JPH0349581B2 - - Google Patents

Description

[Detailed description of the invention] The present invention will be explained in the following order.

A. Field of industrial application B. Outline of the invention C. Conventional technology D. Problem to be solved by the invention E. Means for solving the problem F. Effect G. Example G. _1. Explanation of the entire examination table (Figures 1A and 1B) ) Explanation of the elevating device for the _G2 loading section (Figures 2A to 2)
(Figure C) _G3 Explanation of the back plate angle changing mechanism (Figures 3A to 3D) _G4 Explanation of the back plate forward/backward movement mechanism (double speed drive device) (Figures 4A and 4B) _G5 Back plate Explanation of a modification of the forward/backward movement mechanism (double speed drive device) (Figures 5A and 5B) G ₆ Explanation of sewage receiving device (Figures 6A to 8) G ₇ Explanation of sewage scattering prevention device (Figure 6A (Figures and Figures 6B) G Explanation of the ₈ elbow rest device (Figures 1A, 1B, and 9 to 10B) This invention relates to an elbow support device for various medical tables used for medical examinations, childbirth, etc., by adjusting the patient's body position from a vertical sitting position to a backward horizontal position.

B. Summary of the Invention The present invention is directed to FIG. 1A, FIG. 1B, FIG.
As shown in Figure 0B, by configuring the elbow rests provided on the side surfaces of the patient placement part, which is configured to be able to change the angle of the medical table, to be rotatable around an inclination axis, the elbow rests can be used as arm rests. It has also been made available for use.

C. Conventional technology Conventionally, as an examination table for obstetrics and gynecology, for example, the
63-286155 is known.

This conventional examination table allows the patient's body position to be adjusted from a vertical sitting position to a horizontal position tilted backwards by changing the angle of the back plate on which the patient is placed. Additionally, elbow rests are fixed almost horizontally to the sides of the backboard.

D. Problem to be solved by the invention When performing an induced abortion surgery on this type of examination table, the back plate is tilted backwards to adjust the patient to a horizontal position, but at that time, the patient may suffer from excessive bleeding. In the event that an emergency blood transfusion is required, an armrest is required to hold the patient's upper limbs horizontally.

However, in conventional examination tables, when the back plate is tilted backwards, the elbow rests fixed to the sides stand up almost vertically, so the elbow rests cannot be used as arm rests at all. There was a problem in that a specialized upper limb table had to be brought in each time.

SUMMARY OF THE INVENTION An object of the present invention is to provide an elbow rest device for a medical table that allows the elbow rest provided on the side surface of the patient resting part to be used as an arm rest after changing the angle of the patient resting part. .

E. Means for Solving the Problems In order to achieve the above object, the elbow support device for a medical table of the present invention includes a patient placement section configured to be able to change its angle, and a patient placement section provided on the side surface of the placement section. and an elbow rest that is rotatable approximately 90 degrees around the inclined axis, and has an upper horizontal surface formed as an elbow receiving surface and an inner vertical surface formed as an upper limb platform surface, When the receiver is made almost parallel to the side surface of the above-mentioned mounting part, the above-mentioned elbow receiving surface is upwardly facing and almost horizontal, and after the above-mentioned resting part is tilted backward, the elbow rest is rotated approximately 90 degrees around the above-mentioned tilt axis. By rotating the elbow rest, the elbow rest can be opened at a predetermined angle from the side surface of the placement part, and the arm rest can be turned over so that it faces upward and becomes substantially horizontal.

F. Effect The arm rest device for the medical table configured as above is
After changing the angle of the patient rest, move the arm rest provided on the side of the patient rest approximately 90° around the tilt axis.
With just one motion of rotation, the elbow rest can be used as an arm rest.

G Example Hereinafter, an example in which the present invention is applied to an examination table for obstetrics and gynecology will be described with reference to the drawings.

_G1 First, the entire examination table will be explained with reference to FIGS. 1A and 1B.

This examination table has a seat plate 2 constituting a patient placement part 1, a back plate 3 and 4 divided into upper and lower parts, a pair of left and right crotch supports 5, an arm rest 6 that also serves as an upper limb support, etc. . These placing parts 1 are supported on a base 7 so as to be movable up and down by a lifting device which will be described later. The back plates 3 and 4 are supported by an angle changing mechanism and a back and forth moving mechanism, which will be described later, so that the angle can be changed and the back plates 4 can be moved in the front and rear directions relative to the seat plate 2. Further, a sewage receiver 8, a sewage scattering prevention plate 9, etc., which can be taken in and out, are provided at the lower part of the seat plate 2.

According to this examination table, first, as shown in FIG. 1A, a patient is placed on the platform 1 with the platform 1 being lowered to the lowered position. At that time, the patient places his buttocks on the seat plate 2, leans his lower back and back on the back plates 3 and 4, and places his legs on the thigh support 5 with both legs spread apart. Take a vertical position.

Next, the placing unit 1 is raised obliquely forward in the direction of arrow a from the lowered position shown in FIG. 1A to the upper front elevation position shown in FIG. 1B. The back plate 3 on the tip side is moved forward in the direction of arrow c while tilting backward in the direction of arrow b together with the crotch support 5 and elbow support 6.
is moved to a position above the seat plate 2.

Then, by tilting the back plates 3 and 4 backward, the patient's waist and back come to rest almost horizontally on the back plates 3 and 4, and the patient's center of gravity shifts from above the seat plate 2 to the back plates 3 and 4.
4. At the same time as the patient moves up, the patient's body position is adjusted to a horizontal position with the legs tilted backwards. Then, the patient is moved forward while remaining in the horizontal position by moving the placing section 1 obliquely forward in the direction of arrow a and moving the back plates 3 and 4 forward in the direction of arrow c. , the patient's seat (examination area) is brought closer to the doctor through the curtain.

At this time, the back plate 3 moves to the upper position of the seat plate 2 with the arrow c
As a result, the seat plate 2 is stored under the back plate 3 in the opposite direction of the arrow c direction. Further, as the back plate 3 moves in the direction of arrow c, the sewage receiver 8 and the sewage scattering prevention plate 9 are automatically pulled out from the storage position below the seat plate 2 to the drawn-out position in front of the seat plate 2.

This examination table has all controls such as raising and lowering the platform 1, changing the angle of the back surfaces 3 and 4 with respect to the seat plate 2, moving them back and forth, and putting in and taking out the sewage receiver 8 and the sewage scattering prevention plate 9. This is done by a foot switch (not shown).

G ₂ Next, the elevating device 11 of the placing section 1 will be explained with reference to FIGS. 2A to 2C.

This elevating device 11 has a lower bracket 12 fixed to a base 7, and a front end side of a parallel link 14 of equal length constituting a first parallel link mechanism 13 is attached to a lower bracket 12 by a rotation fulcrum 14a in the directions of arrows a and a'. It is rotatably mounted on the Then, the rear end side of the parallel link 14 is attached to the intermediate bracket 15, which is rotatably attached to the pivot point 14b.
The rear end side of a parallel link 17 of equal length constituting the parallel link mechanism 16 is attached to be rotatable in the directions of arrows d and d' by a rotation fulcrum 17a. The front end side of the parallel link 17 is the rotation fulcrum 17.
The mounting portion 1 is attached to an upper bracket 18 which is rotatably attached by the bracket 18b. Note that the first parallel link mechanism 13 is long and the second parallel link mechanism 16 is short. Then, the first parallel link mechanism 13 is moved relative to the lower bracket 12 by the arrow a, about the pivot point 14a.
A first driving means 19 that swings in the direction a', and a second drive means that swings the second parallel link mechanism 16 relative to the intermediate bracket 15 in the directions of arrows d and d' about the rotation fulcrum 17a. 20 are provided individually. Incidentally, these first and second driving means are constituted by hydraulic cylinders.

According to this lifting drive 11, the first drive means 1
9 swings the first parallel link mechanism 13 relative to the lower bracket 12 about the pivot point 14a in the directions of arrows a and a'. The lower bracket 12 swings between a lying position where it is laid down almost horizontally on the rear side of the lower bracket 12 as shown in Fig. 2A, and an upright position where it is raised up to a predetermined angle forward and upward from the lying position as shown in Fig. 2B. Can be driven. At this time, since the first parallel link mechanism 13 performs a parallel movement, the placing portion 1 is moved between the lowered position shown in FIG. 2A and the raised position shown in FIG. It can be raised and lowered by parallel movement in the direction. Therefore, the seat plate 2 is raised and lowered while always maintaining a substantially horizontal state. Then, by raising the receiver 1 diagonally forward in the direction of arrow a from the lowered position to the upper position, the patient's seat (examination section) on the receiver 1 can be brought closer to the doctor through the curtain. I can do it.

Next, when it is necessary to adjust the height of the platform 1 that has been raised to the raised position, the second parallel link mechanism 16 is moved to the intermediate bracket 15 by the second driving means 19, as shown in FIG. 2C. On the other hand, arrow d, which is in the vertical direction centering on the rotation fulcrum 17a,
The height of the mounting section 1 can be freely adjusted by swinging in the d' direction. At this time, since the second parallel link mechanism 16 performs parallel movement, the placing part 1
The height of the upper patient's seat (examination section) can be adjusted in the direction of arrow e, which is the front-rear direction, with almost no change.

_G3 Next, the angle changing mechanism 22 of the back plates 3 and 4 will be explained with reference to FIGS. 3A to 3D.

This angle changing mechanism 22 connects the lower end of the angle adjusting plate 23 to the upper end of the upper bracket 18 at a rotation fulcrum 2.
4 so as to be rotatable in the directions of arrows b and b'. A drive means 25 is provided for swinging the angle adjustment plate 23 relative to the upper bracket 18 about a pivot point 24 in the directions of arrows b and b'. Note that this driving means 25 is composed of a hydraulic cylinder. Note that the back plate bases 26 and 27 of the upper and lower divided back plates 3 and 4 are rotatably connected to each other by a rotation fulcrum 28, and the upper back plate 4 is connected by a guide mechanism 29. It is attached to the angle adjustment plate 23 so as to be movable in the directions of arrows f and f'. This guide mechanism 29 has a pair of left and right parallel guide shafts 31 attached to a slider 30 disposed between the angle adjustment plate 23 and the back plate base 27, and angle adjustment plates on the outside and inside of each of these parallel guide shafts 31. 23 and back plate base 27
A pair of guide pulleys 32 and 33, each rotatably attached to the two, are engaged with each other. Therefore, the slider 30 is parallel to the guide shaft 31 and the guide pulley 32 with respect to the angle adjustment plate 23.
The back plate base 27 is configured to be movable in the directions of arrows f and f' with respect to the slider 30 by means of a parallel guide shaft 31 and a guide pulley 33. There is.
In addition, a pair of rollers 3 are provided at both left and right ends of the rotation fulcrum 24.
4 is attached, and a pair of left and right guide rollers 35 are attached to the lower end of the back plate base 26. Further, a seat plate base 36 of the seat plate 2 is commonly rotatably attached to the pivot point 24, and this seat plate base 36 is always in contact with the front surface 18a of the upper bracket 18 under its own weight. Furthermore, a pair of left and right guide rails 37 are provided substantially horizontally on the seat plate base 36.

According to this angle changing mechanism 22, the driving means 2
5, attach the angle adjustment plate 23 to the upper bracket 1.
8, the angle adjustment plate 23 allows the back plate 3,
4 at _a predetermined angle with respect to the seat plate 2, as shown in FIG. 3C. It can be driven to swing in the directions of arrows b and b' between the rearward tilted position θ ₂ and the rearward tilted position θ 2 .

At this time, at the same time as the angle adjustment plate 23 swings in the direction of arrow b or b', the back plate base 27 on the upper side is moved in the direction of arrow f or It is driven to move in the direction of arrow f'. Accordingly, the back plates 3, 4 are tilted backward in the direction of arrow b and simultaneously moved in the direction of arrow f from the upright position of FIG. 3A to the rearward tilted position of FIG. 3C. At this time, when the upper back plate base 27 is driven to move in the direction of arrow f by the back and forth moving mechanism while being guided by the guide mechanism 29, the lower back plate base 27 is initially moved as shown in FIG. 3A. The base 26 is moved on both rollers 34 in the direction of arrow f. And soon, the 3rd B
As shown in the figure and FIG. 3C, the back plate base 26 rides on both guide rails 37 of the seat plate base 36 by both guide rollers 35, and the back plate base 27 is a pivot point relative to the back plate base 26. While being rotated about 28 in the direction of arrow g, it is pushed forward on both guide rails 37 by both guide rollers 35 in the direction of arrow c. As a result, at the same time as the back plates 3 and 4 tilt backward in the direction of arrow b, the third
As shown in Figure C, the back plate 3 on the tip side (lower end side) is moved forward in the direction of arrow c to a position above the seat plate 2, and the back plate 3 finally becomes almost horizontal.

Note that the pair of left and right crotch supports 5 and elbow supports 6 shown in FIGS. 1A to 2C are approximately L of the pair of left and right crotch supports 6 fixed to both left and right sides of the back plate base 26.
It is attached to a letter-shaped frame 38 on both sides,
These crotch supports 5 and elbow supports 6 are attached to the frames 38 on both sides.
It is moved integrally with the back plate base 26 via.

By tilting the back plates 3 and 4 backward in the direction of arrow b, the patient's body position is adjusted from the vertical sitting position to the horizontal position, and by moving the back plate 3 forward in the direction of arrow c. Then, the patient's seat (examination area), which has been adjusted to a horizontal position, is brought closer to the doctor through the curtain.

In addition, when a patient develops anemia during a medical examination, the driving means 25 moves the back plate 4 together with the angle adjustment plate 23 to the rotation fulcrum 2, as shown in FIG. 3D.
4 as the center and tilt backward in the direction of arrow b to the depression angle position θ ₃ . At this time, when the back plate 4 is in a horizontal state where it is almost flush with the back plate 3, the front end surface 23a of the angle adjustment plate 23 comes into contact with the seat plate base 23, and from then on, the angle adjustment plate 23 moves in the direction of the arrow b. By tilting backward, the back plate 3 is swung integrally with the back plate 4 via the seat plate base 36 in the direction of arrow b about the pivot point 24.

G _4Next , as shown in FIG. 4A and FIG. 4B, the back and forth movement mechanism (double speed drive device) 41
Explain.

This back and forth movement mechanism (double speed drive device) 41 is
The back plate 4, which is a mounting part, is connected to the angle adjustment plate 2, which is a base part.
3 in the directions of arrows f and f', which are the front and rear directions. That is, one end 4 of the first fluid pressure cylinder 42 constituted by a hydraulic cylinder
The tip of the piston rod 43, which is 2a, is connected to a bracket 44 that is integrated with the back plate base 27.
A cylinder 45, which is the other end 42b, is connected to a bracket 46 that is integrated with the slider 30, which is a connecting member. A cylinder 48, which is one end 47a of a second fluid pressure cylinder 47 constituted by a hydraulic cylinder, is connected to a bracket 49 that is integral with the angle adjustment plate 23, and the other end 47b, which is the tip of a piston rod 50, is a slider that is a connecting member. 30 and is connected to a bracket 51 that is integral with the bracket 30. Pressure oil chambers 5 are separated by pistons 52 and 53 within the cylinders 45 and 48, respectively.
54b among 4a, 54b and 55a, 55b
and 55b are communicated with each other by a flexible pipe 56, and an oil supply/drainage pipe 5 is connected to each pressure oil chamber 54a, 55a.
7 and 58 are connected.

According to this back-and-forth movement mechanism (double speed drive device) 41, as shown in FIG. 4A, when the back plate 4 is moved back in the direction of arrow f',
The pressure oil chamber 54 of the first fluid pressure cylinder 42
In addition to supplying pressure oil into a, the oil supply and drainage pipe 5
8, the pressure oil chamber 5 of the second fluid pressure cylinder 49
When the pressure oil in the cylinder 5a is discharged, the piston 52 in the cylinder 45 is moved in the direction of the arrow f, and the back plate base 27 is moved in the direction of the arrow f via the piston rod 43, as shown in FIG. 4B. Then, the pressure oil chamber 54b of the first fluid pressure cylinder 42
The pressure oil inside is supplied through the flexible pipe 56 into the pressure oil chamber 55b of the second fluid pressure cylinder 47, and the piston 53 inside the cylinder 48 is moved in the direction of arrow f, and the piston 53 is moved through the piston rod 50 to the slider 30. is moved in the direction of arrow f.
As a result of the above, the first and second fluid pressure cylinders 4
The amount of movement of the other ends 42b, 47b of 2, 47 is added together by the slider 30, and these other ends 42b, 47b are simultaneously moved in the same direction, ie, the direction of the arrow f. 1st
And it can be quickly moved in the direction of arrow f at twice the speed of the second fluid pressure cylinders 42 and 47. Note that when the back plate 4 is moved back in the direction of arrow f', pressure oil is supplied into the pressure oil chamber 55a of the first fluid pressure cylinder 47 through the oil supply and drainage pipe 58, and the oil supply and drainage pipe 57, the pressure oil in the pressure oil chamber 54a of the second fluid pressure cylinder 42 is discharged.

Therefore, this back and forth movement mechanism (double speed drive device)
According to 41, in the case of emergency bleeding of a patient, etc., the back plate 4 can be quickly moved in the direction of the arrow f, and the patient's body position can be quickly adjusted from a vertical position in a sitting posture to a horizontal position in a backward leaning position. Furthermore, since the length of each of the first and second fluid pressure cylinders 42 and 47 is approximately 1/2 of the moving distance of the back plate 4 in the directions of arrows f and f', these first and second fluid pressure cylinders The pressure cylinders 42 and 47 can be stored compactly between the angle adjustment plate 23 and the back plate base 27.

G ₅ Next, as shown in FIGS. 5A and 5B, the back plate 3, 4 back and forth movement mechanism (double speed drive device) 41
A modification example will be explained.

In this modification, the cylinder 45, which is the other end 42b of the first fluid pressure cylinder 42, and the tip of the piston rod 50, which is the other end 47b of the second fluid pressure cylinder 47, are directly connected by a connecting member 59. The other structures are the same as those in FIGS. 4A and 4B. This modification also provides the same effects as in FIGS. 4A and 4B.

_G6 Next, the wastewater receiving device 61 will be explained with reference to FIGS. 6A to 8.

This sewage receiving device 61 has a pair of endless chains 62 mounted on both left and right sides of a seat plate base 36 via a pair of front and rear sprockets 63, 64, respectively, so as to be horizontally rotatable. Further, a pair of guide shafts 65 are horizontally attached to both left and right sides of the seat plate base 36 along the lower part of both endless chains 62. Then, a part of both endless chains 62 is attached to the top of a pair of left and right moving members 66 that are guided by these guide shafts 65 and moved horizontally.
It is fixed at 7th grade. And seat plate base 3
drive means 68 which is a motor mounted within 6;
By driving both sprockets 64 forward and backward rotationally through the transmission member 69 and drive shaft 70, both endless chains 62 are driven, and both moving members 66 are moved in the front-rear direction along both guide shafts 65. It is configured to reciprocate in the directions of arrows c and c'.

On the other hand, a pair of guide grooves 71 having a substantially U-shaped cross section are integrally provided on both left and right sides of the waste water receiver 8 which is horizontally arranged at the lower part of the seat plate base 36. The front ends of both guide grooves 71 are closed ends 71.
a, and the rear end is formed as an open end 71b. A bracket 7 has a pair of left and right frictional engagement means 72 formed in a cylindrical shape or the like from synthetic resin or the like and is fixed to the lower part of both moving members 66.
3 horizontally by a mounting shaft 74, and both of these frictional engagement means 72 are frictionally engaged in both guide grooves 71 of the waste water receiver 8 so as to be relatively slidable therein. A pair of left and right stop levers 75 are attached to the side surfaces of both brackets 73 so as to be rotatable about a pivot point 76 in the vertical directions of arrows h and h'. These two stop levers 7
Reference numeral 5 denotes a protrusion that is biased to rotate in the direction of arrow h by its own weight and is integrally provided at the lower part of the rear ends of both guide grooves 71 at a position where the knob 75a at the front end comes into contact with the lower part of both moving members 66. 77.

According to this sewage receiving device 61, as described above, the driving means 68 is activated at the same time as the placing part 1 is raised from the lowered position to the raised position, or when the doctor operates an arbitrary switch.
When both endless chains 62 are driven to reciprocate both moving members 66 in the direction of arrow c from the backward movement position shown by the dashed line in FIG. 6A to the reciprocating position shown by the solid line, both frictional engagement means 72 Through this, the waste water receiver 8 is automatically pulled out in the direction of arrow c from the storage position shown by the dashed line in FIG. 6A to the pulled out position at the front lower part of the seat plate 2 shown by the solid line.

However, as shown in FIG. 6B, when the doctor manually pushes the front surface 8a of the waste water receptacle 8 in the direction of arrow c' as necessary, both frictional engagements in both guide grooves 71 occur. Resisting the frictional engagement force of the coupling means 72, move the wastewater receiver 8 against both moving members 66 (with both moving members 66 stopped at the reciprocating position) by hand to any position in the direction of arrow c'. You can freely and quickly push it back.

Therefore, when a patient's examination area is not cleaned during a medical examination or when the wastewater receiver 8 becomes an obstacle to the examination or medical treatment, the wastewater receiver 8 is automatically pulled out to the drawer position.
The doctor can push it back freely with his/her hand if necessary.
The position of the waste water receiver 8 can be quickly changed by hand.

In addition, when pulling out the sewage receiver 8 that has been pulled out to the pulled-out position shown by the solid line in FIG. 6A from below the seat plate base 36 in the direction of the arrow c, both stop levers 75 are pulled out in the direction of the arrow h' using the knobs 75a. If you rotate it and remove it above both protrusions 77, the sewage receiver 8
By pulling in the direction of arrow c, both the frictional engagement means 72 are connected to the open end 7 at the rear end of both the guide grooves 71.
It can be easily extracted from 1b.

_G7 Next, the sewage scattering prevention device 81 will be explained with reference to FIGS. 6A and 6B.

This sewage scattering prevention device 81 has a sewage scattering prevention plate 9 disposed on the upper part of the sewage receiver 8 of the sewage receiving device 61 described above, which is connected to both moving members 66 by a rotation fulcrum 82 which is a thread, in the vertical direction. The sewage scattering prevention plate 9 is mounted so as to be rotatable in the i and i' directions, and the sewage scattering prevention plate 9 is held at the rotation fulcrum 8 by means of a biasing means 83 which is a torsion spring.
2 in the direction of arrow i.

According to this sewage scattering prevention device 81, the 6th A
When both moving members 66 are returned to the return position as shown by the dashed line in the figure, the sewage scattering prevention plate 9 is rotated in the direction of arrow i' against the biasing means 83, and the seat plate It is stored in the lower part of the base 36 lying down almost horizontally.

As described above, when both moving members 66 are moved forward in the direction of arrow c by the driving means 68 from the backward movement position indicated by the dashed-dotted line to the forward movement position indicated by the solid line in FIG. The scattering prevention plate 9 can be pulled out together with the scattering prevention plate 9 in the direction of arrow c from the storage position indicated by the dashed-dotted line to the drawn-out position indicated by the solid line in FIG. 6A. At this time, the sewage scattering prevention plate 9 is pulled out in front of the seat plate base 36 and rotates around the pivot point 83 by the biasing means 83 along the corner portion 36a at the lower front end of the seat plate base 36. It is rotated upward in the direction of arrow i and gradually stands up. As shown by the solid line in FIG. 6A, when this sewage scattering prevention plate 9 is completely pulled out to the drawn-out position, it stands up almost vertically above the sewage receiver 8, and as described above, the sewage scattering prevention plate 9 The lower part of the back plate 3 which is pulled out almost horizontally to the upper position is completely covered from the front. This vertically erected sewage scattering prevention plate 9 prevents sewage from scattering below the patient's seat (examination area) when cleaning the patient's examination area, and also prevents the sewage from scattering below the patient's seat (examination area). Functions as a blindfold.

According to this sewage scattering prevention plate 81,
The driving means 68 is independent of the backward tilt of the back plates 3 and 4.
Both moving members 66, which can be driven with You can take it in and take it out freely.

G _8Next , Figure 1A, Figure 1B, Figure 9-1
The elbow rest device 86 will be explained with reference to FIG. 0B.

As described above, this elbow rest device 86 has a pair of left and right elbow rests 6 mounted on a pair of left and right substantially L-shaped both-side frames 38 that are moved integrally with the back plate base 26.
are installed in parallel. At this time, the elbow rests 6 are constructed so that the upper horizontal surface thereof is an elbow resting surface 87, and the inner vertical surface thereof is an arm resting surface 88, which serves as an arm rest. and,
A mounting base 90 is mounted on height adjustment rails 89 mounted on the side surfaces of both side frames 38 so as to be height adjustable in the direction of arrow j. In addition, the mounting base 9
0 is fitted into the height adjustment rail 89 through a groove 91 so as to be slidable in the direction of the arrow j, and a height adjustment screw is provided on the side surface of the height adjustment rail 89 to be tightened and fixed at an arbitrary position on the side surface 89a of the height adjustment rail 89. 92 is installed. Then, a tilted shaft 94 is placed in a shaft mounting hole 93 provided in the mounting base 90 along a vertical reference line P ₁
It is rotatably mounted around an axis P ₂ inclined at a predetermined angle θ ₄ with respect to. Note that the tip of a retaining screw 96 attached to the mounting base 90 is fitted into an annular groove 95 provided at the upper end of the inclined shaft 94. A mounting arm 103 fixed to the rear end of the elbow rest 6 and bent into a substantially U-shape is fixed to the lower end surface 94a of the inclined shaft 94. A hole 97 with an axis P ₃ perpendicular to the axis P ₂ is provided in a part of the side surface of the inclined shaft 94, and a hole 98 with the same axis P ₂ and the same diameter as this hole 97 is provided in the mounting base 90. It is provided. Then, a lock pin 99 and a spring 10 are inserted into the hole 97.
0 is inserted into the hole 98, and a lock release pin 101 movable in the directions of arrows k and k' is inserted into the hole 98. The lock pin 99 is pressed against the tip of the lock release pin 101 by a spring 100 in the direction of arrow k', and a ring 102 for preventing the lock from coming off in the direction of arrow k' is attached to the lock release pin 101. Further, a rotation stopper 104 for the mounting arm 103 is provided at the lower part of the mounting base 90.

According to this elbow rest device 86, first, as shown in FIG. 1A, when the placing part 1 is lowered to the lowered position, the elbow rest surfaces 87 of both elbow rests 6 are locked upward and at the substantially horizontal upper end. ing. Note that at this time, as shown in FIG. 10A, the lock pin 9
9 is fitted across both holes 97 and 98, and the inclined shaft 94 is locked with a lock pin 99. Therefore, as described above, the patient who is sitting in a vertical position on the placement part 1 can stably place both elbows on the elbow support surfaces 87 of the elbow supports 6.

Next, as shown in FIG. 1B, when the patient's body position is adjusted to the horizontal position of the sitting posture by raising the placing unit 1 to the raised position and tilting it backwards, the patient's body position is adjusted to the horizontal position of the sitting posture.
is erected almost vertically as shown by the dashed line in FIG. 1B. Therefore, as shown in Figure 10B,
Push the lock release pin 101 slightly in the direction of arrow k, and push the lock pin 99 against the spring 100 into the hole 9.
7 and release the lock of the tilting shaft 94, the elbow rest 6 is moved together with the mounting arm 103 and the tilting shaft 94 around the axis _P2 of the tilting shaft 94 as shown in FIGS. 9 and 10B. From the position of the solid line to the position of the dashed-dot line, move the arrow l toward the outside of the mounting section 1.
Rotate the mounting arm 103 approximately 90° in the direction
The rotation stopper 104 is brought into contact with the rotation stopper 104 of the Then, as shown in FIG. 1B, both elbow rests 6 are placed on the placing portion 1
The upper limb rests 6 are laid down almost horizontally on both left and right sides in an almost C-shape, and the angle of the upper limb platforms 88 of the elbow rests 6 is changed upward and almost horizontal, and at this point, the elbow rests 6 change into upper limb rests. be done.

Therefore, both upper limbs of the patient whose body position has been adjusted to the horizontal position of a sitting posture on the mounting part 1 can be stably placed almost horizontally on the upper limb platform 88 of the both elbow supports 6, and the patient's emergency blood transfusion can be carried out. etc. can be done quickly.

When the elbow rests 6 are rotated together with the mounting arm 103 and the tilting shaft 94 in the direction of arrow L' and returned to their original positions, the locking pins 99 are automatically brought into the locked state shown in FIG. 10A by the springs 100. The moment the elbow rests 6 return to their original positions, they are automatically locked.

Although the embodiments of the present invention have been described above, the present invention is not limited to the above embodiments, and various effective changes can be made based on the technical idea of the present invention.

H Effects of the Invention Since the present invention is configured as described above,
This produces the following effects.

After changing the angle of the patient placement section, simply by adjusting the rotation of the elbow rest provided on the side of the patient placement section around the tilt axis, the elbow rest can be used as an arm rest. If the patient is bleeding profusely and requires emergency blood transfusion when performing an induced abortion surgery with the patient tilted backwards and the patient in a horizontal position, the armrest should be placed on the armrest. It is very convenient because it can be changed to instantaneously receive the patient's upper limb, allowing emergency blood transfusions and the like to be performed quickly.

Moreover, in the present invention, the two perpendicular surfaces of the upper horizontal surface and the inner vertical surface of the elbow rest, which is attached so as to be rotatable by approximately 90 degrees around the tilt axis, can be used as the elbow rest surface and the upper limb platform surface. When the elbow rest is made almost parallel to the side surface of the placing part, the elbow rest surface is turned upward and almost horizontal so that it can be used as an elbow rest. After tilting the resting section backwards, by simply performing one motion of rotating the elbow rest approximately 90 degrees around the tilting axis, the elbow rest can be opened from the side of the resting section to a predetermined angle, and the upper limb can be opened at a predetermined angle. It can be used as an upper limb stand by inverting the table so that it faces upward and is almost horizontal. Therefore, when switching between the elbow rest and the arm rest, the elbow rest should be rotated approximately 90° around the tilt axis.
All you have to do is one motion operation to rotate.
Switching between the elbow rest and the arm rest can be done extremely easily with one touch. Furthermore, since the armrest is simply rotated by approximately 90 degrees around a single tilted axis, the construction is extremely simple and low cost.

[Brief explanation of drawings]

The drawings show one embodiment of the present invention, and FIGS. 1A and 1B are perspective views illustrating the entire examination table, and FIGS. 2A to 2C are illustrating the elevating device of the platform. Side view, Figures 3A to 3D are side views illustrating the angle changing mechanism of the back plate, and Figures 4A and 4B are the back plate forward and backward movement mechanism (double speed drive device)
Partially cutaway side view, Figure 5A and Figure 5 for explaining
Figure B is a schematic diagram illustrating a modified example of the back plate back and forth movement mechanism (double speed drive device), Figures 6A and 6B are side views illustrating the sewage receiving device and the sewage scattering prevention device, and Figure 7 is a 6A is an enlarged sectional view taken in the - arrow direction; FIG. 8 is a perspective view showing the main parts of the sewage receiving device;
FIG. 9 is a perspective view illustrating the elbow rest device, and FIGS. 10A and 10B are partially cutaway side views illustrating main parts of the elbow rest device. In addition, in the reference numerals used in the drawings, 1...resting part, 6...elbow rest, 86...elbow rest device, 87...elbow receiving surface, 88... upper limb platform, 94... inclined axis.

Claims (1)

[Claims] 1. A patient placement part configured to be able to change its angle;
The mounting part has an inclined axis provided on the side surface, and is attached to be able to rotate approximately 90 degrees around the inclined axis, and the upper horizontal surface is formed as an elbow receiving surface, and the inner vertical surface is formed as an upper limb platform. and an elbow rest, and when the elbow rest is made almost parallel to the side surface of the above-mentioned placement part, the elbow rest surface faces upward and is almost horizontal, and after the said elbow rest is tilted backward, the elbow rest is By rotating approximately 90 degrees around the tilt axis, the elbow rest can be opened at a predetermined angle from the side of the mounting portion, and the upper limb platform can be turned upward so that it is almost horizontal. An elbow support device for a medical table configured as follows.