JP4716781B2 - Obstetrics and gynecology delivery table - Google Patents

Description

  The present invention relates to a newborn cradle (hereinafter simply referred to as a cradle) in a delivery table for obstetrics and gynecology, and includes frontal assistance from the front side of the patient and side assistance from the side of the patient. It is related with the delivery table for obstetrics and gynecology where a cradle does not get in the way.

  As a cradle in a conventional delivery table, one that is fixed in a state protruding forward from the back of the delivery table main body (hereinafter simply referred to as the main body), and one that is used separately from the main body such as a cart type, And stored on the back side of the main body disclosed in product number DG-370N of the URL (http://www.takarabelmont.co.jp/medcal/index.html) on the website of the applicant company. There is something that protrudes forward when giving birth.

By the way, in the newborn cradle fixed to the front as described above, the cradle may become a hindrance when the cradle for assistance is not necessary because the cradle has no degree of freedom. In the case of the type cradle, the height of the cart is constant, so that there is a problem that a drop occurs between the cart and the cart when the main body is lifted.
http://www.takarabelmont.co.jp/medcal/index.htm

  In the technique disclosed in the URL described above, there is no problem in medical treatment in a state where the cradle is not used, but the cradle may become an obstacle during assistance in the state where the cradle is pulled forward. . That is, in the case of side assistance, it is necessary for the assistant to intervene between the cradle and the crotch or heel support (for example, disclosed in Japanese Patent Application Laid-Open No. 2000-51293 filed by the applicant company) (side assistance). However, at the time of this assistance, a sufficient assistance area cannot be secured between the cradle and the crotch support or the heel support.

  Therefore, it is possible to secure a sufficient assistance area by adjusting the crotch and heel support in the open leg direction, but there is a limit to the patient's open leg width and the cradle is Basically, the width of the support and pedestal inserted when the caregiver assists with the side does not change, so the midwife who performs the side assistance puts a heavy burden on the waist, and the patient also gives birth There was a problem that it was very painful because it was requested to expand the crotch and heel.

  The present invention is intended to solve the above-described problems, and the object of the present invention is to make it possible to pull out the cradle from the main body and between the support leg on the side where the midwife enters during side assistance. In order to secure space, the cradle can be rotated or slid freely, and a sufficient lateral support area can be secured between the cradle and the support device. To provide you with.

The delivery table for obstetrics and gynecology according to the present invention is intended to achieve the above-mentioned purpose, and the means of claim 1 is a support device in which the newborn cradle allows the patient's foot to bend in the left-right direction from the leg and the knee. And the newborn cradle is composed of a fixed cradle and a movable cradle.In frontal assistance, the movable cradle is slid from the fixed cradle and protrudes forward. The fixed cradle is rotated by approximately 90 degrees or the fixed cradle is moved laterally so that a doctor can put it between one leg of the patient and the newborn cradle.

  As described above, in the present invention, when the newborn cradle is used as frontal assistance, the area for receiving the newborn is increased by pulling out the mobile cradle from the fixed cradle, and the newborn is temporarily placed in a safe state. be able to.

  Also, in the case of side assistance, a sufficient area can be obtained even when the newborn is placed temporarily by rotating the long newborn cradle approximately 90 degrees, and between the doctor and the patient's foot. There are many gaps between them, so that delivery and medical care can be easily performed.

  In the present invention, the newborn cradle is formed so as to be retractable and retractable in the front-rear direction from the back side of the examination table, and the space between the support and the support device is supported by side support by rotating or sliding the newborn cradle in the pulled out state. A sufficient assistance space was secured.

Hereinafter, an embodiment of a delivery table for obstetrics and gynecology according to the present invention will be described with reference to the drawings.
1 and 2 show the whole obstetrics and gynecology delivery table, FIG. 1 shows a state in which a patient lies on the bed and waits, such as during labor before delivery, and FIG. The patient's lower limb is opened by a leg and bent from the knee to indicate the time of delivery.

  In FIGS. 1 and 2, reference numeral 1 is a base, and 2 is a waist support that moves up and down by a hydraulic device attached to the base 1, and the patient's foot is opened from a level with respect to the waist support 2. Further, a support leg C, which will be described in detail later after the knee portion is changed to the bent state, is attached. 3 is a backrest that undulates with respect to the waistrest 2, 4 is a fence attached to both sides of the backrest 3, 5 is a gripper for gripping a patient fixed to the upper part of the backrest 4, 6 Is an anger grip that is attached to the waist support 2 and is erected so that the patient can hold it during labor. Note that a switch 7 is attached to the upper end side of the fence 4 to move up and down and open legs. Further, in FIG. 1, a mat 8 is laid on the support leg C, but it is removed as shown in FIG. 2 at the time of diagnosis and delivery.

  As shown in FIG. 1, the support device C is horizontal when in a bed state, and spreads in the left-right direction at the time of examination or delivery to open the legs of the patient and bend from the knee portion of the patient. It has become. The structure for opening the support leg C is well known, for example, by applying a technique such as Japanese Patent Application Laid-Open No. 2000-51293 filed by the applicant company of the present invention, and detailed description thereof is omitted.

  Further, as will be described in detail later, the leg of the patient's leg is opened on the back surface of the waist support 2 by a support leg C at the time of delivery, and the patient's leg is bent forward from the knee portion and rotated. A neonatal cradle B that can be displaced is attached to the left foot side of the patient.

Next, details of the newborn cradle B will be described with reference to FIGS.
A is a pair of fixing rods 9 fixed to the back surface of the waist support 2 via a mounting plate 9 ′ , a supporting plate 10 fixed to the tip of the fixing rod 9 and having support pipes 10 a on the left and right, and the support A pair of arms 11 to which support rods 11a that can be inserted and removed from the pipe 10a are attached, reinforcing plates 12 attached to both surfaces of the arms 11, and the reinforcing plate 12 on the one arm 11 are fixed. A fixed shaft 13, a lock plate 14 having three lock holes 14 a to 14 c attached to the upper surface of the reinforcing plate 12, and a later-described newborn cradle in which one end is rotatably fitted to the fixed shaft 13. attached to a fixed rotary shaft 1 7 a to the fixed pedestal 17 in B, and Rokkupi selectively engaged with the locking hole 14a~14c with an elastic toward the lock plate 14 side 15a is member A received by the lock handle 15 attached is formed.

In the receiving member A configured as described above, the lock handle 15 is pushed up in a direction away from the lock plate 14 (upward in the side view) to push the lock pin 15a into the lock hole, for example, the lock pin 15a is the lock hole 14a. Since the fixed cradle 17 can be rotated about the fixed shaft 13 by detaching from the base, the lock cradle 15 is rotated counterclockwise in FIG. 11 can be rotated to the side assistance position shown in FIG. 11 or to the side assistance position with an increased angle shown in FIG. Then, by releasing the push-up force of the lock handle 15 at any position and engaging the lock pin 15a with the lock holes 14b to 14c, the lock handle 15 can be fixed at each assistance position.

  Reference numeral 16 denotes a stop plate for stopping the fixed cradle 17 at the initial position when the fixed cradle 17 is returned to the initial position shown in FIGS.

The newborn cradle B is composed of a fixed cradle 17 and a movable cradle 18, and a rotating shaft 17 a that is rotatably fitted to the fixed shaft 13 is attached to the back surface of the fixed cradle 17. In addition, a guide rail 17b for guiding a guide rail 18a attached to the movable pedestal 18 is formed in the fixed pedestal 17, and the movable pedestal 18 is movable in the front-rear direction with respect to the fixed pedestal 17. . Further, a gas cylinder 19 is attached to the movement cradle 18, an operation button 19 a for operating the gas cylinder 19 is projected from the front surface of the movement cradle 18, and a discharge rod 19 b of the gas cylinder 19 is fixed. It is engaged with a receiving plate 17 c fixed to the receiving table 17.

  In the neonatal cradle B configured as described above, in the case of a doctor who prefers frontal assistance, the operation button 19a of the gas cylinder 19 is started from the initial state of FIGS. When the is pressed, the gas cylinder 19 is extended by the gas pressure, so that the moving cradle 18 is moved forward by the guide rails 17b and 18a with respect to the fixed cradle 17 to the state shown in FIGS. As the area becomes larger, newborns can be received safely. In addition, in the initial state, that is, to return the moving cradle 18 to the fixed cradle 17 side, it can be performed by pushing against the gas pressure of the gas cylinder 19.

  In addition, in the case of a doctor who prefers side assistance, the lock lever shown in FIGS. 4 to 6 is maintained in the state in which the newborn cradle B is in the initial state, that is, in the state where the movable cradle 18 is moved to the fixed cradle 17 side. 15 is pushed up to release the engagement between the lock pin 15a and the lock hole 14a of the lock plate 14, and then, when the lock lever 15 is rotated counterclockwise, the rotation is rotatably inserted into the fixed shaft 13. Since the shaft 17a rotates, the fixed cradle 17 to which the rotating shaft 17a is attached rotates.

  Then, by fitting the lock pin 15a of the lock lever 15 into either the lock hole 14b or 14c of the lock plate 14, FIG. 10, FIG. 11 (the lock pin 15a is engaged with the lock hole 14b) or FIG. Since the pin 15a is stopped at the rotation position of the lock hole 14c), the doctor can perform treatment with the body between the patient's right foot and the newborn cradle B.

  In the case of side assistance, the movable cradle 18 may come into contact with the right foot of the patient during rotation with the movable cradle 18 pulled out from the fixed cradle 17. It is necessary to carry out in a state where it is placed on the table 17 side. In the embodiment described above, the case where the newborn cradle B is rotated at the time of side assistance has been described. However, the fixed cradle 17 can be slid in the lateral direction with respect to the support plate 10. It goes without saying that the structure may be easily changed by those skilled in the art without needing to be disclosed again.

  Next, the concrete structure of the support leg C will be described with reference to FIGS. In addition, since the structure for opening the leg C is a known technique as described above, the description is omitted.

  The support leg C is composed of a crotch receiving portion 20 and a heel receiving portion 21, and a cushion material is attached to each upper surface (not shown). And the mechanism for deform | transforming into a dogleg shape so that a patient's calf shin may be supported by the crotch receiving part 20 and the foot sole may be supported by the heel receiving part 21 is comprised.

The crotch receiving portion 20 is attached to a gear 23a that is rotatably attached to a crotch arm 22 extended from a known leg opening mechanism (not shown). Installed. Wherein the crotch arm 22 is rotatably supported ejection杆側24a of the gas cylinder 24, the cylinder side 24b are rotatably supported by the rear surface of the heel receiving section 2 1. The operating rod 24d for pushing the operation button 24c for ejecting the ejection rod 24a is rotatably attached to the rear surface of the heel receiving section 2 1.

  With such a configuration, when the operation rod 24d of the gas cylinder 24 is rotated in the direction of the arrow, the operation button 24c of the gas cylinder 24 is pushed and the discharge rod 24a is discharged. At this time, since the discharge rod 24a is attached to the crotch arm 22 on the fixed side, the rod receiving portion 21 is rotated counterclockwise as shown in FIG. 14 with the gear 23b as a fulcrum. Then, when the gear 23b is rotated, the gear 23a is rotated and the crotch receiving portion 20 is rotated clockwise. As a result, the patient's calf portion is pushed up by the crotch receiving portion 20 and bent at the knee as a fulcrum so that the sole is supported by the heel receiving portion 21.

  Each crotch receiving portion 20 is formed with a notch 20a on the waist support 2 side, and the notch 20a is rotatably supported by a pair of support shafts 20b so that it can be bent from the outside to the inside. A receiver 25 is attached. Further, on the back surface of the auxiliary crotch receiver 25, a standing lever 26 for pivoting the auxiliary crotch receiver 25 is pivotally supported by a pin 25 a, and between the rising lever 26 and the auxiliary crotch receiver 25. Is attached with a return spring 26a.

  Further, a bearing plate 20c extended from the crotch receiving portion 20 to which the support shaft 20b for supporting the auxiliary crotch receiver 25 is attached is attached to a lock rod 27 attached to the tip of the standing lever 26. Two grooves 20d and 20d 'are formed, which are arranged at an angle of about 90 degrees to engage with the formed flat screwdriver-shaped protrusion 27a. Further, the lock rod 27 is slidably inserted in a cylindrical body 28 fixed to the back surface of the crotch receiving portion 20 (see FIG. 17).

  The auxiliary crotch receiver 25 that is pivotally supported with respect to the crotch receiving portion 20 in this manner is formed on the protrusion of the lock rod 27 when the auxiliary crotch receiving 25 is in a horizontal state with respect to the crotch receiving portion 20. 27a is engaged with the groove 20d. When the standing lever 25 is rotated against the spring force of the spring 26a in this state, the ridge 27a engaged with the groove 20d formed in the bearing plate 20c is disengaged. On the other hand, the auxiliary crotch receiver 25 that has been unable to rotate can be rotated, and the auxiliary crotch receiver 25 can be raised approximately 90 degrees with respect to the crotch receiving portion 20 with the support shaft 20b as a fulcrum.

When the auxiliary crotch receiver 25 stands up with respect to the crotch receiving portion 20, the patient's calf shin part is shaped along the auxiliary crotch receiver 25, so that the calf shin part is belted on the auxiliary crotch receiver 25. By fixing with a restraint tool D (see FIG. 2) such as the above, delivery in a stable state can be performed for a patient in an open leg state, and treatment can be performed in a stable state for a doctor. In addition, in order to fix the auxiliary crotch receiver 25 in a state where the auxiliary crotch receiver 25 is in the upright state, it is possible to engage the protrusions 27a of the lock rod 27 with the grooves 20d ′.

  In the above-described support device C, the case where the auxiliary crotch receiver 25 is disposed outside the crotch receiving portion 20 and the calf part is fixed from the outside by the restraint D has been described. May be arranged inside the crotch receiving portion 20 and fixed with a belt from the inside. Further, although the case where the belt is used as the restraining device D has been described, the belt is not limited to the belt, and the restraint device D formed in a U-shape is attached to the auxiliary crotch receiver 25 to restrain the calf portion of the patient. It may be sandwiched between the tool D and the auxiliary crotch receiver 25 in the standing state.

It is the perspective view which made the bed for the delivery table for obstetrics and gynecology concerning the present invention. It is the perspective view made into the delivery state same as the above. It is a perspective view which shows the initial state of a newborn cradle. It is a perspective view which shows an internal structure same as the above. It is a top view which shows the principal part same as the above. It is a side view same as the above. It is a top view which shows the internal structure for moving a movement receiving stand with respect to a fixed receiving stand. It is a perspective view which shows the state of front assistance. It is a top view which shows an internal structure same as the above. It is a perspective view of the newborn cradle which shows the state of side assistance. It is a top view of the principal part for rotating a newborn cradle. It is a perspective view in the state where the newborn cradle of FIG. 10 was further rotated. It is a top view which shows the internal structure of a support device. It is a side view same as the above. It is a side view of a crotch receiving part same as the above. It is a back view same as the above. It is a side view same as the above.

Explanation of symbols

A Newborn cradle C Supports 2 Waist support 17 Fixed cradle 18 Mobile cradle

Claims (1)

The newborn cradle is arranged on the upper surface of a support leg that causes the patient's foot to bend in the left-right direction and bends from the knee, and the newborn cradle comprises a fixed cradle and a movable cradle. Slides the moving cradle from the fixed cradle and protrudes forward, and in side assistance, the fixed cradle is rotated approximately 90 degrees or the fixed cradle is moved laterally, and the patient's one leg and the newborn cradle A delivery table for obstetrics and gynecology, which is characterized by the fact that a doctor puts it in between.

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