JP5993552B2 - How to build operating room equipment - Google Patents

Description

  The present invention makes it possible to easily change the layout of equipment and equipment installed on the wall of the operating room, making it easier and faster to install and change operating rooms, reducing costs through factory production, and maintaining specifications and quality. The present invention relates to a method of constructing operating room facilities that can be planned.

  Conventionally, operating room facilities such as various medical facilities and equipment installed in operating rooms in hospitals vary depending on medical subjects such as general surgery, orthopedics, brain surgery, cardiac surgery, endoscopic surgery, and the same subject. Even so, it may vary depending on medical personnel such as doctors. The operating room equipment installed in the operating room is, for example, a heat storage box, a cold storage box, an equipment cupboard, a chemical cupboard, a kick-in storage box, various medical devices, etc., and these facilities are installed along the wall in the operating room. The problem is that they are difficult to move because they are fixed to the wall, and the layout cannot be easily changed for doctors, nurses, and clinical engineers who place the highest priority on the usability of the equipment. There is. (For example, see Patent Document 1)

Japanese Patent Laid-Open No. 2004-70021

  An object of the present invention is to provide a method for constructing operating room equipment that can easily install operating room equipment at a desired position.

The present invention includes a step of installing a box-like unit in which a frame for accommodating operating room equipment used in an operating room is movably provided;
Containing the operating room equipment in a frame in the box-shaped unit,
The step of installing the box-shaped unit includes a step of installing a box in the building so as to face and open the room of the building, and a step of movably installing a frame in the installed box. ,
The step of movably installing the frame on the installed box is:
A step of fixing a mounting body assembled in a cubic shape by a plurality of frames to the box, a step of fixing a pair of guide rails to the lower surface of the mounting body, a flat mounting plate, and a plan view of the mounting plate is fixed to the upper surface of the central portion, and the short cylindrical body portion disposed between the guide rails, are fixed to the upper surface of the body, the moving body and a sliding member side portions are supported by the guide rails Is provided on each guide rail, and a step of attaching the frame body to a mounting plate.

  The present invention is characterized in that the box-shaped unit is installed along a wall surface of a building.

  Further, the present invention is characterized in that the box-shaped unit partitions an internal space of a building and divides the internal space into a plurality of operating rooms.

According to the present invention, a box is installed in a building, a mounting body is fixed to the box , a guide rail is fixed to a lower surface of the mounting body, a moving body is provided on the guide rail, and a mounting plate of the moving body is provided. After constructing a box-shaped unit by movably providing a frame, housing the operating room equipment in the frame makes it possible to easily realize the operating room equipment in the layout desired by the client, Satisfaction can be improved. It is possible to construct a system that can easily and repeatedly change the layout of operating room facilities requested by the client.

In addition, simply installing a box-shaped unit at a place in the building where the operating room is to be constructed, it is easy to realize a mechanism that can sequentially support the functions and facilities required for the operating room according to the client's desired environment. Therefore, the operating room facilities can be evolved along with the progress of the medical environment, the initial investment can be minimized, the management resources can be increased, and the facilities required by the medical care can be realized at a low cost.

It is an expanded sectional view showing box-like unit 1 with which one embodiment of the present invention was applied. 2 is a front view of the entire box-shaped unit 1. FIG. FIG. 3 is an enlarged cross-sectional view of the vicinity of the guide rail 5 of the box-shaped unit 1. FIG. 5 is a perspective view showing a state in which a guide rail 5 is attached to the lower surface 3 of the attachment body 4. FIG. 6 is a perspective view showing a state in which the guide rail 5 is suspended from the frame body 8. 1 is a diagram illustrating a schematic configuration of an information processing system 30. FIG.

  FIG. 1 is an enlarged cross-sectional view showing a box-shaped unit 1 to which an embodiment of the present invention is applied, and FIG. 2 is a front view of the whole box-shaped unit 1. Note that FIG. 1 shows a cross section viewed from the section line II in FIG. In the following description, an operating room facility constructed by implementing an operating room facility construction method using a medical device installation structure will be described.

  In the operating room equipment of the present embodiment, the box-shaped unit 1 is installed along the wall surface of the wall 2 of the building, and is a hollow attachment having a lower surface 3 protruding horizontally from the wall surface of the box body 2 that opens facing the room. A body 4, a guide rail 5 fixed to the lower surface 3 of the mounting body 4, and a moving body 6 attached to the guide rail 5 so as to be movable in directions of substantially horizontal arrows A 1 and A 2 along the guide rail 5. The frame 8 includes a frame 8 that is coupled to the movable body 6 and accommodates the medical device 7, and the image display device 9 that is provided on the attachment body 4 and displays an image.

  The medical device 7 includes a heat storage, a cold storage, a freezer, an equipment cupboard, a chemical cupboard, a kick-in storage, various medical devices and medical equipment required for surgery, treatment, examination, etc. If it can accommodate, it will not specifically limit.

  When constructing the operating room facility composed of these various medical devices 7, the box-shaped unit 1 is used to form a frame 8 for housing the medical device 7 used in the operating room. A step of movably installing along the wall surface of the box 2 in the directions of arrows A1 and A2, and a step of housing the medical device 7 in the frame 8 installed on the wall surface of the box 2 of the operating room. Thus, it is possible to easily arrange in a layout according to a medical environment desired by a doctor or the like.

  In the present embodiment, the box body 2 is a metal assembly structure fixedly installed along an inner wall that is a part of a building frame made of a concrete structure. In the form, the box 2 may be configured to partition the internal space of the building cabinet and be movable on the floor of the cabinet.

  The mounting body 4 is a cylindrical body having a substantially rectangular cross section, and is horizontally disposed. In the internal space, a plurality of electric cables 21 such as a power line and a signal line, a medical gas pipe, and a suction pipe are provided. A plurality of tubular bodies 22 such as are accommodated.

  The image display device 9 is configured such that a plurality of boards 9a can be opened and closed individually around the top. Each board 9a includes a sheet body 10 on which a still image is drawn, and a flat base 11 that holds the sheet body 10 in a flatly developed state. The sheet body 10 may be a printed sheet on which images of a patient's family, an idyllic landscape, animals, plants, and the like are printed, for example. The base 11 is provided with a frame that is detachable on a flat rectangular back panel, for example, and the sheet body 10 is flatly spread on the back panel so that the peripheral portion of the sheet body 10 is visible to the patient. The structure which hold | suppresses and hold | maintains with a frame may be sufficient.

  Such an image display device 9 is installed on the front wall of the mounting body 4 by using mounting brackets and screws, facing the internal space of the operating room, giving a healing effect to the patient before the introduction of anesthesia, and tensioning the patient. A feeling can be eased. In addition, the surgeon and the assistant can be expected to relieve extreme tension. Such an image display device 9 may be realized by a projection device that projects and displays a desired image on the surface of the mounting body 4 facing the room. Thereby, an image can be easily displayed using the attachment body 4.

  FIG. 3 is an enlarged sectional view of the vicinity of the guide rail 5 of the box-shaped unit 1. The mounting body 4 is formed of a hollow body that is assembled into a cube by welding a plurality of frame members, for example, frame members 4a such as L-shaped steel. The upper part of the attachment body 4 is fixed to the ceiling part 12 of the building, and the rear part is fixed to the box body 2 by, for example, bolts. The above-described guide rail 5 is attached to such an attachment body 4 in advance in a factory so as to reduce the labor of the installation work at the site.

  The guide rail 5 includes a pair of rails 5a and 5b that are symmetrical with respect to a virtual plane perpendicular to the paper surface of FIG. 3, and a connecting member 5c that connects the rails 5a and 5b in parallel.

  The mounting body 4 is supported at various points in the longitudinal direction of the pair of beam members 13a and 13b across the two frame members 4b respectively disposed at the lower portions of both ends in the directions of the arrows A1 and A2, and bolts or the like. Fixed by. The connecting member 5c is fixed to the beam members 13a and 13b by a plurality of bolts 14a and 14b. A plurality of pairs of connecting members 5c are fixed perpendicularly to the beam members 13a and 13b in the horizontal direction perpendicular to the paper surface of FIG. 3 (that is, in the directions of the arrows A1 and A2) at intervals.

  The movable body 6 includes a flat plate-shaped mounting plate 6a, a short cylindrical body 6b fixed between the rails 5a and 5b, fixed to the upper surface of the central portion in plan view of the mounting plate 6a, A sliding member 6c fixed to the upper surface of 6b and supported on both sides by the rails 5a and 5b.

Each of the rails 5a and 5b is made of a metal having a substantially L-shaped cross section perpendicular to the longitudinal direction parallel to the directions of arrows A1 and A2, such as stainless steel having excellent mechanical strength, corrosion resistance, and chemical resistance. Similarly, the frame members 4a and the frame body 8 constituting the mounting body 4 are also made of stainless steel. The surfaces of the rails 5a and 5b, the frame members 4a, and the frame body 8 may be antibacterial treated with an antibacterial coat or the like. The frame 8 has a rectangular cylindrical shape, and as shown by virtual lines 8a and 8b in FIG. 2, frames having different sizes are installed depending on the medical device 7 to be accommodated.

  FIG. 4 is a perspective view showing a state in which the guide rail 5 is attached to the lower surface 3 of the attachment body 4, and FIG. 5 is a perspective view showing a state in which the frame body 8 is suspended from the guide rail 5. As described above, the guide rail 5 is provided on the lower surface 3 exposed to the outside of the mounting body 4 and facing downward.

  FIG. 6 is a diagram showing a schematic configuration of the information processing system 30. A client who wants to construct a hospital selects individual equipment of a building to be newly constructed by means of terminal devices 31a, 31b,... (May be collectively referred to as “terminal device 31”). Then, information such as the installation location, form, number, usage and completion time of the box-shaped unit of the new building is input. The terminal device 31 is realized by a personal computer connected to an information communication network 32 such as the Internet and capable of communication.

In the embodiment according to the present invention, the “terminal device” is a central processing unit (Central Processi
ng Unit (abbreviated as CPU), arithmetic processing unit, ROM (Read Only Memory) and RAM
(RAM Random Access Memory) and the like, a keyboard, a mouse and a touch device such as a touch panel, an input unit such as an image scanner such as an image scanner, a display panel such as a liquid crystal display An output unit realized by a printer, an interface unit that transmits an address signal and a data signal to and from the arithmetic processing unit, storage unit, input unit, and output unit via a bus line; It is comprised including the communication part which can communicate with a terminal device.

  Request information such as the location and completion time of the individual facilities of the building selected and inputted by the client by the terminal device 31 is sent to the server of the manufacturer that manufactures the box-shaped unit 1 via the information communication network 32. It is transmitted to the computer 33. The server computer 33 calculates the cost required for the construction of a new building based on the price of each piece of equipment, as well as the terminal devices 34a, 34b,. Terminal device 35 ”, 35b,... (Which may be referred to as“ terminal device 35 ”when collectively referred to) is selected. The information about the price and the agent or the contractor is output to the server 31 from the server computer 33. The price calculated by the server computer 33 and information on the agent or contractor are transmitted to the client terminal device 31 via the information communication network 32.

  The information processing system 30 can make a direct request from the client to the manufacturer because the box-shaped unit 1 allows the operating room equipment layout to be easily and accurately determined by medical personnel such as doctors. This is because it is possible to implement a simple process that directly receives and completes the request of the client as a manufacturer, so-called "the client determines the specifications and the manufacturer manufactures" (BTO ; Built To Order) business model can be realized.

  In order for a medical staff to be able to work functionally and safely in an operating room, there is a great influence on the layout of the operating room. In addition, when there are multiple operating rooms, it is possible to make a dedicated operating room for each subject or layout design centered on the client regardless of the subject, so that the satisfaction of the client can be maximized, The layout change requested by the client can be easily and repeatedly performed.

  In addition, since the function and equipment necessary for the operating room can be implemented in order according to the client's environment, the operating room can be evolved along with the advancement of the medical environment, minimizing the initial investment. Over-investment can be prevented by increasing the investment step by step along with the increase in management resources and facilities required by medical care.

  Furthermore, by directly advertising to the client using the information processing system 30 or the like, the equipment budget according to the medical device 7 is assembled, and the price is controlled by the sales by the medical device agent entering and leaving the hospital, The desired layout can be changed with the budget desired by the client.

Further, as described above, instead of the structure in which the frame body 8 that accommodates the medical device is fixed to the wall, a movable structure is adopted so that the designer receives the request of the client as in the past, and the hospital The overall design is a process that a contractor entrusts to a specialized contractor to complete the process. On the other hand, according to the operating room equipment using the box-shaped unit 1 and its construction method, When performing the plane plan, it is possible to proceed with the construction without considering the arrangement of the frame body 8. Further, depending on the scale and operation mode of the hospital, it is possible to easily grasp the mutual change of the four modes of the central hall type, the recovery hallway type, the supply hallway type, and the supply hall type. The four forms are the following (a) to (d).
(A) Central hall type: This is the simplest flat type compared to other flat forms, and each operating room is in contact with the central hall shared by patients, healthcare workers, and equipment. Can be adopted as many hospital layouts. As an advantage, since the flow lines of patients, medical workers, and equipment are short and there is no peripheral corridor, it is easy to ensure an effective area in the operating room. As a disadvantage, since there is only one entrance, the flow lines of patients, medical workers, and equipment tend to concentrate.
(B) Collection corridor type: A corridor dedicated to the collection of non-cleaning equipment is provided on the outer periphery of the operating room, and is suitable for medium to large hospitals with five or more operating rooms. As advantages, it is possible to separate the flow lines of the clean equipment and the non-clean equipment, and by adopting a robot system for collecting the non-clean equipment, the recovery work can be made more efficient. In addition, there are problems that the area occupied by the outer peripheral corridor is large, the number of boards in the operating room is large, and the flow of recovery of non-cleaning equipment becomes long, so that the cleanliness management and the rotation rate of surgery decrease.
(C) Supply corridor type: A corridor dedicated to supplying clean equipment is provided on the outer periphery of the operating room, and is suitable for a medium-sized hospital. As an advantage, it is possible to separate and secure the flow lines of the clean equipment and the non-clean equipment. Disadvantages include the need for full-time staff on the outer corridor side, a large area occupied by the outer corridor, and a long supply flow line.
(D) Supply hall type: A supply hall dedicated to cleaning equipment is provided in the center, an operating room is placed around it, and the central material room is often on a separate floor. Suitable for large hospitals. As an advantage, the article can be stored in the center, the anesthesiologist can easily move, and the flow lines of the clean device and the non-clean device can be secured separately. Disadvantages include the need for full-time staff on the clean hall side, and the central storage type, which occupies a large area for storing and developing space.

  The present invention can be suitably implemented not only for the above-described operating room, but also for other rooms such as an examination room, a treatment room, an examination room, a rehabilitation room, and the like. Similar effects can be achieved. Further, a box and a frame can be rented and installed in a medical facility such as a hospital by a lease contract, and a highly versatile surgical equipment can be realized easily and inexpensively.

DESCRIPTION OF SYMBOLS 1 Box-shaped unit 2 Box body 3 Lower surface 4 Attachment body 5 Guide rail 6 Moving body 7 Medical equipment 8 Frame body 9 Image display apparatus 10 Sheet body 11 Base 12 Ceiling part 5a, 5b Rail 5c Connecting member 13a, 13b Beam member 30 Information processing system 31a, 31b Requester's terminal device 32 Information communication network 33 Manufacturer's server computer 34a, 34b Agent's terminal device 35a, 35b Contractor's terminal device

Claims (3)

Installing a box-like unit in which a frame for accommodating operating room equipment used in the operating room is movably provided; and
Containing the operating room equipment in a frame in the box-shaped unit,
The step of installing the box-shaped unit includes a step of installing a box in the building so as to face and open the room of the building, and a step of movably installing a frame in the installed box. ,
The step of movably installing the frame on the installed box is:
A step of fixing a mounting body assembled in a cubic shape by a plurality of frames to the box, a step of fixing a pair of guide rails to the lower surface of the mounting body, a flat mounting plate, and a plan view of the mounting plate is fixed to the upper surface of the central portion, and the short cylindrical body portion disposed between the guide rails, are fixed to the upper surface of the body, the moving body and a sliding member side portions are supported by the guide rails A method for constructing operating room equipment, comprising the steps of: providing each of the guide rails and attaching the frame to a mounting plate.   The method for constructing operating room equipment according to claim 1, wherein the box-shaped unit is installed along a wall surface of a building.   The method for constructing operating room equipment according to claim 1, wherein the box-shaped unit partitions an internal space of a building and partitions the internal space into a plurality of operating rooms.

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