JP6026726B2 - Operating room equipment - Google Patents

Operating room equipment Download PDF

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JP6026726B2
JP6026726B2 JP2011146864A JP2011146864A JP6026726B2 JP 6026726 B2 JP6026726 B2 JP 6026726B2 JP 2011146864 A JP2011146864 A JP 2011146864A JP 2011146864 A JP2011146864 A JP 2011146864A JP 6026726 B2 JP6026726 B2 JP 6026726B2
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operating room
equipment
box
guide rail
medical
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JP2013013464A (en
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岡田 正
正 岡田
浩司 河尻
浩司 河尻
圭一 井手
圭一 井手
卓也 名取
卓也 名取
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Air Water Safety Service Inc
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本発明は、手術室の壁面に設置される設備及び機器のレイアウトを容易に変更可能として、手術室の新設および変更の容易化、迅速化および低コスト化を図ることができるとともに、患者の緊張感を緩和することができる手術室設備に関する。   The present invention makes it possible to easily change the layout of equipment and equipment installed on the wall of the operating room, to facilitate the establishment, change and speeding up of the operating room, and to reduce the tension of the patient. The present invention relates to operating room equipment that can relieve the feeling.

従来から、病院に手術室に設置される各種の医療設備や機器などの手術室設備は、一般外科、整形外科、脳外科、心臓外科、内視鏡外科などの診療科目に応じて異なり、同じ科目であっても、医師などの医療従事者によって異なる場合がある。手術室に設備される手術室設備は、たとえば保温庫、保冷庫、器材戸棚、薬品戸棚、蹴込収納庫、各種の医療機器などであって、これらの設備は手術室に壁に沿って設置され、それらが壁に固定されているために容易に移動させることが困難であり、機器の使い勝手を最も重要視する医師や看護師、臨床工学技士にとって、レイアウトを容易に変更することができない。また、手術室には患者の緊張感を緩和するための構成が設けられていないため、手術を受ける麻酔導入前の患者は極度の緊張を強いられてしまうという問題がある。(たとえば、特許文献1参照)   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. Since they are fixed to the wall, it is difficult to move them easily, and the layout cannot be easily changed for doctors, nurses, and clinical engineers who place the highest importance on the usability of the equipment. In addition, since the operating room is not provided with a configuration for relieving the tension of the patient, there is a problem that the patient before the introduction of anesthesia undergoing surgery is forced to be extremely nervous. (For example, see Patent Document 1)

特開2004−70021号公報Japanese Patent Laid-Open No. 2004-70021

本発明の目的は、麻酔導入前の患者の緊張感を緩和し、かつ手術室設備を希望する位置に容易に設置することができる手術室設備を提供することである。   An object of the present invention is to provide an operating room facility that can relieve a patient's tension before introducing anesthesia and can easily install the operating room facility at a desired position.

本発明は、建物内の手術室を規定する壁に沿って配置される、前記手術室の内部空間に臨んで開放する箱体の壁面に固定され、該箱体の壁面から水平に突出する下面を有する取付け体と、
前記取付け体の下面に固定される案内レールと、
医療機器が収容される複数の枠体と、
前記案内レールに移動自在に設けられ、前記各枠体が吊下げられる複数の移動体と、
静止画が描画されたシート体と、シート体を前記静止画が視認可能に平坦な状態で保持する平板状の基台とを有する画像表示装置であって、前記取付け体に、前記基台および前記シート体が、該基台およびシート体の上部を中心に、開閉可能に設けられる画像表示装置とを含むことを特徴とする手術室設備である。
The present invention is arranged along a wall defining an operating room in a building , fixed to a wall surface of a box body that opens toward the internal space of the operating room, and protrudes horizontally from the wall surface of the box body A mounting body having
A guide rail fixed to the lower surface of the mounting body;
A plurality of frames for accommodating medical devices;
A plurality of movable bodies that are provided movably on the guide rail and from which the frame bodies are suspended; and
An image display device having a sheet body on which a still image is drawn, and a flat base that holds the sheet body in a flat state so that the still image can be visually recognized, the mounting body including the base and It said sheet body, around the upper portion of the base block and sheet, a surgical room, characterized in that it comprises an image display device provided so as to be opening and closing.

本発明によれば、建物の壁から水平に突出する下面を有する取付け体が壁に固定され、取付け体の下面には、医療機器が収容される複数の枠体が吊下げられた状態で移動自在に設けられる。複数の枠体は、案内レールに移動自在に設けられる移動体に吊下げた状態で設けられるので、これらの枠体に各種の医療機器を収容して希望する位置へ移動させることが可能となり、これによって医療機器の配置上の自由度が向上され、希望するレイアウトを実現することができる。また、依頼者が希望するレイアウトの手術室設備を容易に実現し、依頼者の満足度を向上し、依頼者が求めるレイアウトの変更を、容易に、何度も行うことができるシステムを構築することができる。
また、取付け体には、静止画を表示する画像表示装置が設けられるので、手術台に横臥した患者から静止画を見やすく、麻酔導入前の患者の緊張感を前記画像表示装置に表示される画像によって緩和することができる。
According to the present invention, an attachment body having a lower surface projecting horizontally from a wall of a building is fixed to the wall, and a plurality of frames for housing medical devices are suspended on the lower surface of the attachment body. It is provided freely. Since the plurality of frames are provided in a suspended state on a movable body that is movably provided on the guide rail, it is possible to accommodate various medical devices in these frames and move them to desired positions. As a result, the degree of freedom in arrangement of medical devices is improved, and a desired layout can be realized. In addition, the operating room equipment of the layout desired by the client can be easily realized, the satisfaction of the client can be improved, and a system that can easily and repeatedly change the layout requested by the client is constructed. be able to.
In addition, since the attachment body is provided with an image display device that displays a still image, it is easy to see the still image from a patient lying on the operating table, and the tension of the patient before the introduction of anesthesia is displayed on the image display device. Can be relaxed.

また、手術室に必要な機能や設備を、依頼者の希望する環境に合わせて順次対応できる仕組みを実現できるので、医療環境の進歩に併せて、手術室設備も進化させることができ、初期投資を最小にし、経営資源の増加や医療の要求する設備を低コストで実現することができる。
In addition, since it is possible to realize a mechanism that can sequentially cope with the functions and equipment required for the operating room according to the client's desired environment, the operating room equipment can be evolved along with the advancement of the medical environment, and initial investment This makes it possible to realize equipment that requires increased management resources and medical care at a low cost.

本発明の一実施形態が適用された箱状ユニット1を示す拡大断面図である。It is an expanded sectional view showing box-like unit 1 with which one embodiment of the present invention was applied. 箱状ユニット1の全体の正面図である。2 is a front view of the entire box-shaped unit 1. FIG. 箱状ユニット1の案内レール5付近の拡大断面図である。FIG. 3 is an enlarged cross-sectional view of the vicinity of the guide rail 5 of the box-shaped unit 1. 取付け体4の下面3に案内レール5が取付けられた状態を示す斜視図である。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. 案内レール5に枠体8に吊下げられた状態を示す斜視図である。FIG. 6 is a perspective view showing a state in which the guide rail 5 is suspended from the frame body 8. 情報処理システム30の概略的構成を示す図である。1 is a diagram illustrating a schematic configuration of an information processing system 30. FIG.

図1は、本発明の一実施形態が適用された箱状ユニット1を示す拡大断面図であり、図2は箱状ユニット1の全体の正面図である。なお、図1は図2の切断面線I−Iから見た断面を示す。以下の説明において、医療機器の設置構造を用いて手術室設備の構築方法を実施することによって構築される手術室設備について述べる。   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.

本実施形態の手術室設備において、箱状ユニット1は、建物の壁2の壁面に沿って設置され、室内に臨んで開放する箱体2の壁面から水平に突出する下面3を有する中空の取付け体4と、取付け体4の下面3に固定される案内レール5と、案内レール5に沿って略水平な矢符A1,A2方向に移動自在に該案内レール5に装着される移動体6と、移動体6に吊下げられた状態で結合され、医療機器7が収容される枠体8と、前記取付け体4に設けられ、画像を表示する画像表示装置9とを含む。   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.

前記医療機器7は、手術、治療、検査などに必要とされる保温庫、保冷庫、冷凍庫、器材戸棚、薬品戸棚、蹴込収納庫、各種の医療機器および医療器材などを含み、枠体8に収容可能であれば特に限定されるものではない。   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.

これらの多種多様な医療機器7によって構成される前記手術室設備を構築するに際しては、前記箱状ユニット1によって、手術室で用いられる医療機器7を収容するための枠体8を、手術室の箱体2の壁面に沿って矢符A1,A2方向に移動自在に設置する工程と、手術室の箱体2の壁面に設置された枠体8に、医療機器7を収容する工程とを含み、医師などの希望する医療環境に応じたレイアウトに容易に配置することが可能となる。   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.

前記箱体2は、本実施形態では、コンクリート構造物から成る建物の躯体の一部である内壁の沿って固定的に設置された金属製の組立て構造体であるが、本発明の他の実施形態では、箱体2は建物の躯体の内部空間を仕切り、前記躯体の床上を移動可能に構成されてもよい。   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.

前記取付け体4は、大略的に断面が四角形であって、水平に配置され、内部空間には、電力線、信号線などの複数の電気ケーブル21、および医療用ガス配管、吸引管などの複数の管体22が収容される。 The mounting member 4, generally-cross-section a rectangular shape, is disposed horizontally, a plurality of the inner space, the power line, a plurality of electrical cables 21, such as a signal line, and medical gas piping, such as suction tube The tube body 22 is accommodated.

前記画像表示装置9は、複数枚のボード9aが個別に上部を中心に開閉可能に構成される。各ボード9aは、静止画が描画されたシート体10と、シート体10を平坦に展開した状態で保持する平板状の基台11とを有する。シート体10は、例えば患者の家族の写
真、のどかな風景画、動物、植物などの画像が印刷された印刷シートであってもよい。基台11は、たとえば偏平な矩形の背後パネルに額縁が着脱自在に設けられ、背後パネル上に前記シート体10を平坦に展開し、患者から視認可能な状態で、シート体10の周縁部を額縁によって押えて保持する構成であってもよい。
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 holds with a frame may be sufficient.

このような画像表示装置9は、取付け体4の前壁に取付け金具およびビスなどによって、手術室の内部空間に臨んで設置され、麻酔導入前の患者に対して癒し効果を与え、患者の緊張感を緩和させることができる。また、術者および補助者に対しても、極度の緊張感の緩和を期待することができる。このような画像表示装置9は、取付け体4の室内に臨む表面に所望の画像を投影して表示する投影装置によって実現されてもよい。これによって、取付け体4を利用して容易に画像を表示することができる。   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.

図3は箱状ユニット1の案内レール5付近の拡大断面図である。前記取付け体4は、複数の形鋼材、たとえばL形鋼などのフレーム部材4aを相互に溶接して組み立てられた中空体から成る。取付け体4は、その上部が建物の天井部12に、また背後部が前記箱体2に、たとえばボルトによって固定される。このような取付け体4には、前述の案内レール5が工場において予め取付けられ、現場での取り付け作業の手間の低減を図っている。 FIG. 3 is an enlarged sectional view of the vicinity of the guide rail 5 of the box-shaped unit 1. The mounting member 4 is composed of a plurality of shape steel materials, for example by welding a frame member 4a such as L shape steel mutually assembled seen erected hollow body. 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-mentioned guide rail 5 is previously attached to such an attachment body 4 in a factory, and the effort of the attachment work on the spot is reduced.

前記案内レール5は、図3の紙面に垂直な仮想一平面に関して左右対称な一対のレール5a,5bと、各レール5a,5bを平行に連結する連結部材5cとを有する。   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.

前記取付け体4には、その前記矢符A1,A2方向の両端部の下部にそれぞれ配置される2つのフレーム部材4b間にわたって、一対のビーム部材13a,13bが設置されており、連結部材5cは、一対のビーム部材13a,13bの長手方向随所で、各複数のボルト14a,14bによって固定される。連結部材5cは、図3の紙面に垂直な水平方向(すなわち、矢符A1,A2方向)に、互いに間隔をあけて複数対が、前記ビーム部材13a,13bと垂直に固定される。
A pair of beam members 13a and 13b are installed on the mounting body 4 between the two frame members 4b disposed at the lower portions of both end portions in the directions of the arrows A1 and A2, respectively. , a pair of beam members 13a, in the longitudinal direction throughout the 13b, the plurality of bolts 14a, thus being fixed to 14b. Consolidated member 5c is a horizontal direction (i.e., arrows A1, A2 direction) perpendicular to the paper surface of FIG. 3, the plurality of pairs of spaced apart from one another, wherein the beam member 13a, is 13b and vertically fixed.

前記移動体6は、平板状の取付プレート6aと、取付プレート6aの平面視で中央部の上面に固定され、各レール5a,5b間に配置される短円柱状の胴部6bと、胴部6bの上面に固定され、両側部が各レール5a,5bによって支持される摺動部材6cとを有する。   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.

各レール5a,5bは、矢符A1,A2方向に平行な長手方向に垂直な断面が略L字状の金属、たとえば機械的強度、耐腐食性、耐薬品性に優れたステンレス鋼から成る。前記取付け体4を構成する各フレーム部材4aおよび枠体8もまた、同様にステンレス鋼から成る。これらのレール5a,5b、各フレーム部材4aおよび枠体8の表面は、抗菌コー
トなどによって抗菌処理されてもよい。枠体8は、四角筒状であって、図2の仮想線8a,8bで示されるように、収容される医療機器7に応じて大きさの異なるものが設置される。
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.

図4は取付け体4の下面3に案内レール5が取付けられた状態を示す斜視図であり、図5は案内レール5に枠体8が吊下げられた状態を示す斜視図である。取付け体4の外部に露出して下方に臨む下面3には、前述のように案内レール5が設けられる。   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.

図6は情報処理システム30の概略的構成を示す図である。病院を建設しようとする依頼者は、端末装置31a,31b,…(総称する場合には、「端末装置31」と記す場合がある)によって、新たに建設しようとする建物の個々の設備を選択し、新たな建物の箱状ユニットの設置場所、形態、個数、用途および完成時期などの情報を入力する。端末装
置31は、インターネットなどの情報通信網32に接続されて通信可能なパーソナルコンピュータによって実現される。
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.

本発明に係る実施形態において「端末装置」は、中央演算処理装置(Central Processing Unit、略称CPU)を含む演算処理部と、ROM(Read Only Memory)およびRAM
(RAM Random Access Memory)などによって実現される記憶部と、キーボード、マウスならびにタッチパネルなどのポインティングデバイス、およびイメージスキャナなどの画像読取装置などによって実現される入力部と、液晶表示装置などのディスプレイパネルおよびプリンタなどによって実現される出力部と、アドレス信号およびデータ信号をバスラインによって演算処理部、記憶部、入力部、出力部と双方向に伝送するインターフェイス部と、情報通信網32を介して他の端末装置と通信可能な通信部とを含んで構成される。
In the embodiment according to the present invention, the “terminal device” includes an arithmetic processing unit including a central processing unit (abbreviated as CPU), a ROM (Read Only Memory), and a 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.

依頼者が端末装置31によって選択し、入力された建物の個々の設備の場所および完成時期などの依頼情報は、情報通信網32を介して、箱状ユニット1を製造している製造業者のサーバコンピュータ33へ送信される。サーバコンピュータ33は、個々の設備についての価格に基づいて、新たな建物の建設に要する費用が算出されるとともに、製造業者の代理店の端末装置34a,34b,…(総称する場合には、「端末装置34」と記す場合がある)または工事の請負業者の端末装置35a,35b,…(総称する場合には、「端末装置35」と記す場合がある)が選択され、依頼者の端末装置31には、価格および代理店または請負業者に関する情報がサーバコンピュータ33から出力される。サーバコンピュータ33において算出された価格および代理店または請負業者に関する情報は、情報通信網32を介して依頼者の端末装置31へ送信される。   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.

このような情報処理システム30による依頼者から製造業者への直接の依頼が可能となるのは、前述の箱状ユニット1によって手術室設備のレイアウトを医者などの医療従事者の意向を容易かつ的確に反映することが可能であるためであり、依頼者の要望をメーカとして直接受け、完成させる簡素なプロセスを実現することができ、いわゆる「依頼者が仕様を決め、メーカが製造する」(BTO;Built To Order)ビジネスモデルを実現することができる。   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.

手術室で医療従事者が機能的でかつ安全に作業することができるためには、その手術室のレイアウトの影響によるところが大きい。また、手術室が複数ある場合、科目毎に専用手術室とするか、科目を問わず依頼者中心のレイアウトデザインを可能にするので、依頼者の満足度を最大限まで引上げることができ、依頼者が求めるレイアウトの変更を、容易に、何度も行うことができる。   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.

また、手術室に必要な機能や設備を、依頼者の環境に合わせて順次対応できる仕組みを実現できるので、医療環境の進歩に併せて、手術室も進化させることができ、初期投資を最小にし、経営資源の増加や医療の要求する設備に沿って、投資を段階的に増やすことによって、過剰投資を防ぐことができる。   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.

さらに、前記情報処理システム30などを用いて依頼者への直接的な宣伝を行うことによって、医療機器7に準じた備品予算を組み、病院出入りの医療機器代理店による販売によって価格コントールを行い、依頼者の希望する予算で希望するレイアウトの変更を実現することができる。   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.

また、前述したように、医療機器などを収容する枠体8を壁に固定する構造に代えて、可動の構造とすることによって、従来のように、設計者が依頼者の要望を受け、病院全体でデザインし、建設業者が専門業者に委託して、完成させるプロセスであるのに対し、箱状ユニット1を用いた手術室設備およびその構築方法によれば、病院の建設において、手
術部の平面計画を行うに際して、枠体8の配置を考慮することなく工事を進めることができる。また、病院の規模や運用形態によって、中央ホール型、回収廊下型、供給廊下型および供給ホール型の4つの形態の相互の変更に対しても、容易に摘要することができる。4つの形態とは、次の(a)〜(d)である。
(a)中央ホール型:他の平面形態に比べて最もシンプルな平面型であり、各手術室は患者、医療従事者、器材が共用する中央ホールに接しているため、病院の規模によらず、多くの病院のレイアウトとして採用することができる。長所としては、患者、医療従事者、器材の動線が短く、外周廊下がないので、手術室内の有効面積を確保し易い。短所としては、出入り口が1箇所であるため、患者、医療従事者、器材の動線が集中し易い。
(b)回収廊下型:手術室の外周に非清潔器材回収専用の廊下が設けられ、手術室が5室以上の中規模病院から大規模病院に適している。長所としては、清潔器材と非清潔器材の動線を分けることができるとともに、非清潔器材の回収にロボットシステムを採用することによって、回収作業の効率化を図ることができる。また、短所としては、外周廊下の占有面積が大きく、手術室内部の配盤が多く、非清潔器材の回収動線が長くなるため、清潔管理と手術の回転率が低下するという問題がある。
(c)供給廊下型:手術室の外周に清潔器材供給専用の廊下を設けられ、中規模病院に適している。長所としては、清潔器材と非清潔器材の動線を分離して確保することができる。短所としては、外周廊下側に専任のスタッフが必要となり、外周廊下の占有面積が大きく、供給動線が長くなりやすいという問題がある。
(d)供給ホール型:中央に清潔器材専用の供給ホールを設け、その周りに手術室を配置し、中央材料室が別階になる場合が多く、手術室が5室以上の中規模病院から大規模病院に適している。長所としては、物品の中央保管が可能であり、麻酔医が移動し易く、清潔器材と非清潔器材の動線が分離して確保することができる。短所としては、清潔ホール側に専任スタッフが必要であり、中央保管型のため、収納展開スペースの占有面積が大きいという問題がある。
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.

本発明は、前述の手術室だけでなく、その他の部屋、たとえば診察室、治療室、検査室、リハビリテーション室などのレイアウトの変更に対しても好適に実施することができ、上記の手術室と同様な効果を達成することができる。また、箱体および枠体などをリース契約によって病院などの医療施設にレンタルで設置することもでき、汎用性の高い手術用設備を容易かつ安価に実現することができる。   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.

1 箱状ユニット
2 箱体
3 下面
4 取付け体
5 案内レール
6 移動体
7 医療機器
8 枠体
9 画像表示装置
10 シート体
11 基台
12 天井部
5a,5b レール
5c 連結部材
13a,13b ビーム部材
30 情報処理システム
31a,31b 依頼者の端末装置
32 情報通信網
33 製造業者のサーバコンピュータ
34a,34b 代理店の端末装置
35a,35b 請負業者の端末装置
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 (1)

建物内の手術室を規定する壁に沿って配置される、前記手術室の内部空間に臨んで開放する箱体の壁面に固定され、該箱体の壁面から水平に突出する下面を有する取付け体と、
前記取付け体の下面に固定される案内レールと、
医療機器が収容される複数の枠体と、
前記案内レールに移動自在に設けられ、前記各枠体が吊下げられる複数の移動体と、
静止画が描画されたシート体と、シート体を前記静止画が視認可能に平坦な状態で保持する平板状の基台とを有する画像表示装置であって、前記取付け体に、前記基台および前記シート体が、該基台およびシート体の上部を中心に、開閉可能に設けられる画像表示装置とを含むことを特徴とする手術室設備。
An attachment body, which is disposed along a wall defining an operating room in a building, is fixed to a wall surface of a box body that opens to face the internal space of the operating room, and has a lower surface that protrudes horizontally from the wall surface of the box body When,
A guide rail fixed to the lower surface of the mounting body;
A plurality of frames for accommodating medical devices;
A plurality of movable bodies that are provided movably on the guide rail and from which the frame bodies are suspended; and
An image display device having a sheet body on which a still image is drawn, and a flat base that holds the sheet body in a flat state so that the still image can be visually recognized, the mounting body including the base and surgery room the sheet body, to center the top of the base block and sheet, comprising an image display device provided so as to be opening and closing.
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