JP5814665B2 - Medical examination table and medical training device - Google Patents

Description

The present invention comprises a medical examination table capable of placing a pseudo patient body for medical training used for practical training such as cutting in medical education, particularly dental education, and a pseudo patient body and a medical practice table. The present invention relates to a medical training apparatus.

  In recent years, in medical education, in particular in dental education, practical training has been conducted such as cutting teeth on a planted human head model, etc., and various medical training devices have been proposed. Yes.

For example, in Patent Document 1, a treatment state for a simulated patient body having a head model is detected by a sensor provided in the mouth of the simulated patient body, and the actual patient's eyes, wrinkles, and the like are driven and controlled. Medical simulators that reproduce patient movements and facial expressions have been proposed.
However, the above-mentioned medical simulator has only the head, is far from the actual clinical practice, and does not have a sense of reality, so that it has not been able to obtain a sufficient effect as practical training.

  Therefore, in Patent Document 2, a simulated patient body driving means for changing the facial expression according to the medical condition is incorporated, a head model having eyes, a nose and an oral cavity, a trunk model, an arm model, and a leg model. A medical training apparatus has been proposed in which the pseudo patient body configured as described above is placed on a medical examination table.

  As described above, the built-in pseudo patient body driving means for changing the facial expression and the provision of the head model having the eyes, nose and oral cavity allow the posture of the examination table, the operation of the instrument, and the examination state of the pseudo patient body. Based on the above, it is said that by changing the facial expression of the simulated patient body, practical training with a sense of reality close to actual clinical practice can be performed.

  However, since a normal medical examination table is configured so that the bending angle between the back plate and the seat plate can be adjusted, when the undulation angle of the back plate with respect to the seat plate is adjusted, the pseudo patient body is the body of the patient body. There is a risk of displacement in the axial direction, that is, in the height direction, and there is a possibility that the operation cannot be performed with peace of mind in practical training that is close to actual clinical practice while adjusting the undulation angle.

JP 2004-233585 A International Publication No. 2008/023464

The present invention is placed on a medical couch with adjustable bends the bending angle, without misalignment of the training with a close realistic in actual clinical, medical capable of performing safely Ryoyo An object is to provide a medical table and a medical training apparatus.

The present invention relates to a medical use comprising at least a medical treatment table having a bending portion capable of adjusting a bending angle between a seat plate and a back plate , and a pseudo patient body for medical training placed on the medical treatment table . A training apparatus , wherein a control unit is arranged to be movable with respect to the medical examination table, and a movable portion that moves in accordance with the bending of the bending portion is driven on the pseudo patient body, and the movable portion is driven a drive unit, with a connector to which a communication cable is connected is provided for communicating control signals from a drive source supply line and the control unit supplies a driving source to the driving unit from the control unit, the in pseudo patient body, the medical treatment table of couch placed allowable surface abutting contact portion, fastening means are provided for the medical treatment table and engaging wear, couch mounting couch for the medical corresponding to the contact portion in location acceptable surface Provided against the corresponding portion, a Hikakarigi means engaged with the engagement wearing means, as well as composed latched means is placed on the medical treatment table, which is engaged by the engaging wear means the Insertion that does not expose the locked means from the treatment table mounting permission surface when the locked means from which the pseudo patient body is released and the locked patient is removed is not used. An exposure avoiding means constituted by any one of a block, a lid, a shutter, and a cover member is provided, and the pseudo patient body in which the locking between the locking means and the locked means is released is removed. The medical treatment table can be used as a normal medical treatment table .

  The bending angle is an angle of the back plate with respect to the seat plate or the headrest with respect to the back plate, and the bent portion capable of adjusting the bending angle is a portion between the seat plate and the back plate or between the back plate and the headrest. be able to.

  The movable portion that can move in response to the bending of the bending portion described above is a lumbar portion corresponding to a bending portion between a seat plate and a back plate, a cervical vertebra portion corresponding to a bending portion between a back plate and a headrest, and these Can be both.

  The abutting portion that comes into contact with the medical table placement allowance surface in the medical treatment table described above is the back side of the pseudo patient body placed in a supine posture, and more specifically, the thigh portion that sits on the seat plate, the seat It can be a buttocks that abuts against the bent portion of the plate and the back plate, a waist that abuts against the back plate, a back or two arms, a back head that abuts against the headrest, a forearm that abuts against the armrest, or a combination thereof.

  The engaging means is a means for preventing positional deviation due to bending of the bending portion of the medical examination table, and substantially coincides with a plane along the bending direction, that is, a vertical plane along the longitudinal direction of the medical examination table. It suffices if it can be engaged at least in the direction of the body axis, and it can be engaged so as to be detachable. Therefore, the engagement means is, for example, in a convex part (concave part) that fits into a concave part (convex part) of a medical examination table, an adhesive sheet, a peelable adhesive, a locking means described later, and a medical examination table. It can be a sucker that is attracted to the medical table mounting allowable surface, or a permanent magnet or an electromagnet that is attracted to the medical table.

The locking means and the locked means are, for example, a hook that is provided in the contact portion and a portion that allows the hook to be locked in the contact corresponding portion, a hook-and-loop fastener, a linear fastener, a hook button, a snap button, In the contact-corresponding portion, the locked groove disposed in the direction intersecting the body axis direction, the locking protrusion provided in the contact portion locked in the locked groove, and the contact-corresponding portion intersecting the body axis direction It can be set as the to-be-locked recessed part with which the to-be-latched part arrange | positioned to the to-be-latched rail arrange | positioned to the direction and the to-be-latched rail is equipped.

  The drive unit only drives the lumbar part corresponding to the bent part of the seat plate and the back plate, the cervical vertebra part corresponding to the bent part of the back plate and the headrest, and the movable part constituted by both of them. Instead, a driving unit that drives eyes, eyelids, jaws, and the like for changing the facial expression of the simulated patient body, and a movable unit such as an upper limb for displaying an intention may be driven.
  The drive source may be a fluid for the drive unit that is driven by electric power for driving the electrical drive unit or fluid pressure such as air pressure.

  The engaged portion is a portion that allows engagement of an engaging means that is a means for preventing a positional shift of a pseudo patient body due to bending of a bending portion of a medical examination table, and can be attached in a detachable manner. Good. Therefore, for example, the engagement portion can be engaged with an engagement means such as a convex portion (concave portion) formed on the pseudo patient body, a pressure-sensitive adhesive sheet, a peelable adhesive, a locking means described later, and the like. Can be part.

  The exposure avoiding means is a means for covering the locked means provided on the medical table placement permission surface and not exposing the appearance, a means for retracting the locked means provided on the medical table placement permission surface and not exposing the appearance, The seating means is configured to be configured to be removable with respect to the treatment table mounting allowable surface and is configured to be able to be removed by being removed or to be exposed when not in use, or to be exchanged. Alternatively, the back plate itself can be configured by exchanging it with a seat plate or a back plate not provided with a locked means.

  According to the present invention, a pseudo-patient body is placed on a medical examination table having a bending portion whose bending angle can be adjusted, and it is possible to carry out the practice with a sense of reality close to actual clinical practice without any misalignment. .

More specifically, the pseudo patient body placed medical couch with an adjustable bent portion of flexion, since it has a movable portion that moves in response to the bending of the bending portion, for example, the seat plate with respect to By doing so, you can wake up and lie down to conduct practical training with a sense of reality that is close to actual clinical practice.

However, for example, if the back plate is raised against the seat plate or laid down, the actual patient will not be unintentionally stepped out so that the position will not shift, or the armrest will not be displaced, There is a possibility that the pseudo patient body placed on the treatment table placement allowance surface in the medical treatment table is displaced in the body axis direction. Therefore the abutting contact portion to couch placed allowable surface, by the fastening means engaged with said medical treatment table provided, for example, or causing the back plate against the seat plate, with or aged However, it is possible to practice with confidence without the pseudo patient body being displaced from the medical examination table.

Further, by the fastening means provided, for example, by a fastening means such as bolts, that in comparison with the case of connecting and fixing the pseudo patient body and medical treatment table of mounting, easily replace the pseudo patient body it can. Therefore, for example, multiple types of simulated patient bodies such as an adult-type simulated patient body, an elderly-type simulated patient body, and a child-type simulated patient body are prepared, and a suitable simulated patient body can be easily prepared according to the training purpose. Can be used for practical training, and user satisfaction can be improved.

Also, a driving unit for driving the movable part, provided with a control unit for controlling the drive unit supplies a drive source to the drive unit communicates a control signal to the control unit, the Rukoto provided with a connector for connecting allowed for couch side connector provided in the medical treatment table, closer to actual clinical, without more reliably misalignment the training more realistic, Can be done with confidence.

Specifically, a driving unit for driving the movable part, by a control unit for controlling the drive unit is provided, since the movable part driven by a drive unit controlled by the control unit, the reaction and the like to treatment It can be expressed, and it can be performed with peace of mind without shifting the position of practical training that is closer to actual clinical practice and more realistic.

Also, supplies a driving source to the driving unit communicates a control signal to the control unit, the connector is provided to connect allowed for couch side connector provided in the medical treatment table Accordingly, the pseudo patient body can be easily removed by removing the connection connector connected to the medical table side connector. Therefore, for example, the pseudo patient body according to the training purpose can be easily exchanged.

Also, the connector for connecting allowed for arranged the couch connector on the couch placed acceptable surface in the medical treatment table is by Rukoto disposed the abutment portion, the connection state A certain clinical table side connector and connection connector are arranged between the clinical table placement allowable surface and the contact part, and are not exposed on the appearance in the state where the pseudo patient body is placed on the medical treatment table. Can improve the sense of reality.

Also, having an adjustable bend portion bending angle, pseudo patient body for medical training as a medical treatment table which can be placed, the pseudo having a movable portion that moves in response to the bending of the bent portion The patient body has a bent portion whose bending angle can be adjusted by providing a to-be-attached portion that allows engagement of the engaging means provided at the abutting portion that abuts on the medical table mounting permission surface . A pseudo-patient body is placed on the clinical table, and practical training with a sense of reality close to that of actual clinical practice can be carried out without any misalignment.

Also, by the engaging portions is provided, for example, by a fastening means such as bolts, as compared with the case of connecting and fixing the pseudo patient body is placed and the medical treatment table, easily be replaced pseudo patient body Can do. Therefore, for example, multiple types of simulated patient bodies such as an adult-type simulated patient body, an elderly-type simulated patient body, and a child-type simulated patient body are prepared, and a suitable simulated patient body can be easily prepared according to the training purpose. Can be used for practical training, and user satisfaction can be improved.

Also, the to be engaging portion, provided in the abutment portion, constituted by latched means for locking means and the locking constituting the-engaging means, the該被locking means, said couch the Rukoto disposed abutting the corresponding portion corresponding to the contact portion in the mounting tolerance surface, placing a pseudo patient body flexion angle medical couch with adjustable bent portion, for example, the seat plate On the other hand, it is possible to carry out practical training with realistic sensations close to actual clinical practice, such as raising the backboard or laying it down, without any more misalignment.

Also, when not in use of said latched means by Rukoto provided with exposure avoiding means which does not expose the latched means from said treatment table mounted acceptable surface, when not performing exercise, a medical couch It can be used as a medical treatment table for normal treatment. Therefore, the medical treatment table can be used not only for practical training but also for normal treatment, and the utilization rate of the medical treatment table can be improved and waste can be eliminated.

Moreover, this invention is a medical examination table used for the above-mentioned medical training apparatus, Comprising : The said to-be-latched means was provided in the width direction center part of the said examination table mounting permission surface continuously in the longitudinal direction. A loop surface fastener is used, and the locking means is a hook surface fastener .

  According to the present invention, practical training with a simple structure, low cost, and realistic sensation that is close to actual clinical practice can be carried out with peace of mind without more reliably shifting the position. Moreover, since the loop-shaped surface fastener constituting the locked means and the hook-shaped surface fastener constituting the locking means are both flexible planar bodies, the cushioning property of the treatment table mounting permission surface is impaired. The pseudo-patient body can be securely placed on the medical treatment table without any problem. Furthermore, even when a medical treatment table is used for normal treatment, it is possible to prevent poor sitting comfort due to the loop-shaped surface fastener constituting the locked means.

  Moreover, the design property of the treatment table mounting allowance surface can be improved by arranging the locked means constituted by the loop-shaped surface fastener at the contact corresponding portion with high design property.

Further, the present invention is a medical examination table used for the above-described medical training device, wherein the locked means is constituted by a locked groove portion arranged in the width direction of the medical table mounting permission surface, The locking means is constituted by a locking rail corresponding to the locked groove portion.

The present invention places the bending angle to a medical couch with adjustable bends, without misalignment of the training with a close realistic in actual clinical, medical Ryoyo medical treatment can be performed with confidence A table and a medical training device can be provided.

Explanatory drawing by the perspective view of a medical training apparatus. The block diagram of a medical training apparatus. Explanatory drawing by schematic sectional drawing of a medical training apparatus. Explanatory drawing by the perspective view of the medical training apparatus of 2nd Embodiment. Explanatory drawing by schematic sectional drawing of the medical training apparatus of 2nd Embodiment. The perspective view of the medical treatment stand of the state which is not used as a medical training apparatus in 2nd Embodiment. Explanatory drawing by the schematic sectional drawing of the medical training apparatus of 3rd Embodiment. Explanatory drawing by the perspective view of the medical training apparatus of 4th Embodiment.

Hereinafter, a medical training apparatus 1 according to the present invention will be described with reference to FIGS.
FIG. 1 is a perspective view of the medical training device 1, FIG. 2 is a block diagram of the medical training device 1, and FIG. 3 is a schematic sectional view of the medical training device 1. .

  Specifically, FIG. 1 shows a perspective view of the medical training apparatus 1 in a state where the pseudo patient body 2 is arranged above the medical table 3. FIG. 3A shows a schematic cross-sectional view of the medical training apparatus 1 at the pre-clinical position, and FIG. 3B shows a schematic cross-sectional view of the medical training apparatus 1 at the mid-care position.

  As shown in FIG. 1, the medical training device 1 includes a simulated patient body 2 imitating a female patient, a medical table 3 (corresponding to a medical clinical table) for performing treatment by mounting the simulated patient body 2, The information processing apparatus 4 (corresponding to the control unit) that displays various information as a GUI and receives various commands to the simulated patient body 2 and an instrument table (not shown) provided with various medical instruments.

  The instrument table (not shown) includes an instrument holder on the front side of a table that is pivotally attached to the examination table 3 via an arm, and performs medical treatment for cutting an air turbine handpiece, a micromotor handpiece, and the like there. Various instruments such as instruments, scalers, three-way syringes, vacuum syringes, etc. are detachably attached, and a display unit is provided above the table to display the patient's chart and display the operation contents of the instruments during the practice. Since the detailed configuration and variation of each are already known, detailed description thereof will be omitted.

  The simulated patient body 2 is composed of a head model 2a, a torso model 2b, left and right arm models 2c, and left and right leg models 2d, and the posture and expression of the simulated patient body 2 to be described later are contained therein. A pseudo patient body driving means D to be changed and a medical examination state detecting means C (refer to the functional block diagram of FIG. 2) for detecting a medical condition for the pseudo patient body 2 are provided.

  In order to make the appearance very similar to the human body, the simulated patient body 2 covers the whole or a portion exposed from the clothes with artificial skin when wearing clothes, and the head model 2a is provided with wigs serving as hair. It is configured as a so-called android-type robot that is very similar in appearance to a female patient.

  Specifically, as described above, the simulated patient body 2 is composed of the head model 2a, the trunk model 2b, the left and right arm models 2c, and the left and right leg models 2d, and the head model 2a and the trunk model. 2b, between the torso model 2b and the left and right leg models 2d, between the torso model 2b and the left and right leg models 2d, and the knees of the left and right arm models 2c and the leg model 2d. The part is provided with a joint mechanism 21 so that it can be bent so as to move in the same manner as a joint of a human body.

  The joint mechanism 21 corresponding to the movable part is provided with an air cylinder (not shown) attached to two main rods (not shown) pivotally attached to each other to form a skeleton, and the rod of the air cylinder is advanced and retracted. Thus, the main rod is configured to be bent by two main rods.

  Moreover, in order to make the head model 2a of the simulated patient body 2 look very similar to the human body, as described above, the artificial skin formed of silicon rubber having a softness similar to the skin is put on the face and the head is covered. Covered with a wig to become hair.

  In addition to the driving means for driving each part of the face, eyeballs, eyelids, eyebrows, cheeks, mouth, lips, and neck 22, the simulated patient body 2 includes sound output means for outputting sound, respectively. By driving the drive means (pseudo patient drive means D to be described later) included in the above, a facial expression very similar to that of a person is obtained. Further, the cheek is provided with a contact sensor, and a detection signal thereof is transmitted to a consultation state detection means C described later.

  The neck 22 includes a joint mechanism that connects the head model 2a and the trunk model 2b so as to be tiltable forward and backward and left and right. As a result, the neck 22 can be tilted in the range of ± 45 degrees to the left and right from +10 degrees to −30 degrees by the joint mechanism, and can be rotated in the range of ± 45 degrees to the left and right.

  Although not shown, the jaw model built in the head model 2a is composed of a combination of an upper jaw model and a lower jaw model, and the upper jaw model and the lower jaw model are planted so that each tooth can be exchanged. ing. As a result, it is possible to replace a tooth that has been consumed during a cutting practice, or to replace it with a special tooth with a decayed tooth or a tartar. In addition, the jaw model can be replaced with a small model for children or an edentulous model without teeth.

  Further, the upper jaw model and the lower jaw model are provided with various sensors as described below in order to detect treatment and treatment at the time of training. More specifically, an impact sensor that detects an impact when a medical instrument comes into contact with a tooth, a pressure sensor that detects a pressure applied to a tooth or upper and lower jaws during cutting treatment, a vibration sensor that detects vibration, a temperature rise (for example, Temperature sensor for detecting impressions, laser cutting, etc.), and a sensor for detecting a conduction or resistance change for detecting the degree of tooth cutting. Then, the consultation status detection signals detected by these sensors are transmitted to the control means I (CPU in FIG. 2) to be described later, so that the diagnosis status of the simulated patient body 2 during the training can be objectively grasped and used as consultation data. it can. These sensors are collected by the medical condition detection means C, and are further output as medical condition detection signals and sent to the information processing apparatus 4.

  Furthermore, an electrical signal is communicated with the drive source supply line 23 that allows the supply of air, which is a drive source for driving various drive means in the simulated patient body 2 as described above, and the information processing apparatus 4 described later. The communication cable 24 extends from the bottom side of the simulated patient body 2, that is, from the back side of the simulated patient body 2. The drive source supply line 23 and the communication cable 24 are provided with connection connectors 23a and 24a that are connected to connected connectors 43a and 44a provided on the upper surface of the information processing apparatus 4 described later.

  In the medical table 3, a part of the upper surface of at least one of a seat sheet 3a, a back plate sheet 3b, and a headrest 3c, which will be described later, is a medical table mounting allowable surface on which the simulated patient body 2 is mounted. , A hook-shaped surface corresponding to the locking means is provided on the buttocks corresponding portion 2e between the back side of the trunk model 2b and the back side of the leg model 2d, which is a contact portion that comes into contact with the medical table mounting permission surface. A fastener 51 is provided. The hook-shaped surface fastener 51 is a flexible sheet formed in a substantially square shape in plan view, and is engaged with a loop-shaped surface fastener 52 (corresponding to the locked means) provided in the medical table 3 described later. A possible hook and loop fastener 50 (corresponding to the engaging means and the locking means) is constructed.

  The medical table 3 includes a seat portion sheet 3a placed on the base 30 so as to be movable up and down, a tiltable back plate sheet 3b connected to the rear of the seat portion seat 3a, and an upper end of the back plate sheet 3b. It is comprised with the headrest 3c which can be connected and can be tilted. In addition, it is comprised between the seat part sheet | seat 3a and the back board sheet | seat 3b, and between the back board sheet | seat 3b and the headrest 3c so that it can be bent with respect to the other.

  In order to control these to the optimum position according to the medical situation, a seat drive unit that is driven by a hydraulic cylinder, an electric motor, etc., such as a seat seat lifting and lowering means, a back plate seat tilting means, a headrest tilting means (not shown) is provided. Operation is controlled by operation means such as a controller.

  Moreover, in the seat part sheet | seat 3a, the backplate sheet | seat 3b, and the headrest 3c, the upper surface in FIG. 1 is set as the mounting permissible surface 31 that functions as a medical table mounting permissible surface, and the backplate sheet 3b side in the seat part sheet 3a A loop-shaped surface fastener 52 that is engaged with the hook-shaped surface fastener 51 described above is provided. The loop-shaped surface fastener 52 is a flexible sheet-like body formed in a square shape in plan view like the hook-shaped surface fastener 51, but has a slightly larger planar dimension than the hook-shaped surface fastener 51. Forming.

The information processing device 4 is arranged as a movable operation box 40 that functions as a simulated patient body control operation unit G in the vicinity of the medical table 3 and incorporates a PC main body.
On the upper surface of the operation box 40, display means 41 such as a liquid crystal monitor and operation means 42 such as a keyboard and a mouse are provided.

  Further, on the upper surface of the operation box 40, a fluid (water, air, etc.) conduit 43 and an electric wire bundle 44 (fluid and electrical) of the working medium for driving the simulated patient body driving means D derived from the inside of the operation box 40. Connector portions 43a and 44a (corresponding to the medical table side connector) joined to the tip of the drive system) are attached.

  The information processing apparatus 4 configured as described above displays various types of information on the display unit 41 as a GUI, and receives various commands using the operation unit 42 such as a keyboard and a mouse. The display means 41 can display the consultation status of the simulated patient body 2 at the time of practical training, call up and display necessary information at any time, store a specific program in the built-in PC main body, and run it Then, it operates also as a simulated patient body control operation unit (indicated by G in FIG. 2), and a facial expression selection button as facial expression selection means G2, which will be described later, is displayed on the display means 41. While grasping, the operation and expression of the simulated patient body 2 can be controlled by selecting the expression selection button. As will be described later, by selecting and operating the sensor selection button displayed on the display means 41, the output of various sensors built in each part of the simulated patient body 2 can be called and the detection signal can be displayed on the monitor. .

The functional configuration of the medical training device 1 configured as described above will be described below together with FIG. 2 showing a functional block diagram of the medical training device 1.
The medical training apparatus 1 connects a control means (CPU) I and each function realization means A to H, J, and K by a direct signal line or a hospital LAN, and the control means I uses each function block A to H, J. , K are controlled.

  The posture detection means A is configured by combining the seat seat raising / lowering detection means Aa, the backboard seat tilt detection means Ab, and the headrest tilt detection means Ac, and detects the control state of the examination table 3 during the examination. For example, each detection unit includes an angle detection sensor, a potentiometer, and the like, and detects the amount of elevation, the amount of tilt or the tilt angle, the on / off of the drive signal, and the like.

  The medical instrument state detection means B is an operation state during the practice of each medical instrument, oral camera, photopolymerization irradiator, and foot controller driven by the above-described medical instrument drive means, that is, on, off, rotational speed, load, etc. Air turbine handpiece state detection means Ba, micro motor handpiece state detection means Bb, three-way syringe state detection means Bc, scaler state detection means Bd, vacuum syringe state detection means Be, oral camera state detection The means Bf, the photopolymerization irradiator state detection means Bg, and the foot controller operation state detection means Bh are combined.

  The consultation status detection means C includes various sensors built in the simulated patient body 2 and imaging means for imaging the status at the time of medical care. As various sensors, as will be described later, means Ca for detecting contact with the cheek of the simulated patient body 2, means Cb for detecting contact with the chest, means Cc for detecting impact and pressure on the teeth, tooth temperature It includes means Cd for detecting the rise, means Ce for detecting the anesthesia part, neck, waist, arm rotation angle detecting means Cf, imaging means Cg, microphone Ch, and the like. The configuration is such that the presence / absence and degree of stimulation given to the simulated patient body 2 during treatment and treatment are grasped and output as a consultation status detection signal.

The simulated patient body driving means D is configured by combining the eyeball driving means Da, the eyelid driving means Db, the eyebrow driving means Dc, the lower jaw driving means Dd, the neck driving means De, the arm driving means Df, the sound output means Dg, etc. As described above, it is incorporated into the head model 2a, the torso model 2b, the arm model 2c, and the leg model 2d of the simulated patient body 2, and by combining these driving, the facial expression of the simulated patient body 2, the body movement, etc. Realized.
The storage means E stores a medical condition detection signal output from the medical condition detection means C and evaluation reference information used by the training result evaluation means.

  The training result evaluation means F is an evaluation criterion stored in the storage means E in advance after the practitioner's medical practice is completed, and the medical instrument state detection signal detected by the medical instrument state detection means B and / or the medical condition detection means C. Compared with the detection status detection results detected, output the training evaluation results based on a predetermined algorithm, rank according to the skill of the practitioner, information processing inappropriate medical items according to the results It is configured to display on the display means 41 of the device 4 or the display unit (not shown) of the instrument table.

  Further, the simulated patient body control operation unit G stores the movement of the simulated patient body driving means D incorporated in the simulated patient body 2 in correspondence with the posture and expression change of the simulated patient body 2, and its storage means G1 Facial expression selection means G2 for selecting a facial expression change stored in the storage means G1, and the facial expression selection means G2 is provided with a facial expression selection button. For example, facial expressions such as vomiting, pain, anxiety, relaxation, and discomfort of the simulated patient body 2 It is configured to reproduce changes. By providing such a simulated patient body control operation unit G, in addition to the original control operation in which the medical practice of the practitioner is automatically reflected in the facial expression and body motion of the simulated patient body 2, as will be described later. In addition, the training instructor can determine the status of the trainee and select the display selection button to control the facial expression of the simulated patient body 2.

  The display operation unit H is configured by combining the display unit Ha and the display selection unit Hb. The display unit Ha is configured by the display unit 41 provided in the information processing apparatus 4, and the display selection unit Hb It consists of selection buttons for selecting the output of each sensor of means C, and is selected with a mouse or the like.

  The system stop means J is composed of a system stop operation switch as described above, and an operation signal of the system stop operation switch is input to the control means I, and the control means I performs stop control of the system based on this input signal. be able to.

  The simulated patient body weakening means K is composed of a simulated patient body weakening operation switch, and an operation signal of the pseudo patient body weakening operation switch is input to the control means I, and the control means I is based on this input signal to simulate the pseudo patient body weakening operation switch. Control is performed to remove all or part of the force applied to the simulated patient body 2 by the working medium for driving the driving means D.

  The medical training apparatus 1 of the present invention configured as described above places the simulated patient body 2 on the medical table 3 and controls the clinical table 3 and the simulated patient body 2 with the information processing device 4 while performing actual clinical practice. Can be practiced with a sense of presence close to

  When placing the simulated patient body 2 on the placement allowance surface 31 of the medical table 3, the loop surface fastener 52 provided on the seat sheet 3a of the medical table 3 and the buttocks corresponding portion 2e of the simulated patient body 2 are provided. Since the hook-shaped surface fastener 51 provided in FIG. 3 is locked, for example, the back plate of the treatment table 3 for shifting from the pre-treatment position shown in FIG. 3 (a) to the in-treatment position shown in FIG. 3 (b). Even if the seat 3b is raised or laid down, the pseudo-patient body 2 is not misaligned and the training can be performed with peace of mind.

  Specifically, for example, when the back plate sheet 3b is raised with respect to the seat part sheet 3a of the examination table 3 or laid down according to the medical treatment, the actual patient can step on the armrest part so that the position does not shift unconsciously. There is no misalignment to hold.

  However, since the pseudo patient body 2 includes the joint mechanism 21, the posture can be changed following the bending of the back plate sheet 3 b with respect to the seat portion sheet 3 a, but the placement allowable surface 31 on the medical table 3 can be changed. There is a possibility that the position is shifted in the body axis direction even if it is just placed.

  Therefore, the hook-like surface fastener 51 is provided in the buttocks corresponding portion 2e that is a contact portion that contacts the placement allowance surface 31 in the simulated patient body 2, and the loop-like surface fastener is provided in the portion corresponding to the buttocks corresponding portion 2e in the examination table 3. 52, the hook-like surface fastener 51 of the pseudo-patient body 2 and the loop-like surface fastener 52 of the medical table 3 are locked when placing the pseudo-patient body 2 on the medical table 3. (FIG. 3 (a)) and the position during treatment (FIG. 3 (b)), even if the back plate sheet 3b is raised with respect to the seat part sheet 3a or laid down, The simulated patient body 2 can be practiced with confidence without being displaced.

  Further, by providing the surface fastener 50 constituted by the hook-shaped surface fastener 51 and the loop-shaped surface fastener 52, the placed pseudo patient body 2 and the treatment table 3 are connected and fixed by fastening means such as bolts, for example. Compared to the case, the simulated patient body 2 can be easily replaced. Therefore, for example, a plurality of types of simulated patient bodies 2 such as an adult-type simulated patient body 2, an elderly-type simulated patient body 2, and a child-type simulated patient body 2 are prepared and suitable for the training purpose. The patient body 2 can be easily exchanged and used for practical training, and user satisfaction can be improved.

  In addition, since the pseudo patient body 2 and the treatment table 3 are locked by the flexible sheet-like surface fastener 50, the cushioning property of the seat portion sheet 3a and the back plate sheet 3b of the treatment table 3 is not impaired. The portion where the loop-shaped surface fastener 52 is disposed in the examination table 3 follows the shape of the buttocks corresponding portion 2e of the pseudo patient body 2 where the hook-shaped surface fastener 51 is disposed. Therefore, the locking area between the hook-shaped surface fastener 51 and the loop-shaped surface fastener 52 can be secured, and the pseudo patient body 2 can be securely locked to the medical table 3.

  In addition, although the hook-shaped surface fastener 51 was provided in the buttocks corresponding | compatible part 2e of the pseudo patient body 2 among the surface fasteners 50 and the loop-shaped surface fastener 52 was provided in the seat part sheet | seat 3a of the examination table 3, the hook-shaped surface fastener 51 is provided. Is provided with a hook-like surface fastener 51 on the back side of the body model 2b, that is, on the abutting portion that abuts against the placement allowance surface 31 of the back plate sheet 3b of the examination table 3, and the hook-like surface is provided on the back plate sheet 3b of the examination table 3. A loop-shaped surface fastener 52 may be provided in a portion corresponding to the fastener 51. In addition, the hook-shaped surface fastener 51 is provided with a hook-shaped surface fastener 51 on the back of the head model 2 a, that is, on the abutting portion where the hook-shaped surface fastener 51 abuts on the placement permission surface 31 of the headrest 3 c of the medical table 3. A loop-shaped surface fastener 52 may be provided in a portion corresponding to the hook-shaped surface fastener 51 in 3c.

  Further, of the surface fastener 50 constituted by the hook-shaped surface fastener 51 and the loop-shaped surface fastener 52, the pseudo-patient body 2 side is provided with the hook-shaped surface fastener 51, and the clinical table 3 side is provided with the loop-shaped surface fastener 52. However, the pseudo patient body 2 may be provided with the loop-shaped surface fastener 52, and the treatment table 3 may be provided with the hook-shaped surface fastener 51. However, since the loop-shaped surface fastener 52 having a soft touch compared to the hook-shaped surface fastener 51 is arranged on the examination table 3, for example, the pseudo patient body 2 is not placed on the examination table 3, Even if a patient sits down, the medical training apparatus 1 can be used as a normal medical clinic.

  Further, the loop-shaped surface fastener 52 may be continuously arranged in the longitudinal direction, for example, at the center in the width direction of the placement allowance surface 31 in the treatment table 3. In this way, by arranging the loop-shaped surface fasteners 52 continuously, the loop-shaped surface fasteners 52 can improve the design of the placement-accepting surface 31 in the treatment table 3, so that the pseudo patient body 2 is mounted. Even if the clinic 3 is used as a normal medical clinic without being placed, the clinic 3 can be used without a sense of incongruity.

  Further, when the loop-shaped surface fastener 52 is continuously arranged in the longitudinal direction at the center in the width direction of the placement allowance surface 31 in the treatment table 3, a plurality of types of pseudo patients such as an adult male, an adult female, a child, or an elderly person are used. In the case where the body 2 is prepared, even if the position of the hook-shaped surface fastener 51 is different in the pseudo patient body 2 having a different body shape, the pseudo patient body 2 can be reliably locked to the examination table 3, and the medical training apparatus 1 can be used. Convenience is improved.

  Although the pseudo patient body 2 has an appearance imitating an adult female patient, the pseudo patient body 2 may be an imitation patient body 2 having an appearance imitating an adult male, a child, or an elderly person as described above. . However, since it is known that female patients generally respond more sensitively to treatment and unnecessary contact than male patients, by using the pseudo-patient body 2 that looks like a woman, The practitioner can work on the training with a sense of tension.

Below, the medical training apparatus 1 of 2nd Embodiment is demonstrated with FIG. 4 thru | or 6. FIG.
4 shows an explanatory view based on a perspective view of the medical training apparatus 1 according to the second embodiment, FIG. 5 shows an explanatory view based on a schematic sectional view of the medical training apparatus 1 according to the second embodiment, and FIG. The perspective view of the medical treatment stand 3 of the state which is not used as the medical training apparatus 1 in 2nd Embodiment is shown.

  Specifically, FIG. 4 shows a perspective view of the medical training apparatus 1 according to the second embodiment in a state where the pseudo patient body 2 is arranged above the medical table 3. FIG. 5A shows a schematic cross-sectional view of the medical training apparatus 1 of the second embodiment in the pre-clinical position, and FIG. 5B shows the medical training apparatus 1 of the second embodiment in the medical position. A schematic sectional view is shown.

  In the medical training device 1 of the first embodiment, the pseudo patient body 2 and the medical table 3 are locked by the surface fastener 50, but as shown in FIGS. 4 and 5, the medical training device of the second embodiment. 1 is provided with an engaging projection 61 (corresponding to an engaging means) protruding from the back side on the back side of the pseudo patient body 2, that is, the abutting portion that abuts on the placement allowance surface 31 in the treatment table 3. The base 3 is provided with an engagement hole 62 that is an engaged portion that allows the engagement convex portion 61 to be engaged.

  Furthermore, in the medical training device 1 of the first embodiment, the operation box 40 in which the drive source supply line 23 and the communication cable 24 extended from the back side of the simulated patient body 2 are arranged in the vicinity of the medical table 3. The medical training apparatus 1 according to the second embodiment is connected to the fluid conduit 43 and the electric wire bundle 44. However, the information processing apparatus 4 itself is built in the examination table 3 or arranged at another position, and the fluid pipe The distal ends of the path 43 and the electric wire bundle 44 are exposed from the placement allowance surface 31 and are configured to be connected between the placement allowance surface 31 of the medical table 3 and the back of the simulated patient body 2 as shown in FIG. ing.

  Specifically, the buttock-corresponding portion 2e of the pseudo-patient body 2 is provided with a substantially cylindrical engaging convex portion 61 that protrudes toward the back side, and the engagement portion 61 on the back plate sheet 3b side of the seat portion seat 3a of the medical table 3 is An engagement hole 62 that allows the insertion protrusion 61 to be inserted is provided. The back plate sheet 3b includes a cable hole 64 at the end of the seat 3a side of the back plate sheet 3b that allows passage of the tip of the fluid conduit 43 and the electric wire bundle 44 together with the connector portions 43a and 44a. 43 and the electric wire bundle 44 are pulled out and exposed.

  When placing the pseudo patient body 2 on the placement allowance surface 31 of the medical table 3, the engagement protrusion 61 is inserted into the engagement hole 62, and the placement permission surface 31 of the treatment table 3 and the pseudo patient body are inserted. The connection connectors 23a, 24a and the connector portions 43a, 44a are connected between the rear surfaces of the two.

  With such a configuration, the medical training device 1 according to the second embodiment includes the engagement convex portion 61 provided in the buttock corresponding portion 2e and the engagement hole 62 formed in the seat portion sheet 3a of the medical table 3. Even if the back plate sheet 3b is raised or laid down with respect to the seat part seat 3a in order to shift between the pre-medical position (FIG. 5 (a)) and the in-medical position (FIG. 5 (b)). Therefore, it is possible to practice with peace of mind without the pseudo patient body 2 being displaced with respect to the clinical table 3.

  Further, by providing the engaging means 60 constituted by the engaging convex portion 61 and the engaging hole 62, the placed pseudo patient body 2 and the treatment table 3 are connected and fixed by fastening means such as bolts, for example. Compared to the case, the simulated patient body 2 can be easily replaced.

  Furthermore, the seat plate 3a side end of the back plate sheet 3b is provided with a cable hole 64 that allows passage of the ends of the fluid conduit 43 and the electric wire bundle 44 together with the connector portions 43a and 44a. The path 43 and the electric wire bundle 44 are pulled out, and the connection connectors 23a, 24a and the connector parts 43a, 44a are connected between the placement permissible surface 31 of the clinical table 3 and the back surface of the simulated patient body 2, so that the connection state is established. Since the connection connectors 23a and 24a and the connector portions 43a and 44a are not exposed in appearance in a state where the pseudo patient body 2 is placed on the examination table 3, it is possible to improve a sense of realism in practice.

  Further, in the case where the pseudo-patient body 2 is not placed and the medical table 3 is used as a normal medical table, as shown in FIG. 6, the insertion blocks 63 and 65 ( (Corresponding to the exposure avoiding means), and the fluid conduit 43 and the electric wire bundle 44 may be pushed back into the interior, and the engaging hole 62 and the cable hole 64 may be blocked by the insertion blocks 63 and 65. Thereby, an unnecessary hole is filled up as a normal medical treatment table, and the treatment table 3 can be used as a normal medical treatment table without a sense of incongruity.

  The engaging convex portion 61 is formed in a cylindrical shape and inserted into the engaging hole 62 and engaged. However, the engaging convex portion 61 is formed in a hook shape, and the seat portion sheet 3a and the back plate sheet 3b It may be inserted between and attached.

  Moreover, although the fluid pipe line 43 and the electric wire bundle 44 showed the example inserted in the cable hole 64 provided in the seat part sheet | seat 3a side edge part in the backplate sheet | seat 3b, the connector of the fluid pipe line 43 is shown in addition to this. Either one or both of the portion 43a and the connector portion 44a of the electric wire bundle 44 are arranged on an armrest (not shown) that permits placement of the arm model 2c of the simulated patient body, or on the side of the medical treatment table 3. It may be provided in a spit unit (not shown).

  In that case, the fluid conduit 43 or the electric wire bundle 44 is routed so as to be inserted through the inside of the armrest or the spit unit or hidden behind each part. Further, by providing a cover member (corresponding to the exposure avoiding means) such as a lid and a shutter that covers the connector portions 43a and 44a, the pseudo-patient body 2 is not placed and the medical table 3 is used as a normal medical table. Even if it is used, the medical table 3 can be used without a sense of incongruity.

Next, the medical training device 1 according to the third embodiment will be described with reference to FIG.
In addition, FIG. 7 has shown explanatory drawing by the schematic sectional drawing of the medical training apparatus 1 of 3rd Embodiment. FIG. 7A is a schematic cross-sectional view of the medical training device 1 according to the third embodiment at the pre-clinical position, and FIG. 7B is a medical training according to a modification of the third embodiment at the pre-clinical position. A schematic sectional view of the device 1 is shown.

  In the above description, in the medical training apparatus 1 of the first embodiment, the pseudo patient body 2 and the examination table 3 are locked by the surface fastener 50, and in the medical training apparatus 1 of the second embodiment, the engaging means 60. In FIG. 7A, the pseudo-patient body 2 and the medical table 3 are attached. However, as shown in FIG. 7A, the medical training apparatus 1 according to the third embodiment is the back side of the pseudo-patient body 2, that is, the medical table 3 The abutment portion that abuts against the placement allowance surface 31 is provided with a locking rail 71 (corresponding to the engaging means and the locking means) that protrudes from the back side and is arranged in the width direction of the medical table 3. The mounting permissible surface 31 is provided with a locked groove 72 (corresponding to the locked portion and the locked means) that allows the locking rail 71 to be locked.

  Specifically, as shown in the enlarged view of a part of FIG. 7A, the simulated patient body 2 of the medical training device 1 of the third embodiment is allowed to place the back surface of the trunk model 2b, that is, the back plate sheet 3b. An abutting portion that abuts the surface 31 is provided with a locking rail 71 that is disposed in the width direction and protrudes from the back surface of the trunk model 2b. The medical table 3 of the medical training device 1 of the third embodiment is arranged in the width direction on the placement allowance surface 31 of the back plate sheet 3b corresponding to the locking rail 71 of the simulated patient body 2, and the back plate A recessed groove portion 72 having a concave shape is provided on the inner side of the cross section from the placement allowing surface 31 of the sheet 3b.

  When placing the simulated patient body 2 on the placement allowance surface 31 of the medical table 3, the locking rail 71 of the simulated patient body 2 is connected to the locked groove portion of the medical table 3 from the side in the width direction of the medical table 3. The pseudo patient body 2 is placed on the treatment table 3 by being fitted in 72 and sliding in the width direction.

  With such a configuration, the medical training device 1 according to the third embodiment is configured such that the locking rail 71 provided in the trunk model 2b and the locked groove portion 72 formed in the back plate sheet 3b of the medical table 3 are locked. Therefore, even if the back plate sheet 3b is raised or laid down on the seat part sheet 3a to shift between the pre-medical position (FIG. 7 (a)) and the in-medical position (not shown), the clinical table 3 In contrast, the simulated patient body 2 can be practiced with confidence without being displaced in the body axis direction.

  As a modification of the third embodiment, as shown in FIG. 7 (b) and an enlarged view of part b, a locked groove 72 is provided on the back side of the trunk model 2b of the simulated patient body 2, and the back plate sheet 3b. The mounting allowable surface 31 may be provided with a locking rail 71, and the locking rail 71 and the locked groove 72 may be locked to place the simulated patient body 2 on the medical table 3. Furthermore, the leg model 2d and the seat sheet 3a or the head model can be provided without the body model 2b and the back plate sheet 3b having the locking means 70 constituted by the locking rail 71 and the locked groove 72. 2a and the headrest 3c may be provided.

Next, the medical training device 1 according to the fourth embodiment will be described with reference to FIG.
In addition, FIG. 8 has shown explanatory drawing by the perspective view of the medical training apparatus 1 of 4th Embodiment. Specifically, FIG. 8 shows a perspective view of the medical training device 1 of the fourth embodiment in a state where the pseudo patient body 2 is arranged above the medical table 3.

  In the above description, in the medical training apparatus 1 of the first embodiment, the pseudo patient body 2 and the examination table 3 are locked by the surface fastener 50, and in the medical training apparatus 1 of the second embodiment, the engaging means 60. In FIG. 8, the pseudo patient body 2 and the medical table 3 are engaged with each other, and in the medical training apparatus 1 of the third embodiment, the pseudo patient body 2 and the medical table 3 are engaged with the locking means 70. As shown in FIG. 4, the medical training device 1 according to the fourth embodiment is located between the back side of the simulated patient body 2, that is, between the abutting portion that abuts on the placement allowance surface 31 in the treatment table 3 and the placement allowance surface 31. Further, an adhesive sheet 80 functioning as an engaging means is sandwiched and attached.

  Specifically, as shown in FIG. 8, the pressure-sensitive adhesive sheet 80 is a flexible sheet having a square shape in plan view, and both surfaces have adhesiveness. The pressure-sensitive adhesive sheet 80 has a pressure-sensitive adhesive property that can be repeatedly applied and peeled off so as to function as an exposure avoiding means.

When the simulated patient body 2 is placed on the placement allowance surface 31 of the medical table 3, the pseudo patient body 2 is placed after the adhesive sheet 80 is attached to a predetermined location on the placement allowance surface 31.
With such a configuration, in the medical training device 1 according to the fourth embodiment, the back surface of the simulated patient body 2 is engaged with the placement permission surface 31 of the medical table 3 via the adhesive sheet 80 having adhesiveness. Therefore, even if the back plate sheet 3b is raised or laid down with respect to the seat part sheet 3a in order to shift between the pre-medical position and the in-medical position, the pseudo patient body 2 is displaced with respect to the clinical table 3. You can practice with peace of mind.

  In addition, since the adhesive sheet 80 does not ask | require the affixing position, what is necessary is just to affix on the arbitrary places according to the shape of the pseudo patient body 2, and it can attach easily. Moreover, since the adhesive sheet 80 has adhesiveness that can be repeatedly applied and peeled off, if the adhesive sheet 80 is peeled off, the pseudo-patient body 2 is not placed and the medical table 3 is placed in a normal manner. It can be used as a medical treatment table without a sense of incongruity.

In correspondence between the configuration of the present invention and the above-described embodiment,
The bent portion of the present invention corresponds between the seat portion sheet 3a and the back plate sheet 3b, and between the back plate sheet 3b and the headrest 3c,
Similarly,
The medical table corresponds to the table 3
The simulated patient body corresponds to the simulated patient body 2,
The movable part corresponds to the joint mechanism 21,
The treatment table placement permission surface corresponds to the placement permission surface 31,
The abutting part corresponds to the back part of the buttocks corresponding part 2e and the trunk model 2b,
The engaging means corresponds to the hook and loop fastener 50, the engaging convex portion 61 of the engaging means 60, the locking means 70, and the adhesive sheet 80.
The contact-corresponding portion corresponds to a predetermined portion on the placement allowance surface 31,
The locked means corresponds to the locked groove 72 or the loop-shaped surface fastener 52,
The locking means corresponds to the locking rail 71 or the hook-shaped surface fastener 51,
The control unit corresponds to the information processing apparatus 4,
The medical table side connector corresponds to the connector parts 43a and 44a,
The engaged portion corresponds to the engaging hole 62 and the placement allowing surface 31,
The exposure avoiding means corresponds to the insertion block 63 and the adhesive sheet 80 that can be peeled off when not in use. However, the present invention is not limited to the configuration of the above-described embodiment, and many embodiments can be obtained. it can.

  For example, as an engaging means for engaging the pseudo patient body 2 to the medical table 3, a peelable adhesive, a suction cup that is attracted to the placement allowable surface 31, or a permanent magnet or an electromagnet that is attracted to the medical table 3 Etc. Further, the locking means and the locked means can be constituted by linear fasteners, hook buttons, snap buttons, or the like.

  Further, when not used as a medical training apparatus, the seat portion sheet 3a and the back plate sheet 3b in which the engaging means such as the loop-shaped surface fastener 52 and the engaging groove portion 72 are formed are provided with the engaging means. The structure replaced with the seat part sheet | seat 3a which is not, and the backplate sheet | seat 3b may be sufficient.

  Further, the simulated patient body 2 is composed of only the head model 2a and the trunk model 2b, and the head model 2a is engaged and locked with the headrest 3c, or the trunk model 2b is engaged with the back plate sheet 3b. You may practice by wearing and locking.

  The present invention can be used in medical education, particularly in dental education, as various medical training devices using a simulated patient body and a medical examination table.

DESCRIPTION OF SYMBOLS 1 ... Medical training apparatus 2 ... Pseudo-patient body 2b ... Torso model 2d ... Leg part model 2e ... Hip part corresponding part 3 ... Medical table 3a ... Seat sheet 3b ... Back board sheet 3c ... Headrest 4 ... Information processing apparatus 21 ... Joint Mechanisms 23a, 24a ... Connector 31 ... Placing allowance surfaces 43a, 44a ... Connector portion 50 ... Hook fastener 51 ... Hook fastener 52 ... Loop fastener 60 ... Engagement means 62 ... Engagement hole 63 ... Insertion block 70 ... Locking means 71 ... Locking rail 72 ... Locked groove 80 ... Adhesive sheet

Claims (3)

A medical training device comprising at least a medical treatment table having a bending portion capable of adjusting a bending angle between a seat plate and a back plate , and a pseudo patient body for medical training placed on the medical treatment table. And
A control unit is movably disposed with respect to the medical examination table;
The pseudo patient body, and a movable portion that moves in response to the bending of the bending portion, a driving unit for driving the movable part, the drive source supply pipe for supplying a driving source to the driving unit from the control unit And a connection connector to which a communication cable for communicating a control signal from the control unit and the control unit is connected .
In the pseudo-patient body, an abutting portion that abuts on the medical table mounting allowable surface of the medical table is provided with an engaging unit that is engaged with the medical table ,
Provided abutting the corresponding portion corresponding to the contact portion in the medical treatment table couch placed allowable surface, the Hikakarigi means engaged with the engagement wearing means, as well as composed latched means ,
The pseudo-patient body placed on the medical examination table and secured by the fastening means is released from the engagement means, and the locked means is removed from the pseudo-patient body. In use, an exposure avoiding means constituted by any one of an insertion block, a lid, a shutter, and a cover member that does not expose the locked means from the medical table mounting permission surface is provided,
The medical examination table can be used as a normal medical examination table by removing the pseudo patient body in which the engagement between the engagement means and the engagement means is released.
Medical training device. A medical examination table used for the medical training device according to claim 1,
The locked means is constituted by a loop-shaped surface fastener provided continuously in the longitudinal direction at the center in the width direction of the medical table placement permission surface ,
The locking means is constituted by a hook-shaped surface fastener.
Medical examination table . A medical examination table used for the medical training device according to claim 1,
The locked means is constituted by a locked groove portion arranged in the width direction of the medical table placement permission surface, and the locking means is constituted by a locking rail corresponding to the locked groove portion. /> Medical table.

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