JP3723327B2 - Combined treatment table examination inside and outside - Google Patents

Combined treatment table examination inside and outside Download PDF

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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
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examination
receiving
patient
position
back plate
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JPH1142258A (en
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明子 田淵
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田淵 和久
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【0001】 [0001]
【発明の属する技術分野】 BACKGROUND OF THE INVENTION
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。 The present invention, obstetrics, gynecology, relates couch which can be used also serves to diagnosis pelvic examination and outer for examination or treatment of urological and Proctology like.
【0002】 [0002]
【従来の技術】 BACKGROUND OF THE INVENTION
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。 The current gynecology, known by different and couch suitable for diagnosis outside the examination such as a couch suitable for internal examination, such as examination and treatment. 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。 Although not there are differences in structure and function, respectively, the reason for fractionating these, while reducing the primarily burden and shame of pregnant women is a patient, in order to enable treatment suitable for each examination or treatment is there.
【0003】 [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。 The examination table suitable for diagnosis outside, mere addition of the bed, for example, examination table bed forms a support plate for supporting the following standing possible backplate and buttocks are continuously integrally is used. 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。 The latter of the examination table is, is taken into consideration to reduce the burden of the patient to be waking up. 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。 In contrast, treatment table suitable for nisin tilts together by an external drive, a pivotable backplate, have the appearance of the chair form consisting of a seat and leg receiving portions, pelvic examination fingers to seat the pudendal it easier to insert the, also constricted in order to prevent contamination of the seat portion by the cleaning solution is provided, patients carrying the knee or thigh leg receiving portion, to be open leg without labor according closing leg receiving portions going on.
【0004】 [0004]
【発明が解決しようとする課題】 [Problems that the Invention is to Solve
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。 Examination, when analyzing the flow of medical generally would go through the following procedure. 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。 Incidentally, clinic waiting room, examination room, is divided into internal examination room, examination table in the examination room, it is assumed that arranged couch on pelvic examination room. まず、(1)患者を待合室から診察室へと呼び込み、問診する。 First, attracting to the examination room from waiting room (1) the patient to interview. 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。 Next, (2) then remove coat of a patient, mainly examination the upper body, followed by (3) to expose the abdomen lay the examination table the patient and examination of the abdomen. 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。 Thereafter, (4) was transferred as necessary to a patient to internal examination chamber, and then remove underwear, (5) the patient was seated on the treatment table is shifted to the examination Positions, subjected to clinical by (6) a doctor. 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。 And, (7) down from the couch the patients who received medical treatment, and finally, (8) returned to patients who have clothing to the examination room, the doctor will be described Disease.
【0005】 [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。 By differentiated to the examination table with consideration to both the patient and physician and treatment table, although it takes the installation space of at least two medical instruments, in recent years, is important communication doctor with the patient It becomes so that, to make room for the counseling, ensuring all installation space each medical instrument is getting harder. 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。 This problem becomes more serious as small clinic doctors individuals to management.
【0006】 [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。 In order to smoothly process the patient of foreign spanning a large number, usually, has been assigned a space to be referred to as the "inner waiting room" in the examination room, the patient had been called to the examination room in a few units. 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。 However, this is not protecting the privacy of each patient, also it has been a result which awakened a sense of shame, not need to patient. 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。 That is to interview and description of the space and the couch space is allocated to the same examination room is a problem, it has particularly increased the need for securing the space for the interview and description.
【0007】 [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。 Also, assign the room for each medical instrument, yet when it comes make room interview and description, the movement of the patient becomes complicated, so that wasteful time is consumed in addition to examination and medical. 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。 In addition, in recent years, an ultrasonic tomographic device has come to be used in each examination and medical, examination of this device, difficult to move in accordance with the medical care, examination table as the result, couch respectively It was forced to set up an ultrasonic tomographic device. 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。 The ultrasonic tomographic device is expensive, whereas increases costs for installation against examination table and couch, respectively, for examination, such as less opportunity to use for medical treatment at the same time in parallel, the problem were many.
【0008】 [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。 As a solution, it is conceivable that also serves the respective medical appliance. 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。 However, the conventional treatment table (although refer to the entire leg, in particular means a thigh in relation bending angle of the back) further back and legs from the seat position and the bending angle is larger outer examination position migration is not thought to, to migrate to outside examination position for the structure on the outside examination purpose had become difficult. 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。 This conventional treatment table, as is reducing the effort of the patient to be maintained a pelvic examination position posture, the seat following the backplate and to support the buttocks from below from both sides of the seat since the hip receiving curved is provided, (the motion of moving the knees backward in frontal plane) extension of the leg that is required when the patient attempts to shift to position diagnosis out of the seating position Ya is the seat because it would be disturbed in the hip receiving. 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。 Also, the turning surface of the arm for moving the leg receiving portion is mainly set in terms of opening the patient's leg, only the relationship between the turning means and the buttocks receiving arm has been studied. 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。 Therefore, setting the pivoting plane of the arm with respect to the back plate becomes unclear, there is a problem that could not be a wide range extending movement of the leg receiving portion from position examination outside the pelvic examination position.
【0009】 [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。 Therefore, the patient examination, as a means to review the flow of medical in smooth and direction to reduce the burden on patients, and to develop a couch as a diagnosis out suitable examination and medical combined, in particular treatment table, seating position It can migrate outward diagnosis position or pelvic examination position from, and as it is also continuously shift from outside examination position to internal examination position, and to consider the internal and external examination couch structural requirements of combined.
【0010】 [0010]
【課題を解決するための手段】 In order to solve the problems]
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。 Was developed result of the examination is, hip receiving a reference surface having a bending angle corresponding opening of the back and the leg in position diagnosis outside against the back plate reference surface, the back of the seated position relative to the 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 the pivoting means of the arms provided in each hip receiving a combined couch diagnosis out that in front view substantially V-shape is tilted respectively turning reference plane pivoting plane of the arms. 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。 As the patient's hip is located on the pivot axis orthogonal to the pivoting plane of the arm, it is preferable to pivotally the pivot means on each hip receiving.
【0011】 [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。 In general, the bending angle between the back and legs of the patient in the sitting position is 120 degrees back and forth (the state leg is bent 60 degrees), the outer diagnosis position (supine dorsal anal position equivalent) bending angle at 135 degrees ( the 45 degree) before and after, and pelvic examination position (the bending angle of at lithotomy position equivalent) 90 degrees (the same 90 degrees) are front and rear. 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。 Therefore, combined treatment table diagnosis the inside and outside, hip receiving the reference plane of the opening of approximately 120 degrees with respect to the back plate reference plane, setting the turning reference plane of opening of approximately 135 degrees with respect to the back plate reference plane, the patient arranged back plate from the back to support the lumbar back plate reference surface, and a pair of substantially flat buttocks receiving a front view substantially V-shaped for supporting the buttocks of the patient be in the lower end sides of the back plate from the left and right so as to arrange by inclining approximately 45 degrees respectively with respect to the hip receiving the reference plane, and for turning the reference plane as pivot surface of the arm fitted with a foot receiving portion to the tip is a front view substantially V-shaped respectively inner and outer diagnosis combined treatment table provided pivoting means of the arm is tilted approximately 45 degrees. 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。 Further, the tilt means is provided for the back plate each hip receiving, each hip receiving in the standing state inclined, each hip receiving in the reclined may be able to stand up.
【0012】 [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。 When using the combined couch this out diagnosis, may be provided with tilting means to the back plate, (1) upon which examination outside the patient, together legs receiving by the arm while tilting the back plate to pivot downward direction approach and it moves the patient by away from each back plate to the position diagnosis out of the seating position, (2) when to pelvic examination of the patient, together legs receiving by the arm to pivot upward while tilting the back plate separating and shifts the patient from the seating position to the pelvic examination position by bringing the respective back plate. 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)')。 If provided with tilting means on each hip receiving, or to tilt the respective buttock receiving in the standing state in accordance with the pivoting of the arm (1 '), erecting the respective buttock receiving in the tilted state ((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。 When migrating from diagnosis outside to internal examination, the (1) or (1) 'hold the back plate in a tilted state in, closer to one another away from and respectively both legs receiving the back plate, standing each hip receiving necessary by shifts to pelvic examination position of the patient from the seating position.
【0013】 [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。 Treatment table of the present invention, a seat abolished, by arranging the substantially flat hip receiving the buttocks receiving reference plane set out examination position of the opening relative to the back plate reference surface, position diagnosis out of the seating position disturbed by the buttocks received when migrating to is eliminated. 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。 Conventionally, the pivot surface of the hip receiving and arms were arranged in substantially the same reference plane, in the present invention by setting a separate swivel reference plane and buttocks receiving reference plane, the hip receiving the arm turning it was able to separate the relationship between the (leg movement of receiving). 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。 For holding a patient stably only in hip receiving, in the present invention arranged in a substantially V-shaped pair of hip receiving the lateral supports so as to depress the buttocks on both buttocks 受間. 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。 Since each hip receiving the hip receiving a reference surface having a seated position of the opening relative to the back plate (= back plate reference surface) is inclined, the back plate is convex substantially downwards with the hip receiving the lower end the pentagon. 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。 That is, each hip guards, bent from the back plate two sides on the back plate lower portion as the bending line, slightly protruding outwardly from the back plate side. 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。 Although hip guards does not matter planar shape if substantially flat, extending in the direction perpendicular to the bending line, so as to space both buttocks 受間 is formed, the installation of constriction and filth receiving for pelvic examination the space better to be used as a space.
【0014】 [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。 Substantially flat buttocks receiving regulates the movement of the hip joint due to opening and closing the patient's leg on the buttocks receiving plane parallel. 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。 Further, the leg receiving portion attached to the distal end of the arm is bent while open leg of the patient's leg by moving in accordance with the inclined turning surface, is extended while 閉脚. 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。 Following the respective reference surfaces of different opening angle and the turning surfaces of the hip receiving the arm, and when both have the same inclination angle with respect to each of the reference plane, and pivoting motion of the arm of the hip is restricted to hip receiving can be made substantially equivalent to opening and closing the legs it can not be disturbed by the hip receiving. 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。 In this case, the patient's hip on pivot axis orthogonal to the pivoting plane of the arms provided with pivot means so as to be located in the hip receiving, seated position, upon mutually shift outside examination position or pelvic examination position, the arm leg receiving portion to move in accordance with swirling, without difficulty extending the leg / flexion, it is possible to abduction / adduction and external rotation / internal rotation.
【0015】 [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。 To get from position examination outside by opening and closing the legs of the patient pelvic examination position and mutual must Increase the movement range of the leg receiving portion that determines the opening and closing leg of the patient. 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。 Enlargement of the moving range of the leg receiving portion, since it is possible both to increase the abduction / adduction in flexion / extension and sagittal plane in frontal, pivot surface of the arm, which is responsible for the transfer of the leg receiving portion pivot it is desirable to tilt at about 45 degrees with respect to the reference plane. 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。 Since the leg receiving portion is changed larger angle and contact surface for supporting the knee or the like of the patient along with the movement, the leg receiving portion than the thigh supporting the lower leg, rather below or inside the knee shape more engagement is preferred. 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。 Further, the leg receiving portions can be attached to the arm end portion is loosely when the greater freedom in the engagement between the knee and leg receiving portions, to reduce the burden on the patient due to opening and closing the legs. 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。 This degree of freedom is small in a direction in which both legs receiving portion approach each other, the opposite two legs receiving portion is increased in a direction away from each other, supported from below so as to slightly spread the legs in outer examination position, it proceeds to internal examination position as you, now supported from the inside in the direction in which the leg receiving portion extend the legs, diagnosis outside, it is convenient in each pelvic examination.
【0016】 [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。 Tilting means provided on each hip guards, and if required the extension of the further leg from outside examination position, in case the outer diagnosis position required flexibility of the patient, so as not to regulate the hip receiving the motion of the leg , the inclined while opening the hip receiving against the back plate, to retract the hip receiving from a range of motion of the leg. 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。 That is, to match the back-plate reference plane and buttocks receiving the reference plane. 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。 Leg receiving part, to pivot the arm until the hip receiving the reference plane and the arms of the pivoting plane intersecting, back plate, hip receiving and leg receiving part to be aligned on substantially the same plane. 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。 The leg receiving portion of the case, mounted in a loosely fitted state to the distal end of the arm, may advance to have the freedom to be supported from below with the patient aligned both legs. 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。 To the tilted state from the standing state, continuous, well for gradual migration, for example, a tilting state buttocks receiving the standing state and the back plate have the same surface may be alternatively choose such.
【0017】 [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。 Actual movement of the leg receiving portion, in consideration of the burden after the patient has moved to the position of the outer examination position or pelvic examination position, preferably carried in accordance with the tilting of the back plate. 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。 Tilting of the back plate, the degree not to cause anxiety in the patient, for example to about 20 degrees relative to the horizontal plane preferably. 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。 Thus, (1) when is examination outside the patient, and extending the legs away from the back plate while close to one another both legs receiving at the same time tilting the back plate, small outside diagnosis position posture burden on the patient it is possible to assume a. 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。 Further, (2) when is pelvic examination the patient, while at the same time separate the legs receiving mutually Tilting the back plate by bending the leg portion close to the back plate, that the internal examination position suitable for doctor's practice can. 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。 Tilting of the back plate, the patient feels a sense of stability deposit weight on the back plate and the hip receiving, moreover to reduce the load on the leg receiving portion, there is an advantage that facilitates the movement of the leg receiving portion.
【0018】 [0018]
【発明の実施の形態】 DETAILED DESCRIPTION OF THE INVENTION
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。 Hereinafter, embodiments of the present invention will be described with reference to FIG. 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。 Figure 1 is a perspective view showing an example of a combined couch 1 examination and out to the present invention, FIG 2 is a side view of the couch 1 in the seated position, FIG. 3 is a front view thereof, FIG. 4 is plan view of the same 5 shows a side view of the couch 1 at the outer diagnosis position, FIG. 6 is a front view thereof, FIG. 7 is the same plan view, FIG. 8 is a side view of the couch 1 in pelvic examination position, FIG. 9 is the front view FIG. 10 is a plan view of the same. 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。 For convenience of explanation, in FIGS 10, the couch and patient 2 shows a wire frame, the leg receiving part 3 in couch first arm 4 tip of ○, a turning means 5 ○ arm 4 rear it represents. 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。 Further, the arc in FIG. 2 to 10 show the movement range of the pivot surface T and the leg receiving portion 3 of the arm 4.
【0019】 [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。 Out examination combined couch 1 of this embodiment, as seen in Figure 1, projecting a pair of substantially flat buttocks received 7,7 two sides of the back plate 6 the lower end of the front view substantially pentagonal, the hip receiving 7 and pivotally attached to the arm 4 of the motor and the pivot means 5 on the rear surface, it is attached to foot receiving portion 3 in a loosely fitted state the arm 4 tip. 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。 Hip receiving 7, the turning means 5, the arm 4 and Ashi受部 3 is adapted to move according to the back plate 6, the back plate 6 is tilted unit, base portion 8 having both horizontal pivot means and the vertical lifting means and it is supported by the. 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。 Between both buttocks receiving 7,7 is a constriction 9 for internal examination, we have established retractable filth receiving 10. 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。 Each leg receiving portion 3 is biased towards the inner direction freedom relative to the arm 4 tip, when moved to the upward and downward directions in accordance with the turning plane T of the arm 4 of about 45 degrees, as seen in the following Figure 2 to support the knee 11 and a lower leg portion 12 of the patient 2 slightly from the inside. 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。 Tilting of the back plate 6, a horizontal pivot, the movement of the vertical lift and the leg receiving portion, the physician manipulates the foot switch (not shown).
【0020】 [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。 Based on FIGS. 2-4, the back plate 6 in the combined treatment table 1 examination and out of this embodiment, the positional relationship between the pivot surface T of the buttocks receiving 7 and the arm 4 will be described. 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。 For convenience, the turning reference plane S in the horizontal, as seen in FIG. 2, the back plate reference plane B seating position 120 degrees of opening, with respect to the back plate reference plane S with respect to the pivot reference plane S hip receiving the reference plane H is set at 135 degrees opening of position diagnosis outside. 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。 Since the provision of the turning means 5 to the buttocks receiving 7 back surface, the hip receiving the reference plane H and the turning reference plane S intersects the actual front end near the hip receiving 7, opening difference approximately 15 degrees in the back plate reference plane B with the opening of the. 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。 Both hip receiving 7,7, as seen in FIG. 3, it has a slope of about 45 degrees respectively with respect to the hip receiving reference plane H, and the back plate so as to form a front view substantially V-shaped 6 protrudes from the lower end, has a slope of about 45 degrees respectively with respect to the pivot plane T is the swivel reference plane S of the arm 4, and turning on the buttocks receiving 7 back surface to form a front view substantially V-shaped section 5 the provision.
【0021】 [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。 When the patient 2 sitting in couch 1, as seen in FIGS. 2 to 4, the arm 4 is positioned on the intersection line Lt-s the orbiting surface T and the turning reference plane S, Ashi受部3 supports the patient's leg 2 extending from the buttocks received 7 from the knee 11, the patient 2 is substantially 120 degrees seated position in accordance with opening of the back plate reference plane B and the turning reference plane S. 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。 Bent at the knee 11 of the leg is according to the length or the like of the support surface of Ashi受部 3 shapes and lower leg 12. 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。 In fact, the arm 4 is not intended to necessarily located on intersection line Lt-s the orbiting surface T and the turning reference plane S, the distance difference between the surface and the pivot means 5 of hip receiving 7, arm 4 and upwards rather Become. 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。 Also, as can be seen from Figures 3 and 4, since the patient 2 is so that the slightly seated by the open leg Pounds, if the patient 2 is pregnant women who sit by the open leg slightly as this is easier, rather, the preferred posture.
【0022】 [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。 In diagnosis outside, as seen in FIGS. 5 to 7, the back plate 6 is tilted to approximately 20 degrees relative to the horizontal plane by the motion of the base portion 8 (see FIG. 1), the arm 4 in the downward direction at the same time pivoted away from the back plate 6 while approaching both legs receiving 3,3 together. 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。 Arm 4 to pivot up on intersection line Lt-h of the turning surface T and buttocks receiving the reference plane H, and supports the legs of the patient 2 Ashi受部 3 extends along the buttocks received 7 from the knee 11 , the position diagnosis outside approximately 135 degrees according to the degree of opening of the patient 2 backplate reference plane B and hip receiving the reference plane H. 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。 As can be seen from FIGS. 6 and 7, as compared to the seating position, but so extended by light bending the legs while the patient 2 is slightly Uchimata Pounds, opening the back and the leg outside examination position because degree is large, it does not feel the burden even a pregnant woman. 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。 Rather, legs lightly bent, because the knees bent lightly, patient 2 can comfortably.
【0023】 [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。 At the time of pelvic examination, as seen in FIGS. 8 to 10, is inclined like the back plate 6 examination outer arm 4 is brought close to the back plate 6 while away from each other the legs receiving 3,3 swirled in upward . 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。 While pivoting the upper arm 4 is arbitrary, the goal of bending of the leg portion is substantially 90 degrees (internal examination position), at a position open leg side substantially 30 degrees in plan view in this embodiment (see FIG. 6) a power swivel according to the turning means 5 is stopped, later by pressing opening physician or the patient by operation or legs of the foot switch, and to move the stepwise leg receiving portion. 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。 In this way the opening, Ashi受部 3 can be supported by the legs of the patient 2 open outwardly bent largely from the hip receiving 7 engages the knee 11, the patient 2 is suitable for internal examination approximately 90 degrees of internal examination position becomes (shown in FIGS. 8 to 10).
【0024】 [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。 Is to this internal examination position are possible transition from the seating position or out examination position. 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。 In any event, although not to the open leg of the patient's leg 2 by the arm 4 is pivoted in the upward direction, in order to swivel plane T of the arm 4 is inclined approximately 45 degrees, respectively, the legs flexion and abduction and simultaneously, and it is to realize the approximately proceeded with an equal volume, the transition to reasonably pelvic examination position. 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。 Since the leg receiving portion 3 for supporting the knee 11 does not unduly restrain the legs, the bending occurs in association with abduction for external rotation required to migrate to the pelvic examination position. 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。 Also, since the buttocks receiving 7 is inclined outside examination position of the opening relative to the back plate 6, when the patient 2 takes pelvic examination position, the hip from hip receiving 7 Ashi受部 3 lifts the knee 11 since the float a bit, the result vulva becomes easy care physician protrudes forward as.
【0025】 [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。 More seated outside diagnosis and changes in a wide attitude during pelvic examination (pelvic examination position from outside examination position), the relationship between the turning plane T of the buttocks receiving 7 and the arm 4, i.e. the buttocks receiving the reference plane H and the swivel reference plane S It is realized by the opening difference. 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。 In addition, to reduce the burden of closing the legs, it is nearly equal amounts of the bending and abduction of the legs by a pivoting plane T of the arm 4 is inclined approximately 45 degrees. 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。 In this example, further to match the inclination angle of the movement and the turning plane T of the leg portion is restricted to a hip receiving 7, in addition to that the pivot axis of the hip joint 13 and the pivot means 5 patients 2 arranged on the same line They are friendly. 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。 Thus, as can be seen by comparing with one another to FIGS 10, a turning movement and the arm 4 of the legs of the patient 2 and becomes almost equal, it can be seen that the burden of the patient 2 has been reduced .
【0026】 [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。 Figure 11 is a perspective view of the pivot shaft 14 and out examination combined couch 1 provided that the tilting means hip receiving 7, 12 is a plan view showing a state of being tilted hip receiving 7 at the same couch 1 it is. 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。 In the present invention, in order to allow also the position diagnosis outside the examination outside, although the separate setting of the swivel plane T of the buttocks receiving 7 and the arm 4 (see FIG. 2 below), for example, beyond the outer examination position If you try to further Nekaseyo the posture of the patient is still buttocks received 7 becomes a hindrance. 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。 In addition, buttocks received 7 also in the outside examination position has to regulate the degree of freedom to the buttocks of the left and right, it is conceivable to feel cramped feeling in some patients. 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。 Therefore, as seen in FIG. 11, through the pivot shaft 14 between the buttocks receiving 7 and the back plate 6 separate, each hip receiving 7,7 against the back plate 6 has to be tilted.
【0027】 [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。 Hip receiving 7, is inclined at the same time tilting the back plate 6 upon examination outside, it is preferable to standing and at the same time directly transition from cause or external examination of the back plate 6 to pelvic examination. 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。 Tilting the hip receiving 7, as seen in FIG. 12, the buttocks received 7 from the back plate 6 is similar to the conventional bed outside diagnosis become flush, buttocks of the patient rather than being sandwiched from the left and right will be supported on both buttocks received 7,7 from below Te, it is airy in the lateral direction. 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。 At this time, since the hip receiving reference plane has become equal to the back plate reference plane and pivoting the arm 4 until the intersection line between the pivot surface and the hip receiving the reference surface of the arm 4, Ashi受部 3 backplate if 6 so as to be positioned in the longitudinal direction of the patient can take the posture extended align the legs.
【0028】 [0028]
【発明の効果】 【Effect of the invention】
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。 The present invention, obstetric, gynecological, the examination or treatment of urological and Proctology like can play in combined treatment table diagnosis and out of one. 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。 Thus, to reduce the installation space of the medical instrument, for example, space for counseling with physicians and patients in a small clinic physician individuals run will be able to easily ensured. 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。 Since the space of the waiting room also becomes sufficiently take so, it is possible to differentiate between the room and the waiting room for the interview, it is also beneficial for the patient privacy protection.
【0029】 [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。 Thus, space allocation of medical facilities that can be improved, less movement of the patient, it is possible to reduce wasted time other than the medical examination and medical treatment. 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。 Furthermore, so far now requires only ultrasonography is one that has been established for each examination and medical, it is also effective in cost reduction of the clinic. 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。 As already mentioned, since the ultrasonic tomographic device is expensive, the economic effect is significant.
【0030】 [0030]
以上から、本発明により診察の流れは次のようになる。 From the above, the flow of the examination by the present invention is as follows. 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。 Incidentally, clinic waiting room, is divided into the examination room (shared with internal examination chamber), it is assumed that by arranging the couch of a chair for interview in the examination room present invention. 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。 First of all, (1) calls to the consultation room of the patient from the waiting room, to interview and to sit in a chair for the interview. 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。 Next, (2) as in the case of external diagnosis only, sit on couch by wound signature loincloth (rear open) to undress underwear if pelvic examination is required (seating position), (3) back while defeating the plate by pivoting the arm in the lowering direction to stretch the leg (outer diagnosis position), and examination of the abdomen. 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。 Subsequently, (4) now we are left tilted back plate to pivot the arm in the upward direction by bending the legs (internal examination position), subjected to medical treatment by (6) a doctor. 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。 And, (7) down from the couch the patients who received medical treatment, and finally, back to (8) chair for the interview the patients who have clothing, doctor will be described Disease.
【0031】 [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。 As described above, the same up care from the patient's examination for can be carried out at room curtain becomes unnecessary fractionating the clinic to conventional manner the examination room, to exit from entering the patient into the examination room time will be able to greatly reduce the. 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。 Then, in accordance with this time reduction, relatively interview and counseling can allocate more time to, it become to be able to generally enhance its medical.
【図面の簡単な説明】 BRIEF DESCRIPTION OF THE DRAWINGS
【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。 1 is a perspective view showing an example of internal and external examination serves couch according to the present invention.
【図2】着座位における同診療台の側面図である。 FIG. 2 is a side view of the couch in the sitting position.
【図3】着座位における同診療台の正面図である。 FIG. 3 is a front view of the couch in the sitting position.
【図4】着座位における同診療台の平面図である。 FIG. 4 is a plan view of the couch in the sitting position.
【図5】外診位における同診療台の側面図である。 FIG. 5 is a side view of the treatment table in the outer diagnosis position.
【図6】外診位における同診療台の正面図である。 FIG. 6 is a front view of the treatment table in the outer diagnosis position.
【図7】外診位における同診療台の平面図である。 FIG. 7 is a plan view of the couch in the outer diagnosis position.
【図8】内診位における同診療台の側面図である。 FIG. 8 is a side view of the couch in the pelvic examination position.
【図9】内診位における同診療台の正面図である。 FIG. 9 is a front view of the couch in the pelvic examination position.
【図10】内診位における同診療台の平面図である。 FIG. 10 is a plan view of the couch in the pelvic examination position.
【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。 11 is a combined treatment table perspective view of internal and external diagnosis provided with a composed rotating axis tilting means buttocks received.
【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。 12 is a plan view showing a state of being tilted hip receiving the same treatment table.
【符号の説明】 DESCRIPTION OF SYMBOLS
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 1 out examination combined treatment table 2 patients 3 Ashi受部 4 arms 5 swivel means 6 back plate 7 hip receiving 8 base portion 9 constricted
10 汚物受 10 filth received
11 膝 11 knee
12 下腿部 12 crus
13 股関節 13 hip joint
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 14 intersection line between the pivot shaft B back plate reference plane H hip receiving reference plane S turning reference plane T arm of the pivoting plane Lt-h buttocks receiving the reference plane and the turning surfaces and the intersection line Lt-s turning reference plane and the turning surface

Claims (3)

  1. 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。 Hip receiving reference surface having a bending angle corresponding opening of the back and the leg in position diagnosis outside against the back plate reference plane, the bending angle corresponding to the back and the leg of the seat position relative 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.
  2. 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。 Hip receiving reference plane opening of approximately 135 degrees with respect to the back plate reference surface, turning the reference plane is set to an open degree approximately 120 degrees relative to the back plate reference plane, a pair of hip receiving to the hip 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.
  3. 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 Combined treatment table examination inside and outside Expired - Lifetime JP3723327B2 (en)

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JP20051697A JP3723327B2 (en) 1997-07-25 1997-07-25 Combined treatment table examination inside and outside

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JP3723327B2 true JP3723327B2 (en) 2005-12-07

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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
US8888688B2 (en) 2000-04-03 2014-11-18 Intuitive Surgical Operations, Inc. Connector device for a controllable instrument
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
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