JPH05220233A - Laser therapeutic unit - Google Patents

Abstract

PURPOSE:To provide a multi-channel type laser therapeutic unit easily setting probes at diseased sections and effective spots of a patient respectively in treatment, then holding the probes at these positions without relying on the manual labor, and capable of improving the efficiency of the therapeutic work. CONSTITUTION:Laser head-incorporating probes 4 are connected to multi-channel wiring cords 6 extracted from a control board 3, the probes 4 of individual channels are supported in a lump on a probe support table 5 via support mechanisms 7, and the support mechanisms 7 of the probes 4 are made of flexible pipes bendable and held and fixed in the required bent state.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a laser therapeutic device for irradiating a patient with pain or inflammation due to stiff shoulder, neuralgia, arthritis or the like with laser light for treatment.

[0002]

2. Description of the Related Art A laser treatment device for treating pain and inflammation by irradiating a patient with stiff shoulders, neuralgia, arthritis, etc. with laser light to the affected part or acupuncture point is developed and put into practical use. Has been done. The normal configuration of such a laser treatment device is a probe having a laser head including a laser diode, an optical system lens, and the like, a power supply, and an operation for appropriately setting and adjusting the irradiation mode such as laser light irradiation output and irradiation time. And a control panel with a section,
The probe is configured to be connected to a control panel via a wiring cord that can be drawn. In addition, the treatment method is that by holding the probe in the hand and energizing the laser head in the normal state where the laser irradiation end is applied to the affected part of the patient, laser light according to the setting mode is transmitted through the laser head of the probe to the affected part. It is designed to be irradiated.

[0003]

By the way, the laser therapeutic device of this type which has been put into practical use in the past has only one probe for each device. On the other hand, clinically, there are very few cases where a single patient is treated in only one affected area and acupuncture point, and most patients often have a large number of affected areas and acupuncture points to be treated. Therefore, in the conventional laser treatment device, it is necessary to sequentially move the probe to each of the affected areas and the acupuncture points in a large number of places to irradiate the laser light, which not only takes a long treatment time, but also causes a doctor or an operator to perform treatment. For this reason, a great deal of labor and time was required, and there was a drawback that the treatment could not proceed efficiently.

On the other hand, as a measure for eliminating the above-mentioned inconvenience in the treatment, a plurality of probes are attached to one treatment device so that the laser beam can be emitted from the plurality of probes simultaneously selected through the control panel. The development of the multi-channel type laser treatment device is underway. By the way, as described above, even when a laser treatment device is a multi-channel type and a large number of probes are attached to one treatment device, the method of holding the probe in the hand and abutting the affected area as in the conventional treatment device remains the same. However, the number of probes that can be operated at the same time is limited, and it is not possible to achieve sufficient results for the labor saving of doctors and operators and efficient treatment.

The present invention has been made in view of the above points, and a multi-channel type laser treatment device can be easily set by applying each probe to a patient's affected part or acupuncture point during treatment. Further, it is an object of the present invention to provide a laser treatment device capable of improving the efficiency of treatment work by holding each probe in its position without relying on manpower thereafter.

[0006]

In order to achieve the above object, the laser treatment device of the present invention is such that a probe with a built-in laser head is connected to multi-channel wiring cords drawn out from a control board, and each of the channels is provided with a probe. It is assumed that the probes are collectively supported by a probe support table via a support mechanism, and that the probe support mechanism is a flexible tube that is bendable and is held and fixed in a required bent state.

[0007]

According to the above means, since each probe is collectively supported by the probe support table, after setting each probe toward the affected area of the patient, each probe is held at that position without relying on human hands. Can be treated,
Also, when setting each probe toward the affected area, the position of the laser irradiation port of the probe can be freely changed by flexibly bending the flexible tube, so that it can be easily set to the appropriate position for the affected area. become.

[0008]

1 to 4 show the construction of a laser treatment apparatus according to an embodiment of the present invention. FIG. 1 is a structural layout view of the entire laser treatment apparatus, and FIG. 2 is a probe support mechanism section and each probe. FIG. 3 is a diagram showing a setting state on the affected area, FIG. 3 is a sectional view of the structure of the probe, and FIG.

First, the overall configuration of the laser treatment device will be described with reference to FIG. In the figure, 1 is a patient bed,
On the other hand, the laser treatment device is roughly divided into a pedestal 2, a control panel 3, a probe 4 having a large number of channels, and a probe support table 5 which are installed beside the bed 1. Further, the gantry 2 includes a base 21, a vertical rail 22 which stands upright from the base 21, a support frame 23 which is fitted into the vertical rail 22 and is guided and supported, and a horizontal direction which is fixed to the support frame 23 in a horizontal direction. Frame 25 equipped with extending horizontal rail 24
And a frame 27 equipped with a front-rear axis rail 26 that extends forward and has a rear end guided and supported by the horizontal axis rail 24. A control board 3 is attached to the frame 27, and a probe supporting table 5 is movably supported on a front and rear shaft rail 26 via a supporting head 51, and a multi-channel is supported via a probe supporting mechanism described later. The probes 4 are collectively supported. With such a structure, the probe support table 5 has the above-mentioned shaft rails 22, 24,
It is possible to move along X in the X-axis, Y-axis, and Z-axis directions indicated by the arrows in the figure. Reference numeral 52 is a handle for moving operation attached to the front edge of the probe support table 5.

On the other hand, the control panel 3 is equipped with a power source, various control devices, operating devices for setting a laser beam irradiation mode, and the like, and the power switch 3 is provided on the front surface thereof.
1, irradiation selection switch 32 corresponding to the probe of each channel, irradiation display lamp 33, various function keys 34 for setting the irradiation mode, scale plate 36 for setting the irradiation time, irradiation start switch 37, and patient number, It is equipped with a printer 38 for printing out treatment items such as treatment date and irradiation time.

The control panel 3 and the probe 4 for each channel
And are interconnected via a wiring cord 6. Here, the control panel 3 and the probe support table 5 are wired as a multi-core cable in which the wiring cords 6 of the respective channels are integrated, and the probe support table 5 is branched from the multi-core cable and individually probed. It is connected with 4.

The probe 4 of each channel is supported by a probe support table 5 via a probe support mechanism 7 described below. That is, as shown in FIG. 2, the flexible tube 8 as a bendable support arm corresponding to the probe 4 of each channel is juxtaposed in the lower surface side peripheral region of the probe support table 5 in a hanging posture via the adjusting screw 81. It is fixed, and the probe 4 of each of the above-described channels is supported via a holder 82 at its tip. The flexible tube 8 serving as the support arm is a flexible tube having a structure in which a large number of tube segments 83 connected in series are connected to each other in a universal joint manner. On the other hand, a wire 9 is laid through the flexible tube 8 through the inside of the tube, and the tip of the wire 9 is fixed to the distal end of the flexible tube 8 and the other end thereof penetrates the probe support table 5 to After being pulled out upward, it is connected to the connecting link 10a of the clamp lever 10 installed on the upper surface of the probe support table 5. The clamp lever 10 is used for tensioning and loosening the wire 9. When the clamp lever 10 is in the release position, the wire 9 is loosened to free the flexible tube, while the crank lever 10 is swung to the lock position. When operated, the wire 9 is pulled and becomes tense, pressing the tube segments 83 of the flexible tube 8 against each other to lock the flexible tube 8 in the restrained state. Therefore, when the clamp lever 10 is operated from the release position to the lock position after the flexible tube 8 is flexed into an arbitrary shape in the free state, the flexible tube 8 is locked while being retained in the flexed shape at that time.

On the other hand, as shown in FIG. 3, the probe 4 includes an outer cylinder 41, a movable inner cylinder 42 fitted and guided and supported in the outer cylinder 41, and a laser head 43 loaded on the inner cylinder 42.
And the end cap 4 screwed to the top of the outer cylinder 41.
4 and a compression spring 45 interposed between the end cap 44 and the upper end of the inner cylinder 42. Here, the laser head 43 includes a laser diode 46, a printed board 47 on which various semiconductor chips serving as a driver of the laser diode 46 are mounted, an optical system lens 48, and these components are built in and fixed to the inner cylinder 42 by fitting. It is composed of a lens barrel 49. Incidentally, 49a is a spacer interposed between the lenses 48, 49b is a tightening ring nut, and the printed board 47 is fitted and supported by a slit cut in the upper edge of the lens barrel 49. On the other hand, the inner cylinder 42 has a laser irradiation opening 42a at its tip and a long groove 42b on the peripheral side surface which serves as a vertically movable guide. The long groove 42b is formed in the long groove from the side to the side wall surface of the end cap 44. The screwed screw 42c is engaged. The wiring cord 6 penetrates the end cap 44 described above, is drawn into the probe 4, and is then connected to the printed board 47. With this configuration, in the probe 4, the inner cylinder 42 having the laser head 43 mounted thereon is movably supported in the vertical axis direction with respect to the outer cylinder 41, and the inner cylinder 42 is pressed downward by being biased by the compression spring 45. There is.

Next, the operation of the laser treatment device during actual treatment will be described. First, in the standby state, the clamp lever 10 of the probe support mechanism 7 is in the release position,
Each multi-channel probe 4 is hung and supported in a free state on the lower surface side of the probe support table 5 via the flexible tube 8 described above. Here, when the patient is supine or prone on the patient bed 1 shown in FIG. 1, the doctor or operator operates the handle 52 of the probe support table to operate the patient's affected part to be treated, the position of the acupuncture point, such as both knee joints and wrists. , The flexible tube 8 is freely bent for each channel as shown in FIG. 2 after moving closer to the joint part of the ankle, and the laser irradiation end of the tip of the probe 4 is to be treated for the patient. For example, the flexible tube 8 is locked in this bending posture by placing it on the affected part such as the joint of the wrist 11 or the pot, and swinging the clamp lever 10 to the lock position in this state. The setting of the probe 4 is completed by sequentially performing this operation for each probe of each selected channel. Next, for the selected probe 4, the irradiation mode such as the optimum laser irradiation output and irradiation time according to the condition of the affected area is set on the control panel 3, and the selection switch 32 and the irradiation start switch 37 are turned on. The irradiation of the laser beam from the probe 4 toward the affected area is started by the injection of the laser beam onto the affected area. In this case, it is possible to appropriately select, by programming on the control panel, whether to irradiate the laser beams of the selected channels simultaneously and simultaneously, or to irradiate them while switching according to a predetermined order. Further, the irradiation display lamp 33 is turned on during the irradiation of the laser light, and the lamp is extinguished when the irradiation of the laser light is completed after the set time elapses, and if the doctor resets the control panel, various treatment items can be displayed from the printer 38. Is printed out on paper. Further, the flexible tube 8 supporting the probe 4 is returned to the free state again by returning the clamp levers 10 of the probe supporting mechanism to the releasing positions.

Further, even if the patient moves a little during the treatment, the inner cylinder 42 of the probe 4 moves to the outer cylinder 41 together with the laser head 43 so as to follow the movement in the arrow P direction as shown in FIG. The laser irradiation port 42a of the inner cylinder 42 keeps a correct contact with the affected part by the biasing of the compression spring 45 while the displacement of the patient absorbs the movement of the patient. Therefore, after the probe support mechanism is operated for the patient and the probe 4 is initially set, the laser irradiation port of the probe is not separated from the affected area or displaced even if the patient moves a little during treatment. The laser irradiation port of the probe can be brought into contact with the affected part and the vase so as to follow the movement of the patient, so that an appropriate laser irradiation state can always be maintained.

[0016]

As described above, in the laser treatment apparatus of the present invention, a probe with a built-in laser head is connected to each of the multi-channel wiring cords drawn out from the control board, and the probe for each channel is connected via a support mechanism. Since the probe support table is supported collectively and the support mechanism of the probe is a flexible tube that is bendable and is held and fixed in a required bent state, each probe is applied to the affected area or the acupuncture point of the patient. Setting can be performed easily, and thereafter each probe can be held at that position without relying on human hands to improve the efficiency of treatment work.

[Brief description of drawings]

FIG. 1 is a structural layout view of an entire laser treatment device according to an embodiment of the present invention.

FIG. 2 is a view showing a state in which a probe support mechanism section and each probe are set on an affected area.

FIG. 3 is a sectional view of the structure of the probe.

FIG. 4 is an explanatory diagram of a probe tracking operation.

[Explanation of symbols]

 1 Patient Bed 2 Laser Treatment Device Stand 3 Control Panel 4 Probe 5 Probe Support Table 6 Wiring Cord 7 Probe Support Mechanism 8 Flexible Tube 42a Laser Irradiation Port 43 Laser Head

Claims (1)

[Claims] 1. A laser treatment device for performing treatment by irradiating a diseased part of a patient with laser light, wherein probes with built-in laser heads are connected to multi-channel wiring cords drawn out from a control panel, and a probe for each channel. The laser treatment device is characterized in that it is supported by a probe support table at once via a support mechanism, and the probe support mechanism is a flexible tube that is bendable and is held and fixed in a required bent state.