JP4590178B2 - Medical system - Google Patents

Description

  The present invention relates to a medical system including a capsule medical device that is swallowed from an oral cavity and performs inspection, treatment, and the like.

Various capsule-type medical devices have been proposed for inspection of body cavities and the like. For example, Japanese Patent Application Laid-Open No. 2-36848 discloses a diagram in which an examination by a capsule medical device is performed in a state in which a patient is lying on a bed in FIG.
Further, FIG. 5 in US Pat. No. 5,604,531 specification. 6 discloses a diagram in which a test is performed with a capsule medical device for living body observation in a state where the patient is placed on the bed.
JP-A-2-36848 US Pat. No. 5,604,531

When a capsule-type medical device is swallowed, the capsule-type medical device often passes through the esophagus in a few seconds, making detailed observation difficult.
Therefore, in order to delay the passage time, the patient is generally lying until it passes through the esophagus.
In order to facilitate passage of the capsule medical device through the pharynx, the capsule medical device is generally swallowed together with water.
However, it is somewhat difficult to swallow the capsule inspection apparatus and water while the patient is lying on the bed as in the conventional example. In that case, there is a possibility that water may enter the upper respiratory tract and the function of facilitating passage through the pharynx is lost.

(Object of invention)
The present invention has been made in view of the above points, and provides a medical system that can easily swallow a capsule medical device, slow down the moving speed of the capsule medical device, and perform a detailed examination or the like. With the goal.

The present invention relates to a medical system including a capsule medical device for performing medical actions such as examination and treatment in the body by swallowing from the oral cavity, and an auxiliary table for supporting a subject to be swallowed by the capsule medical device. The auxiliary table includes a horizontal holding means for holding the angle of the upper body side excluding the head of the subject substantially horizontally, and for holding the angle of the head in an inclined state with respect to the upper body. An inclined holding means and a holding means that is fixed substantially vertically to the horizontal holding means and supports the back of the subject,
In addition, the present invention provides a medical device including a capsule medical device for performing medical treatment such as examination and treatment in the body by swallowing from the oral cavity, and an auxiliary table for supporting a subject to be swallowed by the capsule medical device. In the system, the auxiliary table holds a horizontal holding means for holding the angle of the upper body side excluding the head of the subject substantially horizontally, and holds the angle of the head in an inclined state with respect to the upper body. A tilt holding means, a holding means that is fixed substantially vertically to the horizontal holding means and supports the back of the subject, and a mouth, nose, and eyes of the subject formed near the portion where the head of the subject abuts A through-hole having a size to be mounted, and attached to be suspended from the auxiliary base under the through-hole, and the mounting base portion is horizontal, and the hand can be reached with the subject lying on the auxiliary base. Set to the height position It characterized by having a laser,
In addition, the present invention includes a capsule medical device for performing medical treatment such as examination and treatment in the body by swallowing from the oral cavity, and an auxiliary table for supporting the body of the subject swallowing the capsule medical device. In the medical system, the auxiliary table is formed by a horizontal holding means that can hold the angle of the upper body excluding the head of the subject substantially horizontally, and a subject formed near a portion where the head of the subject contacts A through hole of a size that covers the mouth, nose, and eyes, and is mounted so as to be suspended from the auxiliary table below the through hole, and the mounting table portion is horizontal and the subject is lying on the auxiliary table It has the tray set to the height position which can reach a hand in the state which became.

According to the present invention, it is provided with a capsule medical device for performing medical actions such as examination and treatment in the body by swallowing from the oral cavity, and an auxiliary table for supporting a subject to be swallowed by the capsule medical device. In the medical system,
The auxiliary table has a horizontal holding means for holding the angle of the upper body side excluding the head of the subject substantially horizontally, and for holding the angle of the head in an upwardly inclined state with respect to the upper body. Since the tilt holding means is provided, the capsule medical device and the water can be easily swallowed, and the moving speed of the capsule medical device swallowed by the horizontal holding means can be slowed down to perform a detailed examination or the like.

  Embodiments of the present invention will be described below with reference to the drawings.

1 to 3 relate to a first embodiment of the present invention, FIG. 1 illustrates an example of the overall configuration of the medical system according to the first embodiment of the present invention, and FIG. 2 illustrates the configurations of a capsule medical device and an extracorporeal unit. FIG. 3 shows the procedure of the inspection method. As will be described below, in the present embodiment, when examining the upper digestive tract of a subject, specifically, the esophagus, using a capsule medical device, the passage speed at that site is slowed down, and detailed examination information is provided. It is a system for making it possible to obtain.
As shown in FIG. 1, the medical system 1 according to the first embodiment receives a capsule medical device 3 for inspecting the body cavity of a patient 2 as a subject, and biological information transmitted by the capsule medical device 3. The extracorporeal unit 4 that accumulates and an auxiliary base 7 that includes, for example, a base member 5 and a headrest 6 as auxiliary devices for assisting the examination of the capsule medical device 3.

The bed-shaped base member 5 constituting the auxiliary base 7 has a function of horizontal holding means for holding the upper body (upper body) side of the patient 2 horizontally. The headrest 6 has a function of tilt holding means for tilting and supporting the head 2b of the patient 2 from the horizontal direction, and this function makes it easy for the patient 2 to swallow the capsule medical device 3 together with water.
As shown in FIG. 2, the capsule medical device 3 has a cylindrical shape and a hemispherical shape in which one end is closed with a hemispherical shape, and a hemispherical shape that is fitted and fixed to the other open end of the exterior member main body 11. The transparent cover 12 forms a watertight outer container.
An objective lens 13 that forms an optical image of the object to be observed is attached to the lens frame 14 in the central portion inside the transparent cover 12 in the outer container. An image sensor 15 that performs imaging such as a CMOS imager is disposed.
Further, for example, a plurality of white LEDs 16 are arranged around the objective lens 13 as illumination elements.

On the back side of the image sensor 15, while driving the white LED 16, a processing circuit 17 that drives the image sensor 15 and performs signal processing and the like, a communication circuit 18 that transmits an image signal captured by the image sensor 15 to the extracorporeal unit 4, A battery 19 for supplying power for operation to each circuit and the like, and a switch 21 for turning on and off the power of the battery 19 are arranged.
A flexible printed circuit board (abbreviated as FPC) 22 is disposed in the longitudinal direction of the exterior member main body 11, and the FPC 22 is electrically connected to the image sensor 15, processing circuit 17, communication circuit 18, battery 19, and switch 21. Has been.
The communication circuit 18 is connected to an antenna 23 that wirelessly transmits a signal to the extracorporeal unit 4.

As shown in FIG. 1, the extracorporeal unit 4 that receives biological information from the capsule medical device 3 has, for example, a box shape, and is provided with an attachment portion 8 that can be detachably attached to the base member 5, for example. An antenna 9 that receives biological information transmitted by radio waves from the antenna 23 of the capsule medical device 3 is extended to the outside.
As shown in FIG. 2, the extracorporeal unit 4 includes a communication circuit 26 that demodulates a signal received by an antenna 9 extended to the outside, and converts the signal demodulated by the communication circuit 26 into a digital signal. A control circuit 27 that performs compression processing and the like, and a control operation (processing &), a storage means 28 composed of a nonvolatile memory such as an EEPROM connected to the control circuit 27, and the control circuit 27 And a power source 29 such as a battery for supplying electric power.

When the patient 2 swallows the capsule medical device 3, the patient 2 includes the capsule medical device 3 in the oral cavity 2a using the auxiliary table 7 as shown in FIG. By swallowing the water together, the capsule medical device 3 can be smoothly passed through the pharynx so that the inspection in the body cavity such as the esophagus can be performed.
In this case, the patient 2 is a horizontal plane formed by the upper surface of the bed-shaped base member 5, and the upper side (upper body side) of the patient 2 is held horizontally.
In addition, a tilting angle can be freely adjusted by the pivotal support portion 32 at one end portion in the longitudinal direction of the base member 5, and a headrest 6 for supporting the head (head) 2 b of the patient 2 at an appropriate tilting angle is attached. is there. As shown in FIG. 1, the headrest 6 allows the inclination angle for supporting the head 2 b of the patient 2 to be set to, for example, 60 ° to 90 ° from the horizontal plane of the base member 5.

In the present embodiment, as shown in FIG. 1, the angle of the upper body side excluding the head 2 b of the patient 2 is held substantially horizontal by the base member 5 of the auxiliary base 7, and the angle of the head 2 b with respect to the upper body is maintained by the headrest 6. The capsule-type medical device 3 can be easily swallowed by being held in an upwardly inclined state, and the moving speed of the swallowed capsule-type medical device 3 can be reduced by horizontally holding the capsule-type medical device 3. Detailed inspection is possible.
In the present embodiment, the pivot 32 is further provided with an adjustment screw 33 for adjusting the amount of force that can be pivotally supported, and the head 2b is moved to the headrest 6 side in a state where it is set to an appropriate inclination angle. By performing the pressing operation, the headrest 6 is rotated around the pivotal support portion 32 in the direction of decreasing the inclination angle as indicated by an arrow so that the headrest 6 can be set substantially horizontal as indicated by a two-dot chain line. ing.

Then, as described below, immediately after swallowing the capsule medical device 3, the head 2b is set to be in a horizontal state together with the headrest 6, and the moving speed is set slower from the state immediately after swallowing. Detailed inspection etc. can be performed from near the position.
Next, the operation in which the patient 2 swallows the capsule medical device 3 according to the present embodiment and the inside of the body cavity is inspected by the capsule medical device 3 will be described along the inspection method shown in FIG.
The procedure for swallowing and inspecting the capsule medical device 3 is as follows.
First, as shown in step S1, the inside of the oral cavity 2a is washed to remove saliva and suppress the generation of saliva.
Methods for cleaning the oral cavity 2a include gargle with cleaning liquids such as popidone iodine solution, domifene bromide, sodium azulene sulfonate, sodium bicarbonate water, oxidol, and benzethonium chloride, brushing with a toothbrush and jetting high-pressure water with a water pick. .

In the next step S2, the patient 2 drinks an antifoaming agent such as dimethicone or dimethylpolysiloxane in order to remove bubbles in the digestive tract.
Further, immediately before drinking the capsule medical device 3, several hundred ml of water is drunk to remove newly generated or remaining saliva and bubbles.
Thereafter, the patient 2 lies on the bed-like base member 5 shown in FIG. 1 and swallows the capsule medical device 3 together with water.
In this case, as shown in step S3, the upper body of the patient 2 is held horizontally by the auxiliary base 7 (the base member 5). Also, as shown in step S4, the headrest 6 supports the head 2b of the patient 2 in a state where the head 2b of the patient 2 is raised at an appropriate angle from the horizontal direction.

As described above, the patient 2 or the like sets the headrest 6 with respect to the base member 5 at an appropriate angle, for example, 60 ° to 90 °, and supports the head 2 b with the headrest 6. In this state, the head 2b side is positioned above the neck side. Furthermore, as shown in step S5, immediately before swallowing the capsule medical device 3, several hundred ml of water is swallowed to remove newly generated or remaining bubbles.
Thereafter, as shown in step S6, the patient 2 operates the switch 21 of the capsule medical device 3 to turn on the power.
And as shown to step S7, the capsule type medical device 3 is included in the oral cavity 2a, the cup 31 containing water is held in the hand, the water of the cup 31 is poured into the oral cavity 2a, and the capsule type medical treatment is carried out together with this water. Swallow device 3.

Then, as shown in step S8, at an appropriate timing immediately after the capsule medical device 3 passes through the throat, the patient 2 presses the head 2b against the headrest 6 and rotates the headrest 6 with the pivot 32. Thus, the head 2b is also set in a horizontal state like the upper body.
In this way, the swallowed capsule medical device 3 is quickly set almost horizontally on the upper side of the esophagus of the patient 2 immediately after swallowing, so the capsule medical device 3 moves on the upper side in the esophagus. Therefore, when moving from the upper side to the middle and lower side in the esophagus, images can be taken many times per unit time, and a detailed examination can be performed.
Therefore, a captured image in which the inside of the esophagus is captured in detail immediately after swallowing is obtained, which is very effective in making a detailed diagnosis.

  Thus, according to the present embodiment, when the capsule medical device 3 is swallowed, the head 2b is set to an angle that is raised from the horizontal direction by the headrest 6, and can be swallowed in a state that is easy to swallow. Immediately after swallowing, press the head 2b against the headrest 6 to quickly set the head 2b to near horizontal, set the moving speed by the capsule medical device 3 from the upper side of the esophagus, and perform a detailed examination. It can be carried out.

Next, Embodiment 2 of the present invention will be described with reference to FIG. FIG. 4 shows a configuration example of the medical system 1B according to the present embodiment. 4A and 4B show a side view and a plan view of the medical system 1B. In this embodiment, the operability is improved as compared with the first embodiment.
The medical system 1B of the present embodiment is provided with an attachment member 42 for detachably attaching the headrest 6 to the bed 41, instead of the medical system 1 shown in FIG. An auxiliary table 7 is formed.
The attachment member 42 is provided with a fixing screw 43 so that the attachment member 42 can be detachably fixed on both sides of the bed 41. Further, a motor 44 is attached to the pivot member 32 that rotatably holds the headrest 6 on the attachment member 42, and by rotating the motor 44, a two-dot chain line in FIG. The headrest 6 can be brought down to the vicinity of the position indicated by.

The motor 44 is connected to the foot switch 46 via the cable 45, and the patient 2 supplies the motor 44 with driving power from the battery in the battery box 47 by performing an operation of stepping on the foot switch 46 with the foot. Thus, the motor 44 is rotated so that the headrest 6 can be tilted, so that substantially the same function as that of the first embodiment is realized with improved operability.
Other configurations are the same as those of the first embodiment. Next, the operation of this embodiment will be described.
In Example 1, when the capsule medical device 3 is swallowed together with the water of the cup 31, the patient 2 presses the head 2b against the headrest 6 side and tilts the headrest 6 so that the head 2b and the neck side are also almost horizontal. And the swallowed capsule medical device 3 is set to move slowly.

On the other hand, in this embodiment, the patient 2 performs an operation of stepping on the foot switch 46 with his / her foot immediately after swallowing the capsule medical device 3 with the water of the cup 31 to rotate the motor 44.
Due to the rotation of the motor 44, the head 2b supported by the headrest 6 also becomes nearly horizontal as the headrest 6 falls down in the horizontal direction, and the capsule medical device 3 that has passed through the throat of the patient 2 quickly Is set to a state where the moving speed becomes slow.
Therefore, according to the present embodiment, the same effects as those of the first embodiment can be obtained and the operability can be further improved. Further, in this embodiment, the existing bed 41 is used, and the auxiliary base 7 can be formed by detachably attaching the headrest 6 to the bed 41 so that the auxiliary base 7 can be formed. The medical system 1B can be realized with a burden.

FIG. 5 shows a configuration of a modified medical system 1C as a usage example. This modification employs, for example, a soft bottle 51 containing water instead of employing the cup 31 in FIG. The upper end of the bottle 51 is closed with a lid 52, and an integrated flexible tube 53 is extended to the lid 52. Then, the patient 2 grasps the bottle 51 by hand and applies pressure so as to dent the bottle 51 so that the internal water can be ejected from the tip through the tube 53.
Therefore, when swallowing the capsule medical device 3 together with water, the patient 2 includes the capsule medical device 3 in the oral cavity 2a as shown in FIG. 5, and the distal end of the tube 53 is placed in the oral cavity 2a. Then, the bottle 51 should be dented.
According to this modification, it is possible to prevent the water from being spilled more reliably than the case where the same effect as that of the second embodiment is employed and the cup 31 is further employed.

Next, a medical system 1D according to a third embodiment of the present invention will be described with reference to FIGS. 6 shows a side view of the medical system 1D of Example 3 as seen from the side, and FIG. 7 shows a front view of the main part in FIG. In this embodiment, the extracorporeal unit 4 is omitted.
This medical system 1D is provided with a backrest 55 that supports the back surface of the patient 2 in addition to the auxiliary table 7 in the medical system 1 of FIG. The backrest 55 is fixed substantially perpendicular to the base member 5.

In this embodiment, before swallowing the capsule medical device 3, the patient 2 is in a recumbent position on the auxiliary base 7 so as to support the head 2 b sideways with the headrest 6. In this state, the patient 2 can easily swallow the capsule medical device 3 together with water because the head 2b can be made substantially vertical while keeping the upper body below the neck horizontal. The back on the back side in a state where the patient 2 is turned sideways is supported by the backrest 55.
In addition to the effects of the first embodiment, this embodiment can shorten or extend the residence time of the capsule medical device 3 in the stomach.
For example, when the patient 2 is in the left-side prone position, the pylorus is at the top, so that the patient can spend more time in the stomach than in the standing position.
On the contrary, when the patient 2 is placed in the right-side position, the pylorus is on the bottom, so that the discharge time from the stomach can be shortened.

Next, with reference to FIG.8 and FIG.9, the medical system 1E of Example 4 of this invention is demonstrated. 8 shows a side view of the medical system 1E of Example 4 as viewed from the side, and FIG. 9 shows an enlarged cross section of the main part in FIG.
As shown in FIG. 8, in this embodiment, a vertical base through hole 62 is provided in the vicinity of one end of a horizontal base 61 to form an auxiliary table 7. The size of the through-hole 62 is smaller than the size of the head 2b of the patient 2 and is an opening that covers the mouth, nose, and eyes.
Below the through hole 62, the mounting table portion of the tray 63 is horizontally attached so that the upper end of the support bar is suspended from the bottom surface of the base 61. The size of the mounting table of the tray 63 is large enough to allow the water-filled straw bottle 64 and the capsule medical device 3 to be placed, and can be reached when the patient 2 is lying on the base 61. It is set to height.

Before drinking the capsule medical device 3, the patient 2 is lying on the auxiliary table 7 with the mouth, nose and eyes facing the through-hole 62. At this time, the straw bottle 64 containing water and the capsule medical device 3 are placed on the mounting table portion of the tray 63.
Thereafter, as shown in an enlarged view of the main part in FIG. 9, the patient 2 includes the capsule medical device 3 in the oral cavity 2 a and drinks water from the straw bottle 64 to keep the upper body horizontal while keeping the upper body horizontal. The type medical device 3 can be swallowed easily.
According to the present embodiment, the patient 2 can swallow the capsule medical device 3 together with water while the head 2b is kept substantially parallel to the upper body. For this reason, it is unnecessary to move the head 2b on the horizontal side after swallowing, and the examination from the upper side of the esophagus can be performed in detail.

FIG. 10 shows a main part of a modified medical system 1F. In this modification, the bed 41 is used for the auxiliary base 7. Then, the patient 2 is lying on his / her upper body on the bed 41, but in this case, the vicinity of the head 2 b is lying on the bed 41 so as to protrude from one end of the bed 41.
When the patient 2 swallows the capsule medical device 3 together with water, the patient 2 includes the capsule medical device 3 in the oral cavity as shown in FIG. 10, and uses the bottle 51 described in FIG. May be swallowed.
According to this modification, the capsule medical device 3 can be easily swallowed with a simple configuration, and a detailed examination can be performed from the upper side of the impulse.

Next, with reference to FIG.11 and FIG.12, the medical system 1G of Example 5 of this invention is demonstrated. A medical system 1G of the present embodiment shown in FIG. 11 is obtained, for example, by adding a string-like member 71 to the capsule medical device 3 in the medical system 1 of FIG.
FIG. 12 shows the capsule medical device 3 to which the string-like member 71 is attached. One end of a flexible string-like member 71 is attached to, for example, a water-soluble adhesive 72 at the rear end of the capsule medical device 3 opposite to the transparent cover 12 in the exterior member main body 11. ing. The other end of the string-like member 71 is fixed to, for example, a rod-like member 73 that prevents swallowing into the oral cavity 2a and the like.

In this case, since the string-like member 71 is attached to the exterior member body 11 of the capsule medical device 3 with an adhesive 72 such as a bag, which is water-soluble and does not interfere with eating and drinking, it is inserted into the oral cavity 2a, For example, the string-like member 71 and the capsule medical device 3 are separated from each other by melting in several tens of seconds. That is, the cord-like member 71 that is released from being fixed in a short predetermined time range is attached to the capsule medical device 3.
Further, the length of the string-like member 71 is set to a length in the vicinity immediately after passing through the throat from the entrance (that is, the mouth) of the oral cavity 2a.
Therefore, as shown in FIG. 11, the capsule medical device 3 is included in the oral cavity 2 a, and the capsule medical device 3 can be swallowed together with the water by swallowing the water in the cup 31. The swallowed capsule medical device 3 is regulated by the string-like member 71 in the vicinity of the position where it has passed through the throat. The capsule medical device 3 is separated from the string-like member 71 by dissolving the water-soluble adhesive 72 in about several seconds to several tens of seconds.

Before this separation is performed, the patient 2 may bring the head 2b into a horizontal state, for example, by tilting the headrest 6.
According to the present embodiment, the movement speed of the swallowed capsule medical device 3 can be increased even at a later timing without requiring the operation of leveling the head 2b at a short timing immediately after swallowing the capsule medical device 3. It can be slowed down and the examination from the upper side of the esophagus can be done in detail.

Further, in the present embodiment, the patient 2 can easily set swallowing by connecting the string-like member 71 to the capsule medical device 3 and swallowing so that the transparent cover 12 side becomes the distal end side.
In addition, instead of the adhesive 72 that dissolves in water in several seconds to several tens of seconds, by applying a pulling force to the string-like member 71, the string-like member 71 is bonded with a weak strength that can be released. Also good.
In the above description, the capsule medical device 3 has been described as having a configuration in which the inside of a body cavity is optically imaged and examined or diagnosed. However, the present invention is not limited to this, for example, a drug solution It may be configured to perform a medical treatment (medical action) in which a chemical solution is stored in the esophagus or other site to be treated.

  By swallowing the capsule medical device using an auxiliary table or the like, the patient can perform inspection and treatment in the body cavity in a state where it is easy to swallow.

[Appendix]
1. In the first aspect, the tilt holding means can variably adjust the angle of the tilt state. 2. In Supplementary Note 1, the tilt holding means can further reduce the angle of the tilted state by pressing.
3. The tilt holding means can set the tilt state to a substantially horizontal state by a switch operation.
4). In Claim 1, the said horizontal holding means is comprised with a bed.
5). In Claim 1, the said inclination holding means can be attached to the said horizontal holding means. 6). 2. The capsule medical device according to claim 1, wherein a string-like member is attached to the capsule medical device by an adhesive that is released from being fixed within a predetermined time range.
7). In Claim 1, a string-like member is attached to the capsule medical device by a water-soluble adhesive.

8). In an inspection method using a capsule medical device for a subject,
A subject holding step for holding the upper side of the subject horizontally and supporting the head in an obliquely upwardly inclined state by the auxiliary table,
A release step of releasing the tilted state of the head immediately after the capsule medical device is swallowed with liquid;
Inspection method using a capsule medical device.
9. In Supplementary Note 8, the release step is activated by a switch operation.

1 is an overall configuration diagram of a medical system according to a first embodiment of the present invention. The figure which shows the structure of a capsule type medical device and an external unit. The flowchart figure which shows the procedure of an inspection method. The whole medical system lineblock diagram of Example 2 of the present invention. The whole medical system lineblock diagram of a modification. The side view of the medical system of Example 3 of this invention. The front view of a medical system. The side view of the medical system of Example 4 of this invention. Sectional drawing which expands and shows the principal part of FIG. The side view of the medical system of a modification. The side view of the medical system of Example 5 of this invention. The side view which shows a capsule type medical device.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 ... Medical system 2 ... Patient 3 ... Capsule type medical device 4 ... Extracorporeal unit 5 ... Base member 6 ... Headrest 7 ... Auxiliary stand 9, 23 ... Antenna 11 ... Exterior member main body 12 ... Transparent cover 13 ... Objective lens 15 ... Imaging element 16 ... White LED
17 ... Processing circuit 18, 26 ... Communication circuit 27 ... Control circuit 28 ... Storage means 31 ... Cup 32 ... Pivot support agent Patent attorney Susumu Ito

Claims (3)

In a medical system comprising a capsule medical device for performing medical actions such as examination and treatment in the body by swallowing from the oral cavity, and an auxiliary table for supporting a subject to be swallowed by the capsule medical device,
The auxiliary table has a horizontal holding means for holding the angle of the upper body side excluding the head of the subject substantially horizontally, and an inclination holding for holding the angle of the head in an inclined state with respect to the upper body. And a holding means that is fixed substantially perpendicular to the horizontal holding means and supports the back surface of the subject. In a medical system comprising a capsule medical device for performing medical actions such as examination and treatment in the body by swallowing from the oral cavity, and an auxiliary table for supporting a subject to be swallowed by the capsule medical device,
The auxiliary table has a horizontal holding means for holding the angle of the upper body side excluding the head of the subject substantially horizontally, and an inclination holding for holding the angle of the head in an inclined state with respect to the upper body. Means, a holding means that is fixed substantially perpendicular to the horizontal holding means and supports the back surface of the subject, and a size that encompasses the mouth, nose, and eyes of the subject formed near the portion where the head of the subject contacts And a height position where the hand can be reached in a state where the mounting table portion is horizontal and the subject is lying on the auxiliary table under the through-hole. A medical system characterized by having a tray set to. In a medical system provided with a capsule medical device for performing medical acts such as examination and treatment in the body by swallowing from the oral cavity, and an auxiliary table for supporting the body of the subject swallowing the capsule medical device,
The auxiliary table includes a horizontal holding means that can hold the angle of the upper body excluding the head of the subject substantially horizontally, a mouth, a nose of the subject formed near a portion where the head of the subject abuts, A through-hole having a size that encompasses the eyes and a handpiece that is mounted so as to be suspended from the auxiliary table under the through-hole and that the mounting table portion is horizontal and the subject is lying on the auxiliary table. A medical system characterized by having a tray set at a height position that can reach.

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