JPH1133002A - Care system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a care system and equipment which can reduce the burdens of a person in charge of care and a person under care and provide efficient and proper care. SOLUTION: In this care system, a care information communications system 1 is provided on a care bed 3 or a mobile track 2 for care, monitors the health conditions of a person under care, and permits communications with the outside. Hence the person in charge of care or the person under care can communicate with a medical facility, etc., and the health conditions of the person under care can be transmitted to the medical facility, etc. The care information communications system 1, receiving the order or emergency communications, communicates to an address for emergencies which is held in memory. Thus, the person under care or the person in charge of care can promptly have communications in case of emergency. The care information communications system 1 can be removably mounted on the care bed 3 or the mobile track 2 for care and is portable, so that it can easily be mounted on or removed from the care bed 3 or the mobile track 2 for care, to match the movement of the person under care.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to the elderly, the disabled,
The present invention relates to a care system and a care device for caring for a cared person such as a frail person, in particular, a care bed for laying the cared person, a wheelchair for moving the cared person while sitting, and a cared person. Monitoring, reporting to nursing care institutions in emergencies, display of nursing-related information and explanation by voice, communication with others by voice, text and images, reception of television and radio broadcasts, reproduction of video and audio or CD, D
The present invention relates to a care device and a care information communication system in which these functions such as recording and playback of voice and image on a VD and a magnetic tape are integrated, and a care system including a care bed or a wheelchair for care.

[0002]

2. Description of the Related Art Conventional nursing beds and nursing wheelchairs (mobile nursing vehicles) perform the functions of adjusting the position and movement of the care-receiver for each device. Thus, the function of moving the care receiver between the devices has not been consistent. In addition, there was no information about nursing care associated with the equipment, such as how to provide nursing care using the equipment. For example, cleaning,
In the case of performing excretion assistance, etc., the cared person and the care giver were not provided with information on what position to use and how to hold the position using the device. . For this reason, it has been difficult to appropriately perform nursing care, giving anxiety to the caregiver and the cared person, and giving mental and physical fatigue.

[0003] In a nursing care vehicle, when the cared person is moved, particularly when it encounters an inclined road surface or an escalator, it cannot run or go up or down. Also, see, for example,
As in the invention described in Japanese Unexamined Patent Publication No. 255780/1992, the care receiver must be moved up and down with the care receiver facing backward with respect to the traveling direction, so that the care receiver is feared. In addition, since there was no means for transmitting and communicating information that integrated image, voice, and textual information to accurately grasp the situation of the cared person, it was particularly difficult to efficiently consult a medical institution, Furthermore, emergency response measures have not been provided, which has caused mental anxiety for the cared person and the carer. Furthermore, in a closed environment such as nursing care,
Opportunities for dialogue with third parties are reduced, but it is difficult to continue nursing care over the long term due to the lack of entertainment and other efficient means of providing a relaxing environment. Met. As described above, since there was no system technology capable of solving these problems, physical and mental loads were remarkable especially in home care.

[0004] Conventionally, there is no cooperative function between the nursing bed and the nursing mobile vehicle as the flow of nursing care service, so that each device works only with a single function, and the function itself also has that function. Since there is a shortage of services that are closely linked to nursing care services, mental and physical workload is high. Of course, the caregivers themselves only know how to use these devices to provide effective nursing care for various symptoms, only with some trained or experienced people. 50% of the elderly in need of nursing care
In the present age when nursing care is provided by the elderly over the age of one, the practice has not been maintained.

[0005] Further, since these conventional nursing care devices only consider the reduction of the physical work load of the caregiver, the care receiver is limited in that the caregiver is only burdened with the caregiver. I hate falling into a closed situation from an opportunity for dialogue. In addition, the elderly who need long-term care are not able to go to the hospital, so it is not possible to have a proper medical treatment and it is difficult to receive an efficient consultation, and as a result, medical expenses are rising.

Under these circumstances, in an aging society that is rapidly developing in the future, the proportion of home care will increase, particularly from the viewpoint of suppressing and reducing soaring medical expenses, but the medical expenses will be shared. With the declining working-age population, the public health system is in danger of collapse. On the other hand, government-sponsored public nursing care services are also in a situation where it is far from improving the environment where home care can be achieved due to tight financial conditions.
It is expected that means for solving these problems will appear as soon as possible.

[0007]

As described above, in the prior art, in various situations, the problem of imposing a mental or physical load on a caregiver or a cared person, Has not been properly performed. The present invention has been made in view of the above-described conventional circumstances, and provides a care system and a care device that can reduce the load on a caregiver and a cared person and can efficiently and appropriately perform care. It is an object.

[0008]

In order to achieve the above-mentioned object, a care system according to the first aspect of the present invention provides a care bed or a wheelchair having a function of interlocking with each other.
Monitoring means for monitoring the health status of the cared person; communication means for communicating with the outside; reception of television and radio, reproduction of video and audio, and recording and reproduction of video and audio on CD / DVD / magnetic tape. And a terminal having means for providing communication with a medical institution or the like using the terminal. In this nursing care system, a terminal is provided on a nursing bed or a nursing wheelchair, the monitoring means of the terminal monitors the health status of the cared person, and the communication means communicates with the outside. Therefore, the caregiver or the cared person can communicate with the medical institution and the like, and can also inform the medical institution and the like of the cared person's health status.

According to a second aspect of the present invention, there is provided a nursing care system comprising: a memory for holding emergency contact information; an input unit for receiving an emergency contact instruction; and a memory based on the instruction. And a communication means for simply communicating with the contact information stored in the terminal. In this nursing care system, a terminal is provided in a nursing bed or a nursing wheelchair, an input unit of the terminal receives an emergency contact instruction, and an emergency communication unit communicates with an emergency contact stored in a memory. Therefore, the cared person or caregiver can quickly communicate in an emergency.

According to a third aspect of the present invention, there is provided the nursing care system according to the first or second aspect, wherein the terminal includes a nursing bed or a nursing wheelchair.
It is characterized by being detachable and portable. In this nursing care system, the terminal can be easily attached to or detached from the nursing bed or the nursing car according to the movement of the care receiver.

According to a fourth aspect of the present invention, there is provided the nursing care system according to the first or third aspect.
The terminal transmits the monitored health status of the care receiver. In this care system, the health status of the care receiver monitored by the terminal is transmitted to a medical institution or the like. Therefore, the destination medical institution or the like can easily and appropriately grasp the health status of the care receiver.

According to a fifth aspect of the present invention, in the nursing care system according to any one of the first to fourth aspects, the terminal further includes an image capturing device for capturing an image of the care receiver. And transmitting the image to a medical institution or the like using communication means. In this care system, the communication means transmits the image of the cared person captured by the image capturing device to a medical institution or the like. Therefore, at the medical institution or the like to which the image has been transmitted, the situation of the care receiver can be appropriately grasped by the image.

According to a sixth aspect of the present invention, there is provided the nursing care system according to any one of the first to fifth aspects, wherein the terminal captures a voice and captures an image, and communicates the image together with the voice. It is characterized by communicating with a medical institution or the like using a means. In this nursing care system, the terminal captures the image together with the voice and transmits the image together with the voice to a medical institution or the like using the communication means. Therefore, in a medical institution or the like to which the image is transmitted together with the voice, it is possible to listen to the voice of the care receiver or the caregiver while grasping the situation of the care receiver by the image.

According to a seventh aspect of the present invention, in the nursing care system according to any one of the first to sixth aspects, the nursing bed or the wheelchair for nursing adjusts the posture of the care receiver. And a power generation mechanism for driving the adjustment mechanism, wherein the terminal includes a power control unit for controlling the power generation mechanism of the nursing bed or the wheelchair for nursing care. In this care system,
The power control means of the terminal can control the power generation mechanism that drives the adjustment mechanism of the nursing bed or the nursing wheelchair. Therefore, the posture of the care receiver can be easily adjusted by the terminal.

According to an eighth aspect of the present invention, in the nursing care system according to any one of the first to seventh aspects, the terminal performs an operation guide of the terminal by screen display or voice output. It is characterized in that it is possible. In this care system, the terminal guides the operation of the terminal by screen display or voice output. Therefore, the terminal can be easily operated according to the screen display or the voice output.

According to a ninth aspect of the present invention, the nursing bed is a nursing bed for laying a cared person, wherein the nursing bed has a sheet-shaped member on an upper surface thereof and moves the sheet-shaped member in a lateral direction of the bed. A transport mechanism is provided for moving the cared person, and the cared person can be conveyed in the lateral direction of the bed while being placed on the sheet-shaped member. In this nursing bed, the transport mechanism moves the sheet-like member provided on the upper surface of the bed in the lateral direction of the bed. Therefore, the care receiver can be easily transported in the lateral direction of the care bed.

According to a tenth aspect of the present invention, there is provided a nursing bed for laying a care receiver, wherein the nursing bed has a sheet member on an upper surface thereof.
A transport mechanism for moving the sheet-shaped member in the vertical direction of the bed is provided, and the cared person can be transported in the vertical direction of the bed while being placed on the sheet-shaped member. In this nursing bed, the transport mechanism moves the sheet-like member provided on the upper surface of the bed in the bed vertical direction. Therefore, the care receiver can be easily transported in the longitudinal direction of the care bed.

A care bed according to a eleventh aspect is a care bed including a manipulator having a plurality of joints, wherein the manipulator is jointed by crimping the arms joined by the joint. A plurality of brake means for fixing the arm, a plurality of cam mechanisms for pressing the arms together by the brake means in a predetermined form, a wire connected to the cam mechanism and sliding to change the form of the cam mechanism, And a slide means for simultaneously sliding wires connected to the cam mechanism. When the wires are slid by the slide means, a plurality of joints adjust the crimp timing of the brake means simultaneously or simultaneously. Is adjusted to be fixed or released. In this care bed, when the wire is slid by the sliding means, the wire causes the plurality of cam mechanisms to assume a predetermined form, and the joint is fixed by the braking means. Therefore,
A plurality of joints can be fixed or released at the same time by an easy operation such as sliding by the sliding means.

In the nursing bed according to the twelfth aspect, in the nursing bed for laying a cared person, a bed mat at the center of the bed is manually detached, and a toilet bowl for storing excrement thereunder and excretion at the time of excretion are provided. Equipped with a tank having a liquid for cleaning the part and its spray nozzle, and an air pump and a heating device provided in the nursing bed and a drying nozzle whose temperature and air amount are controlled by a control device thereof, so that excrement can be easily and hygienically provided. An air pump for suctioning the vacuum with a substantially vacuum, a nozzle for reducing the sound at the time of suction, and a soundproofing material are arranged around the disposable excrement pack to reduce noise.

Further, the air mat according to claim 13 is:
In an air mat provided on a nursing bed for laying a care receiver, the air mat includes a plurality of cells that hold air therein, and some of these cells are formed of a material having air permeability. Further, a supply source for supplying air to each cell is provided, and by supplying air from each supply source to each cell, the distribution of pressure applied to the care receiver by the air mat when the care receiver is placed on the air mat. And air can be blown out from the air mat to the cared person to allow ventilation between the cared person and the bed surface.

The air mat according to claim 14 is:
In an air mat provided on a nursing bed for sleeping a care receiver, the control unit sends air sent from an air pump to a pressurized tank via an electromagnetic valve, and maintains a predetermined pressure with a pressure sensor. The pressurized air is further maintained at a predetermined temperature by a heater through an electromagnetic valve and monitored by a temperature sensor, and then inserted into and discharged from an air mat for preventing floor rubbing, thereby forming the mat shape and simultaneously adjusting the air pressure. By releasing air whose temperature has been controlled through a pressure sensor and a temperature sensor from a part of the mat, the heat and moisture trapped between the care receiver and the mat are eliminated, and the unevenness and its shape The floor material is prevented from rubbing from the surface material, and the body temperature of the care receiver is adjusted by the air temperature in the mat.

Further, the nursing wheelchair according to claim 15 is:
A self-propelled nursing wheelchair having a power source, a care receiver operation unit for receiving an instruction from the care receiver for operating the travel, and an instruction from the caregiver for operating the travel. A caregiver operation unit for accepting the caregiver, and priority processing means for controlling travel by giving priority to the instruction input from the caregiver operation unit over the instruction input from the care receiver operation unit. Is given priority over the traveling operation by the cared person. In this care wheelchair, the priority processing means controls the traveling by giving priority to the input of the traveling operation instruction by the caregiver from the operation section for the caregiver to the input of the traveling operation instruction by the cared person from the operation section for the cared person. . Accordingly, the operation of ensuring the emergency safety by the caregiver can be reflected in the traveling operation of the nursing wheelchair.

The nursing wheelchair according to claim 16 is
In a nursing wheelchair for moving a cared person while seated, a seat portion for seating the cared person, an extendable leg supporting the seat portion, and a length of the leg by operating a power source. Adjusting means for expanding and contracting, an inclination angle sensor for detecting the inclination angle of the seat, and a horizontal means for adjusting the length of the legs by the adjusting means to maintain the seat substantially horizontal based on the detection result of the inclination angle sensor. And control means. In this wheelchair for nursing care, based on the inclination angle of the seat detected by the inclination angle sensor, the horizontal control means expands and contracts the length of the legs by the adjusting means to keep the seat substantially horizontal. Therefore, the care receiver can be seated substantially horizontally when ascending or descending by the escalator or traveling on an inclined road surface.

The nursing wheelchair according to claim 17 is
In a nursing wheelchair for moving a cared person while seated, a foot holding section for holding the cared person's foot when the cared person is seated, and a power source to operate the leg of the chair. Adjusting means for extending the length, a sensor for detecting an obstacle, and, based on the detection result by the sensor, increasing the height of the chair by extending the length of the leg by the adjusting means, thereby obstructing the foot holding portion. Contact avoiding means for avoiding contact with the contact. In this wheelchair for nursing care, the contact avoiding means extends the length of the leg by the adjusting means to increase the height of the chair, thereby avoiding contact of the foot holding portion with the obstacle. Therefore, obstacles can be avoided without affecting the care receiver who holds the foot in the foot holding unit.

The care system according to claim 18 is
A nursing system comprising a nursing bed and a nursing wheelchair, wherein the nursing bed has a sheet-shaped member on an upper surface thereof and transports the care receiver between the nursing bed and the nursing wheelchair. A transport mechanism for moving the sheet-like member in the lateral direction of the bed, and capable of transporting the cared person in the lateral direction of the bed with the cared person placed on the sheet-like member; Having a sheet-shaped member, and having a transport mechanism for moving the sheet-shaped member in the lateral direction of the chair, and capable of transporting the care receiver in the lateral direction of the chair with the cared person placed on the sheet-shaped member, A mechanism for connecting the power source provided on the nursing bed or the nursing wheelchair to the other transport mechanism in a state where the nursing bed and the nursing wheelchair are arranged side by side close to each other, and the connection is ensured. That you recognize that The difference is Yes then attached to long-term care bed side,
If the connection is not reliable, a signal is sent to the power control unit of the nursing bed or nursing wheelchair, and a safety mechanism that does not drive the transport mechanism is provided, and the nursing bed and nursing wheelchair transport mechanism are operated by one power source. The cared person is synchronously transported between the care bed and the wheelchair for care. In this nursing care system, the power source provided in the nursing bed or the nursing wheelchair is connected to the other transport mechanism in a state where the connecting mechanism arranges the nursing bed and the nursing wheelchair in close proximity and side by side. By operating the transport mechanism of the nursing bed and the nursing wheelchair by the power source, the care receiver is synchronously transported between the nursing bed and the nursing wheelchair. Therefore, the care receiver can be easily and appropriately transported between the care bed and the care wheelchair.

According to a nineteenth aspect of the present invention, there is provided a multidirectional clutch speed reducer for use in a nursing bed or a nursing mobile vehicle, wherein a drive output from a main motor and a submotor by a control unit and a controller, respectively. The force is reduced to a predetermined speed by several reduction gears provided in the case, a plurality of output ends are prepared, each clutch is attached, and the output shaft of the clutch is joined to the output shaft, and the necessary By turning on or off the clutch at the output end by a signal from the control unit or the controller, multiple outputs can be transmitted compactly and efficiently with a drive source having less than the required number of output functions.

[0027]

DESCRIPTION OF THE PREFERRED EMBODIMENTS An outline of a care system according to one embodiment of the present invention will be described with reference to FIGS. As shown in FIG. 1, this nursing care system includes a nursing care information system 1 for providing various functions, a nursing care vehicle 2 for sitting and moving a cared person, and a nursing care for sleeping the cared person. The nursing care information communication system 1 is small and lightweight, and can be attached to and detached from the nursing care vehicle 2 or the nursing care bed 3.
FIG. 1 shows two types of nursing beds as examples of the nursing bed 3.

The nursing care vehicle 2 cooperates with a self-propelled self-propelled mechanism, an adjustment mechanism for adjusting the position of the care receiver, a power generation mechanism for driving the adjustment mechanism and the self-propelled mechanism, and a care bed 3. It has a mechanism and a function for carrying the cared person between them. The care bed 3 includes an adjustment mechanism for adjusting the position of the care receiver, a power generation mechanism for driving the adjustment mechanism, a mechanism and a function for cooperating with the nursing vehicle 2 and transporting the care receiver between the two. Have. The care information communication system 1 has software 4 that describes the following functions so as to be executable. That is, the nursing care information communication system 1 executes the software 4 to provide an entertainment function such as receiving a television or a radio, a communication function for performing communication communication with the outside using wireless or wired communication, and a health care receiver's health. Cared person monitoring function for monitoring the situation, emergency call function for making emergency contact to a predetermined emergency contact, care information providing function for providing information on care, guidance providing function for providing guidance on operation of the care information communication 1 system , A control instructing mechanism for instructing control of the nursing bed 3 and the nursing mobile vehicle 2 and the like.

Hereinafter, the above-mentioned care system will be described in detail. First, the care bed 3 will be described in detail. As shown in FIGS. 8 and 9, the nursing bed 3 includes a bed frame 100, an air mat 101 for containing the air inside and allowing the cared person to lie on the top, and moving the cared person in the lateral direction of the bed. Body transport belt (sheet-like member) 103
A body moving pressure air cell 102 for pressing the body transport belt 103 against the cared person, an excretion processing section 104 for performing excretion-related processing, a manipulator 105 for supporting the body position of the cared person, and a manipulator A manipulator rail 106 for moving the car 105, an interface unit 130 for connecting the data communication path with the care information communication system 1 and the car 2 for care, and a bed for adjusting the posture of the cared person A driving mechanism 107, a remote control / operation panel 108 for receiving various instructions in the nursing bed 3, and a main motor 123 for generating power
, A reducer / multi-output clutch 125 for transmitting power generated by the main motor, a pump 124 for sucking and discharging air, and an electromagnetic valve 1 for adjusting a path of air.
26, a heater 127 for warming the air, a pressurized tank 128 for holding the compressed air, a vacuum tank 129 for holding the vacuum state, and a control unit 109 for controlling the above components.
Safety fence 11 to prevent the care recipient from falling out of the care bed
0, and a table 111 for holding a support base on which the care information communication system is mounted.

The bed driving mechanism 107 includes a bed up-and-down actuator unit 150 shown in FIG. 10, a backrest actuator unit 200 and a knee bending actuator unit 201 shown in FIG. 11, and a posture vertical movement shown in FIG. Actuator section 250 and postural lateral tilt actuator shown in FIG.
Data unit 300 and the body position left / right moving actuator shown in FIG.
Data section 350.

Bed vertical actuator unit 150
Is, as shown in FIG. 10, a first support 151 and a first support 151.
Slide 152, telescopic gear bar 153, telescopic stat 154, first gear 155, first worm gear 15
6, a second support 157, a first link 158, a second link 159, a telescopic hinge 160, a third support 161, a belt 162, a fourth support 163, and a fifth support 164. With the power generated by the main motor 123 and transmitted through the speed reducer / multi-directional clutch 125, the above-described portions are driven to adjust the bed height of the nursing care bed 3. The bed vertical actuator 150 is provided with a mechanism (so-called mechanical stopper) that cannot adjust the bed height beyond a predetermined limit.

The backrest actuator unit 200 is shown in FIG.
As shown in FIG. 1, a backrest gear 202, a fourth vertical slide gear 205, a backrest worm shaft 206
And a backrest crank 208 and a backrest backplate 210, and the main motor 1
23, generated by the reducer / multi-directional clutch 125
The above-mentioned parts are driven by the power transmitted through the, and the angle of the backrest of the care bed 3 is adjusted. The backrest actuator unit 200 is provided with a mechanism (a so-called mechanical stopper) that cannot adjust the angle of the backrest beyond a predetermined limit.

The knee bending actuator 201 is shown in FIG.
, A knee bending gear 203, a third vertical sliding gear 204, a knee bending worm shaft 207, a knee bending crank 209, and a knee bending folding plate 211.
With the power generated by the main motor 123 and transmitted through the speed reducer / multi-directional clutch 125, the above-described parts are driven to adjust the knee bending angle of the care bed 3. The knee bending actuator 201 has a mechanism (so-called mechanical stopper) that cannot adjust the knee bending angle beyond a predetermined limit.
Are formed.

The posture vertical movement actuator section 250 includes:
As shown in FIG. 12, the upper and lower rollers 251, the lower roller 252, the upper floor shaft 253, the lower floor shaft 254, the upper and lower belts 255, the lower and upper belts 256, and the drive worm shaft Upper 257,
Drive worm shaft lower 258, 1-1-1 intermediate gear 2
59, a 1-2 intermediate gear 260, a 1-1 vertical slide gear 261, and a 1-2 vertical slide gear 262
, Body position up and down movement sheet 263, sheet hook 264
, A roller hook 265, a proximity sensor upper 266, a proximity sensor lower 267, a pressure sensor upper 268, and a pressure sensor lower 269.

This posture vertical movement actuator section 250
Then, the roller hooks 265 of the upper and lower moving rollers 251 and 252 are engaged with the sheet hooks 264 of the body position moving sheets 263 to lie on the body position moving sheets 263. The cared person can be moved in the vertical direction (vertical direction) on the bed surface. That is, in the body position vertical movement actuator section 250, the power generated by the main motor 123 and transmitted through the speed reducer / multidirectional clutch 125, the vertical movement roller 251 and the vertical movement The lower moving roller 252 is driven, and the body position vertical moving sheet 263 is wound around the vertical moving roller upper 251 or the vertical moving roller lower 252. It can be moved up and down the surface.

As shown in FIG. 13, the body posture laterally inclined actuator section 300 includes a first posture gear 301, a second posture gear 302, a first intermediate gear 303, and a second intermediate gear 30.
4, a first vertical slide gear 305, a second vertical slide gear 312, a first laterally inclined worm gear 313, a second laterally inclined worm gear 314, a first universal joint 315, a first intermediate shaft 317, 1 tilt drive gear shaft 318, bed mat 319, second intermediate shaft 320, tilt drive gear shaft 321
, Back plate 210 and back support 3
16 are driven by the power generated by the main motor 123 and transmitted through the speed reducer / multidirectional clutch 125,
The backrest and waist of the nursing bed 3 are adjusted for the lateral inclination angle. Further, when the drive unit including the main motor 123 and the speed reducer / multidirectional clutch 125 is not activated via the control unit 109, the mechanical tilt adjusters 322 having the handle 323 and the drive shaft receiving port 324 are respectively moved to the first tilt. A key provided in the drive shaft receiving port 324 is fitted into a key groove 325 provided at the end of the drive gear shaft 318 and the tilt drive shaft 321 on the tail plate 121 side, and the handle 323 is manually turned to adjust to a desired tilt angle. . It should be noted that the postural lateral tilt actuator section 300 includes:
A mechanism (a so-called mechanical stopper) that cannot adjust the lateral inclination angle beyond a predetermined limit is formed.

The body position left / right movement actuator section 350
As shown in FIG. 14, a right and left moving roller 351, a left and right moving roller left 352, a pivot shaft right 353,
Pivot shaft left 354 and pivot belt right 355
, Pivot belt left 356, intermediate shaft right 357
, Intermediate shaft left 358, drive transmission belt right 359
, A drive transmission belt left 360, a 2-1 vertical slide gear 361, a 2-2 vertical slide gear 362, a left / right drive main gear 363, and a roller reverse rotation clutch 3.
64, a right roller transmission belt 365, a right roller transmission gear 366, an interlock crank 367,
1 drive interface belt 368, 1-2 drive interface belt 369, mobile vehicle interlock / safety shelf switch 370, 1-1 spring 37
1, a pin shaft 372, and a pin case 373. The right and left moving roller 351 and the left and right moving roller left 352 have the body transport belt 103 described above.
Has been passed over.

The body position left / right moving actuator section 350
The right and left moving rollers 351 and 352 are driven by the power generated by the main motor 123 and transmitted through the speed reducer / multidirectional clutch 125 via the above-described gears and the like, and the body transport belt 103 is driven. To the side of the bed, and through gears, etc.
The interlock crank 367 is driven to enable transmission of power to the outside. Further, when the interlock crank 367 is driven by external power, the body position left / right moving actuator section 350 drives the right / left moving roller right 351 and the left / right moving roller left 352 via gears and the like, and carries the body. The belt 103 is moved in the lateral direction of the bed.

The control unit 109 has a function of integrally controlling each functional unit shown in FIG. A detailed description of the function will be given in the description below. The remote controller / operation panel 108 is provided on the side surface of the foot of the nursing bed 3, and as shown in FIG. -401, a bed up / down key 403 for giving an instruction to adjust the floor height of the nursing bed, a back angle adjustment key 404 for giving an instruction to adjust the back angle, and a knee bending angle. A knee bending angle adjustment key-405 for giving an instruction, and a body position left / right position adjustment key-40 for giving an instruction to move the care receiver laterally on the bed surface.
6, a posture position up / down position adjustment key 409 for giving an instruction to vertically move the care receiver on the bed surface, and a body position left / right inclination key 408 for giving an instruction to adjust the left / right / lateral inclination angle.
Further, a moving vehicle moving key 411 for setting the body transporting movement with the nursing moving vehicle, an air mat pressure key 410 for giving an instruction to adjust the pressure of the air mat, a pressure of the floor mat preventing air mat and the like are adjusted. And an input key 415 for performing an adjustment instruction at the time of adjustment, and a controller 412 and a switch board 413 are provided therein. ,
An interface unit 414 is provided to send various instruction inputs to the control unit 109, and receive and display information from the control unit 109.

Next, the nursing bed for adjusting the bed height of the nursing bed, adjusting the backrest angle, adjusting the knee bending angle, adjusting the longitudinal movement on the nursing bed, and adjusting the posture left / right / lateral inclination angles. Operation 3 will be described. First, on the remote control operation panel 108, the caregiver or the cared person operates the bed up / down key 403 and the back angle adjustment key.
When any of 404, knee bending angle adjustment key-405, body position up / down position adjustment key-409, and body position left / right / lateral inclination angle adjustment key 408 is pressed, a signal corresponding to the pressed key of controller 412 is issued. The control unit 109 sends the signal to the control unit 109 located in the bed frame 100 via the interface unit 414, and receives the signal. The control unit 109 determines an actuator unit for transmitting power based on the signal.

That is, when the caregiver or the care-receiver presses the bed up / down key 403, power is transmitted to the bed up / down actuator unit 150, and the backrest angle adjustment key 404 is pressed. Power is transmitted to the backrest angle adjustment actuator unit 200,
When the knee bending angle adjustment key-405 is pressed, power is transmitted to the knee bending angle adjustment actuator unit 201,
When the body position vertical position adjustment key 409 is pressed, power is transmitted to the body position vertical movement actuator section 250,
When the body position left / right / sideways tilt angle adjustment key 408 is pressed, power is transmitted to the body position / left / right sideways tilt angle adjustment actuator unit 300.

When the adjustment key 402 is pressed by the caregiver or the care receiver, the controller 412 outputs a signal corresponding to the pressed adjustment key to the interface unit 41.
4, the control unit 109 receives the signal, controls the main motor 123 and the speed reducer / multi-output clutch 125 based on the signal, and transmits power to the actuator unit. Make various adjustments. Here, a control limit (electric stopper) for each actuator unit is set in the control unit 109 in advance. When the control unit 109 reaches this limit, the adjustment key 402 is pressed down. No further control is performed even if a signal is received indicating that safety is assured. Note that the bed up-and-down elevating actuator unit 15
0, the backrest angle adjustment actuator section 200, the knee bending angle adjustment actuator section 201, and the body position left / right lateral inclination angle adjustment actuator section 300 are equipped with a mechanical stopper, and thus are controlled by the control section 109. Even if the control fails, safety is ensured.

When adjusting the vertical position in the longitudinal direction of the upper part of the care bed, as shown in FIG. 12, the head plate 120 is provided with the proximity sensor 266 and the pressure sensor 268, and the tail plate 121 is provided with the following. A proximity sensor 267 and a pressure sensor 269 are provided, and sensors 266 to 269 detect that a part of the body of the care receiver approaches or comes into contact with the head plate 120 or the tail plate 121.
Detected and notified to the control unit 109, and the control unit 109 having received the notification controls the main motor 123 and the speed reducer / multi-output clutch 125 to stop the transmission of power, thereby ensuring safety. ing.

Next, the care receiver is moved in the short direction on the care bed.
The operation of the nursing bed 3 when the movement is adjusted in the (lateral direction) will be described. In addition, when adjusting the lateral movement on the nursing bed, there are cases where the cared person is moved only on the nursing bed and cases where the cared person is moved between the nursing care vehicle. Here, the former will be described, and the latter will be described later in the description of the nursing mobile vehicle 2.

In the remote control operation panel 108, when the caregiver or the care receiver presses the body position left / right movement adjustment key 406, a signal corresponding to the key pressed by the controller 412 is transmitted via the interface unit 414. To the control unit 109. Then, the control unit 10 receiving the signal
9 supplies air to the air cell 102 located below the conveyor belt 103 via the air pump 124, the electromagnetic valve 126, the pressurized tank 128, and the heater 127. In addition,
The supplied air is supplied to a pressure sensor 502 shown in FIG.
And the control unit 1 according to the detection result by the temperature sensor 503.
Reference numeral 09 denotes a controller for controlling the pressurizing tank 128 and the heater 127 to a predetermined temperature and a predetermined pressure. And
The air cell 102 expands due to the supply of air,
As a result, the transport belt 103 located above the air cell 102 is pressed against the care receiver, and the transportee can be easily transported according to the lateral movement of the transport belt 103.

When the adjustment key 402 is pressed by the caregiver or the care receiver, the controller 412 outputs a signal corresponding to the pressed adjustment key to the interface unit 41.
4, the control unit 109 which has received the signal transmits power to the body position left / right moving actuator unit 350 based on the signal to move the transport belt 103. The operation of moving the conveyor belt 103 is performed only after the control means 109 confirms that the vehicle interlock / safety fence switch 370 is turned on. The mobile vehicle interlock / safety fence switch 370 is constituted by a microswitch and is provided in the interlock slider receiving portion on the side of the care bed 3 so that the care receiver does not fall from the care bed 3. If a safety fence 110 is installed for
Alternatively, as described later, the nursing care vehicle 2 and the nursing bed 3
When the interlock crank 367 is securely connected, the switch is turned on.

When the adjustment of the body position in the horizontal direction is completed, the control unit 109 controls the electromagnetic valve 126 to bleed the air from the air cell 102, so that the surface between the air mat 101 and the conveyor belt 103 is leveled. When the floor rubbing prevention air mat 500 described below is laid on the air mat 101, the floor rubbing prevention air mat 500 is made horizontal so as not to hinder the lying state of the care receiver. I have to.

The nursing bed 3 is provided with a floor rubbing prevention air mat 500 on the upper surface of the bed to prevent the care recipient from rubbing the floor. As shown in FIG. 18, the floor rubbing prevention air mat 500 includes a cell 501 having a large number of small holes formed in a surface in contact with a care-receiver, and a cell having no holes formed therein. Are alternately arranged, and further provided with a pressure sensor 502 and a temperature sensor 503 for measuring the air temperature and air pressure in the air mat 500 for preventing floor rubbing. Then, in the nursing bed 3, each cell of the floor rubbing prevention air mat 500 includes a heater 127, an electromagnetic valve 126,
The control means 109 is connected to an air pump 124 via a pressurized tank 128 and the like,
Control the temperature and pressure of the air supplied to the air conditioner, the blowing of air, and the like.

That is, on the remote control operation panel 108, the floor rubbing prevention key 40
7 is pressed, the controller 412 causes the display device 40
At 0, a screen for accepting the setting of the temperature and pressure of the air supplied to the floor rubbing prevention air mat and the setting of the presence / absence of the air blowing is displayed. In addition,
In the present embodiment, a screen as shown in FIG. 104 displayed by the care information communication system 1 described later is displayed. Next, when an instruction is received by the adjustment key 402 and the input key 415, the controller 412 outputs a signal corresponding to the instructed setting to the interface unit 414.
The control unit 109 receives the signal and activates the air pump 124, and the electromagnetic valve 12
6. Air is inserted through the pressure tank 128 and the heater 127 into the floor rubbing prevention air mat 500 according to a signal. Here, when the signal includes an instruction to perform air blowing, the control unit 109 causes the air to be inserted into the cell with the hole and the cell without the hole, and When the instruction to perform the blowing is not included, the air is inserted into the cell having no hole, and when inserting the air, it is necessary to maintain the inserted air at the specified temperature and pressure. , Control unit 109
The air temperature and the air pressure are detected by the temperature sensor 503 and the pressure sensor 502 disposed in the air mat 500 for preventing floor rubbing, and the heating is adjusted by the heater 127 in accordance with the detected values, and inserted into the cell by the pressurized tank 128. Adjust the amount of air to be applied.

Thus, the body of the care receiver lying on the bed can be maintained at the specified pressure and temperature by the cell 501 having no holes, and the pressure of the air supplied to the cell is changed. Thus, the pressure distribution applied to the care receiver by the floor mat preventing air mat can be changed, and floor rubbing can be prevented. In addition, air at a predetermined temperature can be blown out of the cell in which the hole is formed, whereby moisture and heat trapped between the care receiver and the floor mat for preventing floor rubbing can be removed. Can be removed, and rubbing on the floor can be more effectively prevented.

The nursing bed 3 is provided with a manipulator 105 for maintaining the position of the care receiver when performing cleaning, bedding / clothing change, assisting in excretion, and the like. Hereinafter, the manipulator 105 will be described in detail with reference to FIG. The manipulator 105 includes a stay (post) 450, an arm 451, and a first node (joint) 4.
52, a hand hinge 453, a hand 454, a manipulator base (pedestal) 455, and a roller 456.
, Link wire 457, first tension spring 458, open leg spring 459, spring lock cover 460, open leg brake 461, first arm 4
62, a second arm 463, a fixed base 464, a center shaft 465, an unlock spring 466,
Brake shoe 467, slider 468, slider guide pin 469, cam 470, camshaft 4
71, a plate 472, a cover 473, a slide knob 474, a pivot 475, a hook 476, a wiring 477, a first hand spring 478,
Second hand spring 479 and hand shaft 480
And a hinge pin 481.

The manipulator 105 can be moved on a manipulator rail 106 disposed on the floor in the longitudinal direction of the nursing care bed 3 by a roller 456 attached to the manipulator base 455. The manipulator base 455 has a stay 450 connected via a cylindrical bearing so as to be able to rotate in the yaw direction. In the vicinity of the manipulator base 455 of the stay 450,
The spring 459 is expanded to press the brake plate 461 against the guide of the manipulator rail 106, thereby providing a brake mechanism for fixing the movement of the manipulator 455 on the manipulator rail 106 and the rotation of the stay 450 in the yaw direction. In addition, the manipulator 10
5, an arm 451 extends from the stay 450, the arm has a number of nodes 452 between itself and another arm, and one arm joined by the node 452 has a shaft 465 inside. The other arm is mechanically rotatable around the shaft 465. Then, on the arm (fixed side) having the shaft 465, the cam 470 is rotated to expand the spring 466, and the brake 467 is pressed against the other arm to fix the movement of the node. -Has a key mechanism. Some nodes 452 can rotate in the roll direction or the pitch direction.

The manipulator 105 has a hand 454 at the end of the arm corresponding to the care receiver support side, and the hand 454 also has a joint mechanism for supporting the care receiver, and It has a brake mechanism for fixing the mechanism, and the hand 454 is normally pressed and fixed to the center by the first hand spring and the second hand spring, while each hand spring is
The hand shaft 480 is moved left and right by threading. When one end is connected to the hand hinge plate 482 and the link wire 457 connected to the hinge pinch 481 attached to the hand hinge plate 482 is pulled toward the manipulator base 455, the hand 454 is opened and can be adjusted to a free position. . Then, the manipulator 105 connects a component such as the cam 470 provided in each of the above-described brake mechanisms to apply a brake by a link wire 457, and slides the link wire 457 by a slide knob 474.
At the same time, the brake works. Note that the link wire 457 is normally pulled by a spring 458, and is in a state where the brakes of the respective brake mechanisms are applied, and the movable parts such as joints are fixed. Therefore, by manually moving the slide knob 474, all the joints and pedestals can be easily fixed or movable, and according to the contents of the nursing service,
The position of the care receiver can be easily held and fixed or released.

The excretion processing unit 10 provided in the care bed 3
4 will be described in detail with reference to FIGS. 19 and 20. The excretion processing unit 104 is disposed at the lower center of the nursing bed 3 and has an opening / closing lid 551 having an inner wall made of a soundproof material, a spring clamp 550 for keeping the opening / closing lid 551 in a closed state, and opening the opening / closing lid. Handle 5 for
62, a purifying plug 561 for manually pouring and washing water to the affected area after excretion, a drying nozzle 566 for blowing dry air, and a toilet 553 for dropping excrement.
And an excretory receptacle 554 for receiving excrement dropped on the toilet
A discharge nozzle 563 for guiding excrement from the toilet bowl 553 to the excretion receptacle 554, and a flush valve for opening and closing the passage between the toilet bowl and the excretion receptacle, 564 and flash valve 5
Flash button 567 to accept instructions to open 64
And an excrement pack 555 for holding the excrement received by the excretion receptacle 554 in a disposable manner, a guide roller 556 for allowing the excretion pack to be taken out, and a guide roller 55
6, a lock rail 558 for fixing the excrement pack 555 inside the excretion processing unit, and a shield container 560 for storing the telescopic shield 565 provided in the excretion pack 555.

The disposal of the excrement in the excretion processing section 104 will be described. When the guide roller 556 attached to the excrement pack 555 is pulled out to the outside according to the slide rail 557, the magnetic material at one end of the shield 565 of the excretion pack 555 stored in the shield container 560 is locked.
When the excrement pack 555 is completely pulled out, the magnetic material of the shield 565 is separated from the metal lock 558, and the excrement pack 555 is taken out and discarded. Can be done. In this way, since the excrement pack is covered with the lid, the excrement can be disposed of hygienically without scattering.

To use the excretion processing unit 104, usually,
Since the air mat 500 is laid on the care bed 3, it is necessary to first remove a removable portion at the center of the air mat 500. Next, the excretion processing section 1
By inserting a hand into the handle 562 at the center of the opening / closing lid 551 of 04 and lifting it up, the fixing of the opening / closing lid 551 by the spring clamp 550 is released, and the opening / closing lid 551 can be opened to allow excretion and the like. become.

Hereinafter, the operation of the excretion processing section 104 will be described. First, when the power button 570 of the operation panel 552 is pressed, the control unit 109 connected to the operation panel 552 outputs a control signal to the air pump 124 to drive it,
By pulling the air in the vacuum tank 129 through 6, the pressure in the excrement receptacle 554 and the excretion pack connected to the vacuum tank 129 is reduced. Then, when the excretion by the cared person is completed and the flash button 567 of the operation panel 552 is pressed, the control unit 109 opens the flash valve 564. As a result, a difference between the atmospheric pressure of the toilet 553 and the pressures in the excretory receptacle 554 and the excrement pack 555 occurs.
The excrement dropped into the excrement 53 is sucked into the excretion receptacle 554 through the discharge nozzle 563.

Here, since the discharge nozzle 563 has a spiral shape and its path area is temporarily widened in the suction direction, the fluctuation of the pulsating flow due to the suction of the differential pressure can be reduced, and the noise can be suppressed. can do. Further, by closing the soundproofing opening / closing lid 551, noise can be further suppressed. Therefore, noise at the time of sucking excrement can be suppressed, and irritation to the cared person can be reduced.

Next, the nursing care vehicle 2 will be described in detail. As shown in FIGS. 21 and 22, the nursing mobile vehicle 2 includes a backrest portion 600, a seat portion 601, a leg support portion 602, a step platform portion 603, and a headrest 604.
Bridge portions 605 and 6 for filling gaps between the care bed 3 and the care receiver 3 when the care receiver is transported.
06, 607, side arm 608, table 60
9, an information system support base 610 to which the nursing care information communication system 1 can be attached, a vehicle body frame section 619, an actuator section (not shown), and reducers / multidirectional clutches 612, 614, 616. , Motors 611, 613, 6
15, the drive wheel 617, the steered wheel 618, and the frame 6
19, base 620, stud 621, customer support frame 622, rear leg support 623, front leg 62
4, a rear leg 625, a front leg support 631, a battery unit 630 serving as an energy source, and a suspension unit 63
2, a wheel suspension unit 633, a joystick operation panel 627, a rear handle operation handle 626, an interface unit 629 for connecting a data communication path with the care information communication system 1 and the care bed 3, and And a controller 628 for controlling the overall operation.

The actuator section includes a front leg up-and-down actuator for extending and retracting the front leg, a leg support angle adjusting actuator section for adjusting the angle of the leg support, and a rear leg up-and-down actuator for extending and retracting the rear leg. Actuator, a backrest angle adjusting actuator for adjusting the angle of the backrest, and a body position left / right moving actuator for transporting the cared person in the lateral direction of the nursing vehicle. Some sensors have sensors such as a position sensor, a tilt angle sensor, a pressure sensor, a speed sensor, and a proximity sensor.

Next, when an escalator is encountered, or when moving on a general running surface (a running surface on which the gradient does not change suddenly), the components of the actuator unit that operates and the nursing care vehicle are used. The operation of this component of FIG.
This will be described with reference to FIGS. Actuator part,
650 in front of the visual sensor, 651 after the visual sensor, 651 before the tilt angle sensor, 662 before the tilt angle sensor, 663 after the tilt angle sensor, a front leg telescopic drive belt 664, a rear leg telescopic drive belt 665, a front leg drive transmission gear 666, and drive transmission An intermediate gear 667,
A rear leg drive transmission gear 668, a synchro belt 669,
Drive transmission belt, 670, front leg synchro gear 671
And a rear leg synchro gear 672, a position sensor 673,
A first cylinder 674, a first screw engagement prevention ring 675 fitted to a lower end thereof, and a second cylinder 67
6, a second screw engagement prevention ring 677 fitted to the lower end thereof, a third cylinder 678, a first stopper 679, a second stopper 680, a third stopper 681, a leg length drive shaft 682, and a leg pivot. And a belt 683.

The nursing care vehicle 1 detects an obstacle and its height by visual sensors 650 and 651 provided before and after the nursing care vehicle, and uses the inclination angle sensors 662 and 663 to detect the obstacle. (Seat 601)
59, the controller 628 stores the accumulated change in the inclination angle in its own memory as shown in FIG. 59, and further compensates for the inclination angle to maintain the seat 601 horizontal. In addition, a command to adjust the length of the front and rear legs in order to prevent the step 603 from coming into contact with an obstacle is transmitted to the speed reducer / multidirectional clutch 6.
14, 616 and the sub motors 613, 615. Then, the reduction gear / multi-directional clutch 61 receiving the notification
4, 616 and the sub motors 613, 615 generate power in accordance with the command by the front / rear leg up / down actuator unit 624,
625 to adjust the length of the front and rear legs. Here, the actual stroke amount is determined by the position sensor 673 that arrives at the stroke portions of the front and rear leg actuator portions 624 and 625, and the stroke amount is fed back to the controller 628 to receive feedback. Controller 6
Reference numeral 28 gives an instruction to adjust the front and rear legs so that the inclination angle sensors 662 and 663 can detect and maintain the horizontal position. In addition,
The above operation is performed whether the nursing care vehicle is moving forward or backward. Therefore, it is possible to prevent the collision of the stepping platform with obstacles and to keep the cared person's posture riding the nursing care vehicle substantially horizontal, thereby improving the riding comfort and suppressing anxiety given to the cared person. Can be.

Next, components of the nursing care vehicle 2 for performing a traveling operation and an instruction operation of the traveling operation, and operations by these components will be described with reference to FIGS. As shown in FIG. 28, the nursing care vehicle 2 includes
18, a drive shaft 750, and a first steering ring 752.
A second steering ring 753, a steering drive gear 754,
A steering intermediate gear 755, an electric wiring 756, a front wheel brake 757 for stopping the rotation of the front wheel, a rear wheel brake 758 for stopping the rotation of the rear wheel, and a side arm 608 of the nursing care vehicle operated by the care receiver. A joystick operation panel 627 attached and a sub-mouse for generating power for steering the steered wheels according to a steering instruction by a joystick input.
613, a speed reducer / multi-directional clutch 614, and a rear traveling operation handle 6 attached to the rear of the vehicle operated by a caregiver.
26, a wire link 751 for transmitting a steering input by operating the rear traveling operation handle 626 to the steered wheels, a touch (pressure) sensor 760, a traveling command path switching circuit 761, a speed sensor 762, and a power for traveling. A main motor 611 that is generated and a controller 628 that integrally controls each unit are provided.

The joystick operation panel 627 is shown in FIG.
This will be described with reference to FIG. Joystick operation panel 6
27 is a joystick 800, a direction plate 801,
High-speed button 802, middle-speed button 803, low-speed button 804, backrest mode key 805, foot-up mode key 806, moving vehicle height up / down key 807, body position moving mode key 808, escalator elevating mode key 8
09, a battery remaining amount display 810, a body posture preparation good display 811, an operation mode display 812, a joystick controller 813, a switch board 814,
An interface board 815, a display device 816,
Power button 817, adjustment / selection key 818, hook 819, hook bar 820, hinge ball 821
, Spring 822, base 823, pivot 8
24.

The rear running operation handle 626 will be described with reference to FIG. The rear traveling operation handle 626 includes a handle 850, a center panel 851, a horn 852, a center pole 853, an escalator elevating mode key 854, a high speed button 855, a middle speed button 856, a low speed button 857, and a remaining battery. Quantity display 85
8, power button 859, interface board 8
60, a switch board 861, a display device 862,
It has.

The operation of the nursing care vehicle 2 will be described mainly with reference to FIG. In this nursing care vehicle 2, when there is no traveling operation input from the rear traveling operation handle 626, the traveling instruction path switching circuit 761 connects the traveling instruction path between the joystick operation panel 627 and the controller 628. , Joystick operation panel 6
The signal according to the operation instruction from the controller 27 is sent to the controller 628.
Received, and performs travel control according to the signal.

When the controller 628 receives an input signal from the rear traveling operation handle 626 via a wire, the traveling instruction path switching circuit 761 connects a traveling instruction path between the controller 628 and the rear traveling operation handle 626. At the same time, the controller 628 disconnects the electromagnetic clutch that is transmitting to the steering drive gear 754 of the speed reducer / multidirectional clutch 614 connected to the sub motor 613. Therefore, the initiative of the running operation can be changed from the joystick operation panel 627 operated by the care receiver to the rear running operation handle 626 operated by the caregiver. Also, the rear traveling operation handle 6
It is possible to prevent the influence of the sub motor 613 on the traveling operation input for the steering by the steering wheel 26. Thus, in an emergency, the traveling operation of the caregiver can be appropriately reflected, and safety can be ensured.

Next, the nursing care vehicle 2 and the nursing bed 3
With reference to FIG. 26 and FIG. 27, a description will be given of a component for transporting the care receiver and the operation by the component. Since the configuration of the nursing bed 3 itself has been described above, the description is omitted here, and the configuration of the nursing care vehicle 2 will be described. The nursing care vehicle 2 includes a shoulder conveyance roller 700.
, A seat conveyance roller 701, and a leg conveyance roller 702.
, Shoulder bridge gear 703, and seat bridge gear 70
4, leg bridge gear 705, bridge belt 70
6, an intermediate pivot gear shaft 707, a universal joint 708, an intermediate gear shaft 709, a first drive transmission belt 710, and a second drive transmission belt 711.
, A third drive transmission belt 712, and a drive intermediate shaft 713
, Transport drive gear 714, interface gear 71
5, interlock case 716, hinge 717
, A lock 718, a slider 719, a lock spring 720, a lock cam 721, a slide lock knob 722, a slider fixing base 723, a first transport belt 724, a second transport belt 725, and a third transport belt 726. A first conveyor belt holder 727, a second conveyor belt holder 728, a third conveyor belt holder 729,
It has.

The nursing care vehicle 2 includes a main motor 61
1 through the above-described gears and the like, the shoulder conveyance roller 700, the seat conveyance roller 70, and the like.
1. The leg conveyor rollers 702 are driven to move the conveyor belts 724, 725, and 726 wound around each roller, and the interface gear 715 is driven via gears to transmit power to the outside. to enable. In addition, when the interseat gear 715 is driven by external power, the nursing care vehicle 2
The shoulder conveyance roller 700, the seat conveyance roller 701, and the leg conveyance roller 702 are driven to move the conveyance belts 724, 725, and 726 wound around each roller.

Next, the transfer of the care receiver performed by the nursing care vehicle 2 and the nursing bed 3 will be described. First, in preparation for carrying, the care bed 3 and the nursing mobile vehicle 2 are placed sideways, and the nursing bed 3 and the nursing mobile vehicle 2 are connected to a drive mechanism by an interlock crank 367, an interface gear 715, and the like. Interfaces 629 and 13 of nursing care vehicle 2 and nursing bed 3
0 is connected via a connection cable or the like. In the preparation described above, the leg support 602 of the nursing care vehicle 2 is pulled up, the backrest 600 is depressed, and the backrest 600, the seat portion 601, and the leg support 60 of the nursing care vehicle 2 are lowered.
2 is set to be substantially horizontal, the height of the nursing care vehicle 3 is adjusted to be the same as that of the nursing care vehicle 3 with the nursing care vehicle 2 being horizontal, and the detachable side arm 608 of the nursing care vehicle 2 is removed. Bridges 605, 606, and 607 that bridge the gap between the nursing care vehicle 2 and the nursing care bed 3 are lowered, and the safety fence 11 of the nursing care bed 3 is located at a position where the nursing care vehicle 2 is laid.
Remove 0.

After the preparation is completed, the body position mode key 808 of the joystick operation panel 627 of the nursing care vehicle 2 and the remote control operation panel 1 of the nursing bed 3
When the nursing care information communication system 1 is connected to the body position adjustment key 411, the nursing care vehicle, or the nursing bed, a bet or a body movement selection button to be described later is pressed. Then, the transport operation is started. The operation is slightly different depending on the pressed key and button. Here, the operation when the body position mode key 808 of the nursing care vehicle 2 is pressed will be described. First,
When the body position mode key 808 is pressed, the control
628 asks the control unit 109 of the nursing bed whether or not the mobile vehicle interlock / safety fence switch 370 is turned on, and confirms that the connection of the drive mechanism between the nursing mobile vehicle 2 and the nursing bed 3 is reliable. Check whether or not.

As a result, only when the switch 370 is turned on, it is determined whether the motor for the nursing care vehicle 2 or the motor of the nursing bed generates power for the transport operation. Joystick operation panel 6
27, by selecting the remote control operation panel 108 of the nursing care bed or the nursing care bed or nursing care vehicle operating mode of the nursing care information communication system 1 if connected, the controller 628 generates power to the selected motor, The transport belt 72 of the nursing vehicle 2 is driven by the power via a gear or the like.
4, 725, 726 and the body transport belt 103 of the nursing bed 3 are moved. Here, since both the belts are driven by the motor of either the nursing care vehicle 2 or the nursing care bed 3, the movements of the belts can be synchronized. Therefore, the care receiver on the belt can be transported safely and easily between the nursing care vehicle 2 and the nursing bed 3.

Next, the structure of the speed reducer / multidirectional clutches 125, 612, 614, 616 used in the above-mentioned nursing care bed 3 and nursing care vehicle 2 will be described in detail with reference to FIG. This reduction gear / multi-directional clutch 12
5, 612, 614, and 616 are simple, compact, and reliable drive transmission mechanisms that sequentially correspond to a large number of outputs with a small number of drive sources (the number of motors). 903, a reduction gear 901 having a transmission shaft and a reduction function, a plurality of output shafts 902 for transmitting power to a drive mechanism to which power is transmitted, and an electromagnetic clutch 900 for connecting and disconnecting power transmission to the output shaft
And Therefore, in this speed reducer / multidirectional clutch, by controlling the connection or disconnection of the clutch according to the drive mechanism that transmits the power, the power can be simultaneously transmitted to a plurality of drive mechanisms by one motor, Also, power can be transmitted to a plurality of types of drive mechanisms by one motor.

Next, the care information communication system will be described in detail. As shown in FIG. 4, the care information communication system 1 has an aperture 1 for video projection on its front surface.
0, radio / audio key 11 and television key 12
, A TV / phone key 13, a fax ski 14,
PC communication key 32, video key 34, care information key 26, numeric keypad 24 for inputting numerical values and symbols, direction key 23 for selecting and inputting data, and selection key 21
, Input key 22, stop key 15, play key 16
Record / record key 17 and rewind / fast forward key 18
A tuning key 19; a volume key 20; a power key 31; , An emergency call key 30 for making an emergency call, a spare function key 35 for assigning a spare function, and a display device 27.
, A microphone 33, and a speaker 25.

As shown in FIG. 5, the care information communication system 1 has a printer port 39 for connecting to a printer and a video tape port 38 for connecting to a video tape recorder on the back. , DVD / CD
DVD / CD port 41 for connection to drive
, A keyboard port 43 for connecting to a keyboard, and a modem port 50 for connecting to a modem.
, A nursing bed port 37 for connecting to a nursing bed, a nursing vehicle port 42 for connecting to the nursing vehicle 2, and an RS232C for connecting to various other terminal interfaces. A port 40, a PC card 44 for connecting to a PC card, a blood pressure / pulse sensor port 46 for connecting to sensors for measuring blood pressure, pulse, and body temperature, and a sensor for measuring weight. A weight sensor port 45 for connection, a urine volume sensor port 48 for connection with a sensor for measuring urine volume, a urine transparency sensor port 49 for connection with a sensor for measuring urine transparency, The information communication system includes an attachment section 51 for attaching the information communication system to the nursing care bed 3, the nursing care vehicle 2, or an independent stand, and an aperture 10 for video projection.

As shown in FIG. 6, an internal configuration of the care information communication system 1 includes a radio wave receiving / transmitting device 59 for transmitting and receiving by radio communication waves, and voice, image,
And a modem 60 for transmitting and receiving character data, a noise removing unit 53 for removing noise of received data, an amplifier 62 for amplifying audio data, and a tuner unit 54 for adjusting a receiving band for broadcast waves. A data compression / decompression unit 55 for compressing / decompressing image, voice and character data, a speaker unit 25 for outputting voice, a display device 27 for displaying information, and a microphone for capturing voice from outside 3
3, a video optical system 58 for taking in images from outside, and a main storage device 57 for holding software and various data
And a controller 56 having a timer 63 therein and for overall controlling each functional unit shown in FIG.

The controller 56 performs overall control of each functional unit in accordance with software held in the main storage device 57. The detailed function of the controller 56 and the detailed function of each functional unit will be described later in the processing description. Here, in this care information communication system 1, middle-aged and older persons in their forties and above are expected to be the main body of the handling operation. For example, a simple and accurate help function can be provided with user-friendly voice and image / text information that is friendly to middle / elderly people. In addition, the structure is such that the object can be achieved by switching the screens on at most three screens.

The processing under the control of the controller 56 according to this software will be described below with reference to FIGS. When the power key 31 of the care information communication system 1 is pressed as shown in FIG. 32, the controller 56 causes the display device 27 to display the initial screen shown in FIG. Mode selections such as telephone, fax, personal computer communication, emergency call, emergency information, nursing care information, television, radio / audio, video, operation of nursing bed / mobile for nursing car, etc. are accepted. The mode can be selected by pressing a corresponding key provided on the surface of the care information communication system 1.

The initial screen includes a guidance portion for describing operation guidance, a display portion for confirming a screen operation mode, an input button for inputting an instruction based on the guidance, and an operation guide. It has a help button for instructing output, and a voice on / off button for instructing whether or not to output a voice guide. Here, when the help button is pressed, the controller 56 retrieves the guide information corresponding to the screen from the main storage device 57, outputs the help voice via the speaker 25, and outputs the image / text shown in FIG. The information is displayed on the display device 27. The other screens in the present system also conform to this screen configuration. When a mode is selected on the above-described initial screen, the controller 56 starts processing in the selected mode.

The processing will be described below for each mode. In the video / telephone mode, as shown in FIG. 33, the controller 56 displays the screen shown in FIG. 62 held in the main storage device 57 on the display device 27, and accepts the selection of a normal videophone or Internet telephone. . Then, the controller 56 performs the videophone processing or the Internet telephone processing shown in FIG. 34 according to the selection. In the videophone processing and the Internet telephone processing, the controller 56 accepts the input of the other party's telephone number from the caregiver or the care receiver by using the numeric keypad 24, or the other party's telephone number previously stored in the main storage device 57. And an abbreviated dial list are displayed, and a selection input by a direction key 23, a selection key 21, and an input key 22 (hereinafter, these keys are collectively referred to as a selection designation key) is received. Then, the controller 56 executes the existing videophone software and Internet telephone software installed in the main storage device 57 in advance, and connects the line to the input or selected destination. Enable dialogue. That is, the image captured by the video optical system 58 through the aperture 10 and the sound taken from the microphone 33 are sent to the other party, the image sent from the other party is displayed on the display device 27, and the sound is output by the speaker 25. Communication becomes possible.

Here, in the Internet telephone process, a network connection process is first performed. In this network connection process, as shown in FIG.
A user supplied from the provider to the main storage device 57
By holding the identification number, the password, the telephone number of the service point, and the like, the controller 56 uses the information to execute the Internet telephone software. There is no need to remember and enter them each time. When the stop key 15 is depressed due to the end of the dialog, the controller 56 is depressed.
However, by executing each software, the line is disconnected, the mode is terminated, and the initial screen shown in FIG. 60 is displayed. In the screen shown in FIG. 62 described above, if the key for telephony / telephone is further pressed or the videophone processing is executed as it is, a normal telephone connection is established by default. In addition, videophone processing and interface
The software for executing the Internet telephone processing is independent software. Note that the line to be connected may be a wireless line or a wired line.

In the facsimile mode, as shown in FIG. 35, the controller 56 displays the screen shown in FIG. 63 held in the main storage device 57 on the display device 27, and accepts a selection of transmission or reception of a facsimile. When the reception is selected, the controller 56 outputs the screen shown in FIG. 65. When the reception button is selected by the selection designation key, the controller 56 searches the facsimile memory unit in the main storage device 57. Thus, whether or not a fax is received is detected, and if so, a fax reception list is displayed on the screen. Then, the controller 56 receives a selection of a fax to be displayed from the caregiver or the care receiver using the selection designation key, and displays the received message included in the selected fax in an enlarged manner on the screen shown in FIG. 66. .

On the other hand, when transmission is selected, the controller 56 outputs a screen shown in FIG.
Receiving the input of the fax number of the other party or the selection of the fax number list button on the same screen, the fax number list previously held in the main storage device 57 is displayed. , And the received fax number is registered in the transmission protocol. And
The controller 56 receives an input of a subject or a message required by the care receiver or the caregiver by the keyboard connected to the keyboard port 43, and the transmission button is selected. 7, a data compression / decompression unit 55 and a noise filter 53, and a modem 60 or a radio receiver / receiver by either wired or wireless transmission.
The facsimile is transmitted to a predetermined party via the transmitting device 59. Note that, in the above-described fax transmission processing or reception processing, a printer or an external storage device is connected to the terminal interface 52 in advance.
As shown in FIG. 5, it is possible to print a fax or save fax data, and as shown in FIG. 47, a desired terminal can be designated from a plurality of external storage devices or printers.

In the personal computer communication mode, the controller 56 causes the display device 27 to display the screen shown in FIG. 67 held in the main storage device 57, as shown in FIG. When the transmission button is selected on this screen, the controller 56 extracts the user identification number, the password, the telephone number of the service point, etc. registered in the main storage device 57 in advance, and retrieves the network. Input the connection protocol and connect to the corresponding network by the protocol. Further, the controller 56 accepts an input of a user identification number, a password or a service point which is not registered in the main storage device 57 in advance in a corresponding input field on the screen, and The input can be made by a keyboard connected to the network 43, and when the input is made, a connection to the network is made based on the input information. When the correction button on the screen is selected, the controller 56 accepts an input correction.

Next, when a network connection is made,
The controller 56 displays a screen as shown in FIG. 68 on the display device 27, accepts selection of an electronic mail or a browser for searching for information, and when any of the electronic mail or the browser is selected, the corresponding existing Run the software,
If an instruction to end the work is received during the execution of the software, the execution of the software is ended and the screen 68 is displayed. The storage and printing of the information obtained by the electronic mail and the browser can be executed by each software, and the address book of the electronic mail is created and managed in the software.

In the emergency notification mode, as shown in FIG. 37, the controller 56 causes the display device 27 to display the screen shown in FIG. 69 held in the main storage device 57 on the display device 27. Perform emergency call to the emergency contact of In this process, the controller 56
One of the telephone numbers of the emergency contact information is obtained from the main storage device 57, and a line connection is attempted using the obtained telephone number. As a result, if the line connection is successful, the controller 56
Sends an emergency signal to the other party, signifying that an emergency has occurred, and, if necessary, enables dialogue with the other party. On the other hand, if the line connection has failed, the controller 56 obtains the telephone number of the next emergency contact from the main storage device 57 and attempts a line connection to this emergency contact. Then, if the line connection to all the registered emergency contacts fails, the controller 56 displays a message indicating that the line is being used on the screen, detects the elapse of a predetermined time by the timer 63, After this, the line connection to the emergency contact is tried again. When the stop key 15 is pressed, the controller 56 stops the above-described processing. The telephone connected in the emergency contact mode is basically a videophone, but in this embodiment, a normal telephone is used as a default.

In the emergency information mode, as shown in FIG. 38, the controller 56 displays the screen shown in FIG. 70 held in the main storage device 57 on the display device 27, and selects an information source from which emergency information data is obtained. Terminal interface 52
The user selects whether to use an external storage device connected to the Internet or a predetermined medical / welfare information service provider connectable through personal computer communication. Then, when an external storage device is selected as an information source by a selection button on the screen, the controller 56 enables access to the corresponding external storage device (drive). Next, the controller 56 accepts a selection as to whether to obtain information of “Overview of useful predetermined institution” or “First aid and response method”. Here, when the outline of the useful predetermined institution is selected, the controller 56 sets the name of the facility, the name of the representative, the emergency response-related window, the name of the medical department, the name of the doctor in charge, the related equipment, the related medical care, the address, and the telephone number. Then, information such as map information of access by public transportation is extracted from the designated information source and displayed on the screen as shown in FIG.
Also, on this screen, the disease name, facility name, district /
Addresses, medical department names, names of doctors in charge, related equipment names, representative names, and the like are accepted.
Searches for the relevant medical and welfare service institution from the information source and displays it on the screen.

On the other hand, when the first aid and the response method are selected, the controller 56 sets the name of the disease / accident, the condition of the medical condition /
The symptom of the accident, the explanation of the emergency response and the explanatory diagram (still image or moving image) and the like are extracted from the designated information source, and FIG.
The screen shown in is displayed. Also, on this screen, keyword inputs such as disease name, medical condition, accident name, accident situation, etc. are accepted, and when a keyword is entered, the controller 56 sends the corresponding first aid and response method from the designated information source. And display it on the screen. On the other hand, when the external medical / welfare information service provider is selected, the controller 56 sets the user identification number, the password, the telephone number of the destination information provider, which are registered in the main storage device 57 in advance.
A URL (uniform resource loc
ator) to enable network connection and receive the same information as described above.

When the end button at the lower right of the screens shown in FIGS. 71 and 72 is selected, it means that the collection of information is ended. Therefore, the controller 56 ends the above-mentioned processing. Then, the processing screen shown in FIG. 60 is displayed. Note that the controller 56 accepts a print instruction even when an outline of a useful predetermined institution and information on any of first aid and response methods are displayed, and is connected when there is a print instruction. The corresponding information is output from the printer.

In the care information mode, as shown in FIG. 39, the controller 56 causes the display device 27 to display a screen shown in FIG. And selection of service items such as disabled / elderly welfare services. Here, one of the service items is specified,
When a service item is selected by pressing a “next” button on the screen, the controller 56 performs the following processing according to the selected service item.

When the health condition check service item is selected, as shown in FIG.
Displays the screen shown in FIG. 74 on the display device 27 and accepts selection of any one of measurement of body temperature / blood pressure / pulse, measurement of weight, and measurement of urine volume / urine transparency. On this screen, when one of measurement of body temperature / blood pressure / pulse, measurement of body weight, and measurement of urine volume / urine transparency is selected, FIG.
As shown in (1), the controller 56 receives the measurement information from the sensor that performs the selected measurement, and displays the measurement information on the screen. When the measurement is performed, a sensor for performing the measurement in advance is set to the corresponding weight sensor port 45 of the sensor port 47, the blood pressure / pulse sensor port 46,
It is necessary to connect to the urine volume sensor port 48 and the urine transparency sensor port 49 in advance. Then, when saving is designated on the screen, the controller 56 causes the main storage device 57 to save the measured information in association with the date.
When an instruction to display statistics of past measurement results is given on the screen, the controller 56 displays the screen shown in FIG. 75 and accepts designation of a period for displaying statistics on the screen. When the correction button on the screen in FIG. 75 is selected, the controller 56 again receives the input of the designated period of the display period.

Next, when the period is designated and the display button in the screen is pressed, the controller 56
The measurement information for the designated period is retrieved from the main storage device 57, and a screen as shown in FIG. 76 is displayed on the display device 27. When the destination telephone number, destination name, and URL are input on the screen shown in FIG. 74 or 76, the controller 56 executes the protocol stored in the main storage 57 as shown in FIG. A network connection is made using the user identification number and the password registered in advance, and the measurement result or the statistics of the measurement result is transmitted to the designated party. Therefore, information on the health status of the cared person can be transmitted to a medical institution or the like. In addition,
When the end button in the screen shown in FIG. 74 or 76 is selected, the controller 56 ends the care information mode and displays the initial screen shown in FIG.

When the service item of the care schedule is selected, as shown in FIG.
Displays the screen shown in FIG. 77 on the display device 27 and accepts a selection of creating a care schedule or taking in the care schedule from outside. Here, when the schedule creation button indicating creation of a schedule is selected, the controller 56 displays the screen shown in FIG. 78, accepts the type of schedule to be created, and displays the screen shown in FIG. To accept the input of the actual period to schedule. In addition, week, month, year, and arbitrary periods are prepared as the types of schedule. Then, when the button of the type of schedule is selected and the period for performing the schedule is input, the controller 56 causes the display device 27 to display a schedule in a format as shown in FIG. A schedule creation input is accepted by a keyboard connected to 52. Note that the screen shown in the same drawing shows a screen in which monthly is selected as the type of schedule.

When the correction button on the keyboard or the screen is pressed, the controller 56 returns to a state before the state when the correction button is pressed, and provides an opportunity for correction. When the edit button on the screen is pressed, the controller 56 accepts an edit input by a keyboard. When the enlargement display button on the screen is pressed, the controller 56 enlarges the data as shown in FIG. 80, and returns to the original display when the enlargement display is being performed. When the button is pressed, the controller 56 displays the data in the original size as shown in FIG. When a button on the screen shown in FIG. 79 is selected or a predetermined input is performed, the controller 5
6 performs the corresponding processing, that is, saves the created schedule data, prints the schedule, and transfers the schedule data. When the end button on the screen shown in FIG. 79 or 80 is selected, the controller 56
Terminates the care information mode and displays the initial screen shown in FIG.

On the other hand, when the data capture button indicating that the schedule is to be captured from the outside is selected, the controller 56 displays the screen shown in FIG. Is selected as an external storage device connected to the terminal interface 52 or a predetermined medical / welfare information service provider connectable by personal computer communication. Then, when an external storage device is selected as an information source by a selection button on the screen, the controller 56 accesses the corresponding external storage device (drive), extracts the data file name in the drive, and retrieves the data file name. When the data file name is displayed on the screen shown in FIG. 82 and the data file name on the screen is selected,
Display the contents of the corresponding data file. On the other hand, when the personal computer communication is selected, the controller 56
Displays the screen shown in FIG. 67 and performs the processing shown in FIG. 36 to enable network connection and receive schedule data.

When the enlargement display button on the screen is pressed, the controller 56 enlarges the data as shown in FIG. 83, and returns to the original display when the enlargement display is being performed. When the button is pressed down to
The controller 56 displays the data in the original size as shown in FIG. When the edit button on the screen is pressed, the controller 56 accepts an edit input by a keyboard. When a button on the screen shown in FIG. 79 is selected or a predetermined input is performed, the controller 56 performs a corresponding process, that is, saves the created schedule data, prints the schedule, and executes the schedule. Perform data transfer. When the end button in the screen shown in FIG. 82 or 83 is pressed, the controller 56 terminates the care information mode and displays the initial screen shown in FIG.

When the service item of the nursing care guide is selected, as shown in FIG.
Is displayed on the display device 27, and the information source from which information such as illness knowledge, environmental maintenance, general nursing care, and special nursing care is obtained is set to an external storage device connected to the terminal interface 52. Alternatively, a selection is made as to whether or not to be a predetermined medical / welfare information service provider connectable by personal computer communication. Then, when an external storage device is selected as an information source by a selection button on the screen, the controller 56 enables access to the external storage device. Next, the controller 56
Accepts selection of information to be obtained, such as illness knowledge, environmental improvement, general nursing care methods, and special nursing care methods. When the illness knowledge is selected, the controller 56
Is the name of the disease / accident, the condition of the condition / accident,
The disease knowledge such as the basic correspondence, its explanation, and the explanatory diagram (still image or moving image) is extracted, and the disease information is displayed on the screen shown in FIG. In this screen,
When a keyword such as a disease name, a medical condition, an accident name, or an accident situation is input, the controller 56 retrieves and displays the relevant disease knowledge from an external storage device using the keyword.

When the environment maintenance is selected, the controller 56 displays a screen shown in FIG. 86 and receives any of the information services of “health management”, “care plan”, and “care room layout”. Accept the selection. When one of the information services is selected, the controller 56 fetches the corresponding information from the external storage device, and
7, a screen in a form that can be easily understood, such as characters, figures, and images, is displayed. In this screen, when a search keyword is input from a keyboard connected to the terminal interface 52, the controller 56
Searches the external storage device using the search keyword and displays the corresponding information on the screen.

When the general care is selected, the controller 56 displays a screen shown in FIG. 88, and displays “bedding replacement”, “meal assistance”, “excretion assistance”, “body cleanliness”, “ The user receives a selection as to which information service of “medication / medication” is to be received. Then, when one of the information services is selected, the controller 56 retrieves the corresponding information from the external storage device and outputs characters and characters as shown in FIG.
A screen, such as a diagram or an image, is displayed in a form that can be easily understood. In this screen, when a search keyword is input from a keyboard connected to the terminal interface 52, the controller 56 searches the external storage device using the search keyword and displays the corresponding information on the screen. Let it.

When the special care is selected, the controller 56 displays the screen shown in FIG. 90, and displays the screens of "tube", "high heat", "rubbing on the floor", "swelling", and "reposition". The selection of which information service to receive is accepted. When one of the information services is selected, the controller 56 fetches the corresponding information from the external storage device and displays a screen in a form that can be easily understood, such as characters, figures, images, etc., as shown in FIG. Display. In addition,
In this screen, when a search keyword is input from a keyboard connected to the terminal interface 52, the controller 56 searches the external storage device using the search keyword and displays the corresponding information on the screen.

When the screen print button is selected on the screens shown in FIGS. 85, 87, 89, and 91,
The controller 56 causes the printer connected to the terminal interface 52 to output the corresponding information. on the other hand,
When the personal computer communication is selected, the controller 56
A network connection is established by using the user identification number, password, and telephone number and URL of the destination information provider registered in the main storage device 57 in advance, and the same illness knowledge and environment as described above are obtained from the connected party. Information such as maintenance, general nursing care methods, special nursing care methods, etc. is obtained, and the above-described screens equivalent to FIGS. 84 to 91 are displayed.

When the service item of the disabled / elderly welfare service is selected, the controller 56 displays the screen shown in FIG. 92 on the display device 27 as shown in FIG. The information source from which information such as "Welfare for the Elderly" is obtained is an external storage device connected to the terminal interface 52, or a predetermined medical / welfare information service that can be connected by personal computer communication. Accepts the choice of service provider. Then, when an external storage device is selected as an information source by a selection button on the screen, the controller 56 enables access to the external storage device. Next, the controller 56
Accepts the selection of any of the information of "welfare for the disabled" and "welfare for the elderly".

When any one of the selections is received, the controller 56 reads the relevant provider name, service contents, correspondence-related contact, the name of the doctor in charge, the department, and the related equipment from the external storage device. The information such as the outline, the outline and characteristics of the related medical care and welfare services, the directions to the map, and the like is received, and the information is displayed on a screen as shown in FIG. In this screen, when a search condition is input by a keyboard connected to the terminal interface 52, the controller 56 searches for the corresponding information.

When the print button of the screen is selected, the controller 56 outputs the displayed information from the printer connected to the terminal interface 52. Then, when the end button in the screen is pressed, the controller 56 ends the care information mode and displays the initial screen shown in FIG. On the other hand, when the personal computer communication is selected, the controller 56 establishes a network connection by using the user identification number, the password, the telephone number and the URL of the destination information provider registered in the main storage device 57 in advance. To obtain information such as the welfare for the disabled, the welfare for the elderly, and the like from the connected party, and display the screen corresponding to FIG. 93 described above.

In the television mode, as shown in FIG.
The controller 56 causes the display device 27 to display the television broadcast receiving screen shown in FIG. In order to properly display the television broadcast receiving screen, the terminal interface 5
It is necessary to connect a television antenna via the second PC card port 44. Then, the controller 56
Adjust brightness, contrast and color,
When 4 or the tuning key 19 is pressed, the controller 56 changes the channel to be displayed according to the pressing. For tuning of each channel,
It can be adjusted by the tuning key 19 and registered in the main storage device 57. When the volume control key 20 is pressed, the controller 56 operates the amplifier 6 according to the pressing.
2 to control the volume output from the speaker 25. Then, when the stop key 15 is pressed, the controller 56 ends the television mode and displays an initial screen shown in FIG.

In the radio / audio mode, as shown in FIG.
Is displayed. In order to receive a radio broadcast, it is necessary to connect a radio antenna via the PC card 44 of the terminal interface 52. This screen displays the current channel, receivable channel band, radio output mode,
A button for accepting selection of a cassette tape / DAT output mode and a CD / DVD output mode, a repeat button for activating a repeat function of music recorded in an external storage device, and a column (input box) for cue input. have.

When a button for selecting a radio output mode is pressed, the controller 56 transmits a radio broadcast to the speaker 2.
5 is output. When the numeric keypad 24 or the tuning key 19 is pressed, the controller 56 adjusts the receiving channel according to the pressing. The receiving channel can be registered in the main storage device 57 in advance, and in such a case, by pressing the numeric keypad 24 or the tuning key, the receiving channel can be easily registered by the abbreviated number or scanning. You can adjust the receiving channel. When the volume adjustment key 20 is pressed,
In accordance with the depression, the controller 56 controls the amplifier 62 to adjust the volume output from the speaker 25. When the recording / recording key 17 is pressed, the controller 5
6 records audio in an external storage device connected to the terminal interface 52.

Cassette tape / DAT output mode or C
When the button for selecting the D / DVD output mode is pressed, the controller 56 enables the exchange of information with the corresponding external information device. Here, when the reproduction key 16 is pressed, the controller 56 displays a screen shown in FIG. 96, receives audio data from the corresponding external storage device, and outputs audio from the speaker 25. When the recording / recording key 17 is pressed, the controller 56 performs recording in an external storage device connected to the terminal interface 52. When the volume adjustment key 20 is pressed, the controller 56 controls the amplifier 62 according to the pressing, and
The volume output from the speaker 25 is adjusted. Also,
When the repeat key is selected by the selection designation key, the controller 56 reproduces the same music again after the reproduction of the currently reproduced music is completed. When a numerical value is designated in the column by the selection designation key and the numeric keypad 24, the controller 56 causes the designated music piece to be reproduced from the beginning. Radio output mode, cassette tape / D
In the AT output mode and the CD / DVD output mode, when the stop key 15 on the operation panel is pressed, the controller 56 is pressed.
Ends the radio / audio mode and displays the initial screen shown in FIG.

In the video mode, as shown in FIG.
The controller 56 causes the display device 27 to display the operation screen shown in FIG. When executing the video mode, the terminal interface 52 is provided with a video tape recorder.
And an external storage device for video such as a CD / DVD drive. On this screen, the controller 56 accepts a selection between the normal recording / playback mode and the remote monitoring mode. Here, the normal recording / playback mode is a mode for recording or playing back normally, and the remote monitoring mode is a mode for monitoring an image captured by the video optical system 58 at a predetermined time in a remote place. It is.

When the normal recording / playback button is selected and the external storage device for input / output is selected,
Normal recording / playback mode is set. That is, the controller 56 is configured to receive an input from the reproduction key 16 or the recording key 17. Then, when the reproduction key 16 is pressed, the controller 56 extracts the video and audio data from the selected external storage device, reproduces the video on the display device 27, and outputs the audio from the speaker 25. When the recording key 17 is pressed, the controller 56 causes the video optical system 58 to capture an image, and at the same time, causes the microphone 33 to capture audio. Stored in an external storage device.

On the other hand, when the remote monitoring mode is selected, the controller 56 accepts the setting of a timer that defines the point in time of transition to the remote monitoring mode. Here, there are two setting methods of the timer, an absolute time and a relative time, and the former is a setting method of shifting to the remote monitoring mode between what time and what time of the month and what time. The latter is a setting method of shifting to the remote monitoring mode from the present to the hour and minute later. In addition,
The setting of this timer is accepted by input from the ten keys 24. When the timer setting is accepted, the controller 56 shifts to the remote monitoring mode according to the timer setting. When shifting to the remote monitoring mode, the controller 56 connects the Internet telephone by the same procedure as the above-described Internet telephone processing shown in FIG. In the above-described Internet telephone processing, the input of the telephone number of the other party was received from the care receiver or the caregiver during the processing.
In the Internet telephone processing in the remote monitoring mode, a telephone number or the like previously stored in the main storage device 57 is received and used for line connection. Thus, the video captured by the video optical system 58 and the microphone 3
3 is transmitted to the other party connected to the line. Therefore, the video optical system 5
By pointing 8 to the cared person, the state of the cared person can be grasped in a remote place. When the stop key 15 is pressed, the controller 56 ends the video mode and displays the initial screen shown in FIG.

In the nursing bed / mobile nursing vehicle interface mode, it is recognized whether the controller 56 is connected to the nursing bed 3 or the nursing mobile vehicle 2 via the terminal interface 52. I do. The recognition can be performed by monitoring a flag signal transmitted from the control unit 109 of the nursing bed 3 or the controller 628 of the nursing care vehicle 2 via the interface. When the controller 56 recognizes that the nursing bed 3 is connected, the controller 56 shifts to the nursing bed operation mode for operating the nursing bed, while recognizing that the nursing care vehicle 2 is connected. In this case, the mode is shifted to the nursing care vehicle operation mode for operating the nursing care vehicle. Hereinafter, each of the nursing bed operation mode and the nursing care vehicle operation mode will be described.

In the care bed operation mode, as shown in FIG. 53, the controller 56 causes the display device 27 to display the operation screen shown in FIG. 98. This operation screen is displayed on at least the remote control / operation panel 1 provided on the nursing bed 3.
08 has the functions that it has. Specifically, this operation screen includes a function mode selection button for selecting the following nine function modes, a cancel button for canceling the operation mode, and a corresponding operation mode. , An operation mode display for confirming the function mode, a help button for instructing output of the operation guide, and an instruction for instructing whether or not to output the voice guide. It is provided with a voice on / off button, a column for displaying illustrations related to the function mode, and a screen explanation part for displaying operation explanations on this screen. The function modes include a bed up / down mode, a body position tilt angle mode, a body position up / down position mode, a backrest angle mode, a knee bending angle mode, a body position left / right position mode, an air mat pressure mode, and floor rub prevention. There is a mat mode and a body movement mode between the nursing care vehicle.

When the function mode selection buttons of the bed up / down elevating mode, the body posture tilt angle mode, the backrest angle mode, and the knee bending angle mode are pressed, as shown in FIG. 53, the controller 56 shown in FIG. Display such a screen. FIG. 7 shows a screen when the backrest angle mode is pressed. This screen instructs an adjustment button for performing position and movement adjustment, an operation mode display portion for displaying a function mode, a screen mode display portion for displaying an operation mode, and an output of an operation guide. 98, a help button for instructing whether or not to output a voice guide, a voice on / off button for instructing whether or not to output a voice guide, a preparation good display portion indicating that the pre-operation of this operation is good, and a completion of this operation, and FIG. A button for returning to the menu screen shown, a button for ending this operation and displaying the initial screen shown in FIG. 60, a column for displaying an illustration of the function mode, and an explanation of the operation on this screen are displayed. Screen description part.

In this screen, when one of the left and right adjustment buttons on the screen is selected by the selection designating key, the controller 56 gives an instruction to perform an adjustment corresponding to the mode according to the selection. The control unit 109 of the bed 3 is notified. Thus, as shown in FIG. 22, the control unit 109 of the nursing bed 3 drives the corresponding actuator unit according to the notification to perform the adjustment. When the adjustment amount reaches the electric limiter set in the control unit 109, the control unit 109 stops driving the actuator unit. Here, if the control unit 109
In the event that does not work with the electrical limiter, the mechanical limiter provided in each actuator
The adjustment beyond the predetermined adjustment amount is physically stopped. In this case, the control unit 109 stops the transmission of power to the actuator unit to prevent an overload on the actuator unit and the like.

When the function mode selection button of the posture vertical movement mode is pressed, as shown in FIG. 54, the controller 56 displays the screen shown in FIG. In addition,
This screen configuration is similar to the screen configuration shown in FIG. 99 described above. When one of the left and right adjustment buttons on this screen is selected by the selection designating key, the controller 56 issues an instruction to perform an adjustment corresponding to the mode in accordance with the selection, by the control unit 109 of the care bed 3.
Notify. Thereby, the control unit 109 of the nursing bed 3
According to the notification, the actuator 250
Is driven to perform adjustment. Then, the care receiver lying on the bed receives the head plate 120 or the tail plate 12.
The proximity sensors 266, 26
7, and when detected by any one of the pressure sensors 268 and 269, the control unit 109 stops the operation of the body position vertical movement actuator unit 250.

When the function mode selection button of the body position left / right movement mode is pressed, as shown in FIG. 54, the controller 56 displays the screen shown in FIG. In addition,
This screen configuration is similar to the screen configuration shown in FIG. 99 described above. Then, the controller 56 inquires of the control unit 109 of the nursing care bed 3 whether or not the vehicle interlock / safety fence switch 370 is turned on. As a result, if a response is received from the control unit 109 indicating that the mobile vehicle interlock / safety fence switch 370 is on, the controller 56 starts accepting an adjustment instruction using the adjustment button, while the mobile vehicle interface If a reply that the lock / safety fence switch 370 is not turned on is received, it means that the safety fence is not mounted on the nursing care bed, and an instruction to mount the safety fence is displayed on the screen. As described above, after one of the left and right adjustment buttons is selected by the selection designation key after the reception of the adjustment instruction by the adjustment button in the screen is started, the controller 56 switches to the mode in accordance with the selection. The controller 109 of the nursing bed 3 issues an instruction to perform the corresponding adjustment.
Notify. Thereby, the control unit 109 of the nursing bed 3
According to the notification, the position of the body
Is driven to perform adjustment. Therefore, the body transport belt 1
03 is driven, and the cared person on the body transport belt 103 is transported.

When the function mode selection button of the body movement mode with the nursing care vehicle is pressed, as shown in FIG. 54, the controller 56 displays the screen shown in FIG. In this screen configuration, a drive source selection button for selecting a drive source for body movement is added to the screen configuration shown in FIG. 99 described above. Then, the controller 56 inquires of the control unit 109 of the nursing care bed 3 whether or not the vehicle interlock / safety fence switch 370 is turned on. As a result,
When receiving a response from the control unit 109 that the mobile vehicle interlock / safety fence switch 370 is turned on, the controller 56 starts accepting selection of a drive source by a drive source selection button on the screen, while If a reply that the mobile vehicle interlock / safety fence switch 370 is not turned on is received, it means that the nursing bed 3 and the nursing mobile vehicle 2 are not securely connected, and the care is displayed on the screen. Display instructions for connection with the mobile vehicle.

As described above, when the drive source is selected by the drive source selection button after the drive source selection button on the screen starts accepting the selection of the drive source, the controller 56
“Motion preparation is good” is displayed on the screen, and reception of an adjustment adjustment instruction by the adjustment button is started. Then, after one of the left and right adjustment buttons is selected by the selection designation key after the reception of the adjustment instruction by the adjustment button on the screen is started as described above, the controller 56 responds to the selection by The control unit 109 of the nursing bed 3 or the controller 628 of the nursing care vehicle 2 that is provided with the selected drive source is notified of an instruction to perform the adjustment corresponding to the mode. As a result, the control unit 109 that has received the notification
Alternatively, the controller 628 operates the drive source according to the notification, and drives the body transport belt 103 and the transport belts 724, 725, and 726 by the power generated by the drive source. Therefore, the care receiver on the transport belt is transported between the nursing mobile vehicle and the nursing bed.

When the function mode selection button for the air mat pressure mode is pressed, as shown in FIG. 55, the controller 56 displays the screen shown in FIG. In addition,
This screen configuration is such that a column for inputting temperature and pressure is added to the screen configuration shown in FIG. 99 described above. The controller 56 is provided with a temperature and pressure sensor 50 provided on the mat 101.
The temperature and pressure detected by 2,503 are received from the control unit 109 of the care bed 3 and displayed on the screen. When the temperature or pressure on this screen is set by the selection setting key and the adjustment button, the controller 56
Notifies the control unit 109 of the nursing bed 3 of an instruction to perform adjustment according to the setting. Thereby, the control unit 10
9, the temperature and pressure of the air mat 101 are adjusted according to the above settings.

When the function mode selection button of the floor rubbing prevention mat mode is pressed, the controller 56 displays the screen shown in FIG. 104 as shown in FIG. In this screen configuration, a column for inputting the amount of air blowout is added to the screen configuration shown in FIG. 103 described above. And the controller 5
Reference numeral 6 denotes detection of the temperature and pressure detected by the temperature and pressure sensors 502 and 503 provided on the floor rubbing prevention mat 500 and the amount of air blown out from the holes formed in the floor rubbing prevention mat 500. The result is received from the control unit 109 of the care bed 3 and displayed on the screen. When the temperature, the pressure, and the air blowing amount on this screen are set by the selection setting key and the adjustment button, the controller 56 notifies the control unit 109 of the nursing bed 3 of an instruction to perform the adjustment according to the setting. I do. Thereby, the air mat 101 according to the above setting is controlled by the control unit 109.
Temperature, pressure, and air blowing are adjusted. When the stop key 15 or the end button on the screen is pressed, the controller 56 ends the care bed operation mode and displays the initial screen shown in FIG.

In the mobile vehicle operation mode for nursing care, as shown in FIG.
Is displayed. The traveling operation screen includes a traveling speed display portion, a traveling direction display portion,
Indication of remaining battery level display, operation mode display, screen mode display, mode change button, escalator up / down mode on / off button, and output of operation guide And a voice on / off button for instructing whether to output a voice guide,
The screen includes a screen explanation portion for displaying an operation explanation on this screen, and an end button for ending this operation and displaying an initial screen shown in FIG. And the controller 56
Are the traveling state and the steering direction by the joystick operation panel 627 or the rear traveling operation handle 626, the traveling speed measured by the traveling sensor 762 attached to the drive wheel of the nursing care vehicle, and the battery 63 of the nursing care vehicle.
The remaining amount of 0 and information on whether the current steering subject is the joystick operation panel 627 or the rear running operation handle 626 are stored in the controller 6 of the nursing mobile vehicle 2.
28, and each information is displayed on the screen.

On this screen, the escalator up / down
When the on / off button is pressed, the controller 56 notifies the controller 628 of the nursing care vehicle 2 of an instruction to execute the escalator elevating process. Hereinafter, the escalator elevating process performed by the controller 628 based on this notification will be described with reference to FIG. 59 together with the general traveling control process performed by the controller 628. The controller 628 of the nursing vehicle recognizes the obstacle by the visual sensors 650 and 651 and calculates the inclination of the seat 601 by the inclination sensors 662 and 663. When receiving an instruction to execute the escalator elevating process from the controller 56, it means elevating by the escalator. 757 and 758 are activated, and the nursing care vehicle 2 is fixed in place. This can prevent the nursing care vehicle from shifting on the escalator. This process is not performed if no execution instruction has been received.

Then, the controller 628 operates the seat 601.
It recognizes whether the inclination of the seat is forward or backward, and
Compensation value that makes 1 horizontal is calculated, and the compensation value is transmitted to the corresponding actuator unit to extend or retract the front leg or the rear leg to maintain the seat 601 horizontal.
In step 663, the inclination angles sequentially read are accumulated and stored in the storage device of the camera. Note that the controller 628
The above-described processing is not performed on an inclination that is less than or equal to an inclination (for example, 1 degree) that is hard to be recognized by the cared person riding the nursing care vehicle 2. Then, after performing the above-described horizontal maintaining operation,
The controller 628 confirms that the accumulation of the inclination angles read by the inclination angle sensors 662 and 663 is “0”, that is, that the nursing care vehicle 2 has returned to the posture before the horizontal maintenance, and the visual sensors 650 and 651. When it is detected that there is no obstacle, if the instruction for the escalator elevating process has been received first, it means that the elevating by the escalator has been completed.
28 releases the brakes of all the wheels, activates the main motor, sets the vehicle in a running state, and notifies the controller 56 that the vehicle can run. Upon receiving this notification,
The controller 56 performs escalation on the screen shown in FIG.
Turn off the lift mode, and display "Ready to run" on the screen. When the end button or the stop key 15 on the screen shown in FIG.
Terminates the mobile vehicle operation mode for nursing care and displays an initial screen shown in FIG.

When the mode switching button is selected on the traveling operation screen shown in FIG. 105, the controller 56 displays the body position adjustment screen shown in FIG. The body position adjustment screen includes a function mode selection button for selecting the following four function modes, a mode change button for switching from the body position adjustment screen mode to the traveling operation screen mode, and an operation mode display. Part, a display part of the screen mode, a help button for instructing the output of the operation guide, a voice on / off button for instructing whether or not to output the voice guide, and a function mode. It includes a column for displaying the illustration explanation, a screen explanation part for displaying the operation explanation on this screen, and an end button for ending this operation and displaying the initial screen shown in FIG. Function modes include mobile vehicle up / down mode, back angle mode,
There are a foot-raising angle mode and a body movement mode between the nursing care vehicle.

On this screen, one of the modes of the backrest angle mode, the moving vehicle up-and-down elevating mode, and the foot-raising angle mode is displayed.
When the select key is pressed, the controller 56
A screen as shown in FIG. 7 is displayed, the name of the selected function mode is displayed in the display window of the operation mode, and an illustration of the function mode is displayed in the column. When one of the left and right adjustment buttons is selected by the selection designation key on this screen, the controller 5
6 notifies the controller 628 of the nursing care vehicle 2 of an instruction to perform an adjustment corresponding to the mode according to the selection. As a result, the controller 628 of the nursing care vehicle 2 drives the actuator unit according to the notification to perform adjustment. Then, the adjustment amount is determined by the controller 628.
If it reaches the electrical limiter set to
The controller 628 stops driving the actuator section. Here, if the controller 628 is not operated by the electric limiter, each actuator
The mechanical limiter provided in the control unit physically stops the adjustment of the predetermined adjustment amount or more. In this case, the controller 628 stops the transmission of power to the actuator section, thereby preventing an overload on the actuator section and the like.

On the screen shown in FIG. 106 described above, when the selection key for the mode of movement to the nursing bed is pressed, the controller 56 displays the screen shown in FIG. Note that this screen configuration is different from the screen configuration shown in FIG. 107 in that a power source selection button for selecting a drive source for body movement is further added. Then, the controller 56 controls the nursing bed 3
Controller 109 is inquired as to whether or not the mobile vehicle interlock / safety fence switch 370 is on. As a result, when receiving a response from the control unit 109 that the mobile vehicle interlock / safety fence switch 370 is turned on, the controller 56 starts accepting the selection of the driving source by the driving source selection button on the screen. On the other hand, if a response that the mobile vehicle interlock / safety fence switch 370 is not turned on is received, it means that the nursing care bed 3 and the nursing mobile vehicle 2 are not securely connected. An instruction to connect to the nursing care vehicle is displayed on the screen.

When the drive source is selected by the drive source selection button after the drive source selection button on the screen starts accepting the drive source selection as described above, the controller 56
“Motion preparation is good” is displayed on the screen, and reception of an adjustment adjustment instruction by the adjustment button is started. Then, after one of the left and right adjustment buttons is selected by the selection designation key after the reception of the adjustment instruction by the adjustment button on the screen is started as described above, the controller 56 responds to the selection by The control unit 109 of the nursing bed 3 or the controller 628 of the nursing care vehicle 2 that is provided with the selected drive source is notified of an instruction to perform the adjustment corresponding to the mode. As a result, the control unit 109 that has received the notification
Alternatively, the controller 628 operates the drive source according to the notification, and drives the body transport belt 103 and the transport belts 724, 725, and 726 by the power generated by the drive source. Therefore, the care receiver on the transport belt is transported between the nursing care vehicle 2 and the nursing bed 3.

[0129]

As described above, in the nursing care system according to the first aspect, the terminal provided on the nursing bed or the nursing wheelchair enables the monitoring of the health status of the care receiver and the connection with the outside. Since the communication is enabled, the caregiver or the cared person can easily communicate with the medical institution, etc., can grasp the health status of the cared person, and And so on. Further, in the nursing care system according to claim 2, the terminal provided on the nursing bed or the nursing wheelchair,
Since the emergency contact instruction is received and communication with a preset emergency contact is enabled, the care receiver or the care giver can quickly communicate in an emergency. Claim 3
In the nursing care system according to the above, the terminal is attached to a nursing bed or a nursing wheelchair, and is detachable and portable, so that the terminal is attached to or detached from the nursing bed or the nursing car according to the movement of the cared person. This can be easily performed, and the cared person or caregiver can quickly perform communication and the like.

In the nursing care system according to the fourth aspect,
Since the health status of the care receiver monitored by the terminal is transmitted, the health status of the care receiver can be easily and appropriately grasped at the destination medical institution or the like. In the care system according to claim 5, the image of the cared person is captured, and the image is transmitted to a medical institution or the like.
The situation of the cared person can be properly grasped by the image. In the nursing care system according to claim 6, since the voice is captured and the image is captured, and the image is communicated with the voice to the medical institution or the like, the medical institution or the like grasps the situation of the cared person by the image. , The voice of the care receiver or the caregiver can be heard. In the nursing care system according to the seventh aspect, since the terminal controls the power generation mechanism of the nursing bed or the nursing wheelchair, the terminal can easily adjust the posture of the care receiver by the terminal. In the nursing care system according to the eighth aspect, the terminal operation guide can be performed by screen display or voice output, so that the terminal can be easily operated according to the screen display or voice output.

Further, in the nursing bed according to the ninth aspect, since the nursing bed has a sheet-shaped member on the upper surface thereof and the sheet-shaped member can be moved in the lateral direction of the bed, the care recipient can be moved in the lateral direction of the nursing bed. Can be easily transported. Further, in the nursing bed according to the tenth aspect, since the nursing bed has a sheet-shaped member on the upper surface thereof and the sheet-shaped member can be transported in the vertical direction of the bed, the care receiver can easily move the care receiver in the vertical direction of the nursing bed. Can be transported. Claim 1
In the nursing bed according to the first aspect, the plurality of joints of the manipulator are simultaneously fixed or released, so that the plurality of joints can be simultaneously fixed or released by an easy operation. Therefore, the caregiver can easily hold the position of the care receiver using the manipulator, and can release the care receiver from the held state. Further, in the nursing bed according to claim 12, a toilet bowl for storing excrement,
A tank having a liquid for cleaning the excretion site, an injection nozzle, an air pump, and a drying nozzle; and an air pump, a nozzle, and a soundproofing material for sucking excretion in an excrement pack for excrement disposal. Can be easily and hygienically treated. Therefore, the cared person can be kept in a sanitary state, and the discomfort of the cared person, the cared person, and the surrounding people can be suppressed.

In the air mat according to the thirteenth aspect, a part of the plurality of cells is made of a material having air permeability, and air is pressure-fed to each cell.
When the care receiver is placed on the air mat, the distribution of pressure applied to the care receiver can be changed, and ventilation between the care receiver and the bed surface can be achieved. Therefore, the occurrence of floor rubbing on the cared person can be prevented, and the discomfort of the cared person can be suppressed. Moreover, in the air mat according to claim 14, since the air whose pressure and temperature have been adjusted is inserted into and discharged from the air mat, the shape of the mat can be changed, and between the care receiver and the mat. The heat and humidity that remain can be eliminated. Therefore,
The occurrence of floor rubbing on the cared person can be prevented, and discomfort of the cared person can be suppressed. In addition, the care wheelchair according to claim 15 allows the caregiver to prioritize the travel operation by the care giver over the travel operation by the care receiver, so that the operation of ensuring the emergency safety by the caregiver is performed by the travel operation of the care wheelchair. Can be reflected. According to a sixteenth aspect of the present invention, there is provided a nursing wheelchair in which a care recipient is moved in a seated state, and a seat for seating a care recipient is maintained substantially horizontal by expansion and contraction of leg length. The escalator when going up and down,
When traveling on an inclined road, the care receiver can be seated substantially horizontally. Therefore, the ride comfort of the nursing wheelchair can be improved, and the anxiety of the care receiver can be removed. Further, in the care wheelchair according to claim 17, since the length of the leg is increased to increase the height of the chair to prevent the foot holding portion from contacting an obstacle, Obstacles can be avoided without affecting the care receiver holding the foot.

In the care system according to the eighteenth aspect, each of the nursing bed and the nursing wheelchair is provided with a sheet member on the upper surface and a transport mechanism for moving the sheet member in the lateral direction. With the nursing wheelchair adjacent to and side by side with the nursing wheelchair, the power source provided on the nursing bed or the nursing wheelchair is connected to the other transport mechanism, and the nursing bed and the nursing wheelchair are powered by one power source. In addition to operating the transport mechanism, and having a safety mechanism that does not operate the transport mechanism if the connection is not reliable, the care recipient can easily and easily move between the care bed and the wheelchair for care. It can be transported properly. In the multi-directional clutch speed reducer according to the nineteenth aspect, a plurality of output ends of the driving force output from the main motor and the sub motor are prepared, each is provided with a clutch, and the required output end is a signal from a control unit or a controller. By turning the clutch on or off, multiple outputs can be transmitted compactly and efficiently with less drive sources than the required number of output functions. As described above, according to the nursing equipment and the nursing system described above, the load on the caregiver and the care receiver can be reduced, and efficient and appropriate care can be performed.

[Brief description of the drawings]

FIG. 1 is a diagram showing an example of a configuration of a care system according to the present invention.

FIG. 2 is a diagram showing an example of a configuration of a care system according to the present invention.

FIG. 3 is a diagram showing an example of a configuration of a care system according to the present invention.

FIG. 4 is a diagram showing an example of a configuration of a care information communication system according to the present invention.

FIG. 5 is a diagram showing an example of a configuration of a care information communication system according to the present invention.

FIG. 6 is a diagram showing an example of a configuration of a care information communication system according to the present invention.

FIG. 7 is a diagram showing an example of a configuration of a care information communication system according to the present invention.

FIG. 8 is a diagram showing an example of the configuration of a nursing bed according to the present invention.

FIG. 9 is a diagram showing an example of a configuration of a care bed according to the present invention.

FIG. 10 is a diagram showing an example of a configuration of a care bed according to the present invention.

FIG. 11 is a diagram showing an example of the configuration of a nursing bed according to the present invention.

FIG. 12 is a diagram showing an example of a configuration of a care bed according to the present invention.

FIG. 13 is a diagram showing an example of a configuration of a care bed according to the present invention.

FIG. 14 is a diagram showing an example of the configuration of a nursing bed according to the present invention.

FIG. 15 is a diagram showing an example of a remote control operation panel of the nursing bed according to the present invention.

FIG. 16 is a view showing an example of a configuration of a care bed according to the present invention.

FIG. 17 is a diagram showing an example of a configuration of a care bed according to the present invention.

FIG. 18 is a view showing an example of a configuration of a care bed according to the present invention.

FIG. 19 is a diagram showing an example of a configuration of a care bed according to the present invention.

FIG. 20 is a diagram showing an example of the configuration of a nursing bed according to the present invention.

FIG. 21 is a view showing an example of the configuration of a nursing care vehicle according to the present invention.

FIG. 22 is a diagram showing an example of a configuration of a nursing care vehicle according to the present invention.

FIG. 23 is a diagram showing an example of the configuration of a nursing care vehicle according to the present invention.

FIG. 24 is a diagram showing an example of a configuration of a nursing care vehicle according to the present invention.

FIG. 25 is a diagram showing an example of a configuration of a nursing care vehicle according to the present invention.

FIG. 26 is a view showing an example of a configuration of a nursing care vehicle according to the present invention.

FIG. 27 is a diagram showing an example of the configuration of a nursing mobile vehicle according to the present invention.

FIG. 28 is a view showing an example of a configuration of a nursing care vehicle according to the present invention.

FIG. 29 is a diagram showing an example of the configuration of a nursing care vehicle according to the present invention.

FIG. 30 is a diagram showing an example of the configuration of a nursing care vehicle according to the present invention.

FIG. 31 is a view showing an example of a configuration of a speed reducer and a multi-directional clutch of a nursing care vehicle and a nursing bed according to the present invention.

FIG. 32 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 33 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 34 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 35 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 36 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 37 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 38 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 39 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 40 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 41 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 42 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 43 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 44 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 45 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 46 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 47 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 48 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 49 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 50 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 51 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 52 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 53 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 54 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 55 is a view showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 56 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 57 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 58 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 59 is a diagram showing an example of a processing flow of the care information communication system according to the present invention.

FIG. 60 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 61 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 62 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 63 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 64 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 65 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 66 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 67 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 68 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 69 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 70 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 71 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 72 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 73 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 74 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 75 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 76 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 77 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 78 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 79 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 80 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 81 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 82 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 83 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 84 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 85 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 86 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 87 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 88 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 89 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 90 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 91 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 92 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 93 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 94 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 95 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 96 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 97 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 98 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 99 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 100 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 101 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 102 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 103 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 104 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 105 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 106 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 107 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

FIG. 108 is a diagram showing an example of a display screen of the care information communication system according to the present invention.

[Explanation of symbols]

 1. Nursing information communication system, 2. Nursing car, 3. Nursing bed.

Claims (19)

[Claims] 1. A care bed or a care wheelchair having a function interlocking with each other, a monitoring means for monitoring a health status of a cared person, a communication means for communicating with the outside, a television and a radio receiver, , Voice playback or C
A nursing system comprising a terminal having means for recording and reproducing D / DVD / magnetic tape video and audio, and enabling communication with a medical institution or the like using the terminal. 2. A memory for holding emergency contact information on a care bed or a wheelchair for care, an input unit for receiving an emergency contact instruction, and a simplified communication with the contact information stored in the memory based on the instruction. A nursing care system, comprising: a terminal having communication means for performing the care. 3. The nursing care system according to claim 1, wherein said terminal is detachable and portable with respect to a nursing bed or a nursing wheelchair. 4. The care system according to claim 1, wherein the terminal transmits the monitored health status of the care receiver. 5. The care system according to claim 1, wherein the terminal further includes an image capturing device that captures an image of the cared person, and transmits the image to a communication unit. A nursing care system characterized in that the information is transmitted to a medical institution or the like using a personal computer. 6. The care system according to any one of claims 1 to 5, wherein the terminal captures a voice and captures an image.
A nursing care system characterized in that an image is communicated to a medical institution or the like using a communication means together with voice. 7. The nursing care system according to claim 1, wherein the nursing bed or the nursing wheelchair drives an adjusting mechanism for adjusting a posture of a care receiver and an adjusting mechanism. A nursing care system, wherein the terminal includes a power control means for controlling a nursing bed or a nursing wheelchair power generating mechanism. 8. The nursing care system according to claim 1, wherein the terminal is capable of performing an operation guide of the terminal by screen display or voice output. Nursing care system. 9. A nursing bed for laying a care recipient, wherein the nursing bed has a sheet-shaped member on an upper surface thereof, and has a transport mechanism for moving the sheet-shaped member in a lateral direction of the bed. A nursing bed characterized in that the nursing bed can be transported in a lateral direction of the bed with the caregiver placed on the sheet member. 10. A nursing bed for laying a care recipient, wherein the nursing bed has a sheet-shaped member on an upper surface thereof, and has a transport mechanism for moving the sheet-shaped member in a vertical direction of the bed. A nursing bed, wherein the nursing bed can be transported in a longitudinal direction of the bed while the caregiver is placed on the sheet-shaped member. 11. A nursing care bed provided with a manipulator having a plurality of joints, wherein the manipulator comprises: a plurality of brake means for fixing joints by crimping respective arms joined by the joints; A plurality of cam mechanisms that press each other's arms by brake means in a predetermined form, a wire that is connected to the cam mechanism and slides to change the form of the cam mechanism, and a wire that is connected to the plurality of cam mechanisms And a slide means for simultaneously sliding, and the wire is slid by the slide means, whereby a plurality of joints are fixed or released at the same time by adjusting the crimping timing of the brake means, or by adjusting the time. A nursing bed characterized by being performed. 12. A care bed for sleeping a care receiver, wherein a bed mat in the center of the bed is manually removed,
The temperature and the amount of air are adjusted by a toilet bowl for storing excrement and a tank having a liquid for cleaning the excretion part at the time of excretion, an injection nozzle thereof, an air pump provided in a nursing bed, a heating device and a control device thereof. An air pump that sucks a substantially vacuum into an excrement pack that can easily and hygienically dispose of excrement is equipped with a drying nozzle that has a reduced drying nozzle and a noise-reducing material that reduces noise during suction. A care bed excrement treatment device characterized by the above-mentioned. 13. An air mat provided on a nursing bed for laying a cared person, wherein the air mat includes a plurality of cells for retaining air therein, and some of these cells are made of a material having air permeability. The air mat is further provided with a supply source for supplying air to each cell, and air is supplied from each supply source to each cell. The air mat is characterized in that the distribution of pressure applied to the air mat can be changed and air can be blown out from the air mat to the cared person to allow ventilation between the cared person and the bed surface. 14. An air mat provided on a nursing bed for laying a care receiver, wherein a control unit sends air sent from an air pump to a pressurized tank via an electromagnetic valve, and a predetermined pressure is applied by a pressure sensor. After keeping the pressurized air at a predetermined temperature under monitoring by a temperature sensor with a heater via an electromagnetic valve, the air is inserted into and discharged from a floor rubbing prevention air mat, and the mat shape is adjusted. Simultaneously with the formation of the air mat, the amount of air blown out from the part of the air mat via the pressure sensor and the temperature is controlled via the temperature sensor, thereby eliminating the heat and moisture trapped between the care receiver and the mat, Floor rubbing prevention characterized by preventing floor rubbing from its uneven shape and its surface material, and adjusting the body temperature of the care receiver by the air temperature in the mat Air mat. 15. A self-propelled care wheelchair having a power source, comprising: a care receiver operation unit for receiving an instruction from a care receiver for operating the traveling; An operation unit for a caregiver that receives an instruction from a caregiver, and priority processing means for controlling traveling by giving priority to an instruction input from the operation unit for the caregiver over an instruction input from the operation unit for the care receiver. A wheelchair for nursing care, wherein a traveling operation by a caregiver is prioritized over a traveling operation by a cared person. 16. A nursing wheelchair for moving a cared person while seated thereon, by operating a seat for seating the cared person, telescopic legs for supporting the seat, and a power source. Adjusting means for expanding and contracting the length of the leg; an inclination angle sensor for detecting an inclination angle of the seat; and a leg which is extended and contracted by the adjusting means based on the detection result of the inclination angle sensor to substantially reduce the seat. A wheelchair for nursing care, comprising: horizontal control means for maintaining a horizontal position. 17. A nursing wheelchair for moving a cared person while seated thereon, wherein a foot holding section for holding the cared person's foot when the cared person is seated, and a power source being operated. Adjusting means for extending the length of the chair legs, a sensor for detecting obstacles, and, based on the detection result by the sensor, extending the leg length by the adjusting means to increase the height of the chair. A wheelchair for nursing care, comprising: contact avoiding means for avoiding contact of the holding portion with an obstacle. 18. A nursing system comprising a nursing bed and a nursing wheelchair, wherein the nursing bed is provided with a sheet on an upper surface thereof for transporting a care recipient between the nursing bed and the nursing wheelchair. A transport mechanism for moving the sheet-shaped member in the lateral direction of the bed, and capable of transporting the cared person in the lateral direction of the bed while being placed on the sheet-shaped member; The chair has a sheet-shaped member on its upper surface and has a transport mechanism for moving the sheet-shaped member in the lateral direction of the chair, so that the care receiver can be transported in the lateral direction of the chair with the cared person placed on the sheet-shaped member. A mechanism for connecting a power source provided in the nursing bed or the nursing wheelchair to the other transport mechanism in a state where the nursing bed and the nursing wheelchair are arranged side by side in close proximity to each other; That the connection is secure If the sensor is installed on the nursing bed side and the connection is not reliable, a signal is sent to the power control unit of the nursing bed or the nursing wheelchair, and a safety mechanism that does not drive the transport mechanism is provided. A nursing care system characterized in that a transport mechanism of a nursing bed and a nursing wheelchair is operated by a source to synchronously transport a care receiver between the nursing bed and the nursing wheelchair. 19. A multi-directional clutch reducer used for a nursing bed or a nursing mobile vehicle, wherein the control unit and the controller each include several reduction gears provided with driving force output from a main motor and a sub motor in a case. The output speed is reduced to a predetermined speed, a plurality of output terminals are prepared, each of which is provided with a clutch, the output shaft of the clutch is further joined to an output shaft, and the required output terminal is provided with a signal from a control unit or a controller. A multi-directional clutch reducer characterized in that by turning on or off a clutch, multiple outputs can be transmitted compactly and efficiently with a drive source having a smaller number of required output functions.