JP4555646B2 - Cardiac ultrasound examination table - Google Patents

Cardiac ultrasound examination table Download PDF

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JP4555646B2
JP4555646B2 JP2004271038A JP2004271038A JP4555646B2 JP 4555646 B2 JP4555646 B2 JP 4555646B2 JP 2004271038 A JP2004271038 A JP 2004271038A JP 2004271038 A JP2004271038 A JP 2004271038A JP 4555646 B2 JP4555646 B2 JP 4555646B2
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backrest
chest support
handle
patient
receiving
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JP2006081799A (en
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弘二 山根
敦史 津田
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Takara Belmont Corp
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Takara Belmont Corp
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Description

本発明は、超音波を心臓部分に照射して、心臓や血管の形、血液の流れを観察するために患者を乗せるための心臓超音波検査用診療台に関する。   TECHNICAL FIELD The present invention relates to a diagnostic table for cardiac ultrasonography for irradiating a heart part with a patient to place a patient to observe the shape of a heart and blood vessels and blood flow.

患者の身体にプローブを移動させながら超音波で身体内を診察する超音波診察台としては、例えば、特開平10−248849号公報に開示されている発明がある。この発明は、診療台における長手方向に沿った一側に落込部を、他の側に引抜部を形成したものであり、この落込部や引抜部を落とし込んだ部分や引き抜いた部分から超音波のプローブを患者の胸部や腹部に当てることができるようにしたものである。また、患者を診療台に寝かせた状態において、患者の背中側を起伏可能としたものである。   As an ultrasound examination table for examining the inside of a body with ultrasound while moving the probe to the patient's body, for example, there is an invention disclosed in JP-A-10-248849. This invention is formed by forming a drop part on one side along the longitudinal direction in the medical table and a pull-out part on the other side. The probe can be applied to the chest and abdomen of the patient. Further, the patient's back side can be raised and lowered in the state where the patient is laid on the medical table.

そして、この発明において、診療台の長手方向の側面に落込部と引抜部を形成した理由としては、診療台を設置する診察室の有効利用を図るために、診療台の一側を壁面に沿わせて配置した場合でも、落込部か引抜部の何れか一方を利用できるようにしたためである。
特開平10−248849号公報
In the present invention, the reason why the drop part and the withdrawal part are formed on the side surface in the longitudinal direction of the medical table is that one side of the medical table is placed along the wall surface in order to effectively use the examination room where the medical table is installed. This is because, even when they are arranged together, either one of the drop-in portion or the pull-out portion can be used.
Japanese Patent Laid-Open No. 10-248849

ところで、心臓の検査時には患者の左側に位置する落込部を落とし、あるいは、引抜部を引き抜き、かつ、医師は患者の右側からプローブの操作を行うのであるが、検査が終了して落込部あるいは引抜部を戻す場合に、医師は左側に移動して操作を行わなければならないため煩わしいといった問題があり、また、垂下状態にある落込部や引き抜かれた引抜部を元の位置に戻さない状態で患者が起き上がろうとして手をついた部分が抜けていることがあるといった問題があった。   By the way, when the heart is examined, the drop part located on the left side of the patient is dropped, or the withdrawal part is pulled out, and the doctor operates the probe from the right side of the patient. When returning the part, there is a problem that the doctor has to move to the left side and perform the operation, and there is a problem that it is troublesome, and the patient does not return the dropped part or the extracted part that has been drawn down to the original position. There was a problem that the part that touched the hand was missing when trying to get up.

本発明は前記した問題点を解決せんとするもので、その目的とするところは、起伏可能な背凭れ部から見て左側に胸部支持台を昇降可能に配置すると共に右側に該胸部支持台を昇降するためのハンドルを設けたことにより、寝た状態の患者の右側で医師がプローブの操作を行って、検査が終了した後に胸部支持部を上昇させるハンドルの操作を右側で行えることから、胸部支持台の操作を左側に移動することなく行える心臓超音波検査診療台を提供せんとするにある。   The present invention intends to solve the above-mentioned problems, and the object of the present invention is to arrange a chest support base on the left side so that it can be raised and lowered as viewed from the backrest that can be raised and lowered, and to place the chest support base on the right side. By providing a handle for raising and lowering, the doctor can operate the probe on the right side of the patient who is lying down, and the handle can be operated on the right side to raise the chest support part after the examination is completed. An object of the present invention is to provide a diagnostic table for cardiac ultrasonography that allows the support table to be operated without moving to the left.

本発明の心臓超音波検査診療台は前記した目的を達成せんとするもので、請求項1の手段は、患者の下肢部を受ける下肢受け部と、患者の背部を受ける背凭れ部とからなり、かつ、背凭れ部は下肢受け部に対して起伏可能に取付けられている診療台と、前記背凭れ部から下肢受け部側を見て左側の前記背凭れ部の一部に分離して配置された胸部支持台と、該胸部支持台とは反対側の前記背凭れ部の裏面側に取付けられたハンドルと、該ハンドルと前記胸部支持台との間を連結し、ハンドルを操作することで胸部支持台を下方に移動させる上下動手段とより構成したものである。   The cardiac ultrasonography medical table of the present invention is intended to achieve the above-mentioned object, and the means of claim 1 comprises a lower limb receiving part for receiving the lower limb part of the patient and a backrest part for receiving the back part of the patient. And the backrest part is arranged separately to a part of the backrest part on the left side as viewed from the backrest part and the leg support part side, which is attached to the leg support part so that it can be raised and lowered And connecting the handle and the chest support base to each other and operating the handle by connecting the handle to the back side of the backrest portion opposite to the chest support base and the handle and the chest support base. It is comprised from the up-and-down moving means to which a chest support stand is moved below.

請求項2の手段は、前記した請求項1の手段において、前記上下動手段が、前記背凭れ部の裏面に回動自在に軸支されたハンドルに一端が軸支されハンドルの回動により略水平方向に移動する移動リンクと、該移動リンクの先端に軸支された平行リンクとから構成され、該平行リンクの先端に前記胸部支持台が水平状態で上下動可能なように軸支されていることを特徴とする。   According to a second aspect of the present invention, in the above-mentioned means of the first aspect, the up-and-down moving means is supported at one end by a handle that is pivotally supported on the back surface of the backrest portion and is substantially rotated by turning the handle. It consists of a moving link that moves in the horizontal direction and a parallel link that is pivotally supported at the tip of the moving link, and the chest support is pivotally supported at the tip of the parallel link so that it can move up and down in a horizontal state. It is characterized by being.

請求項3の手段は、前記した請求項1の手段において、前記背凭れ部の先端に、検査中の患者の姿勢を保持するために患者が握るためのグリップが取付けられていることを特徴とする。   The means of claim 3 is characterized in that, in the means of claim 1, the grip for the patient to hold is attached to the tip of the backrest portion in order to maintain the posture of the patient under examination. To do.

請求項4の手段は、前記した請求項1の手段において、前記背凭れ部から見て右側の下肢受け部には、検査者が腰掛けるための膨出部が一体的に形成されていることを特徴とする。   According to a fourth aspect of the present invention, in the above-mentioned means of the first aspect, the right lower leg receiving portion as viewed from the backrest portion is integrally formed with a bulging portion for an examiner to sit on. Features.

本発明は前記したように、起伏可能な背凭れ部から見て左側に胸部支持台を略水平状態で上下動するように構成し、かつ、胸部支持台を上下動させるためのハンドルを右側に設けたので、寝た状態の患者の右側で医師がプローブの操作を行って、検査が終了した後に胸部支持部を上昇させるハンドルの操作を右側で行えることから、胸部支持台の上下動操作を左側に移動することなく行える。   As described above, the present invention is configured such that the chest support base is moved up and down in a substantially horizontal state when viewed from the undulating backrest, and the handle for moving the chest support base up and down is on the right side. Since the doctor operates the probe on the right side of the patient in the sleeping state and the handle can be operated on the right side to raise the chest support after the examination is completed, the chest support platform can be moved up and down. This can be done without moving to the left.

また、背凭れ部の先端にグリップを取付けたることで、患者が左側臥位の状態で検査を受ける場合に、該患者がグリップを握ることで安定した姿勢を保持できて、検査がスムースに行える。   In addition, by attaching a grip to the tip of the backrest, when the patient is inspected in the left-side-down position, the patient can hold the stable posture by holding the grip, and the inspection can be performed smoothly. .

さらに、背凭れ部から見て右側の下肢受け部には、検査者が腰掛けるための膨出部を形成することで、該膨出部に腰掛けて検査を行うことで検査者に無理な姿勢を強いられることがなく、長時間の検査でも検査者の負担を軽減することができるという効果を有するものである。   Furthermore, the right lower limb receiving part as seen from the backrest part is formed with a bulging part for an inspector to sit on, so that the inspector can be placed in an unreasonable posture by sitting on the bulging part and performing an inspection. There is an effect that the burden on the inspector can be reduced even in a long-time inspection without being forced.

本発明は、診療台の背凭れ部から下肢受け部側を見て左側の前記背凭れ部の一部に配置された胸部支持台を分離可能に形成し、該胸部支持台とは反対側の前記背凭れ部の裏面側にハンドルを取付け、該ハンドルを操作することで胸部支持台を下方に移動させるものである。   The present invention detachably forms a chest support placed on a part of the backrest on the left side when viewed from the backrest side of the medical table from the backrest side, on the opposite side of the chest support. A handle is attached to the back side of the backrest, and the chest support is moved downward by operating the handle.

以下、本発明に係る心臓超音波検査診療台の一実施例を図面と共に説明する。
1は基台にして、油圧シリンダ等の昇降手段(図示せず)が蛇腹状の収縮カバー11内に収容されている。2は前記昇降手段の上端に取付けられた下肢受け部21と、該下肢受け部21に回動部材22を介して取付けられた背凭れ部23とから構成された診療台である。
Hereinafter, an embodiment of a cardiac ultrasound examination table according to the present invention will be described with reference to the drawings.
Reference numeral 1 denotes a base, and lifting means (not shown) such as a hydraulic cylinder is accommodated in a bellows-like shrinkable cover 11. Reference numeral 2 denotes a medical table comprising a lower limb receiving part 21 attached to the upper end of the elevating means and a backrest part 23 attached to the lower limb receiving part 21 via a rotating member 22.

そして、背凭れ部23と下肢受け部21との間には油圧シリンダ24が取付けられており、該油圧シリンダ24への油の供給により背凭れ部23は起立方向に回動され、また、油を抜くことで伏倒方向に回動される。また、背凭れ部23の先端にはU字状のグリップ25が取付けられている。一方、下肢受け21の長手方向の右側(図2において上側)には円弧状の膨出部21aが一体的に形成されている。   A hydraulic cylinder 24 is attached between the backrest portion 23 and the lower limb receiving portion 21, and the backrest portion 23 is rotated in the standing direction by supplying oil to the hydraulic cylinder 24. By pulling out, it is rotated in the prone direction. A U-shaped grip 25 is attached to the tip of the backrest 23. On the other hand, an arcuate bulged portion 21a is integrally formed on the right side (upper side in FIG. 2) of the lower limb support 21 in the longitudinal direction.

このように構成した診療台2に対して患者は、下肢受け部21側に腰から下側の下肢を乗せ、また、背凭れ部23側に背中側を乗せて仰臥状態に寝る。この状態において検査者は下肢受け部21の膨出部21aに腰掛けて超音波診療器のプローブを、患者の胸の辺りに当てて診察を行うものである。   The patient sleeps in a supine state with the lower limb from the waist on the lower limb receiving part 21 side and the back side on the backrest part 23 side with respect to the treatment table 2 configured in this way. In this state, the examiner sits on the bulging portion 21a of the lower limb receiving portion 21 and makes a diagnosis by placing the probe of the ultrasonic medical device around the chest of the patient.

ところで、患者を前記診療台2に左側を下にした側位状態としてプローブによって検査する場合に、背凭れ部23が邪魔になる。そこで、本発明におっては、背凭れ部23の長手方向の左側(図2において下側)に凹部23aを形成し、この凹部23aに嵌まる大きさの胸部支持台26を背凭れ部2の右側に取付けらた上下動手段3におけるハンドル31を回動することで、胸部支持台26を略水平状態で上下動させ、臥位状態にある患者の心臓と背凭れ部23との間に隙間を作り、この隙間からプローブであてて検査できるようにした。   By the way, when the patient is inspected by the probe in a side position with the left side down on the medical table 2, the backrest 23 becomes an obstacle. Therefore, in the present invention, a recess 23a is formed on the left side in the longitudinal direction of the backrest 23 (lower side in FIG. 2), and the chest support 26 having a size that fits into the recess 23a is provided as the backrest 2. The chest support 26 is moved up and down in a substantially horizontal state by rotating the handle 31 of the up-and-down moving means 3 attached to the right side of the patient, and between the patient's heart and the backrest 23 in the prone position. A gap was created so that the probe could be inspected from this gap.

次に、上下動手段3の詳細について説明するに、図3に示すように、前記背凭れ部23の凹部23aとは反対側の裏面にハンドル31を回動自在に軸支し、このハンドル31を回動することで水平方向に移動する移動リンク32の一端を軸支し、該移動リンク32の他端に連結板33を介して固定された第1の平行リンク34を接続する。また、一端が背凭れ部23の裏面側に第2の平行リンク35を軸支し、該第2の平行リンク35の他端と、前記第1のリンク34の他端を前記した胸部支持台26の裏面側から突出している垂下板26aに軸支する。   Next, the details of the vertical movement means 3 will be described. As shown in FIG. 3, a handle 31 is pivotally supported on the back surface of the backrest 23 opposite to the recess 23a. Is pivoted to support one end of a moving link 32 that moves in the horizontal direction, and the other end of the moving link 32 is connected to a first parallel link 34 fixed via a connecting plate 33. Further, one end pivotally supports the second parallel link 35 on the back side of the backrest portion 23, and the other end of the second parallel link 35 and the other end of the first link 34 are the above-described chest support. 26 is pivotally supported on a hanging plate 26a projecting from the back side of 26.

前記した構成において、左側を下にした側臥位状態にある患者の下側からプロープを当てて検査する場合の動作について説明する。
すなわち、図1〜図3に示す胸部支持台26が背凭れ部23の凹部23a内に上昇していて背凭れ部23がフラットな状態から、胸部支持台23を下降させる動作について説明する。
In the above-described configuration, an operation in the case of performing an examination by applying a probe from the lower side of a patient who is in a lateral position with the left side down will be described.
That is, the operation of lowering the chest support 23 from the state in which the chest support 26 shown in FIGS. 1 to 3 is raised in the recess 23a of the backrest 23 and the backrest 23 is flat will be described.

先ず、上下動手段3におけるハンドル31を反時計方向に検査者等が回動すると、移動リンク32が図3の位置から図6に示すように左方向に移動する。該移動リンク32が左方向に移動すると、該移動リンク32に固定されている第1の平行リンク34に対して連結板33を介して左方向に移動する力が作用するが、ここで、第2の平行リンク35の一端が背凭れ部23の裏面に一端が軸支されていることから、胸部支持台26側に軸支されている他端側は反時計方向に回動される。   First, when an inspector or the like turns the handle 31 in the vertical movement means 3 counterclockwise, the moving link 32 moves to the left as shown in FIG. 6 from the position of FIG. When the moving link 32 moves in the left direction, a force that moves in the left direction via the connecting plate 33 acts on the first parallel link 34 fixed to the moving link 32. Since one end of the two parallel links 35 is pivotally supported on the back surface of the backrest 23, the other end pivotally supported on the chest support base 26 side is rotated counterclockwise.

そして、第1の平行リンク34が反時計方向に回動されると、胸部支持台26は下方向に移動するが、該胸部支持台26には第2の平行リンク34の他端も軸支されていることから、胸部支持台26は傾くことなく水平状態で下降することとなる。この胸部支持台26の下降は、第1と第2の平行リンク24,25との平行移動が不可能な状態になると不可能となり、それ以上の下降は阻止されるので、ハンドル31を回動も行えなくなる。   When the first parallel link 34 is rotated counterclockwise, the chest support 26 moves downward, and the other end of the second parallel link 34 is pivotally supported on the chest support 26. Therefore, the chest support 26 is lowered in a horizontal state without being inclined. The lowering of the chest support 26 is impossible when the parallel movement between the first and second parallel links 24 and 25 becomes impossible, and further lowering is prevented, so the handle 31 is rotated. Can not be done.

このように、胸部支持台26の上下動を行うためのハンドル31は、胸部支持台26とは反対側に設けられているので、診療台2の左側(胸部支持台側)を診療室の壁面に沿って配置することが可能となる。   As described above, the handle 31 for moving the chest support table 26 up and down is provided on the opposite side of the chest support table 26, so the left side (chest support table side) of the diagnosis table 2 is placed on the wall surface of the clinic. It becomes possible to arrange | position along.

なお、前記した実施例では、ハンドル31の回動操作によって胸部支持台26を上下動させる場合について説明したが、胸部支持台26の裏面側にラックを垂下させ、該ラックに噛合するウォームギアをハンドルの回転によって回転させ、ラックを上下動させるような構造でも、前記した効果は得られるものである。   In the above-described embodiment, the case where the chest support 26 is moved up and down by rotating the handle 31 has been described. However, the rack is suspended on the back side of the chest support 26 and the worm gear meshing with the rack is attached to the handle. The above-described effects can be obtained even with a structure in which the rack is moved up and down by rotating the rack.

本発明に係る心臓超音波検査用診療台の一実施例を示す側面図である。It is a side view which shows one Example of the medical examination table for cardiac ultrasonography based on this invention. 同上の平面図である。It is a top view same as the above. 同上の要部を示す断面図である。It is sectional drawing which shows the principal part same as the above. 胸部支持台を下降した状態を示す上面側から見た斜視図である。It is the perspective view seen from the upper surface side which shows the state which lowered the chest support stand. 同上の裏面側から見た斜視図である。It is the perspective view seen from the back side same as the above. 胸部支持台を下降した状態の要部を示す断面図である。It is sectional drawing which shows the principal part of the state which descended the chest support stand.

符号の説明Explanation of symbols

2 診療台
21 下肢受け部
21a 膨出部
23 背凭れ部
25 グリップ
26 胸部支持台
3 上下動手段
31 ハンドル
32 移動リンク
34 第1の平行リンク
35 第2の平行リンク
DESCRIPTION OF SYMBOLS 2 Medical table 21 Lower limbs receiving part 21a Bulging part 23 Backrest part 25 Grip 26 Thoracic support base 3 Vertical movement means 31 Handle 32 Moving link 34 1st parallel link 35 2nd parallel link

Claims (4)

患者の下肢部を受ける下肢受け部と、患者の背部を受ける背凭れ部とからなり、かつ、背凭れ部は下肢受け部に対して起伏可能に取付けられている診療台と、前記背凭れ部から下肢受け部側を見て左側の前記背凭れ部の一部に分離して配置された胸部支持台と、該胸部支持台とは反対側の前記背凭れ部の裏面側に取付けられたハンドルと、該ハンドルと前記胸部支持台との間を連結し、ハンドルを操作することで胸部支持台を下方に移動させる上下動手段とより構成したことを特徴とする心臓超音波検査用診療台。 A medical table comprising a lower limb receiving part for receiving the patient's lower limb part and a backrest part for receiving the patient's back part, and the backrest part being attached to the lower limb receiving part so as to be raised and lowered, and the backrest part. A chest support base arranged separately from a part of the backrest part on the left side when viewed from the lower leg receiving part side, and a handle attached to the back side of the backrest part opposite to the chest support base And a vertically moving means for connecting the handle and the chest support table and moving the chest support table downward by operating the handle. 前記上下動手段は、前記背凭れ部の裏面に回動自在に軸支されたハンドルに一端が軸支されハンドルの回動により略水平方向に移動する移動リンクと、該移動リンクの先端に軸支された平行リンクとから構成され、該平行リンクの先端に前記胸部支持台が水平状態で上下動可能なように軸支されていることを特徴とする請求項1記載の心臓超音波検査用診療台。 The vertical movement means includes a moving link that is pivotally supported on a handle that is pivotally supported on the back surface of the backrest portion and that moves in a substantially horizontal direction by the rotation of the handle, and a shaft that is pivoted on the tip of the moving link. 2. The cardiac ultrasonic examination according to claim 1, wherein the chest support is pivotally supported at the tip of the parallel link so as to be movable up and down in a horizontal state. Medical table. 前記背凭れ部の先端に、検査中の患者の姿勢を保持するために患者が握るためのグリップが取付けられていることを特徴とする請求項1記載の心臓超音波検査用診療台。 The medical table for cardiac ultrasonography according to claim 1, wherein a grip for a patient to hold is attached to a tip of the backrest portion in order to hold a posture of the patient under examination. 前記背凭れ部から見て右側の下肢受け部には、検査者が登るための膨出部が一体的に形成されていることを特徴とする請求項1記載の心臓超音波検査用診療台。 2. The diagnostic table for cardiac ultrasonography according to claim 1, wherein a bulge portion for the examiner to climb is integrally formed on the right leg receiving portion on the right side when viewed from the backrest portion.
JP2004271038A 2004-09-17 2004-09-17 Cardiac ultrasound examination table Expired - Fee Related JP4555646B2 (en)

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Publication number Priority date Publication date Assignee Title
JP5291383B2 (en) * 2008-05-20 2013-09-18 株式会社ランダルコーポレーション Examination table
JP5255721B2 (en) * 2012-09-24 2013-08-07 株式会社ランダルコーポレーション Examination table
JP2016067678A (en) * 2014-09-30 2016-05-09 タカラベルモント株式会社 Examination table

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS6131134A (en) * 1984-07-25 1986-02-13 株式会社 メデイカルサイエンス Medical bed
JPH07506749A (en) * 1992-05-15 1995-07-27 アメリカン・エコー・インコーポレーテッド Support bed with shedding section for medical analysis
JPH10248846A (en) * 1997-03-14 1998-09-22 Nemoto Kyorindo:Kk Examination table for ultrasonic diagnosis
US5950262A (en) * 1998-04-22 1999-09-14 American Echo, Inc. Rotatable examination table
WO2002003865A1 (en) * 2000-07-07 2002-01-17 Medical Positioning, Inc. Patient support apparatus and method for performing decubitus breast biopsy

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS6131134A (en) * 1984-07-25 1986-02-13 株式会社 メデイカルサイエンス Medical bed
JPH07506749A (en) * 1992-05-15 1995-07-27 アメリカン・エコー・インコーポレーテッド Support bed with shedding section for medical analysis
JPH10248846A (en) * 1997-03-14 1998-09-22 Nemoto Kyorindo:Kk Examination table for ultrasonic diagnosis
US5950262A (en) * 1998-04-22 1999-09-14 American Echo, Inc. Rotatable examination table
WO2002003865A1 (en) * 2000-07-07 2002-01-17 Medical Positioning, Inc. Patient support apparatus and method for performing decubitus breast biopsy

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