の特徴とする。通常の医療用レーザ装置においては、患者患部を目視確認しながら、狭い領域にレーザ光を照射し治療を行うので、把持部と保護めがねの間の距離は、例えば30cm以内になるなど必然的に近くなる。よって電波通信可能な距離を30cm以内となるようあらかじめ通信回路の設定を行えば、把持部の近傍で正しく保護めがねが着用されているかを検出することができる。なお、単に保護めがねが把持部の近傍に放置されている場合もあるので、例えば保護めがねの耳掛け部等にマイクロスイッチを取り付け、操作者が着用することでこのマイクロスイッチが作動したときのみ保護めがねの通信回路が機能するようにすれば、より正確に、操作者が保護めがねを着用していることを検出できることとなる。   In order to solve the above-described problem, the laser treatment apparatus according to the present invention has a first feature that a communication circuit capable of wireless communication is provided in both a gripping part held by an operator and a frame of protective glasses. To do. In a normal medical laser device, treatment is performed by irradiating a narrow area with laser light while visually confirming the affected area of the patient, so the distance between the gripping part and the protective glasses is inevitably within 30 cm, for example. Get closer. Therefore, if the communication circuit is set in advance so that the radio wave communication distance is within 30 cm, it is possible to detect whether the protective glasses are correctly worn near the grip portion. In some cases, the protective glasses are simply left in the vicinity of the gripping part. For example, a microswitch is attached to the ear-hooking part of the protective glasses and the microswitch is activated only when it is worn by the operator. If the communication circuit of the glasses is made to function, it can be detected more accurately that the operator wears the protective glasses.

また、保護めがねをかけ忘れている場合など、保護めがねと把持部の通信が正しく行われなかった場合、保護めがねの着用を促すために警報等で操作者に認知させることができるようレーザ治療装置本体に警報を発する機能を持たせることを第2の特徴とする。なお、より安全を重視するならば、保護めがねの着用が検出できなかった場合は、警報のみならず、強制的にレーザ照射を緊急停止する処置としてもよい。   In addition, when the protective glasses and the gripping part are not properly communicated, such as when you have forgotten to put on the protective glasses, the laser treatment device will allow the operator to recognize with an alarm or the like to encourage wearing of the protective glasses A second feature is that the main body has a function of issuing an alarm. If more importance is placed on safety, when the wearing of protective glasses cannot be detected, not only an alarm but also a treatment for forcibly stopping laser irradiation may be used.

以上の構成により、保護めがねの着用忘れに起因して、操作者の眼がレーザ光にさらされる事故を未然に防止し、使用者にも安全なレーザ治療装置を実現できるという効果を有する。   With the above configuration, an accident that the operator's eyes are exposed to laser light due to forgetting to wear the protective glasses can be prevented, and a laser treatment apparatus that is safe for the user can be realized.

以下、本発明の実施の形態にかかるレーザ治療装置について、図1を用いて説明する。   Hereinafter, a laser treatment apparatus according to an embodiment of the present invention will be described with reference to FIG.

(実施の形態)
図1は、本発明の実施の形態におけるレーザ治療装置の構成図である。
(Embodiment)
FIG. 1 is a configuration diagram of a laser treatment apparatus according to an embodiment of the present invention.

本体制御部1はレーザ治療装置に内蔵され、装置全体を制御する。レーザ共振器2はレーザ光を発振・出射し、電源3はレーザ共振器を放電励起したり、本体制御部1の動作に必要な電力を供給する。操作部4で操作者が装置の設定を行い、導光路5はレーザ共振器2から出射されたレーザ光を導くため光路を形成し、把持部6は導光路5の先端に取り付けられ、治療を行うために操作者が手に持つ部位で、把持部6には通信回路7を備えている。通信回路7は導光路5内部にあるレーザ光を導く部分とは別配線で本体制御部1に接続されている。   The main body control unit 1 is built in the laser treatment apparatus and controls the entire apparatus. The laser resonator 2 oscillates and emits laser light, and the power source 3 discharges the laser resonator and supplies power necessary for the operation of the main body control unit 1. The operator sets the apparatus in the operation unit 4, the light guide 5 forms an optical path for guiding the laser light emitted from the laser resonator 2, and the grip 6 is attached to the tip of the light guide 5 for treatment. The grasping part 6 is provided with a communication circuit 7 at a part held by the operator in order to carry out. The communication circuit 7 is connected to the main body control unit 1 through a separate wiring from the portion that guides the laser light in the light guide 5.

保護めがね8は操作者が自身の眼を保護するもので、保護めがね8に備えた通信回路9で把持部6に取り付けられた通信回路7と無線電波等による通信を行う。なお、通信回路9の電源としては、小さいコイン型電池を用いてもよいし、あるいはICチップなど磁界を媒体とした起電力を利用するものでもよい。   The protective glasses 8 protect the eyes of the operator, and the communication circuit 9 provided in the protective glasses 8 communicates with the communication circuit 7 attached to the grip 6 with radio waves or the like. As a power source for the communication circuit 9, a small coin-type battery may be used, or an electromotive force using a magnetic field as a medium such as an IC chip may be used.

保護めがね8の耳掛け部などに保護めがね8を操作者が装着していることを検出するためのセンサーとしてマイクロスイッチ10を備えている。保護めがね8の耳掛け部などに配置され、操作者が保護めがねをかけたときの押し圧等でスイッチが動作する構成とする。警報装置11は装置の異常などを外部に知らしめるために本体制御部1に接続されている。   A micro switch 10 is provided as a sensor for detecting that an operator wears the protective glasses 8 on an ear-hook portion of the protective glasses 8 or the like. It is arranged at the ear-hook portion of the protective glasses 8 and the like, and the switch is operated by a pressing pressure or the like when the operator puts on the protective glasses. The alarm device 11 is connected to the main body control unit 1 in order to inform the outside of an abnormality of the device.

以上のように構成されたレーザ治療装置において、その動作を説明する。装置の使用形態としては、操作者は保護めがね8を装着し、次に電源投入による装置起動後、操作部4を操作して治療に必要なレーザ照射条件を設定する。本体制御部1は、操作部4によって設定されたレーザ照射条件に基づいてレーザ共振器2を制御する。操作者は導光路5の先端に取り付けられた把持部6を手に持ち、操作部4の操作でレーザ照射条件を変更したり、レーザ光の出射/休止を行いながら患者患部の治療を行う。   The operation of the laser treatment apparatus configured as described above will be described. As a usage form of the apparatus, the operator wears protective glasses 8, and after starting the apparatus by turning on the power, operates the operation unit 4 to set the laser irradiation conditions necessary for the treatment. The main body control unit 1 controls the laser resonator 2 based on the laser irradiation conditions set by the operation unit 4. The operator holds the gripping part 6 attached to the tip of the light guide path 5 and changes the laser irradiation condition by operating the operation part 4 or treats the affected part of the patient while emitting / pausing laser light.

前述の通り、医療用のレーザ治療装置においては、常に患者患部の状態を目視確認しつつ、口腔内などかなり狭い領域にレーザ照射をおこなうので、操作者の眼とレーザを照射する把持部の距離は、例えば30cm以内など必然的に近くなる。本発明では、把持部6に取り付けられた通信回路7と保護めがねに取り付けられた通信回路9の間で無線電波等による通信を行い、通信が正常に行われた場合のみ、少なくともレーザ照射が行われる近傍に保護めがね8が存在するということを本体制御部1が認識でき、正しく保護めがねが着用されているかを検出することができる。   As described above, in a laser treatment apparatus for medical use, laser irradiation is performed on a considerably narrow area such as the oral cavity while always checking the state of the affected part of the patient, so the distance between the operator's eyes and the gripping part that irradiates the laser Is necessarily close, for example, within 30 cm. In the present invention, at least laser irradiation is performed only when communication by wireless radio waves or the like is performed between the communication circuit 7 attached to the grip 6 and the communication circuit 9 attached to the protective glasses. The main body control unit 1 can recognize that the protective glasses 8 are present in the vicinity, and can detect whether the protective glasses are worn correctly.

この距離は、距離検出部ににより、電波強度から所定の範囲内に入ったかどうかを検出するようにしても良い。   This distance may be detected by the distance detection unit as to whether or not the distance is within a predetermined range from the radio wave intensity.

なお、単に保護めがねが把持部の近傍に放置されている場合もあるので、例えば保護めがねの耳掛け部等に感圧式のマイクロスイッチを取り付け、操作者が着用することでこのマイクロスイッチが作動したときのみ保護めがねの通信回路が機能するようにすれば、より正確に、操作者が保護めがねを着用していることを検出できることとなる。   In some cases, the protective glasses are simply left in the vicinity of the gripping part. For example, a pressure-sensitive microswitch is attached to the ear-hanging part of the protective glasses, and this microswitch is activated by the operator wearing it. If the communication circuit of the protective glasses functions only when it is possible to detect that the operator wears the protective glasses more accurately.

つまり、この構成だけでは、レーザ照射部分の近傍に保護めがね8を放置するだけでも通信が行われ、保護めがね8が着用されていると誤認識する可能性があるので、さらに保護めがね8の耳掛け部等に装着を検出するための感圧スイッチ等のマイクロスイッチ10を取り付け、保護めがね8を正しく着用した時に皮膚等による押し圧等でマイクロスイッチ10が動作し、マイクロスイッチ10が動作したときのみ通信回路9が機能するような構成にしておけば、本体制御部1は保護めがね8が正しく着用された状態で装置が使われているということを確実に認識できることとなる。   In other words, with this configuration alone, communication is performed simply by leaving the protective glasses 8 in the vicinity of the laser irradiation portion, and there is a possibility of erroneous recognition that the protective glasses 8 are worn. When the microswitch 10 such as a pressure-sensitive switch for detecting wearing is attached to the hanging portion or the like, and when the protective glasses 8 are correctly worn, the microswitch 10 is operated by the pressing pressure by the skin or the like, and the microswitch 10 is operated. If only the communication circuit 9 is configured to function, the main body control unit 1 can surely recognize that the device is used with the protective glasses 8 properly worn.

さらに、本体制御部1には、警報装置11が接続されている。操作者が保護めがね8を着用し忘れてレーザ治療装置を動作させようとした場合、通信回路7と通信回路9が正常通信できないので、本体制御部1は保護めがね8が正しく着用されてないと判断し、警報装置11を駆動して音・光・表示等で警報を発することによって操作者に保護めがね8の着用を促す構成としている。これにより、義歯や手術器具からの反射レーザ光や誤照射による眼の損傷などの事故を未然に防止するという安全性の高いレーザ治療装置を実現できる。   Further, an alarm device 11 is connected to the main body control unit 1. When the operator forgets to wear the protective glasses 8 and tries to operate the laser therapy apparatus, the communication circuit 7 and the communication circuit 9 cannot communicate normally, so that the main body control unit 1 does not wear the protective glasses 8 correctly. The configuration is such that the operator is prompted to wear the protective glasses 8 by driving the alarm device 11 and issuing an alarm by sound, light, display, or the like. Thereby, it is possible to realize a highly safe laser treatment apparatus that can prevent accidents such as eye damage caused by reflected laser light from a denture or a surgical instrument or erroneous irradiation.

また、通信回路7及び通信回路9の少なくともいずれか一方は、電波強度、周波数、及び連続、パルス等で複数の種類の電波を発信可能とすることで、保護めがね8との距離の変化に対応して、出力をコントロールする、あるいは、複数の装置が近くに設置された場合にもお互いを識別可能とすることができるとともに、操作者近辺で、補助者も装着しているかどうかを検出して、出力を制御することが可能である。   In addition, at least one of the communication circuit 7 and the communication circuit 9 can respond to a change in the distance from the protective glasses 8 by making it possible to transmit a plurality of types of radio waves with radio wave intensity, frequency, continuity, and pulse. In addition, it is possible to control the output or to identify each other even when multiple devices are installed nearby, and detect whether an assistant is also worn near the operator. It is possible to control the output.

以上のように、本発明にかかるレーザ治療装置は、レーザ光照射による治療において、誤照射や想定外からの反射レーザ光に対し、操作者を保護するという効果を有しレーザ治療装置として有用である。   As described above, the laser treatment apparatus according to the present invention has an effect of protecting the operator against erroneous irradiation or unexpected reflected laser light in treatment by laser light irradiation, and is useful as a laser treatment apparatus. is there.

本発明の実施の形態におけるレーザ治療装置の構成図The block diagram of the laser treatment apparatus in embodiment of this invention

符号の説明Explanation of symbols

1 本体制御部
2 レーザ共振器
3 電源
4 操作部
5 導光路
6 把持部
7 通信回路
8 保護めがね
9 通信回路
10 マイクロスイッチ
11 警報装置
DESCRIPTION OF SYMBOLS 1 Main body control part 2 Laser resonator 3 Power supply 4 Operation part 5 Light guide 6 Grasping part 7 Communication circuit 8 Protective glasses 9 Communication circuit 10 Microswitch 11 Alarm device

Claims (5)

レーザ光を発生するレーザ共振器と、前記レーザ共振器から出射されたレーザ光を導光する導光路と、前記導光路に取り付けられた操作者が把持する把持部と、前記把持部に取り付けられ電波で通信を行う第1の通信回路と、操作者が着用する保護めがねと、前記保護めがねに取り付けられ前記第1の通信回路との間で通信するための第2の通信回路と、を備えたことを特徴とするレーザ治療装置。 A laser resonator that generates laser light, a light guide that guides laser light emitted from the laser resonator, a grip that is attached to the light guide by an operator, and that is attached to the grip A first communication circuit that communicates by radio waves; protective glasses worn by an operator; and a second communication circuit that is attached to the protective glasses and communicates with the first communication circuit. The laser treatment apparatus characterized by the above-mentioned. 前記保護めがねと前記把持部が所定の距離に近づいたことを検出する距離検出部を備え、所定の距離に近づいたことを検出すると前記第1の通信回路及び第2の通信回路間で通信を行うことを特徴とする請求項1記載のレーザ治療装置。 A distance detection unit that detects that the protective glasses and the gripping unit are close to a predetermined distance is provided, and communication is performed between the first communication circuit and the second communication circuit when it is detected that the predetermined distance is approached. The laser treatment apparatus according to claim 1, wherein the treatment is performed. 操作者が保護めがねを着用していることを検出する装着検出回路を有し、前記距離検出部が前記保護めがねと前記把持部が所定の距離に近づいたことを検出した場合であっても、前記装着検出回路が非装着を示した時はレーザ光の出射を停止することを特徴とした請求項2記載のレーザ治療装置。 Even when the operator has a wearing detection circuit that detects that the protective glasses are worn, and the distance detection unit detects that the protective glasses and the gripping unit are close to a predetermined distance, 3. The laser treatment apparatus according to claim 2, wherein when the wearing detection circuit indicates non-wearing, emission of laser light is stopped. 前記装着検出回路が非装着を示した時、操作者に保護めがね着用を促すために報知する報知手段を備えることを特徴とする請求項1ないし3に記載のレーザ治療装置。 The laser treatment apparatus according to claim 1, further comprising an informing means for informing the operator to wear protective glasses when the wearing detection circuit indicates non-wearing. 前記第1の通信回路または第2の通信回路の少なくとも一方が通信するために複数の種類の電波を出力できることを特徴とする請求項1ないし4記載のレーザ治療装置。 5. The laser treatment apparatus according to claim 1, wherein at least one of the first communication circuit and the second communication circuit can output a plurality of types of radio waves.
JP2007096253A 2007-04-02 2007-04-02 Laser therapy apparatus Pending JP2008253377A (en)

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JP2017148230A (en) * 2016-02-24 2017-08-31 キヤノン株式会社 Subject information acquisition device and information processing device

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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