JP3723327B2 - Internal / external medical examination table - Google Patents

Internal / external medical examination table Download PDF

Info

Publication number
JP3723327B2
JP3723327B2 JP20051697A JP20051697A JP3723327B2 JP 3723327 B2 JP3723327 B2 JP 3723327B2 JP 20051697 A JP20051697 A JP 20051697A JP 20051697 A JP20051697 A JP 20051697A JP 3723327 B2 JP3723327 B2 JP 3723327B2
Authority
JP
Japan
Prior art keywords
back plate
examination
buttocks
leg
reference plane
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
JP20051697A
Other languages
Japanese (ja)
Other versions
JPH1142258A (en
Inventor
明子 田淵
Original Assignee
田淵 和久
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 田淵 和久 filed Critical 田淵 和久
Priority to JP20051697A priority Critical patent/JP3723327B2/en
Publication of JPH1142258A publication Critical patent/JPH1142258A/en
Application granted granted Critical
Publication of JP3723327B2 publication Critical patent/JP3723327B2/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Images

Description

【0001】
【発明の属する技術分野】
本発明は、産科、婦人科、泌尿器科及び肛門科等の診察又は治療のための内診及び外診に兼用して用いることのできる診療台に関する。
【0002】
【従来の技術】
現在の産婦人科では、診察等の外診に適した診察台と、診察及び治療等の内診に適した診療台とを使い分けている。それぞれ構造及び機能上の差異があるわけであるが、これらを分別した理由は、主として患者である妊婦の負担や羞恥心を軽減しながら、それぞれの診察又は治療に適した施術を可能にするためにある。
【0003】
外診に適した診察台には、単なるベッドのほか、例えば起立可能な背板と臀部以下を支持する支持板とが一体連続したベッド形態の診察台が使用されている。後者の診察台は、寝起きする患者の負担を軽減することを考慮したものである。これに対して、内診に適した診療台は外部駆動により一体で傾動、旋回可能な背板、座部及び脚受部とからなる椅子形態の外観を有し、座部には陰部へ内診指を挿入しやすくし、また洗浄液による座部の汚染を防ぐために括れが設けられ、脚受部に膝又は大腿部を載せた患者は、脚受部の開閉に従って労することなく開脚可能になっている。
【0004】
【発明が解決しようとする課題】
診察、診療の流れを解析すると、概ね次の手順を踏むことになる。なお、診療施設は待合室、診察室、内診室に区画され、診察室に診察台、内診室に診療台を配しているものとする。まず、(1)患者を待合室から診察室へと呼び込み、問診する。次に、(2)患者の上着を脱がせ、主に上半身を診察し、続いて(3)患者を診察台に寝かせて腹部を露出させ、腹部を診察する。この後、(4)必要に応じて患者を内診室へ移し、下着を脱がせて、(5)診療台に着座させた患者を診察体位へ移行させ、(6)医師による診療を施す。そして、(7)診療を受けた患者を診療台から降ろし、最後に、(8)着衣させた患者を診察室へ戻し、医師が病症について説明する。
【0005】
患者と医師との双方に配慮して診察台と診療台とを分化したことで、少なくとも2台の診療器具の設置スペースを要することになるが、近年、患者との医師の疎通が重要視されるようになり、このカウンセリングのためのスペースを確保するには、前記各診療器具すべての設置スペースを確保することが難しくなってきている。この問題は、医師個人が経営する小さな診療施設ほど深刻となる。
【0006】
多数に及ぶ外来の患者を円滑に処理するため、通常は、診察室に「内待合室」と呼ぶべきスペースを割り当てておき、患者は数人単位で診察室に呼ばれていた。しかし、これでは各患者のプライバシーが保護されず、また患者に要らぬ羞恥心を呼び起こさせる結果となっていた。つまり、問診及び説明のスペースと診察台のスペースとが同じ診察室に割り当てられていたことが問題であり、特に問診及び説明のスペースの確保の必要性が高まってきている。
【0007】
また、各診療器具ごとに部屋を割り当て、更に問診及び説明のスペースをつくるとなると、患者の移動が繁雑になり、診察及び診療以外に無駄な時間が費やされることになる。このほか、近年では、診察及び診療それぞれにおいて超音波断層装置が使用されるようになってきているが、この装置を診察、診療に合わせて移動させることは難しく、結果として診察台、診療台それぞれに超音波断層装置を設置せざるを得なかった。この超音波断層装置は高価であり、診察台及び診療台それぞれに対して設置するのはコスト高になるのに対し、診察用、診療用を同時に並行して使用する機会が少ないなど、問題が多かった。
【0008】
解決策として、上記各診療器具を兼用することが考えられる。ところが、従来の診療台は、着座位より更に背部と脚部(脚全体を指すが、背部との屈曲角の関係においては特に大腿部を意味する)との屈曲角度が大きくなる外診位への移行は考えておらず、構造上外診目的のための外診位に移行することが難しくなっていた。これは、従来の診療台は、内診位の姿勢を保持しようとする患者の労力を軽減されるように、背板に続いて座部が、そして座部の両側にから臀部を下方から支えるように湾曲する臀部受が設けられているため、患者が着座位から外診位に移行しようとする際に必要となる脚部の伸展(前額面において膝を後方へ移動する動き)が座部や臀部受に邪魔されてしまうからである。また、脚受部を移動させるアームの旋回面は主として患者の脚部を開くという観点から設定され、アームの旋回手段と臀部受との関係のみが検討されていた。このため、背板に対するアームの旋回面の設定が不明確となり、脚受部の移動を外診位から内診位へ至る広い範囲とすることができなかったという問題もある。
【0009】
そこで、患者の診察、診療の流れを円滑かつ患者の負担を軽減する方向で見直す手段として、診察及び診療に適して内外診兼用となる診療台を開発することとし、特に診療台において、着座位から外診位又は内診位へと移行でき、かつ外診位から内診位へも連続的に移行できるように、前記内外診兼用の診療台の構造上の要件を検討することにした。
【0010】
【課題を解決するための手段】
検討の結果開発したものが、背板基準面に対して外診位における背部と脚部との屈曲角度相当の開度を有する臀部受基準面、同背板基準面に対して着座位における背部と脚部との屈曲角度相当の開度を有する旋回基準面を設定した内外診兼用診療台において、患者の背部から腰部を支持する背板を背板基準面に配し、患者の臀部を左右から支持する一対の略扁平な臀部受を臀部受基準面に対してそれぞれ傾斜させた正面視略V字状に前記背板の下端両側に配し、先端に脚受部を取り付けたアームの旋回手段を各臀部受に設け、各アームの旋回面旋回基準面に対してそれぞれ傾斜させた正面視略V字状にした内外診兼用診療台である。アームの旋回面に直交する旋回軸上に患者の股関節が位置するように、旋回手段を各臀部受に軸着することが好ましい。
【0011】
一般には、着座位における患者の背部と脚との屈曲角度は120度(脚部が60度屈曲している状態)前後、外診位(仰臥背臀位相当)での屈曲角度を135度(同45度)前後、そして内診位(砕石位相当)での屈曲角度を90度(同90度)前後とされている。そこで、上記内外診兼用診療台は、背板基準面に対して開度略120度の臀部受基準面、同背板基準面に対して開度略135度の旋回基準面を設定し、患者の背部から腰部を支持する背板を背板基準面に配し、この背板の下端両側にあって患者の臀部を左右から支持する一対の略扁平な臀部受を正面視略V字状となるように臀部受基準面に対してそれぞれ略45度傾斜させて配し、そして先端に脚受部を取り付けたアームの旋回面が正面視略V字状となるように旋回基準面に対してそれぞれ略45度傾斜させてこのアームの旋回手段を設けた内外診兼用診療台となる。更に、各臀部受に背板に対する傾倒手段を設けて、起立状態にある各臀部受を傾倒し、傾倒状態にある各臀部受を起立できるようにするとよい。
【0012】
この内外診兼用診療台を使用する場合、背板に傾倒手段を設けておき、(1)患者を外診するに際して、背板を傾倒させつつアームを下降方向に旋回させて両脚受部を互いに接近かつそれぞれを背板から遠ざけることにより患者を着座位から外診位へ移行させ、(2)患者を内診するに際して、背板を傾倒させつつアームを上昇方向に旋回させて両脚受部を互いに離反かつそれぞれを背板に近づけることにより患者を着座位から内診位へと移行させる。各臀部受に傾倒手段を設けた場合、アームの旋回に合わせて起立状態にある各臀部受を傾倒させるか((1)')、傾倒状態にある各臀部受を起立させる((2)')。外診から内診へと移行する場合、前記(1)又は(1)'において背板を傾倒状態で保持し、両脚受部を互いに離反かつそれぞれを背板に近づけ、必要により各臀部受を起立させることにより、患者を着座位から内診位へと移行させる。
【0013】
本発明の診療台は、座部を廃し、背板基準面に対して外診位の開度に設定した臀部受基準面に略扁平な臀部受を配することにより、着座位から外診位への移行する際に臀部受による邪魔がなくなる。従来は、臀部受とアームの旋回面とを実質的に同一基準面上に配していたが、本発明では臀部受基準面とは別に旋回基準面を設定することで、臀部受とアームの旋回(脚受部の移動)との関係を分離することができたのである。臀部受のみで患者を安定に保持するため、本発明では左右に一対の臀部受を略V字状となるように配し、両臀部受間に臀部を落ち込ませるように支持する。背板(=背板基準面)に対して着座位の開度を有する臀部受基準面において各臀部受は傾斜していることから、この臀部受を下端に有する背板は下向きに凸な略五角形となる。すなわち、各臀部受は、背板下端部にある2辺を屈曲線として背板から折れ曲がり、背板側方から外向きに若干突出する。臀部受は略扁平であれば平面形状を問わないが、前記屈曲線の直交方向に延び、両臀部受間に空間が形成されるようにし、前記空間を内診のための括れや汚物受の設置空間として利用するようにするとよい。
【0014】
略扁平な臀部受は、患者の開閉脚に伴う股関節の運動を臀部受と平行な面上に規制する。また、アームの先端に取り付けた脚受部は、傾斜した旋回面に従って移動することで患者の脚部を開脚させながら屈曲させ、閉脚させながら伸展させる。各臀部受とアームの旋回面とは異なる開度の各基準面に従うが、両者がそれぞれの基準面に対して同じ傾斜角をもつと、臀部受に規制される股関節の運動とアームの旋回とをほぼ等価にすることができ、臀部受により開閉脚が邪魔されなくなる。この場合、アームの旋回面に直交する旋回軸上に患者の股関節が位置するように旋回手段を各臀部受に設けると、着座位、外診位又は内診位への相互に移行に際し、アームの旋回に従って移動する脚受部が、無理なく脚部を伸展/屈曲、外転/内転、そして外旋/内旋させることができる。
【0015】
患者の開閉脚により外診位から内診位と相互に移行するためには、患者の開閉脚を決定する脚受部の移動範囲を大ききしなければならない。この脚受部の移動範囲の拡大は、前額面における屈曲/伸展と矢状面における外転/内転とを共に大きくすることであるから、脚受部の移動を担うアームの旋回面は旋回基準面に対して略45度で傾斜することが望ましい。そして、移動に伴って脚受部が患者の膝等を支持する角度や当接面も大きく変化するため、脚受部は大腿部よりは下腿部を支持し、むしろ膝に下方又は内側より係合する形状が好ましい。また、脚受部は遊嵌状態でアーム端部に取り付けて膝と脚受部との係合関係に自由度を持たせると、開閉脚に伴う患者の負担を軽減することができる。この自由度は、両脚受部が互いに接近する方向に小さく、逆に両脚受部が互いに離反する方向に大きくすると、外診位においては少し脚を拡げるように下方から支え、内診位へと移行するにつれ、各脚受部が両脚を拡げる方向に内側から支えるようになり、外診、内診それぞれにおいて都合がよい。
【0016】
各臀部受に設けた傾倒手段は、外診位から更に脚部の伸展を要する場合や、外診位においても患者の自由度が必要な場合に、脚部の運動を臀部受が規制しないように、背板に対して臀部受を開きながら傾倒し、臀部受を脚部の運動範囲から退避させる。すなわち、背板基準面と臀部受基準面とを一致させるのである。脚受部は、臀部受基準面とアームの旋回面とが交差するまでアームを旋回させ、背板、臀部受、そして脚受部がほぼ同一平面上に並ぶようにする。この場合の脚受部は、アームの先端に遊嵌状態で取り付けて、患者が両脚を揃えた状態で下方から支持できるように自由度を持たせておくとよい。起立状態から傾倒状態へは、連続的、段階的に移行させるほか、例えば起立状態の臀部受と背板とが同一面となる傾倒状態とを択一的に選べるようにしてもよい。
【0017】
実際の脚受部の移動は、患者が外診位又は内診位の各姿勢に移行した後の負担を考慮して、背板の傾倒に合わせて実施するのが好ましい。背板の傾倒は、患者に不安感を生じさせない程度、例えば水平面に対して約20度程度とするのが好ましい。これにより、(1)患者を外診するに際しては、背板を傾倒させると同時に両脚受部を互いに接近させながら背板から遠ざけて脚部を伸展し、患者に負担の少ない外診位の姿勢をとらせることができる。また、(2)患者を内診するに際しては、背板を傾倒させると同時に両脚受部を互いに離反させながら背板に近づけて脚部を屈曲して、医者の診療に適した内診位にすることができる。背板の傾倒は、患者が背板及び臀部受に体重を預けて安定感を感じ、しかも脚受部に掛かる負荷を軽減して、脚受部の移動を円滑にする利点がある。
【0018】
【発明の実施の形態】
以下、本発明の実施形態について、図を参照しながら説明する。図1は本発明を適用した内外診兼用診療台1の一例を示す斜視図であり、図2は着座位における同診療台1の側面図、図3は同正面図、図4は同平面図、図5は外診位における同診療台1の側面図、図6は同正面図、図7は同平面図、図8は内診位における同診療台1の側面図、図9は同正面図、図10は同平面図である。なお、説明の便宜上、図2〜図10では、診療台及び患者2をワイヤーフレームで示し、診療台1における脚受部3をアーム4先端の○、旋回手段5をアーム4後端の○で表している。また、図2〜図10中の円弧はアーム4の旋回面Tと脚受部3の移動範囲とを示す。
【0019】
本例の内外診兼用診療台1は、図1に見られるように、正面視略五角形の背板6下端の2辺に一対の略扁平な臀部受7,7を突設し、各臀部受7裏面にモータを旋回手段5とするアーム4を軸着して、このアーム4先端に遊嵌状態で脚受部3を取り付けている。臀部受7、旋回手段5、アーム4及び脚受部3は背板6に従って運動するようになっており、この背板6は傾倒手段、水平旋回手段及び垂直昇降手段を兼ね備えた基台部8に支持されている。両臀部受7,7の間は、内診のための括れ9であり、進退可能な汚物受10を設置している。各脚受部3は、アーム4先端に対する自由度が内方向に偏っていて、略45度のアーム4の旋回面Tに従って上昇方向及び下降方向に移動した際に、図2以下に見られるように、患者2の膝11及び下腿部12をやや内側から支持する。背板6の傾倒、水平旋回、垂直昇降や脚受部の移動については、フットスイッチ(図示せず)により医師が操作する。
【0020】
図2〜図4をもとに、本例の内外診兼用診療台1における背板6、臀部受7及びアーム4の旋回面Tの位置関係について説明する。便宜上、旋回基準面Sを水平にして、図2に見られるように、この旋回基準面Sに対して背板基準面Bが着座位120度の開度、この背板基準面Sに対して臀部受基準面Hが外診位の135度の開度で設定する。臀部受7裏面に旋回手段5を設けることから、臀部受基準面Hと旋回基準面Sとは実際の臀部受7の前端付近で交差し、背板基準面B上では開度差分略15度の開きを有する。両臀部受7,7は、図3に見られるように、前記臀部受基準面Hに対してそれぞれ略45度の傾斜を有し、かつ正面視略V字状を形成するように背板6下端から突出し、アーム4の旋回面Tが前記旋回基準面Sに対してそれぞれ略45度の傾斜を有し、かつ正面視略V字状を形成するように前記臀部受7裏面に旋回手段5を設ける。
【0021】
患者2が診療台1に腰かけると、図2〜図4に見られるように、アーム4は旋回面Tと旋回基準面Sとの交差線Lt-s上に位置しているため、脚受部3が臀部受7から延びる患者2の脚部を膝11から支持して、患者2は背板基準面Bと旋回基準面Sとの開度に従って略120度着座位となる。脚部の膝11における屈曲は、脚受部3の形状や下腿部12の支持面の長さ等に従う。実際は、アーム4は旋回面Tと旋回基準面Sとの交差線Lt-s上に必ずしも位置するものではなく、臀部受7の表面と旋回手段5との距離差から、アーム4はむしろ上向きとなる。また、図3及び図4からもわかるとおり、患者2はわずかに開脚気味で着座することとなるが、患者2が妊婦の場合はこのように開脚気味で座る方が楽であるため、むしろ好ましい姿勢となる。
【0022】
外診に際しては、図5〜図7に見られるように、基台部8(図1参照)の運動により背板6を水平面に対して約20度まで傾倒させ、同時にアーム4を下降方向に旋回して両脚受部3,3を互いに接近させながら背板6から遠ざける。アーム4は旋回面Tと臀部受基準面Hとの交差線Lt-h上にまで旋回するため、脚受部3が臀部受7に沿って延びる患者2の脚部を膝11から支持して、患者2を背板基準面Bと臀部受基準面Hとの開度に従って略135度の外診位とする。図6及び図7からわかるように、上記着座位に比較して、患者2は若干内股気味にしながら脚部を軽屈曲させて延ばすようになるが、外診位では背部と脚部との開度が大きいため、妊婦であっても負担を感じることはない。むしろ、脚部が軽屈曲し、膝も軽く折れ曲がるため、患者2はゆったりとできる。
【0023】
内診に際しては、図8〜図10に見られるように、外診同様背板6を傾倒させ、アーム4は上昇方向に旋回させて両脚受部3,3を互いに離反させながら背板6に近づける。アーム4の旋回上限は任意であるが、脚部の屈曲が略90度(内診位)となることを目標として、本例では平面視で片側略30度開脚した位置(図6参照)で旋回手段5による動力旋回を停止し、後は医師又は患者がフットスイッチの操作や脚部による押し開きにより、段階的に脚受部を移動させるようにしている。このようにして、脚受部3は臀部受7から大きく屈曲して外向きに開く患者2の脚部を膝11に係合して支持することができ、患者2は内診に適した開度略90度の内診位(図8〜図10に示す)となる。
【0024】
この内診位へは着座位又は外診位からの移行が可能である。いずれにしても、アーム4が上昇方向に旋回することで患者2の脚部を開脚させるわけであるが、このアーム4の旋回面Tがそれぞれ略45度傾斜しているために、脚部の屈曲と外転とが同時に、かつほぼ等量で進行し、無理なく内診位への移行を実現するのである。膝11を支持する脚受部3は不当に脚部を拘束しないから、内診位への移行に必要な外旋については前記屈曲、外転に付随して生ずる。また、臀部受7は背板6に対して外診位の開度で傾斜しているため、患者2が内診位をとると、脚受部3が膝11を持ち上げて臀部を臀部受7から少し浮かせるため、結果として外陰部が前方に突出して医師による診療が容易となる。
【0025】
以上の着座、外診及び内診時における広い姿勢の変化(外診位から内診位)は、臀部受7とアーム4の旋回面Tとの関係、すなわち臀部受基準面Hと旋回基準面Sとの開度差により実現している。また、開閉脚による負担を軽減するため、アーム4の旋回面Tを略45度の傾斜させて脚部の屈曲と外転とをほぼ等量にしている。本例では、更に臀部受7に規制される脚部の運動と旋回面Tとの傾斜角を一致させ、加えて患者2の股関節13と旋回手段5の旋回軸とが同一線上に並ぶように配慮している。これにより、図2〜図10を相互に比較してわかるとおり、患者2の脚部の動きとアーム4の旋回とがほとんど等価となっており、患者2の負担が軽減されていることがわかる。
【0026】
図11は臀部受7の傾倒手段となる回動軸14を設けた内外診兼用診療台1の斜視図で、図12は同診療台1で臀部受7を傾倒させた状態を表した平面図である。本発明では、外診における外診位をも可能とするため、臀部受7とアーム4の旋回面T(図2以下参照)との設定を別にしているが、例えば外診位を超えて患者の姿勢を更に寝かせようとした場合には、やはり臀部受7が邪魔となる。また、外診位においても臀部受7が臀部の左右への自由度を規制しており、患者によっては窮屈感を感じることも考えられる。そこで、図11に見られるように、別体の臀部受7と背板6との間に回動軸14を介し、背板6に対して各臀部受7,7が傾倒できるようにした。
【0027】
臀部受7は、外診に際して背板6を傾倒させると同時に傾倒させ、背板6を起こす又は外診から内診へと直接移行すると同時に起立させるのがよい。臀部受7を傾倒させると、図12に見られるように、背板6から臀部受7は同一面となって従来の外診用ベッドに類似し、患者の臀部は左右から挟まれるのではなくて下方から両臀部受7,7に支持されるようになり、左右方向に開放感ができる。このとき、臀部受基準面は背板基準面と同一になっているから、アーム4の旋回面と臀部受基準面との交差線上にまでアーム4を旋回させると、脚受部3は背板6の長尺方向に位置するようにすれば、患者は脚部を揃えて延ばした姿勢をとることができる。
【0028】
【発明の効果】
本発明により、産科、婦人科、泌尿器科及び肛門科等の診察又は治療を1台の内外診兼用診療台で担うことができる。これにより、診療器具の設置スペースを削減して、例えば医師個人が経営する小さな診療施設における医師と患者とのカウンセリングのためのスペースが容易に確保できるようになる。待合室のスペースも充分取れるようになるので、問診用の部屋と待合室との分化が可能となり、患者のプライバシー保護についても有益である。
【0029】
こうして診療施設のスペース割当が改善されることで、患者の移動が少なくなり、診察及び診療以外の無駄な時間が削減できる。更に、これまで診察及び診療それぞれに対して設置していた超音波断層装置が1台で済むようになり、診療施設のコスト削減にも効果がある。既述したように、超音波断層装置は高価であるから、前記経済効果は重要である。
【0030】
以上から、本発明により診察の流れは次のようになる。なお、診療施設は待合室、診察室(内診室と兼用)に区画され、診察室に問診用の椅子と本発明の診療台とを配しているものとする。まず、(1)患者を待合室から診察室へと呼び出し、問診用の椅子に座らせて問診する。次に、(2)外診のみの場合はそのまま、内診が必要な場合には下着を脱がせて特製腰布(後面が開く)を巻かせて診療台に座らせ(着座位)、(3)背板を倒しながらアームを下降方向に旋回させて脚部を伸展し(外診位)、腹部を診察する。続いて、(4)背板を倒したままにして今度はアームを上昇方向に旋回させて脚部を屈曲し(内診位)、(6)医師による診療を施す。そして、(7)診療を受けた患者を診療台から降ろし、最後に、(8)着衣させた患者を問診用の椅子へ戻し、医師が病症について説明する。
【0031】
上述のように、患者の診察から診療までを同一の部屋で実施できるため、従来のように診察室と診療室とを分画するカーテンが不要となり、患者が診察室へ入ってから出るまでの時間を大幅に短縮できるようになる。そして、この時短に応じて、相対的に問診やカウンセリングに割り当てる時間を増やすことができ、総じて医療の充実を図ることができるようになるのである。
【図面の簡単な説明】
【図1】本発明を適用した内外診兼用診療台の一例を示す斜視図である。
【図2】着座位における同診療台の側面図である。
【図3】着座位における同診療台の正面図である。
【図4】着座位における同診療台の平面図である。
【図5】外診位における同診療台の側面図である。
【図6】外診位における同診療台の正面図である。
【図7】外診位における同診療台の平面図である。
【図8】内診位における同診療台の側面図である。
【図9】内診位における同診療台の正面図である。
【図10】内診位における同診療台の平面図である。
【図11】臀部受の傾倒手段となる回動軸を設けた内外診兼用診療台の斜視図である。
【図12】同診療台で臀部受を傾倒させた状態を表した平面図である。
【符号の説明】
1 内外診兼用診療台
2 患者
3 脚受部
4 アーム
5 旋回手段
6 背板
7 臀部受
8 基台部
9 括れ
10 汚物受
11 膝
12 下腿部
13 股関節
14 回動軸
B 背板基準面
H 臀部受基準面
S 旋回基準面
T アームの旋回面
Lt-h 臀部受基準面と旋回面との交差線
Lt-s 旋回基準面と旋回面との交差線
[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a medical table that can be used for both internal and external examinations for diagnosis or treatment in obstetrics, gynecology, urology, anus, and the like.
[0002]
[Prior art]
In the current obstetrics and gynecology department, an examination table suitable for an external examination such as a medical examination and a medical examination table suitable for an internal examination such as examination and treatment are properly used. There are structural and functional differences, but the reason for separating these is to enable appropriate treatment for each diagnosis or treatment while reducing the burden and shame of pregnant women who are mainly patients. is there.
[0003]
In addition to a mere bed, for example, an examination table in the form of a bed in which a standing back plate and a support plate that supports the buttocks are continuously integrated is used as an examination table suitable for external examination. The latter examination table is intended to reduce the burden on patients who wake up. On the other hand, an examination table suitable for internal examination has an appearance of a chair composed of a back plate, a seat part and a leg support part that can be tilted and rotated integrally by an external drive. A neck is provided to make it easier to insert and prevent the seat from being contaminated by the cleaning solution, so that a patient with a knee or thigh placed on the leg holder can open the leg without effort by opening and closing the leg holder. It has become.
[0004]
[Problems to be solved by the invention]
Analyzing the flow of medical examination and medical care generally follows the following procedure. It is assumed that the medical facility is divided into a waiting room, an examination room, and an internal examination room, and an examination table is arranged in the examination room and an examination table is arranged in the internal examination room. First, (1) call the patient from the waiting room to the examination room and ask a question. Next, (2) remove the patient's jacket and examine mainly the upper body, then (3) place the patient on the examination table to expose the abdomen and examine the abdomen. Thereafter, (4) the patient is moved to the internal examination room as necessary, the underwear is taken off, (5) the patient seated on the examination table is moved to the examination position, and (6) medical treatment is performed by a doctor. Then, (7) the patient who received the medical treatment is taken down from the clinical table, and finally (8) the patient who is dressed is returned to the examination room, and the doctor explains the disease.
[0005]
Differentiating the examination table and the examination table in consideration of both the patient and the doctor will require at least two installation spaces for the medical instruments, but in recent years, communication between the doctor and the patient has been regarded as important. As a result, in order to secure a space for the counseling, it is becoming difficult to secure a space for installing all the medical instruments. This problem becomes more serious in smaller medical facilities run by individual doctors.
[0006]
In order to smoothly handle a large number of outpatients, a space to be called an “inside waiting room” is usually allocated to the examination room, and the patients are called to the examination room in units of several people. However, this did not protect each patient's privacy and resulted in an unnecessary shame. That is, the problem is that the space for the inquiry and explanation and the space for the examination table are assigned to the same examination room, and the necessity for securing the space for the inquiry and explanation is increasing.
[0007]
Moreover, if a room is allocated for each medical instrument and further space for inquiry and explanation is created, the movement of the patient becomes complicated, and wasteful time is spent other than the medical examination and medical care. In addition, in recent years, an ultrasonic tomography device has been used for each examination and medical treatment, but it is difficult to move this device according to the medical examination and medical treatment. It was necessary to install an ultrasonic tomography device. This ultrasonic tomography device is expensive, and it is expensive to install it on each of the examination table and the examination table, but there are problems such as few opportunities to use the examination and the treatment at the same time in parallel. There were many.
[0008]
As a solution, it is conceivable to use both of the above-mentioned medical instruments. However, the conventional examination table has an external examination position in which the bending angle between the back and legs (the whole leg, which means the whole leg, but especially the thigh in relation to the back) is larger than the sitting position. It was difficult to move to the outpatient position for the purpose of outpatient examination because of the structure. This is because the conventional table supports the seat behind the back plate and supports the buttocks from below on both sides of the seat so that the effort of the patient trying to maintain the position of the internal examination position is reduced. The leg support (movement to move the knee backward on the frontal plane) required when the patient is going from the sitting position to the external examination position This is because they are disturbed by the buttocks. In addition, the pivot surface of the arm that moves the leg holder is set mainly from the viewpoint of opening the patient's leg, and only the relationship between the pivot means of the arm and the buttocks receiver has been studied. For this reason, the setting of the turning surface of the arm with respect to the back plate becomes unclear, and there is also a problem that the movement of the leg support portion cannot be made in a wide range from the external examination position to the internal examination position.
[0009]
Therefore, as a means of reviewing the flow of patient examinations and treatments in a direction that reduces the burden on the patient smoothly, we decided to develop a treatment table that is suitable for both examinations and medical treatments. It was decided to examine the structural requirements of the above-mentioned medical examination table for both internal and external examinations so that it can be transferred from the external examination position to the internal examination position and continuously from the external examination position to the internal examination position.
[0010]
[Means for Solving the Problems]
As a result of the study, the developed was the buttocks receiving reference surface having an opening corresponding to the bending angle between the back and the leg at the external examination position with respect to the back plate reference surface, and the back portion in the sitting position with respect to the same back plate reference surface and the bending angle equivalent examination out setting the turning reference surface having the opening serves couch with legs, arranged back plate for supporting the lumbar region of the patient's back in the back plate reference surface, hip patients the arranged a pair of substantially flat buttocks receiving supporting the left and right lower sides of the back plate in front view substantially V-shape is tilted respectively anal unit receiving a reference plane, the mounting legs receiving first end Further , this is an internal / external medical examination table having a substantially V-shape in front view in which a turning means for each arm is provided in each buttocks holder, and the turning surface of each arm is inclined with respect to the turning reference plane. It is preferable to pivot the pivoting means on each buttocks so that the patient's hip joint is located on the pivot axis orthogonal to the pivot plane of the arm.
[0011]
In general, the bending angle between the patient's back and leg in the sitting position is around 120 degrees (the leg is bent 60 degrees), and the bending angle in the external examination position (equivalent to the supine dorsal position) is 135 degrees ( 45 degrees), and the flexion angle at the internal examination position (equivalent to crushed stone position) is about 90 degrees (90 degrees). Therefore, the internal / external medical examination table has a hip reference plane with an opening of about 120 degrees with respect to the back plate reference plane and a turning reference plane with an opening of about 135 degrees with respect to the back plate reference plane. A back plate that supports the lumbar region from the back of the patient's back is disposed on the back plate reference plane, and a pair of substantially flat buttocks supports that support the patient's buttocks from the left and right sides of the back plate are substantially V-shaped in front view. In this way, the arm is provided with an inclination of about 45 degrees with respect to the flange receiving reference surface, and the turning surface of the arm with the leg receiving portion attached to the tip is substantially V-shaped in front view. This is an internal / external medical examination table that is provided with means for turning the arm by tilting approximately 45 degrees. Furthermore, it is preferable to provide a tilting means with respect to the back plate in each collar support so that each collar support in the standing state can be tilted so that each collar support in the tilted state can stand up.
[0012]
When using this internal / external medical examination table, tilting means should be provided on the back plate, and (1) when visiting the patient, the arm is pivoted downward while tilting the back plate so that both leg holders are connected to each other. The patient is moved from the sitting position to the external examination position by approaching and moving away from the back plate. (2) When performing an internal examination of the patient, the arms are pivoted upward while tilting the back plate so that both leg holders are connected to each other. The patient is transferred from the sitting position to the internal examination position by moving away from each other and approaching the back plate. When tilting means is provided for each saddle holder, each saddle holder in the standing state is tilted in accordance with the turning of the arm ((1) ') or each saddle holder in the tilted state is raised ((2)' ). When transitioning from an external examination to an internal examination, hold the back plate in a tilted state in (1) or (1) 'above, keep both leg holders apart from each other and bring them close to the back board, and stand up each buttocks as necessary. The patient is shifted from the sitting position to the internal examination position.
[0013]
The medical table of the present invention eliminates the seat and places a substantially flat buttocks support on the buttocks receiving reference surface set to the opening of the outside diagnosis position with respect to the back plate reference surface, so that the outside diagnosis position can be changed from the sitting position. When moving to, there will be no obstruction caused by the buttocks. Conventionally, the collar support and the pivot surface of the arm are arranged on substantially the same reference plane. However, in the present invention, by setting the pivot reference plane separately from the collar support reference plane, The relationship with turning (movement of the leg support) could be separated. In order to stably hold the patient with only the buttocks, in the present invention, a pair of buttocks on the left and right are arranged in a substantially V shape and supported so that the buttocks are depressed between the both buttocks. Since each buttocks support is inclined at the buttocks receiving reference surface having an opening in the sitting position with respect to the back plate (= back plate reference surface), the back plate having this buttocks support at the lower end is an approximately convex downward It becomes a pentagon. That is, each heel support is bent from the back plate with the two sides at the lower end of the back plate as bending lines and slightly protrudes outward from the side of the back plate. If the heel support is substantially flat, the planar shape is not limited, but it extends in the direction perpendicular to the bending line so that a space is formed between the both heel support, and the space is constricted for internal examination and installation of a filth receiver It should be used as a space.
[0014]
The substantially flat buttocks support restricts the movement of the hip joint associated with the patient's opening and closing legs on a plane parallel to the buttocks support. Also, the leg support attached to the tip of the arm moves according to the inclined turning surface, thereby bending the patient's leg while opening the leg and extending while closing the leg. Each buttocks support and the swivel surface of the arm follow each reference plane with different opening, but if both have the same inclination angle with respect to each reference surface, the movement of the hip joint and the swivel of the arm regulated by the buttocks support Can be made substantially equivalent, and the opening and closing legs are not disturbed by the buttocks. In this case, if the swivel means is provided at each buttocks so that the patient's hip joint is positioned on the swivel axis orthogonal to the swivel plane of the arm, the arm can be moved to the sitting position, the external examination position, or the internal examination position. A leg holder that moves according to the turning can stretch / bend, abduction / addition, and abduction / inward rotation without difficulty.
[0015]
In order to shift from the external examination position to the internal examination position by the patient's open / close leg, the range of movement of the leg support that determines the open / close leg of the patient must be increased. The expansion of the range of movement of the leg support is to increase both the flexion / extension at the frontal plane and the abduction / addition at the sagittal plane. It is desirable to incline at approximately 45 degrees with respect to the reference plane. The angle and contact surface of the leg support that supports the patient's knee, etc. change greatly with the movement, so the leg support supports the lower leg rather than the thigh, rather than below or inside the knee. More engaging shapes are preferred. Further, if the leg receiving part is attached to the end of the arm in a loosely fitted state so that the engagement relationship between the knee and the leg receiving part has a degree of freedom, the burden on the patient associated with the open / close leg can be reduced. This degree of freedom is small in the direction in which both leg holders are close to each other, and conversely, if both leg holders are in a direction in which they are separated from each other, in the external examination position, the legs are supported from below so that the legs are slightly expanded, and the shift to the internal examination position As it does, each leg receiving part comes to support from the inside in the direction which expands both legs, and it is convenient in each of an external examination and an internal examination.
[0016]
The tilting means provided on each buttocks support prevents the leg support from regulating leg movements when it is necessary to further extend the legs from the external examination position or when patient freedom is required even at the external examination position. In addition, it tilts while opening the buttocks support with respect to the back plate, and retracts the buttocks support from the range of motion of the legs. That is, the back plate reference surface and the buttocks receiving reference surface are made to coincide. The leg receiving portion turns the arm until the collar receiving reference surface intersects with the turning surface of the arm so that the back plate, the collar receiving portion, and the leg receiving portion are arranged on substantially the same plane. In this case, the leg receiving portion is preferably attached to the tip of the arm in a loosely fitted state so that the patient can be supported from below with both legs aligned. In addition to making the transition from the standing state to the tilted state continuously and stepwise, for example, the tilted state in which the buttocks support in the standing state and the back plate are on the same plane may be selected.
[0017]
The actual movement of the leg support is preferably performed in accordance with the tilt of the back plate in consideration of the burden after the patient has shifted to each posture of the external examination position or the internal examination position. It is preferable that the tilt of the back plate is such that the patient does not feel uneasy, for example, about 20 degrees with respect to the horizontal plane. As a result, (1) when visiting the patient, the back plate is tilted and at the same time, the legs are extended away from the back plate while keeping the legs receiving parts close to each other. Can be taken. (2) When performing a medical examination of the patient, tilt the back plate and at the same time make the legs rest close to the back plate while keeping the legs receiving parts apart from each other, and make the internal examination position suitable for the doctor's practice. Can do. The tilting of the back plate has the advantage that the patient feels a sense of stability by putting the weight on the back plate and the buttocks support, and further reduces the load applied to the leg support portion, thereby facilitating the movement of the leg support portion.
[0018]
DETAILED DESCRIPTION OF THE INVENTION
Hereinafter, embodiments of the present invention will be described with reference to the drawings. FIG. 1 is a perspective view showing an example of an internal / external medical treatment table 1 to which the present invention is applied, FIG. 2 is a side view of the medical table 1 in a sitting position, FIG. 3 is a front view thereof, and FIG. 5 is a side view of the clinical table 1 in the external examination position, FIG. 6 is a front view thereof, FIG. 7 is a plan view thereof, FIG. 8 is a side view of the medical examination table 1 in the internal examination position, and FIG. FIG. 10 is a plan view of the same. For convenience of explanation, in FIGS. 2 to 10, the medical table and the patient 2 are shown by wire frames, the leg receiving part 3 in the medical table 1 is indicated by ○ at the tip of the arm 4, and the turning means 5 is indicated by ○ at the rear end of the arm 4. Represents. Moreover, the circular arc in FIGS. 2-10 shows the turning surface T of the arm 4, and the movement range of the leg receiving part 3. FIG.
[0019]
As shown in FIG. 1, the internal / external medical examination table 1 in this example has a pair of substantially flat collar receivers 7, 7 projecting from two sides at the lower end of a substantially pentagonal back plate 6 in front view. 7. An arm 4 having a motor as a turning means 5 is pivotally attached to the back surface, and the leg receiving portion 3 is attached to the tip of the arm 4 in a loosely fitted state. The saddle member 7, the turning means 5, the arm 4 and the leg receiving part 3 are adapted to move according to the back plate 6. The back plate 6 has a base 8 having both tilting means, horizontal turning means and vertical lifting means. It is supported by. Between the both collar holders 7 and 7 is a constriction 9 for internal examination, and a filth receptacle 10 which can be moved back and forth is installed. Each leg receiving portion 3 has a degree of freedom with respect to the tip end of the arm 4 inward, and can be seen in FIG. 2 and subsequent drawings when it moves in the upward and downward directions according to the turning surface T of the arm 4 of about 45 degrees. Further, the knee 11 and the lower leg 12 of the patient 2 are supported slightly from the inside. The tilting of the back plate 6, horizontal turning, vertical elevating and movement of the leg holder are operated by a doctor using a foot switch (not shown).
[0020]
Based on FIGS. 2 to 4, the positional relationship between the back plate 6, the buttocks 7, and the turning surface T of the arm 4 in the internal / external medical examination table 1 of this example will be described. For the sake of convenience, with reference to the turning reference plane S, as shown in FIG. 2, the back plate reference plane B has an opening at a sitting position of 120 degrees with respect to the turning reference plane S. The buttocks receiving reference plane H is set at an opening degree of 135 degrees in the external examination position. Since the swiveling means 5 is provided on the back surface of the buttocks receiver 7, the buttocks receiving reference surface H and the turning reference surface S intersect in the vicinity of the front end of the actual buttocks receiver 7, and the opening difference on the back plate reference surface B is approximately 15 degrees. With an opening of. As shown in FIG. 3, both the collar receivers 7, 7 have an inclination of approximately 45 degrees with respect to the collar receiver reference plane H, and have a substantially V shape in front view. The swiveling means 5 protrudes from the lower end, and the swivel means 5 is formed on the back surface of the collar receiver 7 so that the swivel surface T of the arm 4 has an inclination of approximately 45 degrees with respect to the swivel reference surface S and forms a substantially V shape in front view. Is provided.
[0021]
When the patient 2 sits down on the medical table 1, the arm 4 is located on the intersection line Lt-s between the turning surface T and the turning reference surface S, as shown in FIGS. 3 supports the leg of the patient 2 extending from the buttocks support 7 from the knee 11, and the patient 2 is in a sitting position of approximately 120 degrees according to the opening of the back plate reference plane B and the turning reference plane S. The bending of the leg at the knee 11 follows the shape of the leg receiving portion 3 and the length of the support surface of the crus 12. Actually, the arm 4 is not necessarily located on the intersecting line Lt-s between the turning surface T and the turning reference surface S. From the difference in the distance between the surface of the collar receiver 7 and the turning means 5, the arm 4 is rather upward. Become. Also, as can be seen from FIG. 3 and FIG. 4, the patient 2 will sit slightly open leg, but if the patient 2 is a pregnant woman, it is easier to sit with open leg like this, Rather, it is a preferable posture.
[0022]
As shown in FIGS. 5 to 7, the back plate 6 is tilted to about 20 degrees with respect to the horizontal plane by the movement of the base portion 8 (see FIG. 1), and at the same time, the arm 4 is lowered in the downward direction. It turns and moves away from the back plate 6 while making both leg receiving parts 3 and 3 approach each other. Since the arm 4 turns to the intersection line Lt-h between the turning surface T and the buttocks receiving reference surface H, the leg receiving unit 3 supports the leg of the patient 2 extending along the buttocks receiving 7 from the knee 11. The patient 2 is set to an external examination position of approximately 135 degrees according to the opening degree of the back plate reference plane B and the buttocks receiving reference plane H. As can be seen from FIGS. 6 and 7, compared to the above-mentioned sitting position, the patient 2 slightly stretches the leg while slightly feeling the inner crotch, but in the external examination position, the patient 2 opens the back and the leg. Because the degree is large, even pregnant women do not feel the burden. Rather, the leg 2 is lightly bent and the knee is bent slightly, so that the patient 2 can relax.
[0023]
As shown in FIGS. 8 to 10, during the internal examination, the back plate 6 is tilted as in the external examination, and the arm 4 is pivoted in the upward direction to bring the both leg receiving parts 3, 3 apart from each other and approach the back plate 6. . The upper limit of the swing of the arm 4 is arbitrary, but in this example, with the goal of bending the leg to be approximately 90 degrees (internal examination position), in this example, at a position where the leg is opened approximately 30 degrees on one side (see FIG. 6). The power turning by the turning means 5 is stopped, and thereafter, the doctor or the patient moves the leg receiving portion step by step by operating the foot switch or pushing the foot portion. In this manner, the leg receiving part 3 can be supported by engaging the knee 11 with the leg 11 of the patient 2 which is bent outward from the buttocks receiver 7 and opens outward. The internal examination position is approximately 90 degrees (shown in FIGS. 8 to 10).
[0024]
It is possible to shift from the sitting position or the external examination position to this internal examination position. In any case, the leg 4 of the patient 2 is opened by turning the arm 4 in the upward direction. However, since the turning surface T of the arm 4 is inclined approximately 45 degrees, the leg The bend and abduction of the body proceed at the same time and in almost the same amount, and the transition to the internal examination position is realized without difficulty. Since the leg receiving part 3 that supports the knee 11 does not unduly restrain the leg part, the external rotation necessary for the transition to the internal examination position is accompanied by the bending and abduction. Further, since the buttocks support 7 is inclined with respect to the back plate 6 at the position of the external examination position, when the patient 2 takes the internal examination position, the leg receiving section 3 lifts the knee 11 and removes the buttocks from the buttocks reception 7. As a result, the vulva protrudes forward and facilitates medical treatment by a doctor.
[0025]
The above-mentioned wide posture change (external examination position to internal examination position) at the time of sitting, external examination, and internal examination is the relationship between the buttocks support 7 and the turning surface T of the arm 4, that is, the buttocks receiving reference plane H and the turning reference plane S. This is realized by the difference in opening. In order to reduce the burden caused by the opening and closing legs, the turning surface T of the arm 4 is inclined by approximately 45 degrees so that the bending of the legs and the abduction are approximately equal. In this example, the leg movement restricted by the buttocks support 7 and the inclination angle of the turning surface T are made to coincide with each other so that the hip joint 13 of the patient 2 and the turning shaft of the turning means 5 are aligned on the same line. Consideration. Accordingly, as can be seen by comparing FIGS. 2 to 10, it can be seen that the movement of the leg of the patient 2 and the turning of the arm 4 are almost equivalent, and the burden on the patient 2 is reduced. .
[0026]
FIG. 11 is a perspective view of the internal / external medical treatment table 1 provided with a rotation shaft 14 that serves as a tilting means for the buttocks support 7, and FIG. 12 is a plan view showing a state in which the buttocks support 7 is tilted on the medical table 1. It is. In the present invention, in order to enable the external examination position in the external examination, the setting of the buttocks support 7 and the turning surface T of the arm 4 (see FIG. 2 and the following) is made separately. If the patient's posture is to be further laid, the buttocks support 7 also becomes an obstacle. In addition, in the outpatient position, the buttocks 7 regulates the degree of freedom of the buttocks to the left and right, and some patients may feel cramped. Therefore, as shown in FIG. 11, the collar receivers 7, 7 can be tilted with respect to the back plate 6 via a rotating shaft 14 between the separate collar receiver 7 and the back plate 6.
[0027]
The buttocks 7 is preferably tilted at the same time as the back plate 6 is tilted at the time of the external examination, and is raised at the same time as the back plate 6 is raised or directly transferred from the external examination to the internal examination. When the buttock holder 7 is tilted, as shown in FIG. 12, the buttock holder 7 is flush with the back plate 6 and resembles a conventional external examination bed, and the patient's buttock is not sandwiched from the left and right. As a result, it is supported from the lower side by the both collar receivers 7 and 7, and a feeling of opening can be made in the left-right direction. At this time, since the buttocks receiving reference surface is the same as the back plate reference surface, when the arm 4 is swung to the intersection line between the turning surface of the arm 4 and the buttocks receiving reference surface, the leg receiving unit 3 becomes the back plate. If the patient is positioned in the longitudinal direction of 6, the patient can take a posture with the legs aligned and extended.
[0028]
【The invention's effect】
According to the present invention, diagnosis or treatment for obstetrics, gynecology, urology, anus, etc. can be carried out by a single medical examination table for both internal and external examinations. As a result, the installation space for the medical instrument can be reduced, and for example, a space for counseling between a doctor and a patient in a small medical facility managed by a doctor can be easily secured. Since sufficient waiting room space is available, it is possible to differentiate between an inquiry room and a waiting room, which is also beneficial for protecting the privacy of patients.
[0029]
Thus, the space allocation of the medical facility is improved, so that the movement of the patient is reduced, and the wasted time other than the medical examination and the medical care can be reduced. Furthermore, only one ultrasonic tomography apparatus that has been installed for the examination and the medical treatment can be used so far, which is effective in reducing the cost of the medical facility. As described above, since the ultrasonic tomography apparatus is expensive, the economic effect is important.
[0030]
From the above, the flow of diagnosis according to the present invention is as follows. It is assumed that the medical facility is divided into a waiting room and an examination room (also used as an internal examination room), and an inquiry chair and the examination table of the present invention are arranged in the examination room. First, (1) The patient is called from the waiting room to the examination room and seated on an inquiry chair for an interview. Next, (2) if there is only an external examination, if you need an internal examination, take off your underwear and wrap a special waist cloth (open on the back) and sit on the examination table (sitting position), (3) back While tilting the board, the arm is swung downward to extend the leg (external examination position) and examine the abdomen. Subsequently, (4) with the back plate down, this time the arm is turned in the upward direction to bend the leg (internal examination position), and (6) medical treatment is performed by a doctor. Then, (7) the patient who received the medical care is taken down from the medical desk, and finally (8) the patient who is dressed is returned to the inquiry chair, and the doctor explains the disease.
[0031]
As mentioned above, since the patient's examination and medical care can be carried out in the same room, the curtain that separates the examination room and the medical room is not required as before, and the patient can enter the examination room before leaving. Time can be greatly reduced. And according to this short time, the time allotted for an inquiry and counseling can be increased relatively, and improvement of medical treatment can be generally achieved.
[Brief description of the drawings]
FIG. 1 is a perspective view showing an example of an internal / external medical examination table to which the present invention is applied.
FIG. 2 is a side view of the medical table in a sitting position.
FIG. 3 is a front view of the medical table in a sitting position.
FIG. 4 is a plan view of the medical table in a sitting position.
FIG. 5 is a side view of the clinical table in the external examination position.
FIG. 6 is a front view of the medical desk in the external examination position.
FIG. 7 is a plan view of the medical table in the external examination position.
FIG. 8 is a side view of the medical table in the internal examination position.
FIG. 9 is a front view of the medical table in the internal examination position.
FIG. 10 is a plan view of the medical table in the internal examination position.
FIG. 11 is a perspective view of an internal / external medical examination table provided with a rotation shaft serving as a tilting means for the buttocks support.
FIG. 12 is a plan view showing a state in which the buttocks support is tilted on the medical table.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 1 Clinic table combined with internal / external diagnosis 2 Patient 3 Leg receiving part 4 Arm 5 Turning means 6 Back plate 7 Gutter receiving part 8 Base part 9
10 Waste collection
11 knees
12 Lower leg
13 hip joint
14 Rotating axis B Back plate reference plane H Ridge receiving reference plane S Turning reference plane T Arm turning plane Lt-h Crossing line between swiveling receiving reference plane and turning plane Lt-s Crossing line between turning reference plane and turning plane

Claims (3)

背板基準面に対して外診位における背部と脚部との屈曲角度相当の開度を有する臀部受基準面、同背板基準面に対して着座位における背部と脚部との屈曲角度相当の開度を有する旋回基準面を設定した内外診兼用診療台において、患者の背部から腰部を支持する背板を背板基準面に配し、患者の臀部を左右から支持する一対の略扁平な臀部受を臀部受基準面に対してそれぞれ傾斜させた正面視略V字状に前記背板の下端両側に配し、先端に脚受部を取り付けたアームの旋回手段を各臀部受に設け、各アームの旋回面旋回基準面に対してそれぞれ傾斜させた正面視略V字状にしたことを特徴とする内外診兼用診療台。A hip receiving reference surface having an opening corresponding to the bending angle between the back and the leg in the external examination position with respect to the back plate reference surface, and an equivalent bending angle between the back and the leg in the sitting position with respect to the back plate reference surface in the inner and outer diagnosis combined treatment table setting the pivot reference surface having the opening, arranged back plate for supporting the lumbar region of the patient's back in the back plate reference plane, a pair of substantially supporting the buttocks of patients from the left and right arranged flat buttocks receiving the lower end sides of the back plate in front view substantially V-shape is tilted respectively anal unit receiving a reference plane, the pivoting means of an arm fitted with a foot receiving portion before end each buttock provided receiving, combined treatment table diagnosis and out you characterized in that the front view substantially V-shape is tilted, respectively the turning surfaces of the arm with respect to the pivot reference plane. 臀部受基準面は背板基準面に対して開度略135度、旋回基準面は同背板基準面に対して開度略120度設定し、一対の臀部受は臀部受基準面に対してそれぞれ略45度傾斜させ、そしてアームの旋回面旋回基準面に対してそれぞれ略45度傾斜させた請求項1記載の内外診兼用診療台。 The buttocks receiving reference plane is set to approximately 135 degrees with respect to the back plate reference plane , the turning reference plane is set to approximately 120 degrees with respect to the back plate reference plane, and the pair of buttocks supports with respect to the buttocks receiving reference plane each tilted approximately 45 degrees, and combined treatment table diagnosis and out of the turning surfaces of a over arm is claim 1, wherein the tilted about 45 degrees respectively with respect to the pivot reference plane Te. 各臀部受に背板に対する傾倒手段を設け、起立状態にある各臀部受を傾倒させ、傾倒状態にある各臀部受を起立させる請求項1又は2記載の内外診兼用診療台。Tilting means for the back plate each hip receiving provided, each hip received is tilted, and out diagnosis combined treatment table of Motomeko 1 or 2, wherein Ru is raised each hip receiving in a reclined in a standing state.
JP20051697A 1997-07-25 1997-07-25 Internal / external medical examination table Expired - Lifetime JP3723327B2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP20051697A JP3723327B2 (en) 1997-07-25 1997-07-25 Internal / external medical examination table

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP20051697A JP3723327B2 (en) 1997-07-25 1997-07-25 Internal / external medical examination table

Publications (2)

Publication Number Publication Date
JPH1142258A JPH1142258A (en) 1999-02-16
JP3723327B2 true JP3723327B2 (en) 2005-12-07

Family

ID=16425622

Family Applications (1)

Application Number Title Priority Date Filing Date
JP20051697A Expired - Lifetime JP3723327B2 (en) 1997-07-25 1997-07-25 Internal / external medical examination table

Country Status (1)

Country Link
JP (1) JP3723327B2 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2009138548A1 (en) * 2008-05-16 2009-11-19 Eija Pessinen Device for assisting childbirth

Families Citing this family (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2001340404A (en) * 2000-03-31 2001-12-11 Morita Mfg Co Ltd Medical table, stretcher and medical table device
US8888688B2 (en) 2000-04-03 2014-11-18 Intuitive Surgical Operations, Inc. Connector device for a controllable instrument
US8517923B2 (en) 2000-04-03 2013-08-27 Intuitive Surgical Operations, Inc. Apparatus and methods for facilitating treatment of tissue via improved delivery of energy based and non-energy based modalities
US6468203B2 (en) 2000-04-03 2002-10-22 Neoguide Systems, Inc. Steerable endoscope and improved method of insertion
US6610007B2 (en) 2000-04-03 2003-08-26 Neoguide Systems, Inc. Steerable segmented endoscope and method of insertion
JP2002253625A (en) * 2001-03-06 2002-09-10 Tabuchi Kazuhisa Sitting delivery bed
EP1469781B1 (en) 2002-01-09 2016-06-29 Intuitive Surgical Operations, Inc. Apparatus for endoscopic colectomy
US8882657B2 (en) 2003-03-07 2014-11-11 Intuitive Surgical Operations, Inc. Instrument having radio frequency identification systems and methods for use
ATE417588T1 (en) * 2005-10-24 2009-01-15 Vifram S R L FURNITURE FOR GYNECOLOGICAL TREATMENTS
JP2009516574A (en) 2005-11-22 2009-04-23 ネオガイド システムズ, インコーポレイテッド Method for determining the shape of a bendable device
US8568299B2 (en) 2006-05-19 2013-10-29 Intuitive Surgical Operations, Inc. Methods and apparatus for displaying three-dimensional orientation of a steerable distal tip of an endoscope
US9220398B2 (en) 2007-10-11 2015-12-29 Intuitive Surgical Operations, Inc. System for managing Bowden cables in articulating instruments
KR101707924B1 (en) 2008-02-06 2017-02-17 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 A segmented instrument having braking capabilities
CN106618928A (en) * 2017-03-08 2017-05-10 韩瑞兰 Functional bed for gynecological clinical diagnosis and operative treatment
CN115068265A (en) * 2020-11-20 2022-09-20 袁晓雁 Obstetrical and gynecological antenatal delivery assisting device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2009138548A1 (en) * 2008-05-16 2009-11-19 Eija Pessinen Device for assisting childbirth

Also Published As

Publication number Publication date
JPH1142258A (en) 1999-02-16

Similar Documents

Publication Publication Date Title
JP3723327B2 (en) Internal / external medical examination table
KR200260631Y1 (en) Chair Having Separate Seat
US6942296B2 (en) Apparatus to assist disabled persons
JPH0693904B2 (en) Obstetrics and Gynecology Examination Table
JP4263889B2 (en) Internal / external medical examination table
JP2004526496A (en) Treatment bed, treatment device and treatment device
CN211884375U (en) Toilet seat assembly suitable for sickbed
JP2004194937A (en) Examination table
CN217593302U (en) Chair back of dental comprehensive therapeutic machine
JP2717359B2 (en) Bed for patients with severe hemiplegia
JP2002253625A (en) Sitting delivery bed
JPH08684A (en) Gynecological medical examination stand
JP3723255B2 (en) Examination table
JPS61247453A (en) Diagnostic stand for obstetrics
CN212879867U (en) Adjustable medical care chair
CN216675221U (en) Multifunctional accompanying chair
JPH11137615A (en) Wheelchair for helping sit-up in bed
JPH0334180Y2 (en)
JP3166064U (en) Nursing bed
CN205988401U (en) Crissum treats sitz bath chair
JP3231155B2 (en) Bed system with toilet
EP0931536A2 (en) Anorectal examination seat
JPS64904Y2 (en)
JPH0367415B2 (en)
JPS6139463Y2 (en)

Legal Events

Date Code Title Description
A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20040709

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20050531

A521 Written amendment

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20050722

TRDD Decision of grant or rejection written
A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

Effective date: 20050823

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20050915

R150 Certificate of patent or registration of utility model

Free format text: JAPANESE INTERMEDIATE CODE: R150

FPAY Renewal fee payment (event date is renewal date of database)

Free format text: PAYMENT UNTIL: 20090922

Year of fee payment: 4

FPAY Renewal fee payment (event date is renewal date of database)

Free format text: PAYMENT UNTIL: 20100922

Year of fee payment: 5

FPAY Renewal fee payment (event date is renewal date of database)

Free format text: PAYMENT UNTIL: 20100922

Year of fee payment: 5

FPAY Renewal fee payment (event date is renewal date of database)

Free format text: PAYMENT UNTIL: 20110922

Year of fee payment: 6

FPAY Renewal fee payment (event date is renewal date of database)

Free format text: PAYMENT UNTIL: 20120922

Year of fee payment: 7

FPAY Renewal fee payment (event date is renewal date of database)

Free format text: PAYMENT UNTIL: 20130922

Year of fee payment: 8

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

EXPY Cancellation because of completion of term