JPH05176962A - Medical examination device for obstetrics and gynecology - Google Patents

Abstract

(57) [Summary] [Purpose] The purpose is to be able to confirm the safety behind the examination table in front of the examination table. A medical examination table on which a patient sits, an elevating means arranged horizontally next to the medical examination table and elevating the medical examination table, and attached to the elevating means for supporting the medical examination table on the elevating means. Support means for receiving the examination table.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical examination apparatus used for medical examination in obstetrics and gynecology, and more particularly to a medical examination apparatus in which a medical examination table on which a patient sits is moved up and down.

[0002]

2. Description of the Related Art An obstetrics and gynecology examination apparatus generally comprises an examination table on which a patient sits and a lifting device for raising and lowering the examination table. The examination table has a waist mat for receiving the patient's waist,
A back mat for receiving the patient's back and a rotatably supported elevator mechanism about an axis extending vertically to adjust the patient's orientation with respect to the physician. The back mat can be tilted at an arbitrary angle with respect to the waist mat in order to keep the patient in a supine position at an arbitrary angle (for example, Japanese Patent Application Laid-Open Nos. 3-49462 and 3-40995). When the patient sits on the examination table during the examination, the examination table
It is directed toward the doctor and raised to a predetermined height. Then, the back mat is tilted to a predetermined angle to keep the patient in a supine position at an arbitrary angle. In this state, the medical examination is performed.
When the examination is completed, the back mat is raised, the examination table is lowered, and the examination table is directed to the initial position. In this type of examination device, when the examination table is moved up and down, when the back mat is displaced with respect to the waist mat, when the examination table is rotated, especially when the examination table is lowered and the back mat is tilted, It is necessary to check the safety behind.
In particular, in the examination in obstetrics and gynecology, since the infant accompanied by the patient is often present behind the examination apparatus, when the examination table is lowered and the back mat is tilted, the infant is placed between the examination table and the floor. It is important to check the back of the examination table to prevent being caught between the back mat and the floor.

However, in an examination room of an obstetrics and gynecology department, a partition curtain is generally arranged between the patient and the doctor in order to prevent the patient and the doctor from directly facing each other.
This curtain obstructs the safety confirmation behind the examination table. Further, in the conventional examination apparatus, since the examination table is arranged above the elevating mechanism, that is, the elevating mechanism is arranged below the examination table, the examination table and the elevating mechanism are located behind the examination table. Confirmation is hindered.

[0004]

SUMMARY OF THE INVENTION An object of the present invention is to make it possible to confirm the safety behind the examination table in front of the examination table.

[0005]

An obstetrics and gynecological examination apparatus of the present invention includes an examination table on which a patient sits, an elevating means which is arranged next to the examination table in the horizontal direction and which moves the examination table up and down, and the examination. Support means attached to the elevating means for supporting the table on the elevating means and receiving the examination table.

According to the present invention, since the elevating means is arranged next to the examination table in the horizontal direction, and the examination table is received by the supporting means attached to the elevating means, when the examination table is raised, A space is formed between the floor and the examination table, therefore, before lowering the examination table and before lowering the back mat, check the back of the examination table from the space between the examination table and the floor in front of the examination table. can do.

It is preferable that the supporting means includes an L-shaped arm, the upper end of the arm is attached to the elevating means, and the examination table is supported by the lower end of the arm. As a result, the height position of the examination table when the examination table is lowered to the lowermost position is lower than that when the L-shaped arm is not used.

[0008]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT Referring to FIGS.
An examination table 12 and a lifting mechanism 14 for raising and lowering the examination table,
Lifting mechanism 1 for supporting the examination table 12 on the lifting mechanism 14.
4 and an L-shaped arm 16 for receiving the examination table 12.

The examination table 12 includes a waist mat 18 for receiving the patient's waist, a back mat 20 for receiving the patient's back, and a waist mat 1.
8, a first frame 22 that supports the back mat 20, a second frame 24 that supports the back mat 20, and a pair of crotch supports 2 attached to the first frame 22 to receive the left and right feet of the patient.
6 and 6.

The first frame 22 is rotatably supported at the lower end of the arm 16 about a first axis extending in the vertical direction, and the first frame 22 is provided with respect to the arm 16 by a first rotating mechanism (not shown). It is rotated angularly about an axis of 1. Therefore, the examination table 12 can be oriented in any direction by the first rotation mechanism. The second frame 24 is connected to the first frame 22 so as to be angularly rotatable about a second axis extending in the horizontal direction, and is also connected to the first frame 22 by a second rotating mechanism (not shown). It is rotated angularly about said second axis with respect to 22. Therefore, the back mat 20 can be tilted with respect to the waist mat 18 at any angle about the second axis in order to keep the patient in a supine position at any angle.

The lifting mechanism 14 is a mechanism using a plurality of jacks such as a hydraulic mechanism, and is arranged in a case 30 using a bellows 28. The elevating mechanism 14 is attached to the base 32 at its lower end. The base 32 is arranged on the floor 34 so that the elevating mechanism 14 and the case 30 are adjacent to the examination table 12 in the horizontal direction.

The upper end of the arm 16 is a lifting mechanism 14
Is attached to the upper end of the case 30, and the central part extends vertically along the side of the case 30 and the lower end extends horizontally.

The examination apparatus 10 stands by in a state where the examination table 12 is lowered to the lowermost end position and is directed toward the changing room, as shown in FIG.

When the patient sits on the examination table 12, first, the examination table 12 is rotated by a predetermined angle by the first rotating mechanism to turn the patient from the changing room side to the doctor side, and then the examination table 12 is moved to a predetermined height. The elevating mechanism 14 is driven to ascend to a desired height, and then the back mat 20 is tilted to a predetermined angle by the second rotating mechanism to keep the patient in a supine position at an arbitrary angle. In this state, the medical examination is performed.

When the examination is completed, first, the back mat 20 for raising the patient is raised by the second rotating mechanism, and then the elevating mechanism 14 is driven in reverse to lower the examination table 12 to the lowermost position, and thereafter. The examination table 12 is rotated in the opposite direction by the first rotating mechanism to turn the patient toward the changing room. As a result, the medical examination device 10 is returned to the standby state.

The above-mentioned movement and rotation of the examination table 12 can be controlled, for example, by a doctor operating a predetermined switch (not shown).

The height position of the waist mat 18 when the examination table 12 is lowered to the lowermost position as shown in FIG. 3 is such that the examination table 12 is supported by an arm extending horizontally from the upper end of the elevating mechanism 14. As compared with the case where it is caused, the height is lower, and as a result, the patient can easily get on and off the examination table 12, which is safe for the patient.

When the examination table 12 is raised as shown in FIGS. 1 and 2, the space 3 is provided between the examination table 12 and the floor 34.
6 is formed. Therefore, the rear of the examination table 12 can be confirmed from the space 36 between the examination table 12 and the floor 34 before tilting the back mat 20 and lowering the examination table 12.

For example, when the infant is between the examination table and the floor or between the back mat and the floor, the infant's foot is visible in the space 36 between the examination table 12 and the floor 34. Therefore, the infant's foot or the like can be seen from the space 36 between the examination table 12 and the floor 34, so that the infant can be informed of the danger.

The examination table 12 is preferably arranged so that the center of the examination table 12 is the above-mentioned first axis when viewed two-dimensionally. This reduces the radius of gyration of the examination table 12 around the first axis.

Like the examination apparatus 10, when the elevating mechanism 14 is horizontally separated from the first axis by a distance smaller than the maximum turning radius of the examination table 12, that is, the elevating mechanism 14 is used.
Is located within the rotation range of the examination table 12 around the first axis, the examination table 12 is not rotated in the direction in which it collides with the elevating mechanism 14 and the case 30. Therefore, when the examination table 12 is rotated around the vertically extending first axis, the patient on the examination table 12 can know the rotation direction around the first axis in advance.

The lifting mechanism 14 shown in FIG. 4 includes a substrate 40 mounted on a base 32, a pair of guides 42 mounted on the substrate 40 so as to extend vertically in parallel with each other.
The first guide 42 includes a slider 44 that is vertically movable, and first and second jacks 46 and 48 such as hydraulic jacks that are attached to the slider 44 so as to extend in the vertical direction.

Each of the guides 42 has a pair of guide portions 50 having a triangular sectional shape.
Are fixed to the substrate 40 so as to face each other.

The slider 44 comprises a pair of guide members 54 connected by a plurality of connecting members 52 so as to extend in the vertical direction in parallel with each other. Each guide member 54
Corresponds to the guide 42, and the corresponding guide 42
It extends in parallel with the guide portion 50 of. Each guide member 54 is also moved up and down along the guide portion 50 by a plurality of rollers 56 rotatably supported by the guide member 54 and abutting on the guide portion 50.

The cylinder 58 of the first jack 46 is fixed to the slider 44, and the piston rod 60 of the first jack 46 is in contact with the upper surface of the base plate 40. The cylinder 61 of the second jack 48 is connected to the slider 44, and the piston rod 6 of the second jack 48 is connected.
Reference numeral 4 is connected to the auxiliary slider 62. The arm 16 supporting the examination table is attached to the upper end of the auxiliary slider 62. One

The auxiliary slider 62 has an outer surface portion having a substantially parallelogram cross-sectional shape and a hollow portion opening downward.
The piston rod 64 of the second jack 48 is received in the hollow portion of the auxiliary slider 62. Therefore, the auxiliary slider 62 is rotatably supported by the guide member 54 as the second jack 46 expands and contracts. A plurality of rollers 66 that are brought into contact with the outer surface portion are moved up and down along the guide member 54.

The first and second jacks 46, 48 are
It is operated simultaneously or sequentially. When the first jack 46 is expanded and contracted, the slider 46 is moved up and down along the guide 42, and thus the auxiliary slider 62 is also moved up and down. Second
When the jack 48 is expanded and contracted, the auxiliary slider 62 is moved up and down with respect to the slider 46. Therefore, the arm 16 is moved up and down and the examination table is moved up and down by the expansion and contraction of the first and second jacks 46 and 48.

Incidentally, FIG. 4 shows the first and second jacks 4
6 and 48 show the extended state. Although shown, the rollers 56 and 66 are also arranged on the back side with respect to the paper surface. Further, a mechanism other than the lifting mechanism shown in FIG. 4 may be used as the lifting mechanism. As the elevating means for the examination table, one elevating mechanism may be used, or a plurality of elevating mechanisms arranged at intervals may be used.

[Brief description of drawings]

FIG. 1 is a front view showing an embodiment of a medical examination apparatus of the present invention.

FIG. 2 is a right side view of the medical examination device shown in FIG.

3 is a front view showing a state in which the examination table of the examination apparatus shown in FIG. 1 is lowered to the lowermost position.

FIG. 4 is a diagram showing an example of a lifting mechanism.

[Explanation of symbols]

 10 Screening Device 12 Screening Table 14 Lifting Mechanism 16 Arm (Supporting Means) 30 Case 32 Base 34 Floor

 ─────────────────────────────────────────────────── ─── Continued Front Page (72) Inventor Kazuo Matsubara 3-18-15 Hongo, Bunkyo-ku, Tokyo Atom Co., Ltd.

Claims (2)

[Claims] 1. An examination table on which a patient sits, an elevating means arranged horizontally next to the examination table and elevating the examination table, and attached to the elevating means for supporting the examination table on the elevating means. And an obstetrics and gynecology examination device, which includes a supporting means for receiving the examination table. 2. The supporting means includes an L-shaped arm,
The examination apparatus according to claim 1, wherein the arm is attached to the elevating means at an upper end portion thereof and receives the examination table at a lower end portion thereof.