JP2011050632A - Mechanism of examination chair for tilting head and back part of patient - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To allow a patient to have a moderate posture when the patient is lying on his/her back to receive a medical examination on an examination chair. <P>SOLUTION: A mechanism for tilting head and back parts of a patient includes: a geared motor 8 mounted on a headrest arm side 5 of a headrest 1 of the examination chair via a bracket 7; a left-and-right rotary drive support member 9 fixed on a cushion base seat 3 on the cushion side; a rotary axis 10 along the longitudinal direction of the examination chair, fixed at the lower part of the left-and-right rotary drive support member 9; and a rotary axis 8a of the geared motor 8 connected to the rotary axis 10 to form a mechanism for tilting head and back parts of a patient. The head part of the patient is tilted to the side direction by rotating the headrest 1 by rotation of the geared motor 8. <P>COPYRIGHT: (C)2011,JPO&INPIT

Description

  The present invention relates to a head-back tilting mechanism that tilts the head and back of a patient seated on a medical medical chair at an angle that facilitates medical care, and more particularly to a dental medical chair.

  When the patient's head is placed on the headrest of the dental chair, the opening becomes difficult if the jaw can be pulled. Therefore, in order to facilitate medical care, the top of the head must be tilted backwards, the chin should be slightly protruded, and the posture should be such that it can be opened naturally. As a result, the patient's posture is slightly bowed upward and the head is twisted. If the body axis is tilted for a long time in this way, the neck and shoulders are strengthened, and the neck and shoulders are stiff, causing pain to the patient. Therefore, various proposals have been made as methods for changing the body posture without causing pain to a patient sitting on a medical chair. For example, techniques disclosed in Patent Documents 1 and 2 are known.

  The technique of Patent Document 1 enables the backrest to move in the horizontal direction via a horizontal moving table, enables the headrest to extend and contract in the vertical direction of the medical table, and further uses the headrest as an axis in the vertical direction of the medical table. The patient's body shape and posture can be rotated by moving the backrest in the horizontal direction and extending and retracting the headrest in the vertical direction of the examination table or by manually rotating it around the vertical axis. The headrest is moved to the optimum position according to the condition.

  In the technique of Patent Document 2, air chambers that are independent from the center of the headrest that receives the patient's head are arranged in four directions, and the air chambers are inflated by supplying and discharging air. The patient's head is freely tilted by contracting and forming a three-dimensional surface on the upper surface of the air chamber.

  However, since the backrest and headrest of the conventional medical chair are configured so that the patient's posture cannot be tilted, if the patient is tilted to a posture that facilitates medical treatment, the patient is forced to take an unreasonable posture. It will be very painful.

  In the case of the invention disclosed in Patent Document 1, there is a problem that the back and head of a seated patient can be lifted with a cushion, but the posture cannot be tilted.

  In the case of Patent Document 2, this is a complicated configuration for supplying and discharging air to each of the four air chambers arranged on the surface of the headrest, which is different from the configuration of the present application. In addition, the armrest is tilted in conjunction with the backrest's front / rear tilt angle to make the patient take a posture that does not make the patient uncomfortable, but the configuration that tilts the backrest to the left and right is not disclosed There is.

Japanese Utility Model Publication No. 56-56325 JP-A-1-214363

  The problem to be solved is to give the patient a comfortable posture when performing supine treatment in a medical chair.

  The head-back tilting mechanism of the present invention is characterized in that the headrest or backrest is tilted laterally by applying a head tilting means to the headrest and / or a back tilting means to the backrest in the medical chair. The head tilting means rotates the headrest about the longitudinal axis of the medical chair by motor driving, or swings the headrest through the gear and the rack by motor driving. On the other hand, the back inclination means divides the backrest into three parts in the longitudinal direction of the medical chair, and turns the movable parts by an actuator using the divided both side parts as a movable part, or a gear and a rack by motor drive. The backrest and the head of the patient are simultaneously tilted laterally by swinging the backrest together with the headrest via the head. Moreover, it is possible to apply these tilting means to the medical chair in an appropriate combination.

The head-back tilting mechanism of the present invention can allow a patient who is supine on the medical chair to take a comfortable tilted position by tilting the headrest and / or backrest of the medical chair to the side. As a result, the patient is not burdened even during long-term medical care. In addition, dental treatment is becoming more sophisticated and the treatment time tends to be longer. In dental practice, it is said that the opening of the mouth is particularly important when taking a medical position as a patient, and when the patient is treated in a horizontal position, therapeutic water accumulates in the throat and the patient feels uncomfortable. I will let you.
These are likely to cause problems under the following conditions.
・ When the treatment time is long ・ When the muscles of the throat are weak in middle-aged age ・ When local anesthesia is applied ・ When the vomiting reaction is strong ・ When there is a disorder in the neck or shoulder ・ In the case of a child who is tired of treatment These With respect to this problem, since the oral cavity can be gently tilted to either the left or right side by using the head-back tilt mechanism of the present invention, saliva or the like accumulates on the cheek side, and there is no fear of swallowing saliva unexpectedly. Furthermore, there is an advantage that a long-time opening becomes easy and treatment is easy.

It is the side view which made a part of rotation type head tilting mechanism a section. Example 1 FIG. 2 is a cross-sectional view taken along line AA in FIG. Example 1 It is a figure which shows the action | operation of a headrest. Example 1 It is the side view which made a section of a swing type head tilt mechanism a section. (Example 2) FIG. 5 is a cross-sectional view taken along the line BB in FIG. (Example 2) It is a figure which shows the action | operation of a headrest. (Example 2) It is a rear view of the medical chair which shows a rotation type back part inclination mechanism. Example 3 It is a figure which shows the action | operation of a backrest. Example 3 It is a rear view of the medical chair which shows a rocking | fluctuation type back part inclination mechanism. (Example 4) It is a figure which shows the action | operation of a backrest. (Example 4) It is a figure which shows the simultaneous swing of a headrest and a backrest. (Example 4) (A) is a front view of a medical chair showing an airbag-type head-back inclination mechanism, (b) is a sectional view of the airbag, and (c) is a sectional view of the airbag provided with a partition wall. (Example 5)

  The headrest and / or back tilting means are provided on the headrest and / or back dress for the purpose of giving a comfortable posture to the patient who is performing supine treatment in the medical chair, and the patient's head and back are easily left and right. It was realized to tilt.

  As shown in FIGS. 1 and 2, the headrest 1 according to this embodiment includes a cushion 2, a cushion base 3 on which the cushion 2 is attached, a backrest side that can be extended and rotated up and down (in the direction of arrow A). The headrest support member 4 and the headrest arm 5 are provided so as to be movable. In this embodiment, as a head tilt mechanism, the geared motor 8 is attached to the headrest base 6 provided on the headrest arm 5 side via the bracket 7 and the shaft 8a is attached along the longitudinal direction of the medical table, The left and right rotation drive support member 9 is fixed to the cushion base 3, and the rotation shaft 10 is fixed to the lower part of the left and right rotation drive support member 9, and both ends of the rotation shaft 10 are rotatably supported by the bearings 11. A rotating shaft 8a of a geared motor 8 is connected to the rotating shaft 10 via a coupling 12, and the left and right rotation driving support member 9 is rotated sideways (arrow B direction) by driving the geared motor 8. The rotary head tilt mechanism is configured.

  As described above, the head tilt mechanism of the present embodiment is steplessly driven by the driving of the geared motor 8 from the basic position where the headrest 1 shown in FIG. 3 (a) is not tilted to the left shown in FIG. The headrest 1 can be rotated to the right as shown in the figure to tilt the patient's head 31.

  The head tilt mechanism of the present embodiment shown in FIGS. 4 and 5 is replaced with the configuration in which the headrest 1 is rotated by driving the geared motor 8 in the first embodiment. An arc-shaped rack 13 is fixed to the side, and on the other hand, a geared motor 8 is fixed to a headrest base 6 provided on the headrest arm 5 side via a bracket 7, and a gear 15 is attached to a rotating shaft 8a of the geared motor 8. The gear head 15 is fixed, and the gear 13 and the rack 13 are engaged to drive the geared motor 8 to drive the headrest 1 so that the headrest 1 swings. In this case, the cushion 2 is fixed to the headrest mounting member 16 via the cushion base 3 (FIG. 5), and between the headrest mounting member 16 and the headrest base 6 as shown in FIGS. 4 (a) and 4 (b). The guide groove 17 and the guide 18 are engaged so that the swing of the headrest 1 is smoothly guided. The guide 18 is fixed to the headrest base 6 side with screws 19.

  As described above, the head tilt mechanism of the present embodiment is steplessly driven by the driving of the geared motor 8 from the basic position where the headrest 1 is not tilted as shown in FIG. 6 (a), or to the left as shown in FIG. c) The head 31 can be tilted by swinging the headrest 1 to the right as shown in the figure.

In the embodiment of FIG. 7, a back tilt mechanism is described instead of the head tilt mechanism described in the first and second embodiments. In addition, the same code | symbol is attached | subjected to the part which is common in the said embodiment, and the overlapping description is abbreviate | omitted.
As shown in FIG. 7, the backrest 25 is divided into three parts in the longitudinal direction of the medical chair, and each of the divided parts is defined as a central backrest body 20, a left rotation support member 21, and a right rotation support member 22. The four are rotatably connected by four rotation support portions 24. Further, the left rotation support member 21 and the right rotation support member 22 and the central backrest body 20 are connected by the actuator 23 via the rotation support portion 36, and the left rotation support member 21 is operated by the operation of the actuator 23. The right rotation support member 22 is configured to rotate. Reference numeral 26 denotes an armrest, and 27 denotes a seat.

  As described above, as shown in FIG. 8 (a), the back tilt mechanism of the present embodiment is steplessly driven by driving the actuator 23 from the basic position where the left rotation support member 21 and the right rotation support member 22 are not tilted (b). The backrest 25 can be rotated and tilted to the left shown in the figure or to the right shown in (c).

  The back tilt mechanism of the present embodiment shown in FIG. 9 is replaced with a motor that rotates the left-rotating support member 21 and the right-rotating support member 22 by driving the actuator 23 in the third embodiment. In this configuration, the backrest 25 is moved by the gear 15 and the rack 13 by driving.

  FIG. 9 is a view of the backrest 25 as viewed from the rear side. The geared motor 8 is fixed to the backrest stay 28 side, and the gear 15 is fixed to the end of the motor shaft 8a. Is fixed to the arcuate rack 13, and the gear 15 and the rack 13 are engaged with each other, and the geared motor 8 is driven to drive the backrest 25 as a whole. The backrest left / right rotation support member 35 side and the backrest stay 28 side are configured so that the swing is smoothly guided by the guide groove 17 and the guide 18.

  As described above, the back tilt mechanism of the present embodiment is steplessly moved back and forth by driving the geared motor 8 from the basic position of FIG. 10 (a) where the geared motor 8 is not driven, and FIG. It can be tilted to the left as shown in FIG. 3 or to the right as shown in FIG. In this embodiment, as shown in FIG. 11, the headrest 1 can swing in the left-right direction indicated by the arrows simultaneously with the backrest 25.

  In the present embodiment shown in FIG. 12, as the head tilting means, air pads 29 are detachably and independently arranged on the left and right of the longitudinal center of the headrest 1, and air tubes 30 are connected to the left and right air pads 29 to supply air or By discharging, an inclined surface is formed on the surface of the air pad 29, and the head is tilted to tilt the patient's head to the side. As back tilting means, air pads 32 are detachably and independently arranged on the left and right of the vertical center of the backrest 25, and air is supplied to or discharged from the left and right air pads 32 to form an inclined surface on the surface of the air pad 32. The back tilt mechanism is configured to tilt the patient's back to the side.

  The above is an example in which the inclined surface is formed by separately operating the head tilt mechanism and the back tilt mechanism, but the head back portion can be tilted simultaneously by interlocking the head tilt mechanism and the back tilt mechanism. In order to form a desired inclined surface on the surface of the air pads 29 and 32, for example, as shown in FIG. It is desirable to take measures such as providing a plurality of partition walls 33 having different heights. In this case, it is considered to form a plurality of communication holes 34 in the partition wall and average the entire air pressure. Alternatively, the partition walls may be formed in a plurality of independent air chambers without providing communication holes, and an appropriate air amount may be supplied to each air chamber to adjust the inclination angle.

  The configuration examples of various head-back tilt mechanisms have been described above, but combinations of various head-back tilt mechanisms will be described below.

  Combination example 1, a mechanical tilting mechanism that rotates the headrest 1 about the longitudinal axis of the medical chair by motor drive and the backrest 25 of the medical chair is divided into 3 parts in the vertical direction, and the left of the divided left and right sides A combination with a mechanical tilt mechanism in which the rotation support member 21 and the right rotation support member 22 are rotated by the actuator 23 in conjunction with the rotation of the headrest 1. In this case, for example, the headrest 1 can be inclined by 35 °, and the backrest 25 can be inclined by 25 ° in the same direction as the headrest 1 in conjunction with this.

  Example of combination 2, mechanical tilt mechanism that rotates the headrest 1 about the longitudinal axis of the medical chair by motor drive, and the gear 15 and rack 13 by motor drive in conjunction with the rotation of the headrest 1 A combination with a mechanical tilt mechanism that swings the backrest 25 and simultaneously swings the headrest 1 mounted on the backrest 25. In this case, for example, after the headrest 1 is tilted by 10 °, the headrest 1 and the backrest 25 are simultaneously tilted by 25 ° in the same direction, and the headrest 1 is tilted by 35 ° and the backrest 25 is tilted by 25 ° as in the first example. be able to.

  Combination example 3, a mechanical tilting mechanism that swings the headrest 1 through the gear 15 and the rack 13 by motor drive, and the backrest 25 of the medical chair is divided into three in the vertical direction, for left rotation on both divided sides A combination with a mechanical tilt mechanism in which the support member 21 and the support member 22 for right rotation are rotated by the actuator 23 in conjunction with the swing of the headrest 1. In this case, for example, the headrest 1 can be inclined by 35 °, and the backrest 25 can be inclined by 25 ° in the same direction in conjunction with the headrest 1.

  Combination example 4, a mechanical tilting mechanism that swings the headrest 1 via the gear 15 and the rack 13 by motor driving, and a backrest 25 that is mounted on the backrest 25 by the motor driving via the gear 13 and the rack 15 Combined with a mechanical tilt mechanism that swings with the headrest 1. In this case, for example, after the headrest 1 is inclined by 10 °, the headrest 1 and the backrest 25 are simultaneously inclined in the same direction. Thereby, the headrest 1 can be finally inclined by 35 °, and the backrest 25 can be inclined by 25 °.

  Example 5 of combination, mechanical tilt mechanism that rotates the headrest 1 about the longitudinal axis of the medical chair by motor drive, and the air pad 29 is attached to the backrest 25 and the surface of the backrest 25 is covered with the air pad 29 Combination with an air pad type tilting mechanism. In this case, the backrest 25 can be tilted in conjunction with the rotation of the headrest 1.

  Example 6 of combination, mechanical tilting mechanism for moving the headrest 1 through the gear 15 and the rack 13 by driving the motor, and an airpad tilting mechanism for tilting the surface of the backrest 25 by attaching the airpad 29 to the backrest 25 Combination with. In this case, the backrest 25 can be tilted in conjunction with the swing of the headrest 1.

  Combination example 7, an air pad type tilting mechanism in which the air pad 29 is attached to the headrest 1 and the surface of the headrest 1 is tilted, and the backrest 25 is divided into three in the longitudinal direction of the medical chair, and the divided left and right sides are for left rotation A combination with a mechanical tilting mechanism in which the support member 21 and the support member 22 for right rotation are rotated by an actuator 23. In this case, the backrest 25 can be tilted in conjunction with the tilt of the headrest 1.

  Example 8 of combination: An air pad type tilting mechanism for tilting the surface of the headrest 1 by mounting the airpad 29 on the headrest 1, and a backrest 25 mounted on the backrest 25 via the gear 15 and the rack 13 by motor drive. Combined with a mechanical tilt mechanism that swings with the headrest 1. In this case, the backrest 25 can be tilted in conjunction with the tilt of the headrest 1.

  In each of the above combinations, in the combination of the mechanical tilt mechanism of the headrest 1 and the air pad type tilt mechanism of the backrest 25, the time control of the motor that controls the rotation of the motor of the mechanical tilt mechanism based on the horizontal position of the headrest 1 and The angle difference between the headrest 1 and the backrest 25 can be adjusted in conjunction with the control of the air flow rate adjustment valve of the air pad type tilt mechanism. It is also possible to use a method of adjusting the rotation angle of the stepping motor instead of the time control of the motor. An encoder (angle sensor) is attached to the motor shaft, the rotation angle is adjusted, and the air flow rate is calculated in conjunction with the rotation angle. A method may be used. Further, in the combination of the air pad type tilt mechanism of the headrest 1 and the mechanical tilt mechanism of the backrest 25, the angle difference can be adjusted by interlocking the air supply time to the air pad 29 of the headrest 1 and the motor rotation time.

  The head-back tilt mechanism of each of the embodiments described above can allow a patient who is lying on the clinical chair to take an inclined posture by tilting the backrest 25 and / or the headrest 1 of the medical chair to the side. . As a result, the patient is not burdened even during long-term medical care.

1 headrest
2 Cushion
3 Cushion base
4 Headrest support member
5 Headrest arm
6 Headrest base
7 Bracket
8 Geared motor
9 Left-right rotation drive support member
10 Rotation axis
11 Bearing
12 coupling
13 racks
15 gear
16 Headrest mounting material
17 Guide groove
18 Guide
19 Screw
20 Central backrest body
21 Support member for left rotation
22 Support member for right rotation
23 Actuator
24 Rotating support
25 backrest
26 Armrest
27 Seat
28 Backrest stay
29 Airpad
30 Air tube
31 head
32 Airpad
33 Bulkhead
34 Communication hole
35 Backrest left / right support member
36 Rotation support

Claims (11)

  By tilting the headrest and / or backrest to the side by providing a head tilting means on the headrest and / or a back tilting means on the backrest in the medical chair, the head and back of the patient are tilted to the side. The head-back tilt mechanism of the medical chair, characterized by that.   2. The medical chair according to claim 1, wherein the head tilting unit tilts the patient's head sideways by rotating a headrest about a longitudinal axis of the medical chair by driving a motor. Head-back tilt mechanism.   The head-back tilting mechanism of a medical chair according to claim 1, wherein the head tilting means tilts the patient's head to the side by swinging the headrest through a gear and a rack by driving a motor. .   The back inclination means divides the backrest into three parts in the longitudinal direction of the medical chair, and the divided side parts are movable parts, and the patient's back part is inclined to the side by rotating the movable part with an actuator. The head-back tilting mechanism of the medical chair according to claim 1, wherein   The back tilting means is configured to tilt the patient's back and head simultaneously to the side by swinging the backrest together with the headrest mounted on the backrest through a gear and a rack by driving a motor. The head-back part tilting mechanism of the medical chair according to claim 1.   By tilting the headrest and / or backrest to the side by detachably providing a head tilting means by an air pad on the headrest and / or a backrest means by an airpad on the backrest in the medical chair, the patient's head and back The head-back tilting mechanism of the medical chair characterized by tilting the side to the side.   The head tilting means has an air pad independently arranged on the left and right of the vertical center of the headrest, and by supplying or discharging air to the left and right airpads, an inclined surface is formed on the surface of the headrest to make the patient's head sideways. The head-back tilting mechanism of the medical chair according to claim 6, wherein the tilting mechanism is tilted.   The back inclination means has an air pad independently arranged on the left and right of the longitudinal center of the backrest, and by supplying or discharging air to the left and right air pads, an inclined surface is formed on the surface of the backrest to face the patient's head. The head-back part tilting mechanism of the medical chair according to claim 6, wherein the head-back part tilting mechanism is inclined toward the front.   9. The head-back tilting mechanism for a medical chair according to claim 2, 4, 5, or 8, wherein the head tilting means and the back tilting means are combined and the two are interlocked.   9. The head-back tilting mechanism for a medical chair according to claim 3, 4, 5, or 8, wherein the head tilting means and the back tilting means are combined and the two are interlocked.   9. The head-back tilting mechanism for a medical chair according to claim 4, 5, 7, or 8, wherein the head tilting means and the back tilting means are combined and the two are interlocked.

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